Daily Papers

Large language models achieve strong scores on medical benchmarks, yet these benchmarks evaluate each question in isolation, providing no measure of whether a system can distinguish clinically similar presentations requiring different interventions. We introduce MamaBench, the first counterfactual benchmark for maternal and paediatric AI: 434 expert-authored clinical narratives in 217 pairs across 371 pathologies, evaluated via the Bias Trap Rate (BTR), the conditional probability that a model fails the counterfactual given success on the base case. We propose Evidence-Anchored RAG (EA-RAG), a three-stage retrieval method that replaces aggregate similarity with an evidence coverage objective through clinical parameter extraction, coverage auditing, and contrastive sub-queries. Across eight configurations of four frontier LLMs, base accuracy overstates robust accuracy by 16-28 percentage points in every model. EA-RAG achieves 20.3% BTR and 65.0% robust accuracy on Claude Sonnet 4.6, a 5.5 percentage point BTR reduction without degrading base accuracy. The residual 20% BTR confirms that counterfactual robustness in clinical AI remains an open challenge. Keywords: counterfactual evaluation, clinical AI, maternal healthcare, retrieval-augmented generation, diagnostic robustness

Language models have shown promising performance on the task of translating natural language questions into SQL queries (Text-to-SQL). However, most of the state-of-the-art (SOTA) approaches rely on powerful yet closed-source large language models (LLMs), such as ChatGPT and GPT-4, which may have the limitations of unclear model architectures, data privacy risks, and expensive inference overheads. To address the limitations, we introduce CodeS, a series of pre-trained language models with parameters ranging from 1B to 15B, specifically designed for the text-to-SQL task. CodeS is a fully open-source language model, which achieves superior accuracy with much smaller parameter sizes. This paper studies the research challenges in building CodeS. To enhance the SQL generation abilities of CodeS, we adopt an incremental pre-training approach using a specifically curated SQL-centric corpus. Based on this, we address the challenges of schema linking and rapid domain adaptation through strategic prompt construction and a bi-directional data augmentation technique. We conduct comprehensive evaluations on multiple datasets, including the widely used Spider benchmark, the newly released BIRD benchmark, robustness-diagnostic benchmarks such as Spider-DK, Spider-Syn, Spider-Realistic, and Dr.Spider, as well as two real-world datasets created for financial and academic applications. The experimental results show that our CodeS achieves new SOTA accuracy and robustness on nearly all challenging text-to-SQL benchmarks.

Linguistic expressions of emotions such as depression, anxiety, and trauma-related states are pervasive in clinical notes, counseling dialogues, and online mental health communities, and accurate recognition of these emotions is essential for clinical triage, risk assessment, and timely intervention. Although large language models (LLMs) have demonstrated strong generalization ability in emotion analysis tasks, their diagnostic reliability in high-stakes, context-intensive medical settings remains highly sensitive to prompt design. Moreover, existing methods face two key challenges: emotional comorbidity, in which multiple intertwined emotional states complicate prediction, and inefficient exploration of clinically relevant cues. To address these challenges, we propose APOLO (Automated Prompt Optimization for Linguistic Emotion Diagnosis), a framework that systematically explores a broader and finer-grained prompt space to improve diagnostic efficiency and robustness. APOLO formulates instruction refinement as a Partially Observable Markov Decision Process and adopts a multi-agent collaboration mechanism involving Planner, Teacher, Critic, Student, and Target roles. Within this closed-loop framework, the Planner defines an optimization trajectory, while the Teacher-Critic-Student agents iteratively refine prompts to enhance reasoning stability and effectiveness, and the Target agent determines whether to continue optimization based on performance evaluation. Experimental results show that APOLO consistently improves diagnostic accuracy and robustness across domain-specific and stratified benchmarks, demonstrating a scalable and generalizable paradigm for trustworthy LLM applications in mental healthcare.

Chronic Obstructive Pulmonary Disease (COPD), a major chronic respiratory disease with persistent airflow limitation, is a leading global cause of disability and mortality. Respiratory spirogram time series, routinely collected during pulmonary function tests (PFTs), play a critical role in the early detection of repsiratory diseases and in monitoring lung function over time. However, most current AI models for COPD diagnosis are limited to outputting classification results without providing a rationale for their diagnostic process, while current Large Language Models (LLMs) cannot understand spirograms yet, which severely limits their clinical trust and adoption. To tackle this challenge, we leverage a cohort of 234,028 individuals from the UK Biobank (UKB) to propose SpiroLLM, the first multimodal large language model that can understand spirogram. The model extracts morphological features from respiratory curves via a SpiroEncoder and aligns them with PFT numerical values in a unified latent space using a SpiroProjector, ultimately empowering a large language model to generate a comprehensive diagnostic report. Experimental results confirm that SpiroLLM achieved a diagnostic AUROC of 0.8980 (95% CI: 0.8820-0.9132). In a robustness test with missing core data, it maintained a 100% valid response rate, far surpassing the 13.4% of a text-only model and showcasing the superiority of its multimodal design. This work demonstrates the substantial potential of deeply fusing physiological signals with large language models, establishing a new paradigm for the next generation of interpretable and reliable clinical decision support tools.

Plasma diagnostic models for tokamak fusion devices are almost universally evaluated on clean, complete sensor data. In practice, fusion diagnostics fail regularly: acquisition systems start late, individual sensors die, and signal dropouts cluster precisely when a plasma disruption is approaching. We present the first systematic robustness benchmark for plasma diagnostic ML using the TokaMark dataset of 11,573 MAST shots, evaluating XGBoost, LSTM, Transformer, and the TokaMark CNN baseline across six physically-grounded failure scenarios and three imputation strategies. We introduce the Robustness Score (RS) for standardized cross-architecture comparison. Our central finding is that disruption-proximate sensor failure (corruption injected in the final window timesteps) collapses sequence model performance (LSTM +212% NRMSE) while a statistical feature model remains comparatively stable (XGBoost +37%). Forward-fill imputation eliminates nearly all degradation from random dropout for sequence models (LSTM +57% to ~0%), but offers little help when the end of the window is corrupted. Shot-level alarm evaluation using ground-truth disruption timestamps reveals that LSTM alarm detection collapses to TPR=0.00 under proximate sensor failure, while mean-fill imputation recovers it to TPR=1.00, a reversal of the pattern observed in NRMSE. Plasma current emerges as the single most critical diagnostic across all architectures (+73% to +140% upon removal). Code, data, and trained checkpoints are available at https://github.com/Neerav-Gupta/tokamark-robustness.

Neural text-to-SQL models have achieved remarkable performance in translating natural language questions into SQL queries. However, recent studies reveal that text-to-SQL models are vulnerable to task-specific perturbations. Previous curated robustness test sets usually focus on individual phenomena. In this paper, we propose a comprehensive robustness benchmark based on Spider, a cross-domain text-to-SQL benchmark, to diagnose the model robustness. We design 17 perturbations on databases, natural language questions, and SQL queries to measure the robustness from different angles. In order to collect more diversified natural question perturbations, we utilize large pretrained language models (PLMs) to simulate human behaviors in creating natural questions. We conduct a diagnostic study of the state-of-the-art models on the robustness set. Experimental results reveal that even the most robust model suffers from a 14.0% performance drop overall and a 50.7% performance drop on the most challenging perturbation. We also present a breakdown analysis regarding text-to-SQL model designs and provide insights for improving model robustness.

Large language model-based web agents have demonstrated strong performance on realistic web interaction tasks. However, existing evaluations are predominantly conducted under relatively stable and well-behaved interaction conditions, which may overestimate agent robustness. High task success in such idealized settings does not necessarily reflect performance under realistic web interaction. To address this limitation, we introduce a diagnostic stress-testing benchmark for web agents. We first construct realistic and controllable web environments that provide clean and stable interaction workflows as reference baselines. We then introduce structured and controlled perturbations that emulate interaction variability, including shifting layouts, altered interaction semantics, and execution disruptions. By comparing agent behavior between clean and perturbed settings, our framework enables systematic diagnosis of robustness under what-if interaction scenarios. Through extensive evaluation of state-of-the-art multimodal web agents, we show that stress-based evaluation exposes failure modes and substantial robustness gaps that remain hidden under clean benchmark conditions.

Vision-Language-Action (VLA) models achieve strong performance in robotic manipulation by leveraging pre-trained vision-language backbones. However, in downstream robotic settings, they are typically fine-tuned with limited data, leading to overfitting to specific instruction formulations and leaving robustness to paraphrased instructions underexplored. To study this gap, we introduce LIBERO-Para, a controlled benchmark that independently varies action expressions and object references for fine-grained analysis of linguistic generalization. Across seven VLA configurations (0.6B-7.5B), we observe consistent performance degradation of 22-52 pp under paraphrasing. This degradation is primarily driven by object-level lexical variation: even simple synonym substitutions cause large drops, indicating reliance on surface-level matching rather than semantic grounding. Moreover, 80-96% of failures arise from planning-level trajectory divergence rather than execution errors, showing that paraphrasing disrupts task identification. Binary success rate treats all paraphrases equally, obscuring whether models perform consistently across difficulty levels or rely on easier cases. To address this, we propose PRIDE, a metric that quantifies paraphrase difficulty using semantic and syntactic factors. Our benchmark and corresponding code are available at: https://github.com/cau-hai-lab/LIBERO-Para

Large language model evaluations typically focus on performance under nominal conditions, creating an illusion of capability where models comfortably walk a narrow, highly optimized generation corridor. In real-world deployments, however, complex system prompts, safety guardrails, and structural constraints continuously force models off this nominal path, driving a divergence between benchmark scores and deployment performance. To address this issue, we introduce Decoding-Level Taboo, a zero-prompt diagnostic stress test that intervenes directly in logit space at runtime, forcing models out of their nominal paths. By dynamically masking primary candidate tokens at word boundaries, Taboo forces machine circumlocution. Evaluating Taboo across several open-weight model families reveals that off-path robustness is heavily influenced by both parameter scale and post-training instruction alignment, with robustness generally improving with model size and alignment. Beyond the results presented in this paper, Taboo provides a novel primitive for generating diverse synthetic datasets, stress-testing runtime safety guardrails, and auditing model reliability prior to real-world deployment.

The robustness of deep neural networks is crucial for safety-critical deployments, yet existing evaluation methods are often attack-dependent and lack interpretability. We propose a principled, attack-agnostic robustness metric based on the spectral norm of the Fisher Information Matrix (FIM), which quantifies the worst-case sensitivity of the model's output distribution to input perturbations. Theoretically, we establish that the FIM equals the variance of the input Jacobian and derive closed-form spectral bounds for common architectures, including VGG, ResNet, DenseNet, and Transformer, providing the first theoretical robustness ranking. To enable scalable evaluation, we develop efficient algorithms, including power iteration and Hutchinson-based estimation, that support both white-box and black-box settings. Extensive experiments across multiple datasets, including CIFAR, ImageNet, and medical images, and across multiple architectures show a strong correlation between our metric and adversarial vulnerability. Our framework serves as an interpretable diagnostic tool that complements attack-based evaluations, offering insights into architectural sensitivity and guiding the design of more robust models. Code is available at: https://github.com/franz-chang/SRP/.

Vision-language models (VLMs) are now proposed as runtime safety guards for embodied agents in homes and factories. A deployable guard must catch genuinely unsafe situations while avoiding unnecessary intervention on routine but superficially alarming activity, a distinction that binary safety benchmarks obscure. We introduce EgoSafetyBench, an egocentric video benchmark of 1,200 robot-view scenarios annotated at half-second granularity, to evaluate VLMs as streaming guards across two tracks. The situational track (800 scenarios) spans four families, from routine and safe-but-suspicious scenes to obvious and contextual hazards. The visual-channel track (400 scenarios) targets in-scene text-a sign, sticker, or label visible in the scene-that can misrepresent the physical situation, pairing each misleading sign with a truthful version to test both whether a guard flags the text as misleading and whether the text corrupts its physical-safety judgment. Both tracks use contrastive ladders: near-identical scenarios differing only in a single visible deciding cue, so a correct call must hinge on that cue rather than the overall scene type. We evaluate ten open- and closed-source VLMs. We find that while guards reliably recognize videos containing hazards, they often miss specific hazardous moments, particularly contextual hazards. Furthermore, misleading in-scene signs degrade all tested guards: vulnerable models miss up to a third of hazards, while robust models over-intervene on safe content. Matched controls reveal that apparent safety robustness often reflects indiscriminate alarming rather than true physical reasoning.

Process Reward Models (PRMs) are rapidly becoming the backbone of LLM reasoning pipelines, yet we demonstrate that state-of-the-art PRMs are systematically exploitable under adversarial optimization pressure. To address this, we introduce a three-tiered diagnostic framework that applies increasing adversarial pressure to quantify these vulnerabilities. Static perturbation analysis uncovers a fluency-logic dissociation: high invariance to surface-level style changes reward changes <0.1, yet inconsistent detection of logically-corrupted reasoning, with different models failing on different attack types. Adversarial optimization demonstrates that gradient-based attacks inflate rewards on invalid trajectories, with reward landscapes exhibiting wide, exploitable peaks. RL-induced reward hacking exposes the critical failure mode: policies trained on AIME problems achieve near-perfect PRM rewards (>0.9), while ground-truth accuracy remains low (below 4%), with 43% of reward gains attributable to stylistic shortcuts. These findings reveal that current PRMs function as fluency detectors rather than reasoning verifiers, creating systematic blind spots that undermine their use as training signals. We release PRM-BiasBench and a diagnostic toolkit to enable robustness evaluation before deployment. The code and dataset are available at https://github.com/SqueezeAILab/reward-under-attack.

Punctuation plays a critical role in resolving semantic and structural ambiguity in written language. Machine Translation (MT) systems are now widely applied across diverse domains and languages, including many low-resource settings. In this work, we focus on Marathi, a low- to middle-resource language. We introduce Virām, the first diagnostic benchmark for assessing punctuation robustness in English-to-Marathi machine translation, consisting of 54 manually curated, punctuation-ambiguous instances. We evaluate two primary strategies for enhancing reliability: a pipeline-based restore-then-translate approach and direct fine-tuned on punctuation-varied data. Our results demonstrate that specialized fine-tuned models and pipeline systems significantly improve translation quality over standard baselines on the Virām benchmark. Qualitative analysis reveals that the original model may result in wrong translations leading to wrong interpretations, while fine-tuned models significantly improve overall reliability. Furthermore, we find that current Large Language Models (LLMs) lag behind these task-specific approaches in preserving meaning for punctuation-ambiguous text, thus necessitating further research in this area. The code and dataset is available at https://github.com/KaustubhShejole/Viram_Marathi.

Hardware-aware training (HAT) is widely used to improve the robustness of neural networks on non-ideal AI accelerators, such as analog in-memory computing (IMC) systems. However, not all hardware-induced distortions are equally compensable by training. This paper presents a diagnostic framework that models hardware non-idealities as structured perturbations of the forward operator and evaluates their compatibility with gradient-based optimization. We analyze six representative perturbation classes--read noise, variability, drift, stuck-at faults, IR-drop, and ADC discretization--and identify three key diagnostics: gradient expectation consistency, bounded gradient variance, and non-degenerate sensitivity. Our results show a clear separation between perturbations that can be compensated by HAT and those that consistently break optimization. This provides practical guidance for hardware-software co-design, clarifying which non-idealities can be addressed at the training level and which require circuit-, architecture-, or calibration-level mitigation. This study should be interpreted as a controlled empirical analysis under vanilla forward-perturbation HAT, rather than as a universal theory of hardware-aware training.

Existing omni-modal benchmarks attempt to measure modality-specific contributions, but their measurements are confounded: naturally co-occurring modalities carry correlated yet unequal information, making it unclear whether results reflect true modality reliance or information asymmetry. We introduce OMD-Bench, where all modalities are initially congruent - each presenting the same anchor, an object or event independently perceivable through video, audio, and text - which we then systematically corrupt to isolate each modality's contribution. We also evaluate calibrated abstention: whether models appropriately refrain from answering when evidence is conflicting. The benchmark comprises 4,080 instances spanning 27 anchors across eight corruption conditions. Evaluating ten omni-modal models under zero-shot and chain-of-thought prompting, we find that models over-abstain when two modalities are corrupted yet under-abstain severely when all three are, while maintaining high confidence (~60-100%) even under full corruption. Chain-of-thought prompting improves abstention alignment with human judgment but amplifies overconfidence rather than mitigating it. OMD-Bench provides a diagnostic benchmark for diagnosing modality reliance, robustness to cross-modal inconsistency, and uncertainty calibration in omni-modal systems.

Spoken query retrieval is an important interaction mode in modern information retrieval. However, existing evaluation datasets are often limited to simple queries under constrained noise conditions, making them inadequate for assessing the robustness of spoken query retrieval systems under complex acoustic perturbations. To address this limitation, we present SQuTR, a robustness benchmark for spoken query retrieval that includes a large-scale dataset and a unified evaluation protocol. SQuTR aggregates 37,317 unique queries from six commonly used English and Chinese text retrieval datasets, spanning multiple domains and diverse query types. We synthesize speech using voice profiles from 200 real speakers and mix 17 categories of real-world environmental noise under controlled SNR levels, enabling reproducible robustness evaluation from quiet to highly noisy conditions. Under the unified protocol, we conduct large-scale evaluations on representative cascaded and end-to-end retrieval systems. Experimental results show that retrieval performance decreases as noise increases, with substantially different drops across systems. Even large-scale retrieval models struggle under extreme noise, indicating that robustness remains a critical bottleneck. Overall, SQuTR provides a reproducible testbed for benchmarking and diagnostic analysis, and facilitates future research on robustness in spoken query to text retrieval.

Achieving seamless, human-like interaction remains a key challenge for full-duplex spoken dialogue models (SDMs). Reinforcement learning (RL) has substantially enhanced text- and vision-language models, while well-designed reward signals are crucial for the performance of RL. We consider RL a promising strategy to address the key challenge for SDMs. However, a fundamental barrier persists: prevailing automated metrics for assessing interaction quality rely on superficial proxies, such as behavioral statistics or timing-prediction accuracy, failing to provide reliable reward signals for RL. On the other hand, human evaluations, despite their richness, remain costly, inconsistent, and difficult to scale. We tackle this critical barrier by proposing a Dual-Axis Generative Reward Model, which is trained to understand complex interaction dynamics using a detailed taxonomy and an annotated dataset, produces a single score and, crucially, provides separate evaluations for semantic quality and interaction timing. Such dual outputs furnish precise diagnostic feedback for SDMs and deliver a dependable, instructive reward signal suitable for online reinforcement learning. Our model achieves state-of-the-art performance on interaction-quality assessment across a wide spectrum of datasets, spanning synthetic dialogues and complex real-world interactions.

Analogical reasoning tests a fundamental aspect of human cognition: mapping the relation from one pair of objects to another. Existing evaluations of this ability in multimodal large language models (MLLMs) overlook the ability to compose rules from multiple sources, a critical component of higher-order intelligence. To close this gap, we introduce CARV (Compositional Analogical Reasoning in Vision), a novel task together with a 5,500-sample dataset as the first diagnostic benchmark. We extend the analogy from a single pair to multiple pairs, which requires MLLMs to extract symbolic rules from each pair and compose new transformations. Evaluation on the state-of-the-art MLLMs reveals a striking performance gap: even Gemini-2.5 Pro achieving only 40.4% accuracy, far below human-level performance of 100%. Diagnostic analysis shows two consistent failure modes: (1) decomposing visual changes into symbolic rules, and (2) maintaining robustness under diverse or complex settings, highlighting the limitations of current MLLMs on this task.

Safety alignment is a key requirement for building reliable Artificial General Intelligence. Despite significant advances in safety alignment, we observe that minor latent shifts can still trigger unsafe responses in aligned models. We argue that this stems from the shallow nature of existing alignment methods, which focus on surface-level refusal behaviors without sufficiently altering internal representations. Consequently, small shifts in hidden activations can re-trigger harmful behaviors embedded in the latent space. To explore the robustness of safety alignment to latent perturbations, we introduce a probing method that measures the Negative Log-Likelihood of the original response generated by the model. This probe quantifies local sensitivity in the latent space, serving as a diagnostic tool for identifying vulnerable directions. Based on this signal, we construct effective jailbreak trajectories, giving rise to the Activation Steering Attack (ASA). More importantly, these insights offer a principled foundation for improving alignment robustness. To this end, we introduce Layer-wise Adversarial Patch Training~(LAPT), a fine-tuning strategy that inject controlled perturbations into hidden representations during training. Experimental results highlight that LAPT strengthen alignment robustness without compromising general capabilities. Our findings reveal fundamental flaws in current alignment paradigms and call for representation-level training strategies that move beyond surface-level behavior supervision. Codes and results are available at https://github.com/Carol-gutianle/LatentSafety.

Existing research on Domain Robustness (DR) suffers from disparate setups, lack of evaluation task variety, and reliance on challenge sets. In this paper, we pose a fundamental question: What is the state of affairs of the DR challenge in the era of Large Language Models (LLMs)? To this end, we construct a DR benchmark comprising diverse NLP tasks, including sentence and token-level classification, QA, and generation, each task consists of several domains. We explore the DR challenge of fine-tuned and few-shot learning models in natural domain shift settings and devise two diagnostic metrics of Out-of-Distribution (OOD) performance degradation: The commonly used Source Drop (SD) and the overlooked Target Drop (TD). Our findings reveal important insights: First, despite their capabilities, zero-to-few shot LLMs and fine-tuning approaches still fail to meet satisfactory performance in the OOD context; Second, TD approximates better than SD the average OOD degradation; Third, in a significant proportion of domain shifts, either SD or TD is positive, but not both, and therefore disregarding one can lead to incorrect DR conclusions.

The reliability of Multimodal Large Language Models (MLLMs) in real-world settings is often undermined by sensitivity to irrelevant or distracting visual context, an aspect not captured by existing evaluation metrics. We introduce the Patch Context Robustness Index (PCRI), the first systematic and interpretable score for quantifying MLLM robustness to variations in visual context granularity, measuring performance changes between localized image patches and full-image input. Applying PCRI to 19 state-of-the-art MLLMs across 15 vision-language benchmarks, we find that most leading models remain brittle to background noise, with only a few, such as InternVL2-26B and Qwen2VL-72B, demonstrating consistent robustness across tasks. PCRI analysis also highlights how different model architectures handle and integrate visual context, offering actionable diagnostic insight for both researchers and practitioners. PCRI enables rigorous comparison of context robustness, supporting principled model selection and guiding the development of future architectures and training strategies for robust, real-world deployment.

The recent success of natural language understanding (NLU) systems has been troubled by results highlighting the failure of these models to generalize in a systematic and robust way. In this work, we introduce a diagnostic benchmark suite, named CLUTRR, to clarify some key issues related to the robustness and systematicity of NLU systems. Motivated by classic work on inductive logic programming, CLUTRR requires that an NLU system infer kinship relations between characters in short stories. Successful performance on this task requires both extracting relationships between entities, as well as inferring the logical rules governing these relationships. CLUTRR allows us to precisely measure a model's ability for systematic generalization by evaluating on held-out combinations of logical rules, and it allows us to evaluate a model's robustness by adding curated noise facts. Our empirical results highlight a substantial performance gap between state-of-the-art NLU models (e.g., BERT and MAC) and a graph neural network model that works directly with symbolic inputs---with the graph-based model exhibiting both stronger generalization and greater robustness.

Planning is central to LLM agents: before acting, an agent must decompose goals, select tools, reason over constraints, and decide when a task is infeasible. Yet existing agent evaluations often report only end-to-end success, making it difficult to determine whether failures stem from planning or execution. We introduce Agent Planning Benchmark (APB), a planning-specific diagnostic benchmark with 4,209 multimodal cases across 22 domains and five settings, covering holistic planning, feedback-conditioned step-wise planning, and robustness under extraneous tools, broken tools, and unsolvable tasks. Across 12 MLLMs, APB reveals systematic weaknesses in long-horizon planning, tool-noise robustness, calibrated refusal, and inference-time refinement. We further validate APB on 200 ToolSandbox tasks and 200 τ^2-bench tasks, where APB-guided refinement consistently improves plan correctness, plan grade, and downstream execution metrics across three representative models. APB thus serves as an upstream diagnostic complement to execution benchmarks. The APB benchmark and code are available in https://github.com/Mikivishy/AgentPlanningBenchmark{this URL}.

Understanding uncertainty in chain-of-thought reasoning is critical for reliable deployment of large language models. In this work, we propose a simple yet effective diagnostic approach based on trajectory shape rather than scalar magnitude. We show that this signal is practical, interpretable, and inexpensive to obtain in black-box settings, while remaining robust across models and datasets. Through extensive ablations and cross-domain replications, we demonstrate its utility for selective prediction and triage. Our findings offer a generalizable insight into uncertainty dynamics in reasoning tasks, with particular focus on numeric and discrete-answer settings.

The evaluation of Retrieval-Augmented Generation (RAG) systems typically examines retrieval quality and generation parameters like temperature in isolation, overlooking their interaction. This work presents a systematic investigation of how text perturbations (simulating noisy retrieval) interact with temperature settings across multiple LLM runs. We propose a comprehensive RAG Perturbation-Temperature Analysis Framework that subjects retrieved documents to three distinct perturbation types across varying temperature settings. Through extensive experiments on HotpotQA with both open-source and proprietary LLMs, we demonstrate that performance degradation follows distinct patterns: high-temperature settings consistently amplify vulnerability to perturbations, while certain perturbation types exhibit non-linear sensitivity across the temperature range. Our work yields three key contributions: (1) a diagnostic benchmark for assessing RAG robustness, (2) an analytical framework for quantifying perturbation-temperature interactions, and (3) practical guidelines for model selection and parameter tuning under noisy retrieval conditions.

Medical phrase grounding is crucial for identifying relevant regions in medical images based on phrase queries, facilitating accurate image analysis and diagnosis. However, current methods rely on manual extraction of key phrases from medical reports, reducing efficiency and increasing the workload for clinicians. Additionally, the lack of model confidence estimation limits clinical trust and usability. In this paper, we introduce a novel task called Medical Report Grounding (MRG), which aims to directly identify diagnostic phrases and their corresponding grounding boxes from medical reports in an end-to-end manner. To address this challenge, we propose uMedGround, a robust and reliable framework that leverages a multimodal large language model to predict diagnostic phrases by embedding a unique token, <BOX>, into the vocabulary to enhance detection capabilities. A vision encoder-decoder processes the embedded token and input image to generate grounding boxes. Critically, uMedGround incorporates an uncertainty-aware prediction model, significantly improving the robustness and reliability of grounding predictions. Experimental results demonstrate that uMedGround outperforms state-of-the-art medical phrase grounding methods and fine-tuned large visual-language models, validating its effectiveness and reliability. This study represents a pioneering exploration of the MRG task, marking the first-ever endeavor in this domain. Additionally, we demonstrate the applicability of uMedGround in medical visual question answering and class-based localization tasks, where it highlights visual evidence aligned with key diagnostic phrases, supporting clinicians in interpreting various types of textual inputs, including free-text reports, visual question answering queries, and class labels.

Achieving robust performance and fairness across diverse patient populations remains a challenge in developing clinically deployable deep learning models for diagnostic imaging. Synthetic data generation has emerged as a promising strategy to address limitations in dataset scale and diversity. We introduce RoentGen-v2, a text-to-image diffusion model for chest radiographs that enables fine-grained control over both radiographic findings and patient demographic attributes, including sex, age, and race/ethnicity. RoentGen-v2 is the first model to generate clinically plausible images with demographic conditioning, facilitating the creation of a large, demographically balanced synthetic dataset comprising over 565,000 images. We use this large synthetic dataset to evaluate optimal training pipelines for downstream disease classification models. In contrast to prior work that combines real and synthetic data naively, we propose an improved training strategy that leverages synthetic data for supervised pretraining, followed by fine-tuning on real data. Through extensive evaluation on over 137,000 chest radiographs from five institutions, we demonstrate that synthetic pretraining consistently improves model performance, generalization to out-of-distribution settings, and fairness across demographic subgroups. Across datasets, synthetic pretraining led to a 6.5% accuracy increase in the performance of downstream classification models, compared to a modest 2.7% increase when naively combining real and synthetic data. We observe this performance improvement simultaneously with the reduction of the underdiagnosis fairness gap by 19.3%. These results highlight the potential of synthetic imaging to advance equitable and generalizable medical deep learning under real-world data constraints. We open source our code, trained models, and synthetic dataset at https://github.com/StanfordMIMI/RoentGen-v2 .

In this paper, we introduce a novel Multi-Modal Contrastive Pre-training Framework that synergistically combines X-rays, electrocardiograms (ECGs), and radiology/cardiology reports. Our approach leverages transformers to encode these diverse modalities into a unified representation space, aiming to enhance diagnostic accuracy and facilitate comprehensive patient assessments. We utilize LoRA-Peft to significantly reduce trainable parameters in the LLM and incorporate recent linear attention dropping strategy in the Vision Transformer(ViT) for smoother attention. Furthermore, we provide novel multimodal attention explanations and retrieval for our model. To the best of our knowledge, we are the first to propose an integrated model that combines X-ray, ECG, and Radiology/Cardiology Report with this approach. By utilizing contrastive loss, MoRE effectively aligns modality-specific features into a coherent embedding, which supports various downstream tasks such as zero-shot classification and multimodal retrieval. Employing our proposed methodology, we achieve state-of-the-art (SOTA) on the Mimic-IV, CheXpert, Edema Severity, and PtbXl downstream datasets, surpassing existing multimodal approaches. Our proposed framework shows significant improvements in capturing intricate inter-modal relationships and its robustness in medical diagnosis that establishes a framework for future research in multimodal learning in the healthcare sector.

Tasks such as solving arithmetic equations, evaluating truth tables, and completing syllogisms are handled well by large language models (LLMs) in their standard form, but they often fail when the same problems are posed in logically equivalent yet obfuscated formats. To study this vulnerability, we introduce Logifus, a structure-preserving logical obfuscation framework, and, utilizing this, we present LogiQAte, a first-of-its-kind diagnostic benchmark with 1,108 questions across four reasoning tasks: (i) Obfus FOL (first-order logic entailment under equivalence-preserving rewrites), (ii) Obfus Blood Relation (family-graph entailment under indirect relational chains), (iii) Obfus Number Series (pattern induction under symbolic substitutions), and (iv) Obfus Direction Sense (navigation reasoning under altered directions and reference frames). Across all the tasks, evaluating six state-of-the-art models, we find that obfuscation severely degrades zero-shot performance, with performance dropping on average by 47% for GPT-4o, 27% for GPT-5, and 22% for reasoning model, o4-mini. Our findings reveal that current LLMs parse questions without deep understanding, highlighting the urgency of building models that genuinely comprehend and preserve meaning beyond surface form.

Recent advances in large vision-language models have led to impressive performance in visual question answering and multimodal reasoning. However, it remains unclear whether these models genuinely perform grounded visual reasoning or rely on superficial patterns and dataset biases. In this work, we introduce MagiC, a comprehensive benchmark designed to evaluate grounded multimodal cognition, assessing not only answer accuracy but also the quality of step-by-step reasoning and its alignment with relevant visual evidence. Our benchmark includes approximately 5,500 weakly supervised QA examples generated from strong model outputs and 900 human-curated examples with fine-grained annotations, including answers, rationales, and bounding box groundings. We evaluate 15 vision-language models ranging from 7B to 70B parameters across four dimensions: final answer correctness, reasoning validity, grounding fidelity, and self-correction ability. MagiC further includes diagnostic settings to probe model robustness under adversarial visual cues and assess their capacity for introspective error correction. We introduce new metrics such as MagiScore and StepSense, and provide comprehensive analyses that reveal key limitations and opportunities in current approaches to grounded visual reasoning.

EEG-based neural networks, pivotal in medical diagnosis and brain-computer interfaces, face significant intellectual property (IP) risks due to their reliance on sensitive neurophysiological data and resource-intensive development. Current watermarking methods, particularly those using abstract trigger sets, lack robust authentication and fail to address the unique challenges of EEG models. This paper introduces a cryptographic wonder filter-based watermarking framework tailored for EEG-based neural networks. Leveraging collision-resistant hashing and public-key encryption, the wonder filter embeds the watermark during training, ensuring minimal distortion (leq 5% drop in EEG task accuracy) and high reliability (100\% watermark detection). The framework is rigorously evaluated against adversarial attacks, including fine-tuning, transfer learning, and neuron pruning. Results demonstrate persistent watermark retention, with classification accuracy for watermarked states remaining above 90\% even after aggressive pruning, while primary task performance degrades faster, deterring removal attempts. Piracy resistance is validated by the inability to embed secondary watermarks without severe accuracy loss ( >10% in EEGNet and CCNN models). Cryptographic hashing ensures authentication, reducing brute-force attack success probabilities. Evaluated on the DEAP dataset across models (CCNN, EEGNet, TSception), the method achieves >99.4% null-embedding accuracy, effectively eliminating false positives. By integrating wonder filters with EEG-specific adaptations, this work bridges a critical gap in IP protection for neurophysiological models, offering a secure, tamper-proof solution for healthcare and biometric applications. The framework's robustness against adversarial modifications underscores its potential to safeguard sensitive EEG models while maintaining diagnostic utility.

Biomedical Foundation Models (FMs) are rapidly transforming AI-enabled healthcare research and entering clinical validation. However, their susceptibility to learning non-biological technical features -- including variations in surgical/endoscopic techniques, laboratory procedures, and scanner hardware -- poses risks for clinical deployment. We present the first systematic investigation of pathology FM robustness to non-biological features. Our work (i) introduces measures to quantify FM robustness, (ii) demonstrates the consequences of limited robustness, and (iii) proposes a framework for FM robustification to mitigate these issues. Specifically, we developed PathoROB, a robustness benchmark with three novel metrics, including the robustness index, and four datasets covering 28 biological classes from 34 medical centers. Our experiments reveal robustness deficits across all 20 evaluated FMs, and substantial robustness differences between them. We found that non-robust FM representations can cause major diagnostic downstream errors and clinical blunders that prevent safe clinical adoption. Using more robust FMs and post-hoc robustification considerably reduced (but did not yet eliminate) the risk of such errors. This work establishes that robustness evaluation is essential for validating pathology FMs before clinical adoption and demonstrates that future FM development must integrate robustness as a core design principle. PathoROB provides a blueprint for assessing robustness across biomedical domains, guiding FM improvement efforts towards more robust, representative, and clinically deployable AI systems that prioritize biological information over technical artifacts.

Current evaluation of mathematical reasoning in language models relies primarily on answer accuracy, potentially masking fundamental failures in logical computation. We introduce a diagnostic framework that distinguishes genuine mathematical reasoning from superficial pattern matching through four complementary axes: forward-backward consistency, transitivity coverage, counterfactual sensitivity, and perturbation robustness. Through a case study applying this framework to Qwen3-0.6B on the MenatQA dataset, we reveal a striking disconnect between surface performance and reasoning fidelity. While the model achieves reasonable answer accuracy (70%+), it demonstrates poor backward consistency (15%), limited transitivity coverage (32.2%), and brittle sensitivity to perturbations. Our diagnostics expose reasoning failures invisible to traditional accuracy metrics, suggesting that this small model relies heavily on pattern matching rather than genuine logical computation. While our empirical findings are based on a single 600M-parameter model, the diagnostic framework itself is model-agnostic and generalizable. We release our evaluation protocols to enable the research community to assess reasoning fidelity across different model scales and architectures, moving beyond surface-level accuracy toward verifiable mathematical reasoning.

Medical Imaging (MI) datasets are fundamental to artificial intelligence in healthcare. The accuracy, robustness, and fairness of diagnostic algorithms depend on the data (and its quality) used to train and evaluate the models. MI datasets used to be proprietary, but have become increasingly available to the public, including on community-contributed platforms (CCPs) like Kaggle or HuggingFace. While open data is important to enhance the redistribution of data's public value, we find that the current CCP governance model fails to uphold the quality needed and recommended practices for sharing, documenting, and evaluating datasets. In this paper, we conduct an analysis of publicly available machine learning datasets on CCPs, discussing datasets' context, and identifying limitations and gaps in the current CCP landscape. We highlight differences between MI and computer vision datasets, particularly in the potentially harmful downstream effects from poor adoption of recommended dataset management practices. We compare the analyzed datasets across several dimensions, including data sharing, data documentation, and maintenance. We find vague licenses, lack of persistent identifiers and storage, duplicates, and missing metadata, with differences between the platforms. Our research contributes to efforts in responsible data curation and AI algorithms for healthcare.

Artificial intelligence (AI) systems built on incomplete or biased data will often exhibit problematic outcomes. Current methods of data analysis, particularly before model development, are costly and not standardized. The Dataset Nutrition Label (the Label) is a diagnostic framework that lowers the barrier to standardized data analysis by providing a distilled yet comprehensive overview of dataset "ingredients" before AI model development. Building a Label that can be applied across domains and data types requires that the framework itself be flexible and adaptable; as such, the Label is comprised of diverse qualitative and quantitative modules generated through multiple statistical and probabilistic modelling backends, but displayed in a standardized format. To demonstrate and advance this concept, we generated and published an open source prototype with seven sample modules on the ProPublica Dollars for Docs dataset. The benefits of the Label are manyfold. For data specialists, the Label will drive more robust data analysis practices, provide an efficient way to select the best dataset for their purposes, and increase the overall quality of AI models as a result of more robust training datasets and the ability to check for issues at the time of model development. For those building and publishing datasets, the Label creates an expectation of explanation, which will drive better data collection practices. We also explore the limitations of the Label, including the challenges of generalizing across diverse datasets, and the risk of using "ground truth" data as a comparison dataset. We discuss ways to move forward given the limitations identified. Lastly, we lay out future directions for the Dataset Nutrition Label project, including research and public policy agendas to further advance consideration of the concept.

Automatic speech recognition (ASR) systems have achieved near-human accuracy on curated benchmarks, yet still fail in real-world voice agents under conditions that current evaluations do not systematically cover. Without diagnostic tools that isolate specific failure factors, practitioners cannot anticipate which conditions, in which languages, will cause what degree of degradation. We introduce WildASR, a multilingual (four-language) diagnostic benchmark sourced entirely from real human speech that factorizes ASR robustness along three axes: environmental degradation, demographic shift, and linguistic diversity. Evaluating seven widely used ASR systems, we find severe and uneven performance degradation, and model robustness does not transfer across languages or conditions. Critically, models often hallucinate plausible but unspoken content under partial or degraded inputs, creating concrete safety risks for downstream agent behavior. Our results demonstrate that targeted, factor-isolated evaluation is essential for understanding and improving ASR reliability in production systems. Besides the benchmark itself, we also present three analytical tools that practitioners can use to guide deployment decisions.

As deep learning models gain attraction in medical data, ensuring transparent and trustworthy decision-making is essential. In skin cancer diagnosis, while advancements in lesion detection and classification have improved accuracy, the black-box nature of these methods poses challenges in understanding their decision processes, leading to trust issues among physicians. This study leverages the CLIP (Contrastive Language-Image Pretraining) model, trained on different skin lesion datasets, to capture meaningful relationships between visual features and diagnostic criteria terms. To further enhance transparency, we propose a method called MedGrad E-CLIP, which builds on gradient-based E-CLIP by incorporating a weighted entropy mechanism designed for complex medical imaging like skin lesions. This approach highlights critical image regions linked to specific diagnostic descriptions. The developed integrated pipeline not only classifies skin lesions by matching corresponding descriptions but also adds an essential layer of explainability developed especially for medical data. By visually explaining how different features in an image relates to diagnostic criteria, this approach demonstrates the potential of advanced vision-language models in medical image analysis, ultimately improving transparency, robustness, and trust in AI-driven diagnostic systems.

Omni-modal large language models (OLMs) redefine human-machine interaction by natively integrating audio, vision, and text. However, existing OLM benchmarks remain anchored to static, accuracy-centric tasks, leaving a critical gap in assessing social interactivity, the fundamental capacity to navigate dynamic cues in natural dialogues. To this end, we propose SocialOmni, a comprehensive benchmark that operationalizes the evaluation of this conversational interactivity across three core dimensions: (i) speaker separation and identification (who is speaking), (ii) interruption timing control (when to interject), and (iii) natural interruption generation (how to phrase the interruption). SocialOmni features 2,000 perception samples and a quality-controlled diagnostic set of 209 interaction-generation instances with strict temporal and contextual constraints, complemented by controlled audio-visual inconsistency scenarios to test model robustness. We benchmarked 12 leading OLMs, which uncovers significant variance in their social-interaction capabilities across models. Furthermore, our analysis reveals a pronounced decoupling between a model's perceptual accuracy and its ability to generate contextually appropriate interruptions, indicating that understanding-centric metrics alone are insufficient to characterize conversational social competence. More encouragingly, these diagnostics from SocialOmni yield actionable signals for bridging the perception-interaction divide in future OLMs.

Large language models (LLMs) are increasingly critical to digital library workflows, yet their ability to process historical language remains poorly understood. Historical difficulty is typically treated as a monolithic barrier, conflating orthographic variation, linguistic distance, and pretraining exposure. In this paper, we propose a diagnostic framework that decomposes this difficulty into four distinct dimensions: tokenization cost, predictive uncertainty (surprisal), semantic robustness, and context sensitivity. We evaluate this framework on three datasets spanning three centuries: (1) a newly curated corpus of 17th-century Italian texts (1610-1689) digitized from original page images; (2) canonical 19th-century Italian "I Promessi Sposi" serving as a high-exposure control; and (3) 18th-century Russian civil print books as a contrastive orthographic stress test. Our results reveal a distinct dissociation between encoding cost and comprehension. While Russian and early modern Italian incur comparable tokenization penalties (25-30% inflation), their predictive difficulty diverges sharply. 17th-century Italian is on average 2.4 times more surprising than its modern equivalent - with academic prose reaching 3.2 times - whereas Russian shows only a modest increase. But predictive uncertainty does not imply representational degradation: embedding similarity remains robust (> 0.85) across all datasets, confirming that models can represent historical meaning even when generation is unstable. Finally, we demonstrate that a minimal temporal context prompt reduces historical surprisal by approximately 60%, offering a simple, model-agnostic mitigation. These findings suggest that while historical text imposes a consistent encoding tax, digital libraries can safely deploy LLMs for semantic retrieval tasks, provided that generative applications are carefully adapted.

This paper investigates the rational thinking capability of Large Language Models (LLMs) in multi-round argumentative debates by exploring the impact of fallacious arguments on their logical reasoning performance. More specifically, we present Logic Competence Measurement Benchmark (LOGICOM), a diagnostic benchmark to assess the robustness of LLMs against logical fallacies. LOGICOM involves two agents: a persuader and a debater engaging in a multi-round debate on a controversial topic, where the persuader tries to convince the debater of the correctness of its claim. First, LOGICOM assesses the potential of LLMs to change their opinions through reasoning. Then, it evaluates the debater's performance in logical reasoning by contrasting the scenario where the persuader employs logical fallacies against one where logical reasoning is used. We use this benchmark to evaluate the performance of GPT-3.5 and GPT-4 using a dataset containing controversial topics, claims, and reasons supporting them. Our findings indicate that both GPT-3.5 and GPT-4 can adjust their opinion through reasoning. However, when presented with logical fallacies, GPT-3.5 and GPT-4 are erroneously convinced 41% and 69% more often, respectively, compared to when logical reasoning is used. Finally, we introduce a new dataset containing over 5k pairs of logical vs. fallacious arguments. The source code and dataset of this work are made publicly available.

This work presents LURK (Latent UnleaRned Knowledge), a novel framework that probes for hidden retained knowledge in unlearned LLMs through adversarial suffix prompting. LURK automatically generates adversarial prompt suffixes designed to elicit residual knowledge about the Harry Potter domain, a commonly used benchmark for unlearning. Our experiments reveal that even models deemed successfully unlearned can leak idiosyncratic information under targeted adversarial conditions, highlighting critical limitations of current unlearning evaluation standards. By uncovering latent knowledge through indirect probing, LURK offers a more rigorous and diagnostic tool for assessing the robustness of unlearning algorithms. All code will be publicly available.

GUI grounding models report over 85% accuracy on standard benchmarks, yet drop 27-56 percentage points when instructions require spatial reasoning rather than direct element naming. Current benchmarks miss this because they evaluate each screenshot once with a single fixed instruction. We introduce GUI-Perturbed, a controlled perturbation framework that independently varies visual scenes and instructions to measure grounding robustness. Evaluating three 7B models from the same architecture lineage, we find that relational instructions cause systematic accuracy collapse across all models, a 70% browser zoom produces statistically significant degradation, and rank-8 LoRA fine-tuning with augmented data degrades performance rather than improving it. By perturbing along independent axes, GUI-Perturbed isolates which specific capability axes are affected-spatial reasoning, visual robustness, reasoning calibration-providing diagnostic signal that aggregate benchmarks cannot. We release the dataset, augmentation pipeline, and a fine-tuned model.

Game-theoretic interactions between agents with Large Language Models (LLMs) have revealed many emergent capabilities, yet the linguistic diversity of these interactions has not been sufficiently quantified. In this paper, we present the Conversational Robustness Evaluation Score: CORE, a metric to quantify the effectiveness of language use within multi-agent systems across different game-theoretic interactions. CORE integrates measures of cluster entropy, lexical repetition, and semantic similarity, providing a direct lens of dialog quality. We apply CORE to pairwise LLM dialogs across competitive, cooperative, and neutral settings, further grounding our analysis in Zipf's and Heaps' Laws to characterize word frequency distributions and vocabulary growth. Our findings show that cooperative settings exhibit both steeper Zipf distributions and higher Heap exponents, indicating more repetition alongside greater vocabulary expansion. In contrast, competitive interactions display lower Zipf and Heaps exponents, reflecting less repetition and more constrained vocabularies. These results provide new insights into how social incentives influence language adaptation, and highlight CORE as a robust diagnostic for measuring linguistic robustness in multi-agent LLM systems. Our code is available at https://github.com/psyonp/core.

Video Question Answering (VideoQA) in the surgical domain aims to enhance intraoperative understanding by enabling AI models to reason over temporally coherent events rather than isolated frames. Current approaches are limited to static image features, and available datasets often lack temporal annotations, ignoring the dynamics critical for accurate procedural interpretation. We propose SurgViVQA, a surgical VideoQA model that extends visual reasoning from static images to dynamic surgical scenes. It uses a Masked Video--Text Encoder to fuse video and question features, capturing temporal cues such as motion and tool--tissue interactions, which a fine-tuned large language model (LLM) then decodes into coherent answers. To evaluate its performance, we curated REAL-Colon-VQA, a colonoscopic video dataset that includes motion-related questions and diagnostic attributes, as well as out-of-template questions with rephrased or semantically altered formulations to assess model robustness. Experimental validation on REAL-Colon-VQA and the public EndoVis18-VQA dataset shows that SurgViVQA outperforms existing image-based VQA benchmark models, particularly in keyword accuracy, improving over PitVQA by +11\% on REAL-Colon-VQA and +9\% on EndoVis18-VQA. A perturbation study on the questions further confirms improved generalizability and robustness to variations in question phrasing. SurgViVQA and the REAL-Colon-VQA dataset provide a framework for temporally-aware understanding in surgical VideoQA, enabling AI models to interpret dynamic procedural contexts more effectively. Code and dataset available at https://github.com/madratak/SurgViVQA.

Recent advances in reasoning-centric models promise improved robustness through mechanisms such as chain-of-thought prompting and test-time scaling. However, their ability to withstand misleading user input remains underexplored. In this paper, we conduct a systematic evaluation of three state-of-the-art reasoning models, i.e., OpenAI's o4-mini, Claude-3.7-Sonnet and Gemini-2.5-Flash, across three multimodal benchmarks: MMMU, MathVista, and CharXiv. Our evaluation reveals significant accuracy drops (25-29% on average) following gaslighting negation prompts, indicating that even top-tier reasoning models struggle to preserve correct answers under manipulative user feedback. Built upon the insights of the evaluation and to further probe this vulnerability, we introduce GaslightingBench-R, a new diagnostic benchmark specifically designed to evaluate reasoning models' susceptibility to defend their belief under gaslighting negation prompt. Constructed by filtering and curating 1,025 challenging samples from the existing benchmarks, GaslightingBench-R induces even more dramatic failures, with accuracy drops exceeding 53% on average. Our findings reveal fundamental limitations in the robustness of reasoning models, highlighting the gap between step-by-step reasoning and belief persistence.

Integrating language models (LMs) in healthcare systems holds great promise for improving medical workflows and decision-making. However, a critical barrier to their real-world adoption is the lack of reliable evaluation of their trustworthiness, especially in multilingual healthcare settings. Existing LMs are predominantly trained in high-resource languages, making them ill-equipped to handle the complexity and diversity of healthcare queries in mid- and low-resource languages, posing significant challenges for deploying them in global healthcare contexts where linguistic diversity is key. In this work, we present CLINIC, a Comprehensive Multilingual Benchmark to evaluate the trustworthiness of language models in healthcare. CLINIC systematically benchmarks LMs across five key dimensions of trustworthiness: truthfulness, fairness, safety, robustness, and privacy, operationalized through 18 diverse tasks, spanning 15 languages (covering all the major continents), and encompassing a wide array of critical healthcare topics like disease conditions, preventive actions, diagnostic tests, treatments, surgeries, and medications. Our extensive evaluation reveals that LMs struggle with factual correctness, demonstrate bias across demographic and linguistic groups, and are susceptible to privacy breaches and adversarial attacks. By highlighting these shortcomings, CLINIC lays the foundation for enhancing the global reach and safety of LMs in healthcare across diverse languages.

Pathology Foundation Models (FMs) hold great promise for healthcare. Before they can be used in clinical practice, it is essential to ensure they are robust to variations between medical centers. We measure whether pathology FMs focus on biological features like tissue and cancer type, or on the well known confounding medical center signatures introduced by staining procedure and other differences. We introduce the Robustness Index. This novel robustness metric reflects to what degree biological features dominate confounding features. Ten current publicly available pathology FMs are evaluated. We find that all current pathology foundation models evaluated represent the medical center to a strong degree. Significant differences in the robustness index are observed. Only one model so far has a robustness index greater than one, meaning biological features dominate confounding features, but only slightly. A quantitative approach to measure the influence of medical center differences on FM-based prediction performance is described. We analyze the impact of unrobustness on classification performance of downstream models, and find that cancer-type classification errors are not random, but specifically attributable to same-center confounders: images of other classes from the same medical center. We visualize FM embedding spaces, and find these are more strongly organized by medical centers than by biological factors. As a consequence, the medical center of origin is predicted more accurately than the tissue source and cancer type. The robustness index introduced here is provided with the aim of advancing progress towards clinical adoption of robust and reliable pathology FMs.

Sensitivity to staining variation remains a major barrier to deploying computational pathology (CPath) models as hematoxylin and eosin (H&E) staining varies across laboratories, requiring systematic assessment of how this variability affects model prediction. In this work, we developed a three-step protocol for evaluating robustness to H&E staining variation in CPath models. Step 1: Select reference staining conditions, Step 2: Characterize test set staining properties, Step 3: Apply CPath model(s) under simulated reference staining conditions. Here, we first created a new reference staining library based on the PLISM dataset. As an exemplary use case, we applied the protocol to assess the robustness properties of 306 microsatellite instability (MSI) classification models on the unseen SurGen colorectal cancer dataset (n=738), including 300 attention-based multiple instance learning models trained on the TCGA-COAD/READ datasets across three feature extractors (UNI2-h, H-Optimus-1, Virchow2), alongside six public MSI classification models. Classification performance was measured as AUC, and robustness as the min-max AUC range across four simulated staining conditions (low/high H&E intensity, low/high H&E color similarity). Across models and staining conditions, classification performance ranged from AUC 0.769-0.911 (Δ = 0.142). Robustness ranged from 0.007-0.079 (Δ = 0.072), and showed a weak inverse correlation with classification performance (Pearson r=-0.22, 95% CI [-0.34, -0.11]). Thus, we show that the proposed evaluation protocol enables robustness-informed CPath model selection and provides insight into performance shifts across H&E staining conditions, supporting the identification of operational ranges for reliable model deployment. Code is available at https://github.com/CTPLab/staining-robustness-evaluation .

Robustness is often regarded as a critical future challenge for real-world applications, where stability is essential. However, as models often learn tasks in a similar order, we hypothesize that easier tasks will be easier regardless of how they are presented to the model. Indeed, in this paper, we show that as models approach high performance on a task, robustness is effectively achieved. Through an empirical analysis of multiple models across diverse datasets and configurations (e.g., paraphrases, different temperatures), we find a strong positive correlation. Moreover, we find that robustness is primarily driven by task-specific competence rather than inherent model-level properties, challenging current approaches that treat robustness as an independent capability. Thus, from a high-level perspective, we may expect that as new tasks saturate, model robustness on these tasks will emerge accordingly. For researchers, this implies that explicit efforts to measure and improve robustness may warrant reduced emphasis, as such robustness is likely to develop alongside performance gains. For practitioners, it acts as a sign that indeed the tasks that the literature deals with are unreliable, but on easier past tasks, the models are reliable and ready for real-world deployment.

Medical reasoning models (MRMs) achieve superior performance on medical benchmarks compared to medical LLMs; however, high accuracy alone is insufficient for practical deployment. One of such requirements for real-world application is robustness to varying output constraints. Specifically, posing the same medical question while requesting different answer formats should not affect the underlying correctness of the response. We investigate this phenomenon in this paper, focusing on MRMs. To quantify this behavior, we propose the metric answer-format robustness: the ability to reliably generate correct outputs across varying specified formats. We examine three representative formats: multiple-choice, open-ended question-answering, and ranked lists. Across 15 proprietary and open-weight models, we observe substantial variation in format robustness (35-100%). Furthermore, we conduct controlled fine-tuning experiments on a shared backbone with matched training data to isolate the effects of the fine-tuning paradigm. We find that supervised fine-tuning yields more stable behavior across formats, whereas reinforcement fine-tuning often exhibits higher cross-format brittleness, with the degree of instability strongly dependent on reward design. Overall, answer-format robustness in MRMs is trainable yet brittle and requires careful evaluation for practical medical use.

Pathology foundation models (FMs) produce powerful tile-level representations which remain sensitive to scanner and staining variability, undermining deployment across laboratories. We develop a novel fine-tuning recipe that improves the robustness of pathology FMs to acquisition factors. Applied to ten different FMs, our fine-tuning strategy consistently improves robustness for every model as well as downstream performance, with no observed trade-off. On average, it raises the PathoROB robustness index by 23% (from 0.72 to 0.87) and increases the overall cross-benchmark performance by 43% on Patho-Bench, HEST and THUNDER combined, with individual gains reaching up to 72% in robustness (Phikon-v2) and 76% in performance (Midnight-12k). We publicly release the fine-tuned versions of Phikon-v2 (Phaet) and Midnight-12k (Mascaret) at https://huggingface.co/wearewaiv/models.

We evaluate the robustness of several large language models on multiple datasets. Robustness here refers to the relative insensitivity of the model's answers to meaning-preserving variants of their input. Benchmark datasets are constructed by introducing naturally-occurring, non-malicious perturbations, or by generating semantically equivalent paraphrases of input questions or statements. We further propose a novel metric for assessing a model robustness, and demonstrate its benefits in the non-adversarial scenario by empirical evaluation of several models on the created datasets.

Robustness is a long-overlooked problem in deepfake detection. However, detection performance is nearly worthless in the real world if it suffers under exposure to even slight image degradation. In addition to weaker degradations that can accidentally occur in the image processing pipeline, there is another risk of malicious deepfakes that specifically introduce degradations, purposefully exploiting the detector's weaknesses in that regard. Here, we present an overview of the NTIRE 2026 Robust Deepfake Detection Challenge, which specifically addresses that problem. Participants were tasked with building a detector that would later be tested on an unknown test-set, which included both common and uncommon degradations of various strengths. With a total number of 337 participants and 57 submissions to the final leaderboard, the first edition of the challenge was well received. To ensure the reliability of the results, participants were given only 24h to complete the test run with no labels provided, limiting the possibility of training on the test data. Furthermore, the top solutions were scored on a private test-set to detect any such overfitting. This report presents the competition setting, dataset preparation, as well as details and performance of methods. Top methods rely on large foundation models, ensembles, and degradation training to combine generality and robustness.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

For safety, medical AI systems undergo thorough evaluations before deployment, validating their predictions against a ground truth which is assumed to be fixed and certain. However, this ground truth is often curated in the form of differential diagnoses. While a single differential diagnosis reflects the uncertainty in one expert assessment, multiple experts introduce another layer of uncertainty through disagreement. Both forms of uncertainty are ignored in standard evaluation which aggregates these differential diagnoses to a single label. In this paper, we show that ignoring uncertainty leads to overly optimistic estimates of model performance, therefore underestimating risk associated with particular diagnostic decisions. To this end, we propose a statistical aggregation approach, where we infer a distribution on probabilities of underlying medical condition candidates themselves, based on observed annotations. This formulation naturally accounts for the potential disagreements between different experts, as well as uncertainty stemming from individual differential diagnoses, capturing the entire ground truth uncertainty. Our approach boils down to generating multiple samples of medical condition probabilities, then evaluating and averaging performance metrics based on these sampled probabilities. In skin condition classification, we find that a large portion of the dataset exhibits significant ground truth uncertainty and standard evaluation severely over-estimates performance without providing uncertainty estimates. In contrast, our framework provides uncertainty estimates on common metrics of interest such as top-k accuracy and average overlap, showing that performance can change multiple percentage points. We conclude that, while assuming a crisp ground truth can be acceptable for many AI applications, a more nuanced evaluation protocol should be utilized in medical diagnosis.

Machine learning has demonstrated remarkable performance over finite datasets, yet whether the scores over the fixed benchmarks can sufficiently indicate the model's performance in the real world is still in discussion. In reality, an ideal robust model will probably behave similarly to the oracle (e.g., the human users), thus a good evaluation protocol is probably to evaluate the models' behaviors in comparison to the oracle. In this paper, we introduce a new robustness measurement that directly measures the image classification model's performance compared with a surrogate oracle (i.e., a foundation model). Besides, we design a simple method that can accomplish the evaluation beyond the scope of the benchmarks. Our method extends the image datasets with new samples that are sufficiently perturbed to be distinct from the ones in the original sets, but are still bounded within the same image-label structure the original test image represents, constrained by a foundation model pretrained with a large amount of samples. As a result, our new method will offer us a new way to evaluate the models' robustness performance, free of limitations of fixed benchmarks or constrained perturbations, although scoped by the power of the oracle. In addition to the evaluation results, we also leverage our generated data to understand the behaviors of the model and our new evaluation strategies.

Attribution methods can provide powerful insights into the reasons for a classifier's decision. We argue that a key desideratum of an explanation method is its robustness to input hyperparameters which are often randomly set or empirically tuned. High sensitivity to arbitrary hyperparameter choices does not only impede reproducibility but also questions the correctness of an explanation and impairs the trust of end-users. In this paper, we provide a thorough empirical study on the sensitivity of existing attribution methods. We found an alarming trend that many methods are highly sensitive to changes in their common hyperparameters e.g. even changing a random seed can yield a different explanation! Interestingly, such sensitivity is not reflected in the average explanation accuracy scores over the dataset as commonly reported in the literature. In addition, explanations generated for robust classifiers (i.e. which are trained to be invariant to pixel-wise perturbations) are surprisingly more robust than those generated for regular classifiers.

Current language model evaluations measure what models know under ideal conditions but not how robustly they know it under realistic stress. Static benchmarks like MMLU and TruthfulQA cannot distinguish a model that lacks knowledge from one whose verification mechanisms collapse when information degrades or adversaries probe for weaknesses. We introduce the Drill-Down and Fabricate Test (DDFT), a protocol that measures epistemic robustness: a model's ability to maintain factual accuracy under progressive semantic compression and adversarial fabrication. We propose a two-system cognitive model comprising a Semantic System that generates fluent text and an Epistemic Verifier that validates factual accuracy. Our findings, based on evaluating 9 frontier models across 8 knowledge domains at 5 compression levels (1,800 turn-level evaluations), reveal that epistemic robustness is orthogonal to conventional design paradigms. Neither parameter count (r=0.083, p=0.832) nor architectural type (r=0.153, p=0.695) significantly predicts robustness, suggesting it emerges from training methodology and verification mechanisms distinct from current approaches. Error detection capability strongly predicts overall robustness (rho=-0.817, p=0.007), indicating this is the critical bottleneck. We find that flagship models exhibit brittleness despite their scale, while smaller models can achieve robust performance, challenging assumptions about the relationship between model size and reliability. The DDFT framework provides both theoretical foundation and practical tools for assessing epistemic robustness before deployment in critical applications.

Assessing scientific claims requires identifying, extracting, and reasoning with multimodal data expressed in information-rich figures in scientific literature. Despite the large body of work in scientific QA, figure captioning, and other multimodal reasoning tasks over chart-based data, there are no readily usable multimodal benchmarks that directly test claim verification abilities. To remedy this gap, we introduce a new benchmark MuSciClaims accompanied by diagnostics tasks. We automatically extract supported claims from scientific articles, which we manually perturb to produce contradicted claims. The perturbations are designed to test for a specific set of claim verification capabilities. We also introduce a suite of diagnostic tasks that help understand model failures. Our results show most vision-language models are poor (~0.3-0.5 F1), with even the best model only achieving 0.72 F1. They are also biased towards judging claims as supported, likely misunderstanding nuanced perturbations within the claims. Our diagnostics show models are bad at localizing correct evidence within figures, struggle with aggregating information across modalities, and often fail to understand basic components of the figure.

A critical step in the fight against COVID-19, which continues to have a catastrophic impact on peoples lives, is the effective screening of patients presented in the clinics with severe COVID-19 symptoms. Chest radiography is one of the promising screening approaches. Many studies reported detecting COVID-19 in chest X-rays accurately using deep learning. A serious limitation of many published approaches is insufficient attention paid to explaining decisions made by deep learning models. Using explainable artificial intelligence methods, we demonstrate that model decisions may rely on confounding factors rather than medical pathology. After an analysis of potential confounding factors found on chest X-ray images, we propose a novel method to minimise their negative impact. We show that our proposed method is more robust than previous attempts to counter confounding factors such as ECG leads in chest X-rays that often influence model classification decisions. In addition to being robust, our method achieves results comparable to the state-of-the-art. The source code and pre-trained weights are publicly available at (https://github.com/tomek1911/POTHER).

We study the robustness of classifiers to various kinds of random noise models. In particular, we consider noise drawn uniformly from the ell_p ball for p in [1, infty] and Gaussian noise with an arbitrary covariance matrix. We characterize this robustness to random noise in terms of the distance to the decision boundary of the classifier. This analysis applies to linear classifiers as well as classifiers with locally approximately flat decision boundaries, a condition which is satisfied by state-of-the-art deep neural networks. The predicted robustness is verified experimentally.

Recently, we have witnessed the bloom of neural ranking models in the information retrieval (IR) field. So far, much effort has been devoted to developing effective neural ranking models that can generalize well on new data. There has been less attention paid to the robustness perspective. Unlike the effectiveness which is about the average performance of a system under normal purpose, robustness cares more about the system performance in the worst case or under malicious operations instead. When a new technique enters into the real-world application, it is critical to know not only how it works in average, but also how would it behave in abnormal situations. So we raise the question in this work: Are neural ranking models robust? To answer this question, firstly, we need to clarify what we refer to when we talk about the robustness of ranking models in IR. We show that robustness is actually a multi-dimensional concept and there are three ways to define it in IR: 1) The performance variance under the independent and identically distributed (I.I.D.) setting; 2) The out-of-distribution (OOD) generalizability; and 3) The defensive ability against adversarial operations. The latter two definitions can be further specified into two different perspectives respectively, leading to 5 robustness tasks in total. Based on this taxonomy, we build corresponding benchmark datasets, design empirical experiments, and systematically analyze the robustness of several representative neural ranking models against traditional probabilistic ranking models and learning-to-rank (LTR) models. The empirical results show that there is no simple answer to our question. While neural ranking models are less robust against other IR models in most cases, some of them can still win 1 out of 5 tasks. This is the first comprehensive study on the robustness of neural ranking models.

Machine learning models are vulnerable to adversarial perturbations, and a thought-provoking paper by Bubeck and Sellke has analyzed this phenomenon through the lens of over-parameterization: interpolating smoothly the data requires significantly more parameters than simply memorizing it. However, this "universal" law provides only a necessary condition for robustness, and it is unable to discriminate between models. In this paper, we address these gaps by focusing on empirical risk minimization in two prototypical settings, namely, random features and the neural tangent kernel (NTK). We prove that, for random features, the model is not robust for any degree of over-parameterization, even when the necessary condition coming from the universal law of robustness is satisfied. In contrast, for even activations, the NTK model meets the universal lower bound, and it is robust as soon as the necessary condition on over-parameterization is fulfilled. This also addresses a conjecture in prior work by Bubeck, Li and Nagaraj. Our analysis decouples the effect of the kernel of the model from an "interaction matrix", which describes the interaction with the test data and captures the effect of the activation. Our theoretical results are corroborated by numerical evidence on both synthetic and standard datasets (MNIST, CIFAR-10).

Vision-Language Models (VLMs) have great potential in medical tasks, like Visual Question Answering (VQA), where they could act as interactive assistants for both patients and clinicians. Yet their robustness to distribution shifts on unseen data remains a key concern for safe deployment. Evaluating such robustness requires a controlled experimental setup that allows for systematic insights into the model's behavior. However, we demonstrate that current setups fail to offer sufficiently thorough evaluations. To address this gap, we introduce a novel framework, called SURE-VQA, centered around three key requirements to overcome current pitfalls and systematically analyze VLM robustness: 1) Since robustness on synthetic shifts does not necessarily translate to real-world shifts, it should be measured on real-world shifts that are inherent to the VQA data; 2) Traditional token-matching metrics often fail to capture underlying semantics, necessitating the use of large language models (LLMs) for more accurate semantic evaluation; 3) Model performance often lacks interpretability due to missing sanity baselines, thus meaningful baselines should be reported that allow assessing the multimodal impact on the VLM. To demonstrate the relevance of this framework, we conduct a study on the robustness of various Fine-Tuning (FT) methods across three medical datasets with four types of distribution shifts. Our study highlights key insights into robustness: 1) No FT method consistently outperforms others in robustness, and 2) robustness trends are more stable across FT methods than across distribution shifts. Additionally, we find that simple sanity baselines that do not use the image data can perform surprisingly well and confirm LoRA as the best-performing FT method on in-distribution data. Code is provided at https://github.com/IML-DKFZ/sure-vqa.

The integration of neural-network-based systems into clinical practice is limited by challenges related to domain generalization and robustness. The computer vision community established benchmarks such as ImageNet-C as a fundamental prerequisite to measure progress towards those challenges. Similar datasets are largely absent in the medical imaging community which lacks a comprehensive benchmark that spans across imaging modalities and applications. To address this gap, we create and open-source MedMNIST-C, a benchmark dataset based on the MedMNIST+ collection covering 12 datasets and 9 imaging modalities. We simulate task and modality-specific image corruptions of varying severity to comprehensively evaluate the robustness of established algorithms against real-world artifacts and distribution shifts. We further provide quantitative evidence that our simple-to-use artificial corruptions allow for highly performant, lightweight data augmentation to enhance model robustness. Unlike traditional, generic augmentation strategies, our approach leverages domain knowledge, exhibiting significantly higher robustness when compared to widely adopted methods. By introducing MedMNIST-C and open-sourcing the corresponding library allowing for targeted data augmentations, we contribute to the development of increasingly robust methods tailored to the challenges of medical imaging. The code is available at https://github.com/francescodisalvo05/medmnistc-api .

The remarkable success of deep learning in recent years has prompted applications in medical image classification and diagnosis tasks. While classification models have demonstrated robustness in classifying simpler datasets like MNIST or natural images such as ImageNet, this resilience is not consistently observed in complex medical image datasets where data is more scarce and lacks diversity. Moreover, previous findings on natural image datasets have indicated a potential trade-off between data likelihood and classification accuracy. In this study, we explore the use of score-based generative models as classifiers for medical images, specifically mammographic images. Our findings suggest that our proposed generative classifier model not only achieves superior classification results on CBIS-DDSM, INbreast and Vin-Dr Mammo datasets, but also introduces a novel approach to image classification in a broader context. Our code is publicly available at https://github.com/sushmitasarker/sgc_for_medical_image_classification

Agentic retrieval-augmented reasoning pipelines are increasingly used to structure how large language models (LLMs) incorporate external evidence in clinical decision support. These systems iteratively retrieve curated domain knowledge and synthesize it into structured reports before answer selection. Although such pipelines can improve performance, their impact on reliability under model variability remains unclear. In real-world deployment, heterogeneous models may align, diverge, or synchronize errors in ways not captured by accuracy. We evaluated 34 LLMs on 169 expert-curated publicly available radiology questions, comparing zero-shot inference with a radiology-specific multi-step agentic retrieval condition in which all models received identical structured evidence reports derived from curated radiology knowledge. Agentic inference reduced inter-model decision dispersion (median entropy 0.48 vs. 0.13) and increased robustness of correctness across models (mean 0.74 vs. 0.81). Majority consensus also increased overall (P<0.001). Consensus strength and robust correctness remained correlated under both strategies (ho=0.88 for zero-shot; ho=0.87 for agentic), although high agreement did not guarantee correctness. Response verbosity showed no meaningful association with correctness. Among 572 incorrect outputs, 72% were associated with moderate or high clinically assessed severity, although inter-rater agreement was low (appa=0.02). Agentic retrieval therefore was associated with more concentrated decision distributions, stronger consensus, and higher cross-model robustness of correctness. These findings suggest that evaluating agentic systems through accuracy or agreement alone may not always be sufficient, and that complementary analyses of stability, cross-model robustness, and potential clinical impact are needed to characterize reliability under model variability.

LLMs for clinical decision support often fail under small but clinically meaningful input shifts such as masking a symptom or negating a finding, despite high performance on static benchmarks. These reasoning failures frequently go undetected by standard NLP metrics, which are insensitive to latent representation shifts that drive diagnosis instability. We propose a geometry-aware evaluation framework, LAPD (Latent Agentic Perturbation Diagnostics), which systematically probes the latent robustness of clinical LLMs under structured adversarial edits. Within this framework, we introduce Latent Diagnosis Flip Rate (LDFR), a model-agnostic diagnostic signal that captures representational instability when embeddings cross decision boundaries in PCA-reduced latent space. Clinical notes are generated using a structured prompting pipeline grounded in diagnostic reasoning, then perturbed along four axes: masking, negation, synonym replacement, and numeric variation to simulate common ambiguities and omissions. We compute LDFR across both foundation and clinical LLMs, finding that latent fragility emerges even under minimal surface-level changes. Finally, we validate our findings on 90 real clinical notes from the DiReCT benchmark (MIMIC-IV), confirming the generalizability of LDFR beyond synthetic settings. Our results reveal a persistent gap between surface robustness and semantic stability, underscoring the importance of geometry-aware auditing in safety-critical clinical AI.

As NLP models achieved state-of-the-art performances over benchmarks and gained wide applications, it has been increasingly important to ensure the safe deployment of these models in the real world, e.g., making sure the models are robust against unseen or challenging scenarios. Despite robustness being an increasingly studied topic, it has been separately explored in applications like vision and NLP, with various definitions, evaluation and mitigation strategies in multiple lines of research. In this paper, we aim to provide a unifying survey of how to define, measure and improve robustness in NLP. We first connect multiple definitions of robustness, then unify various lines of work on identifying robustness failures and evaluating models' robustness. Correspondingly, we present mitigation strategies that are data-driven, model-driven, and inductive-prior-based, with a more systematic view of how to effectively improve robustness in NLP models. Finally, we conclude by outlining open challenges and future directions to motivate further research in this area.

Deep learning algorithms have shown promising results in visual question answering (VQA) tasks, but a more careful look reveals that they often do not understand the rich signal they are being fed with. To understand and better measure the generalization capabilities of VQA systems, we look at their robustness to counterfactually augmented data. Our proposed augmentations are designed to make a focused intervention on a specific property of the question such that the answer changes. Using these augmentations, we propose a new robustness measure, Robustness to Augmented Data (RAD), which measures the consistency of model predictions between original and augmented examples. Through extensive experimentation, we show that RAD, unlike classical accuracy measures, can quantify when state-of-the-art systems are not robust to counterfactuals. We find substantial failure cases which reveal that current VQA systems are still brittle. Finally, we connect between robustness and generalization, demonstrating the predictive power of RAD for performance on unseen augmentations.

Understanding robustness and sensitivity of BERT models predicting Alzheimer's disease from text is important for both developing better classification models and for understanding their capabilities and limitations. In this paper, we analyze how a controlled amount of desired and undesired text alterations impacts performance of BERT. We show that BERT is robust to natural linguistic variations in text. On the other hand, we show that BERT is not sensitive to removing clinically important information from text.

We argue that robustness of explanations---i.e., that similar inputs should give rise to similar explanations---is a key desideratum for interpretability. We introduce metrics to quantify robustness and demonstrate that current methods do not perform well according to these metrics. Finally, we propose ways that robustness can be enforced on existing interpretability approaches.

Existing regulatory frameworks for biomedical AI include robustness as a key component but lack detailed implementational guidance. The recent rise of biomedical foundation models creates new hurdles in testing and certification given their broad capabilities and susceptibility to complex distribution shifts. To balance test feasibility and effectiveness, we suggest a priority-based, task-oriented approach to tailor robustness evaluation objectives to a predefined specification. We urge concrete policies to adopt a granular categorization of robustness concepts in the specification. Our approach promotes the standardization of risk assessment and monitoring, which guides technical developments and mitigation efforts.

Large language models have demonstrated remarkable performance in a wide range of medical benchmarks. Yet underneath the seemingly promising results lie salient growth areas, especially in cutting-edge frontiers such as multimodal reasoning. In this paper, we introduce a series of adversarial stress tests to systematically assess the robustness of flagship models and medical benchmarks. Our study reveals prevalent brittleness in the presence of simple adversarial transformations: leading systems can guess the right answer even with key inputs removed, yet may get confused by the slightest prompt alterations, while fabricating convincing yet flawed reasoning traces. Using clinician-guided rubrics, we demonstrate that popular medical benchmarks vary widely in what they truly measure. Our study reveals significant competency gaps of frontier AI in attaining real-world readiness for health applications. If we want AI to earn trust in healthcare, we must demand more than leaderboard wins and must hold AI systems accountable to ensure robustness, sound reasoning, and alignment with real medical demands.

This paper introduces BioAgent Bench, a benchmark dataset and an evaluation suite designed for measuring the performance and robustness of AI agents in common bioinformatics tasks. The benchmark contains curated end-to-end tasks (e.g., RNA-seq, variant calling, metagenomics) with prompts that specify concrete output artifacts to support automated assessment, including stress testing under controlled perturbations. We evaluate frontier closed-source and open-weight models across multiple agent harnesses, and use an LLM-based grader to score pipeline progress and outcome validity. We find that frontier agents can complete multi-step bioinformatics pipelines without elaborate custom scaffolding, often producing the requested final artifacts reliably. However, robustness tests reveal failure modes under controlled perturbations (corrupted inputs, decoy files, and prompt bloat), indicating that correct high-level pipeline construction does not guarantee reliable step-level reasoning. Finally, because bioinformatics workflows may involve sensitive patient data, proprietary references, or unpublished IP, closed-source models can be unsuitable under strict privacy constraints; in such settings, open-weight models may be preferable despite lower completion rates. We release the dataset and evaluation suite publicly.

Robustness to natural distribution shifts has seen remarkable progress thanks to recent pre-training strategies combined with better fine-tuning methods. However, such fine-tuning assumes access to large amounts of labelled data, and the extent to which the observations hold when the amount of training data is not as high remains unknown. We address this gap by performing the first in-depth study of robustness to various natural distribution shifts in different low-shot regimes: spanning datasets, architectures, pre-trained initializations, and state-of-the-art robustness interventions. Most importantly, we find that there is no single model of choice that is often more robust than others, and existing interventions can fail to improve robustness on some datasets even if they do so in the full-shot regime. We hope that our work will motivate the community to focus on this problem of practical importance.

Convolutional Neural Networks (CNNs) have advanced existing medical systems for automatic disease diagnosis. However, there are still concerns about the reliability of deep medical diagnosis systems against the potential threats of adversarial attacks since inaccurate diagnosis could lead to disastrous consequences in the safety realm. In this study, we propose a highly robust yet efficient CNN-Transformer hybrid model which is equipped with the locality of CNNs as well as the global connectivity of vision Transformers. To mitigate the high quadratic complexity of the self-attention mechanism while jointly attending to information in various representation subspaces, we construct our attention mechanism by means of an efficient convolution operation. Moreover, to alleviate the fragility of our Transformer model against adversarial attacks, we attempt to learn smoother decision boundaries. To this end, we augment the shape information of an image in the high-level feature space by permuting the feature mean and variance within mini-batches. With less computational complexity, our proposed hybrid model demonstrates its high robustness and generalization ability compared to the state-of-the-art studies on a large-scale collection of standardized MedMNIST-2D datasets.

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

Recent work have demonstrated that robustness (to "corruption") can be at odds with generalization. Adversarial training, for instance, aims to reduce the problematic susceptibility of modern neural networks to small data perturbations. Surprisingly, overfitting is a major concern in adversarial training despite being mostly absent in standard training. We provide here theoretical evidence for this peculiar "robust overfitting" phenomenon. Subsequently, we advance a novel distributionally robust loss function bridging robustness and generalization. We demonstrate both theoretically as well as empirically the loss to enjoy a certified level of robustness against two common types of corruption--data evasion and poisoning attacks--while ensuring guaranteed generalization. We show through careful numerical experiments that our resulting holistic robust (HR) training procedure yields SOTA performance. Finally, we indicate that HR training can be interpreted as a direct extension of adversarial training and comes with a negligible additional computational burden. A ready-to-use python library implementing our algorithm is available at https://github.com/RyanLucas3/HR_Neural_Networks.

We want to detect whether a particular image dataset has been used to train a model. We propose a new technique, radioactive data, that makes imperceptible changes to this dataset such that any model trained on it will bear an identifiable mark. The mark is robust to strong variations such as different architectures or optimization methods. Given a trained model, our technique detects the use of radioactive data and provides a level of confidence (p-value). Our experiments on large-scale benchmarks (Imagenet), using standard architectures (Resnet-18, VGG-16, Densenet-121) and training procedures, show that we can detect usage of radioactive data with high confidence (p<10^-4) even when only 1% of the data used to trained our model is radioactive. Our method is robust to data augmentation and the stochasticity of deep network optimization. As a result, it offers a much higher signal-to-noise ratio than data poisoning and backdoor methods.

"Effective robustness" measures the extra out-of-distribution (OOD) robustness beyond what can be predicted from the in-distribution (ID) performance. Existing effective robustness evaluations typically use a single test set such as ImageNet to evaluate the ID accuracy. This becomes problematic when evaluating models trained on different data distributions, e.g., comparing models trained on ImageNet vs. zero-shot language-image pre-trained models trained on LAION. In this paper, we propose a new evaluation metric to evaluate and compare the effective robustness of models trained on different data. To do this, we control for the accuracy on multiple ID test sets that cover the training distributions for all the evaluated models. Our new evaluation metric provides a better estimate of effective robustness when there are models with different training data. It may also explain the surprising effective robustness gains of zero-shot CLIP-like models exhibited in prior works that used ImageNet as the only ID test set, while the gains diminish under our new evaluation. Additional artifacts including interactive visualizations are provided at https://shizhouxing.github.io/effective-robustness.

The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.

In this paper we establish rigorous benchmarks for image classifier robustness. Our first benchmark, ImageNet-C, standardizes and expands the corruption robustness topic, while showing which classifiers are preferable in safety-critical applications. Then we propose a new dataset called ImageNet-P which enables researchers to benchmark a classifier's robustness to common perturbations. Unlike recent robustness research, this benchmark evaluates performance on common corruptions and perturbations not worst-case adversarial perturbations. We find that there are negligible changes in relative corruption robustness from AlexNet classifiers to ResNet classifiers. Afterward we discover ways to enhance corruption and perturbation robustness. We even find that a bypassed adversarial defense provides substantial common perturbation robustness. Together our benchmarks may aid future work toward networks that robustly generalize.

Existing certified training methods can only train models to be robust against a certain perturbation type (e.g. l_infty or l_2). However, an l_infty certifiably robust model may not be certifiably robust against l_2 perturbation (and vice versa) and also has low robustness against other perturbations (e.g. geometric and patch transformation). By constructing a theoretical framework to analyze and mitigate the tradeoff, we propose the first multi-norm certified training framework CURE, consisting of several multi-norm certified training methods, to attain better union robustness when training from scratch or fine-tuning a pre-trained certified model. Inspired by our theoretical findings, we devise bound alignment and connect natural training with certified training for better union robustness. Compared with SOTA-certified training, CURE improves union robustness to 32.0% on MNIST, 25.8% on CIFAR-10, and 10.6% on TinyImagenet across different epsilon values. It leads to better generalization on a diverse set of challenging unseen geometric and patch perturbations to 6.8% and 16.0% on CIFAR-10. Overall, our contributions pave a path towards universal certified robustness.

The increasing use of tools and solutions based on Large Language Models (LLMs) for various tasks in the medical domain has become a prominent trend. Their use in this highly critical and sensitive domain has thus raised important questions about their robustness, especially in response to variations in input, and the reliability of the generated outputs. This study addresses these questions by constructing a textual dataset based on the ICD-10-CM code descriptions, widely used in US hospitals and containing many clinical terms, and their easily reproducible rephrasing. We then benchmarked existing embedding models, either generalist or specialized in the clinical domain, in a semantic search task where the goal was to correctly match the rephrased text to the original description. Our results showed that generalist models performed better than clinical models, suggesting that existing clinical specialized models are more sensitive to small changes in input that confuse them. The highlighted problem of specialized models may be due to the fact that they have not been trained on sufficient data, and in particular on datasets that are not diverse enough to have a reliable global language understanding, which is still necessary for accurate handling of medical documents.

Quantitative tools are increasingly appealing for decision support in healthcare, driven by the growing capabilities of advanced AI systems. However, understanding the predictive uncertainties surrounding a tool's output is crucial for decision-makers to ensure reliable and transparent decisions. In this paper, we present a case study on pulmonary nodule detection for lung cancer screening, enhancing an advanced detection model with an uncertainty quantification technique called conformal risk control (CRC). We demonstrate that prediction sets with conformal guarantees are attractive measures of predictive uncertainty in the safety-critical healthcare domain, allowing end-users to achieve arbitrary validity by trading off false positives and providing formal statistical guarantees on model performance. Among ground-truth nodules annotated by at least three radiologists, our model achieves a sensitivity that is competitive with that generally achieved by individual radiologists, with a slight increase in false positives. Furthermore, we illustrate the risks of using off-the-shelve prediction models when faced with ontological uncertainty, such as when radiologists disagree on what constitutes the ground truth on pulmonary nodules.

Machine learning models have recently found tremendous success in data-driven control systems. However, standard learning models often suffer from an accuracy-robustness trade-off, which is a limitation that must be overcome in the control of safety-critical systems that require both high performance and rigorous robustness guarantees. In this work, we build upon the recent "locally biased smoothing" method to develop classifiers that simultaneously inherit high accuracy from standard models and high robustness from robust models. Specifically, we extend locally biased smoothing to the multi-class setting, and then overcome its performance bottleneck by generalizing the formulation to "mix" the outputs of a standard neural network and a robust neural network. We prove that when the robustness of the robust base model is certifiable, within a closed-form ell_p radius, no alteration or attack on an input can result in misclassification of the mixed classifier; the proposed model inherits the certified robustness. Moreover, we use numerical experiments on the CIFAR-10 benchmark dataset to verify that the mixed model noticeably improves the accuracy-robustness trade-off.

Large language models (LLMs) increasingly summarize clinical evidence, where a claim's weight depends on how strongly it is supported. Yet these models convey confidence poorly, and properties they never state, such as truth, are often readable from their activations. Whether a clinical model registers evidence strength, distinct from truth, and states it when asked is untested, and any such signal could be lexical. We compiled 45,134 clinical claims from six public sources, harmonized 20,611 into a four-level evidence grade under three independent frameworks, and tested 22 local, open-weight LLMs from several developers (0.6-70 billion parameters; general, medical, and reasoning), with lexical, truth, and cross-framework controls. A linear estimator recovered the grade in every model (median AUROC 71.8), yet decodability did not rise with scale and was weakest in reasoning models. The grade the models stated fell to chance, 25-27 percentage points below the estimator. The recoverable signal was largely lexical and did not transfer across topics or frameworks, yet it was distinct from factual truth and still flagged weakly supported claims (AUROC 69.2). Clinical LLMs thus carry an ordered evidence-strength signal they do not express, so their stated grades fail to convey a claim's support even when it is recoverable from their representations and text.

Although deep learning (DL) has received much attention in accelerated magnetic resonance imaging (MRI), recent studies show that tiny input perturbations may lead to instabilities of DL-based MRI reconstruction models. However, the approaches of robustifying these models are underdeveloped. Compared to image classification, it could be much more challenging to achieve a robust MRI image reconstruction network considering its regression-based learning objective, limited amount of training data, and lack of efficient robustness metrics. To circumvent the above limitations, our work revisits the problem of DL-based image reconstruction through the lens of robust machine learning. We find a new instability source of MRI image reconstruction, i.e., the lack of reconstruction robustness against spatial transformations of an input, e.g., rotation and cutout. Inspired by this new robustness metric, we develop a robustness-aware image reconstruction method that can defend against both pixel-wise adversarial perturbations as well as spatial transformations. Extensive experiments are also conducted to demonstrate the effectiveness of our proposed approaches.

Anomaly detection (AD) is a machine learning task that identifies anomalies by learning patterns from normal training data. In many real-world scenarios, anomalies vary in severity, from minor anomalies with little risk to severe abnormalities requiring immediate attention. However, existing models primarily operate in a binary setting, and the anomaly scores they produce are usually based on the deviation of data points from normal data, which may not accurately reflect practical severity. In this paper, we address this gap by making three key contributions. First, we propose a novel setting, Multilevel AD (MAD), in which the anomaly score represents the severity of anomalies in real-world applications, and we highlight its diverse applications across various domains. Second, we introduce a novel benchmark, MAD-Bench, that evaluates models not only on their ability to detect anomalies, but also on how effectively their anomaly scores reflect severity. This benchmark incorporates multiple types of baselines and real-world applications involving severity. Finally, we conduct a comprehensive performance analysis on MAD-Bench. We evaluate models on their ability to assign severity-aligned scores, investigate the correspondence between their performance on binary and multilevel detection, and study their robustness. This analysis offers key insights into improving AD models for practical severity alignment. The code framework and datasets used for the benchmark will be made publicly available.

A collection of robust Mahalanobis distances for multivariate outlier detection is proposed, based on the notion of shrinkage. Robust intensity and scaling factors are optimally estimated to define the shrinkage. Some properties are investigated, such as affine equivariance and breakdown value. The performance of the proposal is illustrated through the comparison to other techniques from the literature, in a simulation study and with a real dataset. The behavior when the underlying distribution is heavy-tailed or skewed, shows the appropriateness of the method when we deviate from the common assumption of normality. The resulting high correct detection rates and low false detection rates in the vast majority of cases, as well as the significantly smaller computation time shows the advantages of our proposal.

Clinical diagnosis is critical in medical practice, typically requiring a continuous and evolving process that includes primary diagnosis, differential diagnosis, and final diagnosis. However, most existing clinical diagnostic tasks are single-step processes, which does not align with the complex multi-step diagnostic procedures found in real-world clinical settings. In this paper, we propose a multi-step diagnostic task and annotate a clinical diagnostic dataset (MSDiagnosis). This dataset includes primary diagnosis, differential diagnosis, and final diagnosis questions. Additionally, we propose a novel and effective framework. This framework combines forward inference, backward inference, reflection, and refinement, enabling the LLM to self-evaluate and adjust its diagnostic results. To assess the effectiveness of our proposed method, we design and conduct extensive experiments. The experimental results demonstrate the effectiveness of the proposed method. We also provide a comprehensive experimental analysis and suggest future research directions for this task.

Vision Language Models (VLMs) are increasingly used for tasks like medical report generation and visual question answering. However, fluent diagnostic text does not guarantee safe visual understanding. In clinical practice, interpretation begins with pre-diagnostic sanity checks: verifying that the input is valid to read (correct modality and anatomy, plausible viewpoint and orientation, and no obvious integrity violations). Existing benchmarks largely assume this step is solved, and therefore miss a critical failure mode: a model can produce plausible narratives even when the input is inconsistent or invalid. We introduce MedObvious, a 1,880-task benchmark that isolates input validation as a set-level consistency capability over small multi-panel image sets: the model must identify whether any panel violates expected coherence. MedObvious spans five progressive tiers, from basic orientation/modality mismatches to clinically motivated anatomy/viewpoint verification and triage-style cues, and includes five evaluation formats to test robustness across interfaces. Evaluating 17 different VLMs, we find that sanity checking remains unreliable: several models hallucinate anomalies on normal (negative-control) inputs, performance degrades when scaling to larger image sets, and measured accuracy varies substantially between multiple-choice and open-ended settings. These results show that pre-diagnostic verification remains unsolved for medical VLMs and should be treated as a distinct, safety-critical capability before deployment.

Medical image classification is a critical problem for healthcare, with the potential to alleviate the workload of doctors and facilitate diagnoses of patients. However, two challenges arise when deploying deep learning models to real-world healthcare applications. First, neural models tend to learn spurious correlations instead of desired features, which could fall short when generalizing to new domains (e.g., patients with different ages). Second, these black-box models lack interpretability. When making diagnostic predictions, it is important to understand why a model makes a decision for trustworthy and safety considerations. In this paper, to address these two limitations, we propose a new paradigm to build robust and interpretable medical image classifiers with natural language concepts. Specifically, we first query clinical concepts from GPT-4, then transform latent image features into explicit concepts with a vision-language model. We systematically evaluate our method on eight medical image classification datasets to verify its effectiveness. On challenging datasets with strong confounding factors, our method can mitigate spurious correlations thus substantially outperform standard visual encoders and other baselines. Finally, we show how classification with a small number of concepts brings a level of interpretability for understanding model decisions through case studies in real medical data.

We prove a new upper bound on the generalization gap of classifiers that are obtained by first using self-supervision to learn a representation r of the training data, and then fitting a simple (e.g., linear) classifier g to the labels. Specifically, we show that (under the assumptions described below) the generalization gap of such classifiers tends to zero if C(g) ll n, where C(g) is an appropriately-defined measure of the simple classifier g's complexity, and n is the number of training samples. We stress that our bound is independent of the complexity of the representation r. We do not make any structural or conditional-independence assumptions on the representation-learning task, which can use the same training dataset that is later used for classification. Rather, we assume that the training procedure satisfies certain natural noise-robustness (adding small amount of label noise causes small degradation in performance) and rationality (getting the wrong label is not better than getting no label at all) conditions that widely hold across many standard architectures. We show that our bound is non-vacuous for many popular representation-learning based classifiers on CIFAR-10 and ImageNet, including SimCLR, AMDIM and MoCo.

With the emergence of large-scale vision language models (VLM), it is now possible to produce realistic-looking radiology reports for chest X-ray images. However, their clinical translation has been hampered by the factual errors and hallucinations in the produced descriptions during inference. In this paper, we present a novel phrase-grounded fact-checking model (FC model) that detects errors in findings and their indicated locations in automatically generated chest radiology reports. Specifically, we simulate the errors in reports through a large synthetic dataset derived by perturbing findings and their locations in ground truth reports to form real and fake findings-location pairs with images. A new multi-label cross-modal contrastive regression network is then trained on this dataset. We present results demonstrating the robustness of our method in terms of accuracy of finding veracity prediction and localization on multiple X-ray datasets. We also show its effectiveness for error detection in reports of SOTA report generators on multiple datasets achieving a concordance correlation coefficient of 0.997 with ground truth-based verification, thus pointing to its utility during clinical inference in radiology workflows.

Rare diseases affect hundreds of millions worldwide, yet diagnosis often spans years. Convectional pipelines decouple noisy evidence extraction from downstream inferential diagnosis, and general/medical large language models (LLMs) face scarce real world electronic health records (EHRs), stale domain knowledge, and hallucinations. We assemble a large, domain specialized clinical corpus and a clinician validated reasoning set, and develop RareSeek R1 via staged instruction tuning, chain of thought learning, and graph grounded retrieval. Across multicenter EHR narratives and public benchmarks, RareSeek R1 attains state of the art accuracy, robust generalization, and stability under noisy or overlapping phenotypes. Augmented retrieval yields the largest gains when narratives pair with prioritized variants by resolving ambiguity and aligning candidates to mechanisms. Human studies show performance on par with experienced physicians and consistent gains in assistive use. Notably, transparent reasoning highlights decisive non phenotypic evidence (median 23.1%, such as imaging, interventions, functional tests) underpinning many correct diagnoses. This work advances a narrative first, knowledge integrated reasoning paradigm that shortens the diagnostic odyssey and enables auditable, clinically translatable decision support.

The success of neural networks across most machine learning tasks and the persistence of adversarial examples have made the verification of such models an important quest. Several techniques have been successfully developed to verify robustness, and are now able to evaluate neural networks with thousands of nodes. The main weakness of this approach is in the specification: robustness is asserted on a validation set consisting of a finite set of examples, i.e. locally. We propose a notion of global robustness based on generative models, which asserts the robustness on a very large and representative set of examples. We show how this can be used for verifying neural networks. In this paper we experimentally explore the merits of this approach, and show how it can be used to construct realistic adversarial examples.

Motion artefacts in magnetic resonance brain images can have a strong impact on diagnostic confidence. The assessment of MR image quality is fundamental before proceeding with the clinical diagnosis. Motion artefacts can alter the delineation of structures such as the brain, lesions or tumours and may require a repeat scan. Otherwise, an inaccurate (e.g. correct pathology but wrong severity) or incorrect diagnosis (e.g. wrong pathology) may occur. "Image quality assessment" as a fast, automated step right after scanning can assist in deciding if the acquired images are diagnostically sufficient. An automated image quality assessment based on the structural similarity index (SSIM) regression through a residual neural network is proposed in this work. Additionally, a classification into different groups - by subdividing with SSIM ranges - is evaluated. Importantly, this method predicts SSIM values of an input image in the absence of a reference ground truth image. The networks were able to detect motion artefacts, and the best performance for the regression and classification task has always been achieved with ResNet-18 with contrast augmentation. The mean and standard deviation of residuals' distribution were mu=-0.0009 and sigma=0.0139, respectively. Whilst for the classification task in 3, 5 and 10 classes, the best accuracies were 97, 95 and 89\%, respectively. The results show that the proposed method could be a tool for supporting neuro-radiologists and radiographers in evaluating image quality quickly.

We show that the basic classification framework alone can be used to tackle some of the most challenging tasks in image synthesis. In contrast to other state-of-the-art approaches, the toolkit we develop is rather minimal: it uses a single, off-the-shelf classifier for all these tasks. The crux of our approach is that we train this classifier to be adversarially robust. It turns out that adversarial robustness is precisely what we need to directly manipulate salient features of the input. Overall, our findings demonstrate the utility of robustness in the broader machine learning context. Code and models for our experiments can be found at https://git.io/robust-apps.

We have recently witnessed a number of impressive results on hard mathematical reasoning problems with language models. At the same time, the robustness of these models has also been called into question; recent works have shown that models can rely on shallow patterns in the problem description when generating a solution. Building on the idea of behavioral testing, we propose a novel framework, which pins down the causal effect of various factors in the input, e.g., the surface form of the problem text, the operands, and math operators on the output solution. By grounding the behavioral analysis in a causal graph describing an intuitive reasoning process, we study the behavior of language models in terms of robustness and sensitivity to direct interventions in the input space. We apply our framework on a test bed of math word problems. Our analysis shows that robustness does not appear to continuously improve as a function of size, but the GPT-3 Davinci models (175B) achieve a dramatic improvement in both robustness and sensitivity compared to all other GPT variants.

In order to minimize the generalization error in neural networks, a novel technique to identify overfitting phenomena when training the learner is formally introduced. This enables support of a reliable and trustworthy early stopping condition, thus improving the predictive power of that type of modeling. Our proposal exploits the correlation over time in a collection of online indicators, namely characteristic functions for indicating if a set of hypotheses are met, associated with a range of independent stopping conditions built from a canary judgment to evaluate the presence of overfitting. That way, we provide a formal basis for decision making in terms of interrupting the learning process. As opposed to previous approaches focused on a single criterion, we take advantage of subsidiarities between independent assessments, thus seeking both a wider operating range and greater diagnostic reliability. With a view to illustrating the effectiveness of the halting condition described, we choose to work in the sphere of natural language processing, an operational continuum increasingly based on machine learning. As a case study, we focus on parser generation, one of the most demanding and complex tasks in the domain. The selection of cross-validation as a canary function enables an actual comparison with the most representative early stopping conditions based on overfitting identification, pointing to a promising start toward an optimal bias and variance control.

We propose a simple multiple outlier identification method for parametric location-scale and shape-scale models when the number of possible outliers is not specified. The method is based on a result giving asymptotic properties of extreme z-scores. Robust estimators of model parameters are used defining z-scores. An extensive simulation study was done for comparing of the proposed method with existing methods. For the normal family, the method is compared with the well known Davies-Gather, Rosner's, Hawking's and Bolshev's multiple outlier identification methods. The choice of an upper limit for the number of possible outliers in case of Rosner's test application is discussed. For other families, the proposed method is compared with a method generalizing Gather-Davies method. In most situations, the new method has the highest outlier identification power in terms of masking and swamping values. We also created R package outliersTests for proposed test.

As the issue of robustness in AI systems becomes vital, statistical learning techniques that are reliable even in presence of partly contaminated data have to be developed. Preference data, in the form of (complete) rankings in the simplest situations, are no exception and the demand for appropriate concepts and tools is all the more pressing given that technologies fed by or producing this type of data (e.g. search engines, recommending systems) are now massively deployed. However, the lack of vector space structure for the set of rankings (i.e. the symmetric group S_n) and the complex nature of statistics considered in ranking data analysis make the formulation of robustness objectives in this domain challenging. In this paper, we introduce notions of robustness, together with dedicated statistical methods, for Consensus Ranking the flagship problem in ranking data analysis, aiming at summarizing a probability distribution on S_n by a median ranking. Precisely, we propose specific extensions of the popular concept of breakdown point, tailored to consensus ranking, and address the related computational issues. Beyond the theoretical contributions, the relevance of the approach proposed is supported by an experimental study.

In medical imaging, anomaly detection is a vital element of healthcare diagnostics, especially for neurological conditions which can be life-threatening. Conventional deterministic methods often fall short when it comes to capturing the inherent uncertainty of anomaly detection tasks. This paper introduces a Bayesian Variational Autoencoder (VAE) equipped with multi-head attention mechanisms for detecting anomalies in brain magnetic resonance imaging (MRI). For the purpose of improving anomaly detection performance, we incorporate both epistemic and aleatoric uncertainty estimation through Bayesian inference. The model was tested on the BraTS2020 dataset, and the findings were a 0.83 ROC AUC and a 0.83 PR AUC. The data in our paper suggests that modeling uncertainty is an essential component of anomaly detection, enhancing both performance and interpretability and providing confidence estimates, as well as anomaly predictions, for clinicians to leverage in making medical decisions.

A ubiquitous feature of data of our era is their extra-large sizes and dimensions. Analyzing such high-dimensional data poses significant challenges, since the feature dimension is often much larger than the sample size. This thesis introduces robust and computationally efficient methods to address several common challenges associated with high-dimensional data. In my first manuscript, I propose a coherent approach to variable screening that accommodates nonlinear associations. I develop a novel variable screening method that transcends traditional linear assumptions by leveraging mutual information, with an intended application in neuroimaging data. This approach allows for accurate identification of important variables by capturing nonlinear as well as linear relationships between the outcome and covariates. Building on this foundation, I develop new optimization methods for sparse estimation using nonconvex penalties in my second manuscript. These methods address notable challenges in current statistical computing practices, facilitating computationally efficient and robust analyses of complex datasets. The proposed method can be applied to a general class of optimization problems. In my third manuscript, I contribute to robust modeling of high-dimensional correlated observations by developing a mixed-effects model based on Tsallis power-law entropy maximization and discussed the theoretical properties of such distribution. This model surpasses the constraints of conventional Gaussian models by accommodating a broader class of distributions with enhanced robustness to outliers. Additionally, I develop a proximal nonlinear conjugate gradient algorithm that accelerates convergence while maintaining numerical stability, along with rigorous statistical properties for the proposed framework.

Modern AI systems increasingly comprise multiple interconnected neural networks to tackle complex inference tasks. Testing such systems for robustness and safety entails significant challenges. Current state-of-the-art robustness testing techniques, whether black-box or white-box, have been proposed and implemented for single-network models and do not scale well to multi-network pipelines. We propose a modular robustness testing framework that applies a given set of perturbations to test data. Our testing framework supports (1) a component-wise system analysis to isolate errors and (2) reasoning about error propagation across the neural network modules. The testing framework is architecture and modality agnostic and can be applied across domains. We apply the framework to a real-world autonomous rail inspection system composed of multiple deep networks and successfully demonstrate how our approach enables fine-grained robustness analysis beyond conventional end-to-end metrics.

Robust pedestrian trajectory forecasting is crucial to developing safe autonomous vehicles. Although previous works have studied adversarial robustness in the context of trajectory forecasting, some significant issues remain unaddressed. In this work, we try to tackle these crucial problems. Firstly, the previous definitions of robustness in trajectory prediction are ambiguous. We thus provide formal definitions for two kinds of robustness, namely label robustness and pure robustness. Secondly, as previous works fail to consider robustness about all points in a disturbance interval, we utilise a probably approximately correct (PAC) framework for robustness verification. Additionally, this framework can not only identify potential counterexamples, but also provides interpretable analyses of the original methods. Our approach is applied using a prototype tool named TrajPAC. With TrajPAC, we evaluate the robustness of four state-of-the-art trajectory prediction models -- Trajectron++, MemoNet, AgentFormer, and MID -- on trajectories from five scenes of the ETH/UCY dataset and scenes of the Stanford Drone Dataset. Using our framework, we also experimentally study various factors that could influence robustness performance.

As a research community, we are still lacking a systematic understanding of the progress on adversarial robustness which often makes it hard to identify the most promising ideas in training robust models. A key challenge in benchmarking robustness is that its evaluation is often error-prone leading to robustness overestimation. Our goal is to establish a standardized benchmark of adversarial robustness, which as accurately as possible reflects the robustness of the considered models within a reasonable computational budget. To this end, we start by considering the image classification task and introduce restrictions (possibly loosened in the future) on the allowed models. We evaluate adversarial robustness with AutoAttack, an ensemble of white- and black-box attacks, which was recently shown in a large-scale study to improve almost all robustness evaluations compared to the original publications. To prevent overadaptation of new defenses to AutoAttack, we welcome external evaluations based on adaptive attacks, especially where AutoAttack flags a potential overestimation of robustness. Our leaderboard, hosted at https://robustbench.github.io/, contains evaluations of 120+ models and aims at reflecting the current state of the art in image classification on a set of well-defined tasks in ell_infty- and ell_2-threat models and on common corruptions, with possible extensions in the future. Additionally, we open-source the library https://github.com/RobustBench/robustbench that provides unified access to 80+ robust models to facilitate their downstream applications. Finally, based on the collected models, we analyze the impact of robustness on the performance on distribution shifts, calibration, out-of-distribution detection, fairness, privacy leakage, smoothness, and transferability.

A fundamental issue in machine learning is the robustness of the model with respect to changes in the input. In natural language processing, models typically contain a first embedding layer, transforming a sequence of tokens into vector representations. While the robustness with respect to changes of continuous inputs is well-understood, the situation is less clear when considering discrete changes, for instance replacing a word by another in an input sentence. Our work formally proves that popular embedding schemes, such as concatenation, TF-IDF, and Paragraph Vector (a.k.a. doc2vec), exhibit robustness in the H\"older or Lipschitz sense with respect to the Hamming distance. We provide quantitative bounds for these schemes and demonstrate how the constants involved are affected by the length of the document. These findings are exemplified through a series of numerical examples.

We might hope that when faced with unexpected inputs, well-designed software systems would fire off warnings. Machine learning (ML) systems, however, which depend strongly on properties of their inputs (e.g. the i.i.d. assumption), tend to fail silently. This paper explores the problem of building ML systems that fail loudly, investigating methods for detecting dataset shift, identifying exemplars that most typify the shift, and quantifying shift malignancy. We focus on several datasets and various perturbations to both covariates and label distributions with varying magnitudes and fractions of data affected. Interestingly, we show that across the dataset shifts that we explore, a two-sample-testing-based approach, using pre-trained classifiers for dimensionality reduction, performs best. Moreover, we demonstrate that domain-discriminating approaches tend to be helpful for characterizing shifts qualitatively and determining if they are harmful.

Knowledge Graph (KG) plays a crucial role in Medical Report Generation (MRG) because it reveals the relations among diseases and thus can be utilized to guide the generation process. However, constructing a comprehensive KG is labor-intensive and its applications on the MRG process are under-explored. In this study, we establish a complete KG on chest X-ray imaging that includes 137 types of diseases and abnormalities. Based on this KG, we find that the current MRG data sets exhibit a long-tailed problem in disease distribution. To mitigate this problem, we introduce a novel augmentation strategy that enhances the representation of disease types in the tail-end of the distribution. We further design a two-stage MRG approach, where a classifier is first trained to detect whether the input images exhibit any abnormalities. The classified images are then independently fed into two transformer-based generators, namely, ``disease-specific generator" and ``disease-free generator" to generate the corresponding reports. To enhance the clinical evaluation of whether the generated reports correctly describe the diseases appearing in the input image, we propose diverse sensitivity (DS), a new metric that checks whether generated diseases match ground truth and measures the diversity of all generated diseases. Results show that the proposed two-stage generation framework and augmentation strategies improve DS by a considerable margin, indicating a notable reduction in the long-tailed problem associated with under-represented diseases.

Some recent studies have described deep convolutional neural networks to diagnose breast cancer in mammograms with similar or even superior performance to that of human experts. One of the best techniques does two transfer learnings: the first uses a model trained on natural images to create a "patch classifier" that categorizes small subimages; the second uses the patch classifier to scan the whole mammogram and create the "single-view whole-image classifier". We propose to make a third transfer learning to obtain a "two-view classifier" to use the two mammographic views: bilateral craniocaudal and mediolateral oblique. We use EfficientNet as the basis of our model. We "end-to-end" train the entire system using CBIS-DDSM dataset. To ensure statistical robustness, we test our system twice using: (a) 5-fold cross validation; and (b) the original training/test division of the dataset. Our technique reached an AUC of 0.9344 using 5-fold cross validation (accuracy, sensitivity and specificity are 85.13% at the equal error rate point of ROC). Using the original dataset division, our technique achieved an AUC of 0.8483, as far as we know the highest reported AUC for this problem, although the subtle differences in the testing conditions of each work do not allow for an accurate comparison. The inference code and model are available at https://github.com/dpetrini/two-views-classifier

The lack of standardized robustness metrics and the widespread reliance on numerous unrelated benchmark datasets for testing have created a gap between academically validated robust models and their often problematic practical adoption. To address this, we introduce XIMAGENET-12, an explainable benchmark dataset with over 200K images and 15,600 manual semantic annotations. Covering 12 categories from ImageNet to represent objects commonly encountered in practical life and simulating six diverse scenarios, including overexposure, blurring, color changing, etc., we further propose a novel robustness criterion that extends beyond model generation ability assessment. This benchmark dataset, along with related code, is available at https://sites.google.com/view/ximagenet-12/home. Researchers and practitioners can leverage this resource to evaluate the robustness of their visual models under challenging conditions and ultimately benefit from the demands of practical computer vision systems.

Adversarial robustness often comes at the cost of degraded accuracy, impeding the real-life application of robust classification models. Training-based solutions for better trade-offs are limited by incompatibilities with already-trained high-performance large models, necessitating the exploration of training-free ensemble approaches. Observing that robust models are more confident in correct predictions than in incorrect ones on clean and adversarial data alike, we speculate amplifying this "benign confidence property" can reconcile accuracy and robustness in an ensemble setting. To achieve so, we propose "MixedNUTS", a training-free method where the output logits of a robust classifier and a standard non-robust classifier are processed by nonlinear transformations with only three parameters, which are optimized through an efficient algorithm. MixedNUTS then converts the transformed logits into probabilities and mixes them as the overall output. On CIFAR-10, CIFAR-100, and ImageNet datasets, experimental results with custom strong adaptive attacks demonstrate MixedNUTS's vastly improved accuracy and near-SOTA robustness -- it boosts CIFAR-100 clean accuracy by 7.86 points, sacrificing merely 0.87 points in robust accuracy.

The trade-off between robustness and accuracy has been widely studied in the adversarial literature. Although still controversial, the prevailing view is that this trade-off is inherent, either empirically or theoretically. Thus, we dig for the origin of this trade-off in adversarial training and find that it may stem from the improperly defined robust error, which imposes an inductive bias of local invariance -- an overcorrection towards smoothness. Given this, we advocate employing local equivariance to describe the ideal behavior of a robust model, leading to a self-consistent robust error named SCORE. By definition, SCORE facilitates the reconciliation between robustness and accuracy, while still handling the worst-case uncertainty via robust optimization. By simply substituting KL divergence with variants of distance metrics, SCORE can be efficiently minimized. Empirically, our models achieve top-rank performance on RobustBench under AutoAttack. Besides, SCORE provides instructive insights for explaining the overfitting phenomenon and semantic input gradients observed on robust models. Code is available at https://github.com/P2333/SCORE.

Recognizing vulnerability is crucial for understanding and implementing targeted support to empower individuals in need. This is especially important at the European Court of Human Rights (ECtHR), where the court adapts Convention standards to meet actual individual needs and thus ensures effective human rights protection. However, the concept of vulnerability remains elusive at the ECtHR and no prior NLP research has dealt with it. To enable future research in this area, we present VECHR, a novel expert-annotated multi-label dataset comprising of vulnerability type classification and explanation rationale. We benchmark the performance of state-of-the-art models on VECHR from both prediction and explainability perspectives. Our results demonstrate the challenging nature of the task with lower prediction performance and limited agreement between models and experts. Further, we analyze the robustness of these models in dealing with out-of-domain (OOD) data and observe overall limited performance. Our dataset poses unique challenges offering significant room for improvement regarding performance, explainability, and robustness.

A fundamental question in adversarial machine learning is whether a robust classifier exists for a given task. A line of research has made some progress towards this goal by studying the concentration of measure, but we argue standard concentration fails to fully characterize the intrinsic robustness of a classification problem since it ignores data labels which are essential to any classification task. Building on a novel definition of label uncertainty, we empirically demonstrate that error regions induced by state-of-the-art models tend to have much higher label uncertainty than randomly-selected subsets. This observation motivates us to adapt a concentration estimation algorithm to account for label uncertainty, resulting in more accurate intrinsic robustness measures for benchmark image classification problems.

While prior research has proposed a plethora of methods that build neural classifiers robust against adversarial robustness, practitioners are still reluctant to adopt them due to their unacceptably severe clean accuracy penalties. This paper significantly alleviates this accuracy-robustness trade-off by mixing the output probabilities of a standard classifier and a robust classifier, where the standard network is optimized for clean accuracy and is not robust in general. We show that the robust base classifier's confidence difference for correct and incorrect examples is the key to this improvement. In addition to providing intuitions and empirical evidence, we theoretically certify the robustness of the mixed classifier under realistic assumptions. Furthermore, we adapt an adversarial input detector into a mixing network that adaptively adjusts the mixture of the two base models, further reducing the accuracy penalty of achieving robustness. The proposed flexible method, termed "adaptive smoothing", can work in conjunction with existing or even future methods that improve clean accuracy, robustness, or adversary detection. Our empirical evaluation considers strong attack methods, including AutoAttack and adaptive attack. On the CIFAR-100 dataset, our method achieves an 85.21% clean accuracy while maintaining a 38.72% ell_infty-AutoAttacked (epsilon = 8/255) accuracy, becoming the second most robust method on the RobustBench CIFAR-100 benchmark as of submission, while improving the clean accuracy by ten percentage points compared with all listed models. The code that implements our method is available at https://github.com/Bai-YT/AdaptiveSmoothing.

The rapid increase of computed tomography (CT) scans and their time-consuming manual analysis have created an urgent need for robust automated analysis techniques in clinical settings. These aim to assist radiologists and help them managing their growing workload. Existing methods typically generate entire reports directly from 3D CT images, without explicitly focusing on observed abnormalities. This unguided approach often results in repetitive content or incomplete reports, failing to prioritize anomaly-specific descriptions. We propose a new anomaly-guided report generation model, which first predicts abnormalities and then generates targeted descriptions for each. Evaluation on a public dataset demonstrates significant improvements in report quality and clinical relevance. We extend our work by conducting an ablation study to demonstrate its effectiveness.