Daily Papers

Large language models (LLMs) are increasingly deployed in medical contexts, raising critical concerns about safety, alignment, and susceptibility to adversarial manipulation. While prior benchmarks assess model refusal capabilities for harmful prompts, they often lack clinical specificity, graded harmfulness levels, and coverage of jailbreak-style attacks. We introduce CARES (Clinical Adversarial Robustness and Evaluation of Safety), a benchmark for evaluating LLM safety in healthcare. CARES includes over 18,000 prompts spanning eight medical safety principles, four harm levels, and four prompting styles: direct, indirect, obfuscated, and role-play, to simulate both malicious and benign use cases. We propose a three-way response evaluation protocol (Accept, Caution, Refuse) and a fine-grained Safety Score metric to assess model behavior. Our analysis reveals that many state-of-the-art LLMs remain vulnerable to jailbreaks that subtly rephrase harmful prompts, while also over-refusing safe but atypically phrased queries. Finally, we propose a mitigation strategy using a lightweight classifier to detect jailbreak attempts and steer models toward safer behavior via reminder-based conditioning. CARES provides a rigorous framework for testing and improving medical LLM safety under adversarial and ambiguous conditions.

Large language models (LLMs) show promise in clinical decision support yet risk acquiescing to patient pressure for inappropriate care. We introduce SycoEval-EM, a multi-agent simulation framework evaluating LLM robustness through adversarial patient persuasion in emergency medicine. Across 20 LLMs and 1,875 encounters spanning three Choosing Wisely scenarios, acquiescence rates ranged from 0-100\%. Models showed higher vulnerability to imaging requests (38.8\%) than opioid prescriptions (25.0\%), with model capability poorly predicting robustness. All persuasion tactics proved equally effective (30.0-36.0\%), indicating general susceptibility rather than tactic-specific weakness. Our findings demonstrate that static benchmarks inadequately predict safety under social pressure, necessitating multi-turn adversarial testing for clinical AI certification.

Vision-Language Models (VLMs) are increasingly used in clinical diagnostics, yet their robustness to adversarial attacks remains largely unexplored, posing serious risks. Existing medical attacks focus on secondary objectives such as model stealing or adversarial fine-tuning, while transferable attacks from natural images introduce visible distortions that clinicians can easily detect. To address this, we propose MedFocusLeak, a highly transferable black-box multimodal attack that induces incorrect yet clinically plausible diagnoses while keeping perturbations imperceptible. The method injects coordinated perturbations into non-diagnostic background regions and employs an attention distraction mechanism to shift the model's focus away from pathological areas. Extensive evaluations across six medical imaging modalities show that MedFocusLeak achieves state-of-the-art performance, generating misleading yet realistic diagnostic outputs across diverse VLMs. We further introduce a unified evaluation framework with novel metrics that jointly capture attack success and image fidelity, revealing a critical weakness in the reasoning capabilities of modern clinical VLMs.

Large language models (LLM) have achieved impressive performance on medical question-answering benchmarks. However, high benchmark accuracy does not imply that the performance generalizes to real-world clinical settings. Medical question-answering benchmarks rely on assumptions consistent with quantifying LLM performance but that may not hold in the open world of the clinic. Yet LLMs learn broad knowledge that can help the LLM generalize to practical conditions regardless of unrealistic assumptions in celebrated benchmarks. We seek to quantify how well LLM medical question-answering benchmark performance generalizes when benchmark assumptions are violated. Specifically, we present an adversarial method that we call MedFuzz (for medical fuzzing). MedFuzz attempts to modify benchmark questions in ways aimed at confounding the LLM. We demonstrate the approach by targeting strong assumptions about patient characteristics presented in the MedQA benchmark. Successful "attacks" modify a benchmark item in ways that would be unlikely to fool a medical expert but nonetheless "trick" the LLM into changing from a correct to an incorrect answer. Further, we present a permutation test technique that can ensure a successful attack is statistically significant. We show how to use performance on a "MedFuzzed" benchmark, as well as individual successful attacks. The methods show promise at providing insights into the ability of an LLM to operate robustly in more realistic settings.

Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) systems are increasingly integrated into clinical workflows; however, prompt injection attacks can steer these systems toward clinically unsafe or misleading outputs. We introduce the Medical Prompt Injection Benchmark (MPIB), a dataset-and-benchmark suite for evaluating clinical safety under both direct prompt injection and indirect, RAG-mediated injection across clinically grounded tasks. MPIB emphasizes outcome-level risk via the Clinical Harm Event Rate (CHER), which measures high-severity clinical harm events under a clinically grounded taxonomy, and reports CHER alongside Attack Success Rate (ASR) to disentangle instruction compliance from downstream patient risk. The benchmark comprises 9,697 curated instances constructed through multi-stage quality gates and clinical safety linting. Evaluating MPIB across a diverse set of baseline LLMs and defense configurations, we find that ASR and CHER can diverge substantially, and that robustness depends critically on whether adversarial instructions appear in the user query or in retrieved context. We release MPIB with evaluation code, adversarial baselines, and comprehensive documentation to support reproducible and systematic research on clinical prompt injection. Code and data are available at GitHub (code) and Hugging Face (data).

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.

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.

In this paper, for the first time, we propose an evaluation method for deep learning models that assesses the performance of a model not only in an unseen test scenario, but also in extreme cases of noise, outliers and ambiguous input data. To this end, we utilize adversarial examples, images that fool machine learning models, while looking imperceptibly different from original data, as a measure to evaluate the robustness of a variety of medical imaging models. Through extensive experiments on skin lesion classification and whole brain segmentation with state-of-the-art networks such as Inception and UNet, we show that models that achieve comparable performance regarding generalizability may have significant variations in their perception of the underlying data manifold, leading to an extensive performance gap in their robustness.

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 .

Research on adversarial robustness is primarily focused on image and text data. Yet, many scenarios in which lack of robustness can result in serious risks, such as fraud detection, medical diagnosis, or recommender systems often do not rely on images or text but instead on tabular data. Adversarial robustness in tabular data poses two serious challenges. First, tabular datasets often contain categorical features, and therefore cannot be tackled directly with existing optimization procedures. Second, in the tabular domain, algorithms that are not based on deep networks are widely used and offer great performance, but algorithms to enhance robustness are tailored to neural networks (e.g. adversarial training). In this paper, we tackle both challenges. We present a method that allows us to train adversarially robust deep networks for tabular data and to transfer this robustness to other classifiers via universal robust embeddings tailored to categorical data. These embeddings, created using a bilevel alternating minimization framework, can be transferred to boosted trees or random forests making them robust without the need for adversarial training while preserving their high accuracy on tabular data. We show that our methods outperform existing techniques within a practical threat model suitable for tabular data.

Large Language Models (LLMs) are increasingly used in healthcare, yet ensuring their safety and trustworthiness remains a barrier to deployment. Conversational medical assistants must avoid unsafe compliance without over-refusing benign queries. We present an iterative post-deployment alignment framework that applies Kahneman-Tversky Optimization (KTO) and Direct Preference Optimization (DPO) to refine models against domain-specific safety signals. Using the CARES-18K benchmark for adversarial robustness, we evaluate four LLMs (Llama-3B/8B, Meditron-8B, Mistral-7B) across multiple cycles. Our results show up to 42% improvement in safety-related metrics for harmful query detection, alongside interesting trade-offs against erroneous refusals, thereby exposing architecture-dependent calibration biases. We also perform ablation studies to identify when self-evaluation is reliable and when external or finetuned judges are necessary to maximize performance gains. Our findings underscore the importance of adopting best practices that balance patient safety, user trust, and clinical utility in the design of conversational medical assistants.

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.

The integration of Large Language Models (LLMs) into healthcare applications offers promising advancements in medical diagnostics, treatment recommendations, and patient care. However, the susceptibility of LLMs to adversarial attacks poses a significant threat, potentially leading to harmful outcomes in delicate medical contexts. This study investigates the vulnerability of LLMs to two types of adversarial attacks in three medical tasks. Utilizing real-world patient data, we demonstrate that both open-source and proprietary LLMs are susceptible to manipulation across multiple tasks. This research further reveals that domain-specific tasks demand more adversarial data in model fine-tuning than general domain tasks for effective attack execution, especially for more capable models. We discover that while integrating adversarial data does not markedly degrade overall model performance on medical benchmarks, it does lead to noticeable shifts in fine-tuned model weights, suggesting a potential pathway for detecting and countering model attacks. This research highlights the urgent need for robust security measures and the development of defensive mechanisms to safeguard LLMs in medical applications, to ensure their safe and effective deployment in healthcare settings.

Despite the success of convolutional neural networks (CNNs) in many academic benchmarks for computer vision tasks, their application in the real-world is still facing fundamental challenges. One of these open problems is the inherent lack of robustness, unveiled by the striking effectiveness of adversarial attacks. Current attack methods are able to manipulate the network's prediction by adding specific but small amounts of noise to the input. In turn, adversarial training (AT) aims to achieve robustness against such attacks and ideally a better model generalization ability by including adversarial samples in the trainingset. However, an in-depth analysis of the resulting robust models beyond adversarial robustness is still pending. In this paper, we empirically analyze a variety of adversarially trained models that achieve high robust accuracies when facing state-of-the-art attacks and we show that AT has an interesting side-effect: it leads to models that are significantly less overconfident with their decisions, even on clean data than non-robust models. Further, our analysis of robust models shows that not only AT but also the model's building blocks (like activation functions and pooling) have a strong influence on the models' prediction confidences. Data & Project website: https://github.com/GeJulia/robustness_confidences_evaluation

Vision-language models are increasingly integrated into clinical workflows. However, existing benchmarks primarily assess performance on common anatomical presentations and fail to capture the challenges posed by rare variants. To address this gap, we introduce AdversarialAnatomyBench, the first benchmark comprising naturally occurring rare anatomical variants across diverse imaging modalities and anatomical regions. We call such variants that violate learned priors about "typical" human anatomy natural adversarial anatomy. Benchmarking 22 state-of-the-art VLMs with AdversarialAnatomyBench yielded three key insights. First, when queried with basic medical perception tasks, mean accuracy dropped from 74% on typical to 29% on atypical anatomy. Even the best-performing models, GPT-5, Gemini 2.5 Pro, and Llama 4 Maverick, showed performance drops of 41-51%. Second, model errors closely mirrored expected anatomical biases. Third, neither model scaling nor interventions, including bias-aware prompting and test-time reasoning, resolved these issues. These findings highlight a critical and previously unquantified limitation in current VLM: their poor generalization to rare anatomical presentations. AdversarialAnatomyBench provides a foundation for systematically measuring and mitigating anatomical bias in multimodal medical AI systems.

Adversarial robustness has been studied extensively in image classification, especially for the ell_infty-threat model, but significantly less so for related tasks such as object detection and semantic segmentation, where attacks turn out to be a much harder optimization problem than for image classification. We propose several problem-specific novel attacks minimizing different metrics in accuracy and mIoU. The ensemble of our attacks, SEA, shows that existing attacks severely overestimate the robustness of semantic segmentation models. Surprisingly, existing attempts of adversarial training for semantic segmentation models turn out to be weak or even completely non-robust. We investigate why previous adaptations of adversarial training to semantic segmentation failed and show how recently proposed robust ImageNet backbones can be used to obtain adversarially robust semantic segmentation models with up to six times less training time for PASCAL-VOC and the more challenging ADE20k. The associated code and robust models are available at https://github.com/nmndeep/robust-segmentation

Pre-trained language models (PLMs) have driven substantial progress in natural language processing but remain vulnerable to adversarial attacks, raising concerns about their robustness in real-world applications. Previous studies have sought to mitigate the impact of adversarial attacks by introducing adversarial perturbations into the training process, either implicitly or explicitly. While both strategies enhance robustness, they often incur high computational costs. In this work, we propose a simple yet effective add-on module that enhances the adversarial robustness of PLMs by removing instance-level principal components, without relying on conventional adversarial defences or perturbing the original training data. Our approach transforms the embedding space to approximate Gaussian properties, thereby reducing its susceptibility to adversarial perturbations while preserving semantic relationships. This transformation aligns embedding distributions in a way that minimises the impact of adversarial noise on decision boundaries, enhancing robustness without requiring adversarial examples or costly training-time augmentation. Evaluations on eight benchmark datasets show that our approach improves adversarial robustness while maintaining comparable before-attack accuracy to baselines, achieving a balanced trade-off between robustness and generalisation.

Adversarial robustness is a research area that has recently received a lot of attention in the quest for trustworthy artificial intelligence. However, recent works on adversarial robustness have focused on supervised learning where it is assumed that labeled data is plentiful. In this paper, we investigate semi-supervised adversarial training where labeled data is scarce. We derive two upper bounds for the robust risk and propose a regularization term for unlabeled data motivated by these two upper bounds. Then, we develop a semi-supervised adversarial training algorithm that combines the proposed regularization term with knowledge distillation using a semi-supervised teacher (i.e., a teacher model trained using a semi-supervised learning algorithm). Our experiments show that our proposed algorithm achieves state-of-the-art performance with significant margins compared to existing algorithms. In particular, compared to supervised learning algorithms, performance of our proposed algorithm is not much worse even when the amount of labeled data is very small. For example, our algorithm with only 8\% labeled data is comparable to supervised adversarial training algorithms that use all labeled data, both in terms of standard and robust accuracies on CIFAR-10.

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.

We introduce the MNIST-C dataset, a comprehensive suite of 15 corruptions applied to the MNIST test set, for benchmarking out-of-distribution robustness in computer vision. Through several experiments and visualizations we demonstrate that our corruptions significantly degrade performance of state-of-the-art computer vision models while preserving the semantic content of the test images. In contrast to the popular notion of adversarial robustness, our model-agnostic corruptions do not seek worst-case performance but are instead designed to be broad and diverse, capturing multiple failure modes of modern models. In fact, we find that several previously published adversarial defenses significantly degrade robustness as measured by MNIST-C. We hope that our benchmark serves as a useful tool for future work in designing systems that are able to learn robust feature representations that capture the underlying semantics of the input.

Adversarial training is effective on balanced datasets, but its robustness degrades under longtailed class distributions, where tail classes suffer high robust error and unstable decision boundaries. We propose Manifold-Constrained Adversarial Training (MCAT), a unified framework that enforces the semantic validity of adversarial examples by penalizing deviations from class-conditional manifolds in feature space, while promoting balanced geometric separation across classes via an ETF-inspired regularization. We provide theoretical results that link geometric separation to lower bounds on adversarially robust margins, and show that manifold-constrained adversarial risk upperbounds robust risk on high-density semantic regions. Extensive experiments on standard longtailed benchmarks demonstrate consistent improvements in overall, balanced, and tail-class adversarial robustness.

Deep neural networks remain vulnerable to adversarial examples despite advances in architectures and training paradigms. We investigate how training data characteristics affect adversarial robustness across 36 state-of-the-art vision models spanning supervised, self-supervised, and contrastive learning approaches, trained on datasets from 1.2M to 22B images. Models were evaluated under six black-box attack categories: random perturbations, two types of geometric masks, COCO object manipulations, ImageNet-C corruptions, and ImageNet-R style shifts. Robustness follows a logarithmic scaling law with both data volume and model size: a tenfold increase in data reduces attack success rate (ASR) on average by ~3.2%, whereas a tenfold increase in model size reduces ASR on average by ~13.4%. Notably, some self-supervised models trained on curated datasets, such as DINOv2, outperform others trained on much larger but less curated datasets, challenging the assumption that scale alone drives robustness. Adversarial fine-tuning of ResNet50s improves generalization across structural variations but not across color distributions. Human evaluation reveals persistent gaps between human and machine vision. These results show that while scaling improves robustness, data quality, architecture, and training objectives play a more decisive role than raw scale in achieving broad-spectrum adversarial resilience.

Adversarial examples, generated by carefully crafted perturbation, have attracted considerable attention in research fields. Recent works have argued that the existence of the robust and non-robust features is a primary cause of the adversarial examples, and investigated their internal interactions in the feature space. In this paper, we propose a way of explicitly distilling feature representation into the robust and non-robust features, using Information Bottleneck. Specifically, we inject noise variation to each feature unit and evaluate the information flow in the feature representation to dichotomize feature units either robust or non-robust, based on the noise variation magnitude. Through comprehensive experiments, we demonstrate that the distilled features are highly correlated with adversarial prediction, and they have human-perceptible semantic information by themselves. Furthermore, we present an attack mechanism intensifying the gradient of non-robust features that is directly related to the model prediction, and validate its effectiveness of breaking model robustness.

Adversarial examples pose a significant challenge to the robustness, reliability and alignment of deep neural networks. We propose a novel, easy-to-use approach to achieving high-quality representations that lead to adversarial robustness through the use of multi-resolution input representations and dynamic self-ensembling of intermediate layer predictions. We demonstrate that intermediate layer predictions exhibit inherent robustness to adversarial attacks crafted to fool the full classifier, and propose a robust aggregation mechanism based on Vickrey auction that we call CrossMax to dynamically ensemble them. By combining multi-resolution inputs and robust ensembling, we achieve significant adversarial robustness on CIFAR-10 and CIFAR-100 datasets without any adversarial training or extra data, reaching an adversarial accuracy of approx72% (CIFAR-10) and approx48% (CIFAR-100) on the RobustBench AutoAttack suite (L_infty=8/255) with a finetuned ImageNet-pretrained ResNet152. This represents a result comparable with the top three models on CIFAR-10 and a +5 % gain compared to the best current dedicated approach on CIFAR-100. Adding simple adversarial training on top, we get approx78% on CIFAR-10 and approx51% on CIFAR-100, improving SOTA by 5 % and 9 % respectively and seeing greater gains on the harder dataset. We validate our approach through extensive experiments and provide insights into the interplay between adversarial robustness, and the hierarchical nature of deep representations. We show that simple gradient-based attacks against our model lead to human-interpretable images of the target classes as well as interpretable image changes. As a byproduct, using our multi-resolution prior, we turn pre-trained classifiers and CLIP models into controllable image generators and develop successful transferable attacks on large vision language models.

The study of adversarial robustness has so far largely focused on perturbations bound in p-norms. However, state-of-the-art models turn out to be also vulnerable to other, more natural classes of perturbations such as translations and rotations. In this work, we thoroughly investigate the vulnerability of neural network--based classifiers to rotations and translations. While data augmentation offers relatively small robustness, we use ideas from robust optimization and test-time input aggregation to significantly improve robustness. Finally we find that, in contrast to the p-norm case, first-order methods cannot reliably find worst-case perturbations. This highlights spatial robustness as a fundamentally different setting requiring additional study. Code available at https://github.com/MadryLab/adversarial_spatial and https://github.com/MadryLab/spatial-pytorch.

Large Vision-Language Models (LVLMs) specialized in healthcare are emerging as a promising research direction due to their potential impact in clinical and biomedical applications. However, progress is constrained by the scarcity of high-quality medical multimodal data, concerns about robustness in safety-critical settings, and the narrow and potentially contaminated evaluation benchmarks that limit reliable assessment. To address these issues, the field requires state-of-the-art solutions to be fully open and reproducible systems in which all components can be inspected, evaluated, and improved. This work introduces Aloe-Vision-Data, a large-scale, quality-filtered mixture which integrates both medical and general domains across multimodal and text-only sources, designed for direct use in model fine-tuning. Building on this dataset, we train the Aloe-Vision family of medical LVLMs, openly released with full weights, training recipes and data, in two scales (7B and 72B). Through comprehensive benchmarking, we demonstrate that high quality training mixtures produce balanced LVLMs which yield significant gains over the baseline models without compromising general capabilities, achieving competitive performance with respect to state-of-the-art alternatives. To support reliable evaluation, we introduce CareQA-Vision, a carefully curated vision benchmark derived from MIR and EIR exams, the residency entrance exams for medical and nursing specialists in Spain, offering novel vision questions with low likelihood of contamination. Finally, we show that current LVLMs remain vulnerable to adversarial and misleading inputs, underscoring reliability challenges in clinical contexts.

Medical Vision-Language Models (MVLMs) have achieved par excellence generalization in medical image analysis, yet their performance under noisy, corrupted conditions remains largely untested. Clinical imaging is inherently susceptible to acquisition artifacts and noise; however, existing evaluations predominantly assess generally clean datasets, overlooking robustness -- i.e., the model's ability to perform under real-world distortions. To address this gap, we first introduce MediMeta-C, a corruption benchmark that systematically applies several perturbations across multiple medical imaging datasets. Combined with MedMNIST-C, this establishes a comprehensive robustness evaluation framework for MVLMs. We further propose RobustMedCLIP, a visual encoder adaptation of a pretrained MVLM that incorporates few-shot tuning to enhance resilience against corruptions. Through extensive experiments, we benchmark 5 major MVLMs across 5 medical imaging modalities, revealing that existing models exhibit severe degradation under corruption and struggle with domain-modality tradeoffs. Our findings highlight the necessity of diverse training and robust adaptation strategies, demonstrating that efficient low-rank adaptation when paired with few-shot tuning, improves robustness while preserving generalization across modalities.

We develop techniques to quantify the degree to which a given (training or testing) example is an outlier in the underlying distribution. We evaluate five methods to score examples in a dataset by how well-represented the examples are, for different plausible definitions of "well-represented", and apply these to four common datasets: MNIST, Fashion-MNIST, CIFAR-10, and ImageNet. Despite being independent approaches, we find all five are highly correlated, suggesting that the notion of being well-represented can be quantified. Among other uses, we find these methods can be combined to identify (a) prototypical examples (that match human expectations); (b) memorized training examples; and, (c) uncommon submodes of the dataset. Further, we show how we can utilize our metrics to determine an improved ordering for curriculum learning, and impact adversarial robustness. We release all metric values on training and test sets we studied.

By reinterpreting a robust discriminative classifier as Energy-based Model (EBM), we offer a new take on the dynamics of adversarial training (AT). Our analysis of the energy landscape during AT reveals that untargeted attacks generate adversarial images much more in-distribution (lower energy) than the original data from the point of view of the model. Conversely, we observe the opposite for targeted attacks. On the ground of our thorough analysis, we present new theoretical and practical results that show how interpreting AT energy dynamics unlocks a better understanding: (1) AT dynamic is governed by three phases and robust overfitting occurs in the third phase with a drastic divergence between natural and adversarial energies (2) by rewriting the loss of TRadeoff-inspired Adversarial DEfense via Surrogate-loss minimization (TRADES) in terms of energies, we show that TRADES implicitly alleviates overfitting by means of aligning the natural energy with the adversarial one (3) we empirically show that all recent state-of-the-art robust classifiers are smoothing the energy landscape and we reconcile a variety of studies about understanding AT and weighting the loss function under the umbrella of EBMs. Motivated by rigorous evidence, we propose Weighted Energy Adversarial Training (WEAT), a novel sample weighting scheme that yields robust accuracy matching the state-of-the-art on multiple benchmarks such as CIFAR-10 and SVHN and going beyond in CIFAR-100 and Tiny-ImageNet. We further show that robust classifiers vary in the intensity and quality of their generative capabilities, and offer a simple method to push this capability, reaching a remarkable Inception Score (IS) and FID using a robust classifier without training for generative modeling. The code to reproduce our results is available at http://github.com/OmnAI-Lab/Robust-Classifiers-under-the-lens-of-EBM/ .

AI-generated images have reached a quality level at which humans are incapable of reliably distinguishing them from real images. To counteract the inherent risk of fraud and disinformation, the detection of AI-generated images is a pressing challenge and an active research topic. While many of the presented methods claim to achieve high detection accuracy, they are usually evaluated under idealized conditions. In particular, the adversarial robustness is often neglected, potentially due to a lack of awareness or the substantial effort required to conduct a comprehensive robustness analysis. In this work, we tackle this problem by providing a simpler means to assess the robustness of AI-generated image detectors. We present RAID (Robust evaluation of AI-generated image Detectors), a dataset of 72k diverse and highly transferable adversarial examples. The dataset is created by running attacks against an ensemble of seven state-of-the-art detectors and images generated by four different text-to-image models. Extensive experiments show that our methodology generates adversarial images that transfer with a high success rate to unseen detectors, which can be used to quickly provide an approximate yet still reliable estimate of a detector's adversarial robustness. Our findings indicate that current state-of-the-art AI-generated image detectors can be easily deceived by adversarial examples, highlighting the critical need for the development of more robust methods. We release our dataset at https://huggingface.co/datasets/aimagelab/RAID and evaluation code at https://github.com/pralab/RAID.

Adversarial robustness has been conventionally believed as a challenging property to encode for neural networks, requiring plenty of training data. In the recent paradigm of adopting off-the-shelf models, however, access to their training data is often infeasible or not practical, while most of such models are not originally trained concerning adversarial robustness. In this paper, we develop a scalable and model-agnostic solution to achieve adversarial robustness without using any data. Our intuition is to view recent text-to-image diffusion models as "adaptable" denoisers that can be optimized to specify target tasks. Based on this, we propose: (a) to initiate a denoise-and-classify pipeline that offers provable guarantees against adversarial attacks, and (b) to leverage a few synthetic reference images generated from the text-to-image model that enables novel adaptation schemes. Our experiments show that our data-free scheme applied to the pre-trained CLIP could improve the (provable) adversarial robustness of its diverse zero-shot classification derivatives (while maintaining their accuracy), significantly surpassing prior approaches that utilize the full training data. Not only for CLIP, we also demonstrate that our framework is easily applicable for robustifying other visual classifiers efficiently.

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.

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.

Large language models (LLMs) are vulnerable to adversarial attacks that can bypass their safety guardrails. In many domains, adversarial training has proven to be one of the most promising methods to reliably improve robustness against such attacks. Yet, in the context of LLMs, current methods for adversarial training are hindered by the high computational costs required to perform discrete adversarial attacks at each training iteration. We address this problem by instead calculating adversarial attacks in the continuous embedding space of the LLM, which is orders of magnitudes more efficient. We propose a fast adversarial training algorithm (C-AdvUL) composed of two losses: the first makes the model robust on continuous embedding attacks computed on an adversarial behaviour dataset; the second ensures the usefulness of the final model by fine-tuning on utility data. Moreover, we introduce C-AdvIPO, an adversarial variant of IPO that does not require utility data for adversarially robust alignment. Our empirical evaluation on four models from different families (Gemma, Phi3, Mistral, Zephyr) and at different scales (2B, 3.8B, 7B) shows that both algorithms substantially enhance LLM robustness against discrete attacks (GCG, AutoDAN, PAIR), while maintaining utility. Our results demonstrate that robustness to continuous perturbations can extrapolate to discrete threat models. Thereby, we present a path toward scalable adversarial training algorithms for robustly aligning LLMs.

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.

In standard adversarial training, models are optimized to fit one-hot labels within allowable adversarial perturbation budgets. However, the ignorance of underlying distribution shifts brought by perturbations causes the problem of robust overfitting. To address this issue and enhance adversarial robustness, we analyze the characteristics of robust models and identify that robust models tend to produce smoother and well-calibrated outputs. Based on the observation, we propose a simple yet effective method, Annealing Self-Distillation Rectification (ADR), which generates soft labels as a better guidance mechanism that accurately reflects the distribution shift under attack during adversarial training. By utilizing ADR, we can obtain rectified distributions that significantly improve model robustness without the need for pre-trained models or extensive extra computation. Moreover, our method facilitates seamless plug-and-play integration with other adversarial training techniques by replacing the hard labels in their objectives. We demonstrate the efficacy of ADR through extensive experiments and strong performances across datasets.

Despite its prevalent use in image-text matching tasks in a zero-shot manner, CLIP has been shown to be highly vulnerable to adversarial perturbations added onto images. Recent studies propose to finetune the vision encoder of CLIP with adversarial samples generated on the fly, and show improved robustness against adversarial attacks on a spectrum of downstream datasets, a property termed as zero-shot robustness. In this paper, we show that malicious perturbations that seek to maximise the classification loss lead to `falsely stable' images, and propose to leverage the pre-trained vision encoder of CLIP to counterattack such adversarial images during inference to achieve robustness. Our paradigm is simple and training-free, providing the first method to defend CLIP from adversarial attacks at test time, which is orthogonal to existing methods aiming to boost zero-shot adversarial robustness of CLIP. We conduct experiments across 16 classification datasets, and demonstrate stable and consistent gains compared to test-time defence methods adapted from existing adversarial robustness studies that do not rely on external networks, without noticeably impairing performance on clean images. We also show that our paradigm can be employed on CLIP models that have been adversarially finetuned to further enhance their robustness at test time. Our code is available https://github.com/Sxing2/CLIP-Test-time-Counterattacks{here}.

The disparity in accuracy between classes in standard training is amplified during adversarial training, a phenomenon termed the robust fairness problem. Existing methodologies aimed to enhance robust fairness by sacrificing the model's performance on easier classes in order to improve its performance on harder ones. However, we observe that under adversarial attacks, the majority of the model's predictions for samples from the worst class are biased towards classes similar to the worst class, rather than towards the easy classes. Through theoretical and empirical analysis, we demonstrate that robust fairness deteriorates as the distance between classes decreases. Motivated by these insights, we introduce the Distance-Aware Fair Adversarial training (DAFA) methodology, which addresses robust fairness by taking into account the similarities between classes. Specifically, our method assigns distinct loss weights and adversarial margins to each class and adjusts them to encourage a trade-off in robustness among similar classes. Experimental results across various datasets demonstrate that our method not only maintains average robust accuracy but also significantly improves the worst robust accuracy, indicating a marked improvement in robust fairness compared to existing methods.

Simultaneously achieving robust classification and high-fidelity generative modeling within a single framework presents a significant challenge. Hybrid approaches, such as Joint Energy-Based Models (JEM), interpret classifiers as EBMs but are often limited by the instability and poor sample quality inherent in SGLD-based training. We address these limitations by proposing a novel training framework that integrates adversarial training (AT) principles for both discriminative robustness and stable generative learning. The proposed method introduces three key innovations: (1) the replacement of SGLD-based JEM learning with a stable, AT-based approach that optimizes the energy function by discriminating between real data and PGD-generated contrastive samples using the BCE loss; (2) synergistic adversarial training for the discriminative component that enhances classification robustness while eliminating the need for explicit gradient penalties; and (3) a two-stage training procedure to resolve the incompatibility between batch normalization and EBM training. Experiments on CIFAR-10, CIFAR-100, and ImageNet demonstrate that our method substantially improves adversarial robustness over existing hybrid models while maintaining competitive generative performance. On ImageNet, when optimized for generative modeling, our model's generative fidelity surpasses that of BigGAN and approaches diffusion models, representing the first MCMC-based EBM approach to achieve high-quality generation on complex, high-resolution datasets. Our approach addresses key stability issues that have limited JEM scaling and demonstrates that adversarial training can serve as an effective foundation for unified frameworks capable of generating and robustly classifying visual data.

Adversarial examples cause neural networks to produce incorrect outputs with high confidence. Although adversarial training is one of the most effective forms of defense against adversarial examples, unfortunately, a large gap exists between test accuracy and training accuracy in adversarial training. In this paper, we identify Adversarial Feature Overfitting (AFO), which may cause poor adversarially robust generalization, and we show that adversarial training can overshoot the optimal point in terms of robust generalization, leading to AFO in our simple Gaussian model. Considering these theoretical results, we present soft labeling as a solution to the AFO problem. Furthermore, we propose Adversarial Vertex mixup (AVmixup), a soft-labeled data augmentation approach for improving adversarially robust generalization. We complement our theoretical analysis with experiments on CIFAR10, CIFAR100, SVHN, and Tiny ImageNet, and show that AVmixup significantly improves the robust generalization performance and that it reduces the trade-off between standard accuracy and adversarial robustness.

Adversarial robustness has become a central goal in deep learning, both in the theory and the practice. However, successful methods to improve the adversarial robustness (such as adversarial training) greatly hurt generalization performance on the unperturbed data. This could have a major impact on how the adversarial robustness affects real world systems (i.e. many may opt to forego robustness if it can improve accuracy on the unperturbed data). We propose Interpolated Adversarial Training, which employs recently proposed interpolation based training methods in the framework of adversarial training. On CIFAR-10, adversarial training increases the standard test error (when there is no adversary) from 4.43% to 12.32%, whereas with our Interpolated adversarial training we retain the adversarial robustness while achieving a standard test error of only 6.45%. With our technique, the relative increase in the standard error for the robust model is reduced from 178.1% to just 45.5%. Moreover, we provide mathematical analysis of Interpolated Adversarial Training to confirm its efficiencies and demonstrate its advantages in terms of robustness and generalization.

We introduce two challenging datasets that reliably cause machine learning model performance to substantially degrade. The datasets are collected with a simple adversarial filtration technique to create datasets with limited spurious cues. Our datasets' real-world, unmodified examples transfer to various unseen models reliably, demonstrating that computer vision models have shared weaknesses. The first dataset is called ImageNet-A and is like the ImageNet test set, but it is far more challenging for existing models. We also curate an adversarial out-of-distribution detection dataset called ImageNet-O, which is the first out-of-distribution detection dataset created for ImageNet models. On ImageNet-A a DenseNet-121 obtains around 2% accuracy, an accuracy drop of approximately 90%, and its out-of-distribution detection performance on ImageNet-O is near random chance levels. We find that existing data augmentation techniques hardly boost performance, and using other public training datasets provides improvements that are limited. However, we find that improvements to computer vision architectures provide a promising path towards robust models.

Most existing works focus on improving robustness against adversarial attacks bounded by a single l_p norm using adversarial training (AT). However, these AT models' multiple-norm robustness (union accuracy) is still low, which is crucial since in the real-world an adversary is not necessarily bounded by a single norm. The tradeoffs among robustness against multiple l_p perturbations and accuracy/robustness make obtaining good union and clean accuracy challenging. We design a logit pairing loss to improve the union accuracy by analyzing the tradeoffs from the lens of distribution shifts. We connect natural training (NT) with AT via gradient projection, to incorporate useful information from NT into AT, where we empirically and theoretically show it moderates the accuracy/robustness tradeoff. We propose a novel training framework RAMP, to boost the robustness against multiple l_p perturbations. RAMP can be easily adapted for robust fine-tuning and full AT. For robust fine-tuning, RAMP obtains a union accuracy up to 53.3% on CIFAR-10, and 29.1% on ImageNet. For training from scratch, RAMP achieves a union accuracy of 44.6% and good clean accuracy of 81.2% on ResNet-18 against AutoAttack on CIFAR-10. Beyond multi-norm robustness RAMP-trained models achieve superior universal robustness, effectively generalizing against a range of unseen adversaries and natural corruptions.

Adversarial datasets should validate AI robustness by providing samples on which humans perform well, but models do not. However, as models evolve, datasets can become obsolete. Measuring whether a dataset remains adversarial is hindered by the lack of a standardized metric for measuring adversarialness. We propose AdvScore, a human-grounded evaluation metric that assesses a dataset's adversarialness by capturing models' and humans' varying abilities while also identifying poor examples. We then use AdvScore to motivate a new dataset creation pipeline for realistic and high-quality adversarial samples, enabling us to collect an adversarial question answering (QA) dataset, AdvQA. We apply AdvScore using 9,347 human responses and ten language models' predictions to track model improvement over five years, from 2020 to 2024. AdvScore thus provides guidance for achieving robustness comparable with human capabilities. Furthermore, it helps determine to what extent adversarial datasets continue to pose challenges, ensuring that, rather than reflecting outdated or overly artificial difficulties, they effectively test model capabilities.

We propose a conceptually simple and lightweight framework for improving the robustness of vision models through the combination of knowledge distillation and data augmentation. We address the conjecture that larger models do not make for better teachers by showing strong gains in out-of-distribution robustness when distilling from pretrained foundation models. Following this finding, we propose Discrete Adversarial Distillation (DAD), which leverages a robust teacher to generate adversarial examples and a VQGAN to discretize them, creating more informative samples than standard data augmentation techniques. We provide a theoretical framework for the use of a robust teacher in the knowledge distillation with data augmentation setting and demonstrate strong gains in out-of-distribution robustness and clean accuracy across different student architectures. Notably, our method adds minor computational overhead compared to similar techniques and can be easily combined with other data augmentations for further improvements.

State-of-the-art deep neural networks have achieved impressive results on many image classification tasks. However, these same architectures have been shown to be unstable to small, well sought, perturbations of the images. Despite the importance of this phenomenon, no effective methods have been proposed to accurately compute the robustness of state-of-the-art deep classifiers to such perturbations on large-scale datasets. In this paper, we fill this gap and propose the DeepFool algorithm to efficiently compute perturbations that fool deep networks, and thus reliably quantify the robustness of these classifiers. Extensive experimental results show that our approach outperforms recent methods in the task of computing adversarial perturbations and making classifiers more robust.

Deep neural networks have exhibited impressive performance in image classification tasks but remain vulnerable to adversarial examples. Standard adversarial training enhances robustness but typically fails to explicitly address inter-class feature overlap, a significant contributor to adversarial susceptibility. In this work, we introduce a novel adversarial training framework that actively mitigates inter-class proximity by projecting out inter-class dependencies from adversarial and clean samples in the feature space. Specifically, our approach first identifies the nearest inter-class neighbors for each adversarial sample and subsequently removes projections onto these neighbors to enforce stronger feature separability. Theoretically, we demonstrate that our proposed logits correction reduces the Lipschitz constant of neural networks, thereby lowering the Rademacher complexity, which directly contributes to improved generalization and robustness. Extensive experiments across standard benchmarks including CIFAR-10, CIFAR-100, and SVHN show that our method demonstrates strong performance that is competitive with leading adversarial training techniques, highlighting significant achievements in both robust and clean accuracy. Our findings reveal the importance of addressing inter-class feature proximity explicitly to bolster adversarial robustness in DNNs.

Existing works have made great progress in improving adversarial robustness, but typically test their method only on data from the same distribution as the training data, i.e. in-distribution (ID) testing. As a result, it is unclear how such robustness generalizes under input distribution shifts, i.e. out-of-distribution (OOD) testing. This omission is concerning as such distribution shifts are unavoidable when methods are deployed in the wild. To address this issue we propose a benchmark named OODRobustBench to comprehensively assess OOD adversarial robustness using 23 dataset-wise shifts (i.e. naturalistic shifts in input distribution) and 6 threat-wise shifts (i.e., unforeseen adversarial threat models). OODRobustBench is used to assess 706 robust models using 60.7K adversarial evaluations. This large-scale analysis shows that: 1) adversarial robustness suffers from a severe OOD generalization issue; 2) ID robustness correlates strongly with OOD robustness in a positive linear way. The latter enables the prediction of OOD robustness from ID robustness. We then predict and verify that existing methods are unlikely to achieve high OOD robustness. Novel methods are therefore required to achieve OOD robustness beyond our prediction. To facilitate the development of these methods, we investigate a wide range of techniques and identify several promising directions. Code and models are available at: https://github.com/OODRobustBench/OODRobustBench.

We introduce a large-scale, open-source dataset of pre-generated adversarial attacks for vision-language models (VLMs). The dataset is designed to be diverse, representative, and practical, extending existing benchmarks by covering 10 high-level categories and 55 subcategories of harmful intents. Our primary goal is to make adversarial data accessible to the research community, given the computational cost and complexity of generating large numbers of attacks. The dataset comprises 47 524 adversarial samples, generated using state-of-the-art attack strategies from recent literature. Our work complements existing efforts by consolidating and extending prior benchmarks from multiple established sources, resulting in 7 826 intents, and introduce an additional category to broaden coverage. This provides realistic evaluation resources for studying model robustness and alignment. Our dataset intends to enable researchers and practitioners to systematically evaluate the robustness and safety of VLMs, fine-tune attack-generation models, and develop or stress-test defensive guardrails under diverse adversarial conditions. By releasing this resource, we aim to lower the barrier to adversarial research and foster more reproducible, comprehensive, and comparable evaluations of VLM safety.

The field of defense strategies against adversarial attacks has significantly grown over the last years, but progress is hampered as the evaluation of adversarial defenses is often insufficient and thus gives a wrong impression of robustness. Many promising defenses could be broken later on, making it difficult to identify the state-of-the-art. Frequent pitfalls in the evaluation are improper tuning of hyperparameters of the attacks, gradient obfuscation or masking. In this paper we first propose two extensions of the PGD-attack overcoming failures due to suboptimal step size and problems of the objective function. We then combine our novel attacks with two complementary existing ones to form a parameter-free, computationally affordable and user-independent ensemble of attacks to test adversarial robustness. We apply our ensemble to over 50 models from papers published at recent top machine learning and computer vision venues. In all except one of the cases we achieve lower robust test accuracy than reported in these papers, often by more than 10%, identifying several broken defenses.

While leveraging additional training data is well established to improve adversarial robustness, it incurs the unavoidable cost of data collection and the heavy computation to train models. To mitigate the costs, we propose Guided Adversarial Training (GAT), a novel adversarial training technique that exploits auxiliary tasks under a limited set of training data. Our approach extends single-task models into multi-task models during the min-max optimization of adversarial training, and drives the loss optimization with a regularization of the gradient curvature across multiple tasks. GAT leverages two types of auxiliary tasks: self-supervised tasks, where the labels are generated automatically, and domain-knowledge tasks, where human experts provide additional labels. Experimentally, GAT increases the robust AUC of CheXpert medical imaging dataset from 50% to 83% and On CIFAR-10, GAT outperforms eight state-of-the-art adversarial training and achieves 56.21% robust accuracy with Resnet-50. Overall, we demonstrate that guided multi-task learning is an actionable and promising avenue to push further the boundaries of model robustness.

Adversarial training, which is to enhance robustness against adversarial attacks, has received much attention because it is easy to generate human-imperceptible perturbations of data to deceive a given deep neural network. In this paper, we propose a new adversarial training algorithm that is theoretically well motivated and empirically superior to other existing algorithms. A novel feature of the proposed algorithm is to apply more regularization to data vulnerable to adversarial attacks than other existing regularization algorithms do. Theoretically, we show that our algorithm can be understood as an algorithm of minimizing the regularized empirical risk motivated from a newly derived upper bound of the robust risk. Numerical experiments illustrate that our proposed algorithm improves the generalization (accuracy on examples) and robustness (accuracy on adversarial attacks) simultaneously to achieve the state-of-the-art performance.

Adversarially robust classifiers possess a trait that non-robust models do not -- Perceptually Aligned Gradients (PAG). Their gradients with respect to the input align well with human perception. Several works have identified PAG as a byproduct of robust training, but none have considered it as a standalone phenomenon nor studied its own implications. In this work, we focus on this trait and test whether Perceptually Aligned Gradients imply Robustness. To this end, we develop a novel objective to directly promote PAG in training classifiers and examine whether models with such gradients are more robust to adversarial attacks. Extensive experiments on multiple datasets and architectures validate that models with aligned gradients exhibit significant robustness, exposing the surprising bidirectional connection between PAG and robustness. Lastly, we show that better gradient alignment leads to increased robustness and harness this observation to boost the robustness of existing adversarial training techniques.

Recent studies have shown that robustness to adversarial attacks can be transferred across networks. In other words, we can make a weak model more robust with the help of a strong teacher model. We ask if instead of learning from a static teacher, can models "learn together" and "teach each other" to achieve better robustness? In this paper, we study how interactions among models affect robustness via knowledge distillation. We propose mutual adversarial training (MAT), in which multiple models are trained together and share the knowledge of adversarial examples to achieve improved robustness. MAT allows robust models to explore a larger space of adversarial samples, and find more robust feature spaces and decision boundaries. Through extensive experiments on CIFAR-10 and CIFAR-100, we demonstrate that MAT can effectively improve model robustness and outperform state-of-the-art methods under white-box attacks, bringing sim8% accuracy gain to vanilla adversarial training (AT) under PGD-100 attacks. In addition, we show that MAT can also mitigate the robustness trade-off among different perturbation types, bringing as much as 13.1% accuracy gain to AT baselines against the union of l_infty, l_2 and l_1 attacks. These results show the superiority of the proposed method and demonstrate that collaborative learning is an effective strategy for designing robust models.

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.

Adversarial examples derived from deliberately crafted perturbations on visual inputs can easily harm decision process of deep neural networks. To prevent potential threats, various adversarial training-based defense methods have grown rapidly and become a de facto standard approach for robustness. Despite recent competitive achievements, we observe that adversarial vulnerability varies across targets and certain vulnerabilities remain prevalent. Intriguingly, such peculiar phenomenon cannot be relieved even with deeper architectures and advanced defense methods. To address this issue, in this paper, we introduce a causal approach called Adversarial Double Machine Learning (ADML), which allows us to quantify the degree of adversarial vulnerability for network predictions and capture the effect of treatments on outcome of interests. ADML can directly estimate causal parameter of adversarial perturbations per se and mitigate negative effects that can potentially damage robustness, bridging a causal perspective into the adversarial vulnerability. Through extensive experiments on various CNN and Transformer architectures, we corroborate that ADML improves adversarial robustness with large margins and relieve the empirical observation.

Robustness to adversarial attack is typically evaluated with adversarial accuracy. This metric quantifies the number of points for which, given a threat model, successful adversarial perturbations cannot be found. While essential, this metric does not capture all aspects of robustness and in particular leaves out the question of how many perturbations can be found for each point. In this work we introduce an alternative approach, adversarial sparsity, which quantifies how difficult it is to find a successful perturbation given both an input point and a constraint on the direction of the perturbation. This constraint may be angular (L2 perturbations), or based on the number of pixels (Linf perturbations). We show that sparsity provides valuable insight on neural networks in multiple ways. analyzing the sparsity of existing robust models illustrates important differences between them that accuracy analysis does not, and suggests approaches for improving their robustness. When applying broken defenses effective against weak attacks but not strong ones, sparsity can discriminate between the totally ineffective and the partially effective defenses. Finally, with sparsity we can measure increases in robustness that do not affect accuracy: we show for example that data augmentation can by itself increase adversarial robustness, without using adversarial training.

Medical reasoning in large language models (LLMs) aims to emulate clinicians' diagnostic thinking, but current benchmarks such as MedQA-USMLE, MedMCQA, and PubMedQA often mix reasoning with factual recall. We address this by separating 11 biomedical QA benchmarks into reasoning- and knowledge-focused subsets using a PubMedBERT classifier that reaches 81 percent accuracy, comparable to human performance. Our analysis shows that only 32.8 percent of questions require complex reasoning. We evaluate biomedical models (HuatuoGPT-o1, MedReason, m1) and general-domain models (DeepSeek-R1, o4-mini, Qwen3), finding consistent gaps between knowledge and reasoning performance. For example, m1 scores 60.5 on knowledge but only 47.1 on reasoning. In adversarial tests where models are misled with incorrect initial reasoning, biomedical models degrade sharply, while larger or RL-trained general models show more robustness. To address this, we train BioMed-R1 using fine-tuning and reinforcement learning on reasoning-heavy examples. It achieves the strongest performance among similarly sized models. Further gains may come from incorporating clinical case reports and training with adversarial and backtracking scenarios.

In the future, powerful AI systems may be deployed in high-stakes settings, where a single failure could be catastrophic. One technique for improving AI safety in high-stakes settings is adversarial training, which uses an adversary to generate examples to train on in order to achieve better worst-case performance. In this work, we used a safe language generation task (``avoid injuries'') as a testbed for achieving high reliability through adversarial training. We created a series of adversarial training techniques -- including a tool that assists human adversaries -- to find and eliminate failures in a classifier that filters text completions suggested by a generator. In our task, we determined that we can set very conservative classifier thresholds without significantly impacting the quality of the filtered outputs. We found that adversarial training increased robustness to the adversarial attacks that we trained on -- doubling the time for our contractors to find adversarial examples both with our tool (from 13 to 26 minutes) and without (from 20 to 44 minutes) -- without affecting in-distribution performance. We hope to see further work in the high-stakes reliability setting, including more powerful tools for enhancing human adversaries and better ways to measure high levels of reliability, until we can confidently rule out the possibility of catastrophic deployment-time failures of powerful models.

This paper investigates the robustness of vision-language models against adversarial visual perturbations and introduces a novel ``double visual defense" to enhance this robustness. Unlike previous approaches that resort to lightweight adversarial fine-tuning of a pre-trained CLIP model, we perform large-scale adversarial vision-language pre-training from scratch using web-scale data. We then strengthen the defense by incorporating adversarial visual instruction tuning. The resulting models from each stage, DeltaCLIP and Delta^2LLaVA, show substantially enhanced zero-shot robustness and set a new state-of-the-art in adversarial defense for vision-language models. For example, the adversarial robustness of DeltaCLIP surpasses that of the previous best models on ImageNet-1k by ~20%. %For example, DeltaCLIP surpasses the previous best models on ImageNet-1k by ~20% in terms of adversarial robustness. Similarly, compared to prior art, Delta^2LLaVA brings a ~30% robustness improvement to image captioning task and a ~20% robustness improvement to visual question answering task. Furthermore, our models exhibit stronger zero-shot recognition capability, fewer hallucinations, and superior reasoning performance compared to baselines. Our project page is https://doublevisualdefense.github.io/.

In this paper, we investigate the adversarial robustness of vision transformers that are equipped with BERT pretraining (e.g., BEiT, MAE). A surprising observation is that MAE has significantly worse adversarial robustness than other BERT pretraining methods. This observation drives us to rethink the basic differences between these BERT pretraining methods and how these differences affect the robustness against adversarial perturbations. Our empirical analysis reveals that the adversarial robustness of BERT pretraining is highly related to the reconstruction target, i.e., predicting the raw pixels of masked image patches will degrade more adversarial robustness of the model than predicting the semantic context, since it guides the model to concentrate more on medium-/high-frequency components of images. Based on our analysis, we provide a simple yet effective way to boost the adversarial robustness of MAE. The basic idea is using the dataset-extracted domain knowledge to occupy the medium-/high-frequency of images, thus narrowing the optimization space of adversarial perturbations. Specifically, we group the distribution of pretraining data and optimize a set of cluster-specific visual prompts on frequency domain. These prompts are incorporated with input images through prototype-based prompt selection during test period. Extensive evaluation shows that our method clearly boost MAE's adversarial robustness while maintaining its clean performance on ImageNet-1k classification. Our code is available at: https://github.com/shikiw/RobustMAE.

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

Adversarial examples provoke weak reliability and potential security issues in deep neural networks. Although adversarial training has been widely studied to improve adversarial robustness, it works in an over-parameterized regime and requires high computations and large memory budgets. To bridge adversarial robustness and model compression, we propose a novel adversarial pruning method, Masking Adversarial Damage (MAD) that employs second-order information of adversarial loss. By using it, we can accurately estimate adversarial saliency for model parameters and determine which parameters can be pruned without weakening adversarial robustness. Furthermore, we reveal that model parameters of initial layer are highly sensitive to the adversarial examples and show that compressed feature representation retains semantic information for the target objects. Through extensive experiments on three public datasets, we demonstrate that MAD effectively prunes adversarially trained networks without loosing adversarial robustness and shows better performance than previous adversarial pruning methods.

Deep neural networks are susceptible to adversarial examples, posing a significant security risk in critical applications. Adversarial Training (AT) is a well-established technique to enhance adversarial robustness, but it often comes at the cost of decreased generalization ability. This paper proposes Robustness Critical Fine-Tuning (RiFT), a novel approach to enhance generalization without compromising adversarial robustness. The core idea of RiFT is to exploit the redundant capacity for robustness by fine-tuning the adversarially trained model on its non-robust-critical module. To do so, we introduce module robust criticality (MRC), a measure that evaluates the significance of a given module to model robustness under worst-case weight perturbations. Using this measure, we identify the module with the lowest MRC value as the non-robust-critical module and fine-tune its weights to obtain fine-tuned weights. Subsequently, we linearly interpolate between the adversarially trained weights and fine-tuned weights to derive the optimal fine-tuned model weights. We demonstrate the efficacy of RiFT on ResNet18, ResNet34, and WideResNet34-10 models trained on CIFAR10, CIFAR100, and Tiny-ImageNet datasets. Our experiments show that \method can significantly improve both generalization and out-of-distribution robustness by around 1.5% while maintaining or even slightly enhancing adversarial robustness. Code is available at https://github.com/microsoft/robustlearn.

Ensuring the safety and reliability of large language models (LLMs) in clinical practice is critical to prevent patient harm and promote trustworthy healthcare applications of AI. However, LLMs are advancing so rapidly that static safety benchmarks often become obsolete upon publication, yielding only an incomplete and sometimes misleading picture of model trustworthiness. We demonstrate that a Dynamic, Automatic, and Systematic (DAS) red-teaming framework that continuously stress-tests LLMs can reveal significant weaknesses of current LLMs across four safety-critical domains: robustness, privacy, bias/fairness, and hallucination. A suite of adversarial agents is applied to autonomously mutate test cases, identify/evolve unsafe-triggering strategies, and evaluate responses, uncovering vulnerabilities in real time without human intervention. Applying DAS to 15 proprietary and open-source LLMs revealed a stark contrast between static benchmark performance and vulnerability under adversarial pressure. Despite a median MedQA accuracy exceeding 80\%, 94\% of previously correct answers failed our dynamic robustness tests. We observed similarly high failure rates across other domains: privacy leaks were elicited in 86\% of scenarios, cognitive-bias priming altered clinical recommendations in 81\% of fairness tests, and we identified hallucination rates exceeding 66\% in widely used models. Such profound residual risks are incompatible with routine clinical practice. By converting red-teaming from a static checklist into a dynamic stress-test audit, DAS red-teaming offers the surveillance that hospitals/regulators/technology vendors require as LLMs become embedded in patient chatbots, decision-support dashboards, and broader healthcare workflows. Our framework delivers an evolvable, scalable, and reliable safeguard for the next generation of medical AI.

Vision-language models (VLM) have markedly advanced AI-driven interpretation and reporting of complex medical imaging, such as computed tomography (CT). Yet, existing methods largely relegate clinicians to passive observers of final outputs, offering no interpretable reasoning trace for them to inspect, validate, or refine. To address this, we introduce RadAgent, a tool-using AI agent that generates CT reports through a stepwise and interpretable process. Each resulting report is accompanied by a fully inspectable trace of intermediate decisions and tool interactions, allowing clinicians to examine how the reported findings are derived. In our experiments, we observe that RadAgent improves Chest CT report generation over its 3D VLM counterpart, CT-Chat, across three dimensions. Clinical accuracy improves by 6.0 points (36.4% relative) in macro-F1 and 5.4 points (19.6% relative) in micro-F1. Robustness under adversarial conditions improves by 24.7 points (41.9% relative). Furthermore, RadAgent achieves 37.0% in faithfulness, a new capability entirely absent in its 3D VLM counterpart. By structuring the interpretation of chest CT as an explicit, tool-augmented and iterative reasoning trace, RadAgent brings us closer toward transparent and reliable AI for radiology.

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 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/.

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

Deep neural networks are susceptible to adversarial attacks, which can compromise their performance and accuracy. Adversarial Training (AT) has emerged as a popular approach for protecting neural networks against such attacks. However, a key challenge of AT is robust overfitting, where the network's robust performance on test data deteriorates with further training, thus hindering generalization. Motivated by the concept of active forgetting in the brain, we introduce a novel learning paradigm called "Forget to Mitigate Overfitting (FOMO)". FOMO alternates between the forgetting phase, which randomly forgets a subset of weights and regulates the model's information through weight reinitialization, and the relearning phase, which emphasizes learning generalizable features. Our experiments on benchmark datasets and adversarial attacks show that FOMO alleviates robust overfitting by significantly reducing the gap between the best and last robust test accuracy while improving the state-of-the-art robustness. Furthermore, FOMO provides a better trade-off between standard and robust accuracy, outperforming baseline adversarial methods. Finally, our framework is robust to AutoAttacks and increases generalization in many real-world scenarios.

Vision-language pretraining has advanced image-text alignment, yet progress in radiology remains constrained by the heterogeneity of clinical reports, including abbreviations, impression-only notes, and stylistic variability. Unlike general-domain settings where more data often leads to better performance, naively scaling to large collections of noisy reports can plateau or even degrade model learning. We ask whether large language model (LLM) encoders can provide robust clinical representations that transfer across diverse styles and better guide image-text alignment. We introduce LLM2VEC4CXR, a domain-adapted LLM encoder for chest X-ray reports, and LLM2CLIP4CXR, a dual-tower framework that couples this encoder with a vision backbone. LLM2VEC4CXR improves clinical text understanding over BERT-based baselines, handles abbreviations and style variation, and achieves strong clinical alignment on report-level metrics. LLM2CLIP4CXR leverages these embeddings to boost retrieval accuracy and clinically oriented scores, with stronger cross-dataset generalization than prior medical CLIP variants. Trained on 1.6M CXR studies from public and private sources with heterogeneous and noisy reports, our models demonstrate that robustness -- not scale alone -- is the key to effective multimodal learning. We release models to support further research in medical image-text representation learning.

Large Language Models (LLMs) are increasingly being explored for clinical question answering and decision support, yet safe deployment critically requires reliable handling of patient measurements in heterogeneous clinical notes. Existing evaluations of LLMs for clinical numerical reasoning provide limited operation-level coverage, restricted primarily to arithmetic computation, and rarely assess the robustness of numerical understanding across clinical note formats. We introduce ClinicNumRobBench, a benchmark of 1,624 context-question instances with ground-truth answers that evaluates four main types of clinical numeracy: value retrieval, arithmetic computation, relational comparison, and aggregation. To stress-test robustness, ClinicNumRobBench presents longitudinal MIMIC-IV vital-sign records in three semantically equivalent representations, including a real-world note-style variant derived from the Open Patients dataset, and instantiates queries using 42 question templates. Experiments on 14 LLMs show that value retrieval is generally strong, with most models exceeding 85% accuracy, while relational comparison and aggregation remain challenging, with some models scoring below 15%. Fine-tuning on medical data can reduce numeracy relative to base models by over 30%, and performance drops under note-style variation indicate LLM sensitivity to format. ClinicNumRobBench offers a rigorous testbed for clinically reliable numerical reasoning. Code and data URL are available on https://github.com/MinhVuong2000/ClinicNumRobBench.

Adversarial training for LLMs is one of the most promising methods to reliably improve robustness against adversaries. However, despite significant progress, models remain vulnerable to simple in-distribution exploits, such as rewriting prompts in the past tense or translating them into other languages. We argue that this persistent fragility stems from a fundamental limitation in current adversarial training algorithms: they minimize adversarial loss on their training set but inadequately cover the data distribution, resulting in vulnerability to seemingly simple attacks. To bridge this gap, we propose Distributional Adversarial Training, DAT. We leverage Diffusion LLMs to approximate the true joint distribution of prompts and responses, enabling generation of diverse, high-likelihood samples that address generalization failures. By combining optimization over the data distribution provided by the diffusion model with continuous adversarial training, DAT achieves substantially higher adversarial robustness than previous methods.

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.

The increasing depth of parametric domain knowledge in large language models (LLMs) is fueling their rapid deployment in real-world applications. Understanding model vulnerabilities in high-stakes and knowledge-intensive tasks is essential for quantifying the trustworthiness of model predictions and regulating their use. The recent discovery of named entities as adversarial examples (i.e. adversarial entities) in natural language processing tasks raises questions about their potential impact on the knowledge robustness of pre-trained and finetuned LLMs in high-stakes and specialized domains. We examined the use of type-consistent entity substitution as a template for collecting adversarial entities for billion-parameter LLMs with biomedical knowledge. To this end, we developed an embedding-space attack based on powerscaled distance-weighted sampling to assess the robustness of their biomedical knowledge with a low query budget and controllable coverage. Our method has favorable query efficiency and scaling over alternative approaches based on random sampling and blackbox gradient-guided search, which we demonstrated for adversarial distractor generation in biomedical question answering. Subsequent failure mode analysis uncovered two regimes of adversarial entities on the attack surface with distinct characteristics and we showed that entity substitution attacks can manipulate token-wise Shapley value explanations, which become deceptive in this setting. Our approach complements standard evaluations for high-capacity models and the results highlight the brittleness of domain knowledge in LLMs.

One prominent approach toward resolving the adversarial vulnerability of deep neural networks is the two-player zero-sum paradigm of adversarial training, in which predictors are trained against adversarially chosen perturbations of data. Despite the promise of this approach, algorithms based on this paradigm have not engendered sufficient levels of robustness and suffer from pathological behavior like robust overfitting. To understand this shortcoming, we first show that the commonly used surrogate-based relaxation used in adversarial training algorithms voids all guarantees on the robustness of trained classifiers. The identification of this pitfall informs a novel non-zero-sum bilevel formulation of adversarial training, wherein each player optimizes a different objective function. Our formulation yields a simple algorithmic framework that matches and in some cases outperforms state-of-the-art attacks, attains comparable levels of robustness to standard adversarial training algorithms, and does not suffer from robust overfitting.

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.

Deep neural networks (DNNs) have achieved remarkable success in computer vision tasks such as image classification, segmentation, and object detection. However, they are vulnerable to adversarial attacks, which can cause incorrect predictions with small perturbations in input images. Addressing this issue is crucial for deploying robust deep-learning systems. This paper presents a novel approach that utilizes contrastive learning for adversarial defense, a previously unexplored area. Our method leverages the contrastive loss function to enhance the robustness of classification models by training them with both clean and adversarially perturbed images. By optimizing the model's parameters alongside the perturbations, our approach enables the network to learn robust representations that are less susceptible to adversarial attacks. Experimental results show significant improvements in the model's robustness against various types of adversarial perturbations. This suggests that contrastive loss helps extract more informative and resilient features, contributing to the field of adversarial robustness in deep learning.

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.

Once deployed, medical image analysis methods are often faced with unexpected image corruptions and noise perturbations. These unknown covariate shifts present significant challenges to deep learning based methods trained on "clean" images. This often results in unreliable predictions and poorly calibrated confidence, hence hindering clinical applicability. While recent methods have been developed to address specific issues such as confidence calibration or adversarial robustness, no single framework effectively tackles all these challenges simultaneously. To bridge this gap, we propose LaDiNE, a novel ensemble learning method combining the robustness of Vision Transformers with diffusion-based generative models for improved reliability in medical image classification. Specifically, transformer encoder blocks are used as hierarchical feature extractors that learn invariant features from images for each ensemble member, resulting in features that are robust to input perturbations. In addition, diffusion models are used as flexible density estimators to estimate member densities conditioned on the invariant features, leading to improved modeling of complex data distributions while retaining properly calibrated confidence. Extensive experiments on tuberculosis chest X-rays and melanoma skin cancer datasets demonstrate that LaDiNE achieves superior performance compared to a wide range of state-of-the-art methods by simultaneously improving prediction accuracy and confidence calibration under unseen noise, adversarial perturbations, and resolution degradation.

The phenomenon of adversarial examples illustrates one of the most basic vulnerabilities of deep neural networks. Among the variety of techniques introduced to surmount this inherent weakness, adversarial training has emerged as the most effective strategy for learning robust models. Typically, this is achieved by balancing robust and natural objectives. In this work, we aim to further optimize the trade-off between robust and standard accuracy by enforcing a domain-invariant feature representation. We present a new adversarial training method, Domain Invariant Adversarial Learning (DIAL), which learns a feature representation that is both robust and domain invariant. DIAL uses a variant of Domain Adversarial Neural Network (DANN) on the natural domain and its corresponding adversarial domain. In the case where the source domain consists of natural examples and the target domain is the adversarially perturbed examples, our method learns a feature representation constrained not to discriminate between the natural and adversarial examples, and can therefore achieve a more robust representation. DIAL is a generic and modular technique that can be easily incorporated into any adversarial training method. Our experiments indicate that incorporating DIAL in the adversarial training process improves both robustness and standard accuracy.

Evaluating explanations of image classifiers regarding ground truth, e.g. segmentation masks defined by human perception, primarily evaluates the quality of the models under consideration rather than the explanation methods themselves. Driven by this observation, we propose a framework for jointly evaluating the robustness of safety-critical systems that combine a deep neural network with an explanation method. These are increasingly used in real-world applications like medical image analysis or robotics. We introduce a fine-tuning procedure to (mis)align modelx2013explanation pipelines with ground truth and use it to quantify the potential discrepancy between worst and best-case scenarios of human alignment. Experiments across various model architectures and post-hoc local interpretation methods provide insights into the robustness of vision transformers and the overall vulnerability of such AI systems to potential adversarial attacks.

As deep learning models are increasingly deployed in safety-critical applications, evaluating their vulnerabilities to adversarial perturbations is essential for ensuring their reliability and trustworthiness. Over the past decade, a large number of white-box adversarial robustness evaluation methods (i.e., attacks) have been proposed, ranging from single-step to multi-step methods and from individual to ensemble methods. Despite these advances, challenges remain in conducting meaningful and comprehensive robustness evaluations, particularly when it comes to large-scale testing and ensuring evaluations reflect real-world adversarial risks. In this work, we focus on image classification models and propose a novel individual attack method, Probability Margin Attack (PMA), which defines the adversarial margin in the probability space rather than the logits space. We analyze the relationship between PMA and existing cross-entropy or logits-margin-based attacks, and show that PMA can outperform the current state-of-the-art individual methods. Building on PMA, we propose two types of ensemble attacks that balance effectiveness and efficiency. Furthermore, we create a million-scale dataset, CC1M, derived from the existing CC3M dataset, and use it to conduct the first million-scale white-box adversarial robustness evaluation of adversarially-trained ImageNet models. Our findings provide valuable insights into the robustness gaps between individual versus ensemble attacks and small-scale versus million-scale evaluations.

Deep neural networks are vulnerable to adversarial examples. Adversarial training (AT) is an effective defense against adversarial examples. However, AT is prone to overfitting which degrades robustness substantially. Recently, data augmentation (DA) was shown to be effective in mitigating robust overfitting if appropriately designed and optimized for AT. This work proposes a new method to automatically learn online, instance-wise, DA policies to improve robust generalization for AT. A novel policy learning objective, consisting of Vulnerability, Affinity and Diversity, is proposed and shown to be sufficiently effective and efficient to be practical for automatic DA generation during AT. This allows our method to efficiently explore a large search space for a more effective DA policy and evolve the policy as training progresses. Empirically, our method is shown to outperform or match all competitive DA methods across various model architectures (CNNs and ViTs) and datasets (CIFAR10, SVHN and Imagenette). Our DA policy reinforced vanilla AT to surpass several state-of-the-art AT methods (with baseline DA) in terms of both accuracy and robustness. It can also be combined with those advanced AT methods to produce a further boost in robustness.

Single-step adversarial training (SSAT) has demonstrated the potential to achieve both efficiency and robustness. However, SSAT suffers from catastrophic overfitting (CO), a phenomenon that leads to a severely distorted classifier, making it vulnerable to multi-step adversarial attacks. In this work, we observe that some adversarial examples generated on the SSAT-trained network exhibit anomalous behaviour, that is, although these training samples are generated by the inner maximization process, their associated loss decreases instead, which we named abnormal adversarial examples (AAEs). Upon further analysis, we discover a close relationship between AAEs and classifier distortion, as both the number and outputs of AAEs undergo a significant variation with the onset of CO. Given this observation, we re-examine the SSAT process and uncover that before the occurrence of CO, the classifier already displayed a slight distortion, indicated by the presence of few AAEs. Furthermore, the classifier directly optimizing these AAEs will accelerate its distortion, and correspondingly, the variation of AAEs will sharply increase as a result. In such a vicious circle, the classifier rapidly becomes highly distorted and manifests as CO within a few iterations. These observations motivate us to eliminate CO by hindering the generation of AAEs. Specifically, we design a novel method, termed Abnormal Adversarial Examples Regularization (AAER), which explicitly regularizes the variation of AAEs to hinder the classifier from becoming distorted. Extensive experiments demonstrate that our method can effectively eliminate CO and further boost adversarial robustness with negligible additional computational overhead.

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.

Dataset bias is a problem in adversarial machine learning, especially in the evaluation of defenses. An adversarial attack or defense algorithm may show better results on the reported dataset than can be replicated on other datasets. Even when two algorithms are compared, their relative performance can vary depending on the dataset. Deep learning offers state-of-the-art solutions for image recognition, but deep models are vulnerable even to small perturbations. Research in this area focuses primarily on adversarial attacks and defense algorithms. In this paper, we report for the first time, a class of robust images that are both resilient to attacks and that recover better than random images under adversarial attacks using simple defense techniques. Thus, a test dataset with a high proportion of robust images gives a misleading impression about the performance of an adversarial attack or defense. We propose three metrics to determine the proportion of robust images in a dataset and provide scoring to determine the dataset bias. We also provide an ImageNet-R dataset of 15000+ robust images to facilitate further research on this intriguing phenomenon of image strength under attack. Our dataset, combined with the proposed metrics, is valuable for unbiased benchmarking of adversarial attack and defense algorithms.

The bulk of existing research in defending against adversarial examples focuses on defending against a single (typically bounded Lp-norm) attack, but for a practical setting, machine learning (ML) models should be robust to a wide variety of attacks. In this paper, we present the first unified framework for considering multiple attacks against ML models. Our framework is able to model different levels of learner's knowledge about the test-time adversary, allowing us to model robustness against unforeseen attacks and robustness against unions of attacks. Using our framework, we present the first leaderboard, MultiRobustBench, for benchmarking multiattack evaluation which captures performance across attack types and attack strengths. We evaluate the performance of 16 defended models for robustness against a set of 9 different attack types, including Lp-based threat models, spatial transformations, and color changes, at 20 different attack strengths (180 attacks total). Additionally, we analyze the state of current defenses against multiple attacks. Our analysis shows that while existing defenses have made progress in terms of average robustness across the set of attacks used, robustness against the worst-case attack is still a big open problem as all existing models perform worse than random guessing.

With the perpetual increase of complexity of the state-of-the-art deep neural networks, it becomes a more and more challenging task to maintain their interpretability. Our work aims to evaluate the effects of adversarial training utilized to produce robust models - less vulnerable to adversarial attacks. It has been shown to make computer vision models more interpretable. Interpretability is as essential as robustness when we deploy the models to the real world. To prove the correlation between these two problems, we extensively examine the models using local feature-importance methods (SHAP, Integrated Gradients) and feature visualization techniques (Representation Inversion, Class Specific Image Generation). Standard models, compared to robust are more susceptible to adversarial attacks, and their learned representations are less meaningful to humans. Conversely, these models focus on distinctive regions of the images which support their predictions. Moreover, the features learned by the robust model are closer to the real ones.

Recent unified multi-modal encoders align a wide range of modalities into a shared representation space, enabling diverse cross-modal tasks. Despite their impressive capabilities, the robustness of these models under adversarial perturbations remains underexplored, which is a critical concern for safety-sensitive applications. In this work, we present the first comprehensive study of adversarial vulnerability in unified multi-modal encoders. We find that even mild adversarial perturbations lead to substantial performance drops across all modalities. Non-visual inputs, such as audio and point clouds, are especially fragile, while visual inputs like images and videos also degrade significantly. To address this, we propose an efficient adversarial calibration framework that improves robustness across modalities without modifying pretrained encoders or semantic centers, ensuring compatibility with existing foundation models. Our method introduces modality-specific projection heads trained solely on adversarial examples, while keeping the backbone and embeddings frozen. We explore three training objectives: fixed-center cross-entropy, clean-to-adversarial L2 alignment, and clean-adversarial InfoNCE, and we introduce a regularization strategy to ensure modality-consistent alignment under attack. Experiments on six modalities and three Bind-style models show that our method improves adversarial robustness by up to 47.3 percent at epsilon = 4/255, while preserving or even improving clean zero-shot and retrieval performance with less than 1 percent trainable parameters.

Adversarial training improves the robustness of neural networks against adversarial attacks, albeit at the expense of the trade-off between standard and robust generalization. To unveil the underlying factors driving this phenomenon, we examine the layer-wise learning capabilities of neural networks during the transition from a standard to an adversarial setting. Our empirical findings demonstrate that selectively updating specific layers while preserving others can substantially enhance the network's learning capacity. We therefore propose CURE, a novel training framework that leverages a gradient prominence criterion to perform selective conservation, updating, and revision of weights. Importantly, CURE is designed to be dataset- and architecture-agnostic, ensuring its applicability across various scenarios. It effectively tackles both memorization and overfitting issues, thus enhancing the trade-off between robustness and generalization and additionally, this training approach also aids in mitigating "robust overfitting". Furthermore, our study provides valuable insights into the mechanisms of selective adversarial training and offers a promising avenue for future research.

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.

CNNs achieve remarkable performance by leveraging deep, over-parametrized architectures, trained on large datasets. However, they have limited generalization ability to data outside the training domain, and a lack of robustness to noise and adversarial attacks. By building better inductive biases, we can improve robustness and also obtain smaller networks that are more memory and computationally efficient. While standard CNNs use matrix computations, we study tensor layers that involve higher-order computations and provide better inductive bias. Specifically, we impose low-rank tensor structures on the weights of tensor regression layers to obtain compact networks, and propose tensor dropout, a randomization in the tensor rank for robustness. We show that our approach outperforms other methods for large-scale image classification on ImageNet and CIFAR-100. We establish a new state-of-the-art accuracy for phenotypic trait prediction on the largest dataset of brain MRI, the UK Biobank brain MRI dataset, where multi-linear structure is paramount. In all cases, we demonstrate superior performance and significantly improved robustness, both to noisy inputs and to adversarial attacks. We rigorously validate the theoretical validity of our approach by establishing the link between our randomized decomposition and non-linear dropout.

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).

In this work, we leverage visual prompting (VP) to improve adversarial robustness of a fixed, pre-trained model at testing time. Compared to conventional adversarial defenses, VP allows us to design universal (i.e., data-agnostic) input prompting templates, which have plug-and-play capabilities at testing time to achieve desired model performance without introducing much computation overhead. Although VP has been successfully applied to improving model generalization, it remains elusive whether and how it can be used to defend against adversarial attacks. We investigate this problem and show that the vanilla VP approach is not effective in adversarial defense since a universal input prompt lacks the capacity for robust learning against sample-specific adversarial perturbations. To circumvent it, we propose a new VP method, termed Class-wise Adversarial Visual Prompting (C-AVP), to generate class-wise visual prompts so as to not only leverage the strengths of ensemble prompts but also optimize their interrelations to improve model robustness. Our experiments show that C-AVP outperforms the conventional VP method, with 2.1X standard accuracy gain and 2X robust accuracy gain. Compared to classical test-time defenses, C-AVP also yields a 42X inference time speedup.

Recently, large pre-trained foundation models have become widely adopted by machine learning practitioners for a multitude of tasks. Given that such models are publicly available, relying on their use as backbone models for downstream tasks might result in high vulnerability to adversarial attacks crafted with the same public model. In this work, we propose Robustness Tokens, a novel approach specific to the transformer architecture that fine-tunes a few additional private tokens with low computational requirements instead of tuning model parameters as done in traditional adversarial training. We show that Robustness Tokens make Vision Transformer models significantly more robust to white-box adversarial attacks while also retaining the original downstream performances.

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.

Ensuring the quality and integrity of medical images is crucial for maintaining diagnostic accuracy in deep learning-based Computer-Aided Diagnosis and Computer-Aided Detection (CAD) systems. Covariate shifts are subtle variations in the data distribution caused by different imaging devices or settings and can severely degrade model performance, similar to the effects of adversarial attacks. Therefore, it is vital to have a lightweight and fast method to assess the quality of these images prior to using CAD models. AdverX-Ray addresses this need by serving as an image-quality assessment layer, designed to detect covariate shifts effectively. This Adversarial Variational Autoencoder prioritizes the discriminator's role, using the suboptimal outputs of the generator as negative samples to fine-tune the discriminator's ability to identify high-frequency artifacts. Images generated by adversarial networks often exhibit severe high-frequency artifacts, guiding the discriminator to focus excessively on these components. This makes the discriminator ideal for this approach. Trained on patches from X-ray images of specific machine models, AdverX-Ray can evaluate whether a scan matches the training distribution, or if a scan from the same machine is captured under different settings. Extensive comparisons with various OOD detection methods show that AdverX-Ray significantly outperforms existing techniques, achieving a 96.2% average AUROC using only 64 random patches from an X-ray. Its lightweight and fast architecture makes it suitable for real-time applications, enhancing the reliability of medical imaging systems. The code and pretrained models are publicly available.

Counterfactual explanations and adversarial attacks have a related goal: flipping output labels with minimal perturbations regardless of their characteristics. Yet, adversarial attacks cannot be used directly in a counterfactual explanation perspective, as such perturbations are perceived as noise and not as actionable and understandable image modifications. Building on the robust learning literature, this paper proposes an elegant method to turn adversarial attacks into semantically meaningful perturbations, without modifying the classifiers to explain. The proposed approach hypothesizes that Denoising Diffusion Probabilistic Models are excellent regularizers for avoiding high-frequency and out-of-distribution perturbations when generating adversarial attacks. The paper's key idea is to build attacks through a diffusion model to polish them. This allows studying the target model regardless of its robustification level. Extensive experimentation shows the advantages of our counterfactual explanation approach over current State-of-the-Art in multiple testbeds.

In recent years, NLP practitioners have converged on the following practice: (i) import an off-the-shelf pretrained (masked) language model; (ii) append a multilayer perceptron atop the CLS token's hidden representation (with randomly initialized weights); and (iii) fine-tune the entire model on a downstream task (MLP-FT). This procedure has produced massive gains on standard NLP benchmarks, but these models remain brittle, even to mild adversarial perturbations. In this work, we demonstrate surprising gains in adversarial robustness enjoyed by Model-tuning Via Prompts (MVP), an alternative method of adapting to downstream tasks. Rather than appending an MLP head to make output prediction, MVP appends a prompt template to the input, and makes prediction via text infilling/completion. Across 5 NLP datasets, 4 adversarial attacks, and 3 different models, MVP improves performance against adversarial substitutions by an average of 8% over standard methods and even outperforms adversarial training-based state-of-art defenses by 3.5%. By combining MVP with adversarial training, we achieve further improvements in adversarial robustness while maintaining performance on unperturbed examples. Finally, we conduct ablations to investigate the mechanism underlying these gains. Notably, we find that the main causes of vulnerability of MLP-FT can be attributed to the misalignment between pre-training and fine-tuning tasks, and the randomly initialized MLP parameters.

Large language models(LLMs) increasingly match expert performance on licensing examinations, yet routine clinical use remains limited because governance requires auditable reasoning, safety and ethics alignment, and resilience to adversarial misuse. Here we present SafeMed-R1, trained with a traceable Clinical Trust Signals(CTS) pipeline that links each reasoning instance to clinician rubric scores and edit histories, and aligned through safety and ethics supervision and red team stress testing. SafeMed-R1 attains a macro-averaged accuracy of 79.6% across clinical benchmarks. Under adversarial safety testing, it shows the lowest aggregated risk and reduces unsafe outputs by about 3 to 5% relative to its baseline. In a paired expert study of 30 medication safety vignettes, SafeMed-R1 matches PGY1 and PGY2 residents on medical correctness and scores higher for medication safety, guideline consistency, and clinical usefulness. Collectively, these results suggest that clinician-audited supervision provenance, together with domain-tailored safety and ethics alignment, can strengthen governance-relevant evidence without relying on inference-time retrieval or citation grounding.

Large language models (LLMs) are rapidly transitioning into medical clinical use, yet their reliability under realistic, multi-turn interactions remains poorly understood. Existing evaluation frameworks typically assess single-turn question answering under idealized conditions, overlooking the complexities of medical consultations where conflicting input, misleading context, and authority influence are common. We introduce MedQA-Followup, a framework for systematically evaluating multi-turn robustness in medical question answering. Our approach distinguishes between shallow robustness (resisting misleading initial context) and deep robustness (maintaining accuracy when answers are challenged across turns), while also introducing an indirect-direct axis that separates contextual framing (indirect) from explicit suggestion (direct). Using controlled interventions on the MedQA dataset, we evaluate five state-of-the-art LLMs and find that while models perform reasonably well under shallow perturbations, they exhibit severe vulnerabilities in multi-turn settings, with accuracy dropping from 91.2% to as low as 13.5% for Claude Sonnet 4. Counterintuitively, indirect, context-based interventions are often more harmful than direct suggestions, yielding larger accuracy drops across models and exposing a significant vulnerability for clinical deployment. Further compounding analyses reveal model differences, with some showing additional performance drops under repeated interventions while others partially recovering or even improving. These findings highlight multi-turn robustness as a critical but underexplored dimension for safe and reliable deployment of medical LLMs.

Transfer learning is a widely-used paradigm in deep learning, where models pre-trained on standard datasets can be efficiently adapted to downstream tasks. Typically, better pre-trained models yield better transfer results, suggesting that initial accuracy is a key aspect of transfer learning performance. In this work, we identify another such aspect: we find that adversarially robust models, while less accurate, often perform better than their standard-trained counterparts when used for transfer learning. Specifically, we focus on adversarially robust ImageNet classifiers, and show that they yield improved accuracy on a standard suite of downstream classification tasks. Further analysis uncovers more differences between robust and standard models in the context of transfer learning. Our results are consistent with (and in fact, add to) recent hypotheses stating that robustness leads to improved feature representations. Our code and models are available at https://github.com/Microsoft/robust-models-transfer .

Achieving adversarial robustness in Vision-Language Models (VLMs) inevitably compromises accuracy on clean data, presenting a long-standing and challenging trade-off. In this work, we revisit this trade-off by investigating a fundamental question: What makes VLMs robust? Through a detailed analysis of adversarially fine-tuned models, we examine how robustness mechanisms function internally and how they interact with clean accuracy. Our analysis reveals that adversarial robustness is not uniformly distributed across network depth. Instead, unexpectedly, it is primarily localized within the shallow layers, driven by a low-frequency spectral bias and input-insensitive attention patterns. Meanwhile, updates to the deep layers tend to undermine both clean accuracy and robust generalization. Motivated by these insights, we propose Adversarial Robustness Adaptation (R-Adapt), a simple yet effective framework that freezes all pre-trained weights and introduces minimal, insight-driven adaptations only in the initial layers. This design achieves an exceptional balance between adversarial robustness and clean accuracy. R-Adapt further supports training-free, model-guided, and data-driven paradigms, offering flexible pathways to seamlessly equip standard models with robustness. Extensive evaluations on 18 datasets and diverse tasks demonstrate our state-of-the-art performance under various attacks. Notably, R-Adapt generalizes efficiently to large vision-language models (e.g., LLaVA and Qwen-VL) to enhance their robustness. Our project page is available at https://summu77.github.io/R-Adapt.

In medical imaging, vision-language models face a critical duality: pretrained networks offer broad robustness but lack subtle, modality-specific characteristics, while fine-tuned expert models achieve high in-distribution accuracy yet falter under modality shift. Existing model-merging techniques, designed for natural-image benchmarks, are simple and efficient but fail to deliver consistent gains across diverse medical modalities; their static interpolation limits reliability in varied clinical tasks. To address this, we introduce Test-Time Task adaptive merging (T^3), a backpropagation-free framework that computes per-sample interpolation coefficients via the Jensen-Shannon divergence between the two models' output distributions. T^3 dynamically preserves local precision when models agree and defers to generalist robustness under drift. To overcome the inference costs of sample-wise merging, we further propose a batch-wise extension, T^3_B, that computes a merging coefficient across a batch of samples, dramatically reducing computational bottleneck. Recognizing the lack of a standardized medical-merging benchmark, we present a rigorous cross-evaluation protocol spanning in-domain, base-to-novel, and corruptions across four modalities. Empirically, T^3 sets new state-of-the-art in Top-1 accuracy and error reduction, outperforming strong baselines while maintaining efficiency, paving the way for adaptive MVLM deployment in clinical settings. Our code is available at https://github.com/Razaimam45/TCube.

Recent progress in image generation models (IGMs) enables high-fidelity content creation but also amplifies risks, including the reproduction of copyrighted content and the generation of offensive content. Image Generation Model Unlearning (IGMU) mitigates these risks by removing harmful concepts without full retraining. Despite growing attention, the robustness under adversarial inputs, particularly image-side threats in black-box settings, remains underexplored. To bridge this gap, we present REFORGE, a black-box red-teaming framework that evaluates IGMU robustness via adversarial image prompts. REFORGE initializes stroke-based images and optimizes perturbations with a cross-attention-guided masking strategy that allocates noise to concept-relevant regions, balancing attack efficacy and visual fidelity. Extensive experiments across representative unlearning tasks and defenses demonstrate that REFORGE significantly improves attack success rate while achieving stronger semantic alignment and higher efficiency than involved baselines. These results expose persistent vulnerabilities in current IGMU methods and highlight the need for robustness-aware unlearning against multi-modal adversarial attacks. Our code is at: https://github.com/Imfatnoily/REFORGE.

Discrete adversarial attacks are symbolic perturbations to a language input that preserve the output label but lead to a prediction error. While such attacks have been extensively explored for the purpose of evaluating model robustness, their utility for improving robustness has been limited to offline augmentation only. Concretely, given a trained model, attacks are used to generate perturbed (adversarial) examples, and the model is re-trained exactly once. In this work, we address this gap and leverage discrete attacks for online augmentation, where adversarial examples are generated at every training step, adapting to the changing nature of the model. We propose (i) a new discrete attack, based on best-first search, and (ii) random sampling attacks that unlike prior work are not based on expensive search-based procedures. Surprisingly, we find that random sampling leads to impressive gains in robustness, outperforming the commonly-used offline augmentation, while leading to a speedup at training time of ~10x. Furthermore, online augmentation with search-based attacks justifies the higher training cost, significantly improving robustness on three datasets. Last, we show that our new attack substantially improves robustness compared to prior methods.

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.

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.

Semantic segmentation methods have advanced significantly. Still, their robustness to real-world perturbations and object types not seen during training remains a challenge, particularly in safety-critical applications. We propose a novel approach to improve the robustness of semantic segmentation techniques by leveraging the synergy between label-to-image generators and image-to-label segmentation models. Specifically, we design Robusta, a novel robust conditional generative adversarial network to generate realistic and plausible perturbed images that can be used to train reliable segmentation models. We conduct in-depth studies of the proposed generative model, assess the performance and robustness of the downstream segmentation network, and demonstrate that our approach can significantly enhance the robustness in the face of real-world perturbations, distribution shifts, and out-of-distribution samples. Our results suggest that this approach could be valuable in safety-critical applications, where the reliability of perception modules such as semantic segmentation is of utmost importance and comes with a limited computational budget in inference. We release our code at https://github.com/ENSTA-U2IS/robusta.

Deep models often fail to generalize well in test domains when the data distribution differs from that in the training domain. Among numerous approaches to address this Out-of-Distribution (OOD) generalization problem, there has been a growing surge of interest in exploiting Adversarial Training (AT) to improve OOD performance. Recent works have revealed that the robust model obtained by conducting sample-wise AT also retains transferability to biased test domains. In this paper, we empirically show that sample-wise AT has limited improvement on OOD performance. Specifically, we find that AT can only maintain performance at smaller scales of perturbation while Universal AT (UAT) is more robust to larger-scale perturbations. This provides us with clues that adversarial perturbations with universal (low dimensional) structures can enhance the robustness against large data distribution shifts that are common in OOD scenarios. Inspired by this, we propose two AT variants with low-rank structures to train OOD-robust models. Extensive experiments on DomainBed benchmark show that our proposed approaches outperform Empirical Risk Minimization (ERM) and sample-wise AT. Our code is available at https://github.com/NOVAglow646/NIPS22-MAT-and-LDAT-for-OOD.

With the development of large language models (LLMs), detecting whether text is generated by a machine becomes increasingly challenging in the face of malicious use cases like the spread of false information, protection of intellectual property, and prevention of academic plagiarism. While well-trained text detectors have demonstrated promising performance on unseen test data, recent research suggests that these detectors have vulnerabilities when dealing with adversarial attacks such as paraphrasing. In this paper, we propose a framework for a broader class of adversarial attacks, designed to perform minor perturbations in machine-generated content to evade detection. We consider two attack settings: white-box and black-box, and employ adversarial learning in dynamic scenarios to assess the potential enhancement of the current detection model's robustness against such attacks. The empirical results reveal that the current detection models can be compromised in as little as 10 seconds, leading to the misclassification of machine-generated text as human-written content. Furthermore, we explore the prospect of improving the model's robustness over iterative adversarial learning. Although some improvements in model robustness are observed, practical applications still face significant challenges. These findings shed light on the future development of AI-text detectors, emphasizing the need for more accurate and robust detection methods.

Healthcare foundation models have largely followed paradigms from natural language processing and computer vision, emphasizing large scale pretraining and deterministic representations over heterogeneous clinical data. However, clinical observations are inherently incomplete, reflecting sparse, irregular, and modality dependent measurements of an underlying physiologic state. In this work, we propose a framework for uncertainty aware foundation modeling that represents each patient not as a point embedding, but as a distribution over plausible latent states. By learning set valued representations and enforcing consistency across partial views of the same patient, the model captures what is invariantly inferable while explicitly encoding epistemic uncertainty. We integrate this formulation with multimodal encoders and scalable self supervised objectives, combining reconstruction, contrastive alignment, and distributional regularization. Across diverse clinical tasks, our approach improves predictive performance, robustness under missing data, and uncertainty calibration relative to strong baselines. These results suggest that modeling what is not observed rather than only what is constitutes a critical inductive bias for healthcare foundation models.

With the growth of model and data sizes, a broad effort has been made to design pruning techniques that reduce the resource demand of deep learning pipelines, while retaining model performance. In order to reduce both inference and training costs, a prominent line of work uses low-rank matrix factorizations to represent the network weights. Although able to retain accuracy, we observe that low-rank methods tend to compromise model robustness against adversarial perturbations. By modeling robustness in terms of the condition number of the neural network, we argue that this loss of robustness is due to the exploding singular values of the low-rank weight matrices. Thus, we introduce a robust low-rank training algorithm that maintains the network's weights on the low-rank matrix manifold while simultaneously enforcing approximate orthonormal constraints. The resulting model reduces both training and inference costs while ensuring well-conditioning and thus better adversarial robustness, without compromising model accuracy. This is shown by extensive numerical evidence and by our main approximation theorem that shows the computed robust low-rank network well-approximates the ideal full model, provided a highly performing low-rank sub-network exists.

The vulnerability of deep neural networks to adversarial samples has been a major impediment to their broad applications, despite their success in various fields. Recently, some works suggested that adversarially-trained models emphasize the importance of low-frequency information to achieve higher robustness. While several attempts have been made to leverage this frequency characteristic, they have all faced the issue that applying low-pass filters directly to input images leads to irreversible loss of discriminative information and poor generalizability to datasets with distinct frequency features. This paper presents a plug-and-play module called the Frequency Preference Control Module that adaptively reconfigures the low- and high-frequency components of intermediate feature representations, providing better utilization of frequency in robust learning. Empirical studies show that our proposed module can be easily incorporated into any adversarial training framework, further improving model robustness across different architectures and datasets. Additionally, experiments were conducted to examine how the frequency bias of robust models impacts the adversarial training process and its final robustness, revealing interesting insights.

The classification performance of deep neural networks has begun to asymptote at near-perfect levels. However, their ability to generalize outside the training set and their robustness to adversarial attacks have not. In this paper, we make progress on this problem by training with full label distributions that reflect human perceptual uncertainty. We first present a new benchmark dataset which we call CIFAR10H, containing a full distribution of human labels for each image of the CIFAR10 test set. We then show that, while contemporary classifiers fail to exhibit human-like uncertainty on their own, explicit training on our dataset closes this gap, supports improved generalization to increasingly out-of-training-distribution test datasets, and confers robustness to adversarial attacks.

Deep neural networks (DNNs) offer significant promise for improving breast cancer diagnosis in medical imaging. However, these models are highly susceptible to adversarial attacks--small, imperceptible changes that can mislead classifiers--raising critical concerns about their reliability and security. Traditional attacks rely on fixed-norm perturbations, misaligning with human perception. In contrast, diffusion-based attacks require pre-trained models, demanding substantial data when these models are unavailable, limiting practical use in data-scarce scenarios. In medical imaging, however, this is often unfeasible due to the limited availability of datasets. Building on recent advancements in learnable prompts, we propose Prompt2Perturb (P2P), a novel language-guided attack method capable of generating meaningful attack examples driven by text instructions. During the prompt learning phase, our approach leverages learnable prompts within the text encoder to create subtle, yet impactful, perturbations that remain imperceptible while guiding the model towards targeted outcomes. In contrast to current prompt learning-based approaches, our P2P stands out by directly updating text embeddings, avoiding the need for retraining diffusion models. Further, we leverage the finding that optimizing only the early reverse diffusion steps boosts efficiency while ensuring that the generated adversarial examples incorporate subtle noise, thus preserving ultrasound image quality without introducing noticeable artifacts. We show that our method outperforms state-of-the-art attack techniques across three breast ultrasound datasets in FID and LPIPS. Moreover, the generated images are both more natural in appearance and more effective compared to existing adversarial attacks. Our code will be publicly available https://github.com/yasamin-med/P2P.

Object detection is a vital task in computer vision and has become an integral component of numerous critical systems. However, state-of-the-art object detectors, similar to their classification counterparts, are susceptible to small adversarial perturbations that can significantly alter their normal behavior. Unlike classification, the robustness of object detectors has not been thoroughly explored. In this work, we take the initial step towards bridging the gap between the robustness of classification and object detection by leveraging adversarially trained classification models. Merely utilizing adversarially trained models as backbones for object detection does not result in robustness. We propose effective modifications to the classification-based backbone to instill robustness in object detection without incurring any computational overhead. To further enhance the robustness achieved by the proposed modified backbone, we introduce two lightweight components: imitation loss and delayed adversarial training. Extensive experiments on the MS-COCO and Pascal VOC datasets are conducted to demonstrate the effectiveness of our proposed approach.

We study the problem of adversarially robust self-supervised learning on graphs. In the contrastive learning framework, we introduce a new method that increases the adversarial robustness of the learned representations through i) adversarial transformations and ii) transformations that not only remove but also insert edges. We evaluate the learned representations in a preliminary set of experiments, obtaining promising results. We believe this work takes an important step towards incorporating robustness as a viable auxiliary task in graph contrastive learning.

Large language models (LLMs) are increasingly utilized in healthcare applications. However, their deployment in clinical practice raises significant safety concerns, including the potential spread of harmful information. This study systematically assesses the vulnerabilities of seven LLMs to three advanced black-box jailbreaking techniques within medical contexts. To quantify the effectiveness of these techniques, we propose an automated and domain-adapted agentic evaluation pipeline. Experiment results indicate that leading commercial and open-source LLMs are highly vulnerable to medical jailbreaking attacks. To bolster model safety and reliability, we further investigate the effectiveness of Continual Fine-Tuning (CFT) in defending against medical adversarial attacks. Our findings underscore the necessity for evolving attack methods evaluation, domain-specific safety alignment, and LLM safety-utility balancing. This research offers actionable insights for advancing the safety and reliability of AI clinicians, contributing to ethical and effective AI deployment in healthcare.