most citedVSF-Med:A Vulnerability Scoring Framework for Medical Vision-Language Models

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cs.CV2026

Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMs

Binesh Sadanandan, Vahid Behzadan

Attention and saliency heatmaps are widely used to explain medical Vision-Language Model (VLM) outputs on chest X-rays, yet whether they truly highlight the image evidence driving…

cs.CV2026

Consistent but Dangerous: Per-Sample Safety Classification Reveals False Reliability in Medical Vision-Language Models

Binesh Sadanandan, Vahid Behzadan

Consistency under paraphrase, the property that semantically equivalent prompts yield identical predictions, is increasingly used as a proxy for reliability when deploying medical…

cs.CV2026

Mechanistically Guided LoRA Improves Paraphrase Consistency in Medical Vision-Language Models

Binesh Sadanandan, Vahid Behzadan

Medical Vision-Language Models can give different yes or no answers to rephrasings of the same clinical question. We study this in MedGemma-4B using PSF-Med Sadanandan and Behzadan…

cs.CV2026

PSF-Med: Measuring and Explaining Paraphrase Sensitivity in Medical Vision Language Models

Binesh Sadanandan, Vahid Behzadan

Medical Vision Language Models (VLMs) can change their answers when clinicians rephrase the same question, a failure mode that threatens deployment safety. We introduce PSF-Med, a…

cs.CV2025★ 1 cited

VSF-Med:A Vulnerability Scoring Framework for Medical Vision-Language Models

Binesh Sadanandan, Vahid Behzadan

Vision Language Models (VLMs) hold great promise for streamlining labour-intensive medical imaging workflows, yet systematic security evaluations in clinical settings remain scarce…