Jiujiang Guo
Publications
CoDA: Exploring Chain-of-Distribution Attacks and Post-Hoc Token-Space Repair for Medical Vision-Language Models
Medical vision--language models (MVLMs) are increasingly used as perceptual backbones in radiology pipelines and as the visual front end of multimodal assistants, yet their reliability under real clinical workflows remains underexplored. Prior robustness evaluations often assume clean, curated inputs or study isolated corruptions, overlooking routine acquisition, reconstruction, display, and delivery operations that preserve clinical readability while shifting image statistics. To address this gap, we propose CoDA, a chain-of-distribution framework that constructs clinically plausible pipeline shifts by composing acquisition-like shading, reconstruction and display remapping, and delivery and export degradations. Under masked structural-similarity constraints, CoDA jointly optimizes stage compositions and parameters to induce failures while preserving visual plausibility. Across brain MRI, chest X-ray, and abdominal CT, CoDA substantially degrades the zero-shot performance of CLIP-style MVLMs, with chained compositions consistently more damaging than any single stage. We also evaluate multimodal large language models (MLLMs) as technical-authenticity auditors of imaging realism and quality rather than pathology. Proprietary multimodal models show degraded auditing reliability and persistent high-confidence errors on CoDA-shifted samples, while the medical-specific MLLMs we test exhibit clear deficiencies in medical image quality auditing. Finally, we introduce a post-hoc repair strategy based on teacher-guided token-space adaptation with patch-level alignment, which improves accuracy on archived CoDA outputs. Overall, our findings characterize a clinically grounded threat surface for MVLM deployment and show that lightweight alignment improves robustness in deployment.
A Semantic Decoupling-Based Two-Stage Rainy-Day Attack for Revealing Weather Robustness Deficiencies in Vision-Language Models
Vision-Language Models (VLMs) are trained on image-text pairs collected under canonical visual conditions and achieve strong performance on multimodal tasks. However, their robustness to real-world weather conditions, and the stability of cross-modal semantic alignment under such structured perturbations, remain insufficiently studied. In this paper, we focus on rainy scenarios and introduce the first adversarial framework that exploits realistic weather to attack VLMs, using a two-stage, parameterized perturbation model based on semantic decoupling to analyze rain-induced shifts in decision-making. In Stage 1, we model the global effects of rainfall by applying a low-dimensional global modulation to condition the embedding space and gradually weaken the original semantic decision boundaries. In Stage 2, we introduce structured rain variations by explicitly modeling multi-scale raindrop appearance and rainfall-induced illumination changes, and optimize the resulting non-differentiable weather space to induce stable semantic shifts. Operating in a non-pixel parameter space, our framework generates perturbations that are both physically grounded and interpretable. Experiments across multiple tasks show that even physically plausible, highly constrained weather perturbations can induce substantial semantic misalignment in mainstream VLMs, posing potential safety and reliability risks in real-world deployment. Ablations further confirm that illumination modeling and multi-scale raindrop structures are key drivers of these semantic shifts.