Medical Vision-Language Models (VLMs) exhibit strong zero-shot performance, yet their effectiveness still declines on out-of-distribution (OOD) data due to domain shifts and class bias inherited from large-scale pretraining. Existing few-shot adaptation methods typically introduce additional trainable components, which can be unstable in extremely low-data regimes (e.g., 1-shot), and lack robustness on different medical data. We present TCLA, a purely training-free few-shot adaptation method for Medical VLMs, which is fast and model-agnostic. TCLA corrects inference logits based on a small set of support samples, boosting pretrained VLMs performance by improving inter-class deconfusion and reducing domain shift. Extensive experiments on nine datasets across multiple medical imaging modalities including X-ray, Ultrasound, MRI, CT, Histopathology, demonstrate that TCLA consistently improves OOD performance of Medical VLMs and, in most of cases, outperforms existing training-based adaptation methods.
Vision-Language-Action (VLA) models have achieved impressive results in visuomotor policy learning, yet remain fundamentally reactive, mapping current observations and language to actions without explicit forward prediction of world dynamics. Existing visual foresight methods pre…
End-to-end vision-language navigation (VLN) with causal vision-language models maps instructions and egocentric observations directly to actions, but standard behavior cloning supervises only the next action and does not explicitly encourage the policy state to be predictive of f…
Where should the question go in a vision-language model (VLM) prompt: before the image or after it? Intuition says before: knowing what is asked should tell the model where to look. Yet across visual question answering benchmarks, question-first prompting consistently underperfor…
A popular route to interpretable zero-shot classification asks a large language model (LLM) to describe each class name and prompts CLIP with the resulting descriptors. We show that these descriptors carry little visual evidence of their own: removing the class name from the prom…
A vision-language AI assistant returns its answer as a stream of generated tokens. Therefore, a safety guard that watches that answer has to keep up with the stream and stop a harmful reply before a user reads it. Recent vision-language guardrails instead generate a chain of thou…
Human-object interaction detection (HOID) has traditionally been formulated as a supervised detection problem over predefined interaction categories. While such paradigms achieve strong performance on closed-set benchmarks, they fundamentally entangle interaction understanding wi…