Medical AI models excel at tumor detection and segmentation. However, their latent representations often lack explicit ties to clinical semantics, producing outputs less trusted in clinical practice. Most of the existing models generate either segmentation masks/labels (localizing where without why) or textual justifications (explaining why without where), failing to ground clinical concepts in spatially localized evidence. To bridge this gap, we propose to develop models that can justify the segmentation or detection using clinically relevant terms and point to visual evidence. We address two core challenges: First, we curate a rationale dataset to tackle the lack of paired images, annotations, and textual rationales for training. The dataset includes 180K image-mask-rationale triples with quality evaluated by expert radiologists. Second, we design rationale-informed optimization that disentangles and localizes fine-grained clinical concepts in a self-supervised manner without requiring pixel-level concept annotations. Experiments across medical benchmarks show our model demonstrates superior performance in segmentation, detection, and beyond. The anonymous link to our code.

Federated Learning is widely employed to tackle distributed sensitive data. Existing methods primarily focus on addressing in-federation data heterogeneity. However, we observed that they suffer from significant performance degradation when applied to unseen clients for out-of-federation (OOF) generalization. The recent attempts to address generalization to unseen clients generally struggle to scale up to large-scale distributed settings due to high communication or computation costs. Moreover, methods that scale well often demonstrate poor generalization capability. To achieve OOF-resiliency in a scalable manner, we propose Topology-aware Federated Learning (TFL) that leverages client topology - a graph representing client relationships - to effectively train robust models against OOF data. We formulate a novel optimization problem for TFL, consisting of two key modules: Client Topology Learning, which infers the client relationships in a privacy-preserving manner, and Learning on Client Topology, which leverages the learned topology to identify influential clients and harness this information into the FL optimization process to efficiently build robust models. Empirical evaluation on a variety of real-world datasets verifies TFL's superior OOF robustness and scalability.

Large pretrained foundation models demonstrate exceptional performance and, in some high-stakes applications, even surpass human experts. However, most of these models are currently evaluated primarily on prediction accuracy, overlooking the validity of the rationales behind their accurate predictions. For the safe deployment of foundation models, there is a pressing need to ensure *double-correct predictions*, *i.e.*, correct prediction backed by correct rationales. To achieve this, we propose a two-phase scheme: First, we curate a new dataset that offers structured rationales for visual recognition tasks. Second, we propose a rationale-informed optimization method to guide the model in disentangling and localizing visual evidence for each rationale, without requiring manual annotations. Extensive experiments and ablation studies demonstrate that our model outperforms state-of-the-art models by up to 10.1\% in prediction accuracy across a wide range of tasks. Furthermore, our method significantly improves the model's rationale correctness, improving localization by 7.5\% and disentanglement by 36.5\%. Our dataset, source code, and pretrained weights: https://github.com/deep-real/DCP

As black-box models increasingly power high-stakes applications, a variety of data-driven explanation methods have been introduced. Meanwhile, machine learning models are constantly challenged by distributional shifts. A question naturally arises: Are data-driven explanations robust against out-of-distribution data? Our empirical results show that even though predict correctly, the model might still yield unreliable explanations under distributional shifts. How to develop robust explanations against out-of-distribution data? To address this problem, we propose an end-to-end model-agnostic learning framework Distributionally Robust Explanations (DRE). The key idea is, inspired by self-supervised learning, to fully utilizes the inter-distribution information to provide supervisory signals for the learning of explanations without human annotation. Can robust explanations benefit the model's generalization capability? We conduct extensive experiments on a wide range of tasks and data types, including classification and regression on image and scientific tabular data. Our results demonstrate that the proposed method significantly improves the model's performance in terms of explanation and prediction robustness against distributional shifts.

Multimodal data collected from the real world are often imperfect due to missing modalities. Therefore multimodal models that are robust against modal-incomplete data are highly preferred. Recently, Transformer models have shown great success in processing multimodal data. However, existing work has been limited to either architecture designs or pre-training strategies; whether Transformer models are naturally robust against missing-modal data has rarely been investigated. In this paper, we present the first-of-its-kind work to comprehensively investigate the behavior of Transformers in the presence of modal-incomplete data. Unsurprising, we find Transformer models are sensitive to missing modalities while different modal fusion strategies will significantly affect the robustness. What surprised us is that the optimal fusion strategy is dataset dependent even for the same Transformer model; there does not exist a universal strategy that works in general cases. Based on these findings, we propose a principle method to improve the robustness of Transformer models byautomatically searching for an optimal fusion strategy regarding input data. Experimental validations on three benchmarks support the superior performance of the proposed method.

A common assumption in multimodal learning is the completeness of training data, i.e., full modalities are available in all training examples. Although there exists research endeavor in developing novel methods to tackle the incompleteness of testing data, e.g., modalities are partially missing in testing examples, few of them can handle incomplete training modalities. The problem becomes even more challenging if considering the case of severely missing, e.g., ninety percent of training examples may have incomplete modalities. For the first time in the literature, this paper formally studies multimodal learning with missing modality in terms of flexibility (missing modalities in training, testing, or both) and efficiency (most training data have incomplete modality). Technically, we propose a new method named SMIL that leverages Bayesian meta-learning in uniformly achieving both objectives. To validate our idea, we conduct a series of experiments on three popular benchmarks: MM-IMDb, CMU-MOSI, and avMNIST. The results prove the state-of-the-art performance of SMIL over existing methods and generative baselines including autoencoders and generative adversarial networks.