Large-scale vision-language models (VLMs) embedded with expansive representations and visual concepts have showcased significant potential in image and text understanding. Efficiently adapting VLMs such as CLIP to downstream tasks like few-shot image classification has garnered growing attention, with prompt learning emerging as a representative approach. However, most existing prompt-based adaptation methods, which rely solely on coarse-grained textual prompts, suffer from limited performance and interpretability when handling domain tasks that require specific knowledge. This results in a failure to satisfy the stringent trustworthiness requirements of Explainable Artificial Intelligence (XAI) in high-risk scenarios like healthcare. To address this issue, we propose a Knowledge-Enhanced Explainable Prompting (KEEP) framework that leverages fine-grained domain-specific knowledge to enhance the adaptation process of VLMs across various domains and image modalities. By incorporating retrieval augmented generation and domain foundation models, our framework can provide more reliable image-wise knowledge for prompt learning in various domains, alleviating the lack of fine-grained annotations, while offering both visual and textual explanations. Extensive experiments and explainability analyses conducted on eight datasets of different domains and image modalities demonstrate that our method simultaneously achieves superior performance and interpretability, highlighting the effectiveness of the collaboration between foundation models and XAI.

Pre-trained vision-language models (VLMs) have showcased remarkable performance in image and natural language understanding, such as image captioning and response generation. As the practical applications of VLMs become increasingly widespread, their potential safety and robustness issues raise concerns that adversaries may evade the system and cause these models to generate toxic content through malicious attacks. Therefore, evaluating the robustness of open-source VLMs against adversarial attacks has garnered growing attention, with transfer-based attacks as a representative black-box attacking strategy. However, most existing transfer-based attacks neglect the importance of the semantic correlations between vision and text modalities, leading to sub-optimal adversarial example generation and attack performance. To address this issue, we present Chain of Attack (CoA)1, which iteratively enhances the generation of adversarial examples based on the multi-modal semantic update using a series of intermediate attacking steps, achieving superior adversarial transferability and efficiency. A unified attack success rate computing method is further proposed for automatic evasion evaluation. Extensive experiments conducted under the most realistic and high-stakes scenario, demonstrate that our attacking strategy is able to effectively mislead models to generate targeted responses using only black-box attacks without any knowledge of the victim models. The comprehensive robustness evaluation in our paper provides insight into the vulnerabilities of VLMs and offers a reference for the safety considerations of future model developments.

Code-switching (CS) is the alternating use of two or more languages within a conversation or utterance, often influenced by social context and speaker identity. This linguistic phenomenon poses challenges for Automatic Speech Recognition (ASR) systems, which are typically designed for a single language and struggle to handle multilingual inputs. The growing global demand for multilingual applications, including Code-Switching ASR (CSASR), Text-to-Speech (TTS), and Cross-Lingual Information Retrieval (CLIR), highlights the inadequacy of existing monolingual datasets. Although some code-switching datasets exist, most are limited to bilingual mixing within homogeneous ethnic groups, leaving a critical need for a large-scale, diverse benchmark akin to ImageNet in computer vision. To bridge this gap, we introduce \textbf{LinguaMaster}, a multi-agent collaboration framework specifically designed for efficient and scalable multilingual data synthesis. Leveraging this framework, we curate \textbf{SwitchLingua}, the first large-scale multilingual and multi-ethnic code-switching dataset, including: (1) 420K CS textual samples across 12 languages, and (2) over 80 hours of audio recordings from 174 speakers representing 18 countries/regions and 63 racial/ethnic backgrounds, based on the textual data. This dataset captures rich linguistic and cultural diversity, offering a foundational resource for advancing multilingual and multicultural research. Furthermore, to address the issue that existing ASR evaluation metrics lack sensitivity to code-switching scenarios, we propose the \textbf{Semantic-Aware Error Rate (SAER)}, a novel evaluation metric that incorporates semantic information, providing a more accurate and context-aware assessment of system performance. Benchmark experiments on SwitchLingua with state-of-the-art ASR models reveal substantial performance gaps, underscoring the dataset’s utility as a rigorous benchmark for CS capability evaluation. In addition, SwitchLingua aims to encourage further research to promote cultural inclusivity and linguistic diversity in speech technology, fostering equitable progress in the ASR field. LinguaMaster (Code): github.com/Shelton1013/SwitchLingua, SwitchLingua (Data): https://huggingface.co/datasets/Shelton1013/SwitchLinguatext, https://huggingface.co/datasets/Shelton1013/SwitchLinguaaudio

Computed tomography (CT) report generation is crucial to assist radiologists in interpreting CT volumes, which can be time-consuming and labor-intensive. Existing methods primarily only consider the global features of the entire volume, making it struggle to focus on specific regions and potentially missing abnormalities. To address this issue, we propose Reg2RG, the first region-guided referring and grounding framework for CT report generation, which enhances diagnostic performance by focusing on anatomical regions within the volume. Specifically, we utilize masks from a universal segmentation module to capture local features for each referring region. A local feature decoupling (LFD) strategy is proposed to preserve the local high-resolution details with little computational overhead. Then the local features are integrated with global features to capture inter-regional relationships within a cohesive context. Moreover, we propose a novel region-report alignment (RRA) training strategy. It leverages the recognition of referring regions to guide the generation of region-specific reports, enhancing the model's referring and grounding capabilities while also improving the report's interpretability. A large language model (LLM) is further employed as the language decoder to generate reports from integrated visual features, facilitating region-level comprehension. Extensive experiments on two large-scale chest CT-report datasets demonstrate the superiority of our method, which outperforms several state-of-the-art methods in terms of both natural language generation and clinical efficacy metrics while preserving promising interpretability. The code is available at https://github.com/zhi-xuan-chen/Reg2RG.

Black-box deep learning approaches have showcased significant potential in the realm of medical image analysis. However, the stringent trustworthiness requirements intrinsic to the medical field have catalyzed research into the utilization of Explainable Artificial Intelligence (XAI), with a particular focus on concept-based methods. Existing concept-based methods predominantly apply concept annotations from a single perspective (e.g., global level), neglecting the nuanced semantic relationships between sub-regions and concepts embedded within medical images. This leads to underutilization of the valuable medical information and may cause models to fall short in harmoniously balancing interpretability and performance when employing inherently interpretable architectures such as Concept Bottlenecks. To mitigate these shortcomings, we propose a multi-modal explainable disease diagnosis framework that meticulously aligns medical images and clinical-related concepts semantically at multiple strata, encompassing the image level, token level, and concept level. Moreover, our method allows for model intervention and offers both textual and visual explanations in terms of human-interpretable concepts. Experimental results on three skin image datasets demonstrate that our method, while preserving model interpretability, attains high performance and label efficiency for concept detection and disease diagnosis. The code is available at https://github.com/Tommy-Bie/MICA.