Domain shift (the difference between source and target domains) poses a significant challenge in clinical applications, e.g., Diabetic Retinopathy (DR) grading. Despite considering certain clinical requirements, like source data privacy, conventional transfer methods are predominantly model-centered and often struggle to prevent model-targeted attacks. In this paper, we address a challenging Online Model-aGnostic Domain Adaptation (OMG-DA) setting, driven by the demands of clinical environments. This setting is characterized by the absence of the model and the flow of target data. To tackle the new challenge, we propose a novel approach, Generative Unadversarial ExampleS (GUES), which enables adaptation from a data-centric perspective. Specifically, we first theoretically reformulate conventional perturbation optimization in a generative way—learning a perturbation generation function with a latent input variable. During model instantiation, we leverage a Variational AutoEncoder to express this function. The encoder with the reparameterization trick predicts the latent input, whilst the decoder is responsible for the generation. Furthermore, the saliency map is selected as pseudo-perturbation labels. Because it not only captures potential lesions but also theoretically provides an upper bound on the function input, enabling the identification of the latent variable. Extensive experiments on DR benchmarks with both frozen pre-trained models and trainable models demonstrate the superiority of GUES, showing robustness even with small batch size. The source code and data are available at https://github.com/tntek/GUES.

Source-Free Domain Adaptation (SFDA) aims to adapt a pre-trained source model to an unlabeled target domain with no access to the source data. Inspired by the success of large Vision-Language (ViL) models in many applications, the latest research has validated ViL's benefit for SFDA by using their predictions as pseudo supervision. However, we observe that ViL's supervision could be noisy and inaccurate at an unknown rate, potentially introducing additional negative effects during adaption. To address this thus-far ignored challenge, we introduce a novel Proxy Denoising (__ProDe__) approach. The key idea is to leverage the ViL model as a proxy to facilitate the adaptation process towards the latent domain-invariant space. Concretely, we design a proxy denoising mechanism to correct ViL's predictions. This is grounded on a proxy confidence theory that models the dynamic effect of proxy's divergence against the domain-invariant space during adaptation. To capitalize the corrected proxy, we further derive a mutual knowledge distilling regularization. Extensive experiments show that ProDe significantly outperforms the current state-of-the-art alternatives under both conventional closed-set setting and the more challenging open-set, partial-set, generalized SFDA, multi-target, multi-source, and test-time settings. Our code and data are available at https://github.com/tntek/source-free-domain-adaptation.

Source-Free Domain Adaptation (SFDA) aims to adapt a source model for a target domain, with only access to unlabeled target training data and the source model pretrained on a supervised source domain. Relying on pseudo labeling and/or auxiliary supervision, conventional methods are inevitably error-prone. To mitigate this limitation, in this work we for the first time explore the potentials of off-the-shelf vision-language (ViL) multimodal models (e.g., CLIP) with rich whilst heterogeneous knowledge. We find that directly applying the ViL model to the target domain in a zero-shot fashion is unsatisfactory, as it is not specialized for this particular task but largely generic. To make it task specific, we propose a novel Distilling multImodal Foundation mOdel (DIFO) approach. Specifically, DIFO alternates between two steps during adaptation: (i) Customizing the ViL model by maximizing the mutual information with the target model in a prompt learning manner, (ii) Distilling the knowledge of this customized ViL model to the target model. For more fine-grained and reliable distillation, we further introduce two effective regularization terms, namely most-likely category encouragement and predictive consistency. Extensive experiments show that DIFO significantly outperforms the state-of-the-art alternatives. Code is here.