arXiv subjects

Darakshan Rashid

Publications and source records attributed to Darakshan Rashid.

3 recordsLinked to original sources

arXiv2026

On the Robustness of Temporal Vision-Language Models for Surgical Endoscopy Videos

Temporal vision-language models (TVLMs) offer a reusable, prompt-based interface for surgical video understanding, yet, their robustness under clinically realistic acquisition artifacts in endoscopy remains insufficiently characterized. In practice, degradations such as defocus, haze, motion blur, noise, cautery smoke, and packet loss introduce structured distribution shifts which may compromise video-text alignment. We study the robustness of temporal VLMs under such shifts caused by corruptions in clip frames. We introduce Endo-C6, a compact corruption benchmark of six endoscopy-realistic perturbations evaluated at a fixed high severity, and apply it to public Gastrointestinal (GI) endoscopy and laparoscopic cholecystectomy videos. Under a standardized prompt protocol, we benchmark 3 recent surgical TVLM baselines and analyze robustness in both mean and worst-case settings, spanning 294 dataset-level evaluations. Finally, we present RobustEndoCLIP, obtained by few-shot parameter-efficient tuning with VeRA, outperforming existing TVLM baselines. Our findings show that off-the-shelf TVLMs can exhibit severe worst-case collapse under endoscopy-specific corruptions, whereas lightweight few-shot adaptation can substantially improve corrupted performance and robustness without changing the prompt-based interface. We expect Endo-C6 to support standardized robustness reporting and promote more reliable clinical vision-language systems.

cs.CV↗

arXiv2026

Can Experts Adapt Without Training? On Test-Time Modality Generalization in MVLMs

Medical vision-language models (MVLMs) promise broad zero-shot generalization, yet their reliability collapses when confronted with unseen modalities and domains, precisely where clinical robustness matters most. To address this gap, we revisit test-time modality generalization from the perspective of Mixture-of-Experts (MoE) and ask: can experts route-and-adapt without any optimization during inference? We identify a fundamental specialization-generalization dilemma at test time, where blindly aggregating modality experts dilutes modality-specific knowledge, while selecting one highly confident expert risks mismatch under shift. To address this, we propose MoBE: a fully optimization-free framework that performs dynamic expert selection and adaptation at test time. MoBE combines entropy-guided dynamic routing in MoE settings with expert-wise Bayesian adaptation, enabling experts to update their confidence and adapt online without gradient updates. Without parametric updates, MoBE augments a static MVLM with test-time routing and online statistics, achieving average accuracy gains of +4.72, +7.17, and +4.3 over state-of-the-art TTA methods across seen, unseen, and heterogeneous medical benchmarks, highlighting the effectiveness of training-free expert adaptation for robust modality generalization.

cs.CV↗

arXiv2026

Stride-Net: Fairness-Aware Disentangled Representation Learning for Chest X-Ray Diagnosis

Deep neural networks for chest X-ray classification achieve strong average performance, yet often underperform for specific demographic subgroups, raising critical concerns about clinical safety and equity. Existing debiasing methods frequently yield inconsistent improvements across datasets or attain fairness by degrading overall diagnostic utility, treating fairness as a post hoc constraint rather than a property of the learned representation. In this work, we propose Stride-Net (Sensitive Attribute Resilient Learning via Disentanglement and Learnable Masking with Embedding Alignment), a fairness-aware framework that learns disease-discriminative yet demographically invariant representations for chest X-ray analysis. Stride-Net operates at the patch level, using a learnable stride-based mask to select label-aligned image regions while suppressing sensitive attribute information through adversarial confusion loss. To anchor representations in clinical semantics and discourage shortcut learning, we further enforce semantic alignment between image features and BioBERT-based disease label embeddings via Group Optimal Transport. We evaluate Stride-Net on the MIMIC-CXR and CheXpert benchmarks across race and intersectional race-gender subgroups. Across architectures including ResNet and Vision Transformers, Stride-Net consistently improves fairness metrics while matching or exceeding baseline accuracy, achieving a more favorable accuracy-fairness trade-off than prior debiasing approaches. Our code is available at https://github.com/Daraksh/Fairness_StrideNet.

cs.CV↗