arXiv subjects

Jose Dolz

Publications and source records attributed to Jose Dolz.

At least 37 records · Page 2Linked to original sources

arXiv2026

Semantic Anchor Transport: Robust Test-Time Adaptation for Vision-Language Models

Large pre-trained vision-language models (VLMs), such as CLIP, have shown unprecedented zero-shot performance across a wide range of tasks. Nevertheless, these models may be unreliable under distributional shifts, as their performance is significantly degraded. In this work, we investigate how to efficiently utilize class text information to mitigate distribution drifts encountered by VLMs during inference. In particular, we propose generating pseudo-labels for the noisy test-time samples by aligning visual embeddings with reliable, text-based semantic anchors. Specifically, to maintain the regular structure of the dataset properly, we formulate the problem as a batch-wise label assignment, which is efficiently solved using Optimal Transport. Our method, Semantic Anchor Transport (SAT), utilizes such pseudo-labels as supervisory signals for test-time adaptation, yielding a principled cross-modal alignment solution. Moreover, SAT further leverages heterogeneous textual clues, with a multi-template distillation approach that replicates multi-view contrastive learning strategies in unsupervised representation learning without incurring additional computational complexity. Extensive experiments on multiple popular test-time adaptation benchmarks presenting diverse complexity empirically show the superiority of SAT, achieving consistent performance gains over recent state-of-the-art methods, yet being computationally efficient.

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arXiv2025

NERVE: Neighbourhood & Entropy-guided Random-walk for training free open-Vocabulary sEgmentation

Despite recent advances in Open-Vocabulary Semantic Segmentation (OVSS), existing training-free methods face several limitations: use of computationally expensive affinity refinement strategies, ineffective fusion of transformer attention maps due to equal weighting or reliance on fixed-size Gaussian kernels to reinforce local spatial smoothness, enforcing isotropic neighborhoods. We propose a strong baseline for training-free OVSS termed as NERVE (Neighbourhood \& Entropy-guided Random-walk for open-Vocabulary sEgmentation), which uniquely integrates global and fine-grained local information, exploiting the neighbourhood structure from the self-attention layer of a stable diffusion model. We also introduce a stochastic random walk for refining the affinity rather than relying on fixed-size Gaussian kernels for local context. This spatial diffusion process encourages propagation across connected and semantically related areas, enabling it to effectively delineate objects with arbitrary shapes. Whereas most existing approaches treat self-attention maps from different transformer heads or layers equally, our method uses entropy-based uncertainty to select the most relevant maps. Notably, our method does not require any conventional post-processing techniques like Conditional Random Fields (CRF) or Pixel-Adaptive Mask Refinement (PAMR). Experiments are performed on 7 popular semantic segmentation benchmarks, yielding an overall state-of-the-art zero-shot segmentation performance, providing an effective approach to open-vocabulary semantic segmentation.

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arXiv2025

ViLU: Learning Vision-Language Uncertainties for Failure Prediction

Reliable Uncertainty Quantification (UQ) and failure prediction remain open challenges for Vision-Language Models (VLMs). We introduce ViLU, a new Vision-Language Uncertainty quantification framework that contextualizes uncertainty estimates by leveraging all task-relevant textual representations. ViLU constructs an uncertainty-aware multi-modal representation by integrating the visual embedding, the predicted textual embedding, and an image-conditioned textual representation via cross-attention. Unlike traditional UQ methods based on loss prediction, ViLU trains an uncertainty predictor as a binary classifier to distinguish correct from incorrect predictions using a weighted binary cross-entropy loss, making it loss-agnostic. In particular, our proposed approach is well-suited for post-hoc settings, where only vision and text embeddings are available without direct access to the model itself. Extensive experiments on diverse datasets show the significant gains of our method compared to state-of-the-art failure prediction methods. We apply our method to standard classification datasets, such as ImageNet-1k, as well as large-scale image-caption datasets like CC12M and LAION-400M. Ablation studies highlight the critical role of our architecture and training in achieving effective uncertainty quantification. Our code is publicly available and can be found here: https://github.com/ykrmm/ViLU.

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arXiv2025

REFLECT: Rectified Flows for Efficient Brain Anomaly Correction Transport

Unsupervised anomaly detection (UAD) in brain imaging is crucial for identifying pathologies without the need for labeled data. However, accurately localizing anomalies remains challenging due to the intricate structure of brain anatomy and the scarcity of abnormal examples. In this work, we introduce REFLECT, a novel framework that leverages rectified flows to establish a direct, linear trajectory for correcting abnormal MR images toward a normal distribution. By learning a straight, one-step correction transport map, our method efficiently corrects brain anomalies and can precisely localize anomalies by detecting discrepancies between anomalous input and corrected counterpart. In contrast to the diffusion-based UAD models, which require iterative stochastic sampling, rectified flows provide a direct transport map, enabling single-step inference. Extensive experiments on popular UAD brain segmentation benchmarks demonstrate that REFLECT significantly outperforms state-of-the-art unsupervised anomaly detection methods. The code is available at https://github.com/farzad-bz/REFLECT.

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arXiv2025

MAD-AD: Masked Diffusion for Unsupervised Brain Anomaly Detection

Unsupervised anomaly detection in brain images is crucial for identifying injuries and pathologies without access to labels. However, the accurate localization of anomalies in medical images remains challenging due to the inherent complexity and variability of brain structures and the scarcity of annotated abnormal data. To address this challenge, we propose a novel approach that incorporates masking within diffusion models, leveraging their generative capabilities to learn robust representations of normal brain anatomy. During training, our model processes only normal brain MRI scans and performs a forward diffusion process in the latent space that adds noise to the features of randomly-selected patches. Following a dual objective, the model learns to identify which patches are noisy and recover their original features. This strategy ensures that the model captures intricate patterns of normal brain structures while isolating potential anomalies as noise in the latent space. At inference, the model identifies noisy patches corresponding to anomalies and generates a normal counterpart for these patches by applying a reverse diffusion process. Our method surpasses existing unsupervised anomaly detection techniques, demonstrating superior performance in generating accurate normal counterparts and localizing anomalies. The code is available at hhttps://github.com/farzad-bz/MAD-AD.

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arXiv2025

Regularized Low-Rank Adaptation for Few-Shot Organ Segmentation

Parameter-efficient fine-tuning (PEFT) of pre-trained foundation models is increasingly attracting interest in medical imaging due to its effectiveness and computational efficiency. Among these methods, Low-Rank Adaptation (LoRA) is a notable approach based on the assumption that the adaptation inherently occurs in a low-dimensional subspace. While it has shown good performance, its implementation requires a fixed and unalterable rank, which might be challenging to select given the unique complexities and requirements of each medical imaging downstream task. Inspired by advancements in natural image processing, we introduce a novel approach for medical image segmentation that dynamically adjusts the intrinsic rank during adaptation. Viewing the low-rank representation of the trainable weight matrices as a singular value decomposition, we introduce an l_1 sparsity regularizer to the loss function, and tackle it with a proximal optimizer. The regularizer could be viewed as a penalty on the decomposition rank. Hence, its minimization enables to find task-adapted ranks automatically. Our method is evaluated in a realistic few-shot fine-tuning setting, where we compare it first to the standard LoRA and then to several other PEFT methods across two distinguishable tasks: base organs and novel organs. Our extensive experiments demonstrate the significant performance improvements driven by our method, highlighting its efficiency and robustness against suboptimal rank initialization. Our code is publicly available: https://github.com/ghassenbaklouti/ARENA

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arXiv2025

Few-Shot, Now for Real: Medical VLMs Adaptation without Balanced Sets or Validation

Vision-language models (VLMs) are gaining attention in medical image analysis. These are pre-trained on large, heterogeneous data sources, yielding rich and transferable representations. Notably, the combination of modality-specialized VLMs with few-shot adaptation has provided fruitful results, enabling the efficient deployment of high-performing solutions. However, previous works on this topic make strong assumptions about the distribution of adaptation data, which are unrealistic in the medical domain. First, prior art assumes access to a balanced support set, a condition that breaks the natural imbalance in disease prevalence found in real-world scenarios. Second, these works typically assume the presence of an additional validation set to fix critical hyper-parameters, which is highly data-inefficient. This work challenges these favorable deployment scenarios and introduces a realistic, imbalanced, validation-free adaptation setting. Our extensive benchmark across various modalities and downstream tasks demonstrates that current methods systematically compromise their performance when operating under realistic conditions, occasionally even performing worse than zero-shot inference. Also, we introduce a training-free linear probe that adaptively blends visual and textual supervision. Detailed studies demonstrate that the proposed solver is a strong, efficient baseline, enabling robust adaptation in challenging scenarios.

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arXiv2025

Trustworthy Few-Shot Transfer of Medical VLMs through Split Conformal Prediction

Medical vision-language models (VLMs) have demonstrated unprecedented transfer capabilities and are being increasingly adopted for data-efficient image classification. Despite its growing popularity, its reliability aspect remains largely unexplored. This work explores the split conformal prediction (SCP) framework to provide trustworthiness guarantees when transferring such models based on a small labeled calibration set. Despite its potential, the generalist nature of the VLMs' pre-training could negatively affect the properties of the predicted conformal sets for specific tasks. While common practice in transfer learning for discriminative purposes involves an adaptation stage, we observe that deploying such a solution for conformal purposes is suboptimal since adapting the model using the available calibration data breaks the rigid exchangeability assumptions for test data in SCP. To address this issue, we propose transductive split conformal adaptation (SCA-T), a novel pipeline for transfer learning on conformal scenarios, which performs an unsupervised transductive adaptation jointly on calibration and test data. We present comprehensive experiments utilizing medical VLMs across various image modalities, transfer tasks, and non-conformity scores. Our framework offers consistent gains in efficiency and conditional coverage compared to SCP, maintaining the same empirical guarantees.

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arXiv2025

Towards Reliable WMH Segmentation under Domain Shift: An Application Study using Maximum Entropy Regularization to Improve Uncertainty Estimation

Accurate segmentation of white matter hyperintensities (WMH) is crucial for clinical decision-making, particularly in the context of multiple sclerosis. However, domain shifts, such as variations in MRI machine types or acquisition parameters, pose significant challenges to model calibration and uncertainty estimation. This study investigates the impact of domain shift on WMH segmentation by proposing maximum-entropy regularization techniques to enhance model calibration and uncertainty estimation, with the purpose of identifying errors post-deployment using predictive uncertainty as a proxy measure that does not require ground-truth labels. To do this, we conducted experiments using a U-Net architecture to evaluate these regularization schemes on two publicly available datasets, assessing performance with the Dice coefficient, expected calibration error, and entropy-based uncertainty estimates. Our results show that entropy-based uncertainty estimates can anticipate segmentation errors, and that maximum-entropy regularization further strengthens the correlation between uncertainty and segmentation performance while also improving model calibration under domain shift.

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arXiv2025

Full Conformal Adaptation of Medical Vision-Language Models

Vision-language models (VLMs) pre-trained at large scale have shown unprecedented transferability capabilities and are being progressively integrated into medical image analysis. Although its discriminative potential has been widely explored, its reliability aspect remains overlooked. This work investigates their behavior under the increasingly popular split conformal prediction (SCP) framework, which theoretically guarantees a given error level on output sets by leveraging a labeled calibration set. However, the zero-shot performance of VLMs is inherently limited, and common practice involves few-shot transfer learning pipelines, which cannot absorb the rigid exchangeability assumptions of SCP. To alleviate this issue, we propose full conformal adaptation, a novel setting for jointly adapting and conformalizing pre-trained foundation models, which operates transductively over each test data point using a few-shot adaptation set. Moreover, we complement this framework with SS-Text, a novel training-free linear probe solver for VLMs that alleviates the computational cost of such a transductive approach. We provide comprehensive experiments using 3 different modality-specialized medical VLMs and 9 adaptation tasks. Our framework requires exactly the same data as SCP, and provides consistent relative improvements of up to 27% on set efficiency while maintaining the same coverage guarantees.

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arXiv2025

Conformal Prediction for Zero-Shot Models

Vision-language models pre-trained at large scale have shown unprecedented adaptability and generalization to downstream tasks. Although its discriminative potential has been widely explored, its reliability and uncertainty are still overlooked. In this work, we investigate the capabilities of CLIP models under the split conformal prediction paradigm, which provides theoretical guarantees to black-box models based on a small, labeled calibration set. In contrast to the main body of literature on conformal predictors in vision classifiers, foundation models exhibit a particular characteristic: they are pre-trained on a one-time basis on an inaccessible source domain, different from the transferred task. This domain drift negatively affects the efficiency of the conformal sets and poses additional challenges. To alleviate this issue, we propose Conf-OT, a transfer learning setting that operates transductive over the combined calibration and query sets. Solving an optimal transport problem, the proposed method bridges the domain gap between pre-training and adaptation without requiring additional data splits but still maintaining coverage guarantees. We comprehensively explore this conformal prediction strategy on a broad span of 15 datasets and three non-conformity scores. Conf-OT provides consistent relative improvements of up to 20% on set efficiency while being 15 times faster than popular transductive approaches.

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arXiv2025

DART$^3$: Leveraging Distance for Test Time Adaptation in Person Re-Identification

Person re-identification (ReID) models are known to suffer from camera bias, where learned representations cluster according to camera viewpoints rather than identity, leading to significant performance degradation under (inter-camera) domain shifts in real-world surveillance systems when new cameras are added to camera networks. State-of-the-art test-time adaptation (TTA) methods, largely designed for classification tasks, rely on classification entropy-based objectives that fail to generalize well to ReID, thus making them unsuitable for tackling camera bias. In this paper, we introduce DART$^3$, a TTA framework specifically designed to mitigate camera-induced domain shifts in person ReID. DART$^3$ (Distance-Aware Retrieval Tuning at Test Time) leverages a distance-based objective that aligns better with image retrieval tasks like ReID by exploiting the correlation between nearest-neighbor distance and prediction error. Unlike prior ReID-specific domain adaptation methods, DART$^3$ requires no source data, architectural modifications, or retraining, and can be deployed in both fully black-box and hybrid settings. Empirical evaluations on multiple ReID benchmarks indicate that DART$^3$ and DART$^3$ LITE, a lightweight alternative to the approach, consistently outperforms state-of-the-art TTA baselines, making for a viable option to online learning to mitigate the adverse effects of camera bias.

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arXiv2025

Towards Foundation Models and Few-Shot Parameter-Efficient Fine-Tuning for Volumetric Organ Segmentation

The recent popularity of foundation models and the pre-train-and-adapt paradigm, where a large-scale model is transferred to downstream tasks, is gaining attention for volumetric medical image segmentation. However, current transfer learning strategies devoted to full fine-tuning for transfer learning may require significant resources and yield sub-optimal results when the labeled data of the target task is scarce. This makes its applicability in real clinical settings challenging since these institutions are usually constrained on data and computational resources to develop proprietary solutions. To address this challenge, we formalize Few-Shot Efficient Fine-Tuning (FSEFT), a novel and realistic scenario for adapting medical image segmentation foundation models. This setting considers the key role of both data- and parameter-efficiency during adaptation. Building on a foundation model pre-trained on open-access CT organ segmentation sources, we propose leveraging Parameter-Efficient Fine-Tuning and black-box Adapters to address such challenges. Furthermore, novel efficient adaptation methodologies are introduced in this work, which include Spatial black-box Adapters that are more appropriate for dense prediction tasks and constrained transductive inference, leveraging task-specific prior knowledge. Our comprehensive transfer learning experiments confirm the suitability of foundation models in medical image segmentation and unveil the limitations of popular fine-tuning strategies in few-shot scenarios.

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arXiv2025

A Reality Check of Vision-Language Pre-training in Radiology: Have We Progressed Using Text?

Vision-language pre-training has recently gained popularity as it allows learning rich feature representations using large-scale data sources. This paradigm has quickly made its way into the medical image analysis community. In particular, there is an impressive amount of recent literature developing vision-language models for radiology. However, the available medical datasets with image-text supervision are scarce, and medical concepts are fine-grained, involving expert knowledge that existing vision-language models struggle to encode. In this paper, we propose to take a prudent step back from the literature and revisit supervised, unimodal pre-training, using fine-grained labels instead. We conduct an extensive comparison demonstrating that unimodal pre-training is highly competitive and better suited to integrating heterogeneous data sources. Our results also question the potential of recent vision-language models for open-vocabulary generalization, which have been evaluated using optimistic experimental settings. Finally, we study novel alternatives to better integrate fine-grained labels and noisy text supervision.

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arXiv2025

Correcting Deviations from Normality: A Reformulated Diffusion Model for Multi-Class Unsupervised Anomaly Detection

Recent advances in diffusion models have spurred research into their application for Reconstruction-based unsupervised anomaly detection. However, these methods may struggle with maintaining structural integrity and recovering the anomaly-free content of abnormal regions, especially in multi-class scenarios. Furthermore, diffusion models are inherently designed to generate images from pure noise and struggle to selectively alter anomalous regions of an image while preserving normal ones. This leads to potential degradation of normal regions during reconstruction, hampering the effectiveness of anomaly detection. This paper introduces a reformulation of the standard diffusion model geared toward selective region alteration, allowing the accurate identification of anomalies. By modeling anomalies as noise in the latent space, our proposed Deviation correction diffusion (DeCo-Diff) model preserves the normal regions and encourages transformations exclusively on anomalous areas. This selective approach enhances the reconstruction quality, facilitating effective unsupervised detection and localization of anomaly regions. Comprehensive evaluations demonstrate the superiority of our method in accurately identifying and localizing anomalies in complex images, with pixel-level AUPRC improvements of 11-14% over state-of-the-art models on well known anomaly detection datasets. The code is available at https://github.com/farzad-bz/DeCo-Diff

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arXiv2025

A Foundation Language-Image Model of the Retina (FLAIR): Encoding Expert Knowledge in Text Supervision

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 38 open-access, mostly categorical fundus imaging datasets from various sources, with up to 101 different target conditions and 288,307 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a wide margin larger-scale generalist image-language models and retina domain-specific self-supervised networks, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

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arXiv2025

BayesAdapter: enhanced uncertainty estimation in CLIP few-shot adaptation

The emergence of large pre-trained vision-language models (VLMs) represents a paradigm shift in machine learning, with unprecedented results in a broad span of visual recognition tasks. CLIP, one of the most popular VLMs, has exhibited remarkable zero-shot and transfer learning capabilities in classification. To transfer CLIP to downstream tasks, adapters constitute a parameter-efficient approach that avoids backpropagation through the large model (unlike related prompt learning methods). However, CLIP adapters have been developed to target discriminative performance, and the quality of their uncertainty estimates has been overlooked. In this work we show that the discriminative performance of state-of-the-art CLIP adapters does not always correlate with their uncertainty estimation capabilities, which are essential for a safe deployment in real-world scenarios. We also demonstrate that one of such adapters is obtained through MAP inference from a more general probabilistic framework. Based on this observation we introduce BayesAdapter, which leverages Bayesian inference to estimate a full probability distribution instead of a single point, better capturing the variability inherent in the parameter space. In a comprehensive empirical evaluation we show that our approach obtains high quality uncertainty estimates in the predictions, standing out in calibration and selective classification. Our code will be publicly available upon acceptance of the paper.

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arXiv2024

ReC-TTT: Contrastive Feature Reconstruction for Test-Time Training

The remarkable progress in deep learning (DL) showcases outstanding results in various computer vision tasks. However, adaptation to real-time variations in data distributions remains an important challenge. Test-Time Training (TTT) was proposed as an effective solution to this issue, which increases the generalization ability of trained models by adding an auxiliary task at train time and then using its loss at test time to adapt the model. Inspired by the recent achievements of contrastive representation learning in unsupervised tasks, we propose ReC-TTT, a test-time training technique that can adapt a DL model to new unseen domains by generating discriminative views of the input data. ReC-TTT uses cross-reconstruction as an auxiliary task between a frozen encoder and two trainable encoders, taking advantage of a single shared decoder. This enables, at test time, to adapt the encoders to extract features that will be correctly reconstructed by the decoder that, in this phase, is frozen on the source domain. Experimental results show that ReC-TTT achieves better results than other state-of-the-art techniques in most domain shift classification challenges.

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