Integrating Clinical Knowledge into Concept Bottleneck ModelsWinnie Pang, Xueyi Ke, Satoshi Tsutsui et al.
Concept bottleneck models (CBMs), which predict human-interpretable concepts (e.g., nucleus shapes in cell images) before predicting the final output (e.g., cell type), provide insights into the decision-making processes of the model. However, training CBMs solely in a data-driven manner can introduce undesirable biases, which may compromise prediction performance, especially when the trained models are evaluated on out-of-domain images (e.g., those acquired using different devices). To mitigate this challenge, we propose integrating clinical knowledge to refine CBMs, better aligning them with clinicians' decision-making processes. Specifically, we guide the model to prioritize the concepts that clinicians also prioritize. We validate our approach on two datasets of medical images: white blood cell and skin images. Empirical validation demonstrates that incorporating medical guidance enhances the model's classification performance on unseen datasets with varying preparation methods, thereby increasing its real-world applicability.
4.4AIJan 30
Make Anything Match Your Target: Universal Adversarial Perturbations against Closed-Source MLLMs via Multi-Crop Routed Meta OptimizationHui Lu, Yi Yu, Yiming Yang et al.
Targeted adversarial attacks on closed-source multimodal large language models (MLLMs) have been increasingly explored under black-box transfer, yet prior methods are predominantly sample-specific and offer limited reusability across inputs. We instead study a more stringent setting, Universal Targeted Transferable Adversarial Attacks (UTTAA), where a single perturbation must consistently steer arbitrary inputs toward a specified target across unknown commercial MLLMs. Naively adapting existing sample-wise attacks to this universal setting faces three core difficulties: (i) target supervision becomes high-variance due to target-crop randomness, (ii) token-wise matching is unreliable because universality suppresses image-specific cues that would otherwise anchor alignment, and (iii) few-source per-target adaptation is highly initialization-sensitive, which can degrade the attainable performance. In this work, we propose MCRMO-Attack, which stabilizes supervision via Multi-Crop Aggregation with an Attention-Guided Crop, improves token-level reliability through alignability-gated Token Routing, and meta-learns a cross-target perturbation prior that yields stronger per-target solutions. Across commercial MLLMs, we boost unseen-image attack success rate by +23.7\% on GPT-4o and +19.9\% on Gemini-2.0 over the strongest universal baseline.