Vision-Language Models (VLMs) like CLIP achieve cross-modal semantic alignment through contrastive learning, exhibiting robust zero-shot generalization. Traditional prompt engineering, however, predominantly relies on coarse-grained category labels, neglecting fine-grained local semantics. Existing approaches assume that VLMs inherently recognize localized visual details and attempt to enhance classification by augmenting text prompts with attribute descriptors generated by large language models. However, our systematic experiments reveal critical limitations: CLIP's strong bias toward global image patterns hinders its ability to process localized visual descriptors. To address this fundamental constraint, we propose a simple, effective, and plug-and-play solution that enables CLIP to ``See Both the Forest and the Trees." Specifically, we employ stochastic multi-crop augmentation to activate CLIP's latent capacity for localized feature analysis. By cropping only partial regions, the approach effectively constrains the model's receptive field and recalibrates its attention mechanism, thereby mitigating its inherent bias. We evaluate the proposed method under zero-shot, few-shot, and test-time adaptation settings, and extensive experiments demonstrate that D&D achieves promising performance.
Interactive segmentation (IS) allows users to iteratively refine object boundaries with minimal cues, such as positive and negative clicks. While the Segment Anything Model (SAM) has garnered attention in the IS community for its promptable segmentation capabilities, it often struggles in specialized domains or when handling complex scenarios (e.g., camouflaged or multi-part objects). To overcome these challenges, we propose DC-TTA, a novel test-time adaptation (TTA) framework that adapts SAM on a per-sample basis by leveraging user interactions as supervision. Instead of forcing a single model to incorporate all user clicks at once, DC-TTA partitions the clicks into more coherent subsets, each processed independently via TTA with a separated model. This Divide-and-Conquer strategy reduces conflicts among diverse cues and enables more localized updates. Finally, we merge the adapted models to form a unified predictor that integrates the specialized knowledge from each subset. Experimental results across various benchmarks demonstrate that DC-TTA significantly outperforms SAM's zero-shot results and conventional TTA methods, effectively handling complex tasks such as camouflaged object segmentation with fewer interactions and improved accuracy.
Artificial intelligence (AI) is increasingly integrated into modern healthcare, offering powerful support for clinical decision-making. However, in real-world settings, AI systems may experience performance degradation over time, due to factors such as shifting data distributions, changes in patient characteristics, evolving clinical protocols, and variations in data quality. These factors can compromise model reliability, posing safety concerns and increasing the likelihood of inaccurate predictions or adverse outcomes. This review presents a forward-looking perspective on monitoring and maintaining the "health" of AI systems in healthcare. We highlight the urgent need for continuous performance monitoring, early degradation detection, and effective self-correction mechanisms. The paper begins by reviewing common causes of performance degradation at both data and model levels. We then summarize key techniques for detecting data and model drift, followed by an in-depth look at root cause analysis. Correction strategies are further reviewed, ranging from model retraining to test-time adaptation. Our survey spans both traditional machine learning models and state-of-the-art large language models (LLMs), offering insights into their strengths and limitations. Finally, we discuss ongoing technical challenges and propose future research directions. This work aims to guide the development of reliable, robust medical AI systems capable of sustaining safe, long-term deployment in dynamic clinical settings.
The complexity and diversity of surgical workflows, driven by heterogeneous operating room settings, institutional protocols, and anatomical variability, present a significant challenge in developing generalizable models for cross-institutional and cross-procedural surgical understanding. While recent surgical foundation models pretrained on large-scale vision-language data offer promising transferability, their zero-shot performance remains constrained by domain shifts, limiting their utility in unseen surgical environments. To address this, we introduce Surgical Phase Anywhere (SPA), a lightweight framework for versatile surgical workflow understanding that adapts foundation models to institutional settings with minimal annotation. SPA leverages few-shot spatial adaptation to align multi-modal embeddings with institution-specific surgical scenes and phases. It also ensures temporal consistency through diffusion modeling, which encodes task-graph priors derived from institutional procedure protocols. Finally, SPA employs dynamic test-time adaptation, exploiting the mutual agreement between multi-modal phase prediction streams to adapt the model to a given test video in a self-supervised manner, enhancing the reliability under test-time distribution shifts. SPA is a lightweight adaptation framework, allowing hospitals to rapidly customize phase recognition models by defining phases in natural language text, annotating a few images with the phase labels, and providing a task graph defining phase transitions. The experimental results show that the SPA framework achieves state-of-the-art performance in few-shot surgical phase recognition across multiple institutions and procedures, even outperforming full-shot models with 32-shot labeled data. Code is available at https://github.com/CAMMA-public/SPA
Test-time adaptation (TTA) aims to boost the generalization capability of a trained model by conducting self-/unsupervised learning during the testing phase. While most existing TTA methods for video primarily utilize visual supervisory signals, they often overlook the potential contribution of inherent audio data. To address this gap, we propose a novel approach that incorporates audio information into video TTA. Our method capitalizes on the rich semantic content of audio to generate audio-assisted pseudo-labels, a new concept in the context of video TTA. Specifically, we propose an audio-to-video label mapping method by first employing pre-trained audio models to classify audio signals extracted from videos and then mapping the audio-based predictions to video label spaces through large language models, thereby establishing a connection between the audio categories and video labels. To effectively leverage the generated pseudo-labels, we present a flexible adaptation cycle that determines the optimal number of adaptation iterations for each sample, based on changes in loss and consistency across different views. This enables a customized adaptation process for each sample. Experimental results on two widely used datasets (UCF101-C and Kinetics-Sounds-C), as well as on two newly constructed audio-video TTA datasets (AVE-C and AVMIT-C) with various corruption types, demonstrate the superiority of our approach. Our method consistently improves adaptation performance across different video classification models and represents a significant step forward in integrating audio information into video TTA. Code: https://github.com/keikeiqi/Audio-Assisted-TTA.
Despite progress in end-to-end ASR, real-world domain mismatches still cause performance drops, which Test-Time Adaptation (TTA) aims to mitigate by adjusting models during inference. Recent work explores combining TTA with external language models, using techniques like beam search rescoring or generative error correction. In this work, we identify a previously overlooked challenge: TTA can interfere with language model rescoring, revealing the nontrivial nature of effectively combining the two methods. Based on this insight, we propose SUTA-LM, a simple yet effective extension of SUTA, an entropy-minimization-based TTA approach, with language model rescoring. SUTA-LM first applies a controlled adaptation process guided by an auto-step selection mechanism leveraging both acoustic and linguistic information, followed by language model rescoring to refine the outputs. Experiments on 18 diverse ASR datasets show that SUTA-LM achieves robust results across a wide range of domains.
Speech Foundation Models encounter significant performance degradation when deployed in real-world scenarios involving acoustic domain shifts, such as background noise and speaker accents. Test-time adaptation (TTA) has recently emerged as a viable strategy to address such domain shifts at inference time without requiring access to source data or labels. However, existing TTA approaches, particularly those relying on backpropagation, are memory-intensive, limiting their applicability in speech tasks and resource-constrained settings. Although backpropagation-free methods offer improved efficiency, existing ones exhibit poor accuracy. This is because they are predominantly developed for vision tasks, which fundamentally differ from speech task formulations, noise characteristics, and model architecture, posing unique transferability challenges. In this paper, we introduce E-BATS, the first Efficient BAckpropagation-free TTA framework designed explicitly for speech foundation models. E-BATS achieves a balance between adaptation effectiveness and memory efficiency through three key components: (i) lightweight prompt adaptation for a forward-pass-based feature alignment, (ii) a multi-scale loss to capture both global (utterance-level) and local distribution shifts (token-level) and (iii) a test-time exponential moving average mechanism for stable adaptation across utterances. Experiments conducted on four noisy speech datasets spanning sixteen acoustic conditions demonstrate consistent improvements, with 4.1%-13.5% accuracy gains over backpropagation-free baselines and 2.0-6.4 times GPU memory savings compared to backpropagation-based methods. By enabling scalable and robust adaptation under acoustic variability, this work paves the way for developing more efficient adaptation approaches for practical speech processing systems in real-world environments.
We propose a test-time adaptation method that enables a progress estimation model to adapt online to the visual and temporal context of test trajectories by optimizing a learned self-supervised objective. To this end, we introduce a gradient-based meta-learning strategy to train the model on expert visual trajectories and their natural language task descriptions, such that test-time adaptation improves progress estimation relying on semantic content over temporal order. Our test-time adaptation method generalizes from a single training environment to diverse out-of-distribution tasks, environments, and embodiments, outperforming the state-of-the-art in-context learning approach using autoregressive vision-language models.
While promptable segmentation (\textit{e.g.}, SAM) has shown promise for various segmentation tasks, it still requires manual visual prompts for each object to be segmented. In contrast, task-generic promptable segmentation aims to reduce the need for such detailed prompts by employing only a task-generic prompt to guide segmentation across all test samples. However, when applied to Camouflaged Object Segmentation (COS), current methods still face two critical issues: 1) \textit{\textbf{semantic ambiguity in getting instance-specific text prompts}}, which arises from insufficient discriminative cues in holistic captions, leading to foreground-background confusion; 2) \textit{\textbf{semantic discrepancy combined with spatial separation in getting instance-specific visual prompts}}, which results from global background sampling far from object boundaries with low feature correlation, causing SAM to segment irrelevant regions. To address the issues above, we propose \textbf{RDVP-MSD}, a novel training-free test-time adaptation framework that synergizes \textbf{R}egion-constrained \textbf{D}ual-stream \textbf{V}isual \textbf{P}rompting (RDVP) via \textbf{M}ultimodal \textbf{S}tepwise \textbf{D}ecomposition Chain of Thought (MSD-CoT). MSD-CoT progressively disentangles image captions to eliminate semantic ambiguity, while RDVP injects spatial constraints into visual prompting and independently samples visual prompts for foreground and background points, effectively mitigating semantic discrepancy and spatial separation. Without requiring any training or supervision, RDVP-MSD achieves a state-of-the-art segmentation result on multiple COS benchmarks and delivers a faster inference speed than previous methods, demonstrating significantly improved accuracy and efficiency. The codes will be available at \href{https://github.com/ycyinchao/RDVP-MSD}{https://github.com/ycyinchao/RDVP-MSD}
Vision-language models (VLMs) encounter considerable challenges when adapting to domain shifts stemming from changes in data distribution. Test-time adaptation (TTA) has emerged as a promising approach to enhance VLM performance under such conditions. In practice, test data often arrives in batches, leading to increasing interest in the transductive TTA setting. However, existing TTA methods primarily focus on individual test samples, overlooking crucial cross-sample correlations within a batch. While recent ViT-based TTA methods have introduced batch-level adaptation, they remain suboptimal for VLMs due to inadequate integration of the text modality. To address these limitations, we propose a novel transductive TTA framework, Supportive Clique-based Attribute Prompting (SCAP), which effectively combines visual and textual information to enhance adaptation by generating fine-grained attribute prompts across test batches. SCAP first forms supportive cliques of test samples in an unsupervised manner based on visual similarity and learns an attribute prompt for each clique, capturing shared attributes critical for adaptation. For each test sample, SCAP aggregates attribute prompts from its associated cliques, providing enriched contextual information. To ensure adaptability over time, we incorporate a retention module that dynamically updates attribute prompts and their associated attributes as new data arrives. Comprehensive experiments across multiple benchmarks demonstrate that SCAP outperforms existing state-of-the-art methods, significantly advancing VLM generalization under domain shifts. Our code is available at https://github.com/zhoujiahuan1991/CVPR2025-SCAP.
Universal medical image segmentation using the Segment Anything Model (SAM) remains challenging due to its limited adaptability to medical domains. Existing adaptations, such as MedSAM, enhance SAM's performance in medical imaging but at the cost of reduced generalization to unseen data. Therefore, in this paper, we propose SAM-aware Test-Time Adaptation (SAM-TTA), a fundamentally different pipeline that preserves the generalization of SAM while improving its segmentation performance in medical imaging via a test-time framework. SAM-TTA tackles two key challenges: (1) input-level discrepancies caused by differences in image acquisition between natural and medical images and (2) semantic-level discrepancies due to fundamental differences in object definition between natural and medical domains (e.g., clear boundaries vs. ambiguous structures). Specifically, our SAM-TTA framework comprises (1) Self-adaptive Bezier Curve-based Transformation (SBCT), which adaptively converts single-channel medical images into three-channel SAM-compatible inputs while maintaining structural integrity, to mitigate the input gap between medical and natural images, and (2) Dual-scale Uncertainty-driven Mean Teacher adaptation (DUMT), which employs consistency learning to align SAM's internal representations to medical semantics, enabling efficient adaptation without auxiliary supervision or expensive retraining. Extensive experiments on five public datasets demonstrate that our SAM-TTA outperforms existing TTA approaches and even surpasses fully fine-tuned models such as MedSAM in certain scenarios, establishing a new paradigm for universal medical image segmentation. Code can be found at https://github.com/JianghaoWu/SAM-TTA.
While recent audio-visual models have demonstrated impressive performance, their robustness to distributional shifts at test-time remains not fully understood. Existing robustness benchmarks mainly focus on single modalities, making them insufficient for thoroughly assessing the robustness of audio-visual models. Motivated by real-world scenarios where shifts can occur $\textit{simultaneously}$ in both audio and visual modalities, we introduce $\texttt{AVROBUSTBENCH}$, a comprehensive benchmark designed to evaluate the test-time robustness of audio-visual recognition models. $\texttt{AVROBUSTBENCH}$ comprises four audio-visual benchmark datasets, $\texttt{AUDIOSET-2C}$, $\texttt{VGGSOUND-2C}$, $\texttt{KINETICS-2C}$, and $\texttt{EPICKITCHENS-2C}$, each incorporating 75 bimodal audio-visual corruptions that are $\textit{co-occurring}$ and $\textit{correlated}$. Through extensive evaluations, we observe that state-of-the-art supervised and self-supervised audio-visual models exhibit declining robustness as corruption severity increases. Furthermore, online test-time adaptation (TTA) methods, on $\texttt{VGGSOUND-2C}$ and $\texttt{KINETICS-2C}$, offer minimal improvements in performance under bimodal corruptions. We further propose $\texttt{AV2C}$, a simple TTA approach enabling on-the-fly cross-modal fusion by penalizing high-entropy samples, which achieves improvements on $\texttt{VGGSOUND-2C}$. We hope that $\texttt{AVROBUSTBENCH}$ will steer the development of more effective and robust audio-visual TTA approaches. Our code is available $\href{https://github.com/sarthaxxxxx/AV-C-Robustness-Benchmark}{here}$.
As a fundamental imaging task, All-in-One Image Restoration (AiOIR) aims to achieve image restoration caused by multiple degradation patterns via a single model with unified parameters. Although existing AiOIR approaches obtain promising performance in closed and controlled scenarios, they still suffered from considerable performance reduction in real-world scenarios since the gap of data distributions between the training samples (source domain) and real-world test samples (target domain) can lead inferior degradation awareness ability. To address this issue, a Unified Domain-Adaptive Image Restoration (UDAIR) framework is proposed to effectively achieve AiOIR by leveraging the learned knowledge from source domain to target domain. To improve the degradation identification, a codebook is designed to learn a group of discrete embeddings to denote the degradation patterns, and the cross-sample contrastive learning mechanism is further proposed to capture shared features from different samples of certain degradation. To bridge the data gap, a domain adaptation strategy is proposed to build the feature projection between the source and target domains by dynamically aligning their codebook embeddings, and a correlation alignment-based test-time adaptation mechanism is designed to fine-tune the alignment discrepancies by tightening the degradation embeddings to the corresponding cluster center in the source domain. Experimental results on 10 open-source datasets demonstrate that UDAIR achieves new state-of-the-art performance for the AiOIR task. Most importantly, the feature cluster validate the degradation identification under unknown conditions, and qualitative comparisons showcase robust generalization to real-world scenarios.
Recently, test-time adaptation has attracted wide interest in the context of vision-language models for image classification. However, to the best of our knowledge, the problem is completely overlooked in dense prediction tasks such as Open-Vocabulary Semantic Segmentation (OVSS). In response, we propose a novel TTA method tailored to adapting VLMs for segmentation during test time. Unlike TTA methods for image classification, our Multi-Level and Multi-Prompt (MLMP) entropy minimization integrates features from intermediate vision-encoder layers and is performed with different text-prompt templates at both the global CLS token and local pixel-wise levels. Our approach could be used as plug-and-play for any segmentation network, does not require additional training data or labels, and remains effective even with a single test sample. Furthermore, we introduce a comprehensive OVSS TTA benchmark suite, which integrates a rigorous evaluation protocol, seven segmentation datasets, and 15 common corruptions, with a total of 82 distinct test scenarios, establishing a standardized and comprehensive testbed for future TTA research in open-vocabulary segmentation. Our experiments on this suite demonstrate that our segmentation-tailored method consistently delivers significant gains over direct adoption of TTA classification baselines.
Test-Time Adaptation (TTA) enhances model robustness by enabling adaptation to target distributions that differ from training distributions, improving real-world generalizability. Existing TTA approaches focus on adjusting the conditional distribution; however these methods often depend on uncertain predictions in the absence of label information, leading to unreliable performance. Energy-based frameworks suggest a promising alternative to address distribution shifts without relying on uncertain predictions, instead computing the marginal distribution of target data. However, they involve the critical challenge of requiring extensive SGLD sampling, which is impractical for test-time scenarios requiring immediate adaptation. In this work, we propose Energy-based Preference Optimization for Test-time Adaptation (EPOTTA), which is based on a sampling free strategy. We first parameterize the target model using a pretrained model and residual energy function, enabling marginal likelihood maximization of target data without sampling. Building on the observation that the parameterization is mathematically equivalent to DPO objective, we then directly adapt the model to a target distribution without explicitly training the residual. Our experiments verify that EPOTTA is well-calibrated and performant while achieving computational efficiency.
Deep learning models perform poorly when domain shifts exist between training and test data. Test-time adaptation (TTA) is a paradigm to mitigate this issue by adapting pre-trained models using only unlabeled test samples. However, existing TTA methods can fail under severe domain shifts, while recent active TTA approaches requiring full-class labels are impractical due to high labeling costs. To address this issue, we introduce a new setting of TTA with binary feedback. This setting uses a few binary feedback inputs from annotators to indicate whether model predictions are correct, thereby significantly reducing the labeling burden of annotators. Under the setting, we propose BiTTA, a novel dual-path optimization framework that leverages reinforcement learning to balance binary feedback-guided adaptation on uncertain samples with agreement-based self-adaptation on confident predictions. Experiments show BiTTA achieves 13.3%p accuracy improvements over state-of-the-art baselines, demonstrating its effectiveness in handling severe distribution shifts with minimal labeling effort. The source code is available at https://github.com/taeckyung/BiTTA.
We introduce JEDI, a test-time adaptation method that enhances subject separation and compositional alignment in diffusion models without requiring retraining or external supervision. JEDI operates by minimizing semantic entanglement in attention maps using a novel Jensen-Shannon divergence based objective. To improve efficiency, we leverage adversarial optimization, reducing the number of updating steps required. JEDI is model-agnostic and applicable to architectures such as Stable Diffusion 1.5 and 3.5, consistently improving prompt alignment and disentanglement in complex scenes. Additionally, JEDI provides a lightweight, CLIP-free disentanglement score derived from internal attention distributions, offering a principled benchmark for compositional alignment under test-time conditions. We will publicly release the implementation of our method.
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.
Goal-conditioned dynamic manipulation is inherently challenging due to complex system dynamics and stringent task constraints, particularly in deformable object scenarios characterized by high degrees of freedom and underactuation. Prior methods often simplify the problem to low-speed or 2D settings, limiting their applicability to real-world 3D tasks. In this work, we explore 3D goal-conditioned rope manipulation as a representative challenge. To mitigate data scarcity, we introduce a novel simulation framework and benchmark grounded in reduced-order dynamics, which enables compact state representation and facilitates efficient policy learning. Building on this, we propose Dynamics Informed Diffusion Policy (DIDP), a framework that integrates imitation pretraining with physics-informed test-time adaptation. First, we design a diffusion policy that learns inverse dynamics within the reduced-order space, enabling imitation learning to move beyond na\"ive data fitting and capture the underlying physical structure. Second, we propose a physics-informed test-time adaptation scheme that imposes kinematic boundary conditions and structured dynamics priors on the diffusion process, ensuring consistency and reliability in manipulation execution. Extensive experiments validate the proposed approach, demonstrating strong performance in terms of accuracy and robustness in the learned policy.
Deepfake (DF) detectors face significant challenges when deployed in real-world environments, particularly when encountering test samples deviated from training data through either postprocessing manipulations or distribution shifts. We demonstrate postprocessing techniques can completely obscure generation artifacts presented in DF samples, leading to performance degradation of DF detectors. To address these challenges, we propose Think Twice before Adaptation (\texttt{T$^2$A}), a novel online test-time adaptation method that enhances the adaptability of detectors during inference without requiring access to source training data or labels. Our key idea is to enable the model to explore alternative options through an Uncertainty-aware Negative Learning objective rather than solely relying on its initial predictions as commonly seen in entropy minimization (EM)-based approaches. We also introduce an Uncertain Sample Prioritization strategy and Gradients Masking technique to improve the adaptation by focusing on important samples and model parameters. Our theoretical analysis demonstrates that the proposed negative learning objective exhibits complementary behavior to EM, facilitating better adaptation capability. Empirically, our method achieves state-of-the-art results compared to existing test-time adaptation (TTA) approaches and significantly enhances the resilience and generalization of DF detectors during inference. Code is available \href{https://github.com/HongHanh2104/T2A-Think-Twice-Before-Adaptation}{here}.