Recent progress in vision-language segmentation has significantly advanced grounded visual understanding. However, these models often exhibit hallucinations by producing segmentation masks for objects not grounded in the image content or by incorrectly labeling irrelevant regions. Existing evaluation protocols for segmentation hallucination primarily focus on label or textual hallucinations without manipulating the visual context, limiting their capacity to diagnose critical failures. In response, we introduce HalluSegBench, the first benchmark specifically designed to evaluate hallucinations in visual grounding through the lens of counterfactual visual reasoning. Our benchmark consists of a novel dataset of 1340 counterfactual instance pairs spanning 281 unique object classes, and a set of newly introduced metrics that quantify hallucination sensitivity under visually coherent scene edits. Experiments on HalluSegBench with state-of-the-art vision-language segmentation models reveal that vision-driven hallucinations are significantly more prevalent than label-driven ones, with models often persisting in false segmentation, highlighting the need for counterfactual reasoning to diagnose grounding fidelity.
Multi-modal Large Language Models (MLLMs) have demonstrated remarkable reasoning capability while lack explicit mechanisms for visual grounding and segmentation, creating a gap between cognitive reasoning and visual perception. To bridge this gap, we introduce Reasoning Segmentation via Visual Prompting (RSVP), a novel framework that unifies multi-step multimodal reasoning with grounded visual understanding. RSVP is a two-stage structuralized framework that integrates reasoning-driven localization with segmentation refinement. In the reasoning stage, RSVP employs multimodal chain-of-thought visual prompts to help MLLMs understand queries and infer targets, generating interpretable region proposals that enhance visual grounding. In segmentation stage, RSVP refines these proposals with a Vision-Language Segmentation Module (VLSM), seamlessly integrates textual and visual cues to produce precise segmentation masks. By explicitly modelling the interaction between multimodal reasoning and segmentation, RSVP introduces a new paradigm for interpretable reasoning segmentation. It exploits MLLMs' inherent localization capabilities, enabling the models to not only reason about objects but also generate structured visual representations. Our extensive experiments demonstrate that RSVP achieves state-of-the-art performance, surpasses state-of-the-art methods by up to +6.5 gIoU and +9.2 cIoU on ReasonSeg, and achieves 49.7 mAP on SegInW under zero-shot settings. These results validate RSVP as an effective and scalable framework for integrating cognitive reasoning with structured visual understanding.
Adversarial attacks have been fairly explored for computer vision and vision-language models. However, the avenue of adversarial attack for the vision language segmentation models (VLSMs) is still under-explored, especially for medical image analysis. Thus, we have investigated the robustness of VLSMs against adversarial attacks for 2D medical images with different modalities with radiology, photography, and endoscopy. The main idea of this project was to assess the robustness of the fine-tuned VLSMs specially in the medical domain setting to address the high risk scenario. First, we have fine-tuned pre-trained VLSMs for medical image segmentation with adapters. Then, we have employed adversarial attacks -- projected gradient descent (PGD) and fast gradient sign method (FGSM) -- on that fine-tuned model to determine its robustness against adversaries. We have reported models' performance decline to analyze the adversaries' impact. The results exhibit significant drops in the DSC and IoU scores after the introduction of these adversaries. Furthermore, we also explored universal perturbation but were not able to find for the medical images. \footnote{https://github.com/anjilab/secure-private-ai}
Vision-Language Models (VLMs) have shown impressive performance in vision tasks, but adapting them to new domains often requires expensive fine-tuning. Prompt tuning techniques, including textual, visual, and multimodal prompting, offer efficient alternatives by leveraging learnable prompts. However, their application to Vision-Language Segmentation Models (VLSMs) and evaluation under significant domain shifts remain unexplored. This work presents an open-source benchmarking framework, TuneVLSeg, to integrate various unimodal and multimodal prompt tuning techniques into VLSMs, making prompt tuning usable for downstream segmentation datasets with any number of classes. TuneVLSeg includes $6$ prompt tuning strategies on various prompt depths used in $2$ VLSMs totaling of $8$ different combinations. We test various prompt tuning on $8$ diverse medical datasets, including $3$ radiology datasets (breast tumor, echocardiograph, chest X-ray pathologies) and $5$ non-radiology datasets (polyp, ulcer, skin cancer), and two natural domain segmentation datasets. Our study found that textual prompt tuning struggles under significant domain shifts, from natural-domain images to medical data. Furthermore, visual prompt tuning, with fewer hyperparameters than multimodal prompt tuning, often achieves performance competitive to multimodal approaches, making it a valuable first attempt. Our work advances the understanding and applicability of different prompt-tuning techniques for robust domain-specific segmentation. The source code is available at https://github.com/naamiinepal/tunevlseg.
Foundation Vision-Language Models (VLMs) trained using large-scale open-domain images and text pairs have recently been adapted to develop Vision-Language Segmentation Models (VLSMs) that allow providing text prompts during inference to guide image segmentation. If robust and powerful VLSMs can be built for medical images, it could aid medical professionals in many clinical tasks where they must spend substantial time delineating the target structure of interest. VLSMs for medical images resort to fine-tuning base VLM or VLSM pretrained on open-domain natural image datasets due to fewer annotated medical image datasets; this fine-tuning is resource-consuming and expensive as it usually requires updating all or a significant fraction of the pretrained parameters. Recently, lightweight blocks called adapters have been proposed in VLMs that keep the pretrained model frozen and only train adapters during fine-tuning, substantially reducing the computing resources required. We introduce a novel adapter, VLSM-Adapter, that can fine-tune pretrained vision-language segmentation models using transformer encoders. Our experiments in widely used CLIP-based segmentation models show that with only 3 million trainable parameters, the VLSM-Adapter outperforms state-of-the-art and is comparable to the upper bound end-to-end fine-tuning. The source code is available at: https://github.com/naamiinepal/vlsm-adapter.
Domain generalization (DG) remains a significant challenge for perception based on deep neural networks (DNNs), where domain shifts occur due to synthetic data, lighting, weather, or location changes. Vision-language models (VLMs) marked a large step for the generalization capabilities and have been already applied to various tasks. Very recently, first approaches utilized VLMs for domain generalized segmentation and object detection and obtained strong generalization. However, all these approaches rely on complex modules, feature augmentation frameworks or additional models. Surprisingly and in contrast to that, we found that simple fine-tuning of vision-language pre-trained models yields competitive or even stronger generalization results while being extremely simple to apply. Moreover, we found that vision-language pre-training consistently provides better generalization than the previous standard of vision-only pre-training. This challenges the standard of using ImageNet-based transfer learning for domain generalization. Fully fine-tuning a vision-language pre-trained model is capable of reaching the domain generalization SOTA when training on the synthetic GTA5 dataset. Moreover, we confirm this observation for object detection on a novel synthetic-to-real benchmark. We further obtain superior generalization capabilities by reaching 77.9% mIoU on the popular Cityscapes-to-ACDC benchmark. We also found improved in-domain generalization, leading to an improved SOTA of 86.4% mIoU on the Cityscapes test set marking the first place on the leaderboard.
Denoising diffusion models enable conditional generation and density modeling of complex relationships like images and text. However, the nature of the learned relationships is opaque making it difficult to understand precisely what relationships between words and parts of an image are captured, or to predict the effect of an intervention. We illuminate the fine-grained relationships learned by diffusion models by noticing a precise relationship between diffusion and information decomposition. Exact expressions for mutual information and conditional mutual information can be written in terms of the denoising model. Furthermore, pointwise estimates can be easily estimated as well, allowing us to ask questions about the relationships between specific images and captions. Decomposing information even further to understand which variables in a high-dimensional space carry information is a long-standing problem. For diffusion models, we show that a natural non-negative decomposition of mutual information emerges, allowing us to quantify informative relationships between words and pixels in an image. We exploit these new relations to measure the compositional understanding of diffusion models, to do unsupervised localization of objects in images, and to measure effects when selectively editing images through prompt interventions.
Accurate segmentation is essential for echocardiography-based assessment of cardiovascular diseases (CVDs). However, the variability among sonographers and the inherent challenges of ultrasound images hinder precise segmentation. By leveraging the joint representation of image and text modalities, Vision-Language Segmentation Models (VLSMs) can incorporate rich contextual information, potentially aiding in accurate and explainable segmentation. However, the lack of readily available data in echocardiography hampers the training of VLSMs. In this study, we explore using synthetic datasets from Semantic Diffusion Models (SDMs) to enhance VLSMs for echocardiography segmentation. We evaluate results for two popular VLSMs (CLIPSeg and CRIS) using seven different kinds of language prompts derived from several attributes, automatically extracted from echocardiography images, segmentation masks, and their metadata. Our results show improved metrics and faster convergence when pretraining VLSMs on SDM-generated synthetic images before finetuning on real images. The code, configs, and prompts are available at https://github.com/naamiinepal/synthetic-boost.
Medical image segmentation allows quantifying target structure size and shape, aiding in disease diagnosis, prognosis, surgery planning, and comprehension.Building upon recent advancements in foundation Vision-Language Models (VLMs) from natural image-text pairs, several studies have proposed adapting them to Vision-Language Segmentation Models (VLSMs) that allow using language text as an additional input to segmentation models. Introducing auxiliary information via text with human-in-the-loop prompting during inference opens up unique opportunities, such as open vocabulary segmentation and potentially more robust segmentation models against out-of-distribution data. Although transfer learning from natural to medical images has been explored for image-only segmentation models, the joint representation of vision-language in segmentation problems remains underexplored. This study introduces the first systematic study on transferring VLSMs to 2D medical images, using carefully curated $11$ datasets encompassing diverse modalities and insightful language prompts and experiments. Our findings demonstrate that although VLSMs show competitive performance compared to image-only models for segmentation after finetuning in limited medical image datasets, not all VLSMs utilize the additional information from language prompts, with image features playing a dominant role. While VLSMs exhibit enhanced performance in handling pooled datasets with diverse modalities and show potential robustness to domain shifts compared to conventional segmentation models, our results suggest that novel approaches are required to enable VLSMs to leverage the various auxiliary information available through language prompts. The code and datasets are available at https://github.com/naamiinepal/medvlsm.