arXiv (OAI Expanded)
open access
ModaLens: Measuring Image Sensitivity in Report-Conditioned Medical VLMs
A radiology report can already answer a clinical question, so it is hard to tell whether a vision-language model also uses the image. ModaLens, a paired image-swap audit, measures how report availability changes image sensitivity: MedGemma-27B on 3,199 paired MIMIC-CXR cases from 293 patients, all 1
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