When Minor Edits Matter: LLM-Driven Prompt Attack for Medical VLM Robustness in Ultrasound

Ultrasound is widely used in clinical practice due to its portability, cost-effectiveness, safety, and real-time imaging capabilities. However, image acquisition and interpretation remain highly operator dependent, motivating the development of robust AI-assisted analysis methods. Vision-language models (VLMs) have recently demonstrated strong multimodal reasoning capabilities and competitive performance in medical image analysis, including ultrasound. However, emerging evidence highlights significant concerns about their trustworthiness. In particular, adversarial robustness is critical because Med-VLMs operate via natural-language instructions, rendering prompt formulation a realistic and practically exploitable point of vulnerability. Small variations (typos, shorthand, underspecified requests, or ambiguous wording) can meaningfully shift model outputs. We propose a scalable adversarial evaluation framework that leverages a large language model (LLM) to generate clinically plausible adversarial prompt variants via "humanized" rewrites and minimal edits that mimic routine clinical communication. Using ultrasound multiple-choice question answering benchmarks, we systematically assess the vulnerability of SOTA Med-VLMs to these attacks, examine how attacker LLM capacity influences attack success, analyze the relationship between attack success and model confidence, and identify consistent failure patterns across models. Our results highlight realistic robustness gaps that must be addressed for safe clinical translation. Code will be released publicly following the review process.

SimMark: A Robust Sentence-Level Similarity-Based Watermarking Algorithm for Large Language Models

The rapid proliferation of large language models (LLMs) has created an urgent need for reliable methods to detect whether a text is generated by such models. In this paper, we propose SimMark, a posthoc watermarking algorithm that makes LLMs' outputs traceable without requiring access to the model's internal logits, enabling compatibility with a wide range of LLMs, including API-only models. By leveraging the similarity of semantic sentence embeddings and rejection sampling to impose detectable statistical patterns imperceptible to humans, and employing a soft counting mechanism, SimMark achieves robustness against paraphrasing attacks. Experimental results demonstrate that SimMark sets a new benchmark for robust watermarking of LLM-generated content, surpassing prior sentence-level watermarking techniques in robustness, sampling efficiency, and applicability across diverse domains, all while preserving the text quality.

BCAmirs at SemEval-2024 Task 4: Beyond Words: A Multimodal and Multilingual Exploration of Persuasion in Memes

Memes, combining text and images, frequently use metaphors to convey persuasive messages, shaping public opinion. Motivated by this, our team engaged in SemEval-2024 Task 4, a hierarchical multi-label classification task designed to identify rhetorical and psychological persuasion techniques embedded within memes. To tackle this problem, we introduced a caption generation step to assess the modality gap and the impact of additional semantic information from images, which improved our result. Our best model utilizes GPT-4 generated captions alongside meme text to fine-tune RoBERTa as the text encoder and CLIP as the image encoder. It outperforms the baseline by a large margin in all 12 subtasks. In particular, it ranked in top-3 across all languages in Subtask 2a, and top-4 in Subtask 2b, demonstrating quantitatively strong performance. The improvement achieved by the introduced intermediate step is likely attributable to the metaphorical essence of images that challenges visual encoders. This highlights the potential for improving abstract visual semantics encoding.