Histopath-C: Towards Realistic Domain Shifts for Histopathology Vision-Language Adaptation

Medical Vision-language models (VLMs) have shown remarkable performances in various medical imaging domains such as histo\-pathology by leveraging pre-trained, contrastive models that exploit visual and textual information. However, histopathology images may exhibit severe domain shifts, such as staining, contamination, blurring, and noise, which may severely degrade the VLM's downstream performance. In this work, we introduce Histopath-C, a new benchmark with realistic synthetic corruptions designed to mimic real-world distribution shifts observed in digital histopathology. Our framework dynamically applies corruptions to any available dataset and evaluates Test-Time Adaptation (TTA) mechanisms on the fly. We then propose LATTE, a transductive, low-rank adaptation strategy that exploits multiple text templates, mitigating the sensitivity of histopathology VLMs to diverse text inputs. Our approach outperforms state-of-the-art TTA methods originally designed for natural images across a breadth of histopathology datasets, demonstrating the effectiveness of our proposed design for robust adaptation in histopathology images. Code and data are available at https://github.com/Mehrdad-Noori/Histopath-C.

Class Adaptive Conformal Training

Deep neural networks have achieved remarkable success across a variety of tasks, yet they often suffer from unreliable probability estimates. As a result, they can be overconfident in their predictions. Conformal Prediction (CP) offers a principled framework for uncertainty quantification, yielding prediction sets with rigorous coverage guarantees. Existing conformal training methods optimize for overall set size, but shaping the prediction sets in a class-conditional manner is not straightforward and typically requires prior knowledge of the data distribution. In this work, we introduce Class Adaptive Conformal Training (CaCT), which formulates conformal training as an augmented Lagrangian optimization problem that adaptively learns to shape prediction sets class-conditionally without making any distributional assumptions. Experiments on multiple benchmark datasets, including standard and long-tailed image recognition as well as text classification, demonstrate that CaCT consistently outperforms prior conformal training methods, producing significantly smaller and more informative prediction sets while maintaining the desired coverage guarantees.

SoC: Semantic Orthogonal Calibration for Test-Time Prompt Tuning

With the increasing adoption of vision-language models (VLMs) in critical decision-making systems such as healthcare or autonomous driving, the calibration of their uncertainty estimates becomes paramount. Yet, this dimension has been largely underexplored in the VLM test-time prompt-tuning (TPT) literature, which has predominantly focused on improving their discriminative performance. Recent state-of-the-art advocates for enforcing full orthogonality over pairs of text prompt embeddings to enhance separability, and therefore calibration. Nevertheless, as we theoretically show in this work, the inherent gradients from fully orthogonal constraints will strongly push semantically related classes away, ultimately making the model overconfident. Based on our findings, we propose Semantic Orthogonal Calibration (SoC), a Huber-based regularizer that enforces smooth prototype separation while preserving semantic proximity, thereby improving calibration compared to prior orthogonality-based approaches. Across a comprehensive empirical validation, we demonstrate that SoC consistently improves calibration performance, while also maintaining competitive discriminative capabilities.

ViLU: Learning Vision-Language Uncertainties for Failure Prediction

Reliable Uncertainty Quantification (UQ) and failure prediction remain open challenges for Vision-Language Models (VLMs). We introduce ViLU, a new Vision-Language Uncertainty quantification framework that contextualizes uncertainty estimates by leveraging all task-relevant textual representations. ViLU constructs an uncertainty-aware multi-modal representation by integrating the visual embedding, the predicted textual embedding, and an image-conditioned textual representation via cross-attention. Unlike traditional UQ methods based on loss prediction, ViLU trains an uncertainty predictor as a binary classifier to distinguish correct from incorrect predictions using a weighted binary cross-entropy loss, making it loss-agnostic. In particular, our proposed approach is well-suited for post-hoc settings, where only vision and text embeddings are available without direct access to the model itself. Extensive experiments on diverse datasets show the significant gains of our method compared to state-of-the-art failure prediction methods. We apply our method to standard classification datasets, such as ImageNet-1k, as well as large-scale image-caption datasets like CC12M and LAION-400M. Ablation studies highlight the critical role of our architecture and training in achieving effective uncertainty quantification. Our code is publicly available and can be found here: https://github.com/ykrmm/ViLU.

Full Conformal Adaptation of Medical Vision-Language Models

Vision-language models (VLMs) pre-trained at large scale have shown unprecedented transferability capabilities and are being progressively integrated into medical image analysis. Although its discriminative potential has been widely explored, its reliability aspect remains overlooked. This work investigates their behavior under the increasingly popular split conformal prediction (SCP) framework, which theoretically guarantees a given error level on output sets by leveraging a labeled calibration set. However, the zero-shot performance of VLMs is inherently limited, and common practice involves few-shot transfer learning pipelines, which cannot absorb the rigid exchangeability assumptions of SCP. To alleviate this issue, we propose full conformal adaptation, a novel setting for jointly adapting and conformalizing pre-trained foundation models, which operates transductively over each test data point using a few-shot adaptation set. Moreover, we complement this framework with SS-Text, a novel training-free linear probe solver for VLMs that alleviates the computational cost of such a transductive approach. We provide comprehensive experiments using 3 different modality-specialized medical VLMs and 9 adaptation tasks. Our framework requires exactly the same data as SCP, and provides consistent relative improvements of up to 27% on set efficiency while maintaining the same coverage guarantees.

Vocabulary-free few-shot learning for Vision-Language Models

Recent advances in few-shot adaptation for Vision-Language Models (VLMs) have greatly expanded their ability to generalize across tasks using only a few labeled examples. However, existing approaches primarily build upon the strong zero-shot priors of these models by leveraging carefully designed, task-specific prompts. This dependence on predefined class names can restrict their applicability, especially in scenarios where exact class names are unavailable or difficult to specify. To address this limitation, we introduce vocabulary-free few-shot learning for VLMs, a setting where target class instances - that is, images - are available but their corresponding names are not. We propose Similarity Mapping (SiM), a simple yet effective baseline that classifies target instances solely based on similarity scores with a set of generic prompts (textual or visual), eliminating the need for carefully handcrafted prompts. Although conceptually straightforward, SiM demonstrates strong performance, operates with high computational efficiency (learning the mapping typically takes less than one second), and provides interpretability by linking target classes to generic prompts. We believe that our approach could serve as an important baseline for future research in vocabulary-free few-shot learning. Code is available at https://github.com/MaxZanella/vocabulary-free-FSL.

Conformal Prediction for Zero-Shot Models

Vision-language models pre-trained at large scale have shown unprecedented adaptability and generalization to downstream tasks. Although its discriminative potential has been widely explored, its reliability and uncertainty are still overlooked. In this work, we investigate the capabilities of CLIP models under the split conformal prediction paradigm, which provides theoretical guarantees to black-box models based on a small, labeled calibration set. In contrast to the main body of literature on conformal predictors in vision classifiers, foundation models exhibit a particular characteristic: they are pre-trained on a one-time basis on an inaccessible source domain, different from the transferred task. This domain drift negatively affects the efficiency of the conformal sets and poses additional challenges. To alleviate this issue, we propose Conf-OT, a transfer learning setting that operates transductive over the combined calibration and query sets. Solving an optimal transport problem, the proposed method bridges the domain gap between pre-training and adaptation without requiring additional data splits but still maintaining coverage guarantees. We comprehensively explore this conformal prediction strategy on a broad span of 15 datasets and three non-conformity scores. Conf-OT provides consistent relative improvements of up to 20% on set efficiency while being 15 times faster than popular transductive approaches.

Test-Time Adaptation of Vision-Language Models for Open-Vocabulary Semantic Segmentation

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.

Recovering Fairness Directly from Modularity: a New Way for Fair Community Partitioning

Community partitioning is crucial in network analysis, with modularity optimization being the prevailing technique. However, traditional modularity-based methods often overlook fairness, a critical aspect in real-world applications. To address this, we introduce protected group networks and propose a novel fairness-modularity metric. This metric extends traditional modularity by explicitly incorporating fairness, and we prove that minimizing it yields naturally fair partitions for protected groups while maintaining theoretical soundness. We develop a general optimization framework for fairness partitioning and design the efficient Fair Fast Newman (FairFN) algorithm, enhancing the Fast Newman (FN) method to optimize both modularity and fairness. Experiments show FairFN achieves significantly improved fairness and high-quality partitions compared to state-of-the-art methods, especially on unbalanced datasets.

SMART-PC: Skeletal Model Adaptation for Robust Test-Time Training in Point Clouds

Test-Time Training (TTT) has emerged as a promising solution to address distribution shifts in 3D point cloud classification. However, existing methods often rely on computationally expensive backpropagation during adaptation, limiting their applicability in real-world, time-sensitive scenarios. In this paper, we introduce SMART-PC, a skeleton-based framework that enhances resilience to corruptions by leveraging the geometric structure of 3D point clouds. During pre-training, our method predicts skeletal representations, enabling the model to extract robust and meaningful geometric features that are less sensitive to corruptions, thereby improving adaptability to test-time distribution shifts. Unlike prior approaches, SMART-PC achieves real-time adaptation by eliminating backpropagation and updating only BatchNorm statistics, resulting in a lightweight and efficient framework capable of achieving high frame-per-second rates while maintaining superior classification performance. Extensive experiments on benchmark datasets, including ModelNet40-C, ShapeNet-C, and ScanObjectNN-C, demonstrate that SMART-PC achieves state-of-the-art results, outperforming existing methods such as MATE in terms of both accuracy and computational efficiency. The implementation is available at: https://github.com/AliBahri94/SMART-PC.