VQAttack: Transferable Adversarial Attacks on Visual Question Answering via Pre-trained Models

Visual Question Answering (VQA) is a fundamental task in computer vision and natural language process fields. Although the ``pre-training & finetuning'' learning paradigm significantly improves the VQA performance, the adversarial robustness of such a learning paradigm has not been explored. In this paper, we delve into a new problem: using a pre-trained multimodal source model to create adversarial image-text pairs and then transferring them to attack the target VQA models. Correspondingly, we propose a novel VQAttack model, which can iteratively generate both image and text perturbations with the designed modules: the large language model (LLM)-enhanced image attack and the cross-modal joint attack module. At each iteration, the LLM-enhanced image attack module first optimizes the latent representation-based loss to generate feature-level image perturbations. Then it incorporates an LLM to further enhance the image perturbations by optimizing the designed masked answer anti-recovery loss. The cross-modal joint attack module will be triggered at a specific iteration, which updates the image and text perturbations sequentially. Notably, the text perturbation updates are based on both the learned gradients in the word embedding space and word synonym-based substitution. Experimental results on two VQA datasets with five validated models demonstrate the effectiveness of the proposed VQAttack in the transferable attack setting, compared with state-of-the-art baselines. This work reveals a significant blind spot in the ``pre-training & fine-tuning'' paradigm on VQA tasks. Source codes will be released.

Recent Advances in Predictive Modeling with Electronic Health Records

The development of electronic health records (EHR) systems has enabled the collection of a vast amount of digitized patient data. However, utilizing EHR data for predictive modeling presents several challenges due to its unique characteristics. With the advancements in machine learning techniques, deep learning has demonstrated its superiority in various applications, including healthcare. This survey systematically reviews recent advances in deep learning-based predictive models using EHR data. Specifically, we begin by introducing the background of EHR data and providing a mathematical definition of the predictive modeling task. We then categorize and summarize predictive deep models from multiple perspectives. Furthermore, we present benchmarks and toolkits relevant to predictive modeling in healthcare. Finally, we conclude this survey by discussing open challenges and suggesting promising directions for future research.

VLAttack: Multimodal Adversarial Attacks on Vision-Language Tasks via Pre-trained Models

Vision-Language (VL) pre-trained models have shown their superiority on many multimodal tasks. However, the adversarial robustness of such models has not been fully explored. Existing approaches mainly focus on exploring the adversarial robustness under the white-box setting, which is unrealistic. In this paper, we aim to investigate a new yet practical task to craft image and text perturbations using pre-trained VL models to attack black-box fine-tuned models on different downstream tasks. Towards this end, we propose VLAttack to generate adversarial samples by fusing perturbations of images and texts from both single-modal and multimodal levels. At the single-modal level, we propose a new block-wise similarity attack (BSA) strategy to learn image perturbations for disrupting universal representations. Besides, we adopt an existing text attack strategy to generate text perturbations independent of the image-modal attack. At the multimodal level, we design a novel iterative cross-search attack (ICSA) method to update adversarial image-text pairs periodically, starting with the outputs from the single-modal level. We conduct extensive experiments to attack three widely-used VL pretrained models for six tasks on eight datasets. Experimental results show that the proposed VLAttack framework achieves the highest attack success rates on all tasks compared with state-of-the-art baselines, which reveals a significant blind spot in the deployment of pre-trained VL models. Codes will be released soon.

MedAttacker: Exploring Black-Box Adversarial Attacks on Risk Prediction Models in Healthcare

Deep neural networks (DNNs) have been broadly adopted in health risk prediction to provide healthcare diagnoses and treatments. To evaluate their robustness, existing research conducts adversarial attacks in the white/gray-box setting where model parameters are accessible. However, a more realistic black-box adversarial attack is ignored even though most real-world models are trained with private data and released as black-box services on the cloud. To fill this gap, we propose the first black-box adversarial attack method against health risk prediction models named MedAttacker to investigate their vulnerability. MedAttacker addresses the challenges brought by EHR data via two steps: hierarchical position selection which selects the attacked positions in a reinforcement learning (RL) framework and substitute selection which identifies substitute with a score-based principle. Particularly, by considering the temporal context inside EHRs, it initializes its RL position selection policy by using the contribution score of each visit and the saliency score of each code, which can be well integrated with the deterministic substitute selection process decided by the score changes. In experiments, MedAttacker consistently achieves the highest average success rate and even outperforms a recent white-box EHR adversarial attack technique in certain cases when attacking three advanced health risk prediction models in the black-box setting across multiple real-world datasets. In addition, based on the experiment results we include a discussion on defending EHR adversarial attacks.

Writing by Memorizing: Hierarchical Retrieval-based Medical Report Generation

Medical report generation is one of the most challenging tasks in medical image analysis. Although existing approaches have achieved promising results, they either require a predefined template database in order to retrieve sentences or ignore the hierarchical nature of medical report generation. To address these issues, we propose MedWriter that incorporates a novel hierarchical retrieval mechanism to automatically extract both report and sentence-level templates for clinically accurate report generation. MedWriter first employs the Visual-Language Retrieval~(VLR) module to retrieve the most relevant reports for the given images. To guarantee the logical coherence between sentences, the Language-Language Retrieval~(LLR) module is introduced to retrieve relevant sentences based on the previous generated description. At last, a language decoder fuses image features and features from retrieved reports and sentences to generate meaningful medical reports. We verified the effectiveness of our model by automatic evaluation and human evaluation on two datasets, i.e., Open-I and MIMIC-CXR.

FedSemi: An Adaptive Federated Semi-Supervised Learning Framework

Federated learning (FL) has emerged as an effective technique to co-training machine learning models without actually sharing data and leaking privacy. However, most existing FL methods focus on the supervised setting and ignore the utilization of unlabeled data. Although there are a few existing studies trying to incorporate unlabeled data into FL, they all fail to maintain performance guarantees or generalization ability in various settings. In this paper, we tackle the federated semi-supervised learning problem from the insight of data regularization and analyze the new-raised difficulties. We propose FedSemi, a novel, adaptive, and general framework, which firstly introduces the consistency regularization into FL using a teacher-student model. We further propose a new metric to measure the divergence of local model layers. Based on the divergence, FedSemi can automatically select layer-level parameters to be uploaded to the server in an adaptive manner. Through extensive experimental validation of our method in four datasets, we show that our method achieves performance gain under the IID setting and three Non-IID settings compared to state-of-the-art baselines.

A Benchmark Dataset for Understandable Medical Language Translation

In this paper, we introduce MedLane -- a new human-annotated Medical Language translation dataset, to align professional medical sentences with layperson-understandable expressions. The dataset contains 12,801 training samples, 1,015 validation samples, and 1,016 testing samples. We then evaluate one naive and six deep learning-based approaches on the MedLane dataset, including directly copying, a statistical machine translation approach Moses, four neural machine translation approaches (i.e., the proposed PMBERT-MT model, Seq2Seq and its two variants), and a modified text summarization model PointerNet. To compare the results, we utilize eleven metrics, including three new measures specifically designed for this task. Finally, we discuss the limitations of MedLane and baselines, and point out possible research directions for this task.