SyncBreaker:Stage-Aware Multimodal Adversarial Attacks on Audio-Driven Talking Head Generation

Diffusion-based audio-driven talking-head generation enables realistic portrait animation, but also introduces risks of misuse, such as fraud and misinformation. Existing protection methods are largely limited to a single modality, and neither image-only nor audio-only attacks can effectively suppress speech-driven facial dynamics. To address this gap, we propose SyncBreaker, a stage-aware multimodal protection framework that jointly perturbs portrait and audio inputs under modality-specific perceptual constraints. Our key contributions are twofold. First, for the image stream, we introduce nullifying supervision with Multi-Interval Sampling (MIS) across diffusion stages to steer the generation toward the static reference portrait by aggregating guidance from multiple denoising intervals. Second, for the audio stream, we propose Cross-Attention Fooling (CAF), which suppresses interval-specific audio-conditioned cross-attention responses. Both streams are optimized independently and combined at inference time to enable flexible deployment. We evaluate SyncBreaker in a white-box proactive protection setting. Extensive experiments demonstrate that SyncBreaker more effectively degrades lip synchronization and facial dynamics than strong single-modality baselines, while preserving input perceptual quality and remaining robust under purification. Code: https://github.com/kitty384/SyncBreaker.

The Application of ChatGPT in Responding to Questions Related to the Boston Bowel Preparation Scale

Background: Colonoscopy, a crucial diagnostic tool in gastroenterology, depends heavily on superior bowel preparation. ChatGPT, a large language model with emergent intelligence which also exhibits potential in medical applications. This study aims to assess the accuracy and consistency of ChatGPT in using the Boston Bowel Preparation Scale (BBPS) for colonoscopy assessment. Methods: We retrospectively collected 233 colonoscopy images from 2020 to 2023. These images were evaluated using the BBPS by 3 senior endoscopists and 3 novice endoscopists. Additionally, ChatGPT also assessed these images, having been divided into three groups and undergone specific Fine-tuning. Consistency was evaluated through two rounds of testing. Results: In the initial round, ChatGPT's accuracy varied between 48.93% and 62.66%, trailing the endoscopists' accuracy of 76.68% to 77.83%. Kappa values for ChatGPT was between 0.52 and 0.53, compared to 0.75 to 0.87 for the endoscopists. Conclusion: While ChatGPT shows promise in bowel preparation scoring, it currently does not match the accuracy and consistency of experienced endoscopists. Future research should focus on in-depth Fine-tuning.