Daily Papers

Large pre-trained Vision-Language Models (VLMs) have become ubiquitous foundational components of other models and downstream tasks. Although powerful, our empirical results reveal that such models might not be able to identify fine-grained concepts. Specifically, the explanations of VLMs with respect to fine-grained concepts are entangled and mislocalized. To address this issue, we propose to DisEntAngle and Localize (DEAL) the concept-level explanations for VLMs without human annotations. The key idea is encouraging the concept-level explanations to be distinct while maintaining consistency with category-level explanations. We conduct extensive experiments and ablation studies on a wide range of benchmark datasets and vision-language models. Our empirical results demonstrate that the proposed method significantly improves the concept-level explanations of the model in terms of disentanglability and localizability. Surprisingly, the improved explainability alleviates the model's reliance on spurious correlations, which further benefits the prediction accuracy.

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising approximately 696,000 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological reasoning skills: presence assessment, location analysis, negation detection, differential diagnosis, and geometric reasoning. We evaluate eight state-of-the-art multimodal large language models, including MedGemma-4B-it, Qwen2.5-VL, Janus-Pro-7B, and Eagle2-9B. The best-performing model (MedGemma) achieves 83.24% overall accuracy. To bridge the gap between AI performance and clinical expertise, we conducted a comprehensive human reader study involving 3 radiology residents on 200 randomly sampled cases. Our evaluation demonstrates that MedGemma achieved superior performance (83.84% accuracy) compared to human readers (best radiology resident: 77.27%), representing a significant milestone where AI performance exceeds expert human evaluation on chest X-ray interpretation. The reader study reveals distinct performance patterns between AI models and human experts, with strong inter-reader agreement among radiologists while showing more variable agreement patterns between human readers and AI models. ReXVQA establishes a new standard for evaluating generalist radiological AI systems, offering public leaderboards, fine-grained evaluation splits, structured explanations, and category-level breakdowns. This benchmark lays the foundation for next-generation AI systems capable of mimicking expert-level clinical reasoning beyond narrow pathology classification. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXVQA

We propose CX-ToM, short for counterfactual explanations with theory-of mind, a new explainable AI (XAI) framework for explaining decisions made by a deep convolutional neural network (CNN). In contrast to the current methods in XAI that generate explanations as a single shot response, we pose explanation as an iterative communication process, i.e. dialog, between the machine and human user. More concretely, our CX-ToM framework generates sequence of explanations in a dialog by mediating the differences between the minds of machine and human user. To do this, we use Theory of Mind (ToM) which helps us in explicitly modeling human's intention, machine's mind as inferred by the human as well as human's mind as inferred by the machine. Moreover, most state-of-the-art XAI frameworks provide attention (or heat map) based explanations. In our work, we show that these attention based explanations are not sufficient for increasing human trust in the underlying CNN model. In CX-ToM, we instead use counterfactual explanations called fault-lines which we define as follows: given an input image I for which a CNN classification model M predicts class c_pred, a fault-line identifies the minimal semantic-level features (e.g., stripes on zebra, pointed ears of dog), referred to as explainable concepts, that need to be added to or deleted from I in order to alter the classification category of I by M to another specified class c_alt. We argue that, due to the iterative, conceptual and counterfactual nature of CX-ToM explanations, our framework is practical and more natural for both expert and non-expert users to understand the internal workings of complex deep learning models. Extensive quantitative and qualitative experiments verify our hypotheses, demonstrating that our CX-ToM significantly outperforms the state-of-the-art explainable AI models.

The rapid advancements in generative technology have emerged as a double-edged sword. While offering powerful tools that enhance convenience, they also pose significant social concerns. As defenders, current synthetic image detection methods often lack artifact-level textual interpretability and are overly focused on image manipulation detection, and current datasets usually suffer from outdated generators and a lack of fine-grained annotations. In this paper, we introduce SynthScars, a high-quality and diverse dataset consisting of 12,236 fully synthetic images with human-expert annotations. It features 4 distinct image content types, 3 categories of artifacts, and fine-grained annotations covering pixel-level segmentation, detailed textual explanations, and artifact category labels. Furthermore, we propose LEGION (LEarning to Ground and explain for Synthetic Image detectiON), a multimodal large language model (MLLM)-based image forgery analysis framework that integrates artifact detection, segmentation, and explanation. Building upon this capability, we further explore LEGION as a controller, integrating it into image refinement pipelines to guide the generation of higher-quality and more realistic images. Extensive experiments show that LEGION outperforms existing methods across multiple benchmarks, particularly surpassing the second-best traditional expert on SynthScars by 3.31% in mIoU and 7.75% in F1 score. Moreover, the refined images generated under its guidance exhibit stronger alignment with human preferences. The code, model, and dataset will be released.