Robustness of Vision Foundation Models to Common Perturbations

Medical foundation models have achieved remarkable clinical performance, yet their robustness under real-world perturbations remains underexplored. We present a robustness benchmark comprising 40 perturbation types (12 base, 28 medical-specific) across eight imaging modalities, evaluating five VLMs (LLaVA-Med, MedGemma, MedGemma-1.5, Gemini-2.5-flash and GPT-4o-mini) on VQA, visual grounding, and captioning, alongside two segmentation models (MedSAM, SAM-Med2D) with five fine-tuning strategies. Our findings reveal: (1) Fine-tuning strategy dominates robustness, with LoRA exhibiting nearly double the degradation of full fine-tuning, while SAM-Med2D's Adapter offers favorable efficiency-robustness trade-off. (2) Medical-specific perturbations disproportionately damage segmentation, with 9 of 15 top corruptions being domain-specific. (3) LoRA-tuned visual grounding drops over 40 points, whereas zero-shot captioning remains stable (<7% drop). Zero-shot VQA shows model-dependent robustness--medical models drop under 20% while Gemini-2.5-flash drops 54%. General-purpose VLMs achieve higher VQA accuracy but fail on grounding; among medical VLMs, MedGemma demonstrates the best overall stability. These results provide deployment guidelines and underscore the necessity of domain-specific robustness evaluation for medical AI. Our code is available at: https://abnerai.github.io/MedFM-Robust.

Vision foundation models are widely used as frozen backbones across many downstream tasks, making them a single point of failure under adversarial attack. We study multi-level Floyd-Steinberg error-diffusion dithering as a lightweight, model-agnostic input transformation that disrupts adversarial perturbations while preserving semantic content. Unlike prior work, which was limited to binary dithering, grayscale CIFAR-10, and a single small model trained from scratch, we evaluate across six tasks (classification, segmentation, depth estimation, retrieval, captioning, visual question answering), two model families (DINOv2, PaliGemma), and three attacks of increasing strength (PGD, MI-FGSM, SIA), as well as an adaptive attacker using a straight-through estimator. Our results show that Floyd-Steinberg dithering at intermediate quantization levels, especially when combined with post-processing blur, exceeds or matches all tested baselines, including diffusion-based denoising, with substantially less degradation on clean inputs.

Vision models have been found to be susceptible to perturbations such as motion blur induced at runtime by a shaking camera. This impedes their deployment in critical applications since phenomena such as slightly blurred vision might lead to failures, for example an object detector missing objects. While methods such as data augmentation or Adversarial Training can improve empirical robustness, they lack formal safety guarantees, making it difficult to identify and mitigate hidden vulnerabilities. We introduce a novel Certified Training approach that leverages an efficient encoding of convolutional perturbations to train provably robust models. Our method significantly outperforms Adversarial Training, achieving, for example, over 80% robust accuracy against motion blur of reasonable intensity on CIFAR10 while maintaining comparable standard accuracy.