Entropy minimization (EM) is the dominant objective for test-time adaptation, yet its failure mode, model collapse, remains poorly understood. In this work, we show that distribution shifts can cause feature clusters corresponding to distinct classes in the model's representation space to merge, while the decision boundary remains fixed. This induces a systematic skew in the predicted class distribution, referred to as prediction bias. Prediction bias refers to a shift in the predicted class distribution, with some classes overrepresented and others suppressed. We show that entropy minimization amplifies this prediction bias by tightening the existing clusters, reinforcing the incorrect groupings until all predictions collapse to a trivial solution. Next, to demonstrate the significance of prediction bias and mitigate it, we further propose Distribution Shift Bias Reduction (DSBR), a bias-correcting objective that specifically targets this failure mode by equalizing the contribution of each predicted class to the unsupervised entropy minimization loss. To study this failure mode, we design suitable adaptation settings using four medical-imaging datasets and additionally evaluate on ImageNet-C. We find that DSBR consistently stabilizes test-time adaptation, prevents model collapse, and matches or outperforms state-of-the-art methods. Moreover, DSBR operates solely at test-time.
We propose a unified framework for addressing three key challenges of distribution shift: (1) estimating a model's performance on an unlabeled target domain, (2) explaining the shift by identifying the features responsible, and (3) improving the target domain performance. Our method, Entropic Projection Alignment (EPA), aligns the source distribution to the target by matching carefully selected moments while simultaneously minimising the KL divergence from the source. This formulation yields a unique closed-form solution for importance weights, achieving robustness through implicit variance control. Drawing on domain adaptation theory, we establish that moment matching is sufficient for reliable estimation and adaptation, avoiding the need for full density ratio recovery. Extensive experiments, together with strong theoretical guarantees, demonstrate that EPA consistently outperforms state-of-the-art baselines while offering substantial computational efficiency.
Test-time adaptation (TTA) aims to mitigate distribution shifts by adapting models with unlabeled target data at inference time. While TTA with vision-language models (VLMs) has shown promising results in classification, extending it to medical image segmentation remains challenging. In this setting, the adaptation gains from optimizing on VLM-generated predictions are often outweighed by the degradation to the VLM's strong pretrained features caused by noisy, update-driven learning, resulting in limited and unstable improvements. We therefore propose Memory-Supported Synergistic Adaptation (MSSA), a novel training-free TTA framework for medical image segmentation. Without updating model parameters, MSSA dynamically selects reliable image-text predictions to construct an online memory, uses them as text-guided semantic priors, and couples them with cross-image structural alignment for robust adaptation. Specifically, MSSA consists of (i) a noise-aware memory construction module that filters and stabilizes cross-modal predictions, and (ii) a relevance-driven prototype alignment module that aligns the target sample with structurally consistent memory samples and their reliable predictions to improve adaptation. Extensive experiments on multiple medical segmentation benchmarks demonstrate that MSSA consistently improves VLM-based segmentation models and outperforms existing fine-tuning-based TTA methods by a clear margin, with gains of up to 12.2% DSC and 11.7% mIoU. Project page: https://lingrayy.github.io/MSSA/ .
Conventional test-time adaptation (TTA) approaches typically adapt the model using only a small fraction of test samples, often those with low-entropy predictions, thereby failing to fully leverage the available information in the test distribution. This paper introduces DualTTA, a novel framework that improves performance under distribution shifts by utilizing a larger and more diverse set of test samples. DualTTA identifies two distinct groups: one where the model's predictions are likely consistent with the underlying semantics, and another where predictions are likely incorrect. For the first group, it minimizes prediction entropy to reinforce reliable decisions; for the second, it maximizes entropy to suppress overconfident errors and unlearn spurious behavior. These groups are adaptively selected using a new reliability criterion that measures prediction stability under both semantic-preserving and semantic-altering transformations, addressing the limitations of purely entropy-based selection. We further provide theoretical analysis and empirical justification showing that our approach enables a tighter separation between reliable and unreliable samples, in the context of their suitability for adaptation, leading to provably more effective model updates.
Nam Nguyen Phuong, Duc Nguyen The Minh, Phi Le Nguyen +2