Cross-contextual dual-stream LoRA on BiomedCLIP plus multi-signal temporal OOD scoring detects personalized SAEs in longitudinal diabetic foot ulcer images better than unimodal baselines on one clinical trial dataset.
T-QPM: Enabling Temporal Out-Of-Distribution Detection and Domain Generalization for Vision-Language Models in Open-World
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abstract
Out-of-distribution (OOD) detection remains a critical challenge in open-world learning, where models must adapt to evolving data distributions. While recent vision-language models (VLMS) like CLIP enable multimodal OOD detection through Dual-Pattern Matching (DPM), existing methods typically suffer from two major shortcomings: (1) They rely on fixed fusion rules and assume static environments, failing under temporal drift; and (2) they lack robustness against covariate shifted inputs. In this paper, we propose a novel two-step framework to enhance OOD detection and covariate distribution shift robustness in dynamic settings. We extend the dual-pattern regime into Temporal Quadruple-Pattern Matching (T-QPM). First, by pairing OOD images with text descriptions, we introduce cross-modal consistency patterns between ID and OOD signals, refining the decision boundary through joint image-text reasoning. Second, we address temporal distribution shifts by learning lightweight fusion weights to optimally combine semantic matching and visual typicality. To ensure stability, we enforce explicit regularization based on Average Thresholded Confidence (ATC), preventing performance degradation as distributions evolve. Experiments on temporally partitioned benchmarks demonstrate that our approach significantly outperforms static baselines, offering a robust, temporally-consistent framework for multimodal OOD detection in non-stationary environments.
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Cross-Contextual Vision-Language Adaptation with LoRA for Personalized Severe Adverse Event Detection in Clinical Wound Monitoring
Cross-contextual dual-stream LoRA on BiomedCLIP plus multi-signal temporal OOD scoring detects personalized SAEs in longitudinal diabetic foot ulcer images better than unimodal baselines on one clinical trial dataset.