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Paper · arXiv

TCLA: Training-Free Class-wise Logit Adaptation for Medical Vision-Language Models

Medical Vision-Language Models (VLMs) exhibit strong zero-shot performance, yet their effectiveness still declines on out-of-distribution (OOD) data due to domain shifts and class bias inherited from large-scale pretraining. Existing few-shot adaptation methods typically introduce additional trainable components, which can be unstable in extremely low-data regimes (e.g., 1-shot), and lack robustness on different medical data. We present TCLA, a purely training-free few-shot adaptation method for Medical VLMs, which is fast and model-agnostic. TCLA corrects inference logits based on a small set of support samples, boosting pretrained VLMs performance by improving inter-class deconfusion an...

AuthorsTianyou Jiang, Ziyu Zhou
Primary categorycs.CV
Published10 July 2026
Last updated at source10 July 2026
cs.CVcs.AI
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