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Paper · arXiv

CRAFT: Causal Responsibility and Failure Tracing in Medical Vision Language Models

As vision language models are increasingly deployed in clinical diagnosis, under standing how they internally resolve competing visual and textual signals becomes a safety imperative. Existing mechanistic analyses remain confined to unimodal text and offer no explanation for why a single misleading sentence can override a correct image based diagnosis, or why a model commits to a confident answer despite insufficient visual evidence. We find that these two safety risks, arbitra tion failure where textual context overrides visual grounding and brake failure where the model commits without adequate evidence, are mediated by spatially disjoint attention head populations: arbitration heads fo...

AuthorsChunzheng Zhu, Jiaqi Zeng, Hongbo Zhao et al.
Primary categorycs.CV
Published30 September 2026
Last updated at source2 October 2026
cs.CVcs.AI
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