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Paper · arXiv

Gated Prototype Transfer for Zero-Support Medical Vision Language Model

Realistic few-shot adaptation of medical vision-language models (VLMs) can leave low-prevalence classes without any labeled support. The training-free SS- Text+ solver remains operational in this setting, but its zero-support prototypes receive no visual adaptation and fall back to a purely textual class prototype. We in- troduce Gated Knowledge-Guided Prototype Transfer (GProtoT), a pre-repulsion module that transfers supported-class visual residuals to missing classes using VLM similarity and an ontology-based clinical distance. A validation-free evidence gate scales transfer based on semantic relevance and residual agreement, thereby limiting unsupported extrapolation. In 50 paired rea...

AuthorsSumaiya Fazal, Rizwan Qureshi, Laleh Behjat et al.
Primary categorycs.CV
Published20 October 2026
Last updated at source20 October 2026
cs.CVcs.AI
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