Vision-language models (VLMs), including medical specialists, are increasingly proposed for medical imaging, yet their stated confidence is rarely evaluated separately from correctness. We use brain MRI as a controlled, high-stakes testbed for a broader failure mode in frontier multimodal systems: models can appear competent while lacking reliable self-knowledge. We present an automatically graded behavioral audit and pilot study of six instruction-tuned VLMs (five general-purpose and one medical specialist) on 4,102 images (4,032 axial/coronal/sagittal MRI slices from 250 subjects plus 70 non-brain/noise controls), with labels derived from public metadata and released expert segmentation masks rather than new human annotation. Across models, answer coverage is near-complete, but verbalized-confidence calibration is poor: ECE ranges from 0.27 to 0.40, mean confidence on incorrect answers ranges from 0.82 to 0.97, and 33-46% of answered items are high-confidence errors. The most accurate model is also the most confident on its errors, while a base/specialist family contrast suggests that medical adaptation improves tumor-presence detection without improving confidence reliability. Open-ended diagnostics further show that hallucination and abstention vary separately from multiple-choice accuracy. These findings argue that medical-image VLM evaluation should report verbalized-confidence reliability, confident error, hallucination, and abstention alongside accuracy.
Amir Sabbaghziarani, Mohammadsajad Abavisani, Sergey M. Plis· 0 citations
We present FlexSplat, a feed-forward framework for novel view synthesis (NVS) from uncalibrated, object-centric multi-view image collections. A recent line of query-based methods reconstructs a compact set of 3D Gaussians by treating them as transformer queries that are refined with multi-view deformable attention; these methods, however, assume that camera poses are given. FlexSplat removes this assumption: a geometry transformer is trained jointly with the Gaussian decoder to predict per-image camera parameters and depth, which in turn ground a depth-guided Gaussian parameterization and a multi-view deformable cross-attention that aggregates evidence across all input views into a single, view-consistent set of primitives. An uncertainty-weighted depth-consistency objective lets the jointly trained geometry adapt to the reconstruction task, while the cross-view consensus formed during decoding absorbs the residual error of the estimated cameras and depth. The representation uses a compact Gaussian budget that is decoupled from the input resolution - unlike pixel-aligned methods, the primitive count does not grow with the image grid - and is not dictated by the number of views. On ShapeNet-SRN and Google Scanned Objects (GSO), FlexSplat matches or approaches posed state-of-the-art reconstructors while requiring neither camera poses nor ground-truth depth, and matches the best perceptual (LPIPS) quality among the compared methods on GSO. Our results indicate that a jointly trained geometry front-end is sufficient to bring calibration-free operation to query-based Gaussian reconstruction while staying within 0.7 dB PSNR of posed methods and matching their perceptual quality.
Amir Sabbaghziarani, Hanting Ye, Maria Gorlatova et al.· 0 citations
