Recent years have seen the employment of a plethora of machine learning (ML) models in high-stakes domains, but they remain largely opaque to the practitioners who act on their predictions. While post-hoc explanation methods offer a lens into this model behavior, wielding them effectively demands expertise most domain experts lack: navigating high-dimensional outputs, selecting the best explanations, and synthesizing evidence across disparate tools. To this end, we present MEA, a multi-agent framework that removes the explanation knowledge barrier entirely: a Proposer agent selects and configures explanation tools based on the question and modality, while an Actor agent is optimized end-to-end against faithfulness, transforming the outputs into natural language explanations grounded in model behavior across tabular, text, and vision modalities. Further, we introduce diverse question types spanning feature attribution, counterfactual reasoning, and spurious feature detection, each paired with a perturbation-based faithfulness metric. We find that frontier LLMs systematically produce unfaithful explanations. By optimizing against faithfulness rewards augmented with a modality-adaptive penalty, MEA consistently outperforms post hoc explainers, agentic, and closed-source baselines across six datasets, with reward-driven optimization yielding faithfulness gains of +28% (tabular), +21% (text), and +34% (vision) over the untrained backbone. More broadly, our findings suggest that AI agents themselves can serve as a scalable, adaptable interface to ML explainability, opening a path toward natural-language explainability that generalizes beyond the fixed, single-purpose tools that have long defined the field.
Eric Onyame, Akash Ghosh Indian Institute of Technology, Patna, Subhadip Baidya, Sriparna Saha, Xiuying Chen Mohamed bin Zayed University of Artificial Intelligence, Chirag Agarwal University of Virginia, Charlottesville
While large language models (LLMs) have shown to perform well on monolingual mathematical and commonsense reasoning, they remain unreliable for multilingual medical reasoning applications, hindering their deployment in multilingual healthcare settings. We address this by first introducing CURE-Med-Bench, a high-quality multilingual medical reasoning dataset with open-ended reasoning queries with a single verifiable answer, spanning thirteen languages, including underrepresented languages such as Amharic, Yoruba, and Swahili. Building on this dataset, we propose CURE-Med, a curriculum-informed reinforcement learning framework that integrates code-switching-aware supervised fine-tuning and Group Relative Policy Optimization to jointly improve logical correctness and language stability. Across thirteen languages, our approach consistently outperforms strong baselines and scales effectively, achieving 85.21% language consistency and 54.35% logical correctness at 7B parameters and 94.96% language consistency and 70.04% logical correctness at 32B parameters. These results support reliable and equitable multilingual medical reasoning in LLMs. The code and dataset will be made publicly available upon acceptance.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Akash Ghosh Indian Institute of Technology, Patna, Subhadip Baidya, Sriparna Saha, Xiuying Chen Mohamed bin Zayed University of Artificial Intelligence
Vision–Language Models (VLMs) are increasingly used in clinical diagnostics, yet their robustness to adversarial attacks remains largely unexplored, posing serious risks. Existing medical attacks focus on secondary objectives such as model stealing or adversarial fine-tuning, while transferable attacks from natural images introduce visible distortions that clinicians can easily detect. To address this, we propose MedFocusLeak, a highly transferable black-box multimodal attack that induces incorrect yet clinically plausible diagnoses while keeping perturbations imperceptible. The method injects coordinated perturbations into non-diagnostic background regions and employs an attention-distraction mechanism to shift the model’s focus away from pathological areas. Extensive evaluations across six medical imaging modalities show that MedFocusLeak achieves state-of-the-art performance, generating misleading yet realistic diagnostic outputs across diverse VLMs. We further introduce a unified evaluation framework with novel metrics that jointly capture attack success and image fidelity, revealing a critical weakness in the reasoning capabilities of modern clinical VLMs.
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cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表