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首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1416ACL Anthology · ACL 2026

CURE-Med: Curriculum-Informed Reinforcement Learning for Multilingual Medical Reasoning

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

原文摘要

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.

cs.CL

Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表

首次观测 · 记录 #1ACL Anthology · ACL 2026:acl:2026.acl-long.1768ACL Anthology · ACL 2026

When Background Matters: Breaking Medical Vision Language Models by Transferable Attack

Akash Ghosh Indian Institute of Technology, Patna, Subhadip Baidya, Sriparna Saha, Xiuying Chen Mohamed bin Zayed University of Artificial Intelligence

原文摘要

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.

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