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Existing few-shot adaptation methods typically introduce additional trainable components, which can be unstable in extremely low-data regimes (e.g., 1-shot), and lack robustness on different medical data. We present TCLA, a purely training-free few-shot adaptation method for Medical VLMs, which is fast and model-agnostic. TCLA corrects inference logits based on a small set of support samples, boosting pretrained VLMs performance by improving inter-class deconfusion and reducing domain shift. Extensive experiments on nine datasets across multiple medical imaging modalities including X-ray, Ultrasound, MRI, CT, Histopathology, demonstrate that TCLA consistently improves OOD performance of Medical VLMs and, in most of","title":"TCLA: Training-Free Class-wise Logit Adaptation for Medical Vision-Language Models","url":"https://arxiv.org/abs/2607.09562","vendor":"arxiv_cs_ai"},"summary":"arXiv:2607.09562v1 Announce Type: cross \nAbstract: Medical Vision-Language Models (VLMs) exhibit strong zero-shot performance, yet their effectiveness still declines on out-of-distribution (OOD) data due to domain shifts and class bias inherited from large-scale pretraining. Existing few-shot adaptation methods typically introduce additional trainable components, which can be unstable in extremely low-data regimes (e.g., 1-shot), and lack robustness on different medical data. We present TCLA, a purely training-free few-shot adaptation method for Medical VLMs, which is fast and model-agnostic. TCLA corrects inference logits based on a small set of support samples, boosting pretrained VLMs performance by improving inter-class deconfusion and reducing domain shift. Extensive experiments on nine datasets across multiple medical imaging modalities including X-ray, Ultrasound, MRI, CT, Histopathology, demonstrate that TCLA consistently improves OOD performance of Medical VLMs and, in most of","title":"TCLA: Training-Free Class-wise Logit Adaptation for Medical Vision-Language Models","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-07-13T04:43:08Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2607.09562"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:cb2424cff5c56646ef944bc01dfe82a4b7352eb93ce42cd9126e76aa7d9e671162b43d4469302eedd8b31d02f475cf1aced6d89d1e17b9f2db982a0d847c9802","signer":"crovia.substrate","subject":{"observed_at":"2026-07-13T04:43:08Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2607.09562"},"tsa":{"authority":"crovia.substrate.bootstrap","rfc3161_token":"{\"kind\":\"crovia.bootstrap.tsa\",\"source_jsonl\":\"/opt/crovia/spider/data/news/vendor_press_v1.jsonl\",\"source_seal_merkle_root\":\"spider_vendor_press_v1\",\"upgrade_path\":\"Sessione H \\u2014 OpenTimestamps weekly anchor\"}"},"zk_mode":"clear","zk_proof":null},"ledger":{"leaf_hash":"04ad43dd443d45f4613312867dea069dc5f5bd511e62942bbd7400ef5d59230e","leaf_index":309674,"ledger_path":"/opt/crovia/substrate/axiom_ledger.jsonl"},"merkle_proof":{"hash_alg":"sha256","leaf_prefix":"0x00","node_prefix":"0x01","odd_leaf_rule":"duplicate_last","path":[{"sibling":"230d1e48a3a64e3fbd40161a13154fd8b7ec29405db7cbae4ace78cee647328a","side":"right"},{"sibling":"9e8c4330173604763fc69e202d4a8b5978bcccfaa1a1c58b79292531f73eda51","side":"left"},{"sibling":"4f267b06a4a9b4e2e255ab19e223d45dc12ad44daa542a766fe4623d51671c49","side":"right"},{"sibling":"18e8eba95c31c1de067c7b111723c3e12fd4f38b538e9b3dfc10556d5eba771b","side":"left"},{"sibling":"ade4794d173c42e632d7e185c354b26ce0b5511a29667e60a600752aa4e1b258","side":"right"},{"sibling":"817e14c6ab3a66a77efac57ff4cc63efe5efe647afce47f5aefa03dc77fc1f24","side":"left"},{"sibling":"a06f2db4ff89b8806c463205a6d957aa0950263fff991c2aa1386688c611457f","side":"right"},{"sibling":"49f7764de5dea797b32547b8437f6d371cde9fb33ac6cf784651dcfa196b149a","side":"left"},{"sibling":"6cbb0c4695e74fa8ec17dfde89fa56c1958a1d4dffbbcbe3556da4a69c699ebc","side":"left"},{"sibling":"c4bde3283be97905033d39c1097ac73b82f180de8830384fe6f9f1933f7fa4b9","side":"right"},{"sibling":"3b5f968ebea87e7be458ef7e63c6637988d27ba6d170e1f3794d385cd76ca23f","side":"right"},{"sibling":"5ed534e945b31085c140b50460415e7960b76a4b6266da67d272b853dc94b352","side":"left"},{"sibling":"91010b271bc8eb5253b3549292ef3146e1d85bc9bac7ca36e0862f1204f84e8d","side":"left"},{"sibling":"772fbc112e94d8e574379343387c65503d3cf8fb16ff89090174eccced871a41","side":"left"},{"sibling":"5d50450cae1a230f682b390c8e28ae822ec6c0c04a9bc79b0d27af97306ccccd","side":"right"},{"sibling":"d8b9143917b539c543cf4448cec00131f8b807bd8004979c54ebe09798748c66","side":"left"},{"sibling":"e9ac4b1e71d3f572751b7984e9ca00893d71628137b4634e82df02cf3db9ab68","side":"right"},{"sibling":"99ff86058e045249bf936a629308be31e4cc71328f0282c4a924f4e6718be5f0","side":"right"},{"sibling":"1cecb7f447febd025aac272837c80de218aecc6485d2395a509b2a1f1b9c746e","side":"left"}]},"schema":"crovia.axiom_proof.v1","seal":{"first_collector_run_id":"","first_receipt_hash":"","jsonl_path":"/opt/crovia/substrate/axiom_ledger.jsonl","key_id":"430895f101d38164","last_collector_run_id":"","last_receipt_hash":"","leaf_count":309862,"merkle_root":"f18a76abb66e7cb448986b6541091416ed4ebdde8124f5208a7c7c94bb4165d1","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260713T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-07-13T05:38:23Z","sig_algorithm":"ed25519","signature":"0488e3527b1d559ba55116220f91e2f6c22bb5358a135e8a9b94a65450b50511702044fa993555662ebca09f005b277f5f6ad0d044ec96a5568e9993c09ef007","signer_version":"1.1.0"},"trust_root":{"key_id":"430895f101d38164","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","signature_algorithm":"ed25519","url":"/registry/canon/TRUST_ROOT.md"},"verifier":{"spec":"/registry/canon/AXIOM_RECEIPT_v1.md","url":"/v/axm_6be8392199a89c960309d8d6945c77bef79ee9000f84e561ed1994df76bad3ba"}}