Demonstration of an Adversarial Attack Against a Multimodal Vision Language Model for Pathology Imaging

Abstract: In the context of medical artificial intelligence, this study explores the vulnerabilities of the Pathology Language-Image Pretraining (PLIP) model, a Vision Language Foundation model, under targeted attacks. Leveraging the Kather Colon dataset with 7,180 H&E images across nine tissue types, our investigation employs Projected Gradient Descent (PGD) adversarial perturbation attacks to induce misclassifications intentionally. The outcomes reveal a 100% success rate in manipulating PLIP's predictions, underscoring its susceptibility to adversarial perturbations. The qualitative analysis of adversarial examples delves into the interpretability challenges, shedding light on nuanced changes in predictions induced by adversarial manipulations. These findings contribute crucial insights into the interpretability, domain adaptation, and trustworthiness of Vision LLMs in medical imaging. The study emphasizes the pressing need for robust defenses to ensure the reliability of AI models. The source codes for this experiment can be found at https://github.com/jaiprakash1824/VLM_Adv_Attack.