new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Jun 17

HealthQA-BR: A System-Wide Benchmark Reveals Critical Knowledge Gaps in Large Language Models

The evaluation of Large Language Models (LLMs) in healthcare has been dominated by physician-centric, English-language benchmarks, creating a dangerous illusion of competence that ignores the interprofessional nature of patient care. To provide a more holistic and realistic assessment, we introduce HealthQA-BR, the first large-scale, system-wide benchmark for Portuguese-speaking healthcare. Comprising 5,632 questions from Brazil's national licensing and residency exams, it uniquely assesses knowledge not only in medicine and its specialties but also in nursing, dentistry, psychology, social work, and other allied health professions. We conducted a rigorous zero-shot evaluation of over 20 leading LLMs. Our results reveal that while state-of-the-art models like GPT 4.1 achieve high overall accuracy (86.6%), this top-line score masks alarming, previously unmeasured deficiencies. A granular analysis shows performance plummets from near-perfect in specialties like Ophthalmology (98.7%) to barely passing in Neurosurgery (60.0%) and, most notably, Social Work (68.4%). This "spiky" knowledge profile is a systemic issue observed across all models, demonstrating that high-level scores are insufficient for safety validation. By publicly releasing HealthQA-BR and our evaluation suite, we provide a crucial tool to move beyond single-score evaluations and toward a more honest, granular audit of AI readiness for the entire healthcare team.

  • 1 authors
·
Jun 16, 2025

MM-PoisonRAG: Disrupting Multimodal RAG with Local and Global Poisoning Attacks

Multimodal large language models with Retrieval Augmented Generation (RAG) have significantly advanced tasks such as multimodal question answering by grounding responses in external text and images. This grounding improves factuality, reduces hallucination, and extends reasoning beyond parametric knowledge. However, this reliance on external knowledge poses a critical yet underexplored safety risk: knowledge poisoning attacks, where adversaries deliberately inject adversarial multimodal content into external knowledge bases to steer model toward generating incorrect or even harmful responses. To expose such vulnerabilities, we propose MM-PoisonRAG, the first framework to systematically design knowledge poisoning in multimodal RAG. We introduce two complementary attack strategies: Localized Poisoning Attack (LPA), which implants targeted multimodal misinformation to manipulate specific queries, and Globalized Poisoning Attack (GPA), which inserts a single adversarial knowledge to broadly disrupt reasoning and induce nonsensical responses across all queries. Comprehensive experiments across tasks, models, and access settings show that LPA achieves targeted manipulation with attack success rates of up to 56%, while GPA completely disrupts model generation to 0% accuracy with just a single adversarial knowledge injection. Our results reveal the fragility of multimodal RAG and highlight the urgent need for defenses against knowledge poisoning.

  • 9 authors
·
Feb 24, 2025