Frequency Domain Adversarial Training for Robust Volumetric Medical Segmentation
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Abstract (arXiv)
It is imperative to ensure the robustness of deep learning models in critical applications such as, healthcare. While recent advances in deep learning have improved the performance of volumetric medical image segmentation models, these models cannot be deployed for real-world applications immediately due to their vulnerability to adversarial attacks. We present a 3D frequency domain adversarial attack for volumetric medical image segmentation models and demonstrate its advantages over conventional input or voxel domain attacks. Using our proposed attack, we introduce a novel frequency domain adversarial training approach for optimizing a robust model against voxel and frequency domain attacks. Moreover, we propose frequency consistency loss to regulate our frequency domain adversarial training that achieves a better tradeoff between model's performance on clean and adversarial samples. Code is publicly available at https://github.com/asif-hanif/vafa.
Key facts. Cited by 6 papers in the map (data through 13 Oct 2026). Builds on 24 of its 30 references that are in the map. First posted on arXiv 14 Jul 2023.
Builds on
24 of 30 references.
References · 24
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,656
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- 2017Adversarial Examples Are Not Easily Detected: Bypassing Ten Detection Methodscited by 545
12 more
- 2017Countering Adversarial Images using Input Transformationscited by 519
- 2018Threat of Adversarial Attacks on Deep Learning in Computer Vision: A Surveycited by 460
- 2019Differentiable Soft Quantization: Bridging Full-Precision and Low-Bit Neural Networkscited by 238
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- 2022UNETR++: Delving into Efficient and Accurate 3D Medical Image Segmentationcited by 112
- 2018Deflecting Adversarial Attacks with Pixel Deflectioncited by 71
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- 2020Volumetric Medical Image Segmentation: A 3D Deep Coarse-to-fine Framework and Its Adversarial Examplescited by 5
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Citing papers per year: 2024: 2; 2025: 2; 2026: 2.
6 papers.
- 2025On the Robustness of Medical Vision-Language Models: Are they Truly Generalizable?cited by 10
- 2024Adversarial Training: A Surveycited by 6
- 2025Beyond Single-Point Judgment: Distribution Alignment for LLM-as-a-Judgecited by 4
- 2026Lost in Volume: The CT-SpatialVQA Benchmark for Evaluating Semantic-Spatial Understanding of 3D Medical Vision-Language Modelscited by 4
- 2024On Evaluating Adversarial Robustness of Volumetric Medical Segmentation Modelscited by 2
- 2026Lights, Camera, Malfunction: When Illumination Robustness Leaves VLA Models Blind to Colorcited by 1
- 2026Lights, Camera, Malfunction: When Illumination Robustness Leaves VLA Models Blind to Color16 Jul 2026
- 2026Lost in Volume: The CT-SpatialVQA Benchmark for Evaluating Semantic-Spatial Understanding of 3D Medical Vision-Language Models9 May 2026
- 2025On the Robustness of Medical Vision-Language Models: Are they Truly Generalizable?21 May 2025
- 2025Beyond Single-Point Judgment: Distribution Alignment for LLM-as-a-Judge18 May 2025
- 2024Adversarial Training: A Survey19 Oct 2024
- 2024On Evaluating Adversarial Robustness of Volumetric Medical Segmentation Models12 Jun 2024