# Building Trustworthy Multimodal AI: A Review of Fairness, Transparency, and Ethics in Vision-Language Tasks

arXiv: https://arxiv.org/abs/2504.13199 · HTML: https://mlsanity.com/paper/2504.13199/

## Key facts

- Cited by 7 papers in the map (data through 14 Oct 2026).
- Placed in VLM benchmarks and visual reasoning, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 64 of its 108 references that are in the map.
- First posted on arXiv 14 Apr 2025.

## Placed in

- Multimodal LLMs / vision-language models / [VLM benchmarks and visual reasoning](https://mlsanity.com/mllm/vlm-benchmarks-and-visual-reasoning/)

## Builds on (most cited first, 30 of 64)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [Making the V in VQA Matter: Elevating the Role of Image Understanding in Visual Question Answering](https://mlsanity.com/paper/1612.00837/) (2016)
- [VQA: Visual Question Answering](https://mlsanity.com/paper/1505.00468/) (2015)
- [Equality of Opportunity in Supervised Learning](https://mlsanity.com/paper/1610.02413/) (2016)
- [CLEVR: A Diagnostic Dataset for Compositional Language and Elementary Visual Reasoning](https://mlsanity.com/paper/1612.06890/) (2016)
- [Show, Attend and Tell: Neural Image Caption Generation with Visual Attention](https://mlsanity.com/paper/1502.03044/) (2015)
- [Bottom-Up and Top-Down Attention for Image Captioning and Visual Question Answering](https://mlsanity.com/paper/1707.07998/) (2017)
- [OK-VQA: A Visual Question Answering Benchmark Requiring External Knowledge](https://mlsanity.com/paper/1906.00067/) (2019)
- [Bias and Fairness in Large Language Models: A Survey](https://mlsanity.com/paper/2309.00770/) (2023)
- [Unified Vision-Language Pre-Training for Image Captioning and VQA](https://mlsanity.com/paper/1909.11059/) (2019)
- [A Survey on Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2402.00253/) (2024)
- [Sentiment Analysis in the Era of Large Language Models: A Reality Check](https://mlsanity.com/paper/2305.15005/) (2023)
- [Metrics for Explainable AI: Challenges and Prospects](https://mlsanity.com/paper/1812.04608/) (2018)
- [Scan2Cap: Context-aware Dense Captioning in RGB-D Scans](https://mlsanity.com/paper/2012.02206/) (2020)
- [A Comprehensive Survey of Deep Learning for Image Captioning](https://mlsanity.com/paper/1810.04020/) (2018)
- [Trustworthy AI: From Principles to Practices](https://mlsanity.com/paper/2110.01167/) (2021)
- [RUBi: Reducing Unimodal Biases in Visual Question Answering](https://mlsanity.com/paper/1906.10169/) (2019)
- [Counterfactual Samples Synthesizing for Robust Visual Question Answering](https://mlsanity.com/paper/2003.06576/) (2020)
- [Recent Advances in Deep Learning Based Dialogue Systems: A Systematic Survey](https://mlsanity.com/paper/2105.04387/) (2021)
- [Understanding and Evaluating Racial Biases in Image Captioning](https://mlsanity.com/paper/2106.08503/) (2021)
- [Ethical Challenges in Data-Driven Dialogue Systems](https://mlsanity.com/paper/1711.09050/) (2017)
- [Fairness And Bias in Artificial Intelligence: A Brief Survey of Sources, Impacts, And Mitigation Strategies](https://mlsanity.com/paper/2304.07683/) (2023)
- [FairCLIP: Harnessing Fairness in Vision-Language Learning](https://mlsanity.com/paper/2403.19949/) (2024)
- [BRAVE: Broadening the visual encoding of vision-language models](https://mlsanity.com/paper/2404.07204/) (2024)
- [Fairness in Large Language Models: A Taxonomic Survey](https://mlsanity.com/paper/2404.01349/) (2024)
- [Dense Captioning with Joint Inference and Visual Context](https://mlsanity.com/paper/1611.06949/) (2016)
- [Gender and Racial Bias in Visual Question Answering Datasets](https://mlsanity.com/paper/2205.08148/) (2022)
- [Measuring Representational Harms in Image Captioning](https://mlsanity.com/paper/2206.07173/) (2022)

## Built on by (most cited first, 7 of 7)

- [A Survey of Multimodal Hallucination Evaluation and Detection](https://mlsanity.com/paper/2507.19024/) (2025)
- [Multimodal Safety Evaluation in Generative Agent Social Simulations](https://mlsanity.com/paper/2510.07709/) (2025)
- [A Survey on Interpretability in Visual Recognition](https://mlsanity.com/paper/2507.11099/) (2025)
- [Bias Beyond Demographics: Probing Decision Boundaries in Black-Box LVLMs via Counterfactual VQA](https://mlsanity.com/paper/2508.03079/) (2025)
- [MATEX: Multi-scale Attention and Text-guided Explainability of Medical Vision-Language Models](https://mlsanity.com/paper/2601.11666/) (2026)
- ["Draw me a curator" Examining the visual stereotyping of a cultural services profession by generative AI](https://mlsanity.com/paper/2508.07132/) (2025)
- [Explainable Fall Detection for Elderly Monitoring via Temporally Stable SHAP in Skeleton-Based Human Activity Recognition](https://mlsanity.com/paper/2604.13279/) (2026)

## Abstract (arXiv)

Objective: This review explores the trustworthiness of multimodal artificial intelligence (AI) systems, specifically focusing on vision-language tasks. It addresses critical challenges related to fairness, transparency, and ethical implications in these systems, providing a comparative analysis of key tasks such as Visual Question Answering (VQA), image captioning, and visual dialogue. Background: Multimodal models, particularly vision-language models, enhance artificial intelligence (AI) capabilities by integrating visual and textual data, mimicking human learning processes. Despite significant advancements, the trustworthiness of these models remains a crucial concern, particularly as AI systems increasingly confront issues regarding fairness, transparency, and ethics. Methods: This review examines research conducted from 2017 to 2024 focusing on forenamed core vision-language tasks. It employs a comparative approach to analyze these tasks through the lens of trustworthiness, underlining fairness, explainability, and ethics. This study synthesizes findings from recent literature to identify trends, challenges, and state-of-the-art solutions. Results: Several key findings were highlighted. Transparency: Explainability of vision language tasks is important for user trust. Techniques, such as attention maps and gradient-based methods, have successfully addressed this issue. Fairness: Bias mitigation in VQA and visual dialogue systems is essential for ensuring unbiased outcomes across diverse demographic groups. Ethical Implications: Addressing biases in multilingual models and ensuring ethical data handling is critical for the responsible deployment of vision-language systems. Conclusion: This study underscores the importance of integrating fairness, transparency, and ethical considerations in developing vision-language models within a unified framework.
