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A dermatology agent's tool and reasoning channels shared one fault, and hard-label comparison caught less than half of it

AspireAI community · arXiv
Vision-language agents that expose intermediate tool output for inspection are often assumed safer than single-shot models, but that only holds if the channels are independent. This paper tests the assumption where the sensor reading itself is untrusted, so the tool and reasoning channels share a common visual fault. On a dermatology agent built from segmentation, contrastive retrieval and an iterative vision-language reasoner, the authors define a coupling taxonomy separating single-channel errors from joint errors that agree or disagree. Typographic injection produced detectable directional retrieval capture while physical corruption did not. Crop-first retrieval preserved the payload at a readable scale and produced 55 percent joint wrong agreement across all cases, 71 percent of faulty cases, versus 35 percent and 43 percent for full-image retrieval. Under a binary decision, if both channels are wrong their predictions must agree, so hard-label channel comparison cannot detect joint failures at all: disagreement recall was limited to 0.29 for crop-first versus 0.57 for full-image. The limitation is the domain, PAD-UFES-20 plus an independent HIBA test set, which is dermatology specifically.
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