Medical Visual Question Answering (Med-VQA) holds significant promise for clinical decision support, yet faces challenges due to limited annotated data and the high computational demands of existing large vision-language models. We propose MedFG-VQA, a lightweight framework that leverages a memory bank to augment DCT-based low-frequency features and employs graph-enhanced cross-attention for effective visual-textual alignment. Specifically, our approach features two key components: Frequency-Memory Fusion (FMF), which enhances low-frequency features by retrieving from a learnable memory bank built on DCT decomposition, and Graph-Aware Cross-Attention (GACA), which aligns visual-textual features via cross-attention and refines them through graph-convolutional aggregation. To address data scarcity, we construct SynMed-VQA, a large-scale synthetic dataset comprising over 2 million question-answer pairs across 9 imaging modalities and 10 major organs, generated with GPT-4o. Extensive experiments on SynMed-VQA and three other standard biomedical VQA benchmarks demonstrate that MedFG-VQA achieves competitive or superior performance compared to much larger models while maintaining significantly lower computational costs, highlighting its efficiency and potential for clinical deployment.
Frequency features and compression-invariant representation learning are widely assumed to be key to deepfake detection that survives video compression. We test this with CAFRL - block-DCT and FFT-phase streams, compression-level-conditioned band attention, and adversarial (gradient-reversal) compression invariance - and report a controlled negative. Under a pre-registered protocol with capacity- and augmentation-matched controls, a plain EfficientNet-B0 on multi-quality data beat CAFRL as specified at every compression level on the FaceForensics++ test split, by 3.66 AUC points at CRF 40 (paired, single seed). A self-audit of our own negative found four defects biased against the frequency hypothesis, and pre-specified re-tests repairing all four showed the deficit to be a recipe artifact, not an architecture failure: the baseline recipe recovered 3.96 points over the matching shipped-recipe variant. The frequency path made no detectable difference: discriminative alone (standalone validation AUC 0.91-0.98 late in training) but of no marginal value under this fusion, at two feature widths of one 4.0 M trunk, every seed-pooled interval for the intra-dataset compression contrasts including zero; on the single held-out manipulation tested, the fair variants sat below the plain backbone. The adversarial branch, as specified, added nothing and degraded its own conditioning estimator; at the fair recipe it is untested. Robustness under single-pass H.264 re-encoding came instead from data diversity: real constant-rate-factor variants beat synthetic JPEG augmentation by 7.3 points (single runs, non-overlapping intervals). The evidence is FaceForensics++-family, GAN-era and single-codec. Match controls on training recipe as well as capacity, and buy compression robustness with codec diversity before architecture.