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Enterprise AI Analysis: Hammering the Diagnosis: Rowhammer-Induced Stealthy Trojan Attacks on ViT-Based Medical Imaging

Enterprise AI Analysis

Hammering the Diagnosis: Rowhammer-Induced Stealthy Trojan Attacks on ViT-Based Medical Imaging

Author(s): Banafsheh Saber Latibari, Najmeh Nazari, Hossein Sayadi, Houman Homayoun, Abhijit Mahalanobis

This paper introduces Med-Hammer, a novel threat model that combines Rowhammer-based hardware fault injection with neural Trojan attacks to compromise ViT-Based medical imaging systems. It demonstrates how malicious bit flips can trigger implanted neural Trojans, leading to targeted misclassification or suppression of critical diagnoses. Experiments show high attack success rates (82.51% on MobileViT, 92.56% on Swin Transformer) while remaining stealthy. The findings highlight vulnerabilities in architectural properties and the urgent need for robust defenses spanning both model architectures and hardware platforms.

Executive Impact

Key metrics and insights from the research, highlighting critical performance, security, and efficiency implications for enterprise AI systems.

0 MobileViT Attack Success Rate
0 Swin Transformer Attack Success Rate
0 Model Pre-training/Fine-tuning
0 Strategic Bit Flips

Deep Analysis & Enterprise Applications

Select a topic to dive deeper, then explore the specific findings from the research, rebuilt as interactive, enterprise-focused modules.

Stealthy Trojan Activation

Med-Hammer enables the implantation of neural Trojans through hardware-level bit flips in memory, achieving targeted misclassification (e.g., suppressing tumor detection) without altering input scans. This stealthiness bypasses conventional defenses.

82.51% Average Attack Success Rate

Enterprise Process Flow

Clean Model Acquisition
Target Parameter Identification
Rowhammer-Based Bit Flips
Trojan Activation & Execution

Architectural Vulnerability Across Models

Different Vision Transformer architectures exhibit varying robustness to Med-Hammer. While MobileViT and DeiT-S show significant accuracy drops, Swin-Transformer Tiny demonstrates remarkable resilience, preserving accuracy even under bit-flip attacks.

Model Clean Acc Bit-flip Acc Bit-flip + Trigger Acc
MobileViT 91.73% 86.83% 82.51%
ResNet18 91.67% 63.55% 65.97%
DeiT_S 91.28% 10.31% 4.2%
Swin-Transformer_Tiny 91.35% 90.97% 92.56%

Bit-Flip Impact: Criticality of Exponent Bits

Even a small number of bit flips can cause disproportionately large performance drops if they affect critical exponent bits. For instance, flipping 10 bits in exponent fields led to a sharp accuracy drop to 27.48%, whereas 5 bits in mantissa resulted in 89.44% accuracy. This highlights the asymmetric impact of perturbations.

Key Takeaway: The location of bit flips (e.g., exponent vs. mantissa) is more critical than the number of bit flips in determining impact on model accuracy.

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