Houman Homayoun

Vision Transformers (ViTs) have emerged as powerful architectures in medical image analysis, excelling in tasks such as disease detection, segmentation, and classification. However, their reliance on large, attention-driven models makes them vulnerable to hardware-level attacks. In this paper, we propose a novel threat model referred to as Med-Hammer that combines the Rowhammer hardware fault injection with neural Trojan attacks to compromise the integrity of ViT-based medical imaging systems. Specifically, we demonstrate how malicious bit flips induced via Rowhammer can trigger implanted neural Trojans, leading to targeted misclassification or suppression of critical diagnoses (e.g., tumors or lesions) in medical scans. Through extensive experiments on benchmark medical imaging datasets such as ISIC, Brain Tumor, and MedMNIST, we show that such attacks can remain stealthy while achieving high attack success rates about 82.51% and 92.56% in MobileViT and SwinTransformer, respectively. We further investigate how architectural properties, such as model sparsity, attention weight distribution, and the number of features of the layer, impact attack effectiveness. Our findings highlight a critical and underexplored intersection between hardware-level faults and deep learning security in healthcare applications, underscoring the urgent need for robust defenses spanning both model architectures and underlying hardware platforms.

Forget and Rewire (FaR) methodology has demonstrated strong resilience against Bit-Flip Attacks (BFAs) on Transformer-based models by obfuscating critical parameters through dynamic rewiring of linear layers. However, the application of FaR introduces non-negligible performance and memory overheads, primarily due to the runtime modification of activation pathways and the lack of hardware-level optimization. To overcome these limitations, we propose FaRAccel, a novel hardware accelerator architecture implemented on FPGA, specifically designed to offload and optimize FaR operations. FaRAccel integrates reconfigurable logic for dynamic activation rerouting, and lightweight storage of rewiring configurations, enabling low-latency inference with minimal energy overhead. We evaluate FaRAccel across a suite of Transformer models and demonstrate substantial reductions in FaR inference latency and improvement in energy efficiency, while maintaining the robustness gains of the original FaR methodology. To the best of our knowledge, this is the first hardware-accelerated defense against BFAs in Transformers, effectively bridging the gap between algorithmic resilience and efficient deployment on real-world AI platforms.