The paper introduces MIFR, a modality‑invariant and fair representation framework for skin disease classification that jointly processes clinical photographs and dermoscopic images using ViT‑based encoders. It employs a five‑component multi‑objective loss to balance classification accuracy, fairness across skin tones, class alignment, and modality invariance. Experiments on paired and external datasets demonstrate competitive predictive performance and fairness, with t‑SNE visualizations confirming alignment of embeddings from different modalities.
Skin diseases represent a major global public health burden, yet machine learning tools developed to assist in their diagnosis suffer from two critical limitations: reliance on only one modality for d...
The paper evaluates how well generalist and dermatology-specific machine learning models perform on diverse skin lesion datasets, including dermoscopic images and smartphone photographs. It benchmarks a range of architectures—general-purpose vision-language models, foundation models, and task-specific dermatology classifiers—under conditions of distribution shift, modality change, and demographic variability. The study quantifies the performance gap between current state‑of‑the‑art models and the robustness needed for safe, equitable clinical deployment.
arXiv:2609.36400v1 Announce Type: cross Abstract: Deep learning classifiers for dermoscopic skin lesions often reach high in-distribution accuracy while quietly relying on spurious background cues su...
The study examines why dermatology AI models, largely trained on light‑skinned, cancer‑focused images, perform poorly when applied to diverse patient populations. By comparing a cancer‑trained baseline, two dermatology foundation models, and a general‑purpose vision model on tone‑stratified and disease‑shifted datasets, the authors find that disease‑distribution shift, rather than skin‑tone underrepresentation, is the primary cause of generalization failure. Representation analysis shows that cancer‑specialized features lack transferable structure, while dermatology‑pretrained features maintain stronger clustering, and lightweight adaptation with about ten labeled examples per category can recover most performance.
Accurate dermatological diagnosis naturally necessitates equitable performance across diverse populations, yet a systematic lack of expertly annotated images, especially for underrepresented skin tones and rare diseases, impedes progress toward measurably fair methods. We introduce cgDDI (Controllable Generation of Diverse Dermatological Imagery), a hybrid framework that (1) synthesizes realistic healthy skin samples without disturbing other input properties, (2) maps single-sample rare lesions onto novel skin-tones and locations non-parametrically, and (3) allows for efficient parametric generation with as few as 10 training samples.
arXiv:2606.22892v2 Announce Type: replace-cross Abstract: The clinical diagnosis of skin diseases is susceptible to interference from inter-class similarity of skin lesions, and over-reliance on clin...
arXiv:2606. 26712v1 Announce Type: cross Abstract: Skin lesion segmentation is a key task in computer-aided dermatological diagnosis, where accuracy directly impacts downstream analysis and disease classification.
arXiv:2609.38560v1 Announce Type: new Abstract: Mycosis fungoides (MF) is a rare form of cutaneous T-cell lymphoma that is often misdiagnosed in early stages due to its visual similarity to benign in...
The paper introduces an Early Intervention (EI) framework for multimodal medical image classification that addresses two key challenges: limited exploitation of complementary multimodal information and scarcity of labeled data for Vision Foundation Models (VFMs). EI treats one modality as the target and uses high‑level semantic tokens from other modalities as intervention tokens to guide the target’s embedding early in the process. The authors also propose Mixture of varied‑rank LoRAs (MoR) for efficient VFM adaptation, and demonstrate the method’s effectiveness on retinal, skin, and knee medical image datasets.
arXiv:2610.08086v1 Announce Type: new Abstract: The clinical integration of AI systems in digital dermatology relies heavily on human trust. Clinically interpretable visual concepts can act as interm...
CG-HAF is a global‑local fusion framework for ordinal acne severity grading that explicitly combines holistic facial severity probabilities with structured lesion‑burden descriptors such as lesion count, detection confidence, and lesion area. The model uses a lightweight, interpretable classifier to produce the final grade, achieving statistically significant improvements over global‑evidence‑only baselines, especially for severe cases. Cross‑dataset testing reveals that strong performance within a dataset does not automatically transfer, largely due to mismatched grading criteria rather than detection failures.
MDSkin-Net is a multi‑task skin lesion analysis framework that integrates Pattern Analysis priors into a hybrid CNN‑Transformer architecture. It introduces a Pattern Analysis‑Guided Attention Module (PAGAM) with improved Efficient Channel Attention, Multi‑Scale Spatial Attention, and Biased Asymmetry Attention, along with a multi‑scale spatial alignment regularization that uses segmentation masks as soft supervision. Trained only on the ISIC 2017 training split, the model achieves high segmentation and classification performance on multiple datasets, demonstrating strong zero‑shot generalization across different cohorts.