arXiv Computer Vision

Benchmarking Off-the-Shelf Multimodal AI Models Against Dermatologists on Patient-Captured Skin Images

arXiv AI
Jun 30

IMCBench: A benchmark for multimodal LLMs in Image-grounded Medical Conversations

arXiv:2606. 28556v1 Announce Type: new Abstract: Recent advances in large language models and vision-language models have enabled reasoning over multimodal data, offering opportunities for clinical applications such as decision support and triaging.

By Maria Xenochristou, Ashutosh Joshi, Korosh Vatanparvar, Mohammad Abuzar Hashemi, Prasad Kasu, Deepak Bansal, Anchal Nema, Nivedita Wadhwa, Prashams S Jain, Rebecca Abraham, Will Kimbrough, Dilek Hakkani-Tur, Wilko Schulz-Mahlendorf
arXiv AI
Sep 3

Disease Burden over Skin Tone: Decomposing the Dermatology-AI Generalization Gap

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.

By Nirajan Kunwor, Sanjaya Poudel, Quoc-Huy Trinh, Jahidul Arafat, Sunil Kumar Gaire
arXiv AI
Jul 29

Evaluating Multi-Turn Multimodal Diagnostic Reasoning on Challenging Real-World Clinical Cases

arXiv:2607. 25933v1 Announce Type: cross Abstract: Clinical diagnostic evaluation should not only assess whether models can provide correct diagnoses, but also reflect the realities of clinical practice, including progressive disclosure of multimodal information, dynamic updating of diagnostic hypotheses, and continuous refinement of clinical reasoning.

By Rui Yang, Weihao Xuan, Yi Lin, Zhuhan Bao, Jonathan Chong Kai Liew, Matthew Yu Heng Wong, Nicol\'as Lescano, Nikita R. Paripati, Emily Ling-Lin Pai, Jiarui Liu, Heli Qi, Heng-Jui Chang, Benny Kai Guo Loo, Huitao Li, Kunyu Yu, Yufan Wang, Chuan Hong, Shijian Lu, Douglas Teodoro, Naoto Yokoya, Ross Koppel, Mona Diab, Hua Xu, David W. Bates, Nan Liu, Yifan Peng
arXiv AI
5d ago

CG-HAF: An Interpretable Global-Local Lesion-Burden Fusion Framework for Ordinal Acne Severity Grading in Agentic Skincare Support

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.

By Muhammad Muhtasim Shahriar, Md. Naimur Asif Borno, Saad Aloteibi, Mohammad Ali Moni
arXiv Machine Learning
Sep 4

Beyond Blur: A Semantic Tri-view Pipeline for Teledermatology Gradability via Skin Micro-relief

The paper introduces the Semantic Tri-view Pipeline, an interpretable system that automatically screens teledermatology photographs for gradability by analyzing epidermal micro-relief across up to three smartphone views. It uses a lightweight DeepLabV3+ model to segment micro-relief fidelity and aggregates the resulting spatial masks with logistic regression, leveraging viewpoint redundancy to improve robustness. Evaluated on the SCIN dataset, the approach raises the AUC from 0.81 to 0.96 on optically clear cases, offering real‑time, privacy‑by‑design feedback to filter ungradable photo sets before clinician review.

By Robert Engel
arXiv AI
2d ago

From Compound Figures to Medical Multi-image Reasoning: Scaling Multimodal Large Language Models with Biomedical Literature

arXiv:2511.22232v2 Announce Type: replace-cross Abstract: Multimodal large language models (MLLMs) are increasingly capable in medical imaging, yet most focus on single-image settings. Clinical inter...

By Zhen Chen, Yihang Fu, Rong Zhou, Serina Applebaum, Min Kyu Kim, Aidan Gilson, Morten Lee, Salahudeen Mirza, Gabriel Madera, Mauro Giuffre, Yuanting Pan, Roy Jiang, Hyunjae Kim, Hua Xu, Qingyu Chen