arXiv AI

Co-Annotator: Expert-Distilled ViT and VLM for Visual and Documentation Guidance in Age-Related Macular Degeneration

Co-Annotator is a clinical AI system that distills expert gaze and dictation into two guidance components: a gaze‑aligned Vision Transformer that highlights fixation‑aligned areas of interest (AOIs) and an ontology‑bounded vision‑language model that pre‑fills editable biomarker summaries for retinal OCT. In controlled studies, each modality independently improved diagnostic accuracy and biomarker generation, and when combined across two academic institutions, the system increased correct diagnoses per minute by 40% and reduced comment editing time by 67% without compromising accuracy.

arXiv AI
Jun 16

EyeMVP: OCT-Informed Fundus Representation Learning via Paired CFP--OCT Pretraining

arXiv:2606. 15129v1 Announce Type: cross Abstract: Color fundus photography (CFP) is the mainstay for large-scale retinal screening, yet its diagnostic capacity is constrained by the lack of depth-resolved structural information.

By Zhuo Deng, Ruiheng Zhang, Ziheng Zhang, Weihao Gao, Yitong Li, Qian Wang, Lei Shao, Jiaoyue Dong, Zhixi Zeng, Lijian Fang, Haibo Wang, Xiaobin Lin, Tao Liu, Zhicheng Du, Zhengwei Zhang, Lin Yang, Zheng Gong, Xinyu Zhao, Zhenquan Wu, Fang Li, Zhiguang Zhou, Guoming Zhang, Sun Jing, Han Lv, Wenbin We, Lan Ma
arXiv AI
Jul 7

IRIS: An Intelligent Vision-Language System for Ocular Surface Diseases via Topic Tree and Scene-Driven VQA Generation

arXiv:2607. 04344v1 Announce Type: cross Abstract: While Large Vision-Language Models (VLMs) demonstrate remarkable generic capabilities, their clinical reasoning in specialized domains like ocular surface diseases (OSDs) is severely hindered by a paucity of high-fidelity, multimodal instruction-tuning data.

By Hao Wei, Wenjin Qi, Dasen Dai, Minqing Zhang, Wu Yuan
arXiv Machine Learning
Aug 20

Eyes on the Image: Gaze Supervised Multimodal Learning for Chest X-ray Diagnosis and Report Generation

The paper presents a two‑stage multimodal framework for chest X‑ray interpretation that incorporates radiologist gaze data from the MIMIC‑Eye dataset. Stage 1 introduces a gaze‑token classifier that fuses image patches, bounding‑box masks, transcription embeddings, and fixation maps, and a curriculum‑scheduled loss that improves accuracy and spatial alignment, yielding a 4.4% AUC gain and 13.3% F1 improvement. Stage 2 translates classifier predictions into region‑specific diagnostic sentences using confidence‑weighted keywords, an expert dictionary, and a prompted large language model, boosting clinical‑term BERTScore and ROUGE over keyword baselines.

By Tanjim Islam Riju, Shuchismita Anwar, Saman Sarker Joy, Farig Sadeque, Swakkhar Shatabda
arXiv Machine Learning
Aug 11

Disentangling Co-Occurring Retinal Pathologies with Saliency-Guided Sparse Expert Routing

arXiv:2608. 09752v1 Announce Type: cross Abstract: Retinal fundus images frequently exhibit multiple co-occurring pathologies, yet standard deep learning classifiers apply static, identical computation to every image regardless of the underlying disease distribution.

By Nagur Shareef Shaik, Jeongwoo Park, Yeong-Jin Kim, Jaeuk Jung, Hyunjung Oh, Dong Hye Ye
arXiv AI
Jul 21

Med-OPD: Improving Medical Vision-Language Models via Evidence-Aware On-Policy Distillation

arXiv:2607. 16303v1 Announce Type: cross Abstract: Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions.

By Yunhang Qian, Jiaquan Yu, Jiawei Liu, Meng Wang, Hongwei Bran Li, Xiaobin Hu
arXiv Machine Learning
Jul 24

Counterfactual Explainability Framework With CycleGAN And Counterfactual-Classifier Alignnment Score for Retinal Disease Classification

arXiv:2607. 21068v1 Announce Type: new Abstract: Automated detection of vision impairing retina-based ocular conditions from fundus images is important for early screening, timely referral and reducing dependency on specialist-only assessment, for which neural network-based deep learning (DL) models have been widely utilized.

By Kritanu Chattopadhyay, Sayanjit Singha Roy, Soumya Chatterjee
arXiv Machine Learning
Aug 31

Explainable Diabetic Retinopathy Classification Using Vision Foundation Models

The paper presents an explainable diabetic retinopathy classification framework that leverages vision foundation models—DINOv2, CLIP, and Vision Transformer—combined with various transfer learning techniques such as full fine‑tuning, linear probing, and Low‑Rank Adaptation (LoRA). Using the ODIR dataset for internal validation and the APTOS dataset for external testing, DINOv2‑LoRA achieved the best internal AUROC (0.758) while DINOv2 and ViT full fine‑tuning reached the highest external AUROC (0.920). Explainability was assessed with Grad‑CAM and HiResCAM against expert‑annotated lesion masks from IDRiD, using Dice, IoU, and Pointing Game metrics, confirming that model attention aligns with clinically relevant retinal lesions.

By Abhishek Verma, Anila Krishna, Abhishek Gajanan Bankar, Juan Miguel Lopez Alcaraz