arXiv Computer Vision

Beyond Multi-Stage Pipelines: A Label-Correlation Ensemble for Multi-Label Retinal Fundus Disease Classification

The paper evaluates three architectures for multi-label retinal disease classification on a unified 39‑target dataset. A staged gated cascade, a flat sigmoid model, and a label‑correlation transformer are compared, all sharing the same backbone and training protocol. The label‑correlation model yields the largest performance gain, and blending it with the flat model under test‑time augmentation achieves the best results across most metrics.

arXiv Machine Learning
Oct 15

Multimodal Medical Image Parsing with Task-Specific Low-Rank Adapters

The paper presents a method for adapting a single vision‑language model, Qwen3.5‑9B, to medical image parsing tasks by using task‑specific low‑rank adapters (LoRA) selected from the input question. The system employs a frozen 4‑bit backbone and customizes adapter ranks, prompts, and class rebalancing across six task families and seven imaging modalities, achieving strong performance on the FLARE 2026 Task 3 dataset and a hidden‑validation set. The authors provide code and demonstrate that task‑specific adapter configurations and image budgets improve performance across diverse medical imaging tasks.

By Taha Sabir, Alberto Montero Molina, Thinh Quang Ly, Veronika Dmitrenko, Mohammad Yaqub, Tausifa Jan Saleem
arXiv AI
Oct 27

Self-Supervised Pretraining for PHM: What Transfers, What Does Not, and What Federating It Costs

The study evaluates self‑supervised pretraining for Prognostics and Health Management (PHM) across 47 public datasets, using a compact Transformer encoder trained with masked patch prediction. Transfer performance is highly task‑dependent: it dramatically improves fault‑classification on CWRU and HSG18 but offers no reliable benefit for remaining‑useful‑life estimation on CMAPSS. The authors also compare centralized versus simulated federated pretraining, finding that centralized training generally outperforms federated training under matched budgets, and that the intrinsic SSL loss does not reliably predict downstream performance.

By Jos\'e Sanz-Dur\'an, David Sol\'is-Mart\'in
arXiv Machine Learning
Sep 10

Prevalence calibration as shortcut mitigation

Shortcut learning occurs when classifiers rely on spurious correlations instead of true diagnostic features. The authors argue that this is essentially a calibration issue: unconstrained training aligns shortcut groups with their prevalence, causing over‑confidence in one group and under‑confidence in another. They introduce two encoder‑agnostic methods—a regularizer and a post‑hoc recalibration—to equalize prevalence across shortcut groups, achieving significant performance gains on chest‑drain‑pneumothorax benchmarks with both fine‑tuned CNNs and frozen foundation‑model backbones.

By Mohamed Amine Kina, Eike Petersen
arXiv Computer Vision
Sep 3

Evaluating Fundus-Specific Foundation Models for Diabetic Macular Edema Detection

The study evaluates fundus-specific foundation models (FM) for detecting diabetic macular edema (DME) in retinal images. It compares two popular FM—RETFound and FLAIR—against a lightweight EfficientNet-B0 backbone across multiple datasets (IDRiD, MESSIDOR-2, and OCT-and-Eye-FundusImages). Results indicate that FM do not consistently outperform fine‑tuned CNNs; EfficientNet-B0 often matches or exceeds FM performance, with FLAIR being the most competitive FM.

By Franco Javier Arellano, Jos\'e Ignacio Orlando
arXiv AI
Oct 27

FOCUS: Benchmarking Retinal Model Generalization from Foundation Vision Encoders to Multimodal LLMs

The paper introduces FOCUS, a cross‑dataset benchmark for retinal fundus models that evaluates vision‑only encoders, vision‑language dual encoders, and multimodal large language models across ten public datasets. It measures ranking performance, calibration, subgroup disparities, and image‑quality robustness for tasks such as diabetic retinopathy and glaucomatous optic neuropathy. Results show no single model family dominates, with vision‑only encoders ranking highest on average, while fine‑tuning improves in‑domain performance but varies in external transfer.

By David Restrepo, Chenwei Wu, Luis Filipe Nakayama, Miguel L. Martins, Stergios Christodoulidis, Maria Vakalopoulou, Enzo Ferrante
arXiv Machine Learning
Oct 22

From Theory to Decision Rule: Calibrating the Noisy-Label Crossover for Vision-Language Model Weak Supervision Across Three Medical-Imaging Benchmarks

The study investigates when adding zero‑shot pseudo‑labels from vision‑language models (VLMs) to small expert‑labelled medical imaging datasets ceases to improve, and may even degrade, classifier performance. Across three benchmarks—PatchCamelyon, ISIC 2019, and NIH ChestX‑ray14—the crossover point occurs after roughly 20–50, 100, and 250–500 expert labels, respectively, with additional pseudo‑labels reducing macro‑AUC by up to 0.14 points. The analysis shows that the VLM’s labeling quality, rather than the student model size, limits performance, and a simple bias‑variance rule can predict the benefit of pseudo‑labels in most settings.

By Bruce Changlong Xu, Jose K. James, Alexander J. Ryu
arXiv Computer Vision
Oct 23

A Visual Grounding Benchmark for Retinal OCT with Multimodal Large Language Models

The paper introduces RetinaGroundBench, a new benchmark for visual grounding of retinal OCT images, featuring 815 B-scans annotated with 4,537 bounding boxes for 13 biomarkers across 8 diseases. It evaluates 27 multimodal large language models (MLLMs) and finds that visual grounding is largely unsolved, with the best model achieving only a macro F1 of 23.7%. The authors also present RetGrounder, an 8‑B parameter MLLM fine‑tuned for OCT, which raises grounding F1 to 33.9%, a 43% relative improvement.

By Ronald Fecso, Jos\'e Morano, Botond Fazekas, Paul Widmann-Sedlnitzky, Dorota Himel, Laetita Hinterhuber, Virginia Mares, Andreas Pollreisz, Hrvoje Bogunovi\'c