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Clinical decision support systems require models that are not only highly accurate but also equitable and sensitive to the implications of missed diagnoses. In this study, we introduce a knowledge-guided in-context learning (ICL) framework…

Machine Learning · Computer Science 2025-07-28 Fatemeh Nazary , Yashar Deldjoo , Tommaso Di Noia , Eugenio di Sciascio

With advances in digital technology, the classification of medical images has become a crucial step for image-based clinical decision support systems. Automatic medical image classification represents a pivotal domain where the use of AI…

Computer Vision and Pattern Recognition · Computer Science 2024-09-09 Abu Adnan Sadi , Labib Chowdhury , Nusrat Jahan , Mohammad Newaz Sharif Rafi , Radeya Chowdhury , Faisal Ahamed Khan , Nabeel Mohammed

This study presents DiagCoT, a multi-stage framework that applies supervised fine-tuning to general-purpose vision-language models (VLMs) to emulate radiologists' stepwise diagnostic reasoning using only free-text reports. DiagCoT combines…

Artificial Intelligence · Computer Science 2025-09-09 Yihong Luo , Wenwu He , Zhuo-Xu Cui , Dong Liang

Multimodal Large Language Models (MLLMs) have demonstrated remarkable effectiveness in various general-domain scenarios, such as visual question answering and image captioning. Recently, researchers have increasingly focused on empowering…

Computer Vision and Pattern Recognition · Computer Science 2025-11-04 Yan Shu , Chi Liu , Robin Chen , Derek Li , Bryan Dai

One principal impediment in the successful deployment of AI-based Computer-Aided Diagnosis (CAD) systems in clinical workflows is their lack of transparent decision making. Although commonly used eXplainable AI methods provide some insight…

Artificial Intelligence · Computer Science 2022-01-05 Adriano Lucieri , Muhammad Naseer Bajwa , Stephan Alexander Braun , Muhammad Imran Malik , Andreas Dengel , Sheraz Ahmed

Objective: Algorithmic fairness is essential for equitable and trustworthy machine learning in healthcare. Most fairness tools emphasize single-axis demographic comparisons and may miss compounded disparities affecting intersectional…

Machine Learning · Computer Science 2026-04-07 Nick Souligne , Vignesh Subbian

Large language models (LLMs) are approaching expert-level performance in medical question answering (QA), demonstrating strong potential to improve public healthcare. However, underlying biases related to sensitive attributes such as sex…

Artificial Intelligence · Computer Science 2026-01-13 Ying Xiao , Jie Huang , Ruijuan He , Jing Xiao , Mohammad Reza Mousavi , Yepang Liu , Kezhi Li , Zhenpeng Chen , Jie M. Zhang

The identification of melanoma involves an integrated analysis of skin lesion images acquired using the clinical and dermoscopy modalities. Dermoscopic images provide a detailed view of the subsurface visual structures that supplement the…

Computer Vision and Pattern Recognition · Computer Science 2022-06-13 Xiaohang Fu , Lei Bi , Ashnil Kumar , Michael Fulham , Jinman Kim

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical…

Computer Vision and Pattern Recognition · Computer Science 2025-03-05 Beria Chingnabe Kalpelbe , Angel Gabriel Adaambiik , Wei Peng

While multimodal data integrating diverse imaging and clinical tabular records is crucial for accurate medical diagnosis, the arbitrary absence of specific modalities is prevalent in clinical practice, severely degrading the performance of…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Tianling Liu , Lequan Yu , Tong Han , Liang Wan

Deep learning has shown remarkable progress in medical image semantic segmentation, yet its success heavily depends on large-scale expert annotations and consistent data distributions. In practice, annotations are scarce, and images are…

Computer Vision and Pattern Recognition · Computer Science 2026-01-26 Ba-Thinh Lam , Thanh-Huy Nguyen , Hoang-Thien Nguyen , Quang-Khai Bui-Tran , Nguyen Lan Vi Vu , Phat K. Huynh , Ulas Bagci , Min Xu

The pre-trained vision-language model, exemplified by CLIP, advances zero-shot semantic segmentation by aligning visual features with class embeddings through a transformer decoder to generate semantic masks. Despite its effectiveness,…

Computer Vision and Pattern Recognition · Computer Science 2024-03-14 Zicheng Zhang , Tong Zhang , Yi Zhu , Jianzhuang Liu , Xiaodan Liang , QiXiang Ye , Wei Ke

Vision-threatening eye diseases pose a major global health burden, with timely diagnosis limited by workforce shortages and restricted access to specialized care. While multimodal large language models (MLLMs) show promise for medical image…

Medical vision-language models (VLMs) show strong performance on radiology tasks but often produce fluent yet weakly grounded conclusions due to over-reliance on a dominant modality. We introduce a context-aligned reasoning framework that…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Sumra Khan , Sagar Chhabriya , Aizan Zafar , Sheeraz Arif , Amgad Muneer , Anas Zafar , Shaina Raza , Rizwan Qureshi

Medical datasets are typically affected by issues such as missing values, class imbalance, a heterogeneous feature types, and a high number of features versus a relatively small number of samples, preventing machine learning models from…

Current AI-assisted skin image diagnosis has achieved dermatologist-level performance in classifying skin cancer, driven by rapid advancements in deep learning architectures. However, unlike traditional vision tasks, skin images in general…

Computer Vision and Pattern Recognition · Computer Science 2025-01-17 Xin Hu , Janet Wang , Jihun Hamm , Rie R Yotsu , Zhengming Ding

Medical vision-language models show strong potential for joint reasoning over medical images and clinical text, but their performance often degrades under domain shift caused by variations in imaging devices, acquisition protocols, and…

Machine Learning · Computer Science 2026-02-23 Melika Filvantorkaman , Mohsen Piri

A significant level of stigma and inequality exists in mental healthcare, especially in under-served populations. Inequalities are reflected in the data collected for scientific purposes. When not properly accounted for, machine learning…

Multimodal Large Language Models (MLLMs) are increasingly applied in Personalized Image Aesthetic Assessment (PIAA) as a scalable alternative to expert evaluations. However, their predictions may reflect subtle biases influenced by…

Computation and Language · Computer Science 2025-09-16 Kun Li , Lai-Man Po , Hongzheng Yang , Xuyuan Xu , Kangcheng Liu , Yuzhi Zhao

Semi-supervised learning addresses the issue of limited annotations in medical images effectively, but its performance is often inadequate for complex backgrounds and challenging tasks. Multi-modal fusion methods can significantly improve…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Dongdong Meng , Sheng Li , Hao Wu , Guoping Wang , Xueqing Yan