Shujian Gao

Zhongying Deng, Cheng Tang, Ziyan Huang et al. · pku

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

Junzhi Ning, Wei Li, Cheng Tang et al.

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Ming Hu, Chenglong Ma, Wei Li et al. · pku

Scientific Large Language Models (Sci-LLMs) are transforming how knowledge is represented, integrated, and applied in scientific research, yet their progress is shaped by the complex nature of scientific data. This survey presents a comprehensive, data-centric synthesis that reframes the development of Sci-LLMs as a co-evolution between models and their underlying data substrate. We formulate a unified taxonomy of scientific data and a hierarchical model of scientific knowledge, emphasizing the multimodal, cross-scale, and domain-specific challenges that differentiate scientific corpora from general natural language processing datasets. We systematically review recent Sci-LLMs, from general-purpose foundations to specialized models across diverse scientific disciplines, alongside an extensive analysis of over 270 pre-/post-training datasets, showing why Sci-LLMs pose distinct demands -- heterogeneous, multi-scale, uncertainty-laden corpora that require representations preserving domain invariance and enabling cross-modal reasoning. On evaluation, we examine over 190 benchmark datasets and trace a shift from static exams toward process- and discovery-oriented assessments with advanced evaluation protocols. These data-centric analyses highlight persistent issues in scientific data development and discuss emerging solutions involving semi-automated annotation pipelines and expert validation. Finally, we outline a paradigm shift toward closed-loop systems where autonomous agents based on Sci-LLMs actively experiment, validate, and contribute to a living, evolving knowledge base. Collectively, this work provides a roadmap for building trustworthy, continually evolving artificial intelligence (AI) systems that function as a true partner in accelerating scientific discovery.

Jiyao Liu, Jinjie Wei, Wanying Qu et al.

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

Shujian Gao, Yuan Wang, Zekuan Yu

Semi-supervised medical image segmentation (SSMIS) seeks to match fully supervised performance while sharply reducing annotation cost. Mainstream SSMIS methods rely on \emph{label-space consistency}, yet they overlook the equally critical \emph{representation-space alignment}. Without harmonizing latent features, models struggle to learn representations that are both discriminative and spatially coherent. To this end, we introduce \textbf{Bilateral Alignment in Representation and Label spaces (BARL)}, a unified framework that couples two collaborative branches and enforces alignment in both spaces. For label-space alignment, inspired by co-training and multi-scale decoding, we devise \textbf{Dual-Path Regularization (DPR)} and \textbf{Progressively Cognitive Bias Correction (PCBC)} to impose fine-grained cross-branch consistency while mitigating error accumulation from coarse to fine scales. For representation-space alignment, we conduct region-level and lesion-instance matching between branches, explicitly capturing the fragmented, complex pathological patterns common in medical imagery. Extensive experiments on four public benchmarks and a proprietary CBCT dataset demonstrate that BARL consistently surpasses state-of-the-art SSMIS methods. Ablative studies further validate the contribution of each component. Code will be released soon.

Mengwen Ye, Yingzi Huangfu, Shujian Gao et al.

Federated Learning (FL) emerged as a solution for collaborative medical image classification while preserving data privacy. However, label noise, which arises from inter-institutional data variability, can cause training instability and degrade model performance. Existing FL methods struggle with noise heterogeneity and the imbalance in medical data. Motivated by these challenges, we propose FedGSCA, a novel framework for enhancing robustness in noisy medical FL. FedGSCA introduces a Global Sample Selector that aggregates noise knowledge from all clients, effectively addressing noise heterogeneity and improving global model stability. Furthermore, we develop a Client Adaptive Adjustment (CAA) mechanism that combines adaptive threshold pseudo-label generation and Robust Credal Labeling Loss. CAA dynamically adjusts to class distributions, ensuring the inclusion of minority samples and carefully managing noisy labels by considering multiple plausible labels. This dual approach mitigates the impact of noisy data and prevents overfitting during local training, which improves the generalizability of the model. We evaluate FedGSCA on one real-world colon slides dataset and two synthetic medical datasets under various noise conditions, including symmetric, asymmetric, extreme, and heterogeneous types. The results show that FedGSCA outperforms the state-of-the-art methods, excelling in extreme and heterogeneous noise scenarios. Moreover, FedGSCA demonstrates significant advantages in improving model stability and handling complex noise, making it well-suited for real-world medical federated learning scenarios.