Siyuan Yan

Xieji Li, Siyuan Yan, Yingsheng Liu et al.

Vision-language pretraining (VLP) has emerged as a powerful paradigm in medical image analysis, enabling representation learning from large-scale image-text pairs without relying on expensive manual annotations. However, existing methods often struggle with the noise inherent in web-collected data and the complexity of unstructured long medical texts. To address these challenges, we propose a novel VLP framework integrating a Multi-Agent data GENeration (MAGEN) system and Ontology-based Multi-Aspect Knowledge-Enhanced (O-MAKE) pretraining. First, MAGEN enhances data quality by synthesizing knowledge-enriched descriptions via a foundation model-assisted captioning and retrieval-based verification pipeline. Second, O-MAKE addresses the difficulty of learning from long, unstructured texts by decomposing them into distinct knowledge aspects. This facilitates fine-grained alignment at both global and patch levels, while explicitly modeling medical concept relationships through ontology-guided mechanisms. We validate our framework in the field of dermatology, where comprehensive experiments demonstrate the effectiveness of each component. Our approach achieves state-of-the-art zero-shot performance on disease classification and cross-modal retrieval tasks across eight datasets. Our code and the augmented dataset Derm1M-AgentAug, comprising over 400k skin-image-text pairs, will be released at https://github.com/SiyuanYan1/Derm1M.

Siyuan Yan, Zhen Yu, Clare Primiero et al.

Diagnosing and treating skin diseases require advanced visual skills across domains and the ability to synthesize information from multiple imaging modalities. While current deep learning models excel at specific tasks like skin cancer diagnosis from dermoscopic images, they struggle to meet the complex, multimodal requirements of clinical practice. Here, we introduce PanDerm, a multimodal dermatology foundation model pretrained through self-supervised learning on over 2 million real-world skin disease images from 11 clinical institutions across 4 imaging modalities. We evaluated PanDerm on 28 diverse benchmarks, including skin cancer screening, risk stratification, differential diagnosis of common and rare skin conditions, lesion segmentation, longitudinal monitoring, and metastasis prediction and prognosis. PanDerm achieved state-of-the-art performance across all evaluated tasks, often outperforming existing models when using only 10% of labeled data. We conducted three reader studies to assess PanDerm's potential clinical utility. PanDerm outperformed clinicians by 10.2% in early-stage melanoma detection through longitudinal analysis, improved clinicians' skin cancer diagnostic accuracy by 11% on dermoscopy images, and enhanced non-dermatologist healthcare providers' differential diagnosis by 16.5% across 128 skin conditions on clinical photographs. These results demonstrate PanDerm's potential to improve patient care across diverse clinical scenarios and serve as a model for developing multimodal foundation models in other medical specialties, potentially accelerating the integration of AI support in healthcare. The code can be found at https://github.com/SiyuanYan1/PanDerm.

Siyuan Yan, Ming Hu, Yiwen Jiang et al.

The emergence of vision-language models has transformed medical AI, enabling unprecedented advances in diagnostic capability and clinical applications. However, progress in dermatology has lagged behind other medical domains due to the lack of standard image-text pairs. Existing dermatological datasets are limited in both scale and depth, offering only single-label annotations across a narrow range of diseases instead of rich textual descriptions, and lacking the crucial clinical context needed for real-world applications. To address these limitations, we present Derm1M, the first large-scale vision-language dataset for dermatology, comprising 1,029,761 image-text pairs. Built from diverse educational resources and structured around a standard ontology collaboratively developed by experts, Derm1M provides comprehensive coverage for over 390 skin conditions across four hierarchical levels and 130 clinical concepts with rich contextual information such as medical history, symptoms, and skin tone. To demonstrate Derm1M potential in advancing both AI research and clinical application, we pretrained a series of CLIP-like models, collectively called DermLIP, on this dataset. The DermLIP family significantly outperforms state-of-the-art foundation models on eight diverse datasets across multiple tasks, including zero-shot skin disease classification, clinical and artifacts concept identification, few-shot/full-shot learning, and cross-modal retrieval. Our dataset and code will be publicly available at https://github.com/SiyuanYan1/Derm1M upon acceptance.

Ming Hu, Peng Xia, Lin Wang et al.

Surgical scene perception via videos is critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the development of intelligent systems for surgical workflow analysis. Existing datasets face challenges such as small scale, lack of diversity in surgery and phase categories, and absence of time-localized annotations. These limitations impede action understanding and model generalization validation in complex and diverse real-world surgical scenarios. To address this gap, we introduce OphNet, a large-scale, expert-annotated video benchmark for ophthalmic surgical workflow understanding. OphNet features: 1) A diverse collection of 2,278 surgical videos spanning 66 types of cataract, glaucoma, and corneal surgeries, with detailed annotations for 102 unique surgical phases and 150 fine-grained operations. 2) Sequential and hierarchical annotations for each surgery, phase, and operation, enabling comprehensive understanding and improved interpretability. 3) Time-localized annotations, facilitating temporal localization and prediction tasks within surgical workflows. With approximately 285 hours of surgical videos, OphNet is about 20 times larger than the largest existing surgical workflow analysis benchmark. Code and dataset are available at: https://minghu0830.github.io/OphNet-benchmark/.

Dawei Li, Yan Cao, Guoliang Shi et al.

Automatic leaf segmentation, as well as identification and classification methods that built upon it, are able to provide immediate monitoring for plant growth status to guarantee the output. Although 3D plant point clouds contain abundant phenotypic features, plant leaves are usually distributed in clusters and are sometimes seriously overlapped in the canopy. Therefore, it is still a big challenge to automatically segment each individual leaf from a highly crowded plant canopy in 3D for plant phenotyping purposes. In this work, we propose an overlapping-free individual leaf segmentation method for plant point clouds using the 3D filtering and facet region growing. In order to separate leaves with different overlapping situations, we develop a new 3D joint filtering operator, which integrates a Radius-based Outlier Filter (RBOF) and a Surface Boundary Filter (SBF) to help to separate occluded leaves. By introducing the facet over-segmentation and facet-based region growing, the noise in segmentation is suppressed and labeled leaf centers can expand to their whole leaves, respectively. Our method can work on point clouds generated from three types of 3D imaging platforms, and also suitable for different kinds of plant species. In experiments, it obtains a point-level cover rate of 97% for Epipremnum aureum, 99% for Monstera deliciosa, 99% for Calathea makoyana, and 87% for Hedera nepalensis sample plants. At the leaf level, our method reaches an average Recall at 100.00%, a Precision at 99.33%, and an average F-measure at 99.66%, respectively. The proposed method can also facilitate the automatic traits estimation of each single leaf (such as the leaf area, length, and width), which has potential to become a highly effective tool for plant research and agricultural engineering.

Dawei Li, Siyuan Yan, Xin Cai et al.

Change detection is a fundamental task in computer vision. Despite significant advances have been made, most of the change detection methods fail to work well in challenging scenes due to ubiquitous noise and interferences. Nowadays, post-processing methods (e.g. MRF, and CRF) aiming to enhance the binary change detection results still fall short of the requirements on universality for distinctive scenes, applicability for different types of detection methods, accuracy, and real-time performance. Inspired by the nature of image filtering, which separates noise from pixel observations and recovers the real structure of patches, we consider utilizing image filters to enhance the detection masks. In this paper, we present an integrated filter which comprises a weighted local guided image filter and a weighted spatiotemporal tree filter. The spatiotemporal tree filter leverages the global spatiotemporal information of adjacent video frames and meanwhile the guided filter carries out local window filtering of pixels, for enhancing the coarse change detection masks. The main contributions are three: (i) the proposed filter can make full use of the information of the same object in consecutive frames to improve its current detection mask by computations on a spatiotemporal minimum spanning tree; (ii) the integrated filter possesses both advantages of local filtering and global filtering; it not only has good edge-preserving property but also can handle heavily textured and colorful foreground regions; and (iii) Unlike some popular enhancement methods (MRF, and CRF) that require either a priori background probabilities or a posteriori foreground probabilities for every pixel to improve the coarse detection masks, our method is a versatile enhancement filter that can be applied after many different types of change detection methods, and is particularly suitable for video sequences.