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Shuping Zhang

Publications and source records attributed to Shuping Zhang.

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Trustworthy and Fair SkinGPT-R1 for Democratizing Dermatological Reasoning across Diverse Ethnicities

The clinical translation of dermatological AI is hindered by opaque reasoning and systematic performance disparities across skin tones. Here we present SkinGPT-R1, a multimodal large language model that integrates chain-of-thought diagnostic reasoning with a fairness-aware mixture-of-experts architecture for interpretable and equitable skin disease diagnosis. Through parameter-efficient adaptation of a frozen reasoning backbone, SkinGPT-R1 generates structured diagnostic reports comprising visual findings, differential reasoning, and final diagnosis. Across seven external datasets spanning diverse pathologies and imaging conditions, SkinGPT-R1 achieves state-of-the-art accuracy on six benchmarks, including 82.50\% on a challenging 40-class long-tail classification task (+19.30\% over leading baselines). Blinded evaluation by five board-certified dermatologists on 1,000 phenotypically balanced cases yields a mean score of 3.6 out of 5, with the highest ratings in safety (3.8) and reasoning coherence (3.6), indicating that the generated rationales are clinically safe, logically grounded, and suitable for supporting diagnostic decision-making. Critically, SkinGPT-R1 mitigates algorithmic bias across the full Fitzpatrick spectrum, achieving a robust worst-group performance of 41.40\% on the Fitz17k benchmark and a five-fold relative improvement in lower-bound accuracy on the DDI dataset compared to standard multimodal baselines. These results establish a framework for trustworthy, fair, and explainable AI-assisted dermatological diagnosis.

cs.CV

Referring Camouflaged Object Detection With Multi-Context Overlapped Windows Cross-Attention

Referring camouflaged object detection (Ref-COD) aims to identify hidden objects by incorporating reference information such as images and text descriptions. Previous research has transformed reference images with salient objects into one-dimensional prompts, yielding significant results. We explore ways to enhance performance through multi-context fusion of rich salient image features and camouflaged object features. Therefore, we propose RFMNet, which utilizes features from multiple encoding stages of the reference salient images and performs interactive fusion with the camouflage features at the corresponding encoding stages. Given that the features in salient object images contain abundant object-related detail information, performing feature fusion within local areas is more beneficial for detecting camouflaged objects. Therefore, we propose an Overlapped Windows Cross-attention mechanism to enable the model to focus more attention on the local information matching based on reference features. Besides, we propose the Referring Feature Aggregation (RFA) module to decode and segment the camouflaged objects progressively. Extensive experiments on the Ref-COD benchmark demonstrate that our method achieves state-of-the-art performance.

cs.CV

Towards Trustworthy Dermatology MLLMs: A Benchmark and Multimodal Evaluator for Diagnostic Narratives

Multimodal large language models (LLMs) are increasingly used to generate dermatology diagnostic narratives directly from images. However, reliable evaluation remains the primary bottleneck for responsible clinical deployment. We introduce a novel evaluation framework that combines DermBench, a meticulously curated benchmark, with DermEval, a robust automatic evaluator, to enable clinically meaningful, reproducible, and scalable assessment. We build DermBench, which pairs 4,000 real-world dermatology images with expert-certified diagnostic narratives and uses an LLM-based judge to score candidate narratives across clinically grounded dimensions, enabling consistent and comprehensive evaluation of multimodal models. For individual case assessment, we train DermEval, a reference-free multimodal evaluator. Given an image and a generated narrative, DermEval produces a structured critique along with an overall score and per-dimension ratings. This capability enables fine-grained, per-case analysis, which is critical for identifying model limitations and biases. Experiments on a diverse dataset of 4,500 cases demonstrate that DermBench and DermEval achieve close alignment with expert ratings, with mean deviations of 0.251 and 0.117 (out of 5), respectively, providing reliable measurement of diagnostic ability and trustworthiness across different multimodal LLMs.

cs.CV

SkinCaRe: A Multimodal Dermatology Dataset Annotated with Medical Caption and Chain-of-Thought Reasoning

With the widespread application of artificial intelligence (AI), particularly deep learning (DL) and vision large language models (VLLMs), in skin disease diagnosis, the need for interpretability becomes crucial. However, existing dermatology datasets are limited in their inclusion of concept-level meta-labels, and none offer rich medical descriptions in natural language. This deficiency impedes the advancement of LLM-based methods in dermatologic diagnosis. To address this gap and provide a meticulously annotated dermatology dataset with comprehensive natural language descriptions, we introduce \textbf{SkinCaRe}, a comprehensive multimodal resource that unifies \textit{SkinCAP} and \textit{SkinCoT}. \textbf{SkinCAP} comprises 4,000 images sourced from the Fitzpatrick 17k skin disease dataset and the Diverse Dermatology Images dataset, annotated by board-certified dermatologists to provide extensive medical descriptions and captions. In addition, we introduce \textbf{SkinCoT}, a curated dataset pairing 3,041 dermatologic images with clinician-verified, hierarchical chain-of-thought (CoT) diagnoses. Each diagnostic narrative is rigorously evaluated against six quality criteria and iteratively refined until it meets a predefined standard of clinical accuracy and explanatory depth. Together, SkinCAP (captioning) and SkinCoT (reasoning), collectively referred to as SkinCaRe, encompass 7,041 expertly curated dermatologic cases and provide a unified and trustworthy resource for training multimodal models that both describe and explain dermatologic images. SkinCaRe is publicly available at https://huggingface.co/datasets/yuhos16/SkinCaRe.

cs.CV

Signal Shaping for Non-Uniform Beamspace Modulated mmWave Hybrid MIMO Communications

This paper investigates adaptive signal shaping methods for millimeter wave (mmWave) multiple-input multiple-output (MIMO) communications based on the maximizing the minimum Euclidean distance (MMED) criterion. In this work, we utilize the indices of analog precoders to carry information and optimize the symbol vector sets used for each analog precoder activation state. Specifically, we firstly propose a joint optimization based signal shaping (JOSS) approach, in which the symbol vector sets used for all analog precoder activation states are jointly optimized by solving a series of quadratically constrained quadratic programming (QCQP) problems. JOSS exhibits good performance, however, with a high computational complexity. To reduce the computational complexity, we then propose a full precoding based signal shaping (FPSS) method and a diagonal precoding based signal shaping (DPSS) method, where the full or diagonal digital precoders for all analog precoder activation states are optimized by solving two small-scale QCQP problems. Simulation results show that the proposed signal shaping methods can provide considerable performance gain in reliability in comparison with existing mmWave transmission solutions.

eess.SP