Prompting Medical Vision-Language Models to Mitigate Diagnosis Bias by Generating Realistic Dermoscopic Images

Fuente: arXiv
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Autores principales: Munia, Nusrat, Imran, Abdullah-Al-Zubaer
Formato: Preprint
Publicado: 2025
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author Munia, Nusrat
Imran, Abdullah-Al-Zubaer
author_facet Munia, Nusrat
Imran, Abdullah-Al-Zubaer
contents Artificial Intelligence (AI) in skin disease diagnosis has improved significantly, but a major concern is that these models frequently show biased performance across subgroups, especially regarding sensitive attributes such as skin color. To address these issues, we propose a novel generative AI-based framework, namely, Dermatology Diffusion Transformer (DermDiT), which leverages text prompts generated via Vision Language Models and multimodal text-image learning to generate new dermoscopic images. We utilize large vision language models to generate accurate and proper prompts for each dermoscopic image which helps to generate synthetic images to improve the representation of underrepresented groups (patient, disease, etc.) in highly imbalanced datasets for clinical diagnoses. Our extensive experimentation showcases the large vision language models providing much more insightful representations, that enable DermDiT to generate high-quality images. Our code is available at https://github.com/Munia03/DermDiT
format Preprint
id arxiv_https___arxiv_org_abs_2504_01838
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Prompting Medical Vision-Language Models to Mitigate Diagnosis Bias by Generating Realistic Dermoscopic Images
Munia, Nusrat
Imran, Abdullah-Al-Zubaer
Computer Vision and Pattern Recognition
Artificial Intelligence (AI) in skin disease diagnosis has improved significantly, but a major concern is that these models frequently show biased performance across subgroups, especially regarding sensitive attributes such as skin color. To address these issues, we propose a novel generative AI-based framework, namely, Dermatology Diffusion Transformer (DermDiT), which leverages text prompts generated via Vision Language Models and multimodal text-image learning to generate new dermoscopic images. We utilize large vision language models to generate accurate and proper prompts for each dermoscopic image which helps to generate synthetic images to improve the representation of underrepresented groups (patient, disease, etc.) in highly imbalanced datasets for clinical diagnoses. Our extensive experimentation showcases the large vision language models providing much more insightful representations, that enable DermDiT to generate high-quality images. Our code is available at https://github.com/Munia03/DermDiT
title Prompting Medical Vision-Language Models to Mitigate Diagnosis Bias by Generating Realistic Dermoscopic Images
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2504.01838