Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development

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.

ProSMA-UNet: Decoder Conditioning for Proximal-Sparse Skip Feature Selection

Medical image segmentation commonly relies on U-shaped encoder-decoder architectures such as U-Net, where skip connections preserve fine spatial detail by injecting high-resolution encoder features into the decoder. However, these skip pathways also propagate low-level textures, background clutter, and acquisition noise, allowing irrelevant information to bypass deeper semantic filtering -- an issue that is particularly detrimental in low-contrast clinical imaging. Although attention gates have been introduced to address this limitation, they typically produce dense sigmoid masks that softly reweight features rather than explicitly removing irrelevant activations. We propose ProSMA-UNet (Proximal-Sparse Multi-Scale Attention U-Net), which reformulates skip gating as a decoder-conditioned sparse feature selection problem. ProSMA constructs a multi-scale compatibility field using lightweight depthwise dilated convolutions to capture relevance across local and contextual scales, then enforces explicit sparsity via an $\ell_1$ proximal operator with learnable per-channel thresholds, yielding a closed-form soft-thresholding gate that can remove noisy responses. To further suppress semantically irrelevant channels, ProSMA incorporates decoder-conditioned channel gating driven by global decoder context. Extensive experiments on challenging 2D and 3D benchmarks demonstrate state-of-the-art performance, with particularly large gains ($\approx20$\%) on difficult 3D segmentation tasks. Project page: https://math-ml-x.github.io/ProSMA-UNet/

Moving Beyond Functional Connectivity: Time-Series Modeling for fMRI-Based Brain Disorder Classification

Functional magnetic resonance imaging (fMRI) enables non-invasive brain disorder classification by capturing blood-oxygen-level-dependent (BOLD) signals. However, most existing methods rely on functional connectivity (FC) via Pearson correlation, which reduces 4D BOLD signals to static 2D matrices, discarding temporal dynamics and capturing only linear inter-regional relationships. In this work, we benchmark state-of-the-art temporal models (e.g., time-series models such as PatchTST, TimesNet, and TimeMixer) on raw BOLD signals across five public datasets. Results show these models consistently outperform traditional FC-based approaches, highlighting the value of directly modeling temporal information such as cycle-like oscillatory fluctuations and drift-like slow baseline trends. Building on this insight, we propose DeCI, a simple yet effective framework that integrates two key principles: (i) Cycle and Drift Decomposition to disentangle cycle and drift within each ROI (Region of Interest); and (ii) Channel-Independence to model each ROI separately, improving robustness and reducing overfitting. Extensive experiments demonstrate that DeCI achieves superior classification accuracy and generalization compared to both FC-based and temporal baselines. Our findings advocate for a shift toward end-to-end temporal modeling in fMRI analysis to better capture complex brain dynamics. The code is available at https://github.com/Levi-Ackman/DeCI.

SpectraKAN: Conditioning Spectral Operators

Spectral neural operators, particularly Fourier Neural Operators (FNO), are a powerful framework for learning solution operators of partial differential equations (PDEs) due to their efficient global mixing in the frequency domain. However, existing spectral operators rely on static Fourier kernels applied uniformly across inputs, limiting their ability to capture multi-scale, regime-dependent, and anisotropic dynamics governed by the global state of the system. We introduce SpectraKAN, a neural operator that conditions the spectral operator on the input itself, turning static spectral convolution into an input-conditioned integral operator. This is achieved by extracting a compact global representation from spatio-temporal history and using it to modulate a multi-scale Fourier trunk via single-query cross-attention, enabling the operator to adapt its behaviour while retaining the efficiency of spectral mixing. We provide theoretical justification showing that this modulation converges to a resolution-independent continuous operator under mesh refinement and KAN gives smooth, Lipschitz-controlled global modulation. Across diverse PDE benchmarks, SpectraKAN achieves state-of-the-art performance, reducing RMSE by up to 49% over strong baselines, with particularly large gains on challenging spatio-temporal prediction tasks.

Product Interaction: An Algebraic Formalism for Deep Learning Architectures

In this paper, we introduce product interactions, an algebraic formalism in which neural network layers are constructed from compositions of a multiplication operator defined over suitable algebras. Product interactions provide a principled way to generate and organize algebraic expressions by increasing interaction order. Our central observation is that algebraic expressions in modern neural networks admit a unified construction in terms of linear, quadratic, and higher-order product interactions. Convolutional and equivariant networks arise as symmetry-constrained linear product interactions, while attention and Mamba correspond to higher-order product interactions.

Training-Free Test-Time Adaptation with Brownian Distance Covariance in Vision-Language Models

Vision-language models suffer performance degradation under domain shift, limiting real-world applicability. Existing test-time adaptation methods are computationally intensive, rely on back-propagation, and often focus on single modalities. To address these issues, we propose Training-free Test-Time Adaptation with Brownian Distance Covariance (TaTa). TaTa leverages Brownian Distance Covariance-a powerful statistical measure that captures both linear and nonlinear dependencies via pairwise distances-to dynamically adapt VLMs to new domains without training or back-propagation. This not only improves efficiency but also enhances stability by avoiding disruptive weight updates. TaTa further integrates attribute-enhanced prompting to improve vision-language inference with descriptive visual cues. Combined with dynamic clustering and pseudo-label refinement, it effectively recalibrates the model for novel visual contexts. Experiments across diverse datasets show that TaTa significantly reduces computational cost while achieving state-of-the-art performance in domain and cross-dataset generalization.

LEGATO: Good Identity Unlearning Is Continuous

Machine unlearning has become a crucial role in enabling generative models trained on large datasets to remove sensitive, private, or copyright-protected data. However, existing machine unlearning methods face three challenges in learning to forget identity of generative models: 1) inefficient, where identity erasure requires fine-tuning all the model's parameters; 2) limited controllability, where forgetting intensity cannot be controlled and explainability is lacking; 3) catastrophic collapse, where the model's retention capability undergoes drastic degradation as forgetting progresses. Forgetting has typically been handled through discrete and unstable updates, often requiring full-model fine-tuning and leading to catastrophic collapse. In this work, we argue that identity forgetting should be modeled as a continuous trajectory, and introduce LEGATO - Learn to ForgEt Identity in GenerAtive Models via Trajectory-consistent Neural Ordinary Differential Equations. LEGATO augments pre-trained generators with fine-tunable lightweight Neural ODE adapters, enabling smooth, controllable forgetting while keeping the original model weights frozen. This formulation allows forgetting intensity to be precisely modulated via ODE step size, offering interpretability and robustness. To further ensure stability, we introduce trajectory consistency constraints that explicitly prevent catastrophic collapse during unlearning. Extensive experiments across in-domain and out-of-domain identity unlearning benchmarks show that LEGATO achieves state-of-the-art forgetting performance, avoids catastrophic collapse and reduces fine-tuned parameters.

Training-Free Dual Hyperbolic Adapters for Better Cross-Modal Reasoning

Recent research in Vision-Language Models (VLMs) has significantly advanced our capabilities in cross-modal reasoning. However, existing methods suffer from performance degradation with domain changes or require substantial computational resources for fine-tuning in new domains. To address this issue, we develop a new adaptation method for large vision-language models, called \textit{Training-free Dual Hyperbolic Adapters} (T-DHA). We characterize the vision-language relationship between semantic concepts, which typically has a hierarchical tree structure, in the hyperbolic space instead of the traditional Euclidean space. Hyperbolic spaces exhibit exponential volume growth with radius, unlike the polynomial growth in Euclidean space. We find that this unique property is particularly effective for embedding hierarchical data structures using the Poincaré ball model, achieving significantly improved representation and discrimination power. Coupled with negative learning, it provides more accurate and robust classifications with fewer feature dimensions. Our extensive experimental results on various datasets demonstrate that the T-DHA method significantly outperforms existing state-of-the-art methods in few-shot image recognition and domain generalization tasks.

Brain Foundation Models with Hypergraph Dynamic Adapter for Brain Disease Analysis

Brain diseases, such as Alzheimer's disease and brain tumors, present profound challenges due to their complexity and societal impact. Recent advancements in brain foundation models have shown significant promise in addressing a range of brain-related tasks. However, current brain foundation models are limited by task and data homogeneity, restricted generalization beyond segmentation or classification, and inefficient adaptation to diverse clinical tasks. In this work, we propose SAM-Brain3D, a brain-specific foundation model trained on over 66,000 brain image-label pairs across 14 MRI sub-modalities, and Hypergraph Dynamic Adapter (HyDA), a lightweight adapter for efficient and effective downstream adaptation. SAM-Brain3D captures detailed brain-specific anatomical and modality priors for segmenting diverse brain targets and broader downstream tasks. HyDA leverages hypergraphs to fuse complementary multi-modal data and dynamically generate patient-specific convolutional kernels for multi-scale feature fusion and personalized patient-wise adaptation. Together, our framework excels across a broad spectrum of brain disease segmentation and classification tasks. Extensive experiments demonstrate that our method consistently outperforms existing state-of-the-art approaches, offering a new paradigm for brain disease analysis through multi-modal, multi-scale, and dynamic foundation modeling.

RSFR: A Coarse-to-Fine Reconstruction Framework for Diffusion Tensor Cardiac MRI with Semantic-Aware Refinement

Cardiac diffusion tensor imaging (DTI) offers unique insights into cardiomyocyte arrangements, bridging the gap between microscopic and macroscopic cardiac function. However, its clinical utility is limited by technical challenges, including a low signal-to-noise ratio, aliasing artefacts, and the need for accurate quantitative fidelity. To address these limitations, we introduce RSFR (Reconstruction, Segmentation, Fusion & Refinement), a novel framework for cardiac diffusion-weighted image reconstruction. RSFR employs a coarse-to-fine strategy, leveraging zero-shot semantic priors via the Segment Anything Model and a robust Vision Mamba-based reconstruction backbone. Our framework integrates semantic features effectively to mitigate artefacts and enhance fidelity, achieving state-of-the-art reconstruction quality and accurate DT parameter estimation under high undersampling rates. Extensive experiments and ablation studies demonstrate the superior performance of RSFR compared to existing methods, highlighting its robustness, scalability, and potential for clinical translation in quantitative cardiac DTI.