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.

AD-CARE: A Guideline-grounded, Modality-agnostic LLM Agent for Real-world Alzheimer's Disease Diagnosis with Multi-cohort Assessment, Fairness Analysis, and Reader Study

Alzheimer's disease (AD) is a growing global health challenge as populations age, and timely, accurate diagnosis is essential to reduce individual and societal burden. However, real-world AD assessment is hampered by incomplete, heterogeneous multimodal data and variability across sites and patient demographics. Although large language models (LLMs) have shown promise in biomedicine, their use in AD has largely been confined to answering narrow, disease-specific questions rather than generating comprehensive diagnostic reports that support clinical decision-making. Here we expand LLM capabilities for clinical decision support by introducing AD-CARE, a modality-agnostic agent that performs guideline-grounded diagnostic assessment from incomplete, heterogeneous inputs without imputing missing modalities. By dynamically orchestrating specialized diagnostic tools and embedding clinical guidelines into LLM-driven reasoning, AD-CARE generates transparent, report-style outputs aligned with real-world clinical workflows. Across six cohorts comprising 10,303 cases, AD-CARE achieved 84.9% diagnostic accuracy, delivering 4.2%-13.7% relative improvements over baseline methods. Despite cohort-level differences, dataset-specific accuracies remain robust (80.4%-98.8%), and the agent consistently outperforms all baselines. AD-CARE reduced performance disparities across racial and age subgroups, decreasing the average dispersion of four metrics by 21%-68% and 28%-51%, respectively. In a controlled reader study, the agent improved neurologist and radiologist accuracy by 6%-11% and more than halved decision time. The framework yielded 2.29%-10.66% absolute gains over eight backbone LLMs and converges their performance. These results show that AD-CARE is a scalable, practically deployable framework that can be integrated into routine clinical workflows for multimodal decision support in AD.

CFCML: A Coarse-to-Fine Crossmodal Learning Framework For Disease Diagnosis Using Multimodal Images and Tabular Data

In clinical practice, crossmodal information including medical images and tabular data is essential for disease diagnosis. There exists a significant modality gap between these data types, which obstructs advancements in crossmodal diagnostic accuracy. Most existing crossmodal learning (CML) methods primarily focus on exploring relationships among high-level encoder outputs, leading to the neglect of local information in images. Additionally, these methods often overlook the extraction of task-relevant information. In this paper, we propose a novel coarse-to-fine crossmodal learning (CFCML) framework to progressively reduce the modality gap between multimodal images and tabular data, by thoroughly exploring inter-modal relationships. At the coarse stage, we explore the relationships between multi-granularity features from various image encoder stages and tabular information, facilitating a preliminary reduction of the modality gap. At the fine stage, we generate unimodal and crossmodal prototypes that incorporate class-aware information, and establish hierarchical anchor-based relationship mining (HRM) strategy to further diminish the modality gap and extract discriminative crossmodal information. This strategy utilize modality samples, unimodal prototypes, and crossmodal prototypes as anchors to develop contrastive learning approaches, effectively enhancing inter-class disparity while reducing intra-class disparity from multiple perspectives. Experimental results indicate that our method outperforms the state-of-the-art (SOTA) methods, achieving improvements of 1.53% and 0.91% in AUC metrics on the MEN and Derm7pt datasets, respectively. The code is available at https://github.com/IsDling/CFCML.

AssetFormer: Modular 3D Assets Generation with Autoregressive Transformer

The digital industry demands high-quality, diverse modular 3D assets, especially for user-generated content~(UGC). In this work, we introduce AssetFormer, an autoregressive Transformer-based model designed to generate modular 3D assets from textual descriptions. Our pilot study leverages real-world modular assets collected from online platforms. AssetFormer tackles the challenge of creating assets composed of primitives that adhere to constrained design parameters for various applications. By innovatively adapting module sequencing and decoding techniques inspired by language models, our approach enhances asset generation quality through autoregressive modeling. Initial results indicate the effectiveness of AssetFormer in streamlining asset creation for professional development and UGC scenarios. This work presents a flexible framework extendable to various types of modular 3D assets, contributing to the broader field of 3D content generation. The code is available at https://github.com/Advocate99/AssetFormer.

Augmenting Clinical Decision-Making with an Interactive and Interpretable AI Copilot: A Real-World User Study with Clinicians in Nephrology and Obstetrics

Clinician skepticism toward opaque AI hinders adoption in high-stakes healthcare. We present AICare, an interactive and interpretable AI copilot for collaborative clinical decision-making. By analyzing longitudinal electronic health records, AICare grounds dynamic risk predictions in scrutable visualizations and LLM-driven diagnostic recommendations. Through a within-subjects counterbalanced study with 16 clinicians across nephrology and obstetrics, we comprehensively evaluated AICare using objective measures (task completion time and error rate), subjective assessments (NASA-TLX, SUS, and confidence ratings), and semi-structured interviews. Our findings indicate AICare's reduced cognitive workload. Beyond performance metrics, qualitative analysis reveals that trust is actively constructed through verification, with interaction strategies diverging by expertise: junior clinicians used the system as cognitive scaffolding to structure their analysis, while experts engaged in adversarial verification to challenge the AI's logic. This work offers design implications for creating AI systems that function as transparent partners, accommodating diverse reasoning styles to augment rather than replace clinical judgment.

ExperienceWeaver: Optimizing Small-sample Experience Learning for LLM-based Clinical Text Improvement

Clinical text improvement is vital for healthcare efficiency but remains difficult due to limited high-quality data and the complex constraints of medical documentation. While Large Language Models (LLMs) show promise, current approaches struggle in small-sample settings: supervised fine-tuning is data-intensive and costly, while retrieval-augmented generation often provides superficial corrections without capturing the reasoning behind revisions. To address these limitations, we propose ExperienceWeaver, a hierarchical framework that shifts the focus from data retrieval to experience learning. Instead of simply recalling past examples, ExperienceWeaver distills noisy, multi-dimensional feedback into structured, actionable knowledge. Specifically, error-specific Tips and high-level Strategies. By injecting this distilled experience into an agentic pipeline, the model learns "how to revise" rather than just "what to revise". Extensive evaluations across four clinical datasets demonstrate that ExperienceWeaver consistently improves performance, surpassing state-of-the-art models such as Gemini-3 Pro in small-sample settings.

FDP: A Frequency-Decomposition Preprocessing Pipeline for Unsupervised Anomaly Detection in Brain MRI

Due to the diversity of brain anatomy and the scarcity of annotated data, supervised anomaly detection for brain MRI remains challenging, driving the development of unsupervised anomaly detection (UAD) approaches. Current UAD methods typically utilize artificially generated noise perturbations on healthy MRIs to train generative models for normal anatomy reconstruction, enabling anomaly detection via residual mapping. However, such simulated anomalies lack the biophysical fidelity and morphological complexity characteristic of true clinical lesions. To advance UAD in brain MRI, we conduct the first systematic frequency-domain analysis of pathological signatures, revealing two key properties: (1) anomalies exhibit unique frequency patterns distinguishable from normal anatomy, and (2) low-frequency signals maintain consistent representations across healthy scans. These insights motivate our Frequency-Decomposition Preprocessing (FDP) framework, the first UAD method to leverage frequency-domain reconstruction for simultaneous pathology suppression and anatomical preservation. FDP can integrate seamlessly with existing anomaly simulation techniques, consistently enhancing detection performance across diverse architectures while maintaining diagnostic fidelity. Experimental results demonstrate that FDP consistently improves anomaly detection performance when integrated with existing methods. Notably, FDP achieves a 17.63% increase in DICE score with LDM while maintaining robust improvements across multiple baselines. The code is available at https://github.com/ls1rius/MRI_FDP.

Variational Polya Tree

Density estimation is essential for generative modeling, particularly with the rise of modern neural networks. While existing methods capture complex data distributions, they often lack interpretability and uncertainty quantification. Bayesian nonparametric methods, especially the \polya tree, offer a robust framework that addresses these issues by accurately capturing function behavior over small intervals. Traditional techniques like Markov chain Monte Carlo (MCMC) face high computational complexity and scalability limitations, hindering the use of Bayesian nonparametric methods in deep learning. To tackle this, we introduce the variational \polya tree (VPT) model, which employs stochastic variational inference to compute posterior distributions. This model provides a flexible, nonparametric Bayesian prior that captures latent densities and works well with stochastic gradient optimization. We also leverage the joint distribution likelihood for a more precise variational posterior approximation than traditional mean-field methods. We evaluate the model performance on both real data and images, and demonstrate its competitiveness with other state-of-the-art deep density estimation methods. We also explore its ability in enhancing interpretability and uncertainty quantification. Code is available at https://github.com/howardchanth/var-polya-tree.

Amplifying Prominent Representations in Multimodal Learning via Variational Dirichlet Process

Developing effective multimodal fusion approaches has become increasingly essential in many real-world scenarios, such as health care and finance. The key challenge is how to preserve the feature expressiveness in each modality while learning cross-modal interactions. Previous approaches primarily focus on the cross-modal alignment, while over-emphasis on the alignment of marginal distributions of modalities may impose excess regularization and obstruct meaningful representations within each modality. The Dirichlet process (DP) mixture model is a powerful Bayesian non-parametric method that can amplify the most prominent features by its richer-gets-richer property, which allocates increasing weights to them. Inspired by this unique characteristic of DP, we propose a new DP-driven multimodal learning framework that automatically achieves an optimal balance between prominent intra-modal representation learning and cross-modal alignment. Specifically, we assume that each modality follows a mixture of multivariate Gaussian distributions and further adopt DP to calculate the mixture weights for all the components. This paradigm allows DP to dynamically allocate the contributions of features and select the most prominent ones, leveraging its richer-gets-richer property, thus facilitating multimodal feature fusion. Extensive experiments on several multimodal datasets demonstrate the superior performance of our model over other competitors. Ablation analysis further validates the effectiveness of DP in aligning modality distributions and its robustness to changes in key hyperparameters. Code is anonymously available at https://github.com/HKU-MedAI/DPMM.git

Large Material Gaussian Model for Relightable 3D Generation

The increasing demand for 3D assets across various industries necessitates efficient and automated methods for 3D content creation. Leveraging 3D Gaussian Splatting, recent large reconstruction models (LRMs) have demonstrated the ability to efficiently achieve high-quality 3D rendering by integrating multiview diffusion for generation and scalable transformers for reconstruction. However, existing models fail to produce the material properties of assets, which is crucial for realistic rendering in diverse lighting environments. In this paper, we introduce the Large Material Gaussian Model (MGM), a novel framework designed to generate high-quality 3D content with Physically Based Rendering (PBR) materials, ie, albedo, roughness, and metallic properties, rather than merely producing RGB textures with uncontrolled light baking. Specifically, we first fine-tune a new multiview material diffusion model conditioned on input depth and normal maps. Utilizing the generated multiview PBR images, we explore a Gaussian material representation that not only aligns with 2D Gaussian Splatting but also models each channel of the PBR materials. The reconstructed point clouds can then be rendered to acquire PBR attributes, enabling dynamic relighting by applying various ambient light maps. Extensive experiments demonstrate that the materials produced by our method not only exhibit greater visual appeal compared to baseline methods but also enhance material modeling, thereby enabling practical downstream rendering applications.