Beyond Templates: Revisiting Zero-Shot Remote Sensing through Meta-Prompting

Vision-language models (VLMs) have sparked growing interest in zero-shot Earth Observation (EO) downstream tasks, with further gains enabled by remote-sensing-adapted models. We examine this setting across 17 VLM variants and 12 remote sensing (RS) datasets under Meta-Prompting for Visual Recognition (MPVR), and show that zero-shot performance remains highly sensitive to textual design choices, from the meta-prompts used to guide the LLM in generating class descriptions to the descriptions themselves. We explore why semantically rich LLM-generated class descriptions do not translate into consistent gains over simple domain-adapted CLIP-style descriptions. While LLM descriptions are more semantically expressive, they can also introduce noise in the text embedding space, reducing robustness in downstream tasks. We support this observation through a text log-likelihood analysis in the whitened CLIP feature space, comparing LLM-generated and template-based descriptions. Building on this finding, we study query embedding calibration and show that lightweight calibration of the query space consistently yields strong improvements in zero-shot classification and retrieval. Overall, our results provide practical insight into the trade-off between semantic richness and robustness, and identify embedding calibration as a simple and effective tool for improving zero-shot remote sensing performance.

Skin Lesion Phenotyping via Nested Multi-modal Contrastive Learning

We introduce SLIMP (Skin Lesion Image-Metadata Pre-training) for learning rich representations of skin lesions through a novel nested contrastive learning approach that captures complex relationships between images and metadata. Melanoma detection and skin lesion classification based solely on images, pose significant challenges due to large variations in imaging conditions (lighting, color, resolution, distance, etc.) and lack of clinical and phenotypical context. Clinicians typically follow a holistic approach for assessing the risk level of the patient and for deciding which lesions may be malignant and need to be excised, by considering the patient's medical history as well as the appearance of other lesions of the patient. Inspired by this, SLIMP combines the appearance and the metadata of individual skin lesions with patient-level metadata relating to their medical record and other clinically relevant information. By fully exploiting all available data modalities throughout the learning process, the proposed pre-training strategy improves performance compared to other pre-training strategies on downstream skin lesions classification tasks highlighting the learned representations quality.

TRACE: Transformer-based Risk Assessment for Clinical Evaluation

We present TRACE (Transformer-based Risk Assessment for Clinical Evaluation), a novel method for clinical risk assessment based on clinical data, leveraging the self-attention mechanism for enhanced feature interaction and result interpretation. Our approach is able to handle different data modalities, including continuous, categorical and multiple-choice (checkbox) attributes. The proposed architecture features a shared representation of the clinical data obtained by integrating specialized embeddings of each data modality, enabling the detection of high-risk individuals using Transformer encoder layers. To assess the effectiveness of the proposed method, a strong baseline based on non-negative multi-layer perceptrons (MLPs) is introduced. The proposed method outperforms various baselines widely used in the domain of clinical risk assessment, while effectively handling missing values. In terms of explainability, our Transformer-based method offers easily interpretable results via attention weights, further enhancing the clinicians' decision-making process.