Open-Linguistic Concept Unified Learning for Cross-Site Interpretable Dermatology Image Diagnosis

Human-interpretable computer-aided diagnosis is crucial for clinical decision making. Concept-based models excel by providing transparent reasoning and enabling post-hoc, clinician-in-the-loop interventions. However, their rigid dataset-specific adaptation inherently restricts cross-site generalization. Applying them across diverse modalities, such as dermoscopic and clinical photographs, is challenging due to heterogeneous concept taxonomies varying in availability, granularity, and semantics across cohorts. Consequently, adapting Foundation Vision-Language Models (FVLMs) demands costly label engineering and repeated post-training. Existing intervention mechanisms remain rigidly tied to predefined concepts, lacking adaptability and hindering scalable dermatology CAD deployment. To address these bottlenecks, we propose UniCon, an open-linguistic unified concept learning framework for multimodal interpretable vision-language diagnosis. UniCon resolves these challenges through three contributions: (1) A shared semantic representation space via a unified concept prototype codebook, seamlessly coordinating heterogeneous concept systems across modalities without dataset-specific retraining. (2) Open-linguistic based multi-faceted semantic specifications to overcome sparse textual label limitations, improving boundary sensitivity in uncertain clinical contexts. (3) A robust, cross-site adjustable intervention interface powered by reliability-gated bottleneck aggregation, enabling consistent reasoning and transferable clinician corrections. Extensive experiments demonstrate that beyond securing top-tier diagnostic accuracy, UniCon successfully bridges disparate clinical taxonomies, unlocking unprecedented cross-site intervention capabilities. Code is available at https://github.com/wuchengyu123/UniCon.

Online Multi-level Contrastive Representation Distillation for Cross-Subject fNIRS Emotion Recognition

Utilizing functional near-infrared spectroscopy (fNIRS) signals for emotion recognition is a significant advancement in understanding human emotions. However, due to the lack of artificial intelligence data and algorithms in this field, current research faces the following challenges: 1) The portable wearable devices have higher requirements for lightweight models; 2) The objective differences of physiology and psychology among different subjects aggravate the difficulty of emotion recognition. To address these challenges, we propose a novel cross-subject fNIRS emotion recognition method, called the Online Multi-level Contrastive Representation Distillation framework (OMCRD). Specifically, OMCRD is a framework designed for mutual learning among multiple lightweight student networks. It utilizes multi-level fNIRS feature extractor for each sub-network and conducts multi-view sentimental mining using physiological signals. The proposed Inter-Subject Interaction Contrastive Representation (IS-ICR) facilitates knowledge transfer for interactions between student models, enhancing cross-subject emotion recognition performance. The optimal student network can be selected and deployed on a wearable device. Some experimental results demonstrate that OMCRD achieves state-of-the-art results in emotional perception and affective imagery tasks.