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With the widespread application of artificial intelligence (AI), particularly deep learning (DL) and vision-based large language models (VLLMs), in skin disease diagnosis, the need for interpretability becomes crucial. However, existing dermatology datasets are limited in their inclusion of concept-level meta-labels, and none offer rich medical descriptions in natural language. This deficiency impedes the advancement of LLM-based methods in dermatological diagnosis. To address this gap and provide a meticulously annotated dermatology dataset with comprehensive natural language descriptions, we introduce SkinCAP: a multi-modal dermatology dataset annotated with rich medical captions. SkinCAP comprises 4,000 images sourced from the Fitzpatrick 17k skin disease dataset and the Diverse Dermatology Images dataset, annotated by board-certified dermatologists to provide extensive medical descriptions and captions. Notably, SkinCAP represents the world's first such dataset and is publicly available at https://huggingface.co/datasets/joshuachou/SkinCAP.

Skin and subcutaneous diseases rank high among the leading contributors to the global burden of nonfatal diseases, impacting a considerable portion of the population. Nonetheless, the field of dermatology diagnosis faces three significant hurdles. Firstly, there is a shortage of dermatologists accessible to diagnose patients, particularly in rural regions. Secondly, accurately interpreting skin disease images poses a considerable challenge. Lastly, generating patient-friendly diagnostic reports is usually a time-consuming and labor-intensive task for dermatologists. To tackle these challenges, we present SkinGPT-4, which is the world's first interactive dermatology diagnostic system powered by an advanced visual large language model. SkinGPT-4 leverages a fine-tuned version of MiniGPT-4, trained on an extensive collection of skin disease images (comprising 52,929 publicly available and proprietary images) along with clinical concepts and doctors' notes. We designed a two-step training process to allow SkinGPT to express medical features in skin disease images with natural language and make accurate diagnoses of the types of skin diseases. With SkinGPT-4, users could upload their own skin photos for diagnosis, and the system could autonomously evaluate the images, identifies the characteristics and categories of the skin conditions, performs in-depth analysis, and provides interactive treatment recommendations. Meanwhile, SkinGPT-4's local deployment capability and commitment to user privacy also render it an appealing choice for patients in search of a dependable and precise diagnosis of their skin ailments. To demonstrate the robustness of SkinGPT-4, we conducted quantitative evaluations on 150 real-life cases, which were independently reviewed by certified dermatologists, and showed that SkinGPT-4 could provide accurate diagnoses of skin diseases.

Knowledge distillation (KD), as an efficient and effective model compression technique, has been receiving considerable attention in deep learning. The key to its success is to transfer knowledge from a large teacher network to a small student one. However, most of the existing knowledge distillation methods consider only one type of knowledge learned from either instance features or instance relations via a specific distillation strategy in teacher-student learning. There are few works that explore the idea of transferring different types of knowledge with different distillation strategies in a unified framework. Moreover, the frequently used offline distillation suffers from a limited learning capacity due to the fixed teacher-student architecture. In this paper we propose a collaborative teacher-student learning via multiple knowledge transfer (CTSL-MKT) that prompts both self-learning and collaborative learning. It allows multiple students learn knowledge from both individual instances and instance relations in a collaborative way. While learning from themselves with self-distillation, they can also guide each other via online distillation. The experiments and ablation studies on four image datasets demonstrate that the proposed CTSL-MKT significantly outperforms the state-of-the-art KD methods., Comment: 16 pages,5 figures,6 Tables

The role of skill (fitness) and luck (randomness) as driving forces on the dynamics of resource accumulation in a myriad of systems have long puzzled scientists. Fueled by undisputed inequalities that emerge from actual competitions, there is a pressing need for better understanding the effects of skill and luck in resource accumulation. When such competitions are driven by externalities such as cumulative advantage (CA), the rich-get-richer effect, little is known with respect to fundamental properties such as their duration and intensity. In this work we provide a mathematical understanding of how CA exacerbates the role of luck in detriment of skill in simple and well-studied competition models. We show, for instance, that if two agents are competing for resources that arrive sequentially at each time unit, an early stroke of luck can place the less skilled in the lead for an extremely long period of time, a phenomenon we call "struggle of the fittest". In the absence of CA, the more skilled quickly prevails despite any early stroke of luck that the less skilled may have. We prove that duration of a simple skill and luck competition model exhibit power law tails when CA is present, regardless of skill difference, which is in sharp contrast to exponential tails when CA is absent. Our findings have important implications to competitions not only in complex social systems but also in contexts that leverage such models.