# SkinGEN: an Explainable Dermatology Diagnosis-to-Generation Framework with Interactive Vision-Language Models

arXiv: https://arxiv.org/abs/2404.14755 · HTML: https://mlsanity.com/paper/2404.14755/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 29 of its 57 references that are in the map.
- First posted on arXiv 23 Apr 2024.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 29 of 29)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Judging LLM-as-a-Judge with MT-Bench and Chatbot Arena](https://mlsanity.com/paper/2306.05685/) (2023)
- [Evaluating Large Language Models Trained on Code](https://mlsanity.com/paper/2107.03374/) (2021)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [LAION-5B: An open large-scale dataset for training next generation image-text models](https://mlsanity.com/paper/2210.08402/) (2022)
- [On the Opportunities and Risks of Foundation Models](https://mlsanity.com/paper/2108.07258/) (2021)
- [DreamBooth: Fine Tuning Text-to-Image Diffusion Models for Subject-Driven Generation](https://mlsanity.com/paper/2208.12242/) (2022)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Otter: A Multi-Modal Model with In-Context Instruction Tuning](https://mlsanity.com/paper/2305.03726/) (2023)
- [Larger language models do in-context learning differently](https://mlsanity.com/paper/2303.03846/) (2023)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Dataset](https://mlsanity.com/paper/2104.09957/) (2021)
- [Gradio: Hassle-Free Sharing and Testing of ML Models in the Wild](https://mlsanity.com/paper/1906.02569/) (2019)
- [ResViT: Residual vision transformers for multi-modal medical image synthesis](https://mlsanity.com/paper/2106.16031/) (2021)
- [Q-Transformer: Scalable Offline Reinforcement Learning via Autoregressive Q-Functions](https://mlsanity.com/paper/2309.10150/) (2023)
- [Vision-Language Models for Medical Report Generation and Visual Question Answering: A Review](https://mlsanity.com/paper/2403.02469/) (2024)
- [Multi-modal Understanding and Generation for Medical Images and Text via Vision-Language Pre-Training](https://mlsanity.com/paper/2105.11333/) (2021)
- [NaturalProver: Grounded Mathematical Proof Generation with Language Models](https://mlsanity.com/paper/2205.12910/) (2022)
- [Usable XAI: 10 Strategies Towards Exploiting Explainability in the LLM Era](https://mlsanity.com/paper/2403.08946/) (2024)
- [Diffusion-based Data Augmentation for Skin Disease Classification: Impact Across Original Medical Datasets to Fully Synthetic Images](https://mlsanity.com/paper/2301.04802/) (2023)
- [Sketch guided and progressive growing GAN for realistic and editable ultrasound image synthesis](https://mlsanity.com/paper/2204.06929/) (2022)
- [Derm-T2IM: Harnessing Synthetic Skin Lesion Data via Stable Diffusion Models for Enhanced Skin Disease Classification using ViT and CNN](https://mlsanity.com/paper/2401.05159/) (2024)
- [PatFig: Generating Short and Long Captions for Patent Figures](https://mlsanity.com/paper/2309.08379/) (2023)
- [Visual Question Answering in the Medical Domain](https://mlsanity.com/paper/2309.11080/) (2023)

## Built on by (most cited first, 1 of 1)

- [Towards Trustworthy Dermatology MLLMs: A Benchmark and Multimodal Evaluator for Diagnostic Narratives](https://mlsanity.com/paper/2511.09195/) (2025)

## Abstract (arXiv)

With the continuous advancement of vision language models (VLMs) technology, remarkable research achievements have emerged in the dermatology field, the fourth most prevalent human disease category. However, despite these advancements, VLM still faces explainable problems to user in diagnosis due to the inherent complexity of dermatological conditions, existing tools offer relatively limited support for user comprehension. We propose SkinGEN, a diagnosis-to-generation framework that leverages the stable diffusion(SD) model to generate reference demonstrations from diagnosis results provided by VLM, thereby enhancing the visual explainability for users. Through extensive experiments with Low-Rank Adaptation (LoRA), we identify optimal strategies for skin condition image generation. We conduct a user study with 32 participants evaluating both the system performance and explainability. Results demonstrate that SkinGEN significantly improves users' comprehension of VLM predictions and fosters increased trust in the diagnostic process. This work paves the way for more transparent and user-centric VLM applications in dermatology and beyond.