Fair Foundation Models for Medical Image Analysis: Challenges and Perspectives
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Abstract (arXiv)
Ensuring equitable Artificial Intelligence (AI) in healthcare demands systems that make unbiased decisions across all demographic groups, bridging technical innovation with ethical principles. Foundation Models (FMs), trained on vast datasets through self-supervised learning, enable efficient adaptation across medical imaging tasks while reducing dependency on labeled data. These models demonstrate potential for enhancing fairness, though significant challenges remain in achieving consistent performance across demographic groups. Our review indicates that effective bias mitigation in FMs requires systematic interventions throughout all stages of development. While previous approaches focused primarily on model-level bias mitigation, our analysis reveals that fairness in FMs requires integrated interventions throughout the development pipeline, from data documentation to deployment protocols. This comprehensive framework advances current knowledge by demonstrating how systematic bias mitigation, combined with policy engagement, can effectively address both technical and institutional barriers to equitable AI in healthcare. The development of equitable FMs represents a critical step toward democratizing advanced healthcare technologies, particularly for underserved populations and regions with limited medical infrastructure and computational resources.
Key facts. Cited by 3 papers in the map (data through 7 Oct 2026). Builds on 100 of its 200 references that are in the map. First posted on arXiv 24 Feb 2025.
Builds on
100 of 200 references.
References · 100
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,456
- 2020An Image is Worth 16x16 Words: Transformers for Image Recognition at Scalecited by 29,915
- 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
- 2020A Simple Framework for Contrastive Learning of Visual Representationscited by 11,979
- 2023Visual Instruction Tuningcited by 7,792
- 2023DINOv2: Learning Robust Visual Features without Supervisioncited by 7,764
- 2021Masked Autoencoders Are Scalable Vision Learnerscited by 7,339
- 2021On the Opportunities and Risks of Foundation Modelscited by 3,961
- 2023QLoRA: Efficient Finetuning of Quantized LLMscited by 3,355
- 2023Sigmoid Loss for Language Image Pre-Trainingcited by 3,048
- 2022Survey of Hallucination in Natural Language Generationcited by 2,056
- 2020Shortcut Learning in Deep Neural Networkscited by 1,928
38 more
- 2019A Survey on Bias and Fairness in Machine Learningcited by 1,911
- 2023A Survey on Hallucination in Large Language Models: Principles, Taxonomy, Challenges, and Open Questionscited by 1,582
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,410
- 2023LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Daycited by 1,287
- 2025SigLIP 2: Multilingual Vision-Language Encoders with Improved Semantic Understanding, Localization, and Dense Featurescited by 1,127
- 2015Prioritized Experience Replaycited by 1,070
- 2018Model Cards for Model Reportingcited by 1,068
- 2023Self-Supervised Learning from Images with a Joint-Embedding Predictive Architecturecited by 982
- 2017ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseasescited by 969
- 2023SelfCheckGPT: Zero-Resource Black-Box Hallucination Detection for Generative Large Language Modelscited by 787
- 2021Deduplicating Training Data Makes Language Models Bettercited by 705
- 2019MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographscited by 590
- 2022MedCLIP: Contrastive Learning from Unpaired Medical Images and Textcited by 564
- 2023BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairscited by 506
- 2023Improved Techniques for Training Consistency Modelscited by 430
- 2017On Fairness and Calibrationcited by 406
- 2024A Survey on Hallucination in Large Vision-Language Modelscited by 352
- 2019Differential Privacy Has Disparate Impact on Model Accuracycited by 316
- 2019PadChest: A large chest x-ray image dataset with multi-label annotated reportscited by 308
- 2023Demystifying CLIP Datacited by 265
- 2022Prioritized Training on Points that are Learnable, Worth Learning, and Not Yet Learntcited by 233
- 2023Segment Anything in Medical Imagescited by 226
- 2023PMC-CLIP: Contrastive Language-Image Pre-training using Biomedical Documentscited by 212
- 2021Self-supervised Pretraining of Visual Features in the Wildcited by 197
- 2021Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Datasetcited by 184
- 2021On Hallucination and Predictive Uncertainty in Conditional Language Generationcited by 176
- 2020To be Robust or to be Fair: Towards Fairness in Adversarial Trainingcited by 137
- 2023On the Challenges and Perspectives of Foundation Models for Medical Image Analysiscited by 135
- 2019Fairness in Deep Learning: A Computational Perspectivecited by 123
- 2020Ethical Machine Learning in Health Carecited by 112
- 2024BiomedParse: a biomedical foundation model for image parsing of everything everywhere all at oncecited by 107
- 2024The rising costs of training frontier AI modelscited by 91
- 2023Generative models improve fairness of medical classifiers under distribution shiftscited by 90
- 2021MedPerf: Open Benchmarking Platform for Medical Artificial Intelligence using Federated Evaluationcited by 88
- 2024RADIOv2.5: Improved Baselines for Agglomerative Vision Foundation Modelscited by 88
- 2024Large Concept Models: Language Modeling in a Sentence Representation Spacecited by 86
- 2022Video Polyp Segmentation: A Deep Learning Perspectivecited by 81
- 2022Vision Models Are More Robust And Fair When Pretrained On Uncurated Images Without Supervisioncited by 80
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Citing papers per year: 2025: 1; 2026: 2.
3 papers.
- 2025From Classical Machine Learning to Emerging Foundation Models: Review on Multimodal Data Integration for Cancer Researchcited by 6
- 2026A pipeline for enabling path-specific causal fairness in observational health datacited by 0
- 2026FOCUS: Benchmarking Retinal Model Generalization from Foundation Vision Encoders to Multimodal LLMscited by 0
- 2026FOCUS: Benchmarking Retinal Model Generalization from Foundation Vision Encoders to Multimodal LLMs27 Sep 2026
- 2026A pipeline for enabling path-specific causal fairness in observational health data14 Jan 2026
- 2025From Classical Machine Learning to Emerging Foundation Models: Review on Multimodal Data Integration for Cancer Research11 Jul 2025