# Unifying VLM-Guided Flow Matching and Spectral Anomaly Detection for Interpretable Veterinary Diagnosis

arXiv: https://arxiv.org/abs/2604.05482 · HTML: https://mlsanity.com/paper/2604.05482/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 33 of its 46 references that are in the map.
- First posted on arXiv 7 Apr 2026.

## Builds on (most cited first, 30 of 33)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Rethinking the Inception Architecture for Computer Vision](https://mlsanity.com/paper/1512.00567/) (2015)
- [Going Deeper with Convolutions](https://mlsanity.com/paper/1409.4842/) (2014)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [BEiT: BERT Pre-Training of Image Transformers](https://mlsanity.com/paper/2106.08254/) (2021)
- [Xception: Deep Learning with Depthwise Separable Convolutions](https://mlsanity.com/paper/1610.02357/) (2016)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [Inception-v4, Inception-ResNet and the Impact of Residual Connections on Learning](https://mlsanity.com/paper/1602.07261/) (2016)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Deep High-Resolution Representation Learning for Visual Recognition](https://mlsanity.com/paper/1908.07919/) (2019)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Learning Transferable Architectures for Scalable Image Recognition](https://mlsanity.com/paper/1707.07012/) (2017)
- [CvT: Introducing Convolutions to Vision Transformers](https://mlsanity.com/paper/2103.15808/) (2021)
- [SnapKV: LLM Knows What You are Looking for Before Generation](https://mlsanity.com/paper/2404.14469/) (2024)
- [Vision-Language Models for Vision Tasks: A Survey](https://mlsanity.com/paper/2304.00685/) (2023)
- [U2-Net: Going Deeper with Nested U-Structure for Salient Object Detection](https://mlsanity.com/paper/2005.09007/) (2020)
- [ResUNet-a: a deep learning framework for semantic segmentation of remotely sensed data](https://mlsanity.com/paper/1904.00592/) (2019)
- [Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining](https://mlsanity.com/paper/2402.03302/) (2024)
- [Mamba-UNet: UNet-Like Pure Visual Mamba for Medical Image Segmentation](https://mlsanity.com/paper/2402.05079/) (2024)
- [Deep Semantic Segmentation of Natural and Medical Images: A Review](https://mlsanity.com/paper/1910.07655/) (2019)
- [H-vmunet: High-order Vision Mamba UNet for Medical Image Segmentation](https://mlsanity.com/paper/2403.13642/) (2024)
- [Truth or Mirage? Towards End-to-End Factuality Evaluation with LLM-Oasis](https://mlsanity.com/paper/2411.19655/) (2024)
- [VT-FSL: Bridging Vision and Text with LLMs for Few-Shot Learning](https://mlsanity.com/paper/2509.25033/) (2025)

## Abstract (arXiv)

Automatic diagnosis of canine pneumothorax is challenged by data scarcity and the need for trustworthy models. To address this, we first introduce a public, pixel-level annotated dataset to facilitate research. We then propose a novel diagnostic paradigm that reframes the task as a synergistic process of signal localization and spectral detection. For localization, our method employs a Vision-Language Model (VLM) to guide an iterative Flow Matching process, which progressively refines segmentation masks to achieve superior boundary accuracy. For detection, the segmented mask is used to isolate features from the suspected lesion. We then apply Random Matrix Theory (RMT), a departure from traditional classifiers, to analyze these features. This approach models healthy tissue as predictable random noise and identifies pneumothorax by detecting statistically significant outlier eigenvalues that represent a non-random pathological signal. The high-fidelity localization from Flow Matching is crucial for purifying the signal, thus maximizing the sensitivity of our RMT detector. This synergy of generative segmentation and first-principles statistical analysis yields a highly accurate and interpretable diagnostic system (source code is available at: https://github.com/Pu-Wang-alt/Canine-pneumothorax).