Daily Papers

We present SeePhys, a large-scale multimodal benchmark for LLM reasoning grounded in physics questions ranging from middle school to PhD qualifying exams. The benchmark covers 7 fundamental domains spanning the physics discipline, incorporating 21 categories of highly heterogeneous diagrams. In contrast to prior works where visual elements mainly serve auxiliary purposes, our benchmark features a substantial proportion of vision-essential problems (75\%) that mandate visual information extraction for correct solutions. Through extensive evaluation, we observe that even the most advanced visual reasoning models (e.g., Gemini-2.5-pro and o4-mini) achieve sub-60\% accuracy on our benchmark. These results reveal fundamental challenges in current large language models' visual understanding capabilities, particularly in: (i) establishing rigorous coupling between diagram interpretation and physics reasoning, and (ii) overcoming their persistent reliance on textual cues as cognitive shortcuts.

Multimodal Large Language Models (MLLMs) have demonstrated impressive abilities across various tasks, including visual question answering and chart comprehension, yet existing benchmarks for chart-related tasks fall short in capturing the complexity of real-world multi-chart scenarios. Current benchmarks primarily focus on single-chart tasks, neglecting the multi-hop reasoning required to extract and integrate information from multiple charts, which is essential in practical applications. To fill this gap, we introduce MultiChartQA, a benchmark that evaluates MLLMs' capabilities in four key areas: direct question answering, parallel question answering, comparative reasoning, and sequential reasoning. Our evaluation of a wide range of MLLMs reveals significant performance gaps compared to humans. These results highlight the challenges in multi-chart comprehension and the potential of MultiChartQA to drive advancements in this field. Our code and data are available at https://github.com/Zivenzhu/Multi-chart-QA

High-resolution representations are essential for position-sensitive vision problems, such as human pose estimation, semantic segmentation, and object detection. Existing state-of-the-art frameworks first encode the input image as a low-resolution representation through a subnetwork that is formed by connecting high-to-low resolution convolutions in series (e.g., ResNet, VGGNet), and then recover the high-resolution representation from the encoded low-resolution representation. Instead, our proposed network, named as High-Resolution Network (HRNet), maintains high-resolution representations through the whole process. There are two key characteristics: (i) Connect the high-to-low resolution convolution streams in parallel; (ii) Repeatedly exchange the information across resolutions. The benefit is that the resulting representation is semantically richer and spatially more precise. We show the superiority of the proposed HRNet in a wide range of applications, including human pose estimation, semantic segmentation, and object detection, suggesting that the HRNet is a stronger backbone for computer vision problems. All the codes are available at~{https://github.com/HRNet}.

Estimating motion in videos is an essential computer vision problem with many downstream applications, including controllable video generation and robotics. Current solutions are primarily trained using synthetic data or require tuning of situation-specific heuristics, which inherently limits these models' capabilities in real-world contexts. Despite recent developments in large-scale self-supervised learning from videos, leveraging such representations for motion estimation remains relatively underexplored. In this work, we develop Opt-CWM, a self-supervised technique for flow and occlusion estimation from a pre-trained next-frame prediction model. Opt-CWM works by learning to optimize counterfactual probes that extract motion information from a base video model, avoiding the need for fixed heuristics while training on unrestricted video inputs. We achieve state-of-the-art performance for motion estimation on real-world videos while requiring no labeled data.

This paper proposes Pix2Next, a novel image-to-image translation framework designed to address the challenge of generating high-quality Near-Infrared (NIR) images from RGB inputs. Our approach leverages a state-of-the-art Vision Foundation Model (VFM) within an encoder-decoder architecture, incorporating cross-attention mechanisms to enhance feature integration. This design captures detailed global representations and preserves essential spectral characteristics, treating RGB-to-NIR translation as more than a simple domain transfer problem. A multi-scale PatchGAN discriminator ensures realistic image generation at various detail levels, while carefully designed loss functions couple global context understanding with local feature preservation. We performed experiments on the RANUS dataset to demonstrate Pix2Next's advantages in quantitative metrics and visual quality, improving the FID score by 34.81% compared to existing methods. Furthermore, we demonstrate the practical utility of Pix2Next by showing improved performance on a downstream object detection task using generated NIR data to augment limited real NIR datasets. The proposed approach enables the scaling up of NIR datasets without additional data acquisition or annotation efforts, potentially accelerating advancements in NIR-based computer vision applications.

Large Vision-Language Models (LVLMs) struggle with puzzles, which require precise perception, rule comprehension, and logical reasoning. Assessing and enhancing their performance in this domain is crucial, as it reflects their ability to engage in structured reasoning - an essential skill for real-world problem-solving. However, existing benchmarks primarily evaluate pre-trained models without additional training or fine-tuning, often lack a dedicated focus on reasoning, and fail to establish a systematic evaluation framework. To address these limitations, we introduce VGRP-Bench, a Visual Grid Reasoning Puzzle Benchmark featuring 20 diverse puzzles. VGRP-Bench spans multiple difficulty levels, and includes extensive experiments not only on existing chat LVLMs (e.g., GPT-4o), but also on reasoning LVLMs (e.g., Gemini-Thinking). Our results reveal that even the state-of-the-art LVLMs struggle with these puzzles, highlighting fundamental limitations in their puzzle-solving capabilities. Most importantly, through systematic experiments, we identify and analyze key factors influencing LVLMs' puzzle-solving performance, including the number of clues, grid size, and rule complexity. Furthermore, we explore two Supervised Fine-Tuning (SFT) strategies that can be used in post-training: SFT on solutions (S-SFT) and SFT on synthetic reasoning processes (R-SFT). While both methods significantly improve performance on trained puzzles, they exhibit limited generalization to unseen ones. We will release VGRP-Bench to facilitate further research on LVLMs for complex, real-world problem-solving. Project page: https://yufan-ren.com/subpage/VGRP-Bench/.

Plankton recognition is an important computer vision problem due to plankton's essential role in ocean food webs and carbon capture, highlighting the need for species-level monitoring. However, this task is challenging due to its fine-grained nature and dataset shifts caused by different imaging instruments and varying species distributions. As new plankton image datasets are collected at an increasing pace, there is a need for general plankton recognition models that require minimal expert effort for data labeling. In this work, we study large-scale self-supervised pretraining for fine-grained plankton recognition. We first employ masked autoencoding and a large volume of diverse plankton image data to pretrain a general-purpose plankton image encoder. Then we utilize fine-tuning to obtain accurate plankton recognition models for new datasets with a very limited number of labeled training images. Our experiments show that self-supervised pretraining with diverse plankton data clearly increases plankton recognition accuracy compared to standard ImageNet pretraining when the amount of training data is limited. Moreover, the accuracy can be further improved when unlabeled target data is available and utilized during the pretraining.

Multimodal Large Language Models (MLLMs) have demonstrated exceptional capabilities in processing vision-language tasks. One of the crux of MLLMs lies in vision tokenization, which involves efficiently transforming input visual signals into feature representations that are most beneficial for LLMs. However, existing vision tokenizers, essential for semantic alignment between vision and language, remain problematic. Existing methods aggressively fragment visual input, corrupting the visual semantic integrity. To address this, this paper proposes a novel dynamic Semantic-Equivalent Vision Tokenizer (SeTok), which groups visual features into semantic units via a dynamic clustering algorithm, flexibly determining the number of tokens based on image complexity. The resulting vision tokens effectively preserve semantic integrity and capture both low-frequency and high-frequency visual features. The proposed MLLM (Setokim) equipped with SeTok significantly demonstrates superior performance across various tasks, as evidenced by our experimental results. The project page is at https://chocowu.github.io/SeTok-web/.

This paper does not propose any new algorithms but instead outlines various problems in the field of visual generation based on the author's personal understanding. The core of these problems lies in how to decompose visual signals, with all other issues being closely related to this central problem and stemming from unsuitable approaches to signal decomposition. This paper aims to draw researchers' attention to the significance of Visual Signal Decomposition.

Deep learning-based vision is characterized by intricate frameworks that often necessitate a profound understanding, presenting a barrier to newcomers and limiting broad adoption. With many researchers grappling with the constraints of smaller datasets, there's a pronounced reliance on pre-trained neural networks, especially for tasks such as image classification. This reliance is further intensified in niche imaging areas where obtaining vast datasets is challenging. Despite the widespread use of transfer learning as a remedy to the small dataset dilemma, a conspicuous absence of tailored auto-ML solutions persists. Addressing these challenges is "Deep Fast Vision", a python library that streamlines the deep learning process. This tool offers a user-friendly experience, enabling results through a simple nested dictionary definition, helping to democratize deep learning for non-experts. Designed for simplicity and scalability, Deep Fast Vision appears as a bridge, connecting the complexities of existing deep learning frameworks with the needs of a diverse user base.

Multi-view 3D reconstruction has remained an essential yet challenging problem in the field of computer vision. While DUSt3R and its successors have achieved breakthroughs in 3D reconstruction from unposed images, these methods exhibit significant limitations when scaling to multi-view scenarios, including high computational cost and cumulative error induced by global alignment. To address these challenges, we propose Regist3R, a novel stereo foundation model tailored for efficient and scalable incremental reconstruction. Regist3R leverages an incremental reconstruction paradigm, enabling large-scale 3D reconstructions from unordered and many-view image collections. We evaluate Regist3R on public datasets for camera pose estimation and 3D reconstruction. Our experiments demonstrate that Regist3R achieves comparable performance with optimization-based methods while significantly improving computational efficiency, and outperforms existing multi-view reconstruction models. Furthermore, to assess its performance in real-world applications, we introduce a challenging oblique aerial dataset which has long spatial spans and hundreds of views. The results highlight the effectiveness of Regist3R. We also demonstrate the first attempt to reconstruct large-scale scenes encompassing over thousands of views through pointmap-based foundation models, showcasing its potential for practical applications in large-scale 3D reconstruction tasks, including urban modeling, aerial mapping, and beyond.

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

The need for improved diagnostic methods in ophthalmology is acute, especially in the underdeveloped regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and underrepresented ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms. The source code is at https://github.com/HUANGLIZI/VisionUnite.

Large language models with vision capabilities (VLMs), e.g., GPT-4o and Gemini 1.5 Pro are powering countless image-text applications and scoring high on many vision-understanding benchmarks. Yet, we find that VLMs fail on 7 visual tasks absurdly easy to humans such as identifying (a) whether two circles overlap; (b) whether two lines intersect; (c) which letter is being circled in a word; and (d) counting the number of circles in a Olympic-like logo. The shockingly poor performance of four state-of-the-art VLMs suggests their vision is, at best, like of a person with myopia seeing fine details as blurry, and at worst, like an intelligent person that is blind making educated guesses. Code is available at: https://vlmsareblind.github.io/

Visual prompt engineering is a fundamental technology in the field of visual and image Artificial General Intelligence, serving as a key component for achieving zero-shot capabilities. As the development of large vision models progresses, the importance of prompt engineering becomes increasingly evident. Designing suitable prompts for specific visual tasks has emerged as a meaningful research direction. This review aims to summarize the methods employed in the computer vision domain for large vision models and visual prompt engineering, exploring the latest advancements in visual prompt engineering. We present influential large models in the visual domain and a range of prompt engineering methods employed on these models. It is our hope that this review provides a comprehensive and systematic description of prompt engineering methods based on large visual models, offering valuable insights for future researchers in their exploration of this field.

Vision is a primary means of how humans perceive the environment, but Blind and Low-Vision (BLV) people need assistance understanding their surroundings, especially in unfamiliar environments. The emergence of semantic-based systems as assistance tools for BLV users has motivated many researchers to explore responses from Large Vision-Language Models (LVLMs). However, it has yet been studied preferences of BLV users on diverse types/styles of responses from LVLMs, specifically for navigational aid. To fill this gap, we first construct Eye4B dataset, consisting of human-validated 1.1k curated outdoor/indoor scenes with 5-10 relevant requests per scene. Then, we conduct an in-depth user study with eight BLV users to evaluate their preferences on six LVLMs from five perspectives: Afraidness, Nonactionability, Sufficiency, and Conciseness. Finally, we introduce Eye4B benchmark for evaluating alignment between widely used model-based image-text metrics and our collected BLV preferences. Our work can be set as a guideline for developing BLV-aware LVLMs towards a Barrier-Free AI system.

Bionic vision uses neuroprostheses to restore useful vision to people living with incurable blindness. However, a major outstanding challenge is predicting what people 'see' when they use their devices. The limited field of view of current devices necessitates head movements to scan the scene, which is difficult to simulate on a computer screen. In addition, many computational models of bionic vision lack biological realism. To address these challenges, we present VR-SPV, an open-source virtual reality toolbox for simulated prosthetic vision that uses a psychophysically validated computational model to allow sighted participants to 'see through the eyes' of a bionic eye user. To demonstrate its utility, we systematically evaluated how clinically reported visual distortions affect performance in a letter recognition and an immersive obstacle avoidance task. Our results highlight the importance of using an appropriate phosphene model when predicting visual outcomes for bionic vision.

WHO has declared that more than 2.2 billion people worldwide are suffering from visual disorders, such as media haze, glaucoma, and drusen. At least 1 billion of these cases could have been either prevented or successfully treated, yet they remain unaddressed due to poverty, a lack of specialists, inaccurate ocular fundus diagnoses by ophthalmologists, or the presence of a rare disease. To address this, the research has developed the Hybrid Trio-Network Model Algorithm for accurately diagnosing 12 distinct common and rare eye diseases. This algorithm utilized the RFMiD dataset of 3,200 fundus images and the Binary Relevance Method to detect diseases separately, ensuring expandability and avoiding incorrect correlations. Each detector, incorporating finely tuned hyperparameters to optimize performance, consisted of three feature components: A classical transfer learning CNN model, a two-stage CNN model, and a Siamese Network. The diagnosis was made using features extracted through this Trio-Model with Ensembled Machine Learning algorithms. The proposed model achieved an average accuracy of 97% and an AUC score of 0.96. Compared to past benchmark studies, an increase of over 10% in the F1-score was observed for most diseases. Furthermore, using the Siamese Network, the model successfully made predictions in diseases like optic disc pallor, which past studies failed to predict due to low confidence. This diagnostic tool presents a stable, adaptive, cost-effective, efficient, accessible, and fast solution for globalizing early detection of both common and rare diseases.

Glaucoma is the leading cause of irreversible blindness worldwide and poses significant diagnostic challenges due to its reliance on subjective evaluation. However, recent advances in computer vision and deep learning have demonstrated the potential for automated assessment. In this paper, we survey recent studies on AI-based glaucoma diagnosis using fundus, optical coherence tomography, and visual field images, with a particular emphasis on deep learning-based methods. We provide an updated taxonomy that organizes methods into architectural paradigms and includes links to available source code to enhance the reproducibility of the methods. Through rigorous benchmarking on widely-used public datasets, we reveal performance gaps in generalizability, uncertainty estimation, and multimodal integration. Additionally, our survey curates key datasets while highlighting limitations such as scale, labeling inconsistencies, and bias. We outline open research challenges and detail promising directions for future studies. This survey is expected to be useful for both AI researchers seeking to translate advances into practice and ophthalmologists aiming to improve clinical workflows and diagnosis using the latest AI outcomes.

Diabetic retinopathy (DR) is a growing health problem worldwide and is a leading cause of visual impairment and blindness, especially among working people aged 20-65. Its incidence is increasing along with the number of diabetes cases, and it is more common in developed countries than in developing countries. Recent research in the field of diabetic retinopathy diagnosis is using advanced technologies, such as analysis of images obtained by ophthalmoscopy. Automatic methods for analyzing eye images based on neural networks, deep learning and image analysis algorithms can improve the efficiency of diagnosis. This paper describes an automatic DR diagnosis method that includes processing and analysis of ophthalmoscopic images of the eye. It uses morphological algorithms to identify the optic disc and lesions characteristic of DR, such as microaneurysms, hemorrhages and exudates. Automated DR diagnosis has the potential to improve the efficiency of early detection of this disease and contribute to reducing the number of cases of diabetes-related visual impairment. The final step was to create an application with a graphical user interface that allowed retinal images taken at cooperating ophthalmology offices to be uploaded to the server. These images were then analyzed using a developed algorithm to make a diagnosis.

Large vision-language models (LVLMs) have witnessed significant progress on visual understanding tasks. However, they often prioritize language knowledge over image information on visual reasoning tasks, incurring performance degradation. To tackle this issue, we first identify the drawbacks of existing solutions (i.e., insufficient and irrelevant visual descriptions, and limited multi-modal capacities). We then decompose visual reasoning process into two stages: visual perception (i.e., eyesight) and textual reasoning (i.e., wisdom), and introduce a novel visual reasoning framework named ProReason. This framework features multi-run proactive perception and decoupled vision-reasoning capabilities. Briefly, given a multi-modal question, ProReason iterates proactive information collection and reasoning until the answer can be concluded with necessary and sufficient visual descriptions. Notably, the disassociation of capabilities allows seamless integration of existing large language models (LLMs) to compensate for the reasoning deficits of LVLMs. Our extensive experiments demonstrate that ProReason outperforms both existing multi-step reasoning frameworks and passive peer methods on a wide range of benchmarks for both open-source and closed-source models. In addition, with the assistance of LLMs, ProReason achieves a performance improvement of up to 15% on MMMU benchmark. Our insights into existing solutions and the decoupled perspective for feasible integration of LLMs illuminate future research on visual reasoning techniques, especially LLM-assisted ones.

Following the recent popularity of Large Language Models (LLMs), several attempts have been made to extend them to the visual domain. From having a visual assistant that could guide us through unfamiliar environments to generative models that produce images using only a high-level text description, the vision-language model (VLM) applications will significantly impact our relationship with technology. However, there are many challenges that need to be addressed to improve the reliability of those models. While language is discrete, vision evolves in a much higher dimensional space in which concepts cannot always be easily discretized. To better understand the mechanics behind mapping vision to language, we present this introduction to VLMs which we hope will help anyone who would like to enter the field. First, we introduce what VLMs are, how they work, and how to train them. Then, we present and discuss approaches to evaluate VLMs. Although this work primarily focuses on mapping images to language, we also discuss extending VLMs to videos.

Recent development of Large Vision-Language Models (LVLMs) has attracted growing attention within the AI landscape for its practical implementation potential. However, ``hallucination'', or more specifically, the misalignment between factual visual content and corresponding textual generation, poses a significant challenge of utilizing LVLMs. In this comprehensive survey, we dissect LVLM-related hallucinations in an attempt to establish an overview and facilitate future mitigation. Our scrutiny starts with a clarification of the concept of hallucinations in LVLMs, presenting a variety of hallucination symptoms and highlighting the unique challenges inherent in LVLM hallucinations. Subsequently, we outline the benchmarks and methodologies tailored specifically for evaluating hallucinations unique to LVLMs. Additionally, we delve into an investigation of the root causes of these hallucinations, encompassing insights from the training data and model components. We also critically review existing methods for mitigating hallucinations. The open questions and future directions pertaining to hallucinations within LVLMs are discussed to conclude this survey.

State-of-the-art vision and vision-and-language models rely on large-scale visio-linguistic pretraining for obtaining good performance on a variety of downstream tasks. Generally, such models are often either cross-modal (contrastive) or multi-modal (with earlier fusion) but not both; and they often only target specific modalities or tasks. A promising direction would be to use a single holistic universal model, as a "foundation", that targets all modalities at once -- a true vision and language foundation model should be good at vision tasks, language tasks, and cross- and multi-modal vision and language tasks. We introduce FLAVA as such a model and demonstrate impressive performance on a wide range of 35 tasks spanning these target modalities.

Language provides a natural interface to specify and evaluate performance on visual tasks. To realize this possibility, vision language models (VLMs) must successfully integrate visual and linguistic information. Our work compares VLMs to a direct readout of their visual encoders to understand their ability to integrate across these modalities. Across a series of vision-centric benchmarks (e.g., depth estimation, correspondence), we find that VLMs perform substantially worse than their visual encoders, dropping to near-chance performance. We investigate these results through a series of analyses across the entire VLM: namely 1) the degradation of vision representations, 2) brittleness to task prompt, and 3) the language model's role in solving the task. We find that the bottleneck in performing these vision-centric tasks lies in this third category; VLMs are not effectively using visual information easily accessible throughout the entire model, and they inherit the language priors present in the LLM. Our work helps diagnose the failure modes of open-source VLMs, and presents a series of evaluations useful for future investigations into visual understanding within VLMs.

The success of large language models (LLMs) has fostered a new research trend of multi-modality large language models (MLLMs), which changes the paradigm of various fields in computer vision. Though MLLMs have shown promising results in numerous high-level vision and vision-language tasks such as VQA and text-to-image, no works have demonstrated how low-level vision tasks can benefit from MLLMs. We find that most current MLLMs are blind to low-level features due to their design of vision modules, thus are inherently incapable for solving low-level vision tasks. In this work, we purpose LM4LV, a framework that enables a FROZEN LLM to solve a range of low-level vision tasks without any multi-modal data or prior. This showcases the LLM's strong potential in low-level vision and bridges the gap between MLLMs and low-level vision tasks. We hope this work can inspire new perspectives on LLMs and deeper understanding of their mechanisms.

Retinal imaging has emerged as a powerful, non-invasive modality for detecting and quantifying biomarkers of systemic diseases-ranging from diabetes and hypertension to Alzheimer's disease and cardiovascular disorders but current insights remain dispersed across platforms and specialties. Recent technological advances in optical coherence tomography (OCT/OCTA) and adaptive optics (AO) now deliver ultra-high-resolution scans (down to 5 {\mu}m ) with superior contrast and spatial integration, allowing early identification of microvascular abnormalities and neurodegenerative changes. At the same time, AI-driven and machine learning (ML) algorithms have revolutionized the analysis of large-scale retinal datasets, increasing sensitivity and specificity; for example, deep learning models achieve > 90 \% sensitivity for diabetic retinopathy and AUC = 0.89 for the prediction of cardiovascular risk from fundus photographs. The proliferation of mobile health technologies and telemedicine platforms further extends access, reduces costs, and facilitates community-based screening and longitudinal monitoring. Despite these breakthroughs, translation into routine practice is hindered by heterogeneous imaging protocols, limited external validation of AI models, and integration challenges within clinical workflows. In this review, we systematically synthesize the latest OCT/OCT and AO developments, AI/ML approaches, and mHealth/Tele-ophthalmology initiatives and quantify their diagnostic performance across disease domains. Finally, we propose a roadmap for multicenter protocol standardization, prospective validation trials, and seamless incorporation of retinal screening into primary and specialty care pathways-paving the way for precision prevention, early intervention, and ongoing treatment of life-threatening systemic diseases.