DietDelta: A Vision-Language Approach for Dietary Assessment via Before-and-After Images

Nutrition estimation is a fundamental task in consumer diet tracking, clinical dietetics, chronic disease management, sports and hospital nutrition, and broader food computing systems. The existing approaches have progressed along two largely separate axes, vision models that rely on calibrated RGB-depth captures and ingredient-aware methods that use textual cues but use limited multimodal fusion. We introduce NutriVision, an end-to-end framework that leverages visual geometry and ingredient semantics to estimate calories, mass, fat content, carbohydrates, and protein from a single RGB image and an optional ingredient list. It obtains the unavailable depth modality using DepthAnything-V3 and encodes ingredient descriptions using CLIP. It integrates three complementary mechanisms: (1) an Ingredient-Conditioned Frequency-Aligned Fusion Module (IC-FAFM), which uses textual guidance to reweight and align RGB-depth frequency components; (2) an Ingredient-Aware Mask-based Prediction Head (IA-MPH), whose gating and channel masks are conditioned on food identity; and (3) modality-specific Internal Semantic Modeling (ISM) blocks. On the Nutrition5k dataset, NutriVision achieves a mean PMAE of $\mathbf{13.60\pm0.10\%}$, outperforming our IGSMNet implementation by $0.89$ percentage points and OmniFood8k by $2.90$ percentage points (both $p<0.001$). The module-level ablations identify the ingredient-aware prediction head as the primary architectural contributor, improving mean PMAE by $1.50\pm0.17$ percentage points ($p<0.001$). These results demonstrate that ingredient-conditioned prediction and frequency-aware RGB-depth fusion provide measurable gains for single-image nutrient estimation. More broadly, NutriVision offers a practical route toward nutrition-assessment systems that exploit geometric and semantic cues without requiring specialized depth-sensing hardware

Single-image nutrition estimation can fail silently when visible foods are missed. Even when a food is correctly identified, its proposed region may not support portion estimation. We propose a framework that uses multimodal large language models (MLLMs) to inventory visible foods and separately verify food identity and whether each proposed 2D region supports portion estimation. One whole-image review uses these verification results to identify unresolved gaps and omitted foods, triggering at most one targeted recovery pass. Recovered regions are re-verified without access to the recovery prompt, then reconciled into a final item set for nutrition estimation. The framework requires no task-specific fine-tuning. Matched evaluation on common valid-output samples shows that item-level grounding improves mass accuracy across all tested settings and energy accuracy relative to an adapted retrieval baseline, with item-identity precision and recall also improving, while post-recovery visual coverage is assessed separately at inference time without ground-truth annotations.

Photo-based estimation of food energy could ease dietary assessment, and general-purpose multimodal large language models (LLMs) make such estimates easy to obtain. Most evaluations use one photo taken before eating and compare with energy served, while dietary assessment needs energy eaten. We evaluated eight models from three vendors (Claude Haiku, Sonnet and Opus 5.5; GPT-6 luna, 6.1 sol and 6 astra; Gemini 3.8 Flash and 4 Argon) on 802 meals from ACETADA, a controlled feeding trial with weighed intake, with the before photo only, before and after photos in separate calls (subtraction), or both photos in one request. Three results ran against intuition. Subtraction under-estimated intake for six of eight models, because the models still report hundreds of kilocalories for a nearly empty tray. Scaling the before-only estimate by the average share eaten (0.87) matched much of the gain from the after photo; beyond that constant, the second photo lowered meal-level error by only 2.2 to 4.4 points, mainly in meals with food left. With one photo, two models had a near-zero intake bias only because they under-estimated the served energy and ignored uneaten food. In ablations, adding the after photo improved accuracy under both prompt formats for seven models, while prompt effects varied across models. Over 148 feeding days, five models kept the 90% confidence interval of their mean error within a pre-set 10% margin; one model also met the pre-set 30% limits of agreement, narrowly (-28% to +27%; limits outside 30% cannot be excluded), and the other seven did not. Protein was under-estimated by every model, most in protein-dense meals; repeated calls changed error by at most 1.4 points; a high reasoning effort helped only the smallest model. A low average bias is not evidence of accurate individual intake estimation; such estimates should support, not replace, assessment by a dietitian.