PHOEBI: An Open-World Benchmark for Bacterial Identification in Phase-Contrast Microscopy

Microbial keratitis requires rapid pathogen identification to guide treatment, but culture- and PCR-based diagnostics are slow and resource-intensive. We developed a triple-phase multimodal framework for bacterial-versus-fungal keratitis classification using slit-lamp photographs acquired under blue-light, sclerotic-scatter, and white-light illumination, together with clinical metadata. The model combines cross-modality contrastive learning, modality-specific fine-tuning, and feature-level multimodal ensemble learning for patient-level prediction. We evaluated the framework on a multicenter dataset of 1,645 patients and 17,158 images from India and the United States. The model achieved 85.84% accuracy, 84.46% average F1-score, and 0.885 AUC. Site-specific evaluation showed that pooled results were overly optimistic, whereas resampling- and balance-based re-evaluation provided a more realistic assessment of cross-site generalization. Under all settings, our framework remained the top-performing approach. The code is available at https://github.com/yqwang01/TPMKA and dataset access will be provided subject to University of Michigan data-sharing clearance.

When a bacterial sample is exposed to several antibiotics, not every applied drug necessarily acts: if the organism is resistant to one of them, that drug leaves no morphological trace. The clinically meaningful quantity is therefore not which antibiotics were applied, but which ones were active. We show that these two are sharply decoupled in real E. coli microscopy - naively assuming the applied combination equals the active one is correct only about 37% of the time - yet existing computational tools are ill-suited to recovering the active set. Forward perturbation models such as scGen, CPA, and IMPA are designed to predict appearance from treatment, not the reverse, and inverting them degrades sharply; discriminative image classifiers tend to memorise strain- and batch-specific texture and fail to transfer across experimental replicates. We introduce AURA, which reframes the task as constrained, energy-based inverse attribution. Its central inductive bias is that the active set must be a subset of the applied set; this collapses the candidate space and lets AURA infer the active subset of applied antibiotics by decomposing residual morphology into antibiotic response atoms and selecting the subset with the lowest reconstruction energy, using no strain label at test time. AURA-E adds evidence-aware abstention, withholding a prediction when candidate explanations remain near-equally plausible. On cross-replicate transfer in an E. coli cytological profiling dataset, AURA recovers the active antibiotic combination with 95.47% exact-match accuracy.

Marine plankton underpin aquatic food webs and play a key role in global CO2 sequestration, making reliable species identification critical for understanding ocean health and climate feedbacks. Existing classification models perform well on individual collections but fail to generalize across instruments and environments due to isolated training datasets and inconsistent labels. To address this, we introduce Planktonzilla-17M, a unified dataset consolidating publicly available plankton image collections spanning thirteen imaging systems. It comprises 17.4 million images with standardized taxonomy and geo-environmental metadata, including 3.74 million plankton images spanning over 602 taxonomic classes, of which 201 are identified at the species level, making it the largest and most comprehensive plankton image dataset to date. Using this large-scale dataset, we perform a controlled comparison between supervised and CLIP-style image--text training on a shared ViT backbone. We find that a supervised classifier matches or exceeds CLIP-style training when trained using taxonomic lineage as text. We further observe that BioCLIP and BioCLIP2 perform poorly on plankton in zero-shot and few-shot settings. Leveraging Planktonzilla-17M improves plankton classification performance, highlighting the limitations of current biological foundation models in marine imaging domains.