Abscesses in the head and neck represent an acute infectious process that can potentially lead to sepsis or mortality if not diagnosed and managed promptly. Accurate detection and delineation of these lesions on imaging are essential for diagnosis, treatment planning, and surgical intervention. In this study, we introduce AbscessHeNe, a curated and comprehensively annotated dataset comprising 4,926 contrastenhanced CT slices with clinically confirmed head and neck abscesses. The dataset is designed to facilitate the development of robust semantic segmentation models that can accurately delineate abscess boundaries and evaluate deep neck space involvement, thereby supporting informed clinical decision-making. To establish performance baselines, we evaluate several state-of-the-art segmentation architectures, including CNN, Transformer, and Mamba-based models. The highestperforming model achieved a Dice Similarity Coefficient of 0.39, Intersection-over-Union of 0.27, and Normalized Surface Distance of 0.67, indicating the challenges of this task and the need for further research. Beyond segmentation, AbscessHeNe is structured for future applications in content-based multimedia indexing and case-based retrieval. Each CT scan is linked with pixel-level annotations and clinical metadata, providing a foundation for building intelligent retrieval systems and supporting knowledge-driven clinical workflows. The dataset will be made publicly available at https://github.com/drthaodao3101/AbscessHeNe.git.

Automated analysis of endoscopic imagery is a critical yet underdeveloped component of ENT (ear, nose, and throat) care, hindered by variability in devices and operators, subtle and localized findings, and fine-grained distinctions such as laterality and vocal-fold state. In addition to classification, clinicians require reliable retrieval of similar cases, both visually and through concise textual descriptions. These capabilities are rarely supported by existing public benchmarks. To this end, we introduce ENTRep, the ACM Multimedia 2025 Grand Challenge on ENT endoscopy analysis, which integrates fine-grained anatomical classification with image-to-image and text-to-image retrieval under bilingual (Vietnamese and English) clinical supervision. Specifically, the dataset comprises expert-annotated images, labeled for anatomical region and normal or abnormal status, and accompanied by dual-language narrative descriptions. In addition, we define three benchmark tasks, standardize the submission protocol, and evaluate performance on public and private test splits using server-side scoring. Moreover, we report results from the top-performing teams and provide an insightful discussion.

We present a unified vision-language framework tailored for ENT endoscopy image analysis that simultaneously tackles three clinically-relevant tasks: image classification, image-to-image retrieval, and text-to-image retrieval. Unlike conventional CNN-based pipelines that struggle to capture cross-modal semantics, our approach leverages the CLIP ViT-B/16 backbone and enhances it through Low-Rank Adaptation, multi-level CLS token aggregation, and spherical feature interpolation. These components collectively enable efficient fine-tuning on limited medical data while improving representation diversity and semantic alignment across modalities. To bridge the gap between visual inputs and textual diagnostic context, we introduce class-specific natural language prompts that guide the image encoder through a joint training objective combining supervised classification with contrastive learning. We validated our framework through participation in the ACM MM'25 ENTRep Grand Challenge, achieving 95% accuracy and F1-score in classification, Recall@1 of 0.93 and 0.92 for image-to-image and text-to-image retrieval respectively, and MRR scores of 0.97 and 0.96. Ablation studies demonstrated the incremental benefits of each architectural component, validating the effectiveness of our design for robust multimodal medical understanding in low-resource clinical settings.