Site-specific disease management (SSDM) in crops has advanced rapidly through machine and deep learning (ML and DL) for real-time computer vision. Research evolved from handcrafted feature extraction to large-scale automated feature learning. With foundation models (FMs), crop disease datasets are now processed in fundamentally new ways. Unlike traditional neural networks, FMs integrate visual and textual data, interpret symptoms in text, reason about symptom-management relationships, and support interactive QA for growers and educators. Adaptive and imitation learning in robotics further enables field-based disease management. This review screened approx. 40 articles on FM applications for SSDM, focusing on large-language models (LLMs) and vision-language models (VLMs), and discussing their role in adaptive learning (AL), reinforcement learning (RL), and digital twin frameworks for targeted spraying. Key findings: (a) FMs are gaining traction with surging literature in 2023-24; (b) VLMs outpace LLMs, with a 5-10x increase in publications; (c) RL and AL are still nascent for smart spraying; (d) digital twins with RL can simulate targeted spraying virtually; (e) addressing the sim-to-real gap is critical for real-world deployment; (f) human-robot collaboration remains limited, especially in human-in-the-loop approaches where robots detect early symptoms and humans validate uncertain cases; (g) multi-modal FMs with real-time feedback will drive next-gen SSDM. For updates, resources, and contributions, visit, https://github.com/nitin-dominic/AgriPathogenDatabase, to submit papers, code, or datasets.
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