arXiv:2607. 26333v1 Announce Type: cross Abstract: Chest X-ray (CXR) machine learning relies heavily on automated evaluation using reference standards that aim to approximate clinical judgment.
By Panagiotis Fytas, Ian Selby, Clemens Karner, Judith Babar, Simon Baker, Jake Beckford, Timothy J. Sadler, Shahab Shahipasand, Arthikkaa Thavakumar, John Li Chen, Alex Sawer, Michael Roberts, Jonathan Weir-McCall, J. H. F. Rudd, Carola-Bibiane Sch\"onlieb, Anna Korhonen, Anna Breger
arXiv:2608. 14705v1 Announce Type: cross Abstract: Hyperparameter optimization (HPO) can materially affect the performance of deep learning (DL) image classifiers, but there is little empirical guidance on how to derive the validation signal that drives it, especially for the small sample sizes common in fields such as medical imaging.
By Ljubomir Buturovic (East Palo Alto, United States)
Deep-learning models can achieve strong chest X-ray (CXR) classification performance without establishing whether their predictions predominantly rely on pulmonary image content. This study evaluates...
arXiv:2608. 16709v1 Announce Type: cross Abstract: A radiologist reading a model's output faces two problems.
By Vignesh Nagarajan, Sriram Venkatapathy
The paper introduces a label‑free method called AURCC for selecting the best foundational model for medical image classification when the target domain lacks labels. AURCC uses a pseudo‑label discrepancy computed by the SUDO framework to score models without fine‑tuning. Experiments on chest X‑ray data across three inter‑hospital shifts show that AURCC closely matches the true model ranking, outperforming simple source‑accuracy baselines especially when source data are limited.
By Juan I\~naki Larrea, Lucas Mansilla, Enzo Ferrante
arXiv:2608.30467v1 Announce Type: new
Abstract: Deep-learning models can achieve strong chest X-ray (CXR) classification performance without establishing whether their predictions predominantly rely...
By Abdullah Al Mamun, Md. Nasif Osman Khansur, Md Ashraful Hossen Akash, Md. Kishor Morol, Tze Hui Liew
arXiv:2606. 17710v1 Announce Type: cross Abstract: Medical vision-language models report strong chest radiograph accuracy, and this is increasingly read as evidence that they use the image.
By Mahshad Lotfinia, Sebastian Ziegelmayer, Lisa Adams, Daniel Truhn, Andreas Maier, Soroosh Tayebi Arasteh
arXiv:2608. 16198v1 Announce Type: cross Abstract: Dermatology models face distribution shifts in teledermatology settings, where submitted images differ from the training data in lighting, angle, distance, focus, and framing.
By Fabian Gr\"oger, Marco Weishaupt, Philippe Gottfrois, Simone Lionetti, Linda Wermelinger, Nipun Ranasekara, Ludovic Amruthalingam, Alexander A. Navarini, Marc Pouly
The study evaluates a deep‑learning model for pediatric pneumonia detection across three countries, testing not only discrimination but also probability calibration, fixed operating‑point transport, shortcut signals, and limited‑label recoverability. Using a DenseNet121 ensemble trained on Guangzhou data, the model achieved high internal AUROC (0.976) but performance dropped to 0.798 and 0.742 on Bangladeshi and Vietnamese datasets, respectively. Limited‑label adaptation with Platt recalibration restored sensitivity but introduced significant specificity variability, highlighting the need for comprehensive cross‑dataset evaluation.
arXiv:2509. 19671v3 Announce Type: replace Abstract: Public datasets of Chest X-Rays (CXRs) have long been a popular benchmark for developing machine learning (ML) computer vision models in healthcare.
By Andrew Wang, Jiashuo Zhang, Michael Oberst
Med-AR introduces two autoregressive vision‑language models, Med‑AR‑8B and Med‑AR‑2B, pretrained on structured radiology reports, abnormality‑focused text, and region annotations to address long‑tailed chest X‑ray classification. The models outperform existing contrastive, self‑supervised, and supervised encoders—including Med‑CLIP, CheXFound, EVA‑Base, ARK, and BioViL‑T—across PadChest, MIMIC‑CXR, and CheXpert, achieving higher mean AUROC and AUPRC for head, medium, and tail findings and lower excess area under the risk‑coverage curve. Med‑AR also demonstrates improved selective‑prediction performance, with Med‑AR‑8B raising tail‑label mean AUPRC on MIMIC‑CXR from 0.1033 to 0.1441 and Med‑AR‑2B delivering the strongest discrimination on PadChest.
By Janhavi Prabhu, Sahil, Akshay V, Shivam Shukla, Manoj Tadepalli, Preetham Putha
arXiv:2608.22059v1 Announce Type: cross
Abstract: Pretrained image encoders are central to medical image classification, where expert annotation is costly and task-specific cohorts are often limited....
By Xingtao Lin, Hangqi Ren, Caiwan Sun, You Chen