The study evaluates the robustness of medical vision‑language models for tuberculosis screening on chest X‑rays by testing them across multiple datasets, prompts, and evaluation settings. Three specialized models (BioMedCLIP, CheXficient, MedSigLIP) and a general OpenCLIP model were audited on 12,200 images, producing 244,000 model–image–prompt scores. Results show that no model consistently outperforms others across all cohorts and reliability criteria, with prompt changes and control group composition significantly affecting AUROC, and that high training‑set performance does not reliably transfer to external cohorts.
By Mushir Akhtar, M. Tanveer, Mohd. Arshad
arXiv:2608. 07857v1 Announce Type: cross Abstract: Foundation models provide transferable CT representations, but predictions based directly on these embeddings are difficult to interpret.
By Fakrul Islam Tushar, Stephen Adamo, Geoffrey D. Rubin
arXiv:2608. 07543v1 Announce Type: cross Abstract: Background and Study Aims: Accurate optical diagnosis of colorectal polyps guides resection strategy and surveillance, with multimodal large language models (MLLMs) showing potential for image-based diagnosis.
By Joshua C. Vences, William T. Tran, Nikko Gimpaya, Catharine M. Walsh, Rishad J. Khan, Robert Bechara, Asher C. Wiggins, Celine N. Rousan, Kaitlyn V. G. L. Morgado, Angie Ibrahim, Kevin H. M. Kuo, Daniel von Renteln, Alexander Hann, Dennis L. Shung, Michael A. Scaffidi, Charles M\'enard, Joshua Landy, Samir C. Grover
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. 03079v1 Announce Type: cross Abstract: Breast core needle biopsy (CNB) is central to breast cancer diagnosis yet remains challenging because limited tissue sampling, lesion heterogeneity, and subtle morphologic overlap can obscure subtype distinctions.
By Ting Yin, Danning Li, Chen Shu, Xiaoxia Yao, Boyu Fu, Yujing Chang, Tianyu Shi, Mengna Feng, Jie Chen, Jing Fu, Xiuli Xiao, Tianlin Li, Mumin Shao, Jiaxin Bi, Wenchuan Zhang, Xiaoyan Wu, Xiao Han, Zhang Zhang, Yuhao Yi, Hong Bu
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:2607. 12075v1 Announce Type: cross Abstract: Background: Deep learning models can classify thyroid nodules on ultrasound, but reliable clinical decision support also requires calibrated probabilities, uncertainty estimation, and selective referral, particularly under dataset shift.
By Md. Sadibul Hasan Sadib, Md. Mohayminul Mukit, Rahmatul Kabir Rasel Sarker, Tahmid Alam Tamim, Md. Monir Hossain Shimul
arXiv:2607. 25589v1 Announce Type: cross Abstract: Medical-imaging AI benchmarks combine datasets, DICOM rendering, prompts, provider APIs, automated labels, statistical code, manuscripts, and repository releases.
By Mateusz Koz{\l}owski
arXiv:2607. 05880v1 Announce Type: cross Abstract: Imaging demand is growing faster than the radiology workforce can expand, and reporting backlogs cannot be resolved through training and recruitment alone.
By Suneeta Mall, Vladimir Nekrasov, Ashnil Kumar, Sajith Karunasena, Aiden Nibali, Alix Bird, Mateo Diaz Shine, Jarrel Seah
arXiv:2608.29348v1 Announce Type: new
Abstract: Background: Patient details and acquisition metadata are important for clinical decisions, image quality control, and automated research pipelines, but...
By Jakob Wasserthal, Joshy Cyriac, Michael Bach, Kimia Mozahheb Yousefi, Minh-Son To, M\'at\'e Sik, C\'edric H\'emon, Thomas Weikert, Martin Segeroth
A specialized large multimodal model, LLaVA‑NeXT, was fine‑tuned on a curated two‑level curriculum of PET/CT image‑conversation pairs to interpret head and neck cancer scans. In external validation across four institutions, the model achieved high ROUGE and similarity scores and outperformed generalist models such as ChatGPT, with primary tumor classification accuracy of 83.14% internally and 69.03% externally. The study demonstrates that domain‑specific LMMs can provide fast, accurate diagnostic support for PET/CT imaging.
By Haengbok Chung, SunGyu Kim, Joo hyun Lee, Sangjin Bae, Min Jeong Cho, Minseok Suh, Jae Sung Lee
arXiv:2608. 15004v1 Announce Type: cross Abstract: Lung cancer remains one of the leading causes of cancer-related mortality worldwide, and Computed Tomography (CT) is a primary imaging tool for screening and followup assessment.
By Pramit Dutta, Jenita Manokaran, Richa Mittal, Ryan Appleby, Eranga Ukwatta