arXiv Computer Vision

A multicenter benchmark and clinically structured metric for coronary CTA report generation

arXiv Machine Learning
Jul 30

Rethinking Clinical Relevance in Chest X-ray Machine Learning: How Evaluation References Define Performance

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 AI
3d ago

Towards Better Aligned LLM Judges for Radiology Report Evaluation across Modalities and Anatomies

The paper evaluates large language model (LLM) judges for radiology report assessment across multiple imaging modalities and anatomical regions, comparing four existing metrics (RadFact, GREEN, FineRadScore, CRIMSON) with a new metric called VERT. GREEN emerges as the most robust among current metrics, while VERT improves correlation with radiologist judgments by up to 26% over GREEN. The study also shows that ensembling and lightweight fine‑tuning of the Qwen3‑30B model can yield additional performance gains and significant latency reductions.

By Federica Bologna, Jean-Philippe Corbeil, Matthew Wilkens, Asma Ben Abacha
arXiv AI
Jul 8

Harrison.Rad 1.5 Technical Report: A radiology foundation model that can draft reports from images, priors and clinical context

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 AI
Sep 7

Cross-modal triage network: a multimodal deep learning framework for severity-based triage and visual explainability in chest radiographs

The paper introduces the Cross‑Modal Triage Network (CMTN), a multimodal deep‑learning model that fuses a Swin Transformer V2 visual encoder with a PubMedBERT text encoder to perform severity‑based triage, pathology detection, and generate visual explanations for chest radiographs. Trained on 34,639 image‑text pairs from MIMIC‑CXR‑JPG, the CMTN achieves high ordinal agreement with reference labels (QWK = 0.9341) and excellent pathology detection (macro‑AUROC = 0.9970) while operating with 34 ms latency. However, a blinded clinical audit revealed low agreement with expert radiologists (QWK = 0.1399) and only modest spatial‑semantic concordance in heatmaps, underscoring the gap between algorithmic performance and clinical judgment.

By Zinah Ghulam, Richa Mittal, Eranga Ukwatta
arXiv AI
Oct 2

CineMR: Tool-Integrated Vision-Language Reasoning for Quantitative Cardiac MRI Assessment

CineMR is a vision‑language model that integrates cardiac image‑analysis tools to perform quantitative assessment of cine cardiac MRI. It uses supervised fine‑tuning and Group Relative Policy Optimization to learn reliable tool invocation, achieving significantly higher accuracy on a multi‑cohort benchmark than existing medical VLMs. The model demonstrates that tool‑augmented reasoning improves ventricular measurement accuracy by up to 23.7% and is essential for robust quantitative CMR interpretation.

By Kunyang Li, Hai Nguyen, Joshua Lowe, Chenguang Zhao, Peace C. Madueme, Mehdi Hedjazi Moghari, Mubarak Shah, Pegah Khosravi, Yuzhang Zhang
arXiv Machine Learning
Aug 4

RadPRISM: Schema-stratified radiology-report supervision for concept-disentangled image representations and visual grounding

arXiv:2608. 00147v1 Announce Type: cross Abstract: Vision-language pretraining learns rich medical image representations from radiology reports, but previous model variants commonly operate within a single shared embedding space, so concept-level structure and interpretability must be recovered post hoc, limiting model transparency and, hence, clinical utility.

By Fabian Drexel, Marlene Fritzsche, Era Stambollxhiu, Miriam Kumpf, Lena Schmitzer, Lea Schumann, Jannik Kahmann, Friedrich Puttkammer, Johannes Moll, Jannik L\"ubberstedt, Zeineb Ben Chaaben, Anirudh Narayanan, Cosmin I. Bercea, Sebastian Ziegelmayer, Marcus R. Makowski, Daniel Rueckert, Lisa C. Adams, Keno K. Bressem
arXiv AI
Aug 5

CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement

arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.

By Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel, Niharika Vadlamudi, Nikhilesh Chowdary Eathamukkala, Prasanth V V, Abhyuday Kumara Swamy, Pranay Narhari Umredkar, Pradeep Narayan, Vivek Rajagopal, Tanuja Ganu