AlphaRAD introduces a grounded zero‑shot classification framework for chest radiology that leverages structured medical concepts extracted from reports and a novel α‑Corrected Binary Cross‑Entropy loss to reduce in‑batch noise. It also presents FLaS, a lightweight cross‑modal fusion module that factorizes VLPM representations into independent subspaces, improving spatial grounding without adding parameters. The method achieves state‑of‑the‑art performance on 16 classification benchmarks and sets new records on several grounding, phrase‑grounding, and segmentation datasets.
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.
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.
arXiv:2608.24281v1 Announce Type: new Abstract: Reducing annotation requirements remains a key challenge in developing robust medical object detectors. To address this, Vision-Language (VL) object de...
arXiv:2606. 20477v1 Announce Type: cross Abstract: We study how to train visually grounded vision-language models (VLMs) for radiology without manual spatial annotations.
arXiv:2607. 27154v1 Announce Type: cross Abstract: CT vision-language foundation models have demonstrated promising performance across downstream tasks, but are typically trained with whole-volume representations that dilute fine-grained anatomical signals.
arXiv:2606. 03180v1 Announce Type: cross Abstract: Vision-language models (VLMs) for radiology have emerged as a scalable paradigm by leveraging image-report pairs naturally produced in clinical workflows.
arXiv:2607. 27154v2 Announce Type: replace-cross Abstract: CT vision-language foundation models have demonstrated promising performance across downstream tasks, but are typically trained with whole-volume representations that dilute fine-grained anatomical signals.
Vision-language pre-training (VLP) holds great promise for general-purpose medical AI by leveraging radiology reports as rich textual supervision, yet existing methods struggle with 3D CT imaging due to inefficient visual backbones and coarse semantic alignment. To address these issues, we propose a tailored VLP framework featuring three key components: (1) a CNN-ViT hybrid encoder that replaces ViT's patch embedding with a 3D CNN backbone to efficiently capture local anatomical details while preserving global attention and compatibility with pre-trained cross-modal priors; (2) a disease-level contrastive learning mechanism using learnable query tokens to dynamically extract disease-specific semantics from full reports and align them with corresponding visual features, thereby disentangling distinct diseases within the same anatomical region; and (3) a diagnosis-aware prompt strategy that employs real clinical phrases and aggregated disease prototypes to bridge the pre-training-inference gap and enhance zero-shot diagnostic reliability.
arXiv:2409.16183v2 Announce Type: replace Abstract: Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in m...
Instance-Guided Report Anchoring (IGRA) is a model-agnostic module that links each abnormality instance in a chest CT to the corresponding finding in a radiology report during training, while discarding text components at inference. By reformulating free-text grounding as multi-label volumetric segmentation, IGRA allows all abnormality categories to be predicted in a single image-only forward pass. The method improves Dice scores by 22.5% over the strongest image-only baseline and matches state‑of‑the‑art performance on single-finding subsets, with consistent gains across multiple 3D segmentation backbones and datasets.
arXiv:2607. 14116v1 Announce Type: cross Abstract: Free-form radiology reports contain rich clinical descriptions, yet converting them for reliable segmentation remains challenging due to the inherent variability of natural language.
Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations.