arXiv Computer Vision

Integrating Unimodal and Vision-Language Representations in Latent Space for Multi-Label Chest X-Ray Classification

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 Computer Vision
Aug 25

Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

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...

By Xiaohong Liu, Guoxing Yang, Yulin Luo, Jiaji Mao, Xiang Zhang, Haibo Wang, Zhiyang He, Ming Gao, Shanghang Zhang, Jun Shen, Guangyu Wang
arXiv AI
Sep 25

Med-AR: Autoregressive Vision-Language Pretraining for Long-Tailed Chest X-Ray Classification and Uncertainty-Aware Evaluation

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 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 Machine Learning
Aug 20

Eyes on the Image: Gaze Supervised Multimodal Learning for Chest X-ray Diagnosis and Report Generation

The paper presents a two‑stage multimodal framework for chest X‑ray interpretation that incorporates radiologist gaze data from the MIMIC‑Eye dataset. Stage 1 introduces a gaze‑token classifier that fuses image patches, bounding‑box masks, transcription embeddings, and fixation maps, and a curriculum‑scheduled loss that improves accuracy and spatial alignment, yielding a 4.4% AUC gain and 13.3% F1 improvement. Stage 2 translates classifier predictions into region‑specific diagnostic sentences using confidence‑weighted keywords, an expert dictionary, and a prompted large language model, boosting clinical‑term BERTScore and ROUGE over keyword baselines.

By Tanjim Islam Riju, Shuchismita Anwar, Saman Sarker Joy, Farig Sadeque, Swakkhar Shatabda
arXiv Machine Learning
Jun 5

A Vision-language Framework for Comparative Reasoning in Radiology

arXiv:2606. 06407v1 Announce Type: cross Abstract: Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases.

By Tengfei Zhang, Ziheng Zhao, Lisong Dai, Xiaoman Zhang, Pengcheng Qiu, Ya Zhang, Yanfeng Wang, Weidi Xie
arXiv AI
Aug 17

CMCNet: Aligning Ultrasound Image Embeddings with Textual TI-RADS Representations for Fine-Grained Thyroid Classification

arXiv:2608. 13939v1 Announce Type: cross Abstract: Ultrasound is the primary imaging modality for assessing thyroid nodules, and the ACR TI-RADS framework standardizes diagnosis through five ultrasound feature categories that are aggregated into five risk levels (TR1-TR5).

By Bingxin Yu, Xueli Wang, Jerry Zhou, Wenyan Wang, Li Wen, Lan Huang, Xin Feng, Fengfeng Zhou, Kewei Li
arXiv AI
Sep 3

Federated LoRA Adaptation of BiomedCLIP Across Four International Chest X-Ray Cohorts

The paper evaluates federated learning with Low‑Rank Adaptation (LoRA) for fine‑tuning the BiomedCLIP vision‑language model on chest X‑ray classification across four international cohorts. Federated LoRA improves shared‑class AUC from 0.687 to 0.802, outperforming isolated single‑cohort training and approaching a centralized reference. The study shows that SVD‑based product‑space aggregation (FlexLoRA) is crucial for performance, while FedProx offers no advantage over FedAvg in this setting.

By Sanjaya Poudel, Nirajan Kunwor, Manish Dhakal, Debesh Jha, Sunil Kumar Gaire