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
arXiv:2603. 14579v3 Announce Type: replace-cross Abstract: Vision language models (VLMs) have shown significant promise in visual grounding for images as well as videos.
By Andrew Seohwan Yu, Mohsen Hariri, Kunio Nakamura, Mingrui Yang, Xiaojuan Li, Vipin Chaudhary
arXiv:2601. 15408v2 Announce Type: replace-cross Abstract: Medical vision-language models can automate the generation of radiology reports but struggle with accurate visual grounding and factual consistency.
By Pablo Messina, Andr\'es Villa, Juan Le\'on Alc\'azar, Karen S\'anchez, Carlos Hinojosa, Denis Parra, \'Alvaro Soto, Bernard Ghanem
arXiv:2510. 15042v3 Announce Type: replace-cross Abstract: In the 3D medical image domain, vision-language pre-training is used to create vision-language encoders (VLEs) that can support radiologists by retrieving patients with similar abnormalities, predicting likelihoods of abnormality, or, with downstream adaptation, generating radiological reports.
By Tassilo Wald, Ibrahim Ethem Hamamci, Yuan Gao, Sam Bond-Taylor, Harshita Sharma, Maximilian Ilse, Cynthia Lo, Olesya Melnichenko, Anton Schwaighofer, Noel C. F. Codella, Maria Teodora Wetscherek, Klaus H. Maier-Hein, Panagiotis Korfiatis, Valentina Salvatelli, Javier Alvarez-Valle, Fernando P\'erez-Garc\'ia
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.
By Roshan Kenia, Stephanie L McNamara, William Lotter
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:2608. 09818v1 Announce Type: cross Abstract: Reliable medical image understanding requires models to connect clinical language and visual reasoning with pixel-level grounding.
By Haoyu Yang, Meixing Shi, Zengjie Chen, Haoran Sun, Haitao Leng, Xiaoming Shi, Yuxiang Cai, Yankai Jiang
arXiv:2512. 21414v2 Announce Type: replace-cross Abstract: Recent tool-use frameworks powered by vision-language models (VLMs) improve image understanding by grounding model predictions with specialized tools.
By Christina Liu, Alan Q. Wang, Joy Hsu, Jiajun Wu, Ehsan Adeli
Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image.
arXiv:2608. 13690v1 Announce Type: cross Abstract: Medical image segmentation is still largely treated as a vision-only problem, although clinical interpretation often relies on textual knowledge of anatomy, location, appearance, and surrounding context.
By Rafi Ibn Sultan, Hui Zhu, Chengyin Li, Dongxiao Zhu
arXiv:2604. 27720v2 Announce Type: replace Abstract: Vision-language models (VLMs) are increasingly applied to medical visual question answering (Med-VQA), yet whether they can \emph{localize} the evidence behind their answers---a prerequisite for clinical auditability---is poorly characterized.
By Xupeng Chen, Binbin Shi, Chenqian Le, Qifu Yin, Lang Lin, Haowei Ni, Ran Gong, Panfeng Li
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.
By Jonggwon Park, Seongeun Lee, Junhyun Park, Hannah Yun, Hyunwoong Kim, Sohyun Jeong, Hyewon Kang, Byungmu Yoon, Kyoyun Choi