The paper presents a plug‑and‑play framework that uses concept-based interpretation to debug medical imaging models. By aligning a single‑modality encoder with BioMedCLIP, the authors build a Concept Bottleneck Model that allows concept‑level interventions to distinguish causal from spurious features. Experiments on Mayo Clinic ultrasound and CheXpert chest X‑ray data show that these interventions can reliably diagnose model issues and even improve performance through guided fine‑tuning.
By Samrajya Thapa, Daniel J. Quest, Timothy L. Kline, Carrie L. Langstraat, Emanuel C. Trabuco, Wei Le
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.
By Anghong Du, Theodoros N. Arvanitis, Colin Watts, Alejandro F. Frangi, Le Zhang
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
ProtoCAM is an explainable few‑shot learning framework for classifying breast lesions in ultrasound images. It combines mask‑guided feature encoding, prototypical metric learning, and gradient‑based visual explanations to leverage limited annotated data. Evaluated on the BUSI dataset, ProtoCAM achieved a macro F1‑score of 0.910 in a 3‑way 5‑shot setting, outperforming standard supervised CNNs, with ResNet18 reaching 91.65% under 15‑shot conditions.
By Ashkan Ebadi
arXiv:2603.02790v2 Announce Type: replace
Abstract: Foundation models are changing the way we develop medical artificial intelligence. By learning broadly generalizable features across diverse data m...
By Michelle Stegeman (and on behalf of the UNICORN consortium), Lena Philipp (and on behalf of the UNICORN consortium), Fennie van der Graaf (and on behalf of the UNICORN consortium), Marina D'Amato (and on behalf of the UNICORN consortium), Cl\'ement Grisi (and on behalf of the UNICORN consortium), Luc Builtjes (and on behalf of the UNICORN consortium), Joeran S. Bosma (and on behalf of the UNICORN consortium), Judith Lefkes (and on behalf of the UNICORN consortium), Rianne A. Weber (and on behalf of the UNICORN consortium), James A. Meakin (and on behalf of the UNICORN consortium), Thomas Koopman (and on behalf of the UNICORN consortium), Anne Mickan (and on behalf of the UNICORN consortium), Mathias Prokop (and on behalf of the UNICORN consortium), Ewoud J. Smit (and on behalf of the UNICORN consortium), Fr\'ed\'erique Meeuwsen (and on behalf of the UNICORN consortium), Geert Litjens (and on behalf of the UNICORN consortium), Jeroen van der Laak (and on behalf of the UNICORN consortium), Bram van Ginneken (and on behalf of the UNICORN consortium), Maarten de Rooij (and on behalf of the UNICORN consortium), Henkjan Huisman (and on behalf of the UNICORN consortium), Colin Jacobs (and on behalf of the UNICORN consortium), Francesco Ciompi (and on behalf of the UNICORN consortium), Alessa Hering (and on behalf of the UNICORN consortium)
arXiv:2603.11938v2 Announce Type: replace-cross
Abstract: Structured radiology reporting promises faster, more consistent communication than free text, but automation remains difficult as models must...
By Chantal Pellegrini, Adrian Delchev, Ege \"Ozsoy, Nassir Navab, Matthias Keicher
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.
The paper introduces LaST, a large-small collaborative framework for zero-shot surgical phase recognition. It combines a foundation model that generates frame-level phase priors with a lightweight model that refines predictions through iterative temporal refinement, dynamic quality control, and dual-model cross-learning. Experiments show LaST outperforms baseline and state-of-the-art methods, achieving significant accuracy gains on unseen clinical domains.
By Yiyi Zhang, Ying Zheng, Wenxin Fan, Yu Zhu, Yuchen Yuan, Litao Zhao, Zheng Li, Pheng-Ann Heng
arXiv:2605. 25402v2 Announce Type: replace-cross Abstract: Self-supervised pre-training paradigm has gained increasing prominence for learning transferable representations in medical imaging, yet existing methods for ultrasound (US) images operate at the image or frame level, overlooking the anatomical context for clinical-aligned representation learning.
By Chunzheng Zhu, Yijun Wang, Jianxin Lin, Feng Wang, Hongwei Wang, Lei Zhao, Shengli Li, Kenli Li
The paper introduces Multiview Masked Autoencoder (MVMAE), a self‑supervised framework that uses the natural multi‑view structure of radiology studies to learn view‑invariant, disease‑relevant representations by combining masked image reconstruction with cross‑view alignment. An extended version, MVMAE‑V2T, adds radiology reports as an auxiliary text signal to improve semantic grounding while keeping inference vision‑only. Experiments on MIMIC‑CXR, CheXpert, and PadChest show that MVMAE outperforms supervised and vision‑language baselines, and MVMAE‑V2T yields further gains, especially when labeled data are scarce.
By Sonia Laguna, Andrea Agostini, Alain Ryser, Samuel Ruiperez-Campillo, Irene Cannistraci, Moritz Vandenhirtz, Stephan Mandt, Nicolas Deperrois, Farhad Nooralahzadeh, Michael Krauthammer, Thomas M. Sutter, Julia E. Vogt
arXiv:2606. 02035v1 Announce Type: new Abstract: Medical imaging interpretation is a foundational pillar of modern clinical diagnostics, yet the manual generation of radiology reports remains a time-consuming process prone to interpretation inconsistencies.
By Yogesh Kumar Meena, Saurabh Agarwal, K. V. Arya
arXiv:2511. 20956v2 Announce Type: replace-cross Abstract: Breast ultrasound (BUS) reporting relies on clinically meaningful lesion descriptors, including BI-RADS category, lesion shape, margin, echogenicity, posterior features, pathology, and histology.
By Rawa Mohammed, Mina Attin, Laxmi Gewali, Bryar Shareef