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
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.
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:2605.30984v2 Announce Type: replace-cross
Abstract: Modern 3D medical vision-language models (VLMs) can generate fluent radiology-style text while exhibit critically low pathology detection and...
By Tom Maye-Lasserre, Yitong Li, Bailiang Jian, Morteza Ghahremani, Benedikt Wiestler, Christian Wachinger
arXiv:2608. 05341v1 Announce Type: cross Abstract: Vision-Language Models (VLMs) for radiology report generation are typically trained on retrospective clinical reports, which suffer from omission noise: clinically present findings are left unreported due to the omission of subtle findings.
By Yuta Kobayashi, Pradyun Ramesh, Muhammad Ahmed Chaudhry, Vincent Jeanselme, Judy Wawira Gichoya, Sanmi Koyejo, Kathleen Capaccione, Shalmali Joshi
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: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:2608. 08713v1 Announce Type: cross Abstract: Vision-language models offer a promising path toward automating radiology report generation, but applying them to full 3D CT volumes poses substantial computational challenges.
By Jonathan Suprijadi, Raphael Stock, Moritz Langenberg, David Zimmerer, Kim-Celine Kahl, Stefan Denner, Yannick Kirchhoff, Karol Gotkowski, Maximilian Rokuss, Jeremias Traub, Tassilo Wald, Constantin Ulrich, Klaus Maier-Hein
arXiv:2601.15891v4 Announce Type: replace
Abstract: Vision-language pretraining has driven progress in medical image representation learning, but it depends on paired image-text data and can inherit...
By Anas Anwarul Haq Khan, Mariam Husain, Pratik Jalan, Kshitij Jadhav
arXiv:2606. 28164v1 Announce Type: cross Abstract: Echocardiography is the most widely used non-invasive cardiac imaging modality, providing essential information for cardiovascular diagnosis.
By Darya Taratynova, Ahmed Aly, Numan Saeed, Mohammad Yaqub
MultiViewDx is a physician‑validated multimodal instruction dataset that links medical imaging studies with patient context and normalizes heterogeneous reports into an evidence‑linked workflow (evidence → findings → differential discussion → diagnosis). The dataset covers a wide range of imaging modalities and uses a unified image‑text retriever to ensure that instruction synthesis is grounded in source‑supported evidence. Fine‑tuned models on MultiViewDx achieve the highest average accuracy on four MedVQA benchmarks and receive the strongest overall rating on JAMA Clinical Challenge cases, with ablations confirming the importance of case‑level multi‑view organization and evidence‑linked reasoning.
By Junda Wang, Zonghai Yao, Yujan Ting, Eric Z. Chen, Hieu Tran, Hong Yu, Weijing Huang, Terrence Chen
GateSPINE is a vision‑language framework designed for automated lumbar spine MRI report generation. It fuses sagittal T1 and T2 volumes using a training‑free gated cross‑view fusion module, then encodes the fused sagittal and axial volumes with parallel 3D encoders before decoding the combined representation into a report. Evaluated on three datasets, GateSPINE achieves the highest clinical efficacy F1 scores, improving recall across all datasets while remaining competitive on standard natural language generation metrics.
By Hoang Nguyen Van, Cuong Vuong Tuan, Trang Mai Xuan, Bien Tran Van, Nam Tran Van, Thien Van Luong