The study introduces a gaze-informed transformer framework that classifies radiologist expertise during thoracic CT interpretation by integrating eye‑tracking data into volumetric feature learning. Using a DINOv2 backbone, the model incorporates a learnable log‑space bias in self‑attention and gaze‑weighted pooling of patch embeddings. Trained on 182 CT reading sessions from five radiologists, it achieved an ROC‑AUC of 0.91 and an F1 score of 0.86, outperforming adapted baseline methods.
By Leila Khaertdinova, Anna Anikina, Claudia Mello-Thoms, Bulat Ibragimov
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: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:2610.28289v1 Announce Type: new
Abstract: Radiologists interpret follow-up chest X-rays by comparing current and prior examinations to identify new, resolved or progressing findings. Most repor...
By Sike Xiang, Shuang Chen, Julie Cox, Amir Atapour-Abarghouei
arXiv:2603. 06697v2 Announce Type: replace-cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks.
By Yiwei Li, Yifan Zhou, Huaqin Zhao, Zihao Wu, Zhengliang Liu, Xiang Li, Quanzheng Li, Tianming Liu, Lin Zhao
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: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:2607. 04478v1 Announce Type: cross Abstract: Automated chest X-ray classification remains challenging due to severe class imbalance, co-occurring pathologies, and the loss of localized features in conventional architectures.
By Moshiur Rahman, Shafqat Alam, Tasnia Binte Mamun
OncoVision is a privileged‑information training framework that learns from mammography images and clinical data during training but performs inference using only mammographic images. It employs an attention‑based encoder‑decoder to jointly segment masses, calcifications, axillary findings, and breast tissue, and predicts ten structured clinical features such as BI‑RADS. Two late‑fusion strategies (Independent and Dependent) integrate imaging, radiomic, and clinical information to improve diagnostic precision, and a retrospective multi‑reader study showed higher diagnostic confidence, reduced reading time, and segmentation accuracy comparable to or better than radiologists.
By Istiak Ahmed, Galib Ahmed, K. Shahriar Sanjid, Md. Tanzim Hossain, Md. Nishan Khan, Md. Misbah Khan, Md. Arifur Rahman, Sheikh Anisul Haque, Sharmin Akhtar Rupa, Mohammed Mejbahuddin Mia, Mahmud Hasan Mostofa Kamal, Md. Mostafa Kamal Sarker, M. Monir Uddin
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: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
NV-Reason-CT is a generative vision‑language model designed for chest and abdominal CT analysis that preserves native 3D visual encoding and incorporates radiologist‑guided reasoning. The system couples a 3D vision transformer with a language model, feeding all visual tokens and their 3D coordinates directly into language decoding to maintain volumetric spatial information. Trained on a curated corpus of about 550,000 multimodal instruction examples, the model supports abnormality classification, report generation, and interactive reasoning, achieving strong performance on CT benchmarks and reducing expert interpretation time by 50%.
By Andriy Myronenko, Dong Yang, Yucheng Tang, Baris Turkbey, Benjamin Simon, Stephanie Harmon, Rikhil Makwana, Mariam Aboian, Sena Azamat, Ibrahim Ethem Hamamci, Sezgin Er, Bjoern Menze, Marc Edgar, Yufan He, Pengfei Guo, Daguang Xu