The study examines how three parameter‑efficient adaptation methods—linear heads on the raw CLS token, an MLP, and an attention‑pooling module—affect pathology classification accuracy and subgroup fairness when applied to a frozen Rad‑DINO chest X‑ray encoder. Using the MIMIC‑CXR dataset, the authors evaluate eight pathologies across race, sex, and imaging‑view subgroups, finding that attention pooling yields the best overall performance and encodes protected attributes most strongly, yet higher performance does not consistently reduce subgroup disparities. The results show that attribute encoding strength and layer choice do not reliably predict fairness outcomes, indicating that fairness must be assessed directly for each task.
By Dhruv Gupta, Emma A. M. Stanley, Fabio De Sousa Ribeiro, Sujal R. Desai, Ben Glocker
The CXR‑LT 2026 Challenge introduces a multi‑center, long‑tailed chest X‑ray classification benchmark with over 145,000 radiologist‑annotated images from PadChest and NIH datasets. It defines two core tasks: robust multi‑label classification on 30 known classes and open‑world generalization to 6 unseen rare disease classes. The paper outlines data collection, annotation, solution strategies, and evaluates performance across head‑vs‑tail, calibration, and cross‑center gaps, noting that vision‑language models improve in‑distribution and zero‑shot performance but rare‑finding detection under multi‑center shift remains difficult.
By Hexin Dong, Yi Lin, Pengyu Zhou, Fengnian Zhao, Alan Clint Legasto, Juno Cho, Dohui Kim, Justin Namuk Kim, Mingeon Kim, Sunwoo Kwak, Gabriel Moy\`a-Alcover, Ky Trung Nguyen, Thanh-Huy Nguyen, Ha-Hieu Pham, Huy-Hieu Pham, Huy Le Pham, Nikhileswara Rao Sulake, Aina Tur-Serrano, Ruichi Zhang, Ang Zu, Adam E. Flanders, Zhiyong Lu, Ronald M. Summers, Mingquan Lin, Hao Chen, Yuzhe Yang, George Shih, Yifan Peng
arXiv:2607. 26333v1 Announce Type: cross Abstract: Chest X-ray (CXR) machine learning relies heavily on automated evaluation using reference standards that aim to approximate clinical judgment.
By Panagiotis Fytas, Ian Selby, Clemens Karner, Judith Babar, Simon Baker, Jake Beckford, Timothy J. Sadler, Shahab Shahipasand, Arthikkaa Thavakumar, John Li Chen, Alex Sawer, Michael Roberts, Jonathan Weir-McCall, J. H. F. Rudd, Carola-Bibiane Sch\"onlieb, Anna Korhonen, Anna Breger
arXiv:2607. 05628v1 Announce Type: cross Abstract: Accurate and efficient classification of thoracic diseases in chest X-ray (CXR) images is crucial for timely diagnosis and treatment.
By Mohammad S. Majdi, Jeffrey J. Rodriguez
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
arXiv:2606. 19460v1 Announce Type: cross Abstract: We introduce the first generative foundation model for chest radiograph synthesis trained from scratch at the billion-parameter scale.
By Fabio De Sousa Ribeiro, Emma A. M. Stanley, Charles Jones, Tian Xia, Dominic C. Marshall, Laurent Renard Trich\'e, Christopher V. Cosgriff, Panagiotis Dimitrakopoulos, Sotirios A. Tsaftaris, Ben Glocker
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
The paper presents the first systematic evaluation of out‑of‑distribution generalization for congenital heart disease (CHD) segmentation, using the ImageCHD cohort as a held‑out target. It compares several segmentation architectures under different training regimes, showing that in‑distribution performance is a poor predictor of cross‑cohort robustness: nnU‑Net drops from 0.77 to 0.51 Dice, while SwinUNETR maintains higher performance at 0.67 Dice. Limited target‑domain adaptation with only 11 labeled ImageCHD cases boosts all SwinUNETR variants above 0.76 Dice, highlighting the importance of explicit cross‑dataset testing.
By Aniketh Vijesh, Shrisharanyan Vasu, Abhijit Ramesh, Clare Pomeroy-Ward, Harikrishnan Anil Maya, Sarin Xavier, Mahesh Kappanayil, Gilad Gressel
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. 05960v1 Announce Type: cross Abstract: Routine CT interpretation is inherently comprehensive, capturing incidental findings across the entire scan volume.
By Maulik Chevli, Johannes Brandt, Rickmer Braren, Daniel Rueckert, Philip M\"uller
arXiv:2606. 01537v1 Announce Type: cross Abstract: Clinical diagnosis often requires combining imaging with physiological measurements, yet deployed models typically operate on unimodal data.
By Yancheng Liu, Kenichi Maeda, Manan Pancholy
arXiv:2606. 16991v1 Announce Type: cross Abstract: Multiphasic contrast-enhanced CT (CECT) is widely used for abdominal lesion characterization, yet it carries inherent risks of contrast-induced nephropathy, escalates acquisition burden, and heavily contributes to radiologist workload.
By Mariam Elbakry, Aliaa Sayed Sheha, Salma Hassan Tantawy, Aya Yassin, Concetto Spampinato, Karim Lekadir, Xiaomeng Li, Marawan Elbatel