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. 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: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
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:2607. 20641v1 Announce Type: new Abstract: Federated learning (FL) enables multiple clinical institutions to collaboratively train a shared disease classifier without centralizing patient data.
By Afsaneh Mahanipour, Hana Khamfroush
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
The paper introduces GDMRG, a Graph-Augmented Dual-Stream Medical Report Generation framework that incorporates a Topological Knowledge Internalization module using a Graph Convolutional Network to encode disease co-occurrence priors. It employs a dual-stream classifier—one branch generating diagnostic prompts under topological constraints and an auxiliary branch dynamically calibrating decision boundaries for imbalanced samples—alongside a Diagnosis-Guided Spatial Attention mechanism to align visual features with clinical semantics. Experiments on MIMIC-CXR show competitive clinical efficacy and natural language fluency, with strong zero-shot performance on IU X-Ray.
By Moyu Tang, Shangkun Sima, Chupei Tang, Junxiao Kong, Di Wang, Tianchi Lu
The paper introduces Prototype Purification and Regulation (PPR), a multi‑label few‑shot learning framework for medical image classification that addresses two key limitations of existing metric‑based meta‑learning methods. PPR first purifies prototypes by using sample‑level comorbidity scores to highlight disease‑specific features, then regulates inter‑class prototype distances with disease‑level comorbidity statistics to create a comorbidity‑aware embedding space. Experiments on four chest X‑ray datasets, including cross‑domain tests, show that PPR outperforms state‑of‑the‑art methods, improving disease detection and demonstrating robust generalization and clinical applicability.
By Ying-Chih Lin, Po-Chih Kuo, Yong-Sheng Chen
The article presents a comparative study of convolutional neural network (CNN) architectures for classifying COVID-19 from healthy lung images using CT and X‑ray scans. Multiple pre‑trained models—including VGG, DenseNet, ResNet, MobileNet, Xception, Inception, EfficientNet, and NasNet—were evaluated on two X‑ray and two CT datasets. ResNet and VGG achieved the highest accuracies, ranging from 95% to 98%, outperforming previous reports in the literature.
By Sarmad Khan, Basim Azam, Arslan Shaukat
arXiv:2608. 09774v1 Announce Type: cross Abstract: Thoracic pathologies rarely occur in isolation, yet standard multi-label classifiers rely on shared global descriptors, discarding \emph{where} findings lie and \emph{how} they co-occur.
By Akash Gogineni, Nagur Shareef Shaik, Aasrith Mandava, Adnan Masood, Dong Hye Ye
arXiv:2608.24281v1 Announce Type: new
Abstract: Reducing annotation requirements remains a key challenge in developing robust medical object detectors. To address this, Vision-Language (VL) object de...
By Sheethal Bhat, Bogdan Georgescu, Awais Mansoor, Mathias Zinnen, Pranjal Sahu, Florin C. Ghesu, Sasa Grbic, Andreas Maier