The paper introduces a label‑free method called AURCC for selecting the best foundational model for medical image classification when the target domain lacks labels. AURCC uses a pseudo‑label discrepancy computed by the SUDO framework to score models without fine‑tuning. Experiments on chest X‑ray data across three inter‑hospital shifts show that AURCC closely matches the true model ranking, outperforming simple source‑accuracy baselines especially when source data are limited.
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.
arXiv:2608. 12035v1 Announce Type: cross Abstract: Deploying unsupervised domain adaptation (UDA) in clinical practice requires choosing which algorithm to use and which of its trained models to ship.
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.
arXiv:2607. 28125v2 Announce Type: replace-cross Abstract: Numerous unsupervised domain adaptation (UDA) algorithms exist, but for clinical practice, selecting the best-suited one along with proper hyperparameters often remains unclear, as the unlabeled deployment (target) domain prevents direct evaluation.
The paper evaluates federated learning with Low‑Rank Adaptation (LoRA) for fine‑tuning the BiomedCLIP vision‑language model on chest X‑ray classification across four international cohorts. Federated LoRA improves shared‑class AUC from 0.687 to 0.802, outperforming isolated single‑cohort training and approaching a centralized reference. The study shows that SVD‑based product‑space aggregation (FlexLoRA) is crucial for performance, while FedProx offers no advantage over FedAvg in this setting.
Numerous unsupervised domain adaptation (UDA) algori-thms exist, but for clinical practice, selecting the best-suited one along with proper hyperparameters often remains unclear, as the unlabeled deployment (target) domain prevents direct evaluation. We propose a label-free criterion that jointly selects the algorithm and hyperparameters for UDA.
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.
arXiv:2607. 27763v1 Announce Type: cross Abstract: We describe the DS@GT submissions to the ImageCLEFmedical Caption 2026 challenge, which continues a long-running benchmark on the ROCOv2 dataset with two tracks: Concept Detection (Task 1), assigning UMLS Concept Unique Identifiers (CUIs) to radiology images, and Caption Prediction (Task 2), generating natural-language captions.
The study evaluates how well different medical foundation models agree on image embeddings by measuring mutual k‑nearest‑neighbor overlap across 750,000 images from 14 datasets and 18 public models. Results show that label‑supervised models converge the least, sharing only 6–10% of nearest neighbors, whereas models trained with self‑distillation, masked image modeling, or contrastive pretraining share up to 80%. The authors suggest that developers can select pretraining objectives to control convergence and recommend testing unlabeled images for nearest‑neighbor consistency before replacing a model.
arXiv:2509. 19671v3 Announce Type: replace Abstract: Public datasets of Chest X-Rays (CXRs) have long been a popular benchmark for developing machine learning (ML) computer vision models in healthcare.
We describe the DS@GT submissions to the ImageCLEFmedical Caption 2026 challenge, which continues a long-running benchmark on the ROCOv2 dataset with two tracks: Concept Detection (Task 1), assigning UMLS Concept Unique Identifiers (CUIs) to radiology images, and Caption Prediction (Task 2), generating natural-language captions. For Task 1, our primary submission was a three-way late-fusion ensemble of ConvNeXt-V2, BiomedCLIP ViT-B/16, and DenseNet-169 with a regularized ''Honest Threshold Tuning'' procedure designed to avoid validation overfitting on rare concepts; this submission ranked first on the official submission with a primary $F_1$ of $0.
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.