arXiv Computer Vision

Radiologist-Guided Causal Concept Bottleneck Models for Chest X-Ray Interpretation

arXiv Machine Learning

Jun 29

Revisiting Performance Claims for Chest X-Ray Models Using Clinical Context

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.

By Andrew Wang, Jiashuo Zhang, Michael Oberst

computer-vision benchmarks

arXiv AI

Sep 10

A radiographic world model for clinical reasoning and evidence generation

The paper introduces MedDream, a radiographic world model that learns a shared continuous latent state from paired chest radiograph-text observations. MedDream outperforms existing diagnostic and generative AI models across eight clinical datasets, improving diagnostic reasoning, resident concordance, and evidence generation. Targeted synthetic augmentation guided by subgroup performance gaps further enhances model performance, particularly for Asian patients.

By Suyang Xi, Songtao Hu, Shansong Wang, Mojtaba Safari, Luke del Balzo, Ehsan Ul Karim, Mingzhe Hu, Kuo Zhang, Tonghe Wang, Ralph R. Weichselbaum, Xiaofeng Yang

arXiv Machine Learning

Jul 30

Rethinking Clinical Relevance in Chest X-ray Machine Learning: How Evaluation References Define Performance

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

llms fine-tuning multimodal safety

arXiv AI

Jun 2

MedSynapse-V: Bridging Visual Perception and Clinical Intuition via Latent Memory Evolution

arXiv:2604. 26283v3 Announce Type: replace-cross Abstract: High-precision medical diagnosis relies not only on static imaging features but also on the implicit diagnostic memory experts instantly invoke during image interpretation.

By Chunzheng Zhu, Jiaqi Zeng, Junyu Jiang, Jianxin Lin, Yijun Wang

agents nlp reinforcement-learning efficiency benchmarks safety

arXiv Machine Learning

Jun 5

Symb-xMIL: Symbolic Explanations for Multiple Instance Learning in Digital Pathology

arXiv:2606. 06224v1 Announce Type: cross Abstract: Explanations of multiple instance learning (MIL) models are widely used for validation and discovery in digital histopathology.

By Yanqing Luo (Berlin Institute for the Foundations of Learning and Data, Berlin, Germany, Machine Learning Group, Technische Universit\"at Berlin, Berlin, Germany), Julius Hense (Berlin Institute for the Foundations of Learning and Data, Berlin, Germany, Machine Learning Group, Technische Universit\"at Berlin, Berlin, Germany), Niklas Preni{\ss}l (Institute of Pathology, Charit\'e Universit\"atsmedizin, Berlin, Germany, Berlin Institute of Health at Charit\'e -- Universit\"atsmedizin Berlin, BIH Biomedical Innovation Academy, BIH Charit\'e Digital Clinician Scientist Program, Berlin, Germany), Andreas Mock (Institute of Pathology, Ludwig Maximilian University of Munich, Munich, Germany, Division of Translational Medical Oncology, DKFZ, Heidelberg, Germany, NCT Heidelberg, Heidelberg, Germany, German Cancer Consortium), Klaus-Robert M\"uller (Berlin Institute for the Foundations of Learning and Data, Berlin, Germany, Machine Learning Group, Technische Universit\"at Berlin, Berlin, Germany, Department of Artificial Intelligence, Korea University, Seoul, Korea, Max-Planck Institute for Informatics, Saarbr\"ucken, Germany), Thomas Schnake (Department of Chemistry, Chemical Physics Theory Group, University of Toronto, Canada, Vector Institute for Artificial Intelligence, Toronto, Canada, Acceleration Consortium, University of Toronto, Canada), Mina Jamshidi Idaji (Berlin Institute for the Foundations of Learning and Data, Berlin, Germany, Machine Learning Group, Technische Universit\"at Berlin, Berlin, Germany)

safety

arXiv AI

Aug 25

CDEG: Learning Decision-Critical Evidence for Long-Horizon Diagnostic Agents

arXiv:2608.22899v1 Announce Type: new Abstract: Unlike static medical question answering, long-horizon diagnosis captures the sequential nature of clinical practice: evidence is progressively acquire...

By Xiwei Dai, Zijie Meng, Zhiting Fan, Yixuan Tang, Ziru Niu, Zuozhu Liu

agents nlp benchmarks

arXiv Machine Learning

Aug 19

Pathology Transport: Optimal-Transport Explanations for Clinical Data, and When Their Heatmaps (Fail to) Localize Disease

The paper presents an optimal‑transport based generative model that learns the distributional differences between healthy and diseased patients, producing per‑patient counterfactuals and label‑free attribution heatmaps. On tabular breast cancer data the model achieves high malignancy scoring (AUROC ≈ 0.91) and its attributions correlate moderately with a supervised classifier, yet it does not surpass logistic regression. In chest X‑ray experiments the transport heatmaps capture population‑level signals but fail to localize real lesions, revealing a synthetic‑to‑real gap that challenges the reliability of label‑free explanations.

By Lalit Kumar

benchmarks safety

arXiv AI

Jul 7

PulmoSight-XAI: An Explainable Multi-View Attention Ensemble with Gradient Boosting Meta-Learning for Multi-Label Chest X-Ray Classification

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

benchmarks

arXiv Machine Learning

Jul 8

Taxlifier: Leveraging Disease Taxonomy for Enhanced Multi-Label Classification in Chest Radiography

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 AI

Jul 17

CXRAgent: Director-Orchestrated Multi-Stage Reasoning for Chest X-Ray Interpretation

arXiv:2510. 21324v2 Announce Type: replace Abstract: Chest X-ray (CXR) plays a pivotal role in clinical diagnosis, and a variety of task-specific and foundation models have been developed for automatic CXR interpretation.

By Jinhui Lou, Yan Yang, Zhou Yu, Zhenqi Fu, Weidong Han, Qingming Huang, Jun Yu

llms agents

arXiv Computer Vision

Aug 26

Graph-Supervised Hierarchical Clinical Alignment for Radiology Report Generation with Large Language Models

arXiv:2608.24121v1 Announce Type: new Abstract: Radiology report generation (RRG) has recently benefited from large language models, which substantially improve report fluency. However, clinically fa...

By Yingshu Li, Yunyi Liu, Zhanyu Wang, Zailong Chen, Lingqiao Liu, Lei Wang, Luping Zhou

llms multimodal safety

arXiv Machine Learning

Jun 5

A Vision-language Framework for Comparative Reasoning in Radiology

arXiv:2606. 06407v1 Announce Type: cross Abstract: Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases.

By Tengfei Zhang, Ziheng Zhao, Lisong Dai, Xiaoman Zhang, Pengcheng Qiu, Ya Zhang, Yanfeng Wang, Weidi Xie

nlp multimodal

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