The study evaluates a deep‑learning model for pediatric pneumonia detection across three countries, testing not only discrimination but also probability calibration, fixed operating‑point transport, shortcut signals, and limited‑label recoverability. Using a DenseNet121 ensemble trained on Guangzhou data, the model achieved high internal AUROC (0.976) but performance dropped to 0.798 and 0.742 on Bangladeshi and Vietnamese datasets, respectively. Limited‑label adaptation with Platt recalibration restored sensitivity but introduced significant specificity variability, highlighting the need for comprehensive cross‑dataset evaluation.
arXiv:2608.30467v1 Announce Type: new
Abstract: Deep-learning models can achieve strong chest X-ray (CXR) classification performance without establishing whether their predictions predominantly rely...
By Abdullah Al Mamun, Md. Nasif Osman Khansur, Md Ashraful Hossen Akash, Md. Kishor Morol, Tze Hui Liew
Deep-learning models can achieve strong chest X-ray (CXR) classification performance without establishing whether their predictions predominantly rely on pulmonary image content. This study evaluates...
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. 09305v1 Announce Type: cross Abstract: Chest radiography (CXR) remains the most widely used thoracic imaging modality, yet expert interpretation is constrained by a severe shortage of radiologists in Thailand and across Southeast Asia.
By Isarun Chamveha, Tretap Promwiset, Napat Wanchaitanawong, Trongtum Tongdee, Pairash Saiviroonporn, Warasinee Chaisangmongkon
arXiv:2606. 12824v1 Announce Type: cross Abstract: AI governance for medical imaging is formalizing: the 2026 ACR-SIIM Practice Parameter recommends local acceptance testing and ongoing drift monitoring, and the ACR Assess-AI registry monitors AI outputs using DICOM metadata for context.
By Daniel Soliman
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:2608.22059v1 Announce Type: cross
Abstract: Pretrained image encoders are central to medical image classification, where expert annotation is costly and task-specific cohorts are often limited....
By Xingtao Lin, Hangqi Ren, Caiwan Sun, You Chen
arXiv:2607. 07219v1 Announce Type: cross Abstract: Vision foundation models (VFMs) are increasingly being developed for radiological imaging, yet their definition, development and evaluation remain heterogeneous.
By Alejandro Vergara-Richart (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain, Universitat Polit\`ecnica de Val\`encia, Val\`encia, Spain), Xavier Rafael-Palou (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain), Almudena Fuster-Matanzo (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain), Ignacio Iborra Roncales (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain), \'Angel Alberich-Bayarri (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain), Ana Jim\'enez-Pastor (Quantitative Imaging Biomarkers in Medicine, Quibim S.L., Val\`encia, Spain)
The study evaluates the robustness of medical vision‑language models for tuberculosis screening on chest X‑rays by testing them across multiple datasets, prompts, and evaluation settings. Three specialized models (BioMedCLIP, CheXficient, MedSigLIP) and a general OpenCLIP model were audited on 12,200 images, producing 244,000 model–image–prompt scores. Results show that no model consistently outperforms others across all cohorts and reliability criteria, with prompt changes and control group composition significantly affecting AUROC, and that high training‑set performance does not reliably transfer to external cohorts.
By Mushir Akhtar, M. Tanveer, Mohd. Arshad
arXiv:2609.37848v1 Announce Type: cross
Abstract: Biomedical machine learning papers often compress model performance into one headline number. That number can look like a property of the model even...
By Bhanu Prakash Vangala, Sowmya Guda, Latha Peddi, Navya Vangala
arXiv:2608.21571v1 Announce Type: new
Abstract: Lung cancer remains a leading cause of cancer-related mortality worldwide, and early diagnosis is critical for improving survival. However, early-stage...
By Olivera Kotevska, Ian Goethert, Michael McGee, Maria Mahbub, Sean R. Wilkinson, Rowena Yip, Myvizhi Esai Selvan, Zeynep H. Gumus, Claudia Henschke, Robert J. Klein, Providencia Morales, Samuel M Aguayo, Ioana Danciu, Mayanka Chandrashekar