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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...
The study evaluates a deep‑learning model for pediatric pneumonia detection across chest X‑ray datasets from three countries, assessing discrimination, calibration, operating‑point transport, shortcut signals, and limited‑label recovery. Using a frozen DenseNet121 ensemble trained on Guangzhou data, the model achieved high internal AUROC (0.976) but performance dropped when applied zero‑shot to Bangladesh (AUROC 0.798) and Vietnam (AUROC 0.742). Limited‑label adaptation with Platt recalibration restored sensitivity but introduced significant specificity variability, highlighting the need to evaluate multiple performance dimensions in cross‑dataset transport studies.
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: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.
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.
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.