arXiv:2608. 08046v1 Announce Type: new Abstract: Text-conditioned chest X-ray generation aims to synthesize realistic radiographs that faithfully depict specified findings.
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arXiv:2601.15891v4 Announce Type: replace Abstract: Vision-language pretraining has driven progress in medical image representation learning, but it depends on paired image-text data and can inherit...
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:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.
Medical imaging is a cornerstone of diagnostics, yet automated chest X-ray report generation struggles with structural adherence, anatomical completeness, and semantic faithfulness. We introduce DobicVLM, a vision-language model combining supervised fine-tuning on MedGemma-4B with Group Relative Policy Optimization (GRPO) and clinically-grounded programmatic rewards.
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.
Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image.