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We introduce a radiology-focused visual language model designed to generate radiology reports from chest X-rays. Building on previous findings that large language models (LLMs) can acquire multimodal capabilities when aligned with…

Computer Vision and Pattern Recognition · Computer Science 2025-07-08 Xi Zhang , Zaiqiao Meng , Jake Lever , Edmond S. L. Ho

This paper explores training medical vision-language models (VLMs) -- where the visual and language inputs are embedded into a common space -- with a particular focus on scenarios where training data is limited, as is often the case in…

Computer Vision and Pattern Recognition · Computer Science 2023-04-03 Rhydian Windsor , Amir Jamaludin , Timor Kadir , Andrew Zisserman

Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks…

Large Vision-Language Models (LVLMs) have demonstrated promising performance in chest X-ray (CXR) analysis. To enhance human-computer interaction, several studies have incorporated radiologists' eye gaze, typically through heatmaps or…

Computer Vision and Pattern Recognition · Computer Science 2025-07-15 Yunsoo Kim , Jinge Wu , Honghan Wu

Recent medical multimodal foundation models are built as multimodal LLMs (MLLMs) by connecting a CLIP-pretrained vision encoder to an LLM using LLaVA-style finetuning. This two-stage, decoupled approach introduces a projection layer that…

Computer Vision and Pattern Recognition · Computer Science 2026-04-28 Ashwin Kumar , Robbie Holland , Corey Barrett , Jangwon Kim , Maya Varma , Zhihong Chen , Yunhe Gao , Greg Zaharchuk , Tara Taghavi , Krishnaram Kenthapadi , Akshay Chaudhari

Foundation models, trained on vast amounts of data using self-supervised techniques, have emerged as a promising frontier for advancing artificial intelligence (AI) applications in medicine. This study evaluates three different…

Vision language pre-training aims to learn alignments between vision and language from a large amount of data. Most existing methods only learn image-text alignments. Some others utilize pre-trained object detectors to leverage vision…

Computer Vision and Pattern Recognition · Computer Science 2023-08-01 Yan Zeng , Xinsong Zhang , Hang Li , Jiawei Wang , Jipeng Zhang , Wangchunshu Zhou

Vision-language models (VLMs) have recently shown remarkable zero-shot performance in medical image understanding, yet their grounding ability, the extent to which textual concepts align with visual evidence, remains underexplored. In the…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Haozhe Luo , Shelley Zixin Shu , Ziyu Zhou , Sebastian Otalora , Mauricio Reyes

Difference visual question answering (diff-VQA) is a challenging task that requires answering complex questions based on differences between a pair of images. This task is particularly important in reading chest X-ray images because…

Computer Vision and Pattern Recognition · Computer Science 2024-12-16 Yeongjae Cho , Taehee Kim , Heejun Shin , Sungzoon Cho , Dongmyung Shin

Vision-language pretraining has advanced image-text alignment, yet progress in radiology remains constrained by the heterogeneity of clinical reports, including abbreviations, impression-only notes, and stylistic variability. Unlike…

Computer Vision and Pattern Recognition · Computer Science 2025-09-22 Hanbin Ko , Gihun Cho , Inhyeok Baek , Donguk Kim , Joonbeom Koo , Changi Kim , Dongheon Lee , Chang Min Park

Purpose: This study aimed to develop an open-source multimodal large language model (CXR-LLAVA) for interpreting chest X-ray images (CXRs), leveraging recent advances in large language models (LLMs) to potentially replicate the image…

Computation and Language · Computer Science 2024-01-17 Seowoo Lee , Jiwon Youn , Hyungjin Kim , Mansu Kim , Soon Ho Yoon

The global demand for radiologists is increasing rapidly due to a growing reliance on medical imaging services, while the supply of radiologists is not keeping pace. Advances in computer vision and image processing technologies present…

Computer Vision and Pattern Recognition · Computer Science 2025-11-11 Shehroz S. Khan , Petar Przulj , Ahmed Ashraf , Ali Abedi

Multimodal pre-training with text, layout, and image has achieved SOTA performance for visually-rich document understanding tasks recently, which demonstrates the great potential for joint learning across different modalities. In this…

Computation and Language · Computer Science 2021-09-10 Yiheng Xu , Tengchao Lv , Lei Cui , Guoxin Wang , Yijuan Lu , Dinei Florencio , Cha Zhang , Furu Wei

Over 1.4 billion chest X-rays (CXRs) are performed annually due to their cost-effectiveness as an initial diagnostic test. This scale of radiological studies provides a significant opportunity to streamline CXR interpretation and…

In this paper, we consider enhancing medical visual-language pre-training (VLP) with domain-specific knowledge, by exploiting the paired image-text reports from the radiological daily practice. In particular, we make the following…

Image and Video Processing · Electrical Eng. & Systems 2023-04-04 Chaoyi Wu , Xiaoman Zhang , Ya Zhang , Yanfeng Wang , Weidi Xie

The latest breakthroughs in large vision-language models, such as Bard and GPT-4, have showcased extraordinary abilities in performing a wide range of tasks. Such models are trained on massive datasets comprising billions of public…

Computer Vision and Pattern Recognition · Computer Science 2025-05-08 Omkar Thawakar , Abdelrahman Shaker , Sahal Shaji Mullappilly , Hisham Cholakkal , Rao Muhammad Anwer , Salman Khan , Jorma Laaksonen , Fahad Shahbaz Khan

Automated radiology report generation is key for reducing radiologist workload and improving diagnostic consistency, yet generating accurate reports for 3D medical imaging remains challenging. Existing vision-language models face two…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Pengcheng Shi , Minghui Zhang , Kehan Song , Jiaqi Liu , Yun Gu , Xinglin Zhang

Inspired by the success of large language models (LLMs), there is growing research interest in developing LLMs in the medical domain to assist clinicians. However, for hospitals, using closed-source commercial LLMs involves privacy issues,…

Machine Learning · Computer Science 2024-09-23 Jinge Wu , Yunsoo Kim , Daqian Shi , David Cliffton , Fenglin Liu , Honghan Wu

Medical foundation models have the potential to revolutionize healthcare by providing robust and generalized representations of medical data. Medical vision-language pre-training has emerged as a promising approach for learning…

Computer Vision and Pattern Recognition · Computer Science 2025-02-18 Qiao Deng , Zhongzhen Huang , Yunqi Wang , Zhichuan Wang , Zhao Wang , Xiaofan Zhang , Qi Dou , Yeung Yu Hui , Edward S. Hui
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