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Chest X-Ray (CXR) classification in clinical practice is often limited by imperfect supervision, arising from (i) extreme long-tailed multi-label disease distributions and (ii) missing annotations for rare or previously unseen findings. The…

Computer Vision and Pattern Recognition · Computer Science 2026-02-24 Ha-Hieu Pham , Hai-Dang Nguyen , Thanh-Huy Nguyen , Min Xu , Ulas Bagci , Trung-Nghia Le , Huy-Hieu Pham

Chest X-ray (CXR) interpretation is hindered by the long-tailed distribution of pathologies and the open-world nature of clinical environments. Existing benchmarks often rely on closed-set classes from a single institution, failing to…

Many real-world image recognition problems, such as diagnostic medical imaging exams, are "long-tailed" $\unicode{x2013}$ there are a few common findings followed by many more relatively rare conditions. In chest radiography, diagnosis is…

A large-scale image-text pair dataset has greatly contributed to the development of vision-language pre-training (VLP) models, which enable zero-shot or few-shot classification without costly annotation. However, in the medical domain, the…

Computer Vision and Pattern Recognition · Computer Science 2023-10-23 Kihyun You , Jawook Gu , Jiyeon Ham , Beomhee Park , Jiho Kim , Eun Kyoung Hong , Woonhyunk Baek , Byungseok Roh

Chest X-ray (CXR) interpretation is hindered by the long-tailed distribution of pathologies and the open-world nature of clinical environments. Existing benchmarks often rely on closed-set classes from single institutions, failing to…

Computer Vision and Pattern Recognition · Computer Science 2026-03-18 Hexin Dong , Yi Lin , Pengyu Zhou , Xuan Zhong Feng , Alan Clint Legasto , Mingquan Lin , Hao Chen , Yuzhe Yang , George Shih , Yifan Peng

Due to the large volume of medical imaging data, advanced AI methodologies are needed to assist radiologists in diagnosing thoracic diseases from chest X-rays (CXRs). Existing deep learning models often require large, labeled datasets,…

Computer Vision and Pattern Recognition · Computer Science 2025-03-18 Prakhar Bhardwaj , Sheethal Bhat , Andreas Maier

Despite the success of deep neural networks in chest X-ray (CXR) diagnosis, supervised learning only allows the prediction of disease classes that were seen during training. At inference, these networks cannot predict an unseen disease…

Computer Vision and Pattern Recognition · Computer Science 2021-07-15 Nasir Hayat , Hazem Lashen , Farah E. Shamout

Clinical classification of chest radiography is particularly challenging for standard machine learning algorithms due to its inherent long-tailed and multi-label nature. However, few attempts take into account the coupled challenges posed…

Computer Vision and Pattern Recognition · Computer Science 2023-08-21 Feng Hong , Tianjie Dai , Jiangchao Yao , Ya Zhang , Yanfeng Wang

Chest X-rays (CXR) often reveal rare diseases, demanding precise diagnosis. However, current computer-aided diagnosis (CAD) methods focus on common diseases, leading to inadequate detection of rare conditions due to the absence of…

Computer Vision and Pattern Recognition · Computer Science 2023-11-30 Haoran Lai , Qingsong Yao , Zhiyang He , Xiaodong Tao , S Kevin Zhou

Modern deep learning implementations for medical imaging usually rely on large labeled datasets. These datasets are often difficult to obtain due to privacy concerns, high costs, and even scarcity of cases. In this paper, a label-efficient…

Image and Video Processing · Electrical Eng. & Systems 2025-07-11 Heet Nitinkumar Dalsania

The CXR-LT series is a community-driven initiative designed to enhance lung disease classification using chest X-rays (CXR). It tackles challenges in open long-tailed lung disease classification and enhances the measurability of…

The integration of artificial intelligence in medical imaging has shown tremendous potential, yet the relationship between pre-trained knowledge and performance in cross-modality learning remains unclear. This study investigates how…

Computer Vision and Pattern Recognition · Computer Science 2025-02-20 Yang Yan , Bingqing Yue , Qiaxuan Li , Man Huang , Jingyu Chen , Zhenzhong Lan

Deep neural networks are increasingly used in medical imaging for tasks such as pathological classification, but they face challenges due to the scarcity of high-quality, expert-labeled training data. Recent efforts have utilized…

Machine Learning · Computer Science 2024-10-14 Jongseong Jang , Daeun Kyung , Seung Hwan Kim , Honglak Lee , Kyunghoon Bae , Edward Choi

Chest X-rays (CXRs) often display various diseases with disparate class frequencies, leading to a long-tailed, multi-label data distribution. In response to this challenge, we explore the Pruned MIMIC-CXR-LT dataset, a curated collection…

Computer Vision and Pattern Recognition · Computer Science 2024-11-19 Chin-Wei Huang , Mu-Yi Shen , Kuan-Chang Shih , Shih-Chih Lin , Chi-Yu Chen , Po-Chih Kuo

This challenge tackles multi-label classification for known chest X-ray (CXR) lesions and zero-shot classification for unseen ones. To handle diverse CXR projections, we integrate projection-specific models via a classification network into…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Juno Cho , Dohui Kim , Mingeon Kim , Hyunseo Jang , Chang Sun Lee , Jong Chul Ye

Zero-shot vision-language models (VLMs) have shown promise for chest radiograph classification, but their performance is often limited by confounding label co-occurrence, long-tail class imbalance, and transfer instability under domain…

Machine Learning · Computer Science 2026-04-21 Florian Kittler , Sheethal Bhat , Andreas Maier

Recent advances in zero-shot learning have enabled the use of paired image-text data to replace structured labels, replacing the need for expert annotated datasets. Models such as CLIP-based CheXzero utilize these advancements in the domain…

Medical Physics · Physics 2023-06-16 Aakash Mishra , Rajat Mittal , Christy Jestin , Kostas Tingos , Pranav Rajpurkar

Chest X-rays (CXRs) are a medical imaging modality that is used to infer a large number of abnormalities. While it is hard to define an exhaustive list of these abnormalities, which may co-occur on a chest X-ray, few of them are quite…

Image and Video Processing · Electrical Eng. & Systems 2023-09-11 Arsh Verma

Long-tailed class distributions pose a significant challenge for multi-label chest X-ray (CXR) classification, where rare but clinically important findings are severely underrepresented. In this work, we present a systematic empirical…

Image and Video Processing · Electrical Eng. & Systems 2026-03-04 Nikhileswara Rao Sulake

Medical image classification poses unique challenges due to the long-tailed distribution of diseases, the co-occurrence of diagnostic findings, and the multiple views available for each study or patient. This paper introduces our solution…

Computer Vision and Pattern Recognition · Computer Science 2023-08-23 Dongkyun Kim
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