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Chest X-rays (CXRs) are the most frequently performed imaging examinations in clinical settings. Recent advancements in Large Multimodal Models (LMMs) have enabled automated CXR interpretation, enhancing diagnostic accuracy and efficiency.…

Computer Vision and Pattern Recognition · Computer Science 2025-05-06 Qingqiu Li , Zihang Cui , Seongsu Bae , Jilan Xu , Runtian Yuan , Yuejie Zhang , Rui Feng , Quanli Shen , Xiaobo Zhang , Junjun He , Shujun Wang

We introduce MATEX (Multi-scale Attention and Text-guided Explainability), a novel framework that advances interpretability in medical vision-language models by incorporating anatomically informed spatial reasoning. MATEX synergistically…

Computer Vision and Pattern Recognition · Computer Science 2026-01-21 Muhammad Imran , Chi Lee , Yugyung Lee

Ultrasound interpretation requires both precise lesion localization and holistic clinical reasoning, yet existing methods typically excel at only one of these capabilities: specialized detectors offer strong localization but limited…

Computer Vision and Pattern Recognition · Computer Science 2026-05-01 Jing Zhang , Wentao Jiang , Tao Huang , Zhiwei Wang , Jianxin Liu , Jian Chen , Ping Ye , Gang Wang , Zengmao Wang , Bo Du , Dacheng Tao

Medical Phrase Grounding (MPG) maps radiological findings described in medical reports to specific regions in medical images. The primary obstacle hindering progress in MPG is the scarcity of annotated data available for training and…

Computer Vision and Pattern Recognition · Computer Science 2025-02-25 Wenjun Zhang , Shakes Chandra , Aaron Nicolson

The rapid advancements in large language models (LLMs) have unlocked their potential for multimodal tasks, where text and visual data are processed jointly. However, applying LLMs to medical imaging, particularly for chest X-rays (CXR),…

Image and Video Processing · Electrical Eng. & Systems 2025-02-11 Nicholas Evans , Stephen Baker , Miles Reed

Accurate disease interpretation from radiology remains challenging due to imaging heterogeneity. Achieving expert-level diagnostic decisions requires integration of subtle image features with clinical knowledge. Yet major vision-language…

Computer Vision and Pattern Recognition · Computer Science 2025-11-12 Difei Gu , Yunhe Gao , Mu Zhou , Dimitris Metaxas

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

Latent Diffusion Models have shown remarkable results in text-guided image synthesis in recent years. In the domain of natural (RGB) images, recent works have shown that such models can be adapted to various vision-language downstream tasks…

Computer Vision and Pattern Recognition · Computer Science 2025-06-13 Konstantinos Vilouras , Ilias Stogiannidis , Junyu Yan , Alison Q. O'Neil , Sotirios A. Tsaftaris

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Jonggwon Park , Soobum Kim , Byungmu Yoon , Jihun Hyun , Kyoyun Choi

As artificial intelligence (AI) becomes increasingly central to healthcare, the demand for explainable and trustworthy models is paramount. Current report generation systems for chest X-rays (CXR) often lack mechanisms for validating…

Computer Vision and Pattern Recognition · Computer Science 2025-06-26 Sayeh Gholipour Picha , Dawood Al Chanti , Alice Caplier

Radiology is essential to modern healthcare, yet rising demand and staffing shortages continue to pose major challenges. Recent advances in artificial intelligence have the potential to support radiologists and help address these…

Image and Video Processing · Electrical Eng. & Systems 2025-11-14 Phillip Sloan , Edwin Simpson , Majid Mirmehdi

Chest X-ray plays a central role in thoracic diagnosis, and its interpretation inherently requires multi-step, evidence-grounded reasoning. However, large vision-language models (LVLMs) often generate plausible responses that are not…

Artificial Intelligence · Computer Science 2026-03-25 Hyungyung Lee , Hangyul Yoon , Edward Choi

Recent vision-language models (VLMs) have shown strong generalization and multimodal reasoning abilities in natural domains. However, their application to medical diagnosis remains limited by the lack of comprehensive and structured…

Computer Vision and Pattern Recognition · Computer Science 2026-03-27 Sheng Lu , Hao Chen , Rui Yin , Juyan Ba , Yu Zhang , Yuanzhe Li

Automated interpretation of chest X-rays (CXR) is a critical task with the potential to significantly improve clinical workflow and patient care. While recent advances in multimodal foundation models have shown promise, effectively…

Computer Vision and Pattern Recognition · Computer Science 2025-05-06 Alexander Davis , Rafael Souza , Jia-Hao Lim

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in…

Artificial Intelligence · Computer Science 2025-05-22 Ziqing Fan , Cheng Liang , Chaoyi Wu , Ya Zhang , Yanfeng Wang , Weidi Xie

Artificial intelligence (AI)-based chest X-ray (CXR) interpretation assistants have demonstrated significant progress and are increasingly being applied in clinical settings. However, contemporary medical AI models often adhere to a…

Computer Vision and Pattern Recognition · Computer Science 2025-05-30 Jinquan Guan , Qi Chen , Lizhou Liang , Yuhang Liu , Vu Minh Hieu Phan , Minh-Son To , Jian Chen , Yutong Xie

Agentic systems offer a potential path to solve complex clinical tasks through collaboration among specialized agents, augmented by tool use and external knowledge bases. Nevertheless, for chest X-ray (CXR) interpretation, prevailing…

Multiagent Systems · Computer Science 2026-04-16 Kai Zhang , Corey D Barrett , Jangwon Kim , Lichao Sun , Tara Taghavi , Krishnaram Kenthapadi

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…

Artificial Intelligence models have demonstrated significant success in diagnosing skin diseases, including cancer, showing the potential to assist clinicians in their analysis. However, the interpretability of model predictions must be…

Computer Vision and Pattern Recognition · Computer Science 2025-08-29 Max Torop , Masih Eskandar , Nicholas Kurtansky , Jinyang Liu , Jochen Weber , Octavia Camps , Veronica Rotemberg , Jennifer Dy , Kivanc Kose

In clinical radiology reports, doctors capture important information about the patient's health status. They convey their observations from raw medical imaging data about the inner structures of a patient. As such, formulating reports…

Computer Vision and Pattern Recognition · Computer Science 2022-10-10 Constantin Seibold , Simon Reiß , Saquib Sarfraz , Matthias A. Fink , Victoria Mayer , Jan Sellner , Moon Sung Kim , Klaus H. Maier-Hein , Jens Kleesiek , Rainer Stiefelhagen
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