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Machine learning models for radiology benefit from large-scale data sets with high quality labels for abnormalities. We curated and analyzed a chest computed tomography (CT) data set of 36,316 volumes from 19,993 unique patients. This is…

Image and Video Processing · Electrical Eng. & Systems 2020-10-14 Rachel Lea Draelos , David Dov , Maciej A. Mazurowski , Joseph Y. Lo , Ricardo Henao , Geoffrey D. Rubin , Lawrence Carin

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

Several evaluation metrics have been developed recently to automatically assess the quality of generative AI reports for chest radiographs based only on textual information using lexical, semantic, or clinical named entity recognition…

Computation and Language · Computer Science 2025-05-23 Razi Mahmood , Pingkun Yan , Diego Machado Reyes , Ge Wang , Mannudeep K. Kalra , Parisa Kaviani , Joy T. Wu , Tanveer Syeda-Mahmood

The escalating demand for medical image interpretation underscores the critical need for advanced artificial intelligence solutions to enhance the efficiency and accuracy of radiological diagnoses. This paper introduces CXR-PathFinder, a…

Computer Vision and Pattern Recognition · Computer Science 2025-06-03 Pimchanok Sukjai , Apiradee Boonmee

Given the rapidly expanding capabilities of generative AI models for radiology, there is a need for robust metrics that can accurately measure the quality of AI-generated radiology reports across diverse hospitals. We develop…

In chest X-ray (CXR) image analysis, rule-based systems are usually employed to extract labels from reports for dataset releases. However, there is still room for improvement in label quality. These labelers typically output only presence…

Image and Video Processing · Electrical Eng. & Systems 2025-06-03 Ricardo Bigolin Lanfredi , Pritam Mukherjee , Ronald Summers

Deep learning has advanced medical image classification, but interpretability challenges hinder its clinical adoption. This study enhances interpretability in Chest X-ray (CXR) classification by using concept bottleneck models (CBMs) and a…

Information Retrieval · Computer Science 2025-04-30 Hasan Md Tusfiqur Alam , Devansh Srivastav , Md Abdul Kadir , Daniel Sonntag

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

Current literature on radiology report evaluation has focused primarily on designing LLM-based metrics and fine-tuning small models for chest X-rays. However, it remains unclear whether these approaches are robust when applied to reports…

Artificial Intelligence · Computer Science 2026-04-07 Federica Bologna , Jean-Philippe Corbeil , Matthew Wilkens , Asma Ben Abacha

Longitudinal information in radiology reports refers to the sequential tracking of findings across multiple examinations over time, which is crucial for monitoring disease progression and guiding clinical decisions. Many recent automated…

Computation and Language · Computer Science 2026-01-26 Xinyi Wang , Grazziela Figueredo , Ruizhe Li , Xin Chen

Chest X-ray report generation (CXR-RG) has the potential to substantially alleviate radiologists' workload. However, conventional autoregressive vision--language models (VLMs) suffer from high inference latency due to sequential token…

Machine Learning · Computer Science 2026-05-19 Lifeng Chen , Tianqi You , Hao Liu , Zhimin Bao , Jile Jiao , Xiao Han , Zhicai Ou , Tao Sun , Xiaofeng Mou , Xiaojie Jin , Yi Xu

Multimodal Large Language Models (MLLMs) have shown success in various general image processing tasks, yet their application in medical imaging is nascent, lacking tailored models. This study investigates the potential of MLLMs in improving…

Computer Vision and Pattern Recognition · Computer Science 2024-05-13 Ling Yang , Zhanyu Wang , Zhenghao Chen , Xinyu Liang , Luping Zhou

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

Large language models (LLMs), including zero-shot and few-shot paradigms, have shown promising capabilities in clinical text generation. However, real-world applications face two key challenges: (1) patient data is highly unstructured,…

Computation and Language · Computer Science 2025-07-10 Garapati Keerthana , Manik Gupta

Despite significant advancements in adapting Large Language Models (LLMs) for radiology report generation (RRG), clinical adoption remains challenging due to difficulties in accurately mapping pathological and anatomical features to their…

Computer Vision and Pattern Recognition · Computer Science 2025-08-22 Qilong Xing , Zikai Song , Youjia Zhang , Na Feng , Junqing Yu , Wei Yang

Chest Xray imaging is a widely used diagnostic tool in modern medicine, and its high utilization creates substantial workloads for radiologists. To alleviate this burden, vision language models are increasingly applied to automate Chest…

Computer Vision and Pattern Recognition · Computer Science 2025-10-15 Shaoyang Zhou , Yingshu Li , Yunyi Liu , Lingqiao Liu , Lei Wang , Luping Zhou

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

The development of AI-based methods to analyze radiology reports could lead to significant advances in medical diagnosis, from improving diagnostic accuracy to enhancing efficiency and reducing workload. However, the lack of…

Computation and Language · Computer Science 2025-08-14 Yuyan Ge , Kwan Ho Ryan Chan , Pablo Messina , René Vidal

Accurately interpreting medical images and writing radiology reports is a critical but challenging task in healthcare. Both human-written and AI-generated reports can contain errors, ranging from clinical inaccuracies to linguistic…

Computation and Language · Computer Science 2024-09-18 Vishwanatha M. Rao , Serena Zhang , Julian N. Acosta , Subathra Adithan , Pranav Rajpurkar

Safe deployment of Large Vision-Language Models (LVLMs) in radiology report generation requires not only accurate predictions but also clinically interpretable indicators of when outputs should be thoroughly reviewed, enabling selective…