Medical Imaging Foundation Models

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24 papers in the last four weeks, up 167% on the four weeks before. 0.2% of all new papers.

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  1. Comprehensive Evaluation and Fine-Tuning of Foundational Cell Nuclei Segmentation Models in Renal Pathology

    Oct 6, 2026Ruijie Wu, Junlin Guo, Ruining Deng +4Medical Imaging Foundation ModelsFine-Tuning

    Department of Electrical and Computer Engineering, Vanderbilt University, Nashville, TN 37235, USA · Department of Radiology, Weill Cornell Medicine, New York, NY 10021, USA · Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN 37235, USA +2

  2. EchoDino: A pediatric foundation model for transferable echocardiographic analysis across the lifespan

    Oct 4, 2026Sheng Cheng, Donnchadh M. O'Sullivan, Daniel J. Penny +3Medical Imaging Foundation ModelsSelf-Supervised Learning

    Department of Computer Science, Rice University, Houston, TX, USA · Division of Pediatric Cardiology, Baylor College of Medicine, Houston, TX, USA · Texas Children’s Hospital, Houston, TX, USA

  3. From Image Latent Space to Fuzzy Rules: Interpretable Analysis of Gastrointestinal Foundation Model

    Sep 30, 2026Michael D. Vasilakakis, Dimitris K. IakovidisMedical Imaging Foundation ModelsMedical Image Classification

    Department of Computer Science and Biomedical Informatics, University of Thessaly, Lamia, Greece

  4. Med-RADIO: Reducing All Medical Domains Into One via Multi-Teacher Distillation

    Sep 29, 2026Chu Zhang, Haoyu Jiang, Hongyuan Zhang +2Medical Imaging Foundation ModelsMedical Image Classification

    Center for Artificial Intelligence and Robotics, Hong Kong Institute of Science and Innovation, Chinese Academy of Sciences, Hong Kong, China

  5. Flattening the Connectome Spectrum: A Spectral Filter for FC Induces a Pretraining Target for fMRI Encoders

    Sep 29, 2026Giovanni Marraffini, Victoria Shevchenko, Carlo Alberto Barbano +1Kernel Ridge RegressionMedical Imaging Foundation Models

    UNITO · MIND

  6. TomoTransformer: Towards a Foundation Model for CT Reconstruction

    Sep 29, 2026AmirEhsan Khorashadizadeh, Benjamín BéjarMedical Imaging Foundation ModelsImage Reconstruction

    Swiss Data Science Center (SDSC) in Paul Scherrer Institute (PSI), Villigen, Switzerland.

  7. Reduce, Then Encode: Multiscale Volumetric Reduction for 2D Foundation Models in Brain MRI

    Sep 28, 2026Dexuan Ding, Yuankai Qi, Bogong Wang +2Medical Imaging Foundation ModelsDimensionality Reduction

    Macquarie University · Australian National University · University of Sydney

  8. Natural Image Autoencoder-Based fMRI Representations for Trait and State Prediction

    Sep 28, 2026Juhyeon Park, Yeonwoo Kim, Peter Yongho Kim +5Medical Imaging Foundation ModelsfMRI Foundation Models

    IPAI, Seoul National University · Microsoft Research · ECE, Seoul National University +1

  9. UltraBench 2: Towards Robust Evaluation of Vision Foundation Models on Ultrasound

    Sep 23, 2026Ashwath Radhachandran, Adam Tupper, Christian Gagné +1Ultrasound Image SegmentationMedical Imaging Foundation Models

    Bioengineering Department, University of California, Los Angeles · Institut Intelligence et Données (IID), Université Laval Mila – Quebec AI Institute · Radiological Sciences Department, UCLA David Geffen School of Medicine

  10. A generalizable structural brain MRI foundation model built through dual-priority federated pretraining

    Sep 23, 2026Zhen Yu, Yang Liu, Xiahai Zhuang +1Medical Imaging Foundation ModelsFederated Learning Aggregation

    National Institute of Health Data Science, Peking University, Beijing, 100871, China. · Institute of Medical Technology, Peking University Health Science Center, Beijing, 100871, China. · State Key Laboratory of General Artificial Intelligence, Peking University, Beijing, 100871, China. +2

  11. A Scaling Study for fMRI Foundation Models

    Sep 23, 2026Wenhao Ye, Xuanye Pan, Junfeng Xia +3Medical Imaging Foundation ModelsfMRI Foundation Models

    Southern University of Science and Technology · Shenzhen University · SLAI +1

  12. nnFoundation: 3D Foundation Models for Radiology

    Sep 22, 2026Constantin Ulrich Harsy, Tassilo Wald, Karol Gotkowski +803D Foundation ModelsMedical Imaging Foundation Models

  13. Foundation model embeddings capture pre-diagnostic changes on screening mammograms

    Sep 22, 2026Kalina P. Slavkova, Eric Brattain, Aditya Gowd +6Breast CancerMedical Imaging Foundation Models

    HOPPR, Chicago, IL, USA · University of Utah School of Medicine, Salt Lake City, UT, USA · 4DMedical, Woodland Hills, CA, USA +1

  14. Radiomics-Conditioned Modulation of RenalCLIP Features for Clear Cell Renal Cell Carcinoma Classification

    Sep 22, 2026Yuan Liang, Sourav Bhattacharjee, Abraham CampbellMedical Imaging Foundation ModelsRadiomics

    Research Ireland Centre for Research Training in Machine Learning · School of Computer Science, University College Dublin, Dublin, Ireland · School of Veterinary Medicine, University College Dublin, Dublin, Ireland

  15. Complementary Roles of Radiomics and Foundation Representations in Renal Cell Carcinoma Classification: A Comparative Study of 2D and 3D CT Encodings

    Sep 22, 2026Yuan Liang, Sourav Bhattacharjee, Abraham CampbellMedical Imaging Foundation ModelsOncology

    Research Ireland Centre for Research Training in Machine Learning · School of Computer Science, University College Dublin, Dublin, Ireland · School of Veterinary Medicine, University College Dublin, Dublin, Ireland

  16. Generating Chest X-Ray Counterfactuals by Specialising Foundation Image Models

    Sep 21, 2026Xiaodan Xing, Rajat R. Rasal, Julia A. Meister +3Medical Imaging Foundation ModelsCausal Counterfactual Generation

    GSK · Imperial College London

  17. Evaluating the Generalization of Neuroimaging Foundation Models on African Brain MRI

    Sep 21, 2026Oluwatobi Iyanuoluwa Akinmuleya, Olatokun Shamsudeen Akano, Samuel Danquah Ankapong +2Medical Imaging Foundation ModelsDomain Generalization

    Department of Medicine, Shenyang Medical College, Shenyang, China · College of Medicine, University of Ibadan, Ibadan, Nigeria · University of Ghana, Accra, Ghana +2

  18. ORION-CMR: On-scanner Reporting with Integrated Foundation Model for End-to-End Cardiac MRI Analysis and Interpretation

    Sep 20, 2026Omer Burak Demirel, Kelly K. Horst, Alessio Perazzolo +15Radiology Report GenerationMedical Imaging Foundation Models

    MR Clinical Science, Philips North America, MN, USA · Department of Radiology, Mayo Clinic Rochester, Rochester, MN, USA

  19. FreqDINO++: A Frequency-Guided Multi-Task Routing Vision Foundation Model for Universal Ultrasound Analysis

    Sep 17, 2026Qing Xu, Yixuan Zhang, Yue Li +7Ultrasound Image SegmentationMedical Imaging Foundation Models

    School of Computer Science, University of Nottingham Ningbo China, Ningbo, Zhejiang, China · School of Mathematical Sciences, University of Nottingham Ningbo China, Ningbo, Zhejiang, China · School of Computer Science, University of Nottingham, Nottingham NG72RD, UK +3

  20. Mammography Foundation Models for Opportunistic Prediction of Major Adverse Cardiovascular Events

    Sep 16, 2026Paula Feldman, Nusrat Binta Nizam, Sunwoo Kwak +3Medical Imaging Foundation ModelsClinical Outcome Prediction

    Department of Radiology, Weill Cornell Medicine, New York, NY, USA · Cornell Tech, New York, NY, USA · Cornell University, New York, NY, USA

  21. Open ultrasound foundation model for robust segmentation and clinical measurement across heterogeneous settings

    Sep 16, 2026Chao Qin, Fahad Shahbaz Khan, Salman Khan +4Interactive Medical Image SegmentationUltrasound Image Segmentation

    Mohamed bin Zayed Uni. of Artificial Intelligence, Abu Dhabi, UAE. · Sheikh Tahnoon Bin Mohammed Medical City (STMC), Al Ain, UAE. · King’s College Hospital London - Dubai, Dubai, UAE. +1

  22. woma: a real-time foundation model and its fine-tuned models for endoscopy

    Sep 14, 2026Thang Tran, Lan DangEndoscopyMedical Imaging Foundation Models

    CloudKites AI Lab · Monash Business School, Monash University

  23. SV-Cine: Diagnosis-Conditioned Segmentation of Single Ventricle Physiology via Generative Data Augmentation

    Sep 14, 2026Lila Cunge, Yuehong Liu, Hang Xu +5Synthetic Data AugmentationMedical Imaging Foundation Models

    Division of Cardiology, David Geffen School of Medicine at UCLA and VA Greater Los Angeles, Los Angeles, CA, USA. · Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. · Department of Bioengineering, University of California, Los Angeles, Los Angeles, CA, USA. +1

  24. DINO-Med: A Unified Patch-Based Adaptation Framework for Multi-Modal Medical Image Analysis Applied to Liver Fibrosis Staging

    Sep 11, 2026Boya Wang, Ruizhe Li, Chao Chen +1Medical Imaging Foundation ModelsMultimodal Classification

    School of Computer Science, University of Nottingham, UK · Nottingham Biomedical Research Centre (BRC), School of Medicine, University of Nottingham, UK

  25. BrainTaskonomy: Learning How to Pretrain and What to Transfer in fMRI Foundation Models

    Sep 9, 2026Junfeng Xia, Wenhao Ye, Junxiang Zhang +3Medical Imaging Foundation ModelsfMRI Foundation Models

    Department of Biomedical Engineering, Southern University of Science and Technology, Shenzhen, China · Department of Computer Science, University of Warwick, The UK · Omni-Intelligence, Shenzhen, China +1

  26. Disease Burden over Skin Tone: Decomposing the Dermatology-AI Generalization Gap

    Sep 2, 2026Nirajan Kunwor, Sanjaya Poudel, Quoc-Huy Trinh +2Domain GeneralizationSkin Lesion Classification

    Tribhuvan University · North Carolina A&T State University · Aalto University +1

  27. CMRVision: A Foundation Model for Cardiac MR Image Analysis

    Sep 1, 2026Athira J. Jacob, Puneet Sharma, Daniel RueckertMedical Imaging Foundation ModelsMedical Image Classification

    Digital Technology and Innovation, Siemens Healthineers, Princeton, NJ, USA · Chair for Al in Healthcare and Medicine, Technical University of Munich (TUM) and TUM University Hospital, Munich, Germany · Department of Computing, Imperial College London, UK

  28. MR-JEPA: A General Purpose Video Foundation Model for Cardiac MRI

    Aug 31, 2026Athira J. Jacob, Puneet Sharma, Dorin Comaniciu +1Medical Imaging Foundation ModelsSelf-Supervised Pre-Training

    Digital Technology and Innovation, Siemens Healthineers, Princeton, NJ, USA · Chair for Al in Healthcare and Medicine, Technical University of Munich (TUM) · TUM University Hospital, Munich, Germany +1

  29. Uncertainty of Vision Medical Foundation Models

    Aug 31, 2026Haoxu Huang, Narges RazavianMedical Imaging Foundation ModelsUncertainty Quantification

    Center for Data Science, New York University · Department of Radiology, NYU Grossman School of Medicine · Department of Population Health, NYU Grossman School of Medicine

  30. Subgroup performance analysis of adaptation strategies for chest X-ray foundation models

    Aug 19, 2026Dhruv Gupta, Emma A. M. Stanley, Fabio De Sousa Ribeiro +2Chest X-Ray ClassificationMedical Imaging Foundation Models

    Department of Computing, Imperial College London, UK · Causality in Healthcare AI Hub, UK · Department of Radiology, Royal Brompton Hospital, UK +1

  31. Evaluation of Clinically Steerable Retinal Image Generation from Foundation Model Latent Spaces

    Aug 13, 2026Zuzanna A. Wakefield-Skórniewska, Bartłomiej W. PapieżSynthetic-to-Real Domain AdaptationMedical Imaging Foundation Models

    Big Data Institute, Nuffield Department of Population Health, University of Oxford, United Kingdom

  32. Mr3D-VL: A generalist vision language foundation model for Multiparametric 3D Magnetic Resonance Imaging

    Aug 13, 2026Zhi Qiao, Xintong Wu, Yichu He +1Medical Imaging Foundation Models3D Medical Imaging

    United Imaging Intelligence, Shanghai, China

  33. GenFAR: A generalized representation of brain structure, derived from 49,246 multi-cohort MRIs via deep learning

    Aug 12, 2026Vishnu M. Bashyam, Guray Erus, Junhao Wen +29Medical Imaging Foundation ModelsMulti-Task Learning

    Artificial Intelligence in Biomedical Imaging Lab, University of Pennsylvania · Department of Electrical and Systems Engineering, University of Pennsylvania · Florey Institute of Neuroscience and Mental Health, University of Melbourne +16

  34. Frozen Brain-MRI Foundation Models Are Site Fingerprints

    Aug 10, 2026Saman RahbarMedical ImagingMedical Imaging Foundation Models

    University of British Columbia, Vancouver, Canada

  35. A continually expandable foundation model for brain MRI

    Aug 8, 2026Michail Mamalakis, Carmen Jimenez-Mesa, Yonghao Li +8Medical Imaging Foundation ModelsContinual Learning

    1*Cancer Research UK Cambridge Institute, University of Cambridge Li Ka Shing Centre, Robinson Way, Cambridge, CB2 0RE, Cambridgeshire, United Kingdom. · Department of Computer Science and Technology, University of Cambridge, 15 JJ Thomson Ave, Cambridge, CB3 0FD, Cambridgeshire, United Kingdom. · Department of Psychiatry, University of Cambridge, Hills Road, Cambridge, CB2 2QQ, Cambridgeshire, United Kingdom. +7

  36. Distilling CT Foundation Models into Editable Concept Bottlenecks for Lung Nodule Malignancy Prediction

    Aug 8, 2026Fakrul Islam Tushar, Stephen Adamo, Geoffrey D. RubinMedical Imaging Foundation ModelsConcept Bottleneck Models

    Department of Radiology and Imaging Sciences, University of Arizona, Tucson, AZ, USA

  37. DINO-3DRA: Leveraging 2D Foundation Model Semantics for 3D Cerebral Aneurysm Segmentation

    Aug 7, 2026Jiayang Lu, Fengming Lin, Alejandro F. Frangi +1Medical Imaging Foundation ModelsTransfer Learning

    Centre for Computational Imaging and Modelling in Medicine (CIMIM), University of Manchester, Manchester, UK · Christabel Pankhurst Institute, University of Manchester, Manchester, UK · Department of Computer Science, University of Manchester, Manchester, UK +2

  38. Foundation Models Adaptation for Multi-View Multi-modal Cardiac MRI Segmentation and Direct Ejection Fraction Estimation

    Aug 7, 2026Sina Amirrajab, Cian M Scannell, Volker Vehof +2Medical Imaging Foundation ModelsLeft Ventricular Ejection Fraction Estimation

    The D-Lab, Department of Precision Medicine, GROW - Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands. · Division of Cardiovascular Imaging, Department of Cardiology I, University Hospital Münster, Münster, Germany · Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands

  39. A foundation-model approach to pediatric headache classification from rs-fMRI

    Aug 7, 2026Guilherme S. Imai Aldeia, Clara Moon, Julie Shulman +5Medical Imaging Foundation ModelsMedical Diagnosis

    Computational Health Informatics Program, Boston Children’s Hospital, Boston, MA, USA · Department of Pediatrics, Harvard Medical School, Boston, MA, USA · Pediatric Pain Pathway Lab; Department of Anesthesia, Critical Care and Pain Medicine; Department of Anesthesia, Boston Children’s Hospital, Boston, MA, USA +3

  40. Do 3D Medical Foundation Models See Through MRI Artifacts? A Controlled Study of Representation Robustness

    Aug 6, 2026Julia Anna Mielcarz, Daniel Klaaby, Mostafa Mehdipour Ghazi3D Foundation ModelsMedical Imaging Foundation Models

    Pioneer Centre for AI, University of Copenhagen, Copenhagen, Denmark

  41. Big, Bright, or Invisible: A Frozen-Feature Benchmark of 3D CT Foundation Models

    Aug 6, 2026Maulik Chevli, Johannes Brandt, Rickmer Braren +23D Foundation ModelsMedical Imaging Foundation Models

    Chair for AI in Healthcare and Medicine, Technical University of Munich (TUM) and TUM University Hospital, Munich, Germany · Dept. of Diagnostic and Interventional Radiology, UKE Hamburg, Germany · Dept. of Computing, Imperial College London, UK +1

  42. Curia-MAE: Multi-Modal Multi-Anatomy MAE Pre-Training for 3D Medical Image Segmentation

    Aug 6, 2026Théo Danielou, Antoine Saporta, Léo Alberge +1Medical Imaging Foundation ModelsMasked Autoencoders

    Raidium

  43. Text-Guided Refinement of Multi-sequence Glioma Subregion Segmentation with a Vision-Language Foundation Model

    Aug 5, 2026Zach Eidex, Yu-nong Lin, Mojtaba Safari +4Interactive Medical Image SegmentationMedical Imaging Foundation Models

    Department of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA, USA · Department of Radiation and Cellular Oncology, The University of Chicago, Chicago, IL, USA · Department of Radiation Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA, USA

  44. EndoVLM: An Endoscopy Vision-Language Pre-training Model via Anatomy-Guided Sparsity and Progressive Alignment

    Aug 5, 2026Zhenyu Yi, Jianwei Xu, Yue Hu +6Medical Imaging Foundation ModelsMedical VLMs

    1DAMO Academy, Alibaba Group · 3Shanghai Jiao Tong University · 4Hupan Lab +3

  45. Generative AI and Foundation Models in Medical Image

    Aug 3, 2026Masahiro OdaMedical Imaging Foundation ModelsMedical Image Synthesis

    Data Science Research Division, Information Technology Center, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8601, Japan. · Graduate School of Informatics, Nagoya University, Furo-cho, Chikusa-ku, Nagoya 464-8601, Japan.

  46. Few-Shot Concept Prompt Learning for Segmentation Foundation Models via Visual Grounding

    Aug 3, 2026Rahul Venkataramani, Rachana SathishMedical Imaging Foundation ModelsPromptable Image Segmentation

    Advanced Technology Group, GE HealthCare

  47. Location-Aware Fine-Grained Representation Learning for Medical Vision Foundation Models

    Aug 2, 2026Myeongkyun Kang, Yanting Yang, Xiaoxiao LiMedical Imaging Foundation ModelsMedical Image Grounding

    The University of British Columbia · Vector Institute

  48. Representation Transfer of Foundation Models for Ultra-Widefield Retinal Imaging

    Aug 1, 2026Mingya Alexa Gong, Da Ma, Lovre Antonio Budimir +7Medical Imaging Foundation ModelsDiabetic Retinopathy Grading

    Institute of Ophthalmology, University College London, London, United Kingdom · Wake Forest University School of Medicine, Winston-Salem, NC, USA · Virginia Tech-Wake Forest University School of Biomedical Engineering and Sciences, Blacksburg, VA, USA +5

  49. MedSAM2-Anatomy: Training-Free Inference-Time Optimization for Musculoskeletal Segmentation

    Jul 31, 2026John Garcia Henao, Nicholas Bünger, Benedikt Herzog +11Medical Imaging Foundation ModelsInference-Time Optimization

    Digital Medicine Unit Team, Balgrist University Hospital, 8008 Zurich, Switzerland · Research Centre for Computational Health, Zurich University of Applied Sciences (ZHAW), 8820 Wädenswil, Switzerland · Hip and Pelvis Surgery Team, Balgrist University Hospital, 8008 Zurich, Switzerland +1

  50. MoPET: Parameter-Efficient Mixture-of-Experts for Unified Medical Image Classification

    Jul 31, 2026Sebastian Doerrich, Daniel Würtinger, Francesco Di Salvo +2Medical Imaging Foundation ModelsMedical Image Classification

    xAILab Bamberg, University of Bamberg, Bamberg, Germany

  51. UltraSAM3: A Concept-Driven Foundation Model for Universal Ultrasound Image Segmentation

    Jul 31, 2026Bo Xu, Quanhao Zhu, Rui Lin +5Ultrasound Image SegmentationMedical Imaging Foundation Models

    School of Software Dalian University of Technology · School of Computing Technologies RMIT University · Dalian University of Technology Affiliated Center Hospital

  52. Do Medical Foundation Models Generalize on the African Brain?

    Jul 30, 2026Kaouther Mouheb, Gonzalo Esteban Mosquera Rojas, Juancito van Leeuwen +2Medical Imaging Foundation ModelsNeuroimaging

    Dept. of Radiology & Nuclear Medicine, Erasmus MC, Rotterdam, The Netherlands

  53. Negative controls reveal volume-driven confounding in radiomics and imaging foundation model features

    Jul 30, 2026Katy L. Scott, Sejin Kim, Joshua Siraj +6Medical ImagingMedical Imaging Foundation Models

    Princess Margaret Cancer Centre University Health Network Toronto, ON · Radiation Medicine Program Princess Margaret Cancer Centre Toronto, ON

  54. Benchmarking Foundation and Large Language Models for Few-Shot Medical Image Segmentation

    Jul 30, 2026Jinghong Liu, Yuchuan Deng, Fanping Liu +2Medical Imaging Foundation ModelsFew-Shot Medical Image Segmentation

    Renmin University of China

  55. Rethinking Artificial Intelligence in Medical Imaging: Assumptions, Reality, and Reframing

    Jul 29, 2026Arman Rahmim, Nourhan Bayasi, Xiaoxiao Li +2Medical ImagingMedical Imaging Foundation Models

    Department of Basic and Translational Research, BC Cancer Research Institute, Vancouver, BC, Canada · Department of Radiology, University of British Columbia, Vancouver, BC, Canada · Departments of Physics and Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada +3

  56. Anatomy Contextualized Adaption of CT Foundation Models

    Jul 29, 2026Roshan Kenia, Stephanie L McNamara, William LotterMedical Imaging Foundation ModelsVLM Adaptation

    Department of Biomedical Informatics, Harvard Medical School, Boston, MA · Department of Data Science, Dana-Farber Cancer Institute, Boston, MA · Department of Radiology, Massachusetts General Hospital, Boston, MA +2

  57. Empirical investigation of 3D CT Foundation Models and Unsupervised Adaptation for Head and Neck Cancer Recurrence Prediction

    Jul 29, 2026Bilel Guetarni, Feryal Windal, David Pasquier +1Medical Imaging Foundation ModelsUnsupervised Domain Adaptation

    University of Lille, CRISTAL UMR CNRS 9189, France · Junia, Lille, France · UMR 8520, CNRS, France +4

  58. Comparing the Performance of Foundation Model Derived Embeddings with Traditional Approaches for Distant Metastasis Prediction in Head and Neck Cancer

    Jul 28, 2026Erich Schmitz, Meixu Chen, Bowen Jing +1Medical Imaging Foundation ModelsClinical Outcome Prediction

    Advanced Imaging and Informatics for Radiation Therapy (AIRT) and Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas

  59. Rad-JEPA 3D: Radiology Joint-Embedding Predictive Model for 3D Computed Tomography

    Jul 28, 2026Quoc-Huy Trinh, Minh-Van Nguyen, Ulas BagciMedical Imaging Foundation Models3D Medical Imaging

    Northwestern University · Technical University of Denmark

  60. OrganLens: Organ-Specific Representation Learning for CT Foundation Models

    Jul 28, 2026Zhixuan Ge, Anqi Li, Sadeer Al-Kindi +2Medical Imaging Foundation ModelsRepresentation Learning

    Rice University Houston, Texas, USA · Department of Cardiology DeBakey Heart and Vascular Center Houston, Texas, USA · University of Washington Seattle, Washington, USA