Radiology VLMs

VLM: Vision-Language Model

Overview

Radiology vision-language models connect images such as chest X-rays, CT, and MRI with reports and clinical questions to support diagnosis, report writing, image retrieval, and tracking change over time. Common approaches include contrastive image-report pretraining, instruction-tuned multimodal language models, and anatomy-aware grounding; newer systems also use clinical rewards, retrieval, tools, and expert gaze to guide their outputs. Evaluation spans tasks and benchmarks such as MIMIC-CXR, IU X-Ray, and CT-RATE, with growing attention to localization, longitudinal reasoning, uncertainty, and performance across institutions and languages. A central challenge is ensuring that fluent answers reflect image evidence rather than text cues or learned shortcuts, so benchmark scores must be weighed against robustness tests and radiologist assessment.

Latest papers

CardsList

110 papers13 papers in the last four weeks, up 18% on the four weeks before. 0.1% of all new papers.

  1. Explainable Multimodal AI Approach to Reduce Unnecessary Breast Biopsies

    Oct 26, 2026Sadam Hussain, Mansoor Ali, Daly Betzabeth Avendaño-Avalos +1Breast CancerRadiology VLMs

  2. APED-CXR: Adaptive Privileged Evidence Distillation for Chest X-Ray Grounding with Image-Only Inference

    Oct 21, 2026Md Shihabul Islam Shovo, Nishi Kanta Paul, Jamil FayyadMedical Image GroundingAdaptive Knowledge Distillation

  3. TIM: Temporal Decoupling with Iterative Mutual-Refinement Model for Longitudinal Radiology Report Generation

    Oct 19, 2026Yiheng Dong, Yi Lin, Shilong Huang +2Radiology Report GenerationRadiology VLMs

  4. SCCL-DT: Semantic-Conflict-Aware Contrastive Learning with Dual-Rule Teacher Distillation for Zero-Shot Chest X-Ray Diagnosis

    Oct 15, 2026Ting Liu, Haoran Lai, HaobinChen +2Radiology VLMsContrastive Learning

  5. CAPTOR: a vision-language foundation model for Chest-Abdomen-Pelvis Oncologic CT

    Oct 9, 2026Séléna Jean-Mactoux, Sophie Loizillon, Ghina Jardali +3Medical Image RetrievalRadiology VLMs

  6. A4-MR: Abnormality Aware Anatomical Alignment for MR

    Oct 9, 2026Noel D'souza, Zhijian Yang, Nishank Singla +15Medical Imaging Foundation ModelsRadiology VLMs

  7. Efficient Multi-Granularity Knowledge Transfer for Radiology Report Generation

    Oct 8, 2026Xubin Zhong, Zheyu Zhang, Wenjian Qin +1Radiology Report GenerationRadiology VLMs

  8. Geometry-Supervised Visual Representation Learning for Multi-Phenotype Lesion Interpretation in Medical VLMs

    Oct 7, 2026Hao Wang, Qiwei Zeng, Shuchang Ye +5Visual Representation LearningMedical Image Representation Learning

  9. Anatomy-aware Fine-grained Multimodal Fusion for Laryngopharyngeal Cancer T-Staging Prediction Using CT and Radiology Report

    Oct 5, 2026Xingyue Zhao, Yanzhou Su, Fang Zhang +12Radiology VLMsMultimodal Classification

  10. Unmentioned Checklist Findings Change How Reinforcement Learning Appears to Improve Chest Radiograph Report Checking

    Oct 4, 2026Ali Vosoughi, Akhil Kasturi, Chenliang Xu +1Radiology VLMsRadiology Report Evaluation

  11. Homogeneous Semantic Alignment and Hierarchical Expert Routing for Radiology Report Generation

    Oct 3, 2026Erjian Zhang, Jiayuan Ma, Liejun Wang +3Radiology Report GenerationRadiology VLMs

  12. Reliability Stress Tests and Decision-Time Routing for Chest X-ray Vision-Language Models

    Oct 1, 2026Xinye Yang, Zhusi Zhong, Scott Collins +3Medical VLMsVLM Evaluation

  13. SentZero: An Enhanced Sentence-Centric Vision-Language Pretraining for Multi-Task Zero-Shot Chest X-Ray Analysis

    Sep 28, 2026Hangyul Yoon, Hyungyung Lee, Edward Choi +1Contrastive LearningRadiology VLMs

  14. NV-Reason-CT: 3D Visual Language Model for CT Analysis

    Sep 23, 2026Andriy Myronenko, Dong Yang, Yucheng Tang +15Radiology Report GenerationRadiology VLMs

  15. AgenTeeth: A Model-Agnostic Framework for Suppressing Hallucination in Frozen Vision-Language Models on Dental X-Rays via Tool Evidence Injection

    Sep 15, 2026Ahmed Rafid, Fariya Ahmed, Rumman Adib +3VLM Hallucination MitigationRadiology VLMs

  16. ModaLens: Measuring Image Sensitivity in Report-Conditioned Medical VLMs

    Sep 14, 2026Sebastián Andrés Cajas Ordóñez, Maximin Lange, Quang Bui +9VLM EvaluationRadiology VLMs

  17. A radiographic world model for clinical reasoning and evidence generation

    Sep 7, 2026Suyang Xi, Songtao Hu, Shansong Wang +8Chest X-Ray ClassificationRadiology VLMs

  18. Cross-modal triage network: a multimodal deep learning framework for severity-based triage and visual explainability in chest radiographs

    Sep 3, 2026Zinah Ghulam, Richa Mittal, Eranga UkwattaChest X-Ray ClassificationRadiology VLMs

  19. NeoRed: A Knowledge-Logic-Alignment Multimodal Large Language Model for Neonatal Respiratory Disease Diagnosis

    Sep 3, 2026Yinan Liu, Hongtai Xia, Haoran Xu +4Radiology Report GenerationChest X-Ray Classification

  20. Solving the Needle-in-a-Haystack Problem in Mammography Vision-Language Model with Differentiable Subset Sampling

    Sep 2, 2026Young Seok Jeon, Beatrice Brown-Mulry, Rohan Satya Isaac +5Radiology VLMsMedical Image Localization

  21. CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretation

    Aug 31, 2026Adonay Demewez Gebremedhin, Wessam Shehieb, Sara Alansari +4Radiology Report GenerationRadiology VLMs

  22. Integrating Unimodal and Vision-Language Representations in Latent Space for Multi-Label Chest X-Ray Classification

    Aug 31, 2026Quang-Huy Tran, Duc-Tuan Ngo, Minh-Khoi Nguyen-Bui +4Chest X-Ray ClassificationMultimodal Fusion

  23. ARC-CT: Anatomy-Routed Contrastive Vision-Language Learning for 3D Chest CT

    Aug 28, 2026Huseyin Umut Isik, Mehmet Alp Ozaydin, Sila Kurugol +1Radiology VLMsMedical Image Classification

  24. Auditable CT Phenotyping Through Report-derived Radiological Observations

    Aug 26, 2026Riga Wu, Walter Witschey, Yicheng Li +9Radiology VLMsExplainable Medical Image Analysis

  25. What Do Medical Vision-Language Models Learn in Radiology? Transfer, Alignment, and Source-Proxy Leakage Under Distribution Shift

    Aug 26, 2026Ayoub Louaye Bouaziz, Lokmane Chebouba, Yassine HimeurMedical VLMsRadiology VLMs

  26. Graph-Supervised Hierarchical Clinical Alignment for Radiology Report Generation with Large Language Models

    Aug 25, 2026Yingshu Li, Yunyi Liu, Zhanyu Wang +4Radiology Report GenerationRadiology VLMs

  27. MC-CXR: A Multi-Context Chest X-ray Benchmark for Context-Induced Disruption in Vision-Language Models

    Aug 25, 2026Junhyeok Lee, Songsoo Kim, Kyu Sung ChoiVLM EvaluationRadiology VLMs