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. Learning Directional Semantic Transitions for Longitudinal Chest X-ray Analysis

    Jun 14, 2026Zhangfeng Hu, Zefan Yang, Ge Wang +4Radiology VLMsDisease Progression Modeling

  2. XMedFusion: A Knowledge-Guided Multimodal Perception and Reasoning Framework for Autonomous Medical Systems

    Jun 8, 2026Hamza Riaz, Arham Haroon, Maha Baig +3Radiology Report GenerationRadiology VLMs

  3. CheXanatomy: Anatomy-Aware Vision-Language Modeling for Chest Radiographs

    Jun 7, 2026Sergios Gatidis, Curtis Langlotz, Christian BluethgenRadiology VLMsMedical Image Segmentation

  4. A Vision-language Framework for Comparative Reasoning in Radiology

    Jun 4, 2026Tengfei Zhang, Ziheng Zhao, Xiaoman Zhang +5Medical Image RetrievalRadiology VLMs

  5. Does Language Shift Break Medical Vision-Language Models? Indonesian Radiology Visual Question Answering Case Study

    Jun 2, 2026Pieter Christy Yan Yudhistira, Dzaki Rafif Malik, Novanto YudistiraVLM EvaluationVLM Robustness

  6. GLINT: Sparsely Gated Vision-Language Alignment for Fine-Grained Radiology Representations

    Jun 2, 2026Jonggwon Park, Seongeun Lee, Junhyun Park +6Radiology VLMsMedical Image Segmentation

  7. CCS: Clinical Consensus Selection for Radiology Report Generation

    May 28, 2026Xi Zhang, Yingshu Li, Zaiqiao Meng +2Radiology Report GenerationRadiology VLMs

  8. BioFact-MoE: Biologically Factorized Mixture of Experts for Vision-Language Prognostic Modeling in Hepatocellular Carcinoma

    May 25, 2026Junlin Yang, Tian Yu, Nicha C. Dvornek +6Radiology VLMsCancer Survival Prediction

  9. DDX-TRACE: A Benchmark for Medical Diagnostic Trajectories in VLMs

    May 22, 2026Jiazhen Pan, Weixiang Shen, Jun Li +7Medical ImagingRadiology VLMs

  10. MedExpMem: Adapting Experience Memory for Differential Diagnosis

    May 20, 2026Qianhan Feng, Zhongzhen Huang, Yakun Zhu +4Radiology VLMsHealthcare

  11. Regulating Anatomy-Aware Rewards via Trajectory-Integral Feedback for Volumetric Computed Tomography Analysis

    May 19, 2026Tianwei Lin, Zhongwei Qiu, Jie Cao +7Radiology Report GenerationRadiology VLMs

  12. Medical Context Distorts Decisions in Clinical Vision Language Models

    May 17, 2026David Restrepo, Ira Ktena, Maria Vakalopoulou +2VLM EvaluationVLM Robustness

  13. KEPIL: Knowledge-Enhanced Prompt-Image Learning for Prompt-Robust Disease Detection

    May 9, 2026Haozhe Luo, Shelley Zixin Shu, Ziyu Zhou +2VLM RobustnessRadiology VLMs

  14. iTRIALSPACE: Programmable Virtual Lesion Trials for Controlled Evaluation of Lung CT Models

    May 7, 2026Fakrul Islam Tushar, Umme Hafsa Momy, Joseph Y. Lo +1VLM EvaluationRadiology VLMs

  15. RIHA: Report-Image Hierarchical Alignment for Radiology Report Generation

    Apr 30, 2026Yucheng Chen, Yang Yu, Yufei Shi +3Radiology Report GenerationRadiology VLMs

  16. EXACT: an explainable anomaly-aware vision foundation model for analysis of 3D chest CT

    Apr 27, 2026Xuguang Bai, Mingxuan Liu, Tongxi Song +6Medical Imaging Foundation ModelsRadiology VLMs

  17. CheXmix: Unified Generative Pretraining for Vision Language Models in Medical Imaging

    Apr 24, 2026Ashwin Kumar, Robbie Holland, Corey Barrett +8Radiology Report GenerationChest X-Ray Classification

  18. CXRMate-2: Structured Multimodal Temporal Embeddings and Tractable Reinforcement Learning for Clinically Acceptable Chest X-ray Radiology Report Generation

    Apr 21, 2026Aaron Nicolson, Elizabeth J. Cooper, Hwan-Jin Yoon +7Radiology Report GenerationRadiology VLMs

  19. Seeing Through Experts Eyes A Foundational Vision Language Model Trained on Radiologists Gaze and Reasoning

    Apr 15, 2026Kinhei Lee, Peiyuan Jing, Zhenxuan Zhang +5Radiology VLMsExplainable Medical Image Analysis

  20. MApLe: Multi-instance Alignment of Diagnostic Reports and Large Medical Images

    Apr 15, 2026Felicia Bader, Philipp Seeböck, Anastasia Bartashova +2Radiology VLMsVision-Language Alignment

  21. CWCD: Category-Wise Contrastive Decoding for Structured Medical Report Generation

    Apr 12, 2026Shantam Srivastava, Mahesh Bhosale, David Doermann +1Radiology Report GenerationRadiology VLMs

  22. SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learning

    Apr 10, 2026Halil Ibrahim Gulluk, Olivier GevaertRadiology VLMsData Augmentation

  23. ECHO: Efficient Chest X-ray Report Generation with One-step Block Diffusion

    Apr 10, 2026Lifeng Chen, Tianqi You, Hao Liu +8Radiology Report GenerationRadiology VLMs

  24. Towards Responsible Multimodal Medical Reasoning via Context-Aligned Vision-Language Models

    Apr 9, 2026Sumra Khan, Sagar Chhabriya, Aizan Zafar +5VLM Hallucination MitigationMedical VLMs

  25. An Explainable Vision-Language Model Framework with Adaptive PID-Tversky Loss for Lumbar Spinal Stenosis Diagnosis

    Apr 2, 2026Md. Sajeebul Islam Sk., Md. Mehedi Hasan Shawon, Md. Golam Rabiul AlamRadiology VLMsMedical Diagnosis

  26. CXR-LT 2026 Challenge: Projection-Aware Multi-Label and Zero-Shot Chest X-Ray Classification

    Apr 2, 2026Juno Cho, Dohui Kim, Mingeon Kim +3Chest X-Ray ClassificationRadiology VLMs

  27. Enhancing Medical Visual Grounding via Knowledge-guided Spatial Prompts

    Apr 2, 2026Yifan Gao, Tao Zhou, Yi Zhou +3Medical Image GroundingMedical Image Localization

  28. A Reasoning-Enabled Vision-Language Foundation Model for Chest X-ray Interpretation

    Apr 1, 2026Yabin Zhang, Chong Wang, Yunhe Gao +19Radiology VLMsVLM Reasoning

  29. Less Is More? Selective Visual Attention to High-Importance Regions for Multimodal Radiology Summarization

    Mar 31, 2026Mst. Fahmida Sultana Naznin, Adnan Ibney Faruq, Mushfiqur Rahman +3Radiology VLMsRadiology Report Generation

  30. Seeing Like Radiologists: Context- and Gaze-Guided Vision-Language Pretraining for Chest X-rays

    Mar 27, 2026Kang Liu, Zhuoqi Ma, Siyu Liang +5Radiology VLMsMedical VLMs