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Chest ImaGenome Dataset for Clinical Reasoning

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arxiv 2108.00316 v1 pith:3YJHX3TF submitted 2021-07-31 cs.CV cs.AIcs.CLcs.LG

classification cs.CVcs.AIcs.CLcs.LG
keywords graphsceneannotationschestdatasetfindingsanatomicalbounding
verification ladder T0 review T1 audit T2 compute T3 formal
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abstract

Despite the progress in automatic detection of radiologic findings from chest X-ray (CXR) images in recent years, a quantitative evaluation of the explainability of these models is hampered by the lack of locally labeled datasets for different findings. With the exception of a few expert-labeled small-scale datasets for specific findings, such as pneumonia and pneumothorax, most of the CXR deep learning models to date are trained on global "weak" labels extracted from text reports, or trained via a joint image and unstructured text learning strategy. Inspired by the Visual Genome effort in the computer vision community, we constructed the first Chest ImaGenome dataset with a scene graph data structure to describe $242,072$ images. Local annotations are automatically produced using a joint rule-based natural language processing (NLP) and atlas-based bounding box detection pipeline. Through a radiologist constructed CXR ontology, the annotations for each CXR are connected as an anatomy-centered scene graph, useful for image-level reasoning and multimodal fusion applications. Overall, we provide: i) $1,256$ combinations of relation annotations between $29$ CXR anatomical locations (objects with bounding box coordinates) and their attributes, structured as a scene graph per image, ii) over $670,000$ localized comparison relations (for improved, worsened, or no change) between the anatomical locations across sequential exams, as well as ii) a manually annotated gold standard scene graph dataset from $500$ unique patients.

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Forward citations

Cited by 7 Pith papers

Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score. Full citation record

  1. AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretation

    cs.CV 2026-01 conditional novelty 7.0 of 10

    AnatomiX, a two-stage anatomy-first multimodal LLM for chest X-ray interpretation, reports >25% relative gains on anatomy grounding and grounded captioning, but some aggregate benchmark numbers are internally inconsis...

  2. RadJEPA: Radiology Encoder for Chest X-Rays via Joint Embedding Predictive Architecture

    cs.CV 2026-01 unverdicted novelty 6.0 of 10

    RadJEPA learns chest X-ray encoders from unlabeled images via latent prediction in a joint embedding architecture, exceeding prior state-of-the-art on classification, segmentation, and report generation.

  3. Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding

    cs.CV 2025-08 conditional novelty 6.0 of 10

    Decomposing clinical terms into visual attributes lets 0.23B-2B vision-language models match or beat much larger medical VLMs for abnormality grounding with only 16k training pairs.

  4. Interpreting Radiologist's Intention from Eye Movements in Chest X-ray Diagnosis

    cs.CV 2025-07 reject novelty 6.0 of 10

    RadGazeIntent, a transformer model, predicts per-fixation diagnostic intention from radiologist gaze on chest X-rays, evaluated on three newly constructed intention-labeled datasets.

  5. CheXPO: Preference Optimization for Chest X-ray VLMs with Counterfactual Rationale

    cs.CV 2025-07 conditional novelty 6.0 of 10

    A preference optimization strategy using confidence-based hard example mining, similarity retrieval, and synthetic counterfactual rationales improves chest X-ray VQA accuracy by 8.93% relative over supervised fine-tuning.

  6. Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generation

    eess.IV 2026-07 conditional novelty 5.0 of 10

    Radiology report generation improves when image and text features are aligned through shared, CheXpert-initialized pathology prototypes and a masked-evidence objective; PALM reports state-of-the-art scores on three ch...

  7. MCA-RG: Enhancing LLMs with Medical Concept Alignment for Radiology Report Generation

    cs.CV 2025-07 conditional novelty 5.0 of 10

    MCA-RG uses concept alignment, contrastive learning, matching loss, and feature gating to generate radiology reports, reporting SOTA on MIMIC-CXR and CheXpert Plus.

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