Advancing Chronic Tuberculosis Diagnostics Using Vision-Language Models: A Multi modal Framework for Precision Analysis

Fuente: arXiv
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Autori principali: Shastry, Praveen, Muthulur, Sowmya Chowdary, Kumarasami, Naveen, D, Anandakumar, M, Mounigasri, R, Keerthana, Venkatesh, Kishore Prasath, Subramanian, Bargava, Sivasailam, Kalyan, Ezhumalai, Revathi, Marimuthu, Abitha
Natura: Preprint
Pubblicazione: 2025
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author Shastry, Praveen
Muthulur, Sowmya Chowdary
Kumarasami, Naveen
D, Anandakumar
M, Mounigasri
R, Keerthana
Venkatesh, Kishore Prasath
Subramanian, Bargava
Sivasailam, Kalyan
Ezhumalai, Revathi
Marimuthu, Abitha
author_facet Shastry, Praveen
Muthulur, Sowmya Chowdary
Kumarasami, Naveen
D, Anandakumar
M, Mounigasri
R, Keerthana
Venkatesh, Kishore Prasath
Subramanian, Bargava
Sivasailam, Kalyan
Ezhumalai, Revathi
Marimuthu, Abitha
contents Background: This study proposes a Vision-Language Model (VLM) leveraging the SIGLIP encoder and Gemma-3b transformer decoder to enhance automated chronic tuberculosis (TB) screening. By integrating chest X-ray images with clinical data, the model addresses the challenges of manual interpretation, improving diagnostic consistency and accessibility, particularly in resource-constrained settings. Methods: The VLM architecture combines a Vision Transformer (ViT) for visual encoding and a transformer-based text encoder to process clinical context, such as patient histories and treatment records. Cross-modal attention mechanisms align radiographic features with textual information, while the Gemma-3b decoder generates comprehensive diagnostic reports. The model was pre-trained on 5 million paired medical images and texts and fine-tuned using 100,000 chronic TB-specific chest X-rays. Results: The model demonstrated high precision (94 percent) and recall (94 percent) for detecting key chronic TB pathologies, including fibrosis, calcified granulomas, and bronchiectasis. Area Under the Curve (AUC) scores exceeded 0.93, and Intersection over Union (IoU) values were above 0.91, validating its effectiveness in detecting and localizing TB-related abnormalities. Conclusion: The VLM offers a robust and scalable solution for automated chronic TB diagnosis, integrating radiographic and clinical data to deliver actionable and context-aware insights. Future work will address subtle pathologies and dataset biases to enhance the model's generalizability, ensuring equitable performance across diverse populations and healthcare settings.
format Preprint
id arxiv_https___arxiv_org_abs_2503_14536
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Advancing Chronic Tuberculosis Diagnostics Using Vision-Language Models: A Multi modal Framework for Precision Analysis
Shastry, Praveen
Muthulur, Sowmya Chowdary
Kumarasami, Naveen
D, Anandakumar
M, Mounigasri
R, Keerthana
Venkatesh, Kishore Prasath
Subramanian, Bargava
Sivasailam, Kalyan
Ezhumalai, Revathi
Marimuthu, Abitha
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
68T07, 92C55, 68U10, 92C50, 60G35
Background: This study proposes a Vision-Language Model (VLM) leveraging the SIGLIP encoder and Gemma-3b transformer decoder to enhance automated chronic tuberculosis (TB) screening. By integrating chest X-ray images with clinical data, the model addresses the challenges of manual interpretation, improving diagnostic consistency and accessibility, particularly in resource-constrained settings. Methods: The VLM architecture combines a Vision Transformer (ViT) for visual encoding and a transformer-based text encoder to process clinical context, such as patient histories and treatment records. Cross-modal attention mechanisms align radiographic features with textual information, while the Gemma-3b decoder generates comprehensive diagnostic reports. The model was pre-trained on 5 million paired medical images and texts and fine-tuned using 100,000 chronic TB-specific chest X-rays. Results: The model demonstrated high precision (94 percent) and recall (94 percent) for detecting key chronic TB pathologies, including fibrosis, calcified granulomas, and bronchiectasis. Area Under the Curve (AUC) scores exceeded 0.93, and Intersection over Union (IoU) values were above 0.91, validating its effectiveness in detecting and localizing TB-related abnormalities. Conclusion: The VLM offers a robust and scalable solution for automated chronic TB diagnosis, integrating radiographic and clinical data to deliver actionable and context-aware insights. Future work will address subtle pathologies and dataset biases to enhance the model's generalizability, ensuring equitable performance across diverse populations and healthcare settings.
title Advancing Chronic Tuberculosis Diagnostics Using Vision-Language Models: A Multi modal Framework for Precision Analysis
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
68T07, 92C55, 68U10, 92C50, 60G35
url https://arxiv.org/abs/2503.14536