Evaluating Vision Language Models (VLMs) for Radiology: A Comprehensive Analysis

Fuente: arXiv
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Autores principales: Li, Frank, Trivedi, Hari, Khosravi, Bardia, Dapamede, Theo, Chavoshi, Mohammadreza, Dere, Abdulhameed, Isaac, Rohan Satya, Mansuri, Aawez, Newsome, Janice, Purkayastha, Saptarshi, Gichoya, Judy
Formato: Preprint
Publicado: 2025
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author Li, Frank
Trivedi, Hari
Khosravi, Bardia
Dapamede, Theo
Chavoshi, Mohammadreza
Dere, Abdulhameed
Isaac, Rohan Satya
Mansuri, Aawez
Newsome, Janice
Purkayastha, Saptarshi
Gichoya, Judy
author_facet Li, Frank
Trivedi, Hari
Khosravi, Bardia
Dapamede, Theo
Chavoshi, Mohammadreza
Dere, Abdulhameed
Isaac, Rohan Satya
Mansuri, Aawez
Newsome, Janice
Purkayastha, Saptarshi
Gichoya, Judy
contents Foundation models, trained on vast amounts of data using self-supervised techniques, have emerged as a promising frontier for advancing artificial intelligence (AI) applications in medicine. This study evaluates three different vision-language foundation models (RAD-DINO, CheXagent, and BiomedCLIP) on their ability to capture fine-grained imaging features for radiology tasks. The models were assessed across classification, segmentation, and regression tasks for pneumothorax and cardiomegaly on chest radiographs. Self-supervised RAD-DINO consistently excelled in segmentation tasks, while text-supervised CheXagent demonstrated superior classification performance. BiomedCLIP showed inconsistent performance across tasks. A custom segmentation model that integrates global and local features substantially improved performance for all foundation models, particularly for challenging pneumothorax segmentation. The findings highlight that pre-training methodology significantly influences model performance on specific downstream tasks. For fine-grained segmentation tasks, models trained without text supervision performed better, while text-supervised models offered advantages in classification and interpretability. These insights provide guidance for selecting foundation models based on specific clinical applications in radiology.
format Preprint
id arxiv_https___arxiv_org_abs_2504_16047
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Evaluating Vision Language Models (VLMs) for Radiology: A Comprehensive Analysis
Li, Frank
Trivedi, Hari
Khosravi, Bardia
Dapamede, Theo
Chavoshi, Mohammadreza
Dere, Abdulhameed
Isaac, Rohan Satya
Mansuri, Aawez
Newsome, Janice
Purkayastha, Saptarshi
Gichoya, Judy
Computer Vision and Pattern Recognition
Artificial Intelligence
Foundation models, trained on vast amounts of data using self-supervised techniques, have emerged as a promising frontier for advancing artificial intelligence (AI) applications in medicine. This study evaluates three different vision-language foundation models (RAD-DINO, CheXagent, and BiomedCLIP) on their ability to capture fine-grained imaging features for radiology tasks. The models were assessed across classification, segmentation, and regression tasks for pneumothorax and cardiomegaly on chest radiographs. Self-supervised RAD-DINO consistently excelled in segmentation tasks, while text-supervised CheXagent demonstrated superior classification performance. BiomedCLIP showed inconsistent performance across tasks. A custom segmentation model that integrates global and local features substantially improved performance for all foundation models, particularly for challenging pneumothorax segmentation. The findings highlight that pre-training methodology significantly influences model performance on specific downstream tasks. For fine-grained segmentation tasks, models trained without text supervision performed better, while text-supervised models offered advantages in classification and interpretability. These insights provide guidance for selecting foundation models based on specific clinical applications in radiology.
title Evaluating Vision Language Models (VLMs) for Radiology: A Comprehensive Analysis
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2504.16047