MedImageInsight for Thoracic Cavity Health Classification from Chest X-rays

Fuente: arXiv
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Main Authors: Boya, Rama Krishna, Magalanadu, Mohan Kireeti, Palavalli, Azaruddin, Tekuri, Rupa Ganesh, Pattanayak, Amrit, Enuga, Prasanthi, Muthu, Vignesh Esakki, Boya, Vivek Aditya
Format: Preprint
Published: 2025
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author Boya, Rama Krishna
Magalanadu, Mohan Kireeti
Palavalli, Azaruddin
Tekuri, Rupa Ganesh
Pattanayak, Amrit
Enuga, Prasanthi
Muthu, Vignesh Esakki
Boya, Vivek Aditya
author_facet Boya, Rama Krishna
Magalanadu, Mohan Kireeti
Palavalli, Azaruddin
Tekuri, Rupa Ganesh
Pattanayak, Amrit
Enuga, Prasanthi
Muthu, Vignesh Esakki
Boya, Vivek Aditya
contents Chest radiography remains one of the most widely used imaging modalities for thoracic diagnosis, yet increasing imaging volumes and radiologist workload continue to challenge timely interpretation. In this work, we investigate the use of MedImageInsight, a medical imaging foundational model, for automated binary classification of chest X-rays into Normal and Abnormal categories. Two approaches were evaluated: (1) fine-tuning MedImageInsight for end-to-end classification, and (2) employing the model as a feature extractor for a transfer learning pipeline using traditional machine learning classifiers. Experiments were conducted using a combination of the ChestX-ray14 dataset and real-world clinical data sourced from partner hospitals. The fine-tuned classifier achieved the highest performance, with an ROC-AUC of 0.888 and superior calibration compared to the transfer learning models, demonstrating performance comparable to established architectures such as CheXNet. These results highlight the effectiveness of foundational medical imaging models in reducing task-specific training requirements while maintaining diagnostic reliability. The system is designed for integration into web-based and hospital PACS workflows to support triage and reduce radiologist burden. Future work will extend the model to multi-label pathology classification to provide preliminary diagnostic interpretation in clinical environments.
format Preprint
id arxiv_https___arxiv_org_abs_2511_17043
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedImageInsight for Thoracic Cavity Health Classification from Chest X-rays
Boya, Rama Krishna
Magalanadu, Mohan Kireeti
Palavalli, Azaruddin
Tekuri, Rupa Ganesh
Pattanayak, Amrit
Enuga, Prasanthi
Muthu, Vignesh Esakki
Boya, Vivek Aditya
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Chest radiography remains one of the most widely used imaging modalities for thoracic diagnosis, yet increasing imaging volumes and radiologist workload continue to challenge timely interpretation. In this work, we investigate the use of MedImageInsight, a medical imaging foundational model, for automated binary classification of chest X-rays into Normal and Abnormal categories. Two approaches were evaluated: (1) fine-tuning MedImageInsight for end-to-end classification, and (2) employing the model as a feature extractor for a transfer learning pipeline using traditional machine learning classifiers. Experiments were conducted using a combination of the ChestX-ray14 dataset and real-world clinical data sourced from partner hospitals. The fine-tuned classifier achieved the highest performance, with an ROC-AUC of 0.888 and superior calibration compared to the transfer learning models, demonstrating performance comparable to established architectures such as CheXNet. These results highlight the effectiveness of foundational medical imaging models in reducing task-specific training requirements while maintaining diagnostic reliability. The system is designed for integration into web-based and hospital PACS workflows to support triage and reduce radiologist burden. Future work will extend the model to multi-label pathology classification to provide preliminary diagnostic interpretation in clinical environments.
title MedImageInsight for Thoracic Cavity Health Classification from Chest X-rays
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.17043