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Main Authors: Peng, Jiachuan, Lam, Kyle, Qiu, Jianing
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2512.00428
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author Peng, Jiachuan
Lam, Kyle
Qiu, Jianing
author_facet Peng, Jiachuan
Lam, Kyle
Qiu, Jianing
contents We trained a classifier with synthetic chest X-ray (CXR) images generated by Nano Banana, the latest AI model for image generation and editing, released by Google. When directly applied to real-world CXRs having only been trained with synthetic data, the classifier achieved an AUROC of 0.923 (95% CI: 0.919 - 0.927), and an AUPR of 0.900 (95% CI: 0.894 - 0.907) in recognizing pneumonia in the 2018 RSNA Pneumonia Detection dataset (14,863 CXRs), and an AUROC of 0.824 (95% CI: 0.810 - 0.836), and an AUPR of 0.913 (95% CI: 0.904 - 0.922) in the Chest X-Ray dataset (5,856 CXRs). These external validation results on real-world data demonstrate the feasibility of this approach and suggest potential for synthetic data in medical AI development. Nonetheless, several limitations remain at present, including challenges in prompt design for controlling the diversity of synthetic CXR data and the requirement for post-processing to ensure alignment with real-world data. However, the growing sophistication and accessibility of medical intelligence will necessitate substantial validation, regulatory approval, and ethical oversight prior to clinical translation.
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spellingShingle Recognizing Pneumonia in Real-World Chest X-rays with a Classifier Trained with Images Synthetically Generated by Nano Banana
Peng, Jiachuan
Lam, Kyle
Qiu, Jianing
Computer Vision and Pattern Recognition
We trained a classifier with synthetic chest X-ray (CXR) images generated by Nano Banana, the latest AI model for image generation and editing, released by Google. When directly applied to real-world CXRs having only been trained with synthetic data, the classifier achieved an AUROC of 0.923 (95% CI: 0.919 - 0.927), and an AUPR of 0.900 (95% CI: 0.894 - 0.907) in recognizing pneumonia in the 2018 RSNA Pneumonia Detection dataset (14,863 CXRs), and an AUROC of 0.824 (95% CI: 0.810 - 0.836), and an AUPR of 0.913 (95% CI: 0.904 - 0.922) in the Chest X-Ray dataset (5,856 CXRs). These external validation results on real-world data demonstrate the feasibility of this approach and suggest potential for synthetic data in medical AI development. Nonetheless, several limitations remain at present, including challenges in prompt design for controlling the diversity of synthetic CXR data and the requirement for post-processing to ensure alignment with real-world data. However, the growing sophistication and accessibility of medical intelligence will necessitate substantial validation, regulatory approval, and ethical oversight prior to clinical translation.
title Recognizing Pneumonia in Real-World Chest X-rays with a Classifier Trained with Images Synthetically Generated by Nano Banana
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.00428