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Vision-language models struggle with institutional agreement on chest X-rays

Researchers have evaluated three vision-language models (VLMs) on their ability to accurately identify chest radiograph findings across different institutions. The study found that existing VLMs lack confidence scores, making it difficult for receiving institutions to gauge the trustworthiness of individual predictions. When tested on over 345,000 predictions across three corpora and six findings, even with a small budget of local labels for estimation, the models' performance varied significantly by site and interface, indicating a need for site-specific re-evaluation rather than a universal default estimator. AI

IMPACT Highlights the need for site-specific calibration and confidence scoring in medical AI to ensure reliable deployment across different healthcare settings.

RANK_REASON The cluster contains an academic paper detailing research findings on the performance of AI models. [lever_c_demoted from research: ic=1 ai=1.0]

Read on arXiv cs.LG →

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Vision-language models struggle with institutional agreement on chest X-rays

COVERAGE [1]

  1. arXiv cs.LG TIER_1 English(EN) · Pengyang Yu, Yiou Wang, Zhongping Dong, Sahraoui Dhelim, Chun-Mei Feng, M. Tahar Kechadi ·

    Auditing Medical Vision-Language Models on Chest Radiographs: Estimating Reference Agreement Across Institutions

    arXiv:2608.07550v1 Announce Type: cross Abstract: Vision-language models return structured chest-radiograph findings through interfaces exposing no confidence score, so a receiving institution cannot read off how far to trust an individual judgment. Whether agreement with an inst…