Deep Learning for Chest X-ray Analysis: A Survey
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Abstract (arXiv)
Recent advances in deep learning have led to a promising performance in many medical image analysis tasks. As the most commonly performed radiological exam, chest radiographs are a particularly important modality for which a variety of applications have been researched. The release of multiple, large, publicly available chest X-ray datasets in recent years has encouraged research interest and boosted the number of publications. In this paper, we review all studies using deep learning on chest radiographs, categorizing works by task: image-level prediction (classification and regression), segmentation, localization, image generation and domain adaptation. Commercially available applications are detailed, and a comprehensive discussion of the current state of the art and potential future directions are provided.
Key facts. Cited by 84 papers in the map (data through 7 Oct 2026). Builds on 120 of its 407 references that are in the map. First posted on arXiv 15 Mar 2021.
Builds on
120 of 407 references.
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50 most cited of 120 All 120 (JSON)
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Citing papers per year: 2021: 4; 2022: 23; 2023: 17; 2024: 19; 2025: 14; 2026: 7.
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- 2022MedCLIP: Contrastive Learning from Unpaired Medical Images and Textcited by 564
- 2024Exploring scalable medical image encoders beyond text supervisioncited by 129
- 2024AdaCLIP: Adapting CLIP with Hybrid Learnable Prompts for Zero-Shot Anomaly Detectioncited by 126
- 2023EHRSHOT: An EHR Benchmark for Few-Shot Evaluation of Foundation Modelscited by 101
- 2022Delving into Masked Autoencoders for Multi-Label Thorax Disease Classificationcited by 65
- 2024Review of multimodal machine learning approaches in healthcarecited by 30
- 2022Risk of Bias in Chest Radiography Deep Learning Foundation Modelscited by 26
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiologycited by 24
- 2023Beware of diffusion models for synthesizing medical images -- A comparison with GANs in terms of memorizing brain MRI and chest x-ray imagescited by 23
- 2023A Recent Survey of Vision Transformers for Medical Image Segmentationcited by 22
- 2024EVA-X: A Foundation Model for General Chest X-ray Analysis with Self-supervised Learningcited by 22
- 2022Deep Learning for Computational Cytology: A Surveycited by 20
38 more
- 2022Membership Inference Attack Using Self Influence Functionscited by 19
- 2024MedVH: Towards Systematic Evaluation of Hallucination for Large Vision Language Models in the Medical Contextcited by 19
- 2022Dual-Distribution Discrepancy for Anomaly Detection in Chest X-Rayscited by 17
- 2023Learning A Multi-Task Transformer Via Unified And Customized Instruction Tuning For Chest Radiograph Interpretationcited by 14
- 2022A Survey of Deep Learning Techniques for the Analysis of COVID-19 and their usability for Detecting Omicroncited by 13
- 2022Defending against Reconstruction Attacks through Differentially Private Federated Learning for Classification of Heterogeneous Chest X-Ray Datacited by 8
- 2023Explainable Knowledge Distillation for On-device Chest X-Ray Classificationcited by 7
- 2024Nodule detection and generation on chest X-rays: NODE21 Challengecited by 7
- 2024FluoroSAM: A Language-promptable Foundation Model for Flexible X-ray Image Segmentationcited by 7
- 2025Improving Performance, Robustness, and Fairness of Radiographic AI Models with Finely-Controllable Synthetic Datacited by 7
- 2022Computer Vision on X-ray Data in Industrial Production and Security Applications: A Comprehensive Surveycited by 6
- 2025Boosting multi-demographic federated learning for chest radiograph analysis using general-purpose self-supervised representationscited by 6
- 2022Learning to diagnose common thorax diseases on chest radiographs from radiology reports in Vietnamesecited by 5
- 2022Did You Get What You Paid For? Rethinking Annotation Cost of Deep Learning Based Computer Aided Detection in Chest Radiographscited by 5
- 2026A unified multi-task framework enables interpretable chest radiograph analysiscited by 5
- 2022Gaze-Guided Class Activation Mapping: Leveraging Human Attention for Network Attention in Chest X-rays Classificationcited by 4
- 2022Multi-task UNet: Jointly Boosting Saliency Prediction and Disease Classification on Chest X-ray Imagescited by 4
- 2022Improving Classification Model Performance on Chest X-Rays through Lung Segmentationcited by 4
- 2024Learning Low-Rank Feature for Thorax Disease Classificationcited by 4
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Modelscited by 4
- 2025X-Ray-CoT: Interpretable Chest X-ray Diagnosis with Vision-Language Models via Chain-of-Thought Reasoningcited by 4
- 2022Improving Disease Classification Performance and Explainability of Deep Learning Models in Radiology with Heatmap Generatorscited by 3
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentationcited by 3
- 2021CXR Segmentation by AdaIN-based Domain Adaptation and Knowledge Distillationcited by 2
- 2023Employing similarity to highlight differences: On the impact of anatomical assumptions in chest X-ray registration methodscited by 2
- 2023Integrating Eye-Gaze Data into CXR DL Approaches: A Preliminary studycited by 2
- 2023Is visual explanation with Grad-CAM more reliable for deeper neural networks? a case study with automatic pneumothorax diagnosiscited by 2
- 2024[Citation needed] Data usage and citation practices in medical imaging conferencescited by 2
- 2024Hierarchical SegNet with Channel and Context Attention for Accurate Lung Segmentation in Chest X-ray Imagescited by 2
- 2024Toward Non-Invasive Diagnosis of Bankart Lesions with Deep Learningcited by 2
- 2025Limitations of Public Chest Radiography Datasets for Artificial Intelligence: Label Quality, Domain Shift, Bias and Evaluation Challengescited by 2
- 2025AnyCXR: Human Anatomy Segmentation of Chest X-ray at Any Acquisition Position using Multi-stage Domain Randomized Synthetic Data with Imperfect Annotations and Conditional Joint Annotation Regularization Learningcited by 2
- 2026Mask-Guided Attention Regulation for Anatomically Consistent Counterfactual CXR Synthesiscited by 2
- 2021Impact of class imbalance on chest x-ray classifiers: towards better evaluation practices for discrimination and calibration performancecited by 1
- 2022Equine radiograph classification using deep convolutional neural networkscited by 1
- 2023Self-Supervised Curricular Deep Learning for Chest X-Ray Image Classificationcited by 1
- 2023StudyFormer : Attention-Based and Dynamic Multi View Classifier for X-ray imagescited by 1
- 2025Assessing the Distributional Fidelity of Synthetic Chest X-rays using the Embedded Characteristic Scorecited by 1
50 most cited of 84 All 84 (JSON)
- 2026Anatomy-Structured Hierarchical MIL for Weakly-Supervised Thoracic Disease Detection in Chest X-rays27 Sep 2026
- 2026Cross-dataset transportability of pediatric chest X-ray deep learning across three countries: discrimination, calibration, operating-point failure, and limited-label recovery4 Sep 2026
- 2026A unified multi-task framework enables interpretable chest radiograph analysis2 Jun 2026
- 2026Mask-Guided Attention Regulation for Anatomically Consistent Counterfactual CXR Synthesis4 Mar 2026
- 2026MoECLIP: Patch-Specialized Experts for Zero-shot Anomaly Detection3 Mar 2026
- 2026Mask-HybridGNet: Graph-based segmentation with emergent anatomical correspondence from pixel-level supervision24 Feb 2026
- 2026RadJEPA: Radiology Encoder for Chest X-Rays via Joint Embedding Predictive Architecture22 Jan 2026
- 2025Deep Learning Approach for the Diagnosis of Pediatric Pneumonia Using Chest X-ray Imaging31 Dec 2025
- 2025AnyCXR: Human Anatomy Segmentation of Chest X-ray at Any Acquisition Position using Multi-stage Domain Randomized Synthetic Data with Imperfect Annotations and Conditional Joint Annotation Regularization Learning19 Dec 2025
- 2025CLARiTy: A Vision Transformer for Multi-Label Classification and Weakly-Supervised Localization of Chest X-ray Pathologies18 Dec 2025
- 2025Limitations of Public Chest Radiography Datasets for Artificial Intelligence: Label Quality, Domain Shift, Bias and Evaluation Challenges18 Sep 2025
- 2025Improving Performance, Robustness, and Fairness of Radiographic AI Models with Finely-Controllable Synthetic Data22 Aug 2025
38 more
- 2025X-Ray-CoT: Interpretable Chest X-ray Diagnosis with Vision-Language Models via Chain-of-Thought Reasoning17 Aug 2025
- 2025Interpreting Chest X-rays Like a Radiologist: A Benchmark with Clinical Reasoning29 May 2025
- 2025CheX-DS: Improving Chest X-ray Image Classification with Ensemble Learning Based on DenseNet and Swin Transformer16 May 2025
- 2025SCOPE-MRI: Bankart Lesion Detection as a Case Study in Data Curation and Deep Learning for Challenging Diagnoses29 Apr 2025
- 2025Boosting multi-demographic federated learning for chest radiograph analysis using general-purpose self-supervised representations11 Apr 2025
- 2025Artificially Generated Visual Scanpath Improves Multi-label Thoracic Disease Classification in Chest X-Ray Images1 Mar 2025
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiology5 Feb 2025
- 2025Fairness Analysis of CLIP-Based Foundation Models for X-Ray Image Classification31 Jan 2025
- 2025Assessing the Distributional Fidelity of Synthetic Chest X-rays using the Embedded Characteristic Score1 Jan 2025
- 2024Toward Non-Invasive Diagnosis of Bankart Lesions with Deep Learning9 Dec 2024
- 2024Training Better Deep Learning Models Using Human Saliency21 Oct 2024
- 2024Cartesian Genetic Programming Approach for Designing Convolutional Neural Networks30 Sep 2024
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Models29 Sep 2024
- 2024Mitigating Dimensionality in 2D Rectangle Packing Problem under Reinforcement Learning Schema15 Sep 2024
- 2024AdaCLIP: Adapting CLIP with Hybrid Learnable Prompts for Zero-Shot Anomaly Detection22 Jul 2024
- 2024MedVH: Towards Systematic Evaluation of Hallucination for Large Vision Language Models in the Medical Context3 Jul 2024
- 2024The impact of deep learning aid on the workload and interpretation accuracy of radiologists on chest computed tomography: a cross-over reader study12 Jun 2024
- 2024Hierarchical SegNet with Channel and Context Attention for Accurate Lung Segmentation in Chest X-ray Images20 May 2024
- 2024EVA-X: A Foundation Model for General Chest X-ray Analysis with Self-supervised Learning8 May 2024
- 2024Expanding the Horizon: Enabling Hybrid Quantum Transfer Learning for Long-Tailed Chest X-Ray Classification30 Apr 2024
- 2024Decoding Radiologists' Intentions: A Novel System for Accurate Region Identification in Chest X-ray Image Analysis29 Apr 2024
- 2024A comparative analysis of deep learning models for lung segmentation on X-ray images9 Apr 2024
- 2024FluoroSAM: A Language-promptable Foundation Model for Flexible X-ray Image Segmentation12 Mar 2024
- 2024Learning Low-Rank Feature for Thorax Disease Classification14 Feb 2024
- 2024[Citation needed] Data usage and citation practices in medical imaging conferences5 Feb 2024
- 2024Review of multimodal machine learning approaches in healthcare4 Feb 2024
- 2024Exploring scalable medical image encoders beyond text supervision19 Jan 2024
- 2024Nodule detection and generation on chest X-rays: NODE21 Challenge4 Jan 2024
- 2023A Recent Survey of Vision Transformers for Medical Image Segmentation1 Dec 2023
- 2023Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentation26 Nov 2023
- 2023Learning A Multi-Task Transformer Via Unified And Customized Instruction Tuning For Chest Radiograph Interpretation2 Nov 2023
- 2023MVC: A Multi-Task Vision Transformer Network for COVID-19 Diagnosis from Chest X-ray Images30 Sep 2023
- 2023Gravity Network for end-to-end small lesion detection22 Sep 2023
- 2023Is visual explanation with Grad-CAM more reliable for deeper neural networks? a case study with automatic pneumothorax diagnosis29 Aug 2023
- 2023SEDA: Self-Ensembling ViT with Defensive Distillation and Adversarial Training for robust Chest X-rays Classification15 Aug 2023
- 2023Study of Vision Transformers for Covid-19 Detection from Chest X-rays17 Jul 2023
- 2023SHAMSUL: Systematic Holistic Analysis to investigate Medical Significance Utilizing Local interpretability methods in deep learning for chest radiography pathology prediction16 Jul 2023
- 2023EHRSHOT: An EHR Benchmark for Few-Shot Evaluation of Foundation Models5 Jul 2023
50 newest of 84 All 84 (JSON)
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiologycited by 24
- 2024MedVH: Towards Systematic Evaluation of Hallucination for Large Vision Language Models in the Medical Contextcited by 19
- 2026RadJEPA: Radiology Encoder for Chest X-Rays via Joint Embedding Predictive Architecturecited by 0
- 2026RadJEPA: Radiology Encoder for Chest X-Rays via Joint Embedding Predictive Architecture22 Jan 2026
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiology5 Feb 2025
- 2024MedVH: Towards Systematic Evaluation of Hallucination for Large Vision Language Models in the Medical Context3 Jul 2024
- 2022Membership Inference Attack Using Self Influence Functionscited by 19
- 2022Membership Inference Attack Using Self Influence Functions26 May 2022
- 2022MedCLIP: Contrastive Learning from Unpaired Medical Images and Textcited by 564
- 2024Exploring scalable medical image encoders beyond text supervisioncited by 129
- 2024AdaCLIP: Adapting CLIP with Hybrid Learnable Prompts for Zero-Shot Anomaly Detectioncited by 126
- 2023EHRSHOT: An EHR Benchmark for Few-Shot Evaluation of Foundation Modelscited by 101
- 2022Delving into Masked Autoencoders for Multi-Label Thorax Disease Classificationcited by 65
- 2024Review of multimodal machine learning approaches in healthcarecited by 30
- 2022Risk of Bias in Chest Radiography Deep Learning Foundation Modelscited by 26
- 2023A Recent Survey of Vision Transformers for Medical Image Segmentationcited by 22
- 2024EVA-X: A Foundation Model for General Chest X-ray Analysis with Self-supervised Learningcited by 22
- 2022Deep Learning for Computational Cytology: A Surveycited by 20
- 2022Dual-Distribution Discrepancy for Anomaly Detection in Chest X-Rayscited by 17
- 2023Learning A Multi-Task Transformer Via Unified And Customized Instruction Tuning For Chest Radiograph Interpretationcited by 14
12 most cited of 77 All 77 (JSON)
- 2026Anatomy-Structured Hierarchical MIL for Weakly-Supervised Thoracic Disease Detection in Chest X-rays27 Sep 2026
- 2026Cross-dataset transportability of pediatric chest X-ray deep learning across three countries: discrimination, calibration, operating-point failure, and limited-label recovery4 Sep 2026
- 2026A unified multi-task framework enables interpretable chest radiograph analysis2 Jun 2026
- 2026Mask-Guided Attention Regulation for Anatomically Consistent Counterfactual CXR Synthesis4 Mar 2026
- 2026Mask-HybridGNet: Graph-based segmentation with emergent anatomical correspondence from pixel-level supervision24 Feb 2026
- 2025Deep Learning Approach for the Diagnosis of Pediatric Pneumonia Using Chest X-ray Imaging31 Dec 2025
- 2025AnyCXR: Human Anatomy Segmentation of Chest X-ray at Any Acquisition Position using Multi-stage Domain Randomized Synthetic Data with Imperfect Annotations and Conditional Joint Annotation Regularization Learning19 Dec 2025
- 2025CLARiTy: A Vision Transformer for Multi-Label Classification and Weakly-Supervised Localization of Chest X-ray Pathologies18 Dec 2025
- 2025Limitations of Public Chest Radiography Datasets for Artificial Intelligence: Label Quality, Domain Shift, Bias and Evaluation Challenges18 Sep 2025
- 2025Improving Performance, Robustness, and Fairness of Radiographic AI Models with Finely-Controllable Synthetic Data22 Aug 2025
- 2025Interpreting Chest X-rays Like a Radiologist: A Benchmark with Clinical Reasoning29 May 2025
- 2025CheX-DS: Improving Chest X-ray Image Classification with Ensemble Learning Based on DenseNet and Swin Transformer16 May 2025
12 newest of 77 All 77 (JSON)