Chest ImaGenome Dataset for Clinical Reasoning
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Cited by 25 in Multimodal LLMs / vision-language models, but placed by its own abstract, which didn’t fit.
Abstract (arXiv)
Despite the progress in automatic detection of radiologic findings from chest X-ray (CXR) images in recent years, a quantitative evaluation of the explainability of these models is hampered by the lack of locally labeled datasets for different findings. With the exception of a few expert-labeled small-scale datasets for specific findings, such as pneumonia and pneumothorax, most of the CXR deep learning models to date are trained on global "weak" labels extracted from text reports, or trained via a joint image and unstructured text learning strategy. Inspired by the Visual Genome effort in the computer vision community, we constructed the first Chest ImaGenome dataset with a scene graph data structure to describe 242,072 images. Local annotations are automatically produced using a joint rule-based natural language processing (NLP) and atlas-based bounding box detection pipeline. Through a radiologist constructed CXR ontology, the annotations for each CXR are connected as an anatomy-centered scene graph, useful for image-level reasoning and multimodal fusion applications. Overall, we provide: i) 1,256 combinations of relation annotations between 29 CXR anatomical locations (objects with bounding box coordinates) and their attributes, structured as a scene graph per image, ii) over 670,000 localized comparison relations (for improved, worsened, or no change) between the anatomical locations across sequential exams, as well as ii) a manually annotated gold standard scene graph dataset from 500 unique patients.
Key facts. Cited by 89 papers in the map (data through 7 Oct 2026). Builds on 25 of its 55 references that are in the map. First posted on arXiv 31 Jul 2021.
Builds on
25 of 55 references.
References · 25
- 2015Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networkscited by 9,617
- 2016Densely Connected Convolutional Networkscited by 6,691
- 2016Visual Genome: Connecting Language and Vision Using Crowdsourced Dense Image Annotationscited by 2,646
- 2015VQA: Visual Question Answeringcited by 2,489
- 2015Show, Attend and Tell: Neural Image Caption Generation with Visual Attentioncited by 1,421
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,410
- 2015Flickr30k Entities: Collecting Region-to-Phrase Correspondences for Richer Image-to-Sentence Modelscited by 1,352
- 2014Deep Visual-Semantic Alignments for Generating Image Descriptionscited by 966
- 2014Show and Tell: A Neural Image Caption Generatorcited by 877
- 2018Object Hallucination in Image Captioningcited by 661
- 2017Scene Graph Generation by Iterative Message Passingcited by 462
- 2016Visual Dialogcited by 377
13 more
- 2020CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERTcited by 329
- 2019PadChest: A large chest x-ray image dataset with multi-label annotated reportscited by 308
- 2018Graph R-CNN for Scene Graph Generationcited by 296
- 2017Scene Graph Generation from Objects, Phrases and Region Captionscited by 154
- 2020When Radiology Report Generation Meets Knowledge Graphcited by 144
- 2018Hybrid Retrieval-Generation Reinforced Agent for Medical Image Report Generationcited by 141
- 2018TieNet: Text-Image Embedding Network for Common Thorax Disease Classification and Reporting in Chest X-rayscited by 139
- 2019Clinically Accurate Chest X-Ray Report Generationcited by 138
- 2016Analyzing the Behavior of Visual Question Answering Modelscited by 119
- 2016GuessWhat?! Visual object discovery through multi-modal dialoguecited by 112
- 2018Learning to Summarize Radiology Findingscited by 54
- 2016Semantic Compositional Networks for Visual Captioningcited by 50
- 2021AnaXNet: Anatomy Aware Multi-label Finding Classification in Chest X-raycited by 19
Built on by
Citing papers per year: 2022: 5; 2023: 17; 2024: 19; 2025: 23; 2026: 25.
89 papers.
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- 2022Making the Most of Text Semantics to Improve Biomedical Vision--Language Processingcited by 336
- 2023MedKLIP: Medical Knowledge Enhanced Language-Image Pre-Training in Radiologycited by 149
- 2023Interactive and Explainable Region-guided Radiology Report Generationcited by 139
- 2023Knowledge-enhanced Visual-Language Pre-training on Chest Radiology Imagescited by 128
- 2023MAIRA-1: A specialised large multimodal model for radiology report generationcited by 72
- 2023EHRXQA: A Multi-Modal Question Answering Dataset for Electronic Health Records with Chest X-ray Imagescited by 53
- 2023Expert Knowledge-Aware Image Difference Graph Representation Learning for Difference-Aware Medical Visual Question Answeringcited by 41
- 2024HERGen: Elevating Radiology Report Generation with Longitudinal Datacited by 32
- 2024GEMeX: A Large-Scale, Groundable, and Explainable Medical VQA Benchmark for Chest X-ray Diagnosiscited by 28
- 2022Cross-modal Clinical Graph Transformer for Ophthalmic Report Generationcited by 24
- 2024Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Taskscited by 24
- 2024ReXrank: A Public Leaderboard for AI-Powered Radiology Report Generationcited by 24
38 more
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiologycited by 24
- 2023Controllable Chest X-Ray Report Generation from Longitudinal Representationscited by 23
- 2023WBCAtt: A White Blood Cell Dataset Annotated with Detailed Morphological Attributescited by 22
- 2023RECAP: Towards Precise Radiology Report Generation via Dynamic Disease Progression Reasoningcited by 22
- 2023Complex Organ Mask Guided Radiology Report Generationcited by 22
- 2022Anatomy-Guided Weakly-Supervised Abnormality Localization in Chest X-rayscited by 21
- 2022CheXRelNet: An Anatomy-Aware Model for Tracking Longitudinal Relationships between Chest X-Rayscited by 19
- 2024Anatomical Structure-Guided Medical Vision-Language Pre-trainingcited by 18
- 2024ChEX: Interactive Localization and Region Description in Chest X-rayscited by 18
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
- 2024Multimodal Large Language Model driven Radiology Report Generation with Clinical Knowledge Enhancementcited by 16
- 2024M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretationcited by 16
- 2023A Systematic Review of Deep Learning-based Research on Radiology Report Generationcited by 14
- 2023RadGraph2: Modeling Disease Progression in Radiology Reports via Hierarchical Information Extractioncited by 11
- 2024FactCheXcker: Mitigating Measurement Hallucinations in Chest X-ray Report Generation Modelscited by 11
- 2025CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understandingcited by 11
- 2023Anatomy-Driven Pathology Detection on Chest X-rayscited by 10
- 2024How Well Can Modern LLMs Act as Agent Cores in Radiology Environments?cited by 9
- 2025MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progressioncited by 9
- 2025AOR: Anatomical Ontology-Guided Reasoning for Medical Large Multimodal Model in Chest X-Ray Interpretationcited by 8
- 2025Lunguage: A Benchmark for Structured and Sequential Chest X-ray Interpretationcited by 8
- 2022Self adaptive global-local feature enhancement for radiology report generationcited by 7
- 2024Uncovering Knowledge Gaps in Radiology Report Generation Models through Knowledge Graphscited by 7
- 2025DDaTR: Dynamic Difference-aware Temporal Residual Network for Longitudinal Radiology Report Generationcited by 7
- 2023Region-based Contrastive Pretraining for Medical Image Retrieval with Anatomic Querycited by 6
- 2023Finding-Aware Anatomical Tokens for Chest X-Ray Automated Reportingcited by 6
- 2024Prompt-Guided Generation of Structured Chest X-Ray Report Using a Pre-trained LLMcited by 6
- 2024Extracting and Encoding: Leveraging Large Language Models and Medical Knowledge to Enhance Radiological Text Representationcited by 5
- 2025Anatomical grounding pre-training for medical phrase groundingcited by 5
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rayscited by 5
- 2025CheXPO: Preference Optimization for Chest X-ray VLMs with Counterfactual Rationalecited by 5
- 2025Turning Drift into Constraint: Robust Reasoning Alignment in Non-Stationary Multi-Stream Environmentscited by 5
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Datacited by 5
- 2023Expert Uncertainty and Severity Aware Chest X-Ray Classification by Multi-Relationship Graph Learningcited by 4
- 2025Walking the Tightrope: Disentangling Beneficial and Detrimental Drifts in Non-Stationary Custom-Tuningcited by 4
- 2025Modeling Clinical Uncertainty in Radiology Reports: from Explicit Uncertainty Markers to Implicit Reasoning Pathwayscited by 4
- 2026A Reasoning-Enabled Vision-Language Foundation Model for Chest X-ray Interpretationcited by 4
- 2025Grounding Chest X-Ray Visual Question Answering with Generated Radiology Reportscited by 3
50 most cited of 89 All 89 (JSON)
- 2026Efficient Multi-Granularity Knowledge Transfer for Radiology Report Generation8 Oct 2026
- 2026XFlow: A Workflow Model for Instruction-Guided Lesion Segmentation in Chest X-rays28 Sep 2026
- 2026Anatomy-Structured Hierarchical MIL for Weakly-Supervised Thoracic Disease Detection in Chest X-rays27 Sep 2026
- 2026Does Vision-Language Pretraining Granularity Matter? A Controlled Evaluation of Vision-Language Objectives Across Chest X-Ray Interpretation Tasks25 Sep 2026
- 2026Enhancing Visual Reasoning in Chest X-Ray Report Generation Using Reinforcement Learning25 Sep 2026
- 2026UltraG-Bench: A Multi-task Benchmark for assessing Large Vision-Language Models on Pixel-level Evidence Grounding in Ultrasound25 Sep 2026
- 2026MAC-RRG: Iterative Multi-Agent Collaboration for X-ray Radiology Report Generation20 Sep 2026
- 2026MedTRACE: Tool-Augmented Multimodal Clinical Reasoning Agents for Evidence-Grounded Decision-Making13 Sep 2026
- 2026CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretation31 Aug 2026
- 2026CheXtriev: Anatomy-Centered Representation for Case-Based Retrieval of Chest Radiographs28 Aug 2026
- 2026MC-CXR: A Multi-Context Chest X-ray Benchmark for Context-Induced Disruption in Vision-Language Models25 Aug 2026
- 2026FedPref: Federated Preference Learning for Structured Radiology Report Extraction17 Aug 2026
38 more
- 2026CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement4 Aug 2026
- 2026Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generation31 Jul 2026
- 2026REVA-PO: Stabilizing Reinforcement Learning for Chest X-ray Report Generation11 Jul 2026
- 2026GRCD: Grounded Region Change Detection for Multi-Finding Chest X-Ray Pairs2 Jul 2026
- 2026Learning Directional Semantic Transitions for Longitudinal Chest X-ray Analysis14 Jun 2026
- 2026WBCAtt+: Fine-Grained Pixel-Level Morphological Annotations for White Blood Cell Images19 May 2026
- 2026Beyond Masks: The Case for Medical Image Parsing12 May 2026
- 2026CheXTemporal: A Dataset for Temporally-Grounded Reasoning in Chest Radiography11 May 2026
- 2026MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answering10 Apr 2026
- 2026Temporal Inversion for Learning Interval Change in Chest X-Rays6 Apr 2026
- 2026A Reasoning-Enabled Vision-Language Foundation Model for Chest X-ray Interpretation1 Apr 2026
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Data11 Jan 2026
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretation6 Jan 2026
- 2025Generalised Medical Phrase Grounding30 Nov 2025
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation11 Nov 2025
- 2025Modeling Clinical Uncertainty in Radiology Reports: from Explicit Uncertainty Markers to Implicit Reasoning Pathways6 Nov 2025
- 2025VinDr-CXR-VQA: A Visual Question Answering Dataset for Explainable Chest X-Ray Analysis with Multi-Task Learning1 Nov 2025
- 2025Turning Drift into Constraint: Robust Reasoning Alignment in Non-Stationary Multi-Stream Environments5 Oct 2025
- 2025Self-Supervised Anatomical Consistency Learning for Vision-Grounded Medical Report Generation30 Sep 2025
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding6 Aug 2025
- 2025MCA-RG: Enhancing LLMs with Medical Concept Alignment for Radiology Report Generation9 Jul 2025
- 2025CheXPO: Preference Optimization for Chest X-ray VLMs with Counterfactual Rationale9 Jul 2025
- 2025Lunguage: A Benchmark for Structured and Sequential Chest X-ray Interpretation27 May 2025
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rays23 May 2025
- 2025Grounding Chest X-Ray Visual Question Answering with Generated Radiology Reports22 May 2025
- 2025Walking the Tightrope: Disentangling Beneficial and Detrimental Drifts in Non-Stationary Custom-Tuning19 May 2025
- 2025CheXLearner: Text-Guided Fine-Grained Representation Learning for Progression Detection11 May 2025
- 2025Multi-Modal Explainable Medical AI Assistant for Trustworthy Human-AI Collaboration11 May 2025
- 2025DDaTR: Dynamic Difference-aware Temporal Residual Network for Longitudinal Radiology Report Generation6 May 2025
- 2025AOR: Anatomical Ontology-Guided Reasoning for Medical Large Multimodal Model in Chest X-Ray Interpretation5 May 2025
- 2025Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptions5 Mar 2025
- 2025CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understanding27 Feb 2025
- 2025Anatomical grounding pre-training for medical phrase grounding23 Feb 2025
- 2025MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progression17 Feb 2025
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiology5 Feb 2025
- 2025VICCA: Visual Interpretation and Comprehension of Chest X-ray Anomalies in Generated Report Without Human Feedback29 Jan 2025
- 2024How Well Can Modern LLMs Act as Agent Cores in Radiology Environments?12 Dec 2024
- 2024FactCheXcker: Mitigating Measurement Hallucinations in Chest X-ray Report Generation Models27 Nov 2024
50 newest of 89 All 89 (JSON)
- 2023MAIRA-1: A specialised large multimodal model for radiology report generationcited by 72
- 2023Expert Knowledge-Aware Image Difference Graph Representation Learning for Difference-Aware Medical Visual Question Answeringcited by 41
- 2024Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Taskscited by 24
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiologycited by 24
- 2024Anatomical Structure-Guided Medical Vision-Language Pre-trainingcited by 18
- 2024Multimodal Large Language Model driven Radiology Report Generation with Clinical Knowledge Enhancementcited by 16
- 2024M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretationcited by 16
- 2025CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understandingcited by 11
- 2025MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progressioncited by 9
- 2025CheXPO: Preference Optimization for Chest X-ray VLMs with Counterfactual Rationalecited by 5
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Datacited by 5
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretationcited by 3
12 most cited of 17 All 17 (JSON)
- 2026Does Vision-Language Pretraining Granularity Matter? A Controlled Evaluation of Vision-Language Objectives Across Chest X-Ray Interpretation Tasks25 Sep 2026
- 2026UltraG-Bench: A Multi-task Benchmark for assessing Large Vision-Language Models on Pixel-level Evidence Grounding in Ultrasound25 Sep 2026
- 2026MC-CXR: A Multi-Context Chest X-ray Benchmark for Context-Induced Disruption in Vision-Language Models25 Aug 2026
- 2026Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generation31 Jul 2026
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Data11 Jan 2026
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation11 Nov 2025
- 2025CheXPO: Preference Optimization for Chest X-ray VLMs with Counterfactual Rationale9 Jul 2025
- 2025Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptions5 Mar 2025
- 2025CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understanding27 Feb 2025
- 2025MMXU: A Multi-Modal and Multi-X-ray Understanding Dataset for Disease Progression17 Feb 2025
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiology5 Feb 2025
- 2024Interpretable Bilingual Multimodal Large Language Model for Diverse Biomedical Tasks24 Oct 2024
12 newest of 17 All 17 (JSON)
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rayscited by 5
- 2025Turning Drift into Constraint: Robust Reasoning Alignment in Non-Stationary Multi-Stream Environmentscited by 5
- 2025Walking the Tightrope: Disentangling Beneficial and Detrimental Drifts in Non-Stationary Custom-Tuningcited by 4
- 2026A Reasoning-Enabled Vision-Language Foundation Model for Chest X-ray Interpretationcited by 4
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Groundingcited by 1
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretationcited by 1
- 2026MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answeringcited by 1
- 2026CheXTemporal: A Dataset for Temporally-Grounded Reasoning in Chest Radiographycited by 1
- 2026CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretationcited by 0
- 2026Enhancing Visual Reasoning in Chest X-Ray Report Generation Using Reinforcement Learningcited by 0
- 2026Enhancing Visual Reasoning in Chest X-Ray Report Generation Using Reinforcement Learning25 Sep 2026
- 2026CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretation31 Aug 2026
- 2026CheXTemporal: A Dataset for Temporally-Grounded Reasoning in Chest Radiography11 May 2026
- 2026MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answering10 Apr 2026
- 2026A Reasoning-Enabled Vision-Language Foundation Model for Chest X-ray Interpretation1 Apr 2026
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretation6 Jan 2026
- 2025Turning Drift into Constraint: Robust Reasoning Alignment in Non-Stationary Multi-Stream Environments5 Oct 2025
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding6 Aug 2025
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rays23 May 2025
- 2025Walking the Tightrope: Disentangling Beneficial and Detrimental Drifts in Non-Stationary Custom-Tuning19 May 2025
- 2022Making the Most of Text Semantics to Improve Biomedical Vision--Language Processingcited by 336
- 2023MedKLIP: Medical Knowledge Enhanced Language-Image Pre-Training in Radiologycited by 149
- 2023Interactive and Explainable Region-guided Radiology Report Generationcited by 139
- 2023Knowledge-enhanced Visual-Language Pre-training on Chest Radiology Imagescited by 128
- 2023EHRXQA: A Multi-Modal Question Answering Dataset for Electronic Health Records with Chest X-ray Imagescited by 53
- 2024HERGen: Elevating Radiology Report Generation with Longitudinal Datacited by 32
- 2024GEMeX: A Large-Scale, Groundable, and Explainable Medical VQA Benchmark for Chest X-ray Diagnosiscited by 28
- 2022Cross-modal Clinical Graph Transformer for Ophthalmic Report Generationcited by 24
- 2024ReXrank: A Public Leaderboard for AI-Powered Radiology Report Generationcited by 24
- 2023Controllable Chest X-Ray Report Generation from Longitudinal Representationscited by 23
- 2023WBCAtt: A White Blood Cell Dataset Annotated with Detailed Morphological Attributescited by 22
- 2023RECAP: Towards Precise Radiology Report Generation via Dynamic Disease Progression Reasoningcited by 22
12 most cited of 59 All 59 (JSON)
- 2026Efficient Multi-Granularity Knowledge Transfer for Radiology Report Generation8 Oct 2026
- 2026XFlow: A Workflow Model for Instruction-Guided Lesion Segmentation in Chest X-rays28 Sep 2026
- 2026Anatomy-Structured Hierarchical MIL for Weakly-Supervised Thoracic Disease Detection in Chest X-rays27 Sep 2026
- 2026MedTRACE: Tool-Augmented Multimodal Clinical Reasoning Agents for Evidence-Grounded Decision-Making13 Sep 2026
- 2026CheXtriev: Anatomy-Centered Representation for Case-Based Retrieval of Chest Radiographs28 Aug 2026
- 2026FedPref: Federated Preference Learning for Structured Radiology Report Extraction17 Aug 2026
- 2026CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement4 Aug 2026
- 2026REVA-PO: Stabilizing Reinforcement Learning for Chest X-ray Report Generation11 Jul 2026
- 2026GRCD: Grounded Region Change Detection for Multi-Finding Chest X-Ray Pairs2 Jul 2026
- 2026Learning Directional Semantic Transitions for Longitudinal Chest X-ray Analysis14 Jun 2026
- 2026WBCAtt+: Fine-Grained Pixel-Level Morphological Annotations for White Blood Cell Images19 May 2026
- 2026Beyond Masks: The Case for Medical Image Parsing12 May 2026
12 newest of 59 All 59 (JSON)