Improving Medical Visual Representations via Radiology Report Generation
On the map: Multimodal LLMs / vision-language models → Medical vision-language models
Abstract (arXiv)
Vision-language pretraining has been shown to produce high-quality visual encoders which transfer efficiently to downstream computer vision tasks. Contrastive learning approaches have increasingly been adopted for medical vision language pretraining (MVLP), yet recent developments in generative AI offer new modeling alternatives. This paper introduces RadTex, a CNN-encoder transformer-decoder architecture optimized for radiology. We explore bidirectional captioning as an alternative MVLP strategy and demonstrate that RadTex's captioning pretraining is competitive with established contrastive methods, achieving a CheXpert macro-AUC of 89.4%. Additionally, RadTex's lightweight text decoder not only generates clinically relevant radiology reports (macro-F1 score of 0.349), but also provides targeted, interactive responses, highlighting the utility of bidirectional captioning in advancing medical image analysis.
Key facts. No citing papers in the map yet (data through 7 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 46 of its 60 references that are in the map. First posted on arXiv 30 Oct 2023.
Builds on
46 of 60 references.
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34 more
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- 2026RadJEPA: Radiology Encoder for Chest X-Rays via Joint Embedding Predictive Architecture
- 2023Multi-modal Pre-training for Medical Vision-language Understanding and Generation: An Empirical Study with A New Benchmark
- 2026U-VLM: Hierarchical Vision Language Modeling for Report Generation
- 2025A Reality Check of Vision-Language Pre-training in Radiology: Have We Progressed Using Text?
- 2025More performant and scalable: Rethinking contrastive vision-language pre-training of radiology in the LLM era
- 2024RadCLIP: Enhancing Radiologic Image Analysis through Contrastive Language-Image Pre-training
- 2021Multi-modal Understanding and Generation for Medical Images and Text via Vision-Language Pre-Training
- 2024Advancing Medical Radiograph Representation Learning: A Hybrid Pre-training Paradigm with Multilevel Semantic Granularity