# MedTri: A Platform for Structured Medical Report Normalization to Enhance Vision-Language Pretraining

arXiv: https://arxiv.org/abs/2602.22143 · HTML: https://mlsanity.com/paper/2602.22143/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 20 of its 30 references that are in the map.
- First posted on arXiv 25 Feb 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 20 of 20)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [MONAI: An open-source framework for deep learning in healthcare](https://mlsanity.com/paper/2211.02701/) (2022)
- [Making the Most of Text Semantics to Improve Biomedical Vision--Language Processing](https://mlsanity.com/paper/2204.09817/) (2022)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [BioBART: Pretraining and Evaluation of A Biomedical Generative Language Model](https://mlsanity.com/paper/2204.03905/) (2022)
- [AbdomenAtlas: A Large-Scale, Detailed-Annotated, & Multi-Center Dataset for Efficient Transfer Learning and Open Algorithmic Benchmarking](https://mlsanity.com/paper/2407.16697/) (2024)
- [CT-GLIP: 3D Grounded Language-Image Pretraining with CT Scans and Radiology Reports for Full-Body Scenarios](https://mlsanity.com/paper/2404.15272/) (2024)
- [INSPECT: A Multimodal Dataset for Pulmonary Embolism Diagnosis and Prognosis](https://mlsanity.com/paper/2311.10798/) (2023)
- [Reassessing Layer Pruning in LLMs: New Insights and Methods](https://mlsanity.com/paper/2411.15558/) (2024)
- [Noisy but Valid: Robust Statistical Evaluation of LLMs with Imperfect Judges](https://mlsanity.com/paper/2601.20913/) (2026)
- [MaskCon: Masked Contrastive Learning for Coarse-Labelled Dataset](https://mlsanity.com/paper/2303.12756/) (2023)
- [CLIPCleaner: Cleaning Noisy Labels with CLIP](https://mlsanity.com/paper/2408.10012/) (2024)
- [From Points to Coalitions: Hierarchical Contrastive Shapley Values for Prioritizing Data Samples](https://mlsanity.com/paper/2512.19363/) (2025)
- [DSPC: Dual-Stage Progressive Compression Framework for Efficient Long-Context Reasoning](https://mlsanity.com/paper/2509.13723/) (2025)
- [Improving Representation of High-frequency Components for Medical Visual Foundation Models](https://mlsanity.com/paper/2407.14651/) (2024)
- [MedFILIP: Medical Fine-grained Language-Image Pre-training](https://mlsanity.com/paper/2501.10775/) (2025)
- [From LLM-anation to LLM-orchestrator: Coordinating Small Models for Data Labeling](https://mlsanity.com/paper/2506.16393/) (2025)
- [Enhancing Conceptual Understanding in Multimodal Contrastive Learning through Hard Negative Samples](https://mlsanity.com/paper/2403.02875/) (2024)
- [PARROT: An Open Multilingual Radiology Reports Dataset](https://mlsanity.com/paper/2507.22939/) (2025)

## Built on by (most cited first, 2 of 2)

- [DriftGuard: Safety-Aware Multi-Monitor Detection and Selective Adaptation for Evolving Toxicity Moderation](https://mlsanity.com/paper/2606.28725/) (2026)
- [Attention-Spectrum Regularization for Replay-Free Continual Multimodal LLMs](https://mlsanity.com/paper/2606.23063/) (2026)

## Abstract (arXiv)

Medical vision-language pretraining increasingly relies on medical reports as large-scale supervisory signals; however, raw reports often exhibit substantial stylistic heterogeneity, variable length, and a considerable amount of image-irrelevant content. Although text normalization is frequently adopted as a preprocessing step in prior work, its design principles and empirical impact on vision-language pretraining remain insufficiently and systematically examined. In this study, we present MedTri, a deployable normalization framework for medical vision-language pretraining that converts free-text reports into a unified [Anatomical Entity: Radiologic Description + Diagnosis Category] triplet. This structured, anatomy-grounded normalization preserves essential morphological and spatial information while removing stylistic noise and image-irrelevant content, providing consistent and image-grounded textual supervision at scale. Across multiple datasets spanning both X-ray and computed tomography (CT) modalities, we demonstrate that structured, anatomy-grounded text normalization is an important factor in medical vision-language pretraining quality, yielding consistent improvements over raw reports and existing normalization baselines. In addition, we illustrate how this normalization can easily support modular text-level augmentation strategies, including knowledge enrichment and anatomy-grounded counterfactual supervision, which provide complementary gains in robustness and generalization without altering the core normalization process. Together, our results position structured text normalization as a critical and generalizable preprocessing component for medical vision-language learning, while MedTri provides this normalization platform. Code and data will be released at https://github.com/Arturia-Pendragon-Iris/MedTri.