Reliability Stress Tests and Decision-Time Routing for Chest X-ray Vision-Language Models
eess.IV, cs.CV
Submitted: 2026-10-01
Updated: 2026-10-01
Comments: 6 pages, 4 figures, 5 tables. Accepted version of a workshop paper presented orally at the 2026 IEEE/ACM Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). Code and per-case MIMIC-CXR results: https://github.com/Yangxinyee/cxr-vlm-routing
Journal ref: 2026 IEEE/ACM Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE), pp. 428-433
DOI: 10.1109/CHASE69719.2026.00073
Code: https://github.com/Yangxinyee/cxr-vlm-routing
License: http://arxiv.org/licenses/nonexclusive-distrib/1.0/
Sources
- A Vision-Language Foundation Model to Enhance Efficiency of Chest X-ray Interpretation
- MedGemma Technical Report
- XBench: A Comprehensive Benchmark for Visual-Language Explanations in Chest Radiography
- PSF-Med: Measuring and Explaining Paraphrase Sensitivity in Medical Vision Language Models
- FrugalGPT: How to Use Large Language Models While Reducing Cost and Improving Performance
- AT-CXR: Uncertainty-Aware Agentic Triage for Chest X-rays
- VL-RouterBench: A Benchmark for Vision-Language Model Routing
- One VLM, Two Roles: Stage-Wise Routing and Specialty-Level Deployment for Clinical Workflows
- Budget-Aware Agentic Routing via Boundary-Guided Training
- CASTER: Breaking the Cost-Performance Barrier in Multi-Agent Orchestration via Context-Aware Strategy for Task Efficient Routing
- AdaCoT: Pareto-Optimal Adaptive Chain-of-Thought Triggering via Reinforcement Learning
Related papers
- PanoDiff-SR: Synthesizing Dental Panoramic Radiographs using Diffusion and Super-resolution
- Revisiting Integration of Image and Metadata for DICOM Series Classification: Cross-Attention and Dictionary Learning
- VesselSDF: Distance Field Priors for Vascular Network Reconstruction
- cSVR: Convolutional Slice-to-Volume Reconstruction
- NAIMA: Semantics Aware RGB Guided Depth Super-Resolution
- AneumoBench: A Source-Linked Benchmark for Synthetic-Geometry Transfer in Aneurysm CFD