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Paper · arXiv

A Vision-language Framework for Comparative Reasoning in Radiology

Medical imaging artificial intelligence has achieved strong performance in isolated image interpretation, but remains poorly aligned with radiological practice, where diagnosis and follow-up rely on comparison across prior studies and analogous reference cases. Here we formulate radiological comparison as an entity-aware cross-image reasoning problem and introduce a framework that supports both reference-case retrieval and temporal comparative interpretation. We construct MedReCo-DB, a large-scale comparative imaging resource derived from routine image-report pairs, comprising more than 690,000 images from over 160,000 patients across eight institutions, four countries and seven imaging m...

AuthorsTengfei Zhang, Ziheng Zhao, Xiaoman Zhang et al.
Primary categorycs.CV
Published4 June 2026
Last updated at source8 June 2026
cs.CVcs.IRcs.LGeess.IV
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