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Paper · arXiv

PLRS-IC: A Dual-Calibration Framework for Chest X-Ray Vision-Language Alignment

Fine-grained vision-language alignment in chest radiography enables zero-shot classification, grounding, and segmentation without task-specific annotations. However, this alignment is fundamentally hindered by two intertwined sources of ambiguity: projection-induced visual mismatch and patient-agnostic semantic overlap. First, at the local feature level, frontal and lateral radiographs exhibit distinct appearances for the same clinical finding, rendering a shared patch-text similarity geometry inherently suboptimal. Compounding this visual ambiguity is a semantic mismatch during global contrastive optimization, where instance-level objectives penalize cross-patient pairs as strict negativ...

AuthorsQixing Zhao, Jinpeng Li
Primary categorycs.CV
Published30 September 2026
Last updated at source30 September 2026
cs.CV
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