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Paper · arXiv

XGLASS: X-Ray, Gaze and Language Assisted Slice Sequencing for CT Volumes

Vision-language models (VLMs) achieve remarkable performance on 2D medical images, such as X-rays or pathology images, while 3D VLMs that directly process CT/MRI volumes lag behind due to limited 3D training data and the predominance of 2D foundation architectures. To leverage powerful 2D VLMs for analyzing medical volumes, which contain hundreds of slices, it is therefore necessary to focus only on those few slices, which are diagnostically relevant. To enable such a prioritization, we propose XGLASS, a method that transfers medical expertise from 2D X-rays to 3D CT for task-aware slice prioritization. XGLASS uses disease-conditioned importance maps derived from language-aligned radiolog...

AuthorsMichael Glöckler, Timo Ropinski
Primary categorycs.CV
Published19 October 2026
Last updated at source19 October 2026
cs.CV
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