Evidence map›Paper›PMID 38850624›Full record

ArticleMedical image analysis2024

Towards long-tailed, multi-label disease classification from chest X-ray: Overview of the CXR-LT challenge.

Gregory Holste, Yiliang Zhou, Song Wang, Ajay Jaiswal, Mingquan Lin, Sherry Zhuge, Yuzhe Yang, Dongkyun Kim, Trong-Hieu Nguyen-Mau, Minh-Triet Tran and 15 more

Abstract read
In one paragraph

Article in Medical image analysis, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Gregory HolsteDepartment of Electrical and Computer Engineering, The University of Texas at Austin, 78712, Austin, TX, USA.
Yiliang ZhouDepartment of Population Health Sciences, Weill Cornell Medicine, 10065, New York, NY, USA.
Song WangDepartment of Electrical and Computer Engineering, The University of Texas at Austin, 78712, Austin, TX, USA.
Ajay JaiswalDepartment of Electrical and Computer Engineering, The University of Texas at Austin, 78712, Austin, TX, USA.
Mingquan LinDepartment of Population Health Sciences, Weill Cornell Medicine, 10065, New York, NY, USA.
Sherry ZhugeSchool of Information Systems, Carnegie Mellon University, 15213, Pittsburgh, PA, USA.
Yuzhe YangDepartment of Electrical Engineering and Computer Science, Massachussetts Institute of Technology, 02139, Cambridge, MA, USA.
Dongkyun KimSchool of Computer Science, Carnegie Mellon University, 15213, Pittsburgh, PA, USA.
Trong-Hieu Nguyen-MauUniversity of Science, VNU-HCM, Ho Chi Minh City, Viet Nam.
Minh-Triet TranUniversity of Science, VNU-HCM, Ho Chi Minh City, Viet Nam.
Jaehyup JeongKT Research & Development Center, KT Corporation, 06763, Seoul, South Korea.
Wongi ParkDepartment of Software and Computer Engineering, Ajou University, 16499, Suwon, South Korea.
Jongbin RyuDepartment of Software and Computer Engineering, Ajou University, 16499, Suwon, South Korea.
Feng HongCooperative Medianet Innovation Center, Shanghai Jiao Tong University, 200240, Shanghai, China.
Arsh VermaWadhwani Institute for Artificial Intelligence, 400079, Mumbai, India.
Yosuke YamagishiDivision of Radiology and Biomedical Engineering, Graduate School of Medicine, The University of Tokyo, 113-0033, Tokyo, Japan.
Changhyun KimBioMedical AI Team, AIX Future R&D Center, SK Telecom, 04539, Seoul, South Korea.
Hyeryeong SeoInterdisciplinary Program in AI (IPAI), Seoul National University, 02504, Seoul, South Korea.
Myungjoo KangDepartment of Mathematical Sciences, Seoul National University, 02504, Seoul, South Korea.
Leo Anthony CeliLaboratory for Computational Physiology, Massachusetts Institute of Technology, 02139, Cambridge, MA, USA; Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, 02215, Boston, MA, USA; Department of Biostatistics, Harvard T.H. Chan School of Public Health, 02115, Boston, MA, USA.
Zhiyong LuNational Center for Biotechnology Information, National Library of Medicine, 20894, Bethesda, MD, USA.
Ronald M SummersClinical Center, National Institutes of Health, 20892, Bethesda, MD, USA.
George ShihDepartment of Radiology, Weill Cornell Medicine, 10065, New York, NY, USA.
Zhangyang WangDepartment of Electrical and Computer Engineering, The University of Texas at Austin, 78712, Austin, TX, USA. Electronic address: atlaswang@utexas.edu.
Yifan PengDepartment of Population Health Sciences, Weill Cornell Medicine, 10065, New York, NY, USA. Electronic address: yip4002@med.cornell.edu.

Funding

Machine learning for medical imaging: automated disease diagnosis and prognosisZIALM010021 · NLM · NATIONAL LIBRARY OF MEDICINE · PI LU, ZHIYONG · 2022 to 2025
$4.1M
Closing the loop with an automatic referral population and summarization systemR01LM014306 · NLM · WEILL MEDICAL COLL OF CORNELL UNIV · PI Yifan Peng, Justin Frederick Rousseau · 2023 to 2026
$2.7M
A framework to enhance radiology structured report by invoking NLP and DL: Models and ApplicationsR00LM013001 · NLM · WEILL MEDICAL COLL OF CORNELL UNIV · PI PENG, YIFAN · 2020 to 2022
$710k
Achieving Model Fairness on Automatic Primary Open-angle Glaucoma ScreeningR21EY035296 · NEI · WEILL MEDICAL COLL OF CORNELL UNIV · PI PENG, YIFAN · 2023 to 2023
$466k
Computer Aided Detection for Radiologic ImagesZIACL040004 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2009 to 2025
$0k
NEI NIH HHS R21 EY035296NLM NIH HHS R00 LM013001NLM NIH HHS R01 LM014306
6 · The paper itself

Abstract

Many real-world image recognition problems, such as diagnostic medical imaging exams, are "long-tailed" - there are a few common findings followed by many more relatively rare conditions. In chest radiography, diagnosis is both a long-tailed and multi-label problem, as patients often present with multiple findings simultaneously. While researchers have begun to study the problem of long-tailed learning in medical image recognition, few have studied the interaction of label imbalance and label co-occurrence posed by long-tailed, multi-label disease classification. To engage with the research community on this emerging topic, we conducted an open challenge, CXR-LT, on long-tailed, multi-label thorax disease classification from chest X-rays (CXRs). We publicly release a large-scale benchmark dataset of over 350,000 CXRs, each labeled with at least one of 26 clinical findings following a long-tailed distribution. We synthesize common themes of top-performing solutions, providing practical recommendations for long-tailed, multi-label medical image classification. Finally, we use these insights to propose a path forward involving vision-language foundation models for few- and zero-shot disease classification.

Indexed as

Radiography, ThoracicAlgorithmsHumansRadiographic Image Interpretation, Computer-AssistedThoracic DiseasesChest X-rayComputer-aided diagnosisLong-tailed learning

Identifiers

PMID38850624
PMCPMC11365790

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.