Evidence map›Paper›PMID 39187663›Full record

ArticleNature biomedical engineering2025

A vision-language foundation model for the generation of realistic chest X-ray images.

Christian Bluethgen, Pierre Chambon, Jean-Benoit Delbrouck, Rogier van der Sluijs, Małgorzata Połacin, Juan Manuel Zambrano Chaves, Tanishq Mathew Abraham, Shivanshu Purohit, Curtis P Langlotz, Akshay S Chaudhari

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing 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

69 citing papers in PubMed.

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  8. Integrating Anatomical Priors Into a Causal Diffusion Model.IEEE transactions on medical imaging · 2026
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Christian Bluethgen *Center for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA. bluethgen@stanford.edu.ORCID http://orcid.org/0000-0001-7321-5676
Pierre Chambon *Center for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.
Jean-Benoit DelbrouckCenter for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.
Rogier van der SluijsCenter for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.
Małgorzata PołacinDepartment of Radiology, Stanford University, Palo Alto, CA, USA.
Juan Manuel Zambrano ChavesCenter for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-7274-8072
Tanishq Mathew AbrahamUniversity of California, Davis, Davis, CA, USA.ORCID http://orcid.org/0000-0002-9590-391X
Shivanshu PurohitMedARC, Stability AI, London, UK.
Curtis P LanglotzCenter for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-8972-8051
Akshay S ChaudhariCenter for Artificial Intelligence in Medicine and Imaging, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-3667-6796

Funding

Rapid MRI for Evaluation of OsteoarthritisR01EB002524 · NIBIB · STANFORD UNIVERSITY · PI Akshay Chaudhari, Garry E Gold · 2003 to 2026
$10.1M
TR&D Project 3: OpenSim for PredictionP41EB027060 · NIBIB · STANFORD UNIVERSITY · PI Joy P Ku · 2020 to 2026
$9.7M
RADX TECH - CERES NANOSCIENCE INC NANOTRAP PARTICLE MANUFACTURING75N92020C00021 · NHLBI · CERES NANOSCIENCES, LLLP · PI DUNLAP, ROSS · 2021 to 2021
$4.0M
Rapid Low-Cost Quantitative 3D MRI and Gait Assessment of the KneeR01AR077604 · NIAMS · STANFORD UNIVERSITY · PI HARGREAVES, BRIAN ANDREW · 2020 to 2024
$3.2M
Imaging of Joint Response to Physiological Stress with Age, Sex and in OsteoarthritisR01AR079431 · NIAMS · STANFORD UNIVERSITY · PI Feliks Kogan · 2022 to 2026
$2.9M
Opportunistic Atherosclerotic Cardiovascular Disease Risk Estimation at Abdominal CTs with Robust and Unbiased Deep LearningR01HL167974 · NHLBI · STANFORD UNIVERSITY · PI Imon Banerjee, Akshay Chaudhari · 2023 to 2026
$2.4M
Novel Incidental Calcium Evaluation (NICE)R01HL169345 · NHLBI · STANFORD UNIVERSITY · PI Imon Banerjee, Akshay Chaudhari · 2024 to 2026
$2.1M
NHLBI NIH HHS 75N92020C00008NHLBI NIH HHS 75N92020C00021NHLBI NIH HHS R01 HL167974NHLBI NIH HHS R01 HL169345NIAMS NIH HHS R01 AR077604NIAMS NIH HHS R01 AR079431NIBIB NIH HHS P41 EB027060NIBIB NIH HHS R01 EB002524
6 · The paper itself

Abstract

The paucity of high-quality medical imaging datasets could be mitigated by machine learning models that generate compositionally diverse images that faithfully represent medical concepts and pathologies. However, large vision-language models are trained on natural images, and the diversity distribution of the generated images substantially differs from that of medical images. Moreover, medical language involves specific and semantically rich vocabulary. Here we describe a domain-adaptation strategy for large vision-language models that overcomes distributional shifts. Specifically, by leveraging publicly available datasets of chest X-ray images and the corresponding radiology reports, we adapted a latent diffusion model pre-trained on pairs of natural images and text descriptors to generate diverse and visually plausible synthetic chest X-ray images (as confirmed by board-certified radiologists) whose appearance can be controlled with free-form medical text prompts. The domain-adaptation strategy for the text-conditioned synthesis of medical images can be used to augment training datasets and is a viable alternative to the sharing of real medical images for model training and fine-tuning.

Indexed as

Image Processing, Computer-AssistedLanguageRadiography, ThoracicThoraxAlgorithmsDatabases, FactualHumansMachine Learning

Identifiers

PMID39187663
PMCPMC11861387

What OpenQuestion holds

Textmetadata
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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.