arXiv subjects

Hanbin Ko

Publications and source records attributed to Hanbin Ko.

3 recordsLinked to original sources

arXiv2026

Temporal Inversion for Learning Interval Change in Chest X-Rays

Recent advances in vision--language pretraining have enabled strong medical foundation models, yet most analyze radiographs in isolation, overlooking the key clinical task of comparing prior and current images to assess interval change. For chest radiographs (CXRs), capturing interval change is essential, as radiologists must evaluate not only the static appearance of findings but also how they evolve over time. We introduce TILA (Temporal Inversion-aware Learning and Alignment), a simple yet effective framework that uses temporal inversion, reversing image pairs, as a supervisory signal to enhance the sensitivity of existing temporal vision-language models to directional change. TILA integrates inversion-aware objectives across pretraining, fine-tuning, and inference, complementing conventional appearance modeling with explicit learning of temporal order. We also propose a unified evaluation protocol to assess order sensitivity and consistency under temporal inversion, and introduce MS-CXR-Tretrieval, a retrieval evaluation set constructed through a general protocol that can be applied to any temporal CXR dataset. Experiments on public datasets and real-world hospital cohorts demonstrate that TILA consistently improves progression classification and temporal embedding alignment when applied to multiple existing architectures.

cs.CV↗

arXiv2025

Exploring the Capabilities of Large Language Model Encoders for Image-Text Retrieval in Chest X-rays

Multimodal learning from paired medical images and clinical text is a central challenge in medical data-driven informatics, where effective cross-modal alignment is critical for scalable analysis and retrieval. In chest radiography, vision-language pretraining is constrained by heterogeneous radiology reports that contain abbreviations, impression-only notes, and institution-specific writing styles. Unlike general-domain settings, naively aggregating large collections of noisy reports can plateau or even degrade multimodal learning when reporting styles differ substantially. We propose a domain-adapted bidirectional large language model text encoder for chest radiograph reports, trained with masked token prediction and supervised contrastive learning on stylistically diverse but clinically equivalent report variants to produce robust, generalizable text embeddings. We then integrate this encoder into a dual-tower contrastive vision-language framework using parameter-efficient adaptation to improve image-text alignment. Across 1.6 million paired studies from public datasets and a de-identified hospital cohort, the proposed models improve bidirectional retrieval accuracy and external generalization, achieving GREEN scores of 0.308 on MIMIC-CXR and 0.618 on Open-I, while reducing the degradation observed when abbreviation-rich, impression-only hospital reports are added to training.

cs.CV↗

arXiv2025

Bringing CLIP to the Clinic: Dynamic Soft Labels and Negation-Aware Learning for Medical Analysis

The development of large-scale image-text pair datasets has significantly advanced self-supervised learning in Vision-Language Processing (VLP). However, directly applying general-domain architectures such as CLIP to medical data presents challenges, particularly in handling negations and addressing the inherent data imbalance of medical datasets. To address these issues, we propose a novel approach that integrates clinically-enhanced dynamic soft labels and medical graphical alignment, thereby improving clinical comprehension and the applicability of contrastive loss in medical contexts. Furthermore, we introduce negation-based hard negatives to deepen the model's understanding of the complexities of clinical language. Our approach is easily integrated into the medical CLIP training pipeline and achieves state-of-the-art performance across multiple tasks, including zero-shot, fine-tuned classification, and report retrieval. To comprehensively evaluate our model's capacity for understanding clinical language, we introduce CXR-Align, a benchmark uniquely designed to evaluate the understanding of negation and clinical information within chest X-ray (CXR) datasets. Experimental results demonstrate that our proposed methods are straightforward to implement and generalize effectively across contrastive learning frameworks, enhancing medical VLP capabilities and advancing clinical language understanding in medical imaging.

cs.CV↗