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Analysis

This paper addresses the challenge of automated chest X-ray interpretation by leveraging MedSAM for lung region extraction. It explores the impact of lung masking on multi-label abnormality classification, demonstrating that masking strategies should be tailored to the specific task and model architecture. The findings highlight a trade-off between abnormality-specific classification and normal case screening, offering valuable insights for improving the robustness and interpretability of CXR analysis.
Reference

Lung masking should be treated as a controllable spatial prior selected to match the backbone and clinical objective, rather than applied uniformly.