Neel P. Mistry

Mohammed Baharoon, Luyang Luo, Michael Moritz et al.

We introduce ReXGroundingCT, the first publicly available dataset linking free-text findings to pixel-level 3D segmentations in chest CT scans. The dataset includes 3,142 non-contrast chest CT scans paired with standardized radiology reports from CT-RATE. Construction followed a structured three-stage pipeline. First, GPT-4 was used to extract and standardize findings, descriptors, and metadata from reports originally written in Turkish and machine-translated into English. Second, GPT-4o-mini categorized each finding into a hierarchical ontology of lung and pleural abnormalities. Third, 3D annotations were produced for all CT volumes: the training set was quality-assured by board-certified radiologists, and the validation and test sets were fully annotated by board-certified radiologists. Additionally, a complementary chain-of-thought dataset was created to provide step-by-step hierarchical anatomical reasoning for localizing findings within the CT volume, using GPT-4o and localization coordinates derived from organ segmentation models. ReXGroundingCT contains 16,301 annotated entities across 8,028 text-to-3D-segmentation pairs, covering diverse radiological patterns from 3,142 non-contrast CT scans. About 79% of findings are focal abnormalities and 21% are non-focal. The dataset includes a public validation set of 50 cases and a private test set of 100 cases, both annotated by board-certified radiologists. The dataset establishes a foundation for enabling free-text finding segmentation and grounded radiology report generation in CT imaging. Model performance on the private test set is hosted on a public leaderboard at https://rexrank.ai/ReXGroundingCT. The dataset is available at https://huggingface.co/datasets/rajpurkarlab/ReXGroundingCT.

Pouya Shiri, Xin Yi, Neel P. Mistry et al.

Contrast-enhanced computed tomography (CT) imaging is essential for diagnosing and monitoring thoracic diseases, including aortic pathologies. However, contrast agents pose risks such as nephrotoxicity and allergic-like reactions. The ability to generate high-fidelity synthetic contrast-enhanced CT angiography (CTA) images without contrast administration would be transformative, enhancing patient safety and accessibility while reducing healthcare costs. In this study, we propose the first bridge diffusion-based solution for synthesizing contrast-enhanced CTA images from non-contrast CT scans. Our approach builds on the Slice-Consistent Brownian Bridge Diffusion Model (SC-BBDM), leveraging its ability to model complex mappings while maintaining consistency across slices. Unlike conventional slice-wise synthesis methods, our framework preserves full 3D anatomical integrity while operating in a high-resolution 2D fashion, allowing seamless volumetric interpretation under a low memory budget. To ensure robust spatial alignment, we implement a comprehensive preprocessing pipeline that includes resampling, registration using the Symmetric Normalization method, and a sophisticated dilated segmentation mask to extract the aorta and surrounding structures. We create two datasets from the Coltea-Lung dataset: one containing only the aorta and another including both the aorta and heart, enabling a detailed analysis of anatomical context. We compare our approach against baseline methods on both datasets, demonstrating its effectiveness in preserving vascular structures while enhancing contrast fidelity.