MC-CXR - Image-Only Recognition: leaderboard

MC-CXR (Seoul National University, 2026) tests whether vision-language models keep a correct chest X-ray reading when auxiliary context is reliable or misleading, over 240 radiologist-reviewed MIMIC-CXR cases with a fixed target finding each. This board is the image-only baseline: accuracy in percent of the single-letter answer among 12 CheXpert labels (chance about 8); higher is better.

Metric: Image-only recognition accuracy (%; the image alone, no context; 240 radiologist-reviewed MIMIC-CXR cases, one current chest X-ray and a fixed target finding each; zero-shot constrained single-letter answer from 12 CheXpert labels (chance about 8.3%), invalid answers scored wrong; greedy or temperature-0 decoding). Source: arxiv.org. Saturation forecast: Around 2032. 10 models tracked.

Top models

#ModelScoreOverall rank
1MedGemma 1.5 4B31.7#2562
2Qwen 3.5 9B30#803
3Gemini 3.5 Flash (Minimal)28.3#101 (Gemini 3.5 Flash)
4InternVL3-8B26.7#1688
5Claude Opus 4.721.2#79
6Phi-4 Multimodal Instruct15.8#3882
7Gemma 3 12B (IT)9.2#1837
8Llama 3.2 11B Instruct8.3#4991

No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.

Interactive version: theaggregate.ai/benchmark?slug=mc-cxr-image-only-recognition · How It Works · Data refreshed daily, snapshot 2026-11-13.