Pushing a Frozen CXR Foundation Model: A LoRA Partial-Fine-Tuning Study on NIH ChestX-ray14 with a Model-Conditional Label-Flip Sensitivity Analysis
This retrospective study demonstrates that applying Low-Rank Adaptation (LoRA) to a frozen Rad-DINO ViT-B/14 foundation model improves multi-label classification performance on the NIH ChestX-ray14 dataset, while explicitly clarifying that the reported results are descriptive rather than confirmatory due to prior exposure to test labels and highlighting the sensitivity of metrics to counterfactual label-flip analyses.