GazeRIB: Systematic Evaluation of Multi-Reader Gaze-Guided Chest X-ray Learning

arXiv:2610.42152v1 Announce Type: cross Abstract: Radiologists' visual attention can supervise medical image learning, but how reader panel composition affects its value remains untested. We evaluated GazeRIB (Gaze-guided Radiologist-Informed Blackout), which masks unviewed regions during training and uses unmasked images at inference. Eight experts repeatedly read the same 80 chest X-rays (CXRs). We compared individual readers with three-, five- and eight-reader panels across seven architectures and 10 seeds, evaluating 910 models on a separate 2,897-CXR cohort for four-class severity prediction. Every panel improved macro F1 over the no-gaze baseline by 5.33-7.47 percentage points (pp; Bonferroni-adjusted p