ReXGradient-160K: A Large-Scale Publicly Available Dataset of Chest Radiographs with Free-text Reports

Xiaoman Zhang, Julian Nicolas Acosta, Joshua Miller, Ouwen Huang, Pranav Rajpurkar

Published: 27 Nov 2025, Last Modified: 09 Dec 2025ML4H 2025 PosterEveryoneRevisionsBibTeXCC BY 4.0
Keywords: chest radiographs, dataset, report generation
TL;DR: We present ReXGradient-160K, a dataset contains 160,000 chest X-ray studies with paired radiological reports from 109,487 unique patients across 3 U.S. health systems (79 medical sites).
Track: Findings
Abstract: We present ReXGradient-160K, representing the largest publicly available chest X-ray dataset to date in terms of the number of patients. This dataset contains 160,000 chest X-ray studies with paired radiological reports from 109,487 unique patients across 3 U.S. health systems (79 medical sites). This comprehensive dataset includes multiple images per study and detailed radiology reports, making it particularly valuable for the development and evaluation of AI systems for medical imaging and automated report generation models. The dataset is divided into training (140,000 studies), validation (10,000 studies), and public test (10,000 studies) sets, with an additional private test set (10,000 studies) reserved for model evaluation on the ReXrank benchmark. By providing this extensive dataset, we aim to accelerate research in medical imaging AI and advance the state-of-the-art in automated radiological analysis.
General Area: Applications and Practice
Specific Subject Areas: Dataset Release & Characterization
Data And Code Availability: Yes
Ethics Board Approval: Yes
Entered Conflicts: I confirm the above
Anonymity: I confirm the above
Submission Number: 22
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