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A model trained solely on file metadata鈥攚ith zero medical imaging data鈥攈its 0.992 balanced accuracy on a flagship pediatric x-ray benchmark, proving that evaluation artifacts and pipeline choices dominate architectural gains.
Cross-lingual data pooling acts as a powerful low-resource jumpstart鈥攂oosting macro-F1 by up to 0.43 at 25 labels鈥攂ut predictably degenerates into negative transfer once local annotations surpass 800 examples.