# Ram H1200 Eval

> Evaluates medical imaging models on hand radiographs for rheumatoid arthritis. It probes anatomical structure modeling through bone segmentation, fine-grained lesion detection via bone erosion segmentation, and clinical reasoning through ordinal scoring of erosion and joint space narrowing severity. Use when the user wants to benchmark on RAM-H1200, or asks about evaluating this task. Reports DSC, QWK.

- Skill: `qhjqhj00/ram-h1200-eval` (Agent Skill)
- Install (CLI): `npx skillmds add qhjqhj00/ram-h1200-eval`
- Raw SKILL.md: https://api.skillmd.com/api/skills/qhjqhj00/ram-h1200-eval/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Productivity
- Author: qhjqhj00 (https://skillmd.com/u/qhjqhj00)
- Updated: 2026-09-08
- Page: https://skillmd.com/skills/qhjqhj00/ram-h1200-eval

---


# ram-h1200-eval

> RAM-H1200: A Unified Evaluation and Dataset on Hand Radiographs for Rheumatoid Arthritis — Songxiao Yang et al. (2026) (arXiv:2605.05616, 2026)

## What this evaluates

Evaluates medical imaging models on hand radiographs for rheumatoid arthritis. It probes anatomical structure modeling through bone segmentation, fine-grained lesion detection via bone erosion segmentation, and clinical reasoning through ordinal scoring of erosion and joint space narrowing severity.

## Datasets

- **RAM-H1200** — total 1200; splits: train (-1), val (-1), test (-1); repo https://github.com/YSongxiao/RAM-H1200

## Metrics

- `DSC` **(primary)** — range: [0, 1]
  - 2 * |A ∩ B| / (|A| + |B|), measuring overlap between prediction and ground truth masks.
- `QWK` **(primary)** — range: [-1, 1]
  - Cohen's quadratic weighted kappa for ordinal agreement, penalizing larger deviations between predicted and true severity scores more heavily.
- `ACC` — range: [0, 1]
  - Proportion of correctly classified instances out of total instances.
- `MAE` — range: other
  - Average of absolute differences between predicted and true scores.
- `REC` — range: [0, 1]
  - True positives divided by the sum of true positives and false negatives.
- `PREC` — range: [0, 1]
  - True positives divided by the sum of true positives and false positives.

## Input / output format

**Input**: Hand radiograph images (and joint region masks for scoring tasks).

**Output**: Segmentation masks (for bone and erosion) or ordinal severity scores (0-3 for BE and JSN).

## Scoring recipe

```python
intersection = np.sum(pred_mask & gold_mask)
union = np.sum(pred_mask) + np.sum(gold_mask)
dsc = 2 * intersection / (union + 1e-6)

from sklearn.metrics import cohen_kappa_score
qwk = cohen_kappa_score(gold_scores, pred_scores, weights='quadratic')
```

## Common pitfalls

- Patient-level splits are strictly enforced to prevent data leakage; image-level random splits would invalidate results.
- Class imbalance is severe for BE scoring, making standard accuracy misleading without balanced accuracy or QWK.
- Bone overlap regions require specialized overlap-aware metrics (DSCO, NSDO) to properly evaluate boundary delineation.

## Evidence (verbatim from paper)

> All experiments were conducted using patient-level train/validation/test splits to prevent data leakage across subsets. ... For segmentation tasks, we report Dice similarity coefficient (DSC), normalized surface Dice (NSD), volumetric overlap error (VOE), mean surface distance (MSD), recall (REC), and precision (PREC). For SvdH score classification, we report quadratic weighted kappa (QWK), mean absolute error (MAE), balanced accuracy (BACC), accuracy (ACC), within-one accuracy (W1-ACC), positive/negative sensitivity (P/N-SEN), and positive/negative accuracy (P/N-ACC).

## Citation

```bibtex
@misc{yang2026ramh1200,
  title={RAM-H1200: A Unified Evaluation and Dataset on Hand Radiographs for Rheumatoid Arthritis},
  author={Songxiao Yang et al. (2026)},
  year={2026},
  note={arXiv:2605.05616}
}
```

- arXiv: 2605.05616