Can a Second-View Image Be a Language? Geometric and Semantic Cross-Modal Reasoning for X-ray Prohibited Item Detection

Automatic X-ray prohibited items detection is vital for security inspection and has been widely studied. Traditional methods rely on visual modality, often struggling with complex threats. While recent studies incorporate language to guide single-view images, human inspectors typically use dual-view images in practice. This raises the question: can the second view provide constraints similar to a language modality? In this work, we introduce DualXray-Bench, the first comprehensive benchmark for X-ray inspection that includes multiple views and modalities. It supports eight tasks designed to test cross-view reasoning. In DualXrayBench, we introduce a caption corpus consisting of 45,613 dual-view image pairs across 12 categories with corresponding captions. Building upon these data, we propose the Geometric (cross-view)-Semantic (crossmodality) Reasoner (GSR), a multimodal model that jointly learns correspondences between cross-view geometry and cross-modal semantics, treating the second-view images as a "language-like modality". To enable this, we construct the GSXray dataset, with structured Chain-of-Thought sequences: <top>, <side>, <conclusion>. Comprehensive evaluations on DualXrayBench demonstrate that GSR achieves significant improvements across all X-ray tasks, offering a new perspective for real-world X-ray inspection.