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Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists' workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus,…

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in…

Artificial Intelligence · Computer Science 2025-05-22 Ziqing Fan , Cheng Liang , Chaoyi Wu , Ya Zhang , Yanfeng Wang , Weidi Xie

This study investigates the integration of diverse patient data sources into multimodal language models for automated chest X-ray (CXR) report generation. Traditionally, CXR report generation relies solely on CXR images and limited…

Computer Vision and Pattern Recognition · Computer Science 2024-12-17 Aaron Nicolson , Shengyao Zhuang , Jason Dowling , Bevan Koopman

In the realm of chest X-ray (CXR) image analysis, radiologists meticulously examine various regions, documenting their observations in reports. The prevalence of errors in CXR diagnoses, particularly among inexperienced radiologists and…

Image and Video Processing · Electrical Eng. & Systems 2024-05-01 Akash Awasthi , Safwan Ahmad , Bryant Le , Hien Van Nguyen

Radiology reporting generative AI holds significant potential to alleviate clinical workloads and streamline medical care. However, achieving high clinical accuracy is challenging, as radiological images often feature subtle lesions and…

Computer Vision and Pattern Recognition · Computer Science 2024-11-19 Yijian Gao , Dominic Marshall , Xiaodan Xing , Junzhi Ning , Giorgos Papanastasiou , Guang Yang , Matthieu Komorowski

Chest X-rays (CXRs) are among the most frequently performed imaging examinations worldwide, yet rising imaging volumes increase radiologist workload and the risk of diagnostic errors. Although artificial intelligence (AI) systems have shown…

Deep learning models achieve strong performance in chest radiograph (CXR) interpretation, yet fairness and reliability concerns persist. Models often show uneven accuracy across patient subgroups, leading to hidden failures not reflected in…

Computer Vision and Pattern Recognition · Computer Science 2025-10-03 Han-Jay Shu , Wei-Ning Chiu , Shun-Ting Chang , Meng-Ping Huang , Takeshi Tohyama , Ahram Han , Po-Chih Kuo

Chest radiography is widely used in diagnostic imaging. However, perceptual errors -- especially overlooked but visible abnormalities -- remain common and clinically significant. Current workflows and AI systems provide limited support for…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Adhrith Vutukuri , Akash Awasthi , David Yang , Carol C. Wu , Hien Van Nguyen

Automating radiology report generation can ease the reporting workload for radiologists. However, existing works focus mainly on the chest area due to the limited availability of public datasets for other regions. Besides, they often rely…

Computer Vision and Pattern Recognition · Computer Science 2024-10-11 Qi Chen , Yutong Xie , Biao Wu , Xiaomin Chen , James Ang , Minh-Son To , Xiaojun Chang , Qi Wu

Automation of medical image interpretation could alleviate bottlenecks in diagnostic workflows, and has become of particular interest in recent years due to advancements in natural language processing. Great strides have been made towards…

Artificial Intelligence · Computer Science 2024-08-01 Hermione Warr , Yasin Ibrahim , Daniel R. McGowan , Konstantinos Kamnitsas

Recent transformer-based models have made significant strides in generating radiology reports from chest X-ray images. However, a prominent challenge remains: these models often lack prior knowledge, resulting in the generation of synthetic…

Computation and Language · Computer Science 2023-06-06 Sanghwan Kim , Farhad Nooralahzadeh , Morteza Rohanian , Koji Fujimoto , Mizuho Nishio , Ryo Sakamoto , Fabio Rinaldi , Michael Krauthammer

In clinics, a radiology report is crucial for guiding a patient's treatment. However, writing radiology reports is a heavy burden for radiologists. To this end, we present an automatic, multi-modal approach for report generation from a…

Image and Video Processing · Electrical Eng. & Systems 2022-06-02 Shuxin Yang , Xian Wu , Shen Ge , S. Kevin Zhou , Li Xiao

Advancements in generative Artificial Intelligence (AI) hold great promise for automating radiology workflows, yet challenges in interpretability and reliability hinder clinical adoption. This paper presents an automated radiology report…

Chest Xray imaging is a widely used diagnostic tool in modern medicine, and its high utilization creates substantial workloads for radiologists. To alleviate this burden, vision language models are increasingly applied to automate Chest…

Computer Vision and Pattern Recognition · Computer Science 2025-10-15 Shaoyang Zhou , Yingshu Li , Yunyi Liu , Lingqiao Liu , Lei Wang , Luping Zhou

With advances in generative artificial intelligence (AI), it is now possible to produce realistic-looking automated reports for preliminary reads of radiology images. This can expedite clinical workflows, improve accuracy and reduce overall…

Artificial Intelligence · Computer Science 2025-06-03 Razi Mahmood , Diego Machado Reyes , Ge Wang , Mannudeep Kalra , Pingkun Yan

A chest X-ray radiology report describes abnormal findings not only from X-ray obtained at current examination, but also findings on disease progression or change in device placement with reference to the X-ray from previous examination.…

Multimedia · Computer Science 2024-05-07 Zhichuan Wang , Kinhei Lee , Qiao Deng , Tiffany Y. So , Wan Hang Chiu , Yeung Yu Hui , Bingjing Zhou , Edward S. Hui

In radiology, Artificial Intelligence (AI) has significantly advanced report generation, but automatic evaluation of these AI-produced reports remains challenging. Current metrics, such as Conventional Natural Language Generation (NLG) and…

Computation and Language · Computer Science 2024-02-20 Qingqing Zhu , Xiuying Chen , Qiao Jin , Benjamin Hou , Tejas Sudharshan Mathai , Pritam Mukherjee , Xin Gao , Ronald M Summers , Zhiyong Lu

A radiology report comprises presentation-style vocabulary, which ensures clarity and organization, and factual vocabulary, which provides accurate and objective descriptions based on observable findings. While manually writing these…

Image and Video Processing · Electrical Eng. & Systems 2026-05-28 Kang Liu , Zhuoqi Ma , Mengmeng Liu , Zhicheng Jiao , Xiaolu Kang , Qiguang Miao , Kun Xie

Image-to-text radiology report generation aims to automatically produce radiology reports that describe the findings in medical images. Most existing methods focus solely on the image data, disregarding the other patient information…

Computer Vision and Pattern Recognition · Computer Science 2023-11-21 Nurbanu Aksoy , Serge Sharoff , Selcuk Baser , Nishant Ravikumar , Alejandro F Frangi

We developed a rich dataset of Chest X-Ray (CXR) images to assist investigators in artificial intelligence. The data were collected using an eye tracking system while a radiologist reviewed and reported on 1,083 CXR images. The dataset…