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Recent reinforcement learning (RL) approaches have advanced radiology report generation (RRG), yet two core limitations persist: (1) report-level rewards offer limited evidence-grounded guidance for clinical faithfulness; and (2) current…

Machine Learning · Computer Science 2026-04-16 Qin Zhou , Guoyan Liang , Qianyi Yang , Jingyuan Chen , Sai Wu , Chang Yao , Zhe Wang

Developing an interpretable system for generating reports in chest X-ray (CXR) analysis is becoming increasingly crucial in Computer-aided Diagnosis (CAD) systems, enabling radiologists to comprehend the decisions made by these systems.…

Computer Vision and Pattern Recognition · Computer Science 2024-11-26 Trong Thang Pham , Ngoc-Vuong Ho , Nhat-Tan Bui , Thinh Phan , Patel Brijesh , Donald Adjeroh , Gianfranco Doretto , Anh Nguyen , Carol C. Wu , Hien Nguyen , Ngan Le

Medical imaging is frequently used in clinical practice and trials for diagnosis and treatment. Writing imaging reports is time-consuming and can be error-prone for inexperienced radiologists. Therefore, automatically generating radiology…

Computation and Language · Computer Science 2022-04-29 Zhihong Chen , Yan Song , Tsung-Hui Chang , Xiang Wan

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly…

Image and Video Processing · Electrical Eng. & Systems 2025-06-23 Zefan Yang , Xuanang Xu , Jiajin Zhang , Ge Wang , Mannudeep K. Kalra , Pingkun Yan

Current deep learning models trained to generate radiology reports from chest radiographs are capable of producing clinically accurate, clear, and actionable text that can advance patient care. However, such systems all succumb to the same…

Computation and Language · Computer Science 2022-10-14 Vignav Ramesh , Nathan Andrew Chi , Pranav Rajpurkar

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

Longitudinal information in radiology reports refers to the sequential tracking of findings across multiple examinations over time, which is crucial for monitoring disease progression and guiding clinical decisions. Many recent automated…

Computation and Language · Computer Science 2026-01-26 Xinyi Wang , Grazziela Figueredo , Ruizhe Li , Xin Chen

To reduce doctors' workload, deep-learning-based automatic medical report generation has recently attracted more and more research efforts, where attention mechanisms and reinforcement learning are integrated with the classic…

Computation and Language · Computer Science 2020-11-17 Wenting Xu , Chang Qi , Zhenghua Xu , Thomas Lukasiewicz

Developing imaging models capable of detecting pathologies from chest X-rays can be cost and time-prohibitive for large datasets as it requires supervision to attain state-of-the-art performance. Instead, labels extracted from radiology…

Computation and Language · Computer Science 2024-08-09 Panagiotis Fytas , Anna Breger , Ian Selby , Simon Baker , Shahab Shahipasand , Anna Korhonen

Preference alignment methods are increasingly critical for steering large language models (LLMs) to generate outputs consistent with human values. While recent approaches often rely on synthetic data generated by LLMs for scalability and…

Computation and Language · Computer Science 2025-10-21 Mingye Zhu , Yi Liu , Zheren Fu , Yongdong Zhang , Zhendong Mao

Recent advances in training deep learning models have demonstrated the potential to provide accurate chest X-ray interpretation and increase access to radiology expertise. However, poor generalization due to data distribution shifts in…

Image and Video Processing · Electrical Eng. & Systems 2021-02-23 Pranav Rajpurkar , Anirudh Joshi , Anuj Pareek , Andrew Y. Ng , Matthew P. Lungren

A large-scale image-text pair dataset has greatly contributed to the development of vision-language pre-training (VLP) models, which enable zero-shot or few-shot classification without costly annotation. However, in the medical domain, the…

Computer Vision and Pattern Recognition · Computer Science 2023-10-23 Kihyun You , Jawook Gu , Jiyeon Ham , Beomhee Park , Jiho Kim , Eun Kyoung Hong , Woonhyunk Baek , Byungseok Roh

Recommendation system delivers substantial economic benefits by providing personalized predictions. Generative recommendation (GR) integrates LLMs to enhance the understanding of long user-item sequences. Despite employing attention-based…

Generating accurate and clinically meaningful radiology reports from chest X-ray images remains a significant challenge in medical AI. While recent vision-language models achieve strong results in general radiology report generation, they…

Computer Vision and Pattern Recognition · Computer Science 2025-11-13 Nikolay Nechaev , Evgeniia Przhezdzetskaia , Dmitry Umerenkov , Dmitry V. Dylov

Large, labeled datasets have driven deep learning methods to achieve expert-level performance on a variety of medical imaging tasks. We present CheXpert, a large dataset that contains 224,316 chest radiographs of 65,240 patients. We design…

ChatGLM is a free-to-use AI service powered by the ChatGLM family of large language models (LLMs). In this paper, we present the ChatGLM-RLHF pipeline -- a reinforcement learning from human feedback (RLHF) system -- designed to enhance…

Computation and Language · Computer Science 2024-04-04 Zhenyu Hou , Yilin Niu , Zhengxiao Du , Xiaohan Zhang , Xiao Liu , Aohan Zeng , Qinkai Zheng , Minlie Huang , Hongning Wang , Jie Tang , Yuxiao Dong

Radiology report generation (RRG) models typically focus on individual exams, often overlooking the integration of historical visual or textual data, which is crucial for patient follow-ups. Traditional methods usually struggle with long…

Computer Vision and Pattern Recognition · Computer Science 2024-12-17 Tengfei Liu , Jiapu Wang , Yongli Hu , Mingjie Li , Junfei Yi , Xiaojun Chang , Junbin Gao , Baocai Yin

Large language models (LLMs) like ChatGPT show excellent capabilities in various natural language processing tasks, especially for text generation. The effectiveness of LLMs in summarizing radiology report impressions remains unclear. In…

Computation and Language · Computer Science 2025-04-07 Danqing Hu , Shanyuan Zhang , Qing Liu , Xiaofeng Zhu , Bing Liu

Reinforcement learning based fine-tuning of large language models (LLMs) on human preferences has been shown to enhance both their capabilities and safety behavior. However, in cases related to safety, without precise instructions to human…

Artificial Intelligence · Computer Science 2024-11-05 Tong Mu , Alec Helyar , Johannes Heidecke , Joshua Achiam , Andrea Vallone , Ian Kivlichan , Molly Lin , Alex Beutel , John Schulman , Lilian Weng

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
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