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Automating radiology report generation poses a dual challenge: building clinically reliable systems and designing rigorous evaluation protocols. We introduce a multi-agent reinforcement learning framework that serves as both a benchmark and…

Artificial Intelligence · Computer Science 2025-09-23 Ahmed T. Elboardy , Ghada Khoriba , Essam A. Rashed

Radiology report generation (RRG) aims to automatically produce diagnostic reports from medical images, with the potential to enhance clinical workflows and reduce radiologists' workload. While recent approaches leveraging multimodal large…

Artificial Intelligence · Computer Science 2025-05-16 Ziruo Yi , Ting Xiao , Mark V. Albert

Evaluating generated radiology reports is crucial for the development of radiology AI, but existing metrics fail to reflect the task's clinical requirements. This study proposes a novel evaluation framework using large language models…

Computation and Language · Computer Science 2024-04-02 Zilong Wang , Xufang Luo , Xinyang Jiang , Dongsheng Li , Lili Qiu

Evaluating the clinical correctness and reasoning fidelity of automatically generated medical imaging reports remains a critical yet unresolved challenge. Existing evaluation methods often fail to capture the structured diagnostic logic…

Artificial Intelligence · Computer Science 2026-01-26 Suzhong Fu , Jingqi Dong , Xuan Ding , Rui Sun , Yiming Yang , Shuguang Cui , Zhen Li

Automatically generated radiology reports often receive high scores from existing evaluation metrics but fail to earn clinicians' trust. This gap reveals fundamental flaws in how current metrics assess the quality of generated reports. We…

Computation and Language · Computer Science 2025-10-02 Ruochen Li , Jun Li , Bailiang Jian , Kun Yuan , Youxiang Zhu

Evaluating large language model (LLM)-based multi-agent systems remains a critical challenge, as these systems must exhibit reliable coordination, transparent decision-making, and verifiable performance across evolving tasks. Existing…

Artificial Intelligence · Computer Science 2026-01-21 YenTing Lee , Keerthi Koneru , Zahra Moslemi , Sheethal Kumar , Ramesh Radhakrishnan

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…

Retrieval-Augmented Generation (RAG) is widely employed to mitigate risks such as hallucinations and knowledge obsolescence in medical question answering, yet its predominantly single-round, static retrieval paradigm misaligns with the…

Computation and Language · Computer Science 2026-05-19 Yongfeng Huang , Ruiying Chen , James Cheng

In recent years, automated radiology report generation has experienced significant growth. This paper introduces MRScore, an automatic evaluation metric tailored for radiology report generation by leveraging Large Language Models (LLMs).…

Computation and Language · Computer Science 2024-04-30 Yunyi Liu , Zhanyu Wang , Yingshu Li , Xinyu Liang , Lingqiao Liu , Lei Wang , Luping Zhou

Radiology report evaluation is a crucial part of radiologists' training and plays a key role in ensuring diagnostic accuracy. As part of the standard reporting workflow, a junior radiologist typically prepares a preliminary report, which is…

Computation and Language · Computer Science 2025-10-07 Beth Pearson , Ahmed Adnan , Zahraa S. Abdallah

Retrieval-Augmented Generation (RAG) is a powerful approach that enables large language models (LLMs) to incorporate external knowledge. However, evaluating the effectiveness of RAG systems in specialized scenarios remains challenging due…

Computation and Language · Computer Science 2025-03-05 Kunlun Zhu , Yifan Luo , Dingling Xu , Yukun Yan , Zhenghao Liu , Shi Yu , Ruobing Wang , Shuo Wang , Yishan Li , Nan Zhang , Xu Han , Zhiyuan Liu , Maosong Sun

Large Language Models (LLMs) are increasingly used for clinical decision support, where hallucinations and unsafe suggestions may pose direct risks to patient safety. These risks are hard to assess: subtle clinical errors are often missed…

Computation and Language · Computer Science 2026-05-14 Yinzhu Chen , Abdine Maiga , Hossein A. Rahmani , Emine Yilmaz

Evaluating automatically generated radiology reports remains a fundamental challenge due to the lack of clinically grounded, interpretable, and fine-grained metrics. Existing methods either produce coarse overall scores or rely on opaque…

Computation and Language · Computer Science 2025-08-22 Yingshu Li , Yunyi Liu , Lingqiao Liu , Lei Wang , Luping Zhou

Medical Large Vision-Language Models (Med-LVLMs) have been widely adopted for medical report generation. Despite Med-LVLMs producing state-of-the-art performance, they exhibit a bias toward predicting all findings as normal, leading to…

Multiagent Systems · Computer Science 2025-05-27 Pengyu Wang , Shuchang Ye , Usman Naseem , Jinman Kim

Evaluating long-context radiology report generation is challenging. NLG metrics fail to capture clinical correctness, while LLM-based metrics often lack generalizability. Clinical accuracy metrics are more relevant but are sensitive to…

Computation and Language · Computer Science 2025-05-26 Ibrahim Ethem Hamamci , Sezgin Er , Suprosanna Shit , Hadrien Reynaud , Bernhard Kainz , Bjoern Menze

Radiology report generation (RRG) has shown great potential in assisting radiologists by automating the labor-intensive task of report writing. While recent advancements have improved the quality and coherence of generated reports, ensuring…

Artificial Intelligence · Computer Science 2025-03-18 Chenyu Wang , Weichao Zhou , Shantanu Ghosh , Kayhan Batmanghelich , Wenchao Li

Evaluating radiology reports is a challenging problem as factual correctness is extremely important due to the need for accurate medical communication about medical images. Existing automatic evaluation metrics either suffer from failing to…

Radiological imaging is central to diagnosis, treatment planning, and clinical decision-making. Vision-language foundation models have spurred interest in automated radiology report generation (RRG), but safe deployment requires reliable…

Radiology Report Generation (RRG) aims to produce accurate and coherent diagnostics from medical images. Although large vision language models (LVLM) improve report fluency and accuracy, they exhibit hallucinations, generating plausible yet…

Computation and Language · Computer Science 2026-02-05 Ruixiao Yang , Yuanhe Tian , Xu Yang , Huiqi Li , Yan Song

Identifying and articulating limitations is essential for transparent and rigorous scientific research. However, zero-shot large language models (LLMs) approach often produce superficial or general limitation statements (e.g., dataset bias…

Computation and Language · Computer Science 2026-03-17 Ibrahim Al Azher , Zhishuai Guo , Hamed Alhoori
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