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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

We introduce CRIMSON, a clinically grounded evaluation framework for chest X-ray report generation that assesses reports based on diagnostic correctness, contextual relevance, and patient safety. Unlike prior metrics, CRIMSON incorporates…

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 reports for the same patient examination may contain clinically meaningful discrepancies arising from interpretation differences, reporting variability, or evolving assessments. Systematic analysis of such discrepancies is…

Computer Vision and Pattern Recognition · Computer Science 2026-03-10 Zhaoyi Sun , Minal Jagtiani , Wen-wai Yim , Fei Xia , Martin Gunn , Meliha Yetisgen , Asma Ben Abacha

The evaluation of Large Language Models (LLMs) increasingly relies on other LLMs acting as judges. However, current evaluation paradigms typically yield a single score or ranking, answering which model is better but not why. While essential…

Computation and Language · Computer Science 2025-07-25 Asaf Yehudai , Lilach Eden , Yotam Perlitz , Roy Bar-Haim , Michal Shmueli-Scheuer

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 vision-language models can automate the generation of radiology reports but struggle with accurate visual grounding and factual consistency. Existing models often misalign textual findings with visual evidence, leading to unreliable…

Computer Vision and Pattern Recognition · Computer Science 2026-01-23 Pablo Messina , Andrés Villa , Juan León Alcázar , Karen Sánchez , Carlos Hinojosa , Denis Parra , Álvaro Soto , Bernard Ghanem

Generating clinical reports from raw recordings such as X-rays and electroencephalogram (EEG) is an essential and routine task for doctors. However, it is often time-consuming to write accurate and detailed reports. Most existing methods…

Machine Learning · Computer Science 2020-03-05 Siddharth Biswal , Cao Xiao , Lucas M. Glass , M. Brandon Westover , Jimeng Sun

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…

Accurate uncertainty quantification is critical for reliable predictive modeling. Existing methods typically address either aleatoric uncertainty due to measurement noise or epistemic uncertainty resulting from limited data, but not both in…

Machine Learning · Statistics 2026-03-04 Ilia Azizi , Juraj Bodik , Jakob Heiss , Bin Yu

The development of AI-based methods to analyze radiology reports could lead to significant advances in medical diagnosis, from improving diagnostic accuracy to enhancing efficiency and reducing workload. However, the lack of…

Computation and Language · Computer Science 2025-08-14 Yuyan Ge , Kwan Ho Ryan Chan , Pablo Messina , René Vidal

Objective Renal cancer is a common malignancy and a major cause of cancer-related deaths. Computed tomography (CT) is central to early detection, staging, and treatment planning. However, the growing CT workload increases radiologists'…

Image and Video Processing · Electrical Eng. & Systems 2025-10-17 Renjie Liang , Zhengkang Fan , Jinqian Pan , Chenkun Sun , Bruce Daniel Steinberg , Russell Terry , Jie Xu

The evaluation of generated reports remains a critical challenge in Computed Tomography (CT) report generation, due to the large volume of text, the diversity and complexity of findings, and the presence of fine-grained, disease-oriented…

Artificial Intelligence · Computer Science 2026-04-28 Ruifeng Yuan , Wanxing Chang , Weiwei Cao , Bowen Shi , Zhongyu Wei , Ling Zhang , Jianpeng Zhang

Radiology reports are invaluable for clinical decision-making and hold great potential for automated analysis when structured into machine-readable formats. These reports often contain uncertainty, which we categorize into two distinct…

Computation and Language · Computer Science 2026-03-02 Paloma Rabaey , Jong Hak Moon , Jung-Oh Lee , Min Gwan Kim , Hangyul Yoon , Thomas Demeester , Edward Choi

Chest X-ray report generation and automated evaluation are limited by poor recognition of low-prevalence abnormalities and inadequate handling of clinically important language, including negation and ambiguity. We develop a clinician-guided…

Radiology report generation (RRG) for diagnostic images, such as chest X-rays, plays a pivotal role in both clinical practice and AI. Traditional free-text reports suffer from redundancy and inconsistent language, complicating the…

Computer Vision and Pattern Recognition · Computer Science 2025-08-05 Yingshu Li , Yunyi Liu , Zhanyu Wang , Xinyu Liang , Lingqiao Liu , Lei Wang , Luping Zhou

Obtaining datasets labeled to facilitate model development is a challenge for most machine learning tasks. The difficulty is heightened for medical imaging, where data itself is limited in accessibility and labeling requires costly time and…

Computation and Language · Computer Science 2018-10-03 Nithya Attaluri , Ahmed Nasir , Carolynne Powe , Harold Racz , Ben Covington , Li Yao , Jordan Prosky , Eric Poblenz , Tobi Olatunji , Kevin Lyman

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

Automatic medical report generation has the potential to support clinical diagnosis, reduce the workload of radiologists, and demonstrate potential for enhancing diagnostic consistency. However, current evaluation metrics often fail to…

Computation and Language · Computer Science 2025-08-06 Zhenxuan Zhang , Kinhei Lee , Peiyuan Jing , Weihang Deng , Huichi Zhou , Zihao Jin , Jiahao Huang , Zhifan Gao , Dominic C Marshall , Yingying Fang , Guang Yang

We introduce RadEval, a unified, open-source framework for evaluating radiology texts. RadEval consolidates a diverse range of metrics, from classic n-gram overlap (BLEU, ROUGE) and contextual measures (BERTScore) to clinical concept-based…

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