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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

The paper proposes a novel evaluation metric for automatic medical report generation from X-ray images, VLScore. It aims to overcome the limitations of existing evaluation methods, which either focus solely on textual similarities, ignoring…

Computer Vision and Pattern Recognition · Computer Science 2024-10-24 Gefen Dawidowicz , Elad Hirsch , Ayellet Tal

Existing metrics often lack the granularity and interpretability to capture nuanced clinical differences between candidate and ground-truth radiology reports, resulting in suboptimal evaluation. We introduce a Clinically-grounded tabular…

Given the rapidly expanding capabilities of generative AI models for radiology, there is a need for robust metrics that can accurately measure the quality of AI-generated radiology reports across diverse hospitals. We develop…

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as…

Computation and Language · Computer Science 2024-10-24 Weike Zhao , Chaoyi Wu , Xiaoman Zhang , Ya Zhang , Yanfeng Wang , Weidi Xie

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…

We propose a new automated evaluation metric for machine-generated radiology reports using the successful COMET architecture adapted for the radiology domain. We train and publish four medically-oriented model checkpoints, including one…

Computation and Language · Computer Science 2023-11-29 Amos Calamida , Farhad Nooralahzadeh , Morteza Rohanian , Koji Fujimoto , Mizuho Nishio , Michael Krauthammer

Medical errors are a major public health concern and a leading cause of death worldwide. Many healthcare centers and hospitals use reporting systems where medical practitioners write a preliminary medical report and the report is later…

Information Retrieval · Computer Science 2020-05-01 Sean MacAvaney , Arman Cohan , Nazli Goharian , Ross Filice

Evaluating large language models (LLMs) in medicine is crucial because medical applications require high accuracy with little room for error. Current medical benchmarks have three main types: medical exam-based, comprehensive medical, and…

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

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

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…

Automated radiology report generation (R2Gen) has advanced significantly, introducing challenges in accurate evaluation due to its complexity. Traditional metrics often fall short by relying on rigid word-matching or focusing only on…

Computation and Language · Computer Science 2025-02-14 Yunyi Liu , Yingshu Li , Zhanyu Wang , Xinyu Liang , Lingqiao Liu , Lei Wang , Luping Zhou

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

In the generative AI era, where even critical medical tasks are increasingly automated, radiology report generation (RRG) continues to rely on suboptimal metrics for quality assessment. Developing domain-specific metrics has therefore been…

Computation and Language · Computer Science 2026-01-19 Vanshali Sharma , Andrea Mia Bejar , Gorkem Durak , Ulas Bagci

Large language models (LLMs) have saturated standard medical benchmarks that test factual recall, yet their ability to perform higher-order reasoning, such as synthesizing evidence from multiple sources, remains critically under-explored.…

Computation and Language · Computer Science 2026-05-12 Huy Hoang Ha , Benoit Favre , Francois Portet

Meta-analysis, by synthesizing effect estimates from multiple studies conducted in diverse settings, stands at the top of the evidence hierarchy in clinical research. Yet, conventional approaches based on fixed- or random-effects models…

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

Large language models (LLMs) have demonstrated promising performance on medical benchmarks; however, their ability to perform medical calculations, a crucial aspect of clinical decision-making, remains underexplored and poorly evaluated.…

Computation and Language · Computer Science 2026-02-03 Benlu Wang , Iris Xia , Yifan Zhang , Junda Wang , Feiyun Ouyang , Shuo Han , Arman Cohan , Hong Yu , Zonghai Yao

Medical Large language models achieve strong scores on standard benchmarks; however, the transfer of those results to safe and reliable performance in clinical workflows remains a challenge. This survey reframes evaluation through a…

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