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Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without…

Automatic radiology report generation has been an attracting research problem towards computer-aided diagnosis to alleviate the workload of doctors in recent years. Deep learning techniques for natural image captioning are successfully…

Computer Vision and Pattern Recognition · Computer Science 2020-02-20 Yixiao Zhang , Xiaosong Wang , Ziyue Xu , Qihang Yu , Alan Yuille , Daguang Xu

Automatic radiology report generation holds significant potential to streamline the labor-intensive process of report writing by radiologists, particularly for 3D radiographs such as CT scans. While CT scans are critical for clinical…

Computer Vision and Pattern Recognition · Computer Science 2025-02-26 Che Liu , Zhongwei Wan , Yuqi Wang , Hui Shen , Haozhe Wang , Kangyu Zheng , Mi Zhang , Rossella Arcucci

Medical vision-language models (VLMs) achieve strong performance in diagnostic reporting and image-text alignment, yet their underlying reasoning mechanisms remain fundamentally correlational, exhibiting reliance on superficial statistical…

Machine Learning · Computer Science 2026-01-27 Weiqin Yang , Haowen Xue , Qingyi Peng , Hexuan Hu , Qian Huang , Tingbo Zhang

Reinforcement learning (RL) has become a central post-training paradigm for large language models (LLMs), but its performance is highly sensitive to the quality of training problems. This sensitivity stems from the non-stationarity of RL:…

Machine Learning · Computer Science 2026-02-26 Ningyuan Yang , Weihua Du , Weiwei Sun , Sean Welleck , Yiming Yang

Recently, medical report generation, which aims to automatically generate a long and coherent descriptive paragraph of a given medical image, has received growing research interests. Different from the general image captioning tasks,…

Image and Video Processing · Electrical Eng. & Systems 2022-03-22 Di You , Fenglin Liu , Shen Ge , Xiaoxia Xie , Jing Zhang , Xian Wu

Radiologists highly desire fully automated AI for radiology report generation (R2G), yet existing approaches fall short in clinical utility. Reinforcement learning (RL) holds potential to address these shortcomings, but its adoption in this…

Computer Vision and Pattern Recognition · Computer Science 2026-03-05 Zilin Lu , Ruifeng Yuan , Weiwei Cao , Wanxing Chang , Zhongyu Wei , Sinuo Wang , Yong Xia , Ling Zhang , Jianpeng Zhang

Graph Foundation Models (GFMs) have emerged as a frontier in graph learning, which are expected to deliver transferable representations across diverse tasks. However, GFMs remain constrained by in-memory bottlenecks: they attempt to encode…

Machine Learning · Computer Science 2026-01-27 Haonan Yuan , Qingyun Sun , Jiacheng Tao , Xingcheng Fu , Jianxin Li

Neural image-to-text radiology report generation systems offer the potential to improve radiology reporting by reducing the repetitive process of report drafting and identifying possible medical errors. However, existing report generation…

Computation and Language · Computer Science 2021-04-14 Yasuhide Miura , Yuhao Zhang , Emily Bao Tsai , Curtis P. Langlotz , Dan Jurafsky

Retrieval-augmented generation (RAG) enhances large language models (LLMs) by integrating external knowledge retrieved from a knowledge base. However, its effectiveness is fundamentally constrained by the reliability of both the retriever…

Computation and Language · Computer Science 2025-01-31 Yiteng Tu , Weihang Su , Yujia Zhou , Yiqun Liu , Qingyao Ai

Radiology Report Generation (RRG) is essential for computer-aided diagnosis and medication guidance, which can relieve the heavy burden of radiologists by automatically generating the corresponding radiology reports according to the given…

Computer Vision and Pattern Recognition · Computer Science 2025-05-30 Weixing Chen , Yang Liu , Ce Wang , Jiarui Zhu , Guanbin Li , Cheng-Lin Liu , Liang Lin

Conversational AI tools that can generate and discuss clinically correct radiology reports for a given medical image have the potential to transform radiology. Such a human-in-the-loop radiology assistant could facilitate a collaborative…

Computer Vision and Pattern Recognition · Computer Science 2025-05-08 Chantal Pellegrini , Ege Özsoy , Benjamin Busam , Nassir Navab , Matthias Keicher

Multimodal Retrieval-Augmented Generation (RAG) has emerged as an effective paradigm for enhancing Large Language Models (LLMs) with external knowledge. However, existing multimodal RAG systems predominantly rely on coarse-grained…

Information Retrieval · Computer Science 2026-05-25 Yifan Zhu , Yu Mi , Yue Lu , Yanchu Guan , Zhixuan Chu

Generating radiology reports automatically reduces the workload of radiologists and helps the diagnoses of specific diseases. Many existing methods take this task as modality transfer process. However, since the key information related to…

Computer Vision and Pattern Recognition · Computer Science 2024-04-02 Yitian Tao , Liyan Ma , Jing Yu , Han Zhang

In recent years, accurately and quickly deploying medical large language models (LLMs) has become a trend. Among these, retrieval-augmented generation (RAG) has garnered attention due to rapid deployment and privacy protection. However, the…

Computation and Language · Computer Science 2025-08-06 Penglei Sun , Yixiang Chen , Xiang Li , Xiaowen Chu

Inspired by the tremendous success of Large Language Models (LLMs), existing Radiology report generation methods attempt to leverage large models to achieve better performance. They usually adopt a Transformer to extract the visual features…

Computer Vision and Pattern Recognition · Computer Science 2026-03-02 Xiao Wang , Yuehang Li , Fuling Wang , Shiao Wang , Chuanfu Li , Bo Jiang

Retrieval-Augmented Generation (RAG) enhances Large Language Models (LLMs) by grounding responses in external knowledge during inference. However, conventiona RAG systems under-perform on structured tabular data, largely due to coarse…

Computation and Language · Computer Science 2026-05-05 Zebin Guo , Weidong Geng , Ruichen Mao

We propose MARL-Rad, a multi-modal multi-agent reinforcement learning framework for radiology report generation that trains the entire agentic system on policy within its deployed radiology workflow. MARL-Rad addresses the limitation of…

Computer Vision and Pattern Recognition · Computer Science 2026-05-11 Kaito Baba , Risa Kishikawa , Satoshi Kodera

Retrieval augmented generation (RAG) systems provide a method for factually grounding the responses of a Large Language Model (LLM) by providing retrieved evidence, or context, as support. Guided by this context, RAG systems can reduce…

Information Retrieval · Computer Science 2025-09-05 Shakiba Amirshahi , Amin Bigdeli , Charles L. A. Clarke , Amira Ghenai

Our paper focuses on automating the generation of medical reports from chest X-ray image inputs, a critical yet time-consuming task for radiologists. Unlike existing medical re-port generation efforts that tend to produce human-readable…

Computation and Language · Computer Science 2021-08-30 Hoang T. N. Nguyen , Dong Nie , Taivanbat Badamdorj , Yujie Liu , Yingying Zhu , Jason Truong , Li Cheng