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Medical report generation aims to automatically produce radiology-style reports from medical images, supporting efficient and accurate clinical decision-making.However, existing approaches predominately rely on token-level likelihood…

Computation and Language · Computer Science 2026-03-30 Pengyu Wang , Shuchang Ye , Usman Naseem , Jinman Kim

Radiology report generation requires advanced medical image analysis, effective temporal reasoning, and accurate text generation. Although recent innovations, particularly multimodal large language models, have shown improved performance,…

Computation and Language · Computer Science 2025-11-11 Kai Zhang , Christopher Malon , Lichao Sun , Martin Renqiang Min

Dynamic diagnosis is desirable when medical tests are costly or time-consuming. In this work, we use reinforcement learning (RL) to find a dynamic policy that selects lab test panels sequentially based on previous observations, ensuring…

Machine Learning · Computer Science 2023-03-01 Zheng Yu , Yikuan Li , Joseph Kim , Kaixuan Huang , Yuan Luo , Mengdi Wang

We propose reinforcement learning (RL) strategies tailored for reasoning in large language models (LLMs) under strict memory and compute limits, with a particular focus on compatibility with LoRA fine-tuning. Building on early policy…

Machine Learning · Computer Science 2025-06-13 Alan Lee , Harry Tong

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…

Radiology report generation (RRG) aims to automatically produce clinically faithful reports from chest X-ray images. Prevailing work typically follows a scale-driven paradigm, by multi-stage training over large paired corpora and oversized…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Zhuoxiao Chen , Hongyang Yu , Ying Xu , Yadan Luo , Long Duong , Yuan-Fang Li

High-quality kernel is critical for scalable AI systems, and enabling LLMs to generate such code would advance AI development. However, training LLMs for this task requires sufficient data, a robust environment, and the process is often…

Machine Learning · Computer Science 2026-02-09 Wei Liu , Jiawei Xu , Yingru Li , Longtao Zheng , Tianjian Li , Qian Liu , Junxian He

In recent years, reinforcement learning (RL) has acquired a prominent position in health-related sequential decision-making problems, gaining traction as a valuable tool for delivering adaptive interventions (AIs). However, in part due to a…

Machine Learning · Statistics 2024-07-16 Nina Deliu , Joseph Jay Williams , Bibhas Chakraborty

Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness…

Quantitative Methods · Quantitative Biology 2025-10-08 Anni Tziakouri , Filippo Menolascina

Deep Research agents tackle knowledge-intensive tasks through multi-round retrieval and decision-oriented generation. While reinforcement learning (RL) has been shown to improve performance in this paradigm, its contributions remain…

Computation and Language · Computer Science 2026-02-24 Yinuo Xu , Shuo Lu , Jianjie Cheng , Meng Wang , Qianlong Xie , Xingxing Wang , Ran He , Jian Liang

Imbalanced token distributions naturally exist in text documents, leading neural language models to overfit on frequent tokens. The token imbalance may dampen the robustness of radiology report generators, as complex medical terms appear…

Computation and Language · Computer Science 2023-04-20 Yuexin Wu , I-Chan Huang , Xiaolei Huang

Reinforcement learning (RL) has garnered increasing attention in text-to-image (T2I) generation. However, most existing RL approaches are tailored to either diffusion models or autoregressive models, overlooking an important alternative:…

Computer Vision and Pattern Recognition · Computer Science 2026-02-03 Yifu Luo , Xinhao Hu , Keyu Fan , Haoyuan Sun , Zeyu Chen , Bo Xia , Tiantian Zhang , Yongzhe Chang , Xueqian Wang

Rerankers play a pivotal role in refining retrieval results for Retrieval-Augmented Generation. However, current reranking models are typically optimized on static human annotated relevance labels in isolation, decoupled from the downstream…

Computation and Language · Computer Science 2026-04-03 Yuhang Wu , Xiangqing Shen , Fanfan Wang , Cangqi Zhou , Zhen Wu , Xinyu Dai , Rui Xia

Multimodal Large Language Models (MLLMs) have shown strong potential for radiology report generation, yet their clinical translation is hindered by architectural heterogeneity and the prevalence of factual hallucinations. Standard…

Machine Learning · Computer Science 2026-01-13 Kun Zhao , Siyuan Dai , Pan Wang , Jifeng Song , Hui Ji , Chenghua Lin , Liang Zhan , Haoteng Tang

Reinforcement learning (RL) is a powerful approach to enhance task-oriented dialogue (TOD) systems. However, existing RL methods tend to mainly focus on generation tasks, such as dialogue policy learning (DPL) or response generation (RG),…

Artificial Intelligence · Computer Science 2024-06-21 Huifang Du , Shuqin Li , Minghao Wu , Xuejing Feng , Yuan-Fang Li , Haofen Wang

Much attention has been devoted recently to the development of machine learning algorithms with the goal of improving treatment policies in healthcare. Reinforcement learning (RL) is a sub-field within machine learning that is concerned…

In the classical Reinforcement Learning from Human Feedback (RLHF) framework, Proximal Policy Optimization (PPO) is employed to learn from sparse, sentence-level rewards -- a challenging scenario in traditional deep reinforcement learning.…

Machine Learning · Computer Science 2025-05-22 Han Zhong , Zikang Shan , Guhao Feng , Wei Xiong , Xinle Cheng , Li Zhao , Di He , Jiang Bian , Liwei Wang

Reinforcement learning (RL) is a type of artificial intelligence for making optimal choices. In healthcare, researchers generally use offline RL (ORL), where models are trained and evaluated from retrospective observational data. To…

Machine Learning · Computer Science 2026-04-30 Thomas Frost , Hrisheekesh Vaidya , Steve Harris

Reducing operation and maintenance costs is a key objective for advanced reactors in general and microreactors in particular. To achieve this reduction, developing robust autonomous control algorithms is essential to ensure safe and…

Systems and Control · Electrical Eng. & Systems 2024-06-25 Majdi I. Radaideh , Leo Tunkle , Dean Price , Kamal Abdulraheem , Linyu Lin , Moutaz Elias

Recent Reinforcement Learning (RL) advances for Large Language Models (LLMs) have improved reasoning tasks, yet their resource-constrained application to medical imaging remains underexplored. We introduce ChexReason, a vision-language…

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