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Chest X-ray (CXR) is the most common X-ray examination performed in daily clinical practice for the diagnosis of various heart and lung abnormalities. The large amount of data to be read and reported, with 100+ studies per day for a single…

Computer Vision and Pattern Recognition · Computer Science 2019-05-17 Sebastian Guendel , Florin C. Ghesu , Sasa Grbic , Eli Gibson , Bogdan Georgescu , Andreas Maier , Dorin Comaniciu

X-ray image-based medical report generation (MRG) is a pivotal area in artificial intelligence which can significantly reduce diagnostic burdens and patient wait times. Despite significant progress, we believe that the task has reached a…

Computer Vision and Pattern Recognition · Computer Science 2024-10-02 Xiao Wang , Fuling Wang , Yuehang Li , Qingchuan Ma , Shiao Wang , Bo Jiang , Chuanfu Li , Jin Tang

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…

The automation of chest X-ray reporting has garnered significant interest due to the time-consuming nature of the task. However, the clinical accuracy of free-text reports has proven challenging to quantify using natural language processing…

Computer Vision and Pattern Recognition · Computer Science 2023-05-03 Matthias Keicher , Kamilia Zaripova , Tobias Czempiel , Kristina Mach , Ashkan Khakzar , Nassir Navab

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in…

Artificial Intelligence · Computer Science 2025-05-22 Ziqing Fan , Cheng Liang , Chaoyi Wu , Ya Zhang , Yanfeng Wang , Weidi Xie

Vision-Language Models (VLMs) have significantly advanced automated Radiology Report Generation (RRG). However, existing methods implicitly assume high-quality inputs, overlooking the noise and artifacts prevalent in real-world clinical…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Hongze Zhu , Chen Hu , Jiaxuan Jiang , Hong Liu , Yawen Huang , Ming Hu , Tianyu Wang , Zhijian Wu , Yefeng Zheng

Automatic radiology report generation is a promising application of multimodal deep learning, aiming to reduce reporting workload and improve consistency. However, current state-of-the-art (SOTA) systems - such as Multimodal AI for…

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 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

Chest X-ray report generation aims to reduce radiologists' workload by automatically producing high-quality preliminary reports. A critical yet underexplored aspect of this task is the effective use of patient-specific prior knowledge --…

Computer Vision and Pattern Recognition · Computer Science 2026-01-06 Kang Liu , Zhuoqi Ma , Zikang Fang , Yunan Li , Kun Xie , Qiguang Miao

Automated radiology report generation (RRG) holds potential to reduce the workload of radiologists, and recent advances in multimodal large language models (MLLMs) have enabled multimodal chest X-ray (CXR) report generation. However,…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Jonggwon Park , Byungmu Yoon , Soobum Kim , Kyoyun Choi

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…

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

This paper proposes one of the first clinical applications of multimodal large language models (LLMs) as an assistant for radiologists to check errors in their reports. We created an evaluation dataset from real-world radiology datasets…

Computation and Language · Computer Science 2024-03-05 Jinge Wu , Yunsoo Kim , Eva C. Keller , Jamie Chow , Adam P. Levine , Nikolas Pontikos , Zina Ibrahim , Paul Taylor , Michelle C. Williams , Honghan Wu

In the current paradigm of image captioning, deep learning models are trained to generate text from image embeddings of latent features. We challenge the assumption that fine-tuning of large, bespoke models is required to improve model…

Computer Vision and Pattern Recognition · Computer Science 2025-10-08 Steven Song , Anirudh Subramanyam , Irene Madejski , Robert L. Grossman

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

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

In this retrospective study, a dataset was constructed with two parts. The first part included 1,656 synthetic chest radiology reports generated by GPT-4 using specified prompts, with 828 being error-free synthetic reports and 828…

Computation and Language · Computer Science 2025-04-08 Cong Sun , Kurt Teichman , Yiliang Zhou , Brian Critelli , David Nauheim , Graham Keir , Xindi Wang , Judy Zhong , Adam E Flanders , George Shih , Yifan Peng

Chest X-ray (CXR) reporting follows a region-based clinical workflow in which radiologists inspect anatomical regions and integrate localized findings into a final report. However, existing resources for CXR report generation provide these…

Computer Vision and Pattern Recognition · Computer Science 2026-05-28 Yichen Zhao , Zelin Peng , Fenghe Tang , Piao Yang , Yu Huang , Wei Shen

Radiology report generation, as a key step in medical image analysis, is critical to the quantitative analysis of clinically informed decision-making levels. However, complex and diverse radiology reports with cross-source heterogeneity…