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Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

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 Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising…

Computer Vision and Pattern Recognition · Computer Science 2025-05-22 Mohammad Shahab Sepehri , Zalan Fabian , Maryam Soltanolkotabi , Mahdi Soltanolkotabi

The emergence of Large Language Models (LLMs) presents unprecedented opportunities to revolutionize medical contrastive vision-language pre-training. In this paper, we show how LLMs can facilitate large-scale supervised pre-training,…

Computer Vision and Pattern Recognition · Computer Science 2025-09-17 Yingtai Li , Haoran Lai , Xiaoqian Zhou , Shuai Ming , Wenxin Ma , Wei Wei , Shaohua Kevin Zhou

Large language models (LLMs) pose significant risks due to the potential for generating harmful content or users attempting to evade guardrails. Existing studies have developed LLM-based guard models designed to moderate the input and…

Cryptography and Security · Computer Science 2025-02-25 Hongfu Liu , Hengguan Huang , Xiangming Gu , Hao Wang , Ye Wang

Clinical decision-making in radiology increasingly benefits from artificial intelligence (AI), particularly through large language models (LLMs). However, traditional retrieval-augmented generation (RAG) systems for radiology question…

In recent years, automated radiology report generation has experienced significant growth. This paper introduces MRScore, an automatic evaluation metric tailored for radiology report generation by leveraging Large Language Models (LLMs).…

Computation and Language · Computer Science 2024-04-30 Yunyi Liu , Zhanyu Wang , Yingshu Li , Xinyu Liang , Lingqiao Liu , Lei Wang , Luping Zhou

Automated labeling of chest X-ray reports is essential for enabling downstream tasks such as training image-based diagnostic models, population health studies, and clinical decision support. However, the high variability, complexity, and…

Computation and Language · Computer Science 2025-05-06 Brian Wong , Kaito Tanaka

Radiology report generation (RRG) has attracted significant attention due to its potential to reduce the workload of radiologists. Current RRG approaches are still unsatisfactory against clinical standards. This paper introduces a novel RRG…

Computer Vision and Pattern Recognition · Computer Science 2024-03-12 Zijian Zhou , Miaojing Shi , Meng Wei , Oluwatosin Alabi , Zijie Yue , Tom Vercauteren

Misdiagnosis causes significant harm to healthcare systems worldwide, leading to increased costs and patient risks. MedRAG is a smart multimodal healthcare copilot equipped with powerful large language model (LLM) reasoning, designed to…

Artificial Intelligence · Computer Science 2025-06-04 Xuejiao Zhao , Siyan Liu , Su-Yin Yang , Chunyan Miao

Radiology reports are detailed text descriptions of the content of medical scans. Each report describes the presence/absence and location of relevant clinical findings, commonly including comparison with prior exams of the same patient to…

Computer Vision and Pattern Recognition · Computer Science 2023-10-10 Francesco Dalla Serra , Chaoyang Wang , Fani Deligianni , Jeffrey Dalton , Alison Q O'Neil

Large Language Models (LLMs) often rely on test-time scaling via parallel decoding (for example, 512 samples) to boost reasoning accuracy, but this incurs substantial compute. We introduce CoRefine, a confidence-guided self-refinement…

Artificial Intelligence · Computer Science 2026-02-10 Chen Jin , Ryutaro Tanno , Tom Diethe , Philip Teare

While Large Language Models (LLMs) have demonstrated remarkable capabilities in code generation, they often produce solutions that lack guarantees of correctness, robustness, and efficiency. This limitation is particularly acute in domains…

Software Engineering · Computer Science 2025-09-04 Yueke Zhang , Yifan Zhang , Kevin Leach , Yu Huang

Recent advancements in large language models (LLMs) have shifted the post-training paradigm from traditional instruction tuning and human preference alignment toward reinforcement learning (RL) focused on reasoning capabilities. However,…

Artificial Intelligence · Computer Science 2025-11-12 Qianxi He , Qingyu Ren , Shanzhe Lei , Xuhong Wang , Yingchun Wang

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text…

Machine Learning · Computer Science 2025-12-12 Haolin Li , Tianjie Dai , Zhe Chen , Siyuan Du , Jiangchao Yao , Ya Zhang , Yanfeng Wang

Automatic report labeling facilitates the identification of clinical findings from unstructured text and enables large-scale annotation for medical imaging research. Existing rule-based labelers struggle with the diverse descriptions in…

Computation and Language · Computer Science 2026-05-21 Ying-Jia Lin , Tzu-Chin Lo , Ping-Chien Li , Chi-Tung Cheng , Chien-Hung Liao , Hung-Yu Kao

The world faces a shortage of radiologists, leading to longer treatment times and increased stress, negatively impacting patient safety and workforce morale. Integrating artificial intelligence to interpret radiographic images and generate…

Image and Video Processing · Electrical Eng. & Systems 2024-06-19 Marijn Borghouts

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

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

This paper introduces a comprehensive framework for the evaluation and validation of generative language models (GLMs), with a focus on Retrieval-Augmented Generation (RAG) systems deployed in high-stakes domains such as banking. GLM…

Computation and Language · Computer Science 2024-12-10 Agus Sudjianto , Aijun Zhang , Srinivas Neppalli , Tarun Joshi , Michal Malohlava
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