arXiv AI

ReXrank: A Public Leaderboard for AI-Powered Radiology Report Generation

arXiv:2411. 15122v2 Announce Type: replace-cross Abstract: AI-driven models have demonstrated significant potential in automating radiology report generation for chest X-rays.

arXiv Machine Learning
Jul 30

Rethinking Clinical Relevance in Chest X-ray Machine Learning: How Evaluation References Define Performance

arXiv:2607. 26333v1 Announce Type: cross Abstract: Chest X-ray (CXR) machine learning relies heavily on automated evaluation using reference standards that aim to approximate clinical judgment.

By Panagiotis Fytas, Ian Selby, Clemens Karner, Judith Babar, Simon Baker, Jake Beckford, Timothy J. Sadler, Shahab Shahipasand, Arthikkaa Thavakumar, John Li Chen, Alex Sawer, Michael Roberts, Jonathan Weir-McCall, J. H. F. Rudd, Carola-Bibiane Sch\"onlieb, Anna Korhonen, Anna Breger
arXiv AI
Sep 17

Reporting Practice Matters: The Impact of Reference Choice on Chest X-ray Report Evaluation

The study examines how differences in radiologists’ reporting styles—such as terminology, shorthand, formatting, and detail—affect the evaluation of AI-generated chest X‑ray reports. By quantifying the sensitivity of common metrics to these variations, the authors show that changes in reference reports can shift model rankings. They introduce a taxonomy of reporting variations and a rewriting method, ReRef, that preserves clinical meaning while altering style, and release a validated dataset of paired reference reports to aid future research.

By Daniel P. Jeong, Charles Q. Li, Hossein Hosseiny, Nitya M. Bhalla, Fatma Uyar Morency, Pradeep Ravikumar, Zachary C. Lipton, Michael Oberst
arXiv AI
Jun 19

Scaling Generative Foundation Models for Chest Radiography with Rectified Flow Transformers

arXiv:2606. 19460v1 Announce Type: cross Abstract: We introduce the first generative foundation model for chest radiograph synthesis trained from scratch at the billion-parameter scale.

By Fabio De Sousa Ribeiro, Emma A. M. Stanley, Charles Jones, Tian Xia, Dominic C. Marshall, Laurent Renard Trich\'e, Christopher V. Cosgriff, Panagiotis Dimitrakopoulos, Sotirios A. Tsaftaris, Ben Glocker
arXiv AI
Jun 2

RadAgent: A tool-using AI agent for stepwise interpretation of chest computed tomography

arXiv:2604. 15231v2 Announce Type: replace Abstract: Vision-language models (VLM) have markedly advanced AI-driven interpretation and reporting of complex medical imaging, such as computed tomography (CT).

By M\'elanie Roschewitz, Kenneth Styppa, Yitian Tao, Jiwoong Sohn, Jean-Benoit Delbrouck, Benjamin Gundersen, Nicolas Deperrois, Christian Bluethgen, Julia E. Vogt, Bjoern Menze, Farhad Nooralahzadeh, Michael Krauthammer, Michael Moor
arXiv AI
Aug 24

ASTAR: Automated induction of STAndardized radiology Reporting templates from large-scale clinical free-text corpora

ASTAR is an LLM-based framework that automatically generates standardized radiology reporting templates from large-scale clinical free-text corpora, eliminating the manual, expert-driven template construction process. In experiments on 4,215 fetal brain MRI reports from multiple centers, ASTAR‑induced templates outperformed two expert‑curated templates in template coverage, information fidelity, diagnostic fidelity, and expert‑rated usability. The approach reduces template development time from weeks of committee deliberation to hours of automated processing.

By Xinfeng Zhang, Mingxuan Liu, Yifei Chen, Juncheng Zhu, Kasidit Anmahapong, Yiming Huang, Yuan Zhang, Hongjia Yang, Yi Liao, Gang Ning, Haibo Qu, Qiyuan Tian
arXiv AI
Jul 1

Seeing Through Multiple Views: Parameter-Efficient Fine-Tuning via Selective Neurons for Consistent Radiology Report Generation

arXiv:2606. 31099v1 Announce Type: cross Abstract: Recent years have seen substantial advances in radiology report generation (RRG), yet existing approaches predominantly adopt direct feature fusion when handling multi-view X-ray images.

By Yucheng Chen, Jinjing Zhu, Yang Yu, Yufei Shi, Hane Naghshbandi, Jinhua Liu, Angela S. Koh, Fang Fen, Kian Eng Ong, Si Yong Yeo
arXiv AI
Sep 25

Clinical Knowledge Graphs for Chest X-Ray Device Reasoning

The paper introduces an uncertainty‑aware clinical knowledge graph for chest X‑ray device reasoning, capturing device instances, tip estimates, placement assessments, provenance, report events, and temporal links as interconnected evidence. The graph builder processes 30,083 studies from 3,255 patients, producing 914,632 evidence nodes and 884,549 typed relationships, while preserving detailed uncertainty and provenance information for each predicted device. The authors also outline typed data contracts, uncertainty representations, abstention rules, report‑image grounding, and longitudinal query mechanisms, though the current analysis is post‑hoc descriptive and does not yet demonstrate clinical utility.

By Harshil Lodhiya