arXiv Computation and Language

MeddeX: A Retrieval-Augmented LLaMA-3 System with Gemini Vision for Evidence-Backed Medical Report Analysis

MeddeX is a medical report analyzer that fuses a QLoRA‑fine‑tuned LLaMA‑3 (8B) model with Retrieval‑Augmented Generation and a Gemini Vision layer to produce concise, evidence‑backed summaries of medical documents. It processes text‑native PDFs, scanned PDFs, and radiological images via a hybrid extraction pipeline featuring a garbage‑text detection mechanism for corrupted or UTF‑16‑encoded files. The system adds report‑scoped retrieval, an automated longitudinal comparison engine, and a self‑healing backfill pipeline, and is backed by a FastAPI backend, Supabase vector store, and Next.js frontend. Evaluation shows significant gains over the base LLaMA‑3‑Med42‑8B model across ROUGE, BLEU, and BERTScore metrics, underscoring the value of domain‑specific fine‑tuning.

arXiv AI
Jul 13

Evaluating Retrieval-Augmented Generation vs. Long-Context Input for Clinical Reasoning over EHRs

arXiv:2508. 14817v2 Announce Type: replace-cross Abstract: Objective: To evaluate whether retrieval-augmented generation (RAG) can serve as an efficient alternative to long-context prompting for clinical reasoning over electronic health records (EHRs).

By Skatje Myers, Dmitriy Dligach, Timothy A. Miller, Samantha Barr, James Landefeld, Yanjun Gao, Matthew Churpek, Anoop Mayampurath, Majid Afshar
Hugging Face Trending Papers
Jul 30

CXR-Retrieve: Compositional Text-to-Image Retrieval in Chest Radiography

Large chest radiography archives are difficult to search because most studies are paired only with free-text reports rather than structured clinical annotations. Vision-language models offer a natural interface for text-to-image retrieval, but current biomedical models are primarily optimized for report-to-image matching rather than for satisfying short clinical search queries.

arXiv AI
Aug 20

MedStruct-S: A Benchmark for Key Discovery, Key-Conditioned QA and Semi-Structured Extraction from OCR Clinical Reports

MedStruct‑S is a benchmark for semi‑structured information extraction from OCR‑derived clinical reports, covering key discovery, key‑conditioned QA, and end‑to‑end key‑value extraction. It contains 3,582 annotated real‑world report pages and evaluates models under unknown keys and OCR noise. Experiments show encoder‑only models excel at non‑null key‑conditioned QA, while fine‑tuned decoder‑only models achieve the strongest overall performance across model sizes.

By Yingyun Li, Yu Wang, Haiyang Qian
arXiv Computer Vision
Oct 7

Beyond the Embedding Bottleneck: Adaptive Retrieval-Augmented 3D CT Report Generation

The paper identifies a representational bottleneck in 3D CT embeddings that limits pathology coverage in automated radiology reports. It introduces AdaRAG-CT, an adaptive retrieval-augmented framework that supplements visual features with controlled textual retrieval to improve report generation. On the CT-RATE benchmark, AdaRAG-CT achieves state‑of‑the‑art clinical efficacy, raising Clinical F1 from 0.420 to 0.480.

By Renjie Liang, Yiling Ma, Yang Xing, Zhengkang Fan, Jinqian Pan, Chengkun Sun, Li Li, Kuang Gong, Jie Xu
arXiv AI
Sep 18

Guideline-grounded retrieval-augmented generation for ophthalmic clinical decision support

The paper introduces Oph‑Guid‑RAG, a multimodal retrieval‑augmented generation system tailored for ophthalmology clinical question answering. It treats each guideline page as an independent evidence unit, retrieving page images to preserve tables, flowcharts, and layout, and employs a controllable retrieval framework with routing and filtering to reduce noise. Evaluated on HealthBench, the system outperforms GPT‑5.2 and GPT‑5.4 on hard cases, achieving significant gains in overall score and accuracy, and ablation studies confirm the importance of reranking, routing, and retrieval design.

By Shuying Chen, Sen Cui, Zhong Cao
Hugging Face Trending Papers
Jul 6

Solve the Missing First Step: Can VLMs Standardize Raw Heterogeneous Medical Data?

As vision-language models (VLMs) are increasingly applied to medical AI, existing benchmarks mainly focus on evaluating their diagnosis ability over given medical images and texts, implicitly assuming that standardized medical images, texts or question-answer pairs are already prepared. However, this assumption does not hold when we apply VLMs in real clinical practice, where medical data is often raw, heterogeneous, and fragmented across different sources.

arXiv Computer Vision
Sep 11

MedGEN-Bench: A Contextually Entangled Benchmark for Open-ended Multimodal Medical Generation

MedGEN-Bench is a new benchmark for open‑ended multimodal medical generation that addresses limitations in current medical visual benchmarks, such as query‑image misalignment, closed‑ended answer spaces, and text‑centric outputs. The dataset contains 6,422 image‑text pairs across six imaging modalities, 15 clinical tasks, and 27 subtasks, including VQA, image editing, and contextual multimodal generation pairs. Evaluation combines reference‑based fidelity metrics with a structured, checklist‑guided assessment by a medical VLM judge, and preliminary results show that image‑output tasks remain unsaturated while contextual augmentation improves image‑instruction similarity.

By Junjie Yang, Yuhao Yan, Gang Wu, Rui Qian, Zhisheng Chen, Haijiang Li, Yuhe Wu, Qichao Zhao, Dawen Tian, Xiang Wan, Fenglei Fan, Wenjian Qin, Yongquan Zhang, Feiwei Qin, Changmiao Wang
arXiv AI
Aug 20

Key Coverage Matters: Semi-Structured Extraction of OCR Clinical Reports

The paper presents a method for extracting key information from OCR‑digitized clinical reports, addressing challenges posed by heterogeneous documents and noisy OCR output. It introduces an open key space that is iteratively mined, normalized, clustered, and verified to build a canonical key inventory, and defines key coverage as a metric for inventory completeness. Experiments on reports from over 20 hospitals using a 0.2B BERT model show that performance improves steadily with key coverage, achieving high F1 scores when the top 90 keys are covered and outperforming a fine‑tuned Qwen3‑0.6B baseline.

By Yu Wang, Yingyun Li, Ying Qin, Haiyang Qian