Personalized interpretation of medical reports has emerged as an increasingly important need among patients. Addressing this need requires both evidence-grounded medical factuality and context-dependent patient communication, yet existing medical vision-language tasks do not adequately capture these dual requirements.
arXiv:2609.24480v1 Announce Type: cross
Abstract: Deploying Large Language Models (LLMs) in healthcare requires robust performance across two complementary dimensions - diagnostic reasoning: the conv...
By Kalash Shah, Kunal Singh, Snehan J, Shreyas Singh
The paper introduces ConRad, a reinforcement learning framework that fine‑tunes large vision‑language models to generate calibrated verbalized confidence estimates for radiology reports. ConRad offers both a single report‑level confidence score and a sentence‑level variant, trained with the GRPO algorithm and logarithmic scoring rewards to encourage truthful self‑assessment. Experiments show significant calibration improvements over existing methods, and clinical evaluation indicates that report‑level scores align well with clinicians’ judgments, enabling targeted review of low‑confidence statements.
By David Bani-Harouni, Chantal Pellegrini, Julian L\"uers, Su Hwan Kim, Markus Baalmann, Benedikt Wiestler, Rickmer Braren, Nassir Navab, Matthias Keicher
arXiv:2601. 03321v3 Announce Type: replace-cross Abstract: Multimodal Large Language Models (MLLMs) have substantially advanced Radiology Report Generation (RRG), yet aligning them through reinforcement learning (RL) remains challenging due to heterogeneous medical supervision.
By Kun Zhao, Guodong Liu, Hui Ji, Siyuan Dai, Pan Wang, Jifeng Song, Chenghua Lin, Liang Zhan, Haoteng Tang
arXiv:2609.27987v1 Announce Type: new
Abstract: Large language models (LLMs) have made substantial progress on medical question-answering, yet effective medical dialogue also requires learning to ask...
By Chenxuan Li, Jiayi Wan, Xinrong Chen, Zhongyu Zhao, Xuecheng Shang, Peixing Wan
The paper introduces Retrieval-Augmented Decoding (RAD), a decoding-time method that improves the truthfulness of large language models without retraining. RAD uses a small reference set of up to ten annotated examples to build a grounding space of context embeddings and next-token logits, which it retrieves and aggregates during inference to shape the model’s output. Experiments on four open-ended generation benchmarks and four different LLMs show that RAD consistently outperforms strong baselines and generalizes well across tasks.
By Manh Nguyen, Sunil Gupta, Hung Le
CARE: Causally-Aligned Reasoning Exploration for Medical Large Language Models proposes a new framework to improve medical reasoning in LLMs. It introduces two key conditions—Causal Sufficiency and Proximal Learnability—to curate high-quality training trajectories, using agreement-based self-verification and dynamic entropy bounds. Experiments on medical multimodal and text-only benchmarks show that CARE outperforms competitors, reducing incorrect reasoning and enhancing training stability.
By Yucheng Zhou, Peng Luo, Qianning Wang, Chengzhong Xu, Jianbing Shen
arXiv:2607. 02983v1 Announce Type: new Abstract: Recent reasoning-centric Large Language Models (LLMs) have made significant strides, yet they predominantly operate on a passive-inference pattern that assumes complete information.
By Shengyi Hua, Kangzhe Hu, Conghui He, Xiaofan Zhang, Shaoting Zhang
arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.
By Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel, Niharika Vadlamudi, Nikhilesh Chowdary Eathamukkala, Prasanth V V, Abhyuday Kumara Swamy, Pranay Narhari Umredkar, Pradeep Narayan, Vivek Rajagopal, Tanuja Ganu
arXiv:2508. 16674v2 Announce Type: replace-cross Abstract: Medical report understanding from real-world document images is essential for generating patient-facing explanations and enabling structured information exchange in clinical systems.
By Fangxin Shang, Yuan Xia, Dalu Yang, Yahui Wang, Binglin Yang
RASPER is a reward‑aligned summarizer that tailors the extraction of information from unstructured discharge notes to improve downstream clinical predictions. It uses a tunable LLM summarizer trained with reinforcement learning, where the reward comes from the loss of a downstream predictor, and incorporates patient‑specific context via a longitudinal encoder that soft‑prompts the summarizer with structured codes. The approach consistently outperforms strong baselines on readmission prediction and medication recommendation tasks in the MIMIC‑III and MIMIC‑IV datasets.
By Arya Hadizadeh Moghaddam, Mohsen Nayebi Kerdabadi, Chen Chen, Dongjie Wang, Zijun Yao
arXiv:2605.11533v4 Announce Type: replace
Abstract: Routine clinical check-up reports combine laboratory measurements, physiological assessments, imaging findings and visually structured information,...
By Sike Xiang, Shuang Chen, Kevin Qinghong Lin, Jialin Yu, Yijia Sun, Philip Torr, Amir Atapour-Abarghouei