arXiv:2609.01470v1 Announce Type: new Abstract: As AI systems are increasingly used to draft radiology reports, reliably evaluating their clinical quality remains a critical challenge. Large language...
arXiv:2607. 05880v1 Announce Type: cross Abstract: Imaging demand is growing faster than the radiology workforce can expand, and reporting backlogs cannot be resolved through training and recruitment alone.
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.
Automated radiology report generation is advancing rapidly in response to the shortage of radiologists, yet unlike a perception model, existing generation models offer no control over the sensitivity-specificity trade-off of their diagnostic content. Such control is essential because clinical scenarios diverge: emergency triage prioritizes sensitivity to reduce missed findings, whereas confirmatory interpretation emphasizes specificity to limit unnecessary interventions.
arXiv:2608. 10505v1 Announce Type: new Abstract: Automated radiology report generation is advancing rapidly in response to the shortage of radiologists, yet unlike a perception model, existing generation models offer no control over the sensitivity-specificity trade-off of their diagnostic content.
arXiv:2606. 08769v1 Announce Type: cross Abstract: Automatic evaluation is critical for high-stakes text generation, where errors often involve omitted findings, hallucinated content, polarity reversals, location changes, uncertainty mismatches, and temporal-comparison errors rather than low surface similarity alone.
The study introduces Auditable CT Phenotyping (ACT), a method that uses report-derived radiological observations to predict 221 electronic-health-record phenotypes from CT scans. Trained on 38,317 patients and evaluated on 25,183 held‑out patients, ACT outperformed five vision‑language baselines and CT‑CLIP in both zero‑shot and linear probing settings. Analysis of the model’s probes revealed that a small set of observations, such as aortic and coronary calcification, dominated top predictions, but restricting the observation bank to clinician‑specified evidence improved interpretability without sacrificing accuracy.
arXiv:2608.30021v1 Announce Type: cross Abstract: Errors in radiology reports can adversely affect patient treatment, yet automated report quality assurance remains challenging because errors are oft...
arXiv:2607. 01001v1 Announce Type: cross Abstract: Radiomics is the established approach for CT-based lung cancer phenotyping, yet comparisons with foundation models rarely isolate contributions of feature extractor, classification head, and segmentation choice, or test cross-cohort robustness.
The study evaluates the robustness of medical vision‑language models for tuberculosis screening on chest X‑rays by testing them across multiple datasets, prompts, and evaluation settings. Three specialized models (BioMedCLIP, CheXficient, MedSigLIP) and a general OpenCLIP model were audited on 12,200 images, producing 244,000 model–image–prompt scores. Results show that no model consistently outperforms others across all cohorts and reliability criteria, with prompt changes and control group composition significantly affecting AUROC, and that high training‑set performance does not reliably transfer to external cohorts.
arXiv:2608. 00147v1 Announce Type: cross Abstract: Vision-language pretraining learns rich medical image representations from radiology reports, but previous model variants commonly operate within a single shared embedding space, so concept-level structure and interpretability must be recovered post hoc, limiting model transparency and, hence, clinical utility.
arXiv:2608. 15004v1 Announce Type: cross Abstract: Lung cancer remains one of the leading causes of cancer-related mortality worldwide, and Computed Tomography (CT) is a primary imaging tool for screening and followup assessment.