The paper introduces a human-supervised, evidence-linked reference architecture for structured radiology reporting. It integrates exam-specific templates, speech-to-structure processing, measurement and segmentation capture, AI-assisted drafting, and standards-based interoperability (DICOM, HL7 FHIR, RadLex, SNOMED CT, LOINC, UCUM). The system is designed as a structured intelligence layer that supports reviewed reporting, longitudinal comparison, data reuse, and integration with PACS, RIS, EHR, analytics, and registry workflows, while addressing modality-specific deployment, safety, validation, cybersecurity, privacy, quality management, and regulatory considerations.
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.
MedPAO‑VL is a multimodal agent that generates structured radiology reports from chest X‑rays using an explainable plan‑act‑observe loop. The system first interprets the image with a vision module that captures diagnostic uncertainty, then iteratively refines the report by correcting semantic discrepancies to better match visual findings. Evaluation shows improved clinical correctness and structural compliance, with expert ratings of 3.5/5 for accuracy and 4.3/5 for structure.
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.
arXiv:2607. 25589v1 Announce Type: cross Abstract: Medical-imaging AI benchmarks combine datasets, DICOM rendering, prompts, provider APIs, automated labels, statistical code, manuscripts, and repository releases.
Despite the remarkable generalization capabilities of Large Language Models, generating clinically accurate and structured radiology reports from medical images remains a significant challenge. Curren...
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.
arXiv:2603.11938v2 Announce Type: replace-cross Abstract: Structured radiology reporting promises faster, more consistent communication than free text, but automation remains difficult as models must...
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.
arXiv:2606. 13211v1 Announce Type: new Abstract: AI systems are being deployed across medical imaging faster than their failure modes are understood.
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: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. 11175v1 Announce Type: new Abstract: The growing ability of large language models and vision language models to jointly interpret and reason over images and text is reshaping medical agents, moving them from task specific predictors toward autonomous systems that perceive, reason, plan, remember, and act in clinical environments.