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ALTER: Modeling Longitudinal Changes via Regional Differencing for 3D CT Report Generation

Computed tomography (CT) is widely used for clinical diagnosis and longitudinal follow-up, yet automatically generating accurate and complete radiology reports from three-dimensional (3D) CT remains challenging. Existing methods improve fine-grained correspondence between images and text by modeling anatomical regions, but remain centered on the current examination.

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arXiv Computation and Language
Sep 7

CT-$\Delta$Bench: A Benchmark for Longitudinal 3D Medical Imaging Difference Reporting with Vision-Language Models

CT‑ΔBench is a new benchmark designed to evaluate vision‑language models on longitudinal 3D medical imaging difference reporting. It provides patient‑level split data, change‑aware metrics, and physician‑validated references to assess clinically meaningful interval changes between two CT scans. The paper also introduces DeltaMed, a baseline model that directly reasons over paired CT scans, and compares it to an indirect two‑stage approach that first generates single‑timepoint reports before differencing.

By Kegeng Tang, Jingbo Wang, Shaogang Ren, Zihao Wang
llmsmultimodalbenchmarks
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arXiv Machine Learning
Sep 21

TALON: A Temporally Aware Longitudinal Framework for Radiology Report Generation

TALON is a Temporally Aware Longitudinal framework for radiology report generation that adaptively integrates variable‑length patient histories. Its Dual‑Channel Temporal Fusion Module compares each prior examination with the current one through similarity and change channels, using channel‑specific attention and a prior‑specific gate to weigh relevance and suppress redundancy. Experiments on MIMIC‑CXR demonstrate that TALON surpasses state‑of‑the‑art methods on clinical efficacy and graph‑based metrics, with performance improving as more prior examinations are available.

By Nien-Tsyr Sun, Min-Chen Chen, Hui Nien Hung, Vincent S. Tseng
benchmarks
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arXiv AI
Jul 8

CONFLUX: A Latent Diffusion Model for 3D Chest-CT Synthesis with RL Post-Training

arXiv:2607. 02998v2 Announce Type: replace-cross Abstract: Controllable generative models of 3D medical images can synthesize volumes with specified clinical attributes, but this demands samples that are simultaneously high-fidelity, natively 3D, and faithful to the requested conditioning.

By Max Van Puyvelde, Halil Ibrahim Gulluk, Wim Van Criekinge, Olivier Gevaert
llmsdiffusionreinforcement-learning
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arXiv AI
Jul 7

CONFLUX: A Latent Diusion Model for 3D Chest-CT Synthesis with RL Post-Training

arXiv:2607. 02998v1 Announce Type: cross Abstract: Controllable generative models of 3D medical images can synthesize volumes with specified clinical attributes, but this demands samples that are simultaneously high-fidelity, natively 3D, and faithful to the requested conditioning.

By Max Van Puyvelde, Halil Ibrahim Gulluk, Wim Van Criekinge, Olivier Gevaert
llmsdiffusionreinforcement-learning
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arXiv Computer Vision
Sep 2

Instance-Guided Report Anchoring for Text-Free 3D Abnormality Segmentation in Chest CT

Instance-Guided Report Anchoring (IGRA) is a model-agnostic module that links each abnormality instance in a chest CT to the corresponding finding in a radiology report during training, while discarding text components at inference. By reformulating free-text grounding as multi-label volumetric segmentation, IGRA allows all abnormality categories to be predicted in a single image-only forward pass. The method improves Dice scores by 22.5% over the strongest image-only baseline and matches state‑of‑the‑art performance on single-finding subsets, with consistent gains across multiple 3D segmentation backbones and datasets.

By Zhenyu Bu, Haoyan Ding, Chushu Shen, Xinyuan Zheng, Peiyu Duan, Xueqi Guo, Sepehr Farhand, Yoshihisa Shinagawa, Gerardo Hermosillo, Chaowei Wu
ragcomputer-visionmultimodal
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