arXiv Computation and Language By Houman Kazemzadeh, Kamyar Naderi

Evidence-Linked Radiology Reporting: A Human-Supervised Reference Architecture for Structured Imaging Intelligence

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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.

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