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