Graph-Supervised Hierarchical Clinical Alignment for Radiology Report Generation with Large Language Models
Read the original on arXiv Computer Vision →The Flow has not summarised this story yet — read it at arXiv Computer Vision.
The Flow has not summarised this story yet — read it at arXiv Computer Vision.
CliQ‑RRG is a two‑stage framework for generating radiology reports that aligns visual and textual data using disease‑aware embeddings and prior‑guided attention to capture multi‑view dependencies. The second stage retrieves graph‑grounded clinical evidence and employs a large language model to produce concise, interpretable question‑answer style reports with diagnostic summaries. Experiments on two chest X‑ray benchmarks show that CliQ‑RRG outperforms previous methods on both lexical and clinical metrics, producing accurate and clinically coherent reports.
CliQ‑RRG is a two‑stage framework for generating radiology reports that aligns visual and textual data using disease‑aware embeddings and a Prior‑Guided Attention Module to capture multi‑view dependencies. In the second stage, GraphRAG‑guided retrieval adds graph‑grounded clinical evidence, and a large language model restructures the content into concise question‑answer pairs with diagnostic summaries. Experiments on two chest X‑ray benchmarks show that CliQ‑RRG outperforms previous methods in both lexical and clinical metrics, producing accurate and clinically coherent QA‑style reports.
Vision-language pre-training (VLP) holds great promise for general-purpose medical AI by leveraging radiology reports as rich textual supervision, yet existing methods struggle with 3D CT imaging due to inefficient visual backbones and coarse semantic alignment. To address these issues, we propose a tailored VLP framework featuring three key components: (1) a CNN-ViT hybrid encoder that replaces ViT's patch embedding with a 3D CNN backbone to efficiently capture local anatomical details while preserving global attention and compatibility with pre-trained cross-modal priors; (2) a disease-level contrastive learning mechanism using learnable query tokens to dynamically extract disease-specific semantics from full reports and align them with corresponding visual features, thereby disentangling distinct diseases within the same anatomical region; and (3) a diagnosis-aware prompt strategy that employs real clinical phrases and aggregated disease prototypes to bridge the pre-training-inference gap and enhance zero-shot diagnostic reliability.
The paper investigates how to incorporate biomedical knowledge graphs (KGs) into large language models (LLMs) for clinical diagnosis. It evaluates five KG task formulations, three training paradigms, two KGs, and three base LLMs, finding that all paradigms outperform a non‑finetuned baseline but differ in knowledge transfer behavior. Introducing Gradient Intervention Density (GID) and Gradient Distortion (GD) metrics, the study identifies a ‘surgical alignment’ regime—sparse, localized updates achieved by KG‑judgment training with KL regularization—that improves reasoning quality even when in‑domain accuracy is lower than task‑specific supervised fine‑tuning.
arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.
arXiv:2609.39266v1 Announce Type: new Abstract: Fine-grained vision-language alignment in chest radiography enables zero-shot classification, grounding, and segmentation without task-specific annotat...