STRIVE is a new framework for longitudinal radiology report generation that separates clinical reasoning into distinct Diagnosis, Attribute, and Temporal Change agents, each producing explicit evidence. The Temporal Change agent is refined with a Progression-Aware GRPO reward that differentiates direction-preserving errors from reversals. Verification occurs twice: a Consistency Gate aligns agent outputs before report generation, and a Validation Agent ensures the final report is supported by the aggregated evidence. On the Longitudinal-MIMIC dataset, STRIVE achieves superior clinical efficacy and more than doubles Longitudinal Change Concordance compared to the strongest baseline.
By Junyeong Maeng, Eunsong Kang, Heung-Il Suk
arXiv:2601.16753v2 Announce Type: replace-cross
Abstract: Longitudinal information in radiology reports refers to the sequential tracking of findings across multiple examinations over time, which is...
By Xinyi Wang, Grazziela Figueredo, Ruizhe Li, Xin Chen
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.
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
arXiv:2605.28397v2 Announce Type: replace
Abstract: Predicting which people with mild cognitive impairment will develop dementia matters for early treatment. Yet structural imaging models have relied...
By Sara Fin, Alireza Moayedikia, Uffe Kock Wiil, Alicia Troncoso
arXiv:2608.30758v1 Announce Type: new
Abstract: Recent radiology multi-modal language models have made substantial progress in chest X-ray report generation, visual question answering, and temporal r...
By Adonay Demewez Gebremedhin, Wessam Shehieb, Sara Alansari, Mohamad Alansari, Muzammal Naseer, Sajid Javed, Naoufel Werghi