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arxiv: 2311.18681 · v3 · pith:FCE4HN7H · submitted 2023-11-30 · cs.CV · cs.CL

RaDialog: A Large Vision-Language Model for Radiology Report Generation and Conversational Assistance

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classification cs.CV cs.CL
keywords radiologyradialogconversationalgenerationlargemodelreportreports
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Conversational AI tools that can generate and discuss clinically correct radiology reports for a given medical image have the potential to transform radiology. Such a human-in-the-loop radiology assistant could facilitate a collaborative diagnostic process, thus saving time and improving the quality of reports. Towards this goal, we introduce RaDialog, the first thoroughly evaluated and publicly available large vision-language model for radiology report generation and interactive dialog. RaDialog effectively integrates visual image features and structured pathology findings with a large language model (LLM) while simultaneously adapting it to a specialized domain using parameter-efficient fine-tuning. To keep the conversational abilities of the underlying LLM, we propose a comprehensive, semi-automatically labeled, image-grounded instruct dataset for chest X-ray radiology tasks. By training with this dataset, our method achieves state-of-the-art clinical correctness in report generation and shows impressive abilities in interactive tasks such as correcting reports and answering questions, serving as a foundational step toward clinical dialog systems. Our code is available on github: https://github.com/ChantalMP/RaDialog.

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Cited by 7 Pith papers

Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score.

  1. SHOVIR: A Benchmark for Evaluating Vision Shortcut Learning in Radiology Report Generation

    cs.CV 2026-06 unverdicted novelty 7.0

    SHOVIR is a benchmark extending MIMIC-CXR and PadChest-GR with per-box labels and occlusion tests to isolate direct and contextual vision shortcuts in VLMs for radiology report generation.

  2. CXR-ContraBench: Benchmarking Negated-Option Attraction in Medical VLMs

    cs.CV 2026-05 conditional novelty 7.0

    Medical VLMs frequently select negated options that contradict visible chest X-ray findings, achieving only ~30% accuracy on direct presence probes, but a post-hoc consistency verifier raises accuracy above 95%.

  3. ECHO: Efficient Chest X-ray Report Generation with One-step Block Diffusion

    cs.LG 2026-04 unverdicted novelty 7.0

    ECHO is a one-step block diffusion VLM for chest X-ray reports that improves RaTE and SemScore by over 60% while delivering 8x faster inference than autoregressive baselines.

  4. Multi-Modal Multi-Agent Reinforcement Learning for Radiology Report Generation

    cs.CV 2026-02 unverdicted novelty 6.0

    MARL-Rad trains region-specific and global agents with reinforcement learning on clinical rewards to produce more accurate radiology reports than prior methods on MIMIC-CXR and IU X-ray datasets.

  5. RadLite: Multi-Task LoRA Fine-Tuning of Small Language Models for CPU-Deployable Radiology AI

    cs.CL 2026-05 unverdicted novelty 5.0

    LoRA fine-tuning of 3-4B SLMs on 162K multi-task radiology data yields strong performance deployable on consumer CPUs at 4-8 tokens/second.

  6. ECHO: Efficient Chest X-ray Report Generation with One-step Block Diffusion

    cs.LG 2026-04 unverdicted novelty 5.0

    ECHO introduces one-step block diffusion via Direct Conditional Distillation and Response-Asymmetric Diffusion to generate chest X-ray reports faster than autoregressive models while improving clinical metrics.

  7. M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretation

    cs.CV 2024-08 unverdicted novelty 5.0

    M4CXR is a multi-modal large language model that performs multiple tasks in chest X-ray analysis including report generation with claimed SOTA clinical accuracy using chain-of-thought prompting.