Challenge: Existing methods rarely consider cross-modal alignment between textual and visual features and ignore disease tags as auxiliary for report generation.
Approach: They propose a "Jointly learning framework for automated disease Prediction and radiology report Generation" the framework integrates cross-modal alignment between textual and visual features and disease tags to improve the quality of reports.
Outcome: The proposed framework improves the quality of radiology reports by combining the main task and auxiliary tasks.

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KIA: Knowledge-Guided Implicit Vision-Language Alignment for Chest X-Ray Report Generation (2025.coling-main)

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Challenge: Existing reports on medical images and reports lack fine-grained cross-modal interaction, leading to insufficient understanding of detailed information.
Approach: They propose a framework for establishing cross-modal semantic alignment in radiology report pairs using knowledge-guided implicit vision-language alignment.
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CmEAA: Cross-modal Enhancement and Alignment Adapter for Radiology Report Generation (2025.coling-main)

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Challenge: Existing methods for automatic radiology report generation suffer from data bias.
Approach: They propose a method that connects a vision encoder with a frozen large language model by using a cross-modal enhancement and alignment adapter.
Outcome: The proposed model outperforms existing state-of-the-art methods on IU X-Ray and MIMIC-CXR datasets.
Learning Visual-Semantic Embeddings for Reporting Abnormal Findings on Chest X-rays (2020.findings-emnlp)

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Challenge: Existing work on report generation often trains encoder-decoder networks to generate complete reports, but such models are affected by data bias and face common issues inherent in text generation models.
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Enhancing Image-to-Text Generation in Radiology Reports through Cross-modal Multi-Task Learning (2024.lrec-main)

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Challenge: Image-to-text generation relies on independent models for image understanding and natural language generation, which often exhibit a semantic gap between visual and textual information.
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Pushing the Limits of Radiology with Joint Modeling of Visual and Textual Information (P18-3)

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Challenge: Recent research has focused on the intersection of computer vision and natural language processing, but its adaption to the medical domain is not fully explored.
Approach: They aim to develop machine learning models that can reason jointly on medical images and clinical text for advanced search, retrieval, annotation and description of medical images.
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Fine-grained Medical Vision-Language Representation Learning for Radiology Report Generation (2023.emnlp-main)

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Challenge: Existing methods to learn medical vision-language representations by contrasting images with entire reports are not effective.
Approach: They propose a phenotype-driven medical vision-language representation learning framework to bridge the gap between visual and textual modalities for improved text-oriented generation.
Outcome: The proposed framework bridges the gap between visual and textual modalities for improved radiology report generation.
Reinforced Cross-modal Alignment for Radiology Report Generation (2022.findings-acl)

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Challenge: Medical images are widely used in clinical decision-making, where writing radiology reports can be enhanced by automatic solutions to alleviate physicians’ workload.
Approach: They propose an approach with reinforcement learning over a cross-modal memory to better align visual and textual features for radiology report generation.
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Controllable Chest X-Ray Report Generation from Longitudinal Representations (2023.findings-emnlp)

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Challenge: Radiology reports are detailed text descriptions of the content of medical scans.
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Replace and Report: NLP Assisted Radiology Report Generation (2023.findings-acl)

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Challenge: Clinical practice frequently uses medical imaging for diagnosis and treatment.
Approach: They propose a template-based approach to generate radiology reports from radiographs . they use multilabel image classifiers to generate tags, pathological descriptions from tags .
Outcome: The proposed method improves on the most popular radiology report datasets.
CoAD: Automatic Diagnosis through Symptom and Disease Collaborative Generation (2023.acl-long)

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Challenge: Automated diagnosis (AD) is a critical application of AI in healthcare . despite its simplicity and superior performance, a decline in disease diagnosis accuracy is observed .
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