Challenge: Current methods map whole volumes to reports, ignoring the clinical workflow of analyzing localized Regions of Interest (RoIs) Current models exhibit suboptimal accuracy and are prone to significant hallucinations.
Approach: They propose a framework that mimics the professional radiologist diagnostic workflow by employing graph-based relational modules to capture dependencies between RoI attributes.
Outcome: The proposed framework surpasses existing models by 19.7% in BLEU and 4.7% in ROUGE-L while achieving a 45.8% improvement in clinical metrics.

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Challenge: Technical language and templated nature of professional reports hinder patient comprehension and allow models to artificially boost lexical metrics such as BLEU by reproducing common report patterns.
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Challenge: Current 3D medical imaging models focus on spatial features, neglecting phase-specific progression detailed in clinical reports.
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Challenge: a complete medical imaging report contains multiple heterogeneous forms of information, including findings and tags . abnormal regions in medical images are difficult to identify and the reports are typically long, containing multiple sentences.
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Challenge: Automatically generated radiology reports often receive high scores from existing evaluation metrics but fail to earn clinicians’ trust.
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Challenge: evaluating the clinical quality of medical domain automated text generation remains a challenge.
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