Optimizing the Factual Correctness of a Summary: A Study of Summarizing Radiology Reports
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Abstract (arXiv)
Neural abstractive summarization models are able to generate summaries which have high overlap with human references. However, existing models are not optimized for factual correctness, a critical metric in real-world applications. In this work, we develop a general framework where we evaluate the factual correctness of a generated summary by fact-checking it automatically against its reference using an information extraction module. We further propose a training strategy which optimizes a neural summarization model with a factual correctness reward via reinforcement learning. We apply the proposed method to the summarization of radiology reports, where factual correctness is a key requirement. On two separate datasets collected from hospitals, we show via both automatic and human evaluation that the proposed approach substantially improves the factual correctness and overall quality of outputs over a competitive neural summarization system, producing radiology summaries that approach the quality of human-authored ones.
Key facts. Cited by 96 papers in the map (data through 7 Oct 2026). First posted on arXiv 6 Nov 2019.
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Citing papers per year: 2021: 29; 2022: 25; 2023: 16; 2024: 17; 2025: 5; 2026: 4.
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- 2022Survey of Hallucination in Natural Language Generationcited by 2,056
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- 2022Understanding Factual Errors in Summarization: Errors, Summarizers, Datasets, Error Detectorscited by 103
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- 2022Improving the Factual Correctness of Radiology Report Generation with Semantic Rewardscited by 82
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50 most cited of 96 All 96 (JSON)
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- 2026Concept-Enhanced Multimodal RAG: Towards Interpretable and Accurate Radiology Report Generation17 Feb 2026
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- 2025CSTRL: Context-Driven Sequential Transfer Learning for Abstractive Radiology Report Summarization21 Feb 2025
- 2024Best Practices for Large Language Models in Radiology2 Dec 2024
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- 2024A Critical Look at Meta-evaluating Summarisation Evaluation Metrics29 Sep 2024
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- 2024Query-Guided Self-Supervised Summarization of Nursing Notes4 Jul 2024
- 2024Extracting and Encoding: Leveraging Large Language Models and Medical Knowledge to Enhance Radiological Text Representation2 Jul 2024
- 2024Automated Radiology Report Generation: A Review of Recent Advances17 May 2024
- 2024Multi-Evidence based Fact Verification via A Confidential Graph Neural Network17 May 2024
- 2024Aspect-oriented Consumer Health Answer Summarization10 May 2024
- 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Model29 Apr 2024
- 2024Towards a clinically accessible radiology foundation model: open-access and lightweight, with automated evaluation12 Mar 2024
- 2024A Comprehensive Survey on Process-Oriented Automatic Text Summarization with Exploration of LLM-Based Methods5 Mar 2024
- 2024A Data-Centric Approach To Generate Faithful and High Quality Patient Summaries with Large Language Models23 Feb 2024
- 2024Does the Generator Mind its Contexts? An Analysis of Generative Model Faithfulness under Context Transfer22 Feb 2024
- 2024The Lay Person's Guide to Biomedicine: Orchestrating Large Language Models21 Feb 2024
- 2023DocLens: Multi-aspect Fine-grained Evaluation for Medical Text Generation16 Nov 2023
- 2023Fine-tuning Language Models for Factuality14 Nov 2023
- 2023FaMeSumm: Investigating and Improving Faithfulness of Medical Summarization3 Nov 2023
- 2023Assessing Privacy Risks in Language Models: A Case Study on Summarization Tasks20 Oct 2023
- 2023Chain of Natural Language Inference for Reducing Large Language Model Ungrounded Hallucinations6 Oct 2023
- 2023Guidance in Radiology Report Summarization: An Empirical Evaluation and Error Analysis24 Jul 2023
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- 2023Automated Metrics for Medical Multi-Document Summarization Disagree with Human Evaluations23 May 2023
- 2023A Method to Automate the Discharge Summary Hospital Course for Neurology Patients10 May 2023
- 2023RadAdapt: Radiology Report Summarization via Lightweight Domain Adaptation of Large Language Models2 May 2023
- 2023A Survey for Biomedical Text Summarization: From Pre-trained to Large Language Models18 Apr 2023
- 2023FactReranker: Fact-guided Reranker for Faithful Radiology Report Summarization15 Mar 2023
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- 2023Leveraging Summary Guidance on Medical Report Summarization8 Feb 2023
- 2023Curriculum-Guided Abstractive Summarization2 Feb 2023
- 2023SWING: Balancing Coverage and Faithfulness for Dialogue Summarization25 Jan 2023
- 2022mFACE: Multilingual Summarization with Factual Consistency Evaluation20 Dec 2022
- 2022A Survey on Medical Document Summarization3 Dec 2022
- 2022RoentGen: Vision-Language Foundation Model for Chest X-ray Generation23 Nov 2022
- 2022Toward expanding the scope of radiology report summarization to multiple anatomies and modalities15 Nov 2022
- 2022Discharge Summary Hospital Course Summarisation of In Patient Electronic Health Record Text with Clinical Concept Guided Deep Pre-Trained Transformer Models14 Nov 2022
- 2022Retrieval augmentation of large language models for lay language generation7 Nov 2022
- 2022FRSUM: Towards Faithful Abstractive Summarization via Enhancing Factual Robustness1 Nov 2022
- 2022Improving the Factual Correctness of Radiology Report Generation with Semantic Rewards21 Oct 2022
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- 2025Towards Trustworthy Dermatology MLLMs: A Benchmark and Multimodal Evaluator for Diagnostic Narrativescited by 2
- 2023KU-DMIS-MSRA at RadSum23: Pre-trained Vision-Language Model for Radiology Report Summarizationcited by 1
- 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Modelcited by 0
- 2024Utility of Multimodal Large Language Models in Analyzing Chest X-ray with Incomplete Contextual Informationcited by 0
- 2026Concept-Enhanced Multimodal RAG: Towards Interpretable and Accurate Radiology Report Generationcited by 0
- 2026Concept-Enhanced Multimodal RAG: Towards Interpretable and Accurate Radiology Report Generation17 Feb 2026
- 2025Towards Trustworthy Dermatology MLLMs: A Benchmark and Multimodal Evaluator for Diagnostic Narratives12 Nov 2025
- 2024Utility of Multimodal Large Language Models in Analyzing Chest X-ray with Incomplete Contextual Information20 Sep 2024
- 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Model29 Apr 2024
- 2023KU-DMIS-MSRA at RadSum23: Pre-trained Vision-Language Model for Radiology Report Summarization10 Jul 2023
- 2022RoentGen: Vision-Language Foundation Model for Chest X-ray Generation23 Nov 2022
- 2022Survey of Hallucination in Natural Language Generationcited by 2,056
- 2021SummaC: Re-Visiting NLI-based Models for Inconsistency Detection in Summarizationcited by 402
- 2023Fine-tuning Language Models for Factualitycited by 219
- 2021Hurdles to Progress in Long-form Question Answeringcited by 166
- 2021A Token-level Reference-free Hallucination Detection Benchmark for Free-form Text Generationcited by 137
- 2021Annotating and Modeling Fine-grained Factuality in Summarizationcited by 131
- 2021CLIFF: Contrastive Learning for Improving Faithfulness and Factuality in Abstractive Summarizationcited by 120
- 2022Understanding Factual Errors in Summarization: Errors, Summarizers, Datasets, Error Detectorscited by 103
- 2024A Comprehensive Survey on Process-Oriented Automatic Text Summarization with Exploration of LLM-Based Methodscited by 101
- 2021Pre-trained Language Models in Biomedical Domain: A Systematic Surveycited by 87
- 2022Improving the Factual Correctness of Radiology Report Generation with Semantic Rewardscited by 82
- 2021The Factual Inconsistency Problem in Abstractive Text Summarization: A Surveycited by 79
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- 2026Precision Recall Controllable Radiology Report Generation via Hybrid Natural Language and Clinical Reward Learning19 Jun 2026
- 2026Graph Alignment Topology as an Inductive Bias for Grounding Detection21 May 2026
- 2025RadEval: A framework for radiology text evaluation22 Sep 2025
- 2025LCDS: A Logic-Controlled Discharge Summary Generation System Supporting Source Attribution and Expert Review7 Jul 2025
- 2025Abstract Meaning Representation for Hospital Discharge Summarization17 Jun 2025
- 2025CSTRL: Context-Driven Sequential Transfer Learning for Abstractive Radiology Report Summarization21 Feb 2025
- 2024Best Practices for Large Language Models in Radiology2 Dec 2024
- 2024Fool Me Once? Contrasting Textual and Visual Explanations in a Clinical Decision-Support Setting16 Oct 2024
- 2024A Critical Look at Meta-evaluating Summarisation Evaluation Metrics29 Sep 2024
- 2024Abstractive Text Summarization: State of the Art, Challenges, and Improvements4 Sep 2024
- 2024Fact-Aware Multimodal Retrieval Augmentation for Accurate Medical Radiology Report Generation21 Jul 2024
12 newest of 90 All 90 (JSON)