KiUT: Knowledge-injected U-Transformer for Radiology Report Generation
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Abstract (arXiv)
Radiology report generation aims to automatically generate a clinically accurate and coherent paragraph from the X-ray image, which could relieve radiologists from the heavy burden of report writing. Although various image caption methods have shown remarkable performance in the natural image field, generating accurate reports for medical images requires knowledge of multiple modalities, including vision, language, and medical terminology. We propose a Knowledge-injected U-Transformer (KiUT) to learn multi-level visual representation and adaptively distill the information with contextual and clinical knowledge for word prediction. In detail, a U-connection schema between the encoder and decoder is designed to model interactions between different modalities. And a symptom graph and an injected knowledge distiller are developed to assist the report generation. Experimentally, we outperform state-of-the-art methods on two widely used benchmark datasets: IU-Xray and MIMIC-CXR. Further experimental results prove the advantages of our architecture and the complementary benefits of the injected knowledge.
Key facts. Cited by 62 papers in the map (data through 14 Oct 2026). Builds on 36 of its 46 references that are in the map. First posted on arXiv 20 Jun 2023.
Builds on
36 of 46 references.
References · 36
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- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,423
- 2017Bottom-Up and Top-Down Attention for Image Captioning and Visual Question Answeringcited by 1,312
- 2014Show and Tell: A Neural Image Caption Generatorcited by 879
- 2019MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographscited by 597
- 2016Self-critical Sequence Training for Image Captioningcited by 547
24 more
- 2020Generating Radiology Reports via Memory-driven Transformercited by 368
- 2019Meshed-Memory Transformer for Image Captioningcited by 343
- 2016Knowing When to Look: Adaptive Attention via A Visual Sentinel for Image Captioningcited by 232
- 2017On the Automatic Generation of Medical Imaging Reportscited by 216
- 2022Cross-modal Memory Networks for Radiology Report Generationcited by 185
- 2019Image Captioning: Transforming Objects into Wordscited by 171
- 2021Exploring and Distilling Posterior and Prior Knowledge for Radiology Report Generationcited by 162
- 2020When Radiology Report Generation Meets Knowledge Graphcited by 145
- 2018Hybrid Retrieval-Generation Reinforced Agent for Medical Image Report Generationcited by 141
- 2019Clinically Accurate Chest X-Ray Report Generationcited by 139
- 2021TorchXRayVision: A library of chest X-ray datasets and modelscited by 131
- 2016Show and Tell: Lessons learned from the 2015 MSCOCO Image Captioning Challengecited by 116
- 2021Contrastive Attention for Automatic Chest X-ray Report Generationcited by 71
- 2018Show, Control and Tell: A Framework for Generating Controllable and Grounded Captionscited by 65
- 2022AlignTransformer: Hierarchical Alignment of Visual Regions and Disease Tags for Medical Report Generationcited by 65
- 2020Normalized and Geometry-Aware Self-Attention Network for Image Captioningcited by 63
- 2019Automatic Radiology Report Generation based on Multi-view Image Fusion and Medical Concept Enrichmentcited by 60
- 2022Cross-modal Prototype Driven Network for Radiology Report Generationcited by 59
- 2022GRIT: Faster and Better Image captioning Transformer Using Dual Visual Featurescited by 56
- 2020Improving Image Captioning by Leveraging Intra- and Inter-layer Global Representation in Transformer Networkcited by 48
- 2020Auxiliary Signal-Guided Knowledge Encoder-Decoder for Medical Report Generationcited by 35
- 2021RATCHET: Medical Transformer for Chest X-ray Diagnosis and Reportingcited by 34
- 2017Recurrent Topic-Transition GAN for Visual Paragraph Generationcited by 25
- 2022Cross-modal Clinical Graph Transformer for Ophthalmic Report Generationcited by 24
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Citing papers per year: 2023: 7; 2024: 23; 2025: 19; 2026: 13.
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- 2023R2GenGPT: Radiology Report Generation with Frozen LLMscited by 114
- 2023PromptMRG: Diagnosis-Driven Prompts for Medical Report Generationcited by 95
- 2024Automated Radiology Report Generation: A Review of Recent Advancescited by 43
- 2025Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generationcited by 42
- 2024CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Datasetcited by 35
- 2024HERGen: Elevating Radiology Report Generation with Longitudinal Datacited by 33
- 2023RECAP: Towards Precise Radiology Report Generation via Dynamic Disease Progression Reasoningcited by 22
- 2023Complex Organ Mask Guided Radiology Report Generationcited by 22
- 2023LLM-driven Multimodal Target Volume Contouring in Radiation Oncologycited by 20
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
- 2023A Systematic Review of Deep Learning-based Research on Radiology Report Generationcited by 14
- 2025Activating Associative Disease-Aware Vision Token Memory for LLM-Based X-ray Report Generationcited by 13
38 more
- 2024R2GenCSR: Mining Contextual and Residual Information for LLMs-based Radiology Report Generationcited by 12
- 2024Factual Serialization Enhancement: A Key Innovation for Chest X-ray Report Generationcited by 11
- 2024MedRAT: Unpaired Medical Report Generation via Auxiliary Taskscited by 9
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Reviewcited by 9
- 2024Dragonfly: Multi-Resolution Zoom-In Encoding Enhances Vision-Language Modelscited by 8
- 2025DDaTR: Dynamic Difference-aware Temporal Residual Network for Longitudinal Radiology Report Generationcited by 8
- 2025CT-GRAPH: Hierarchical Graph Attention Network for Anatomy-Guided CT Report Generationcited by 8
- 2024Pre-training on High Definition X-ray Images: An Experimental Studycited by 7
- 2025A Chain of Diagnosis Framework for Accurate and Explainable Radiology Report Generationcited by 7
- 2025Med-GLIP: Advancing Medical Language-Image Pre-training with Large-scale Grounded Datasetcited by 7
- 2024Prompt-Guided Generation of Structured Chest X-Ray Report Using a Pre-trained LLMcited by 6
- 2024A Survey of Deep Learning-based Radiology Report Generation Using Multimodal Datacited by 6
- 2025Visual Alignment of Medical Vision-Language Models for Grounded Radiology Report Generationcited by 5
- 2024EVOKE: Elevating Chest X-ray Report Generation via Multi-View Contrastive Learning and Patient-Specific Knowledgecited by 4
- 2024MvKeTR: Chest CT Report Generation with Multi-View Perception and Knowledge Enhancementcited by 4
- 2025LLM-driven Medical Report Generation via Communication-efficient Heterogeneous Federated Learningcited by 4
- 2024TiBiX: Leveraging Temporal Information for Bidirectional X-ray and Report Generationcited by 3
- 2024Image-aware Evaluation of Generated Medical Reportscited by 3
- 2024ORID: Organ-Regional Information Driven Framework for Radiology Report Generationcited by 3
- 2025MCA-RG: Enhancing LLMs with Medical Concept Alignment for Radiology Report Generationcited by 3
- 2025EMRRG: Efficient Fine-Tuning Pre-trained X-ray Mamba Networks for Radiology Report Generationcited by 3
- 2025Generative AI for Healthcare: Fundamentals, Challenges, and Perspectivescited by 3
- 2024ICON: Improving Inter-Report Consistency in Radiology Report Generation via Lesion-aware Mixup Augmentationcited by 2
- 2024MedCycle: Unpaired Medical Report Generation via Cycle-Consistencycited by 2
- 2024Medical Report Generation Is A Multi-label Classification Problemcited by 2
- 2024FODA-PG for Enhanced Medical Imaging Narrative Generation: Adaptive Differentiation of Normal and Abnormal Attributescited by 2
- 2025Vision-Language Models for Automated 3D PET/CT Report Generationcited by 2
- 2024Dynamic Traceback Learning for Medical Report Generationcited by 1
- 2024FITA: Fine-grained Image-Text Aligner for Radiology Report Generationcited by 1
- 2024GCS-M3VLT: Guided Context Self-Attention based Multi-modal Medical Vision Language Transformer for Retinal Image Captioningcited by 1
- 2025Med-R2: Perception and Reflection-driven Complex Reasoning for Medical Report Generationcited by 1
- 2025CLARIFID: Improving Radiology Report Generation by Reinforcing Clinically Accurate Impressions and Enforcing Detailed Findingscited by 1
- 2025OraPO: Oracle-educated Reinforcement Learning for Data-efficient and Factual Radiology Report Generationcited by 1
- 2026Bridging the Skill Gap in Clinical CBCT Interpretation with CBCTRepDcited by 1
- 2026Multi-Modal Multi-Agent Reinforcement Learning for Radiology Report Generationcited by 1
- 2026RIHA: Report-Image Hierarchical Alignment for Radiology Report Generationcited by 1
- 2026Seeing What Matters: Lesion-Aware High-Resolution Patch Discovery and Fusion for Chest X-ray Report Generationcited by 1
- 2023RaDialog: A Large Vision-Language Model for Radiology Report Generation and Conversational Assistancecited by 0
50 most cited of 62 All 62 (JSON)
- 2026Diagnosis-Conditioned Spatial Gating and Decoder-Level Supervised Contrastive Learning for Radiology Report Generation3 Oct 2026
- 2026PACER: Progressive Availability-Conditioned Evidence Routing for Radiology Report Generation under Incomplete Clinical Context28 Sep 2026
- 2026Pre-training, Reasoning, Benchmarking: X-ray Report Generation on CheXpert Plus Dataset23 Sep 2026
- 2026MAC-RRG: Iterative Multi-Agent Collaboration for X-ray Radiology Report Generation20 Sep 2026
- 2026Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generation31 Jul 2026
- 2026REVA-PO: Stabilizing Reinforcement Learning for Chest X-ray Report Generation11 Jul 2026
- 2026Seeing What Matters: Lesion-Aware High-Resolution Patch Discovery and Fusion for Chest X-ray Report Generation8 Jul 2026
- 2026TraMP-LLaMA: Generative Interpretability with Decoupled Instruction Tuning for Facial Expression Quality Assessment25 Jun 2026
- 2026RL-ACRGNet: Reinforcement Learning-Based Chest Radiology Report Generation Network1 Jun 2026
- 2026RIHA: Report-Image Hierarchical Alignment for Radiology Report Generation30 Apr 2026
- 2026Bridging the Skill Gap in Clinical CBCT Interpretation with CBCTRepD11 Mar 2026
- 2026Rethinking the Efficiency and Effectiveness of Reinforcement Learning for Radiology Report Generation4 Mar 2026
38 more
- 2026Multi-Modal Multi-Agent Reinforcement Learning for Radiology Report Generation17 Feb 2026
- 2025Visual Alignment of Medical Vision-Language Models for Grounded Radiology Report Generation18 Dec 2025
- 2025Vision-Language Models for Automated 3D PET/CT Report Generation25 Nov 2025
- 2025Medical Report Generation: A Hierarchical Task Structure-Based Cross-Modal Causal Intervention Framework4 Nov 2025
- 2025Generative AI for Healthcare: Fundamentals, Challenges, and Perspectives28 Oct 2025
- 2025EMRRG: Efficient Fine-Tuning Pre-trained X-ray Mamba Networks for Radiology Report Generation19 Oct 2025
- 2025OraPO: Oracle-educated Reinforcement Learning for Data-efficient and Factual Radiology Report Generation23 Sep 2025
- 2025Med-GLIP: Advancing Medical Language-Image Pre-training with Large-scale Grounded Dataset14 Aug 2025
- 2025A Chain of Diagnosis Framework for Accurate and Explainable Radiology Report Generation13 Aug 2025
- 2025CT-GRAPH: Hierarchical Graph Attention Network for Anatomy-Guided CT Report Generation7 Aug 2025
- 2025CLARIFID: Improving Radiology Report Generation by Reinforcing Clinically Accurate Impressions and Enforcing Detailed Findings23 Jul 2025
- 2025Semantically Informed Salient Regions Guided Radiology Report Generation15 Jul 2025
- 2025MCA-RG: Enhancing LLMs with Medical Concept Alignment for Radiology Report Generation9 Jul 2025
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Review23 Jun 2025
- 2025LLM-driven Medical Report Generation via Communication-efficient Heterogeneous Federated Learning21 Jun 2025
- 2025DDaTR: Dynamic Difference-aware Temporal Residual Network for Longitudinal Radiology Report Generation6 May 2025
- 2025Advanced Chest X-Ray Analysis via Transformer-Based Image Descriptors and Cross-Model Attention Mechanism23 Apr 2025
- 2025Med-R2: Perception and Reflection-driven Complex Reasoning for Medical Report Generation2 Apr 2025
- 2025Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation27 Feb 2025
- 2025Activating Associative Disease-Aware Vision Token Memory for LLM-Based X-ray Report Generation7 Jan 2025
- 2024GCS-M3VLT: Guided Context Self-Attention based Multi-modal Medical Vision Language Transformer for Retinal Image Captioning23 Dec 2024
- 2024MvKeTR: Chest CT Report Generation with Multi-View Perception and Knowledge Enhancement27 Nov 2024
- 2024ORID: Organ-Regional Information Driven Framework for Radiology Report Generation20 Nov 2024
- 2024EVOKE: Elevating Chest X-ray Report Generation via Multi-View Contrastive Learning and Patient-Specific Knowledge15 Nov 2024
- 2024Image-aware Evaluation of Generated Medical Reports22 Oct 2024
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlooks3 Oct 2024
- 2024CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Dataset1 Oct 2024
- 2024FODA-PG for Enhanced Medical Imaging Narrative Generation: Adaptive Differentiation of Normal and Abnormal Attributes6 Sep 2024
- 2024Medical Report Generation Is A Multi-label Classification Problem30 Aug 2024
- 2024R2GenCSR: Mining Contextual and Residual Information for LLMs-based Radiology Report Generation19 Aug 2024
- 2024HERGen: Elevating Radiology Report Generation with Longitudinal Data21 Jul 2024
- 2024MedRAT: Unpaired Medical Report Generation via Auxiliary Tasks4 Jul 2024
- 2024Dragonfly: Multi-Resolution Zoom-In Encoding Enhances Vision-Language Models3 Jun 2024
- 2024A Survey of Deep Learning-based Radiology Report Generation Using Multimodal Data21 May 2024
- 2024Automated Radiology Report Generation: A Review of Recent Advances17 May 2024
- 2024Factual Serialization Enhancement: A Key Innovation for Chest X-ray Report Generation15 May 2024
- 2024FITA: Fine-grained Image-Text Aligner for Radiology Report Generation2 May 2024
- 2024Pre-training on High Definition X-ray Images: An Experimental Study27 Apr 2024
50 newest of 62 All 62 (JSON)
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Reviewcited by 9
- 2024Dragonfly: Multi-Resolution Zoom-In Encoding Enhances Vision-Language Modelscited by 8
- 2025Visual Alignment of Medical Vision-Language Models for Grounded Radiology Report Generationcited by 5
- 2024TiBiX: Leveraging Temporal Information for Bidirectional X-ray and Report Generationcited by 3
- 2023RaDialog: A Large Vision-Language Model for Radiology Report Generation and Conversational Assistancecited by 0
- 2026Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generationcited by 0
- 2026Learning to See Locally and Align Clinically with Pathology Semantics for Radiology Report Generation31 Jul 2026
- 2025Visual Alignment of Medical Vision-Language Models for Grounded Radiology Report Generation18 Dec 2025
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Review23 Jun 2025
- 2024Dragonfly: Multi-Resolution Zoom-In Encoding Enhances Vision-Language Models3 Jun 2024
- 2024TiBiX: Leveraging Temporal Information for Bidirectional X-ray and Report Generation20 Mar 2024
- 2023RaDialog: A Large Vision-Language Model for Radiology Report Generation and Conversational Assistance30 Nov 2023
- 2023R2GenGPT: Radiology Report Generation with Frozen LLMscited by 114
- 2023PromptMRG: Diagnosis-Driven Prompts for Medical Report Generationcited by 95
- 2024Automated Radiology Report Generation: A Review of Recent Advancescited by 43
- 2025Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generationcited by 42
- 2024CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Datasetcited by 35
- 2024HERGen: Elevating Radiology Report Generation with Longitudinal Datacited by 33
- 2023RECAP: Towards Precise Radiology Report Generation via Dynamic Disease Progression Reasoningcited by 22
- 2023Complex Organ Mask Guided Radiology Report Generationcited by 22
- 2023LLM-driven Multimodal Target Volume Contouring in Radiation Oncologycited by 20
- 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
- 2023A Systematic Review of Deep Learning-based Research on Radiology Report Generationcited by 14
- 2025Activating Associative Disease-Aware Vision Token Memory for LLM-Based X-ray Report Generationcited by 13
12 most cited of 49 All 49 (JSON)
- 2026Diagnosis-Conditioned Spatial Gating and Decoder-Level Supervised Contrastive Learning for Radiology Report Generation3 Oct 2026
- 2026PACER: Progressive Availability-Conditioned Evidence Routing for Radiology Report Generation under Incomplete Clinical Context28 Sep 2026
- 2026Seeing What Matters: Lesion-Aware High-Resolution Patch Discovery and Fusion for Chest X-ray Report Generation8 Jul 2026
- 2026TraMP-LLaMA: Generative Interpretability with Decoupled Instruction Tuning for Facial Expression Quality Assessment25 Jun 2026
- 2026RL-ACRGNet: Reinforcement Learning-Based Chest Radiology Report Generation Network1 Jun 2026
- 2026RIHA: Report-Image Hierarchical Alignment for Radiology Report Generation30 Apr 2026
- 2026Bridging the Skill Gap in Clinical CBCT Interpretation with CBCTRepD11 Mar 2026
- 2025Vision-Language Models for Automated 3D PET/CT Report Generation25 Nov 2025
- 2025Medical Report Generation: A Hierarchical Task Structure-Based Cross-Modal Causal Intervention Framework4 Nov 2025
- 2025Generative AI for Healthcare: Fundamentals, Challenges, and Perspectives28 Oct 2025
- 2025OraPO: Oracle-educated Reinforcement Learning for Data-efficient and Factual Radiology Report Generation23 Sep 2025
- 2025Med-GLIP: Advancing Medical Language-Image Pre-training with Large-scale Grounded Dataset14 Aug 2025
12 newest of 49 All 49 (JSON)