Radiology-Aware Model-Based Evaluation Metric for Report Generation
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Abstract (arXiv)
We propose a new automated evaluation metric for machine-generated radiology reports using the successful COMET architecture adapted for the radiology domain. We train and publish four medically-oriented model checkpoints, including one trained on RadGraph, a radiology knowledge graph. Our results show that our metric correlates moderately to high with established metrics such as BERTscore, BLEU, and CheXbert scores. Furthermore, we demonstrate that one of our checkpoints exhibits a high correlation with human judgment, as assessed using the publicly available annotations of six board-certified radiologists, using a set of 200 reports. We also performed our own analysis gathering annotations with two radiologists on a collection of 100 reports. The results indicate the potential effectiveness of our method as a radiology-specific evaluation metric. The code, data, and model checkpoints to reproduce our findings will be publicly available.
Key facts. Cited by 7 papers in the map (data through 7 Oct 2026). Builds on 14 of its 29 references that are in the map. First posted on arXiv 28 Nov 2023.
Builds on
14 of 29 references.
References · 14
- 2019BERTScore: Evaluating Text Generation with BERTcited by 5,462
- 2019Unsupervised Cross-lingual Representation Learning at Scalecited by 3,907
- 2020COMET: A Neural Framework for MT Evaluationcited by 1,024
- 2019Publicly Available Clinical BERT Embeddingscited by 995
- 2019MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographscited by 590
- 2020Generating Radiology Reports via Memory-driven Transformercited by 363
- 2020CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERTcited by 329
- 2021RadGraph: Extracting Clinical Entities and Relations from Radiology Reportscited by 310
- 2017Why We Need New Evaluation Metrics for NLGcited by 232
- 2020A Survey of Evaluation Metrics Used for NLG Systemscited by 164
- 2020When Radiology Report Generation Meets Knowledge Graphcited by 144
- 2018Hybrid Retrieval-Generation Reinforced Agent for Medical Image Report Generationcited by 141
Built on by
Citing papers per year: 2024: 1; 2025: 4; 2026: 2.
7 papers.
- 2025Quantifying the Reasoning Abilities of LLMs on Real-world Clinical Casescited by 28
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiologycited by 24
- 2024LLM-RadJudge: Achieving Radiologist-Level Evaluation for X-Ray Report Generationcited by 14
- 2026Can Jev Judge Radiology Reports? Evaluating a System One Model for Clinical Factualitycited by 8
- 2025GEMA-Score: Granular Explainable Multi-Agent Scoring Framework for Radiology Report Evaluationcited by 1
- 2025Barriers in Integrating Medical Visual Question Answering into Radiology Workflows: A Scoping Review and Clinicians' Insightscited by 1
- 2026AgentsEval: Clinically Faithful Evaluation of Medical Imaging Reports via Multi-Agent Reasoningcited by 0
- 2026Can Jev Judge Radiology Reports? Evaluating a System One Model for Clinical Factuality23 Sep 2026
- 2026AgentsEval: Clinically Faithful Evaluation of Medical Imaging Reports via Multi-Agent Reasoning23 Jan 2026
- 2025Barriers in Integrating Medical Visual Question Answering into Radiology Workflows: A Scoping Review and Clinicians' Insights9 Jul 2025
- 2025GEMA-Score: Granular Explainable Multi-Agent Scoring Framework for Radiology Report Evaluation7 Mar 2025
- 2025Quantifying the Reasoning Abilities of LLMs on Real-world Clinical Cases6 Mar 2025
- 2025RadVLM: A Multitask Conversational Vision-Language Model for Radiology5 Feb 2025
- 2024LLM-RadJudge: Achieving Radiologist-Level Evaluation for X-Ray Report Generation1 Apr 2024