mlsanityData to 7 Oct 2026

Effectively Fine-tune to Improve Large Multimodal Models for Radiology Report Generation

arXiv 2312.01504 ↗First posted 3 Dec 2023cs.CV cs.AI cs.CLcited by 3

On the map: Multimodal LLMs / vision-language models → Medical vision-language models

Abstract (arXiv)

Writing radiology reports from medical images requires a high level of domain expertise. It is time-consuming even for trained radiologists and can be error-prone for inexperienced radiologists. It would be appealing to automate this task by leveraging generative AI, which has shown drastic progress in vision and language understanding. In particular, Large Language Models (LLM) have demonstrated impressive capabilities recently and continued to set new state-of-the-art performance on almost all natural language tasks. While many have proposed architectures to combine vision models with LLMs for multimodal tasks, few have explored practical fine-tuning strategies. In this work, we proposed a simple yet effective two-stage fine-tuning protocol to align visual features to LLM's text embedding space as soft visual prompts. Our framework with OpenLLaMA-7B achieved state-of-the-art level performance without domain-specific pretraining. Moreover, we provide detailed analyses of soft visual prompts and attention mechanisms, shedding light on future research directions.

Key facts. Cited by 3 papers in the map (data through 7 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 25 of its 34 references that are in the map. First posted on arXiv 3 Dec 2023.

Builds on

25 of 34 references.

References · 25

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13 more
  1. 2022Fine-Tuning can Distort Pretrained Features and Underperform Out-of-Distributioncited by 722
  2. 2021ClipCap: CLIP Prefix for Image Captioningcited by 557
  3. 2020Generating Radiology Reports via Memory-driven Transformercited by 363
  4. 2022Making the Most of Text Semantics to Improve Biomedical Vision--Language Processingcited by 336
  5. 2020CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERTcited by 329
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  10. 2022Improving the Factual Correctness of Radiology Report Generation with Semantic Rewardscited by 82
  11. 2023Open-Ended Medical Visual Question Answering Through Prefix Tuning of Language Modelscited by 58
  12. 2022Improving Radiology Report Generation Systems by Removing Hallucinated References to Non-existent Priorscited by 48
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Citing papers per year: 2024: 2; 2025: 1.

3 papers.

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  1. 2025Multimodal Large Language Models for Medical Report Generation via Customized Prompt Tuning
  2. 2024Gla-AI4BioMed at RRG24: Visual Instruction-tuned Adaptation for Radiology Report Generation
  3. 2024PeFoMed: Parameter Efficient Fine-tuning of Multimodal Large Language Models for Medical Imaging
  4. 2024Multimodal Healthcare AI: Identifying and Designing Clinically Relevant Vision-Language Applications for Radiology
  5. 2024Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Model
  6. 2021Multi-modal Understanding and Generation for Medical Images and Text via Vision-Language Pre-Training
  7. 2025Look & Mark: Leveraging Radiologist Eye Fixations and Bounding boxes in Multimodal Large Language Models for Chest X-ray Report Generation
  8. 2025A Generative Framework for Bidirectional Image-Report Understanding in Chest Radiography