# RA-RRG: Multimodal Retrieval-Augmented Radiology Report Generation with Key Phrase Extraction

arXiv: https://arxiv.org/abs/2504.07415 · HTML: https://mlsanity.com/paper/2504.07415/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Placed in Medical and biomedical RAG, one of 15 directions in Retrieval-augmented generation.
- Builds on 23 of its 43 references that are in the map.
- First posted on arXiv 10 Apr 2025.

## Placed in

- Retrieval-augmented generation / [Medical and biomedical RAG](https://mlsanity.com/rag/medical-and-biomedical-rag/)

## Builds on (most cited first, 23 of 23)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [End-to-End Object Detection with Transformers](https://mlsanity.com/paper/2005.12872/) (2020)
- [Efficient Memory Management for Large Language Model Serving with PagedAttention](https://mlsanity.com/paper/2309.06180/) (2023)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [Re-Imagen: Retrieval-Augmented Text-to-Image Generator](https://mlsanity.com/paper/2209.14491/) (2022)
- [Eagle: Exploring The Design Space for Multimodal LLMs with Mixture of Encoders](https://mlsanity.com/paper/2408.15998/) (2024)
- [Distribution-Balanced Loss for Multi-Label Classification in Long-Tailed Datasets](https://mlsanity.com/paper/2007.09654/) (2020)
- [Dynamic Graph Enhanced Contrastive Learning for Chest X-ray Report Generation](https://mlsanity.com/paper/2303.10323/) (2023)
- [Improving Chest X-Ray Report Generation by Leveraging Warm Starting](https://mlsanity.com/paper/2201.09405/) (2022)
- [SmallCap: Lightweight Image Captioning Prompted with Retrieval Augmentation](https://mlsanity.com/paper/2209.15323/) (2022)
- [Radiology Report Generation with a Learned Knowledge Base and Multi-modal Alignment](https://mlsanity.com/paper/2112.15011/) (2021)
- [Improving Radiology Report Generation Systems by Removing Hallucinated References to Non-existent Priors](https://mlsanity.com/paper/2210.06340/) (2022)
- [Retrieval-Augmented Transformer for Image Captioning](https://mlsanity.com/paper/2207.13162/) (2022)
- [EVCap: Retrieval-Augmented Image Captioning with External Visual-Name Memory for Open-World Comprehension](https://mlsanity.com/paper/2311.15879/) (2023)
- [Style-Aware Radiology Report Generation with RadGraph and Few-Shot Prompting](https://mlsanity.com/paper/2310.17811/) (2023)
- [Retrieval Augmented Chest X-Ray Report Generation using OpenAI GPT models](https://mlsanity.com/paper/2305.03660/) (2023)
- [M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretation](https://mlsanity.com/paper/2408.16213/) (2024)

## Built on by (most cited first, 4 of 4)

- [MAC-RRG: Iterative Multi-Agent Collaboration for X-ray Radiology Report Generation](https://mlsanity.com/paper/2609.26124/) (2026)
- [Pre-training, Reasoning, Benchmarking: X-ray Report Generation on CheXpert Plus Dataset](https://mlsanity.com/paper/2610.08813/) (2026)
- [CliQ-RRG: Clinical-Knowledge Guided Disease-aware Visual-Textual Alignment for QA-Style Radiology Report Generation](https://mlsanity.com/paper/2610.13059/) (2026)
- [From Sampled Evidence to Radiology Reports: Objectives, Constraints, and Realization](https://mlsanity.com/paper/2610.17318/) (2026)

## Abstract (arXiv)

Automated radiology report generation (RRG) holds potential to reduce the workload of radiologists, and recent advances in multimodal large language models (MLLMs) have enabled multimodal chest X-ray (CXR) report generation. However, existing MLLMs are computationally expensive, require large-scale training data, and may produce hallucinated content, limiting their practical deployment. To address these limitations, we propose RA-RRG, a retrieval-augmented RRG framework that combines multimodal retrieval with large language models (LLMs) to generate radiology reports while reducing hallucinations and computational demands. RA-RRG uses LLMs to extract clinically essential key phrases from radiology reports and retrieves relevant phrases given an input image. By conditioning LLMs on the retrieved phrases, RA-RRG effectively suppresses hallucinations while maintaining strong report generation performance. Experiments on the MIMIC-CXR and IU X-ray datasets show state-of-the-art results on CheXbert metrics and competitive RadGraph F1 scores compared to MLLMs. Furthermore, RA-RRG naturally generalizes to multi-view RRG by aggregating phrases retrieved from multiple images, highlighting its broad applicability to real-world clinical scenarios. Code is available at https://github.com/deepnoid-ai/RA-RRG.