# Revolutionizing Radiology Workflow with Factual and Efficient CXR Report Generation

arXiv: https://arxiv.org/abs/2506.01118 · HTML: https://mlsanity.com/paper/2506.01118/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 25 references that are in the map.
- First posted on arXiv 1 Jun 2025.

## Builds on (most cited first, 12 of 12)

- [A Survey on Evaluation of Large Language Models](https://mlsanity.com/paper/2307.03109/) (2023)
- [A Comprehensive Overview of Large Language Models](https://mlsanity.com/paper/2307.06435/) (2023)
- [The Debate Over Understanding in AI's Large Language Models](https://mlsanity.com/paper/2210.13966/) (2022)
- [Visual In-Context Learning for Large Vision-Language Models](https://mlsanity.com/paper/2402.11574/) (2024)
- [Enhancing Code LLMs with Reinforcement Learning in Code Generation: A Survey](https://mlsanity.com/paper/2412.20367/) (2024)
- [Thread of Thought Unraveling Chaotic Contexts](https://mlsanity.com/paper/2311.08734/) (2023)
- [Rethinking Visual Dependency in Long-Context Reasoning for Large Vision-Language Models](https://mlsanity.com/paper/2410.19732/) (2024)
- [Improving Medical Large Vision-Language Models with Abnormal-Aware Feedback](https://mlsanity.com/paper/2501.01377/) (2025)
- [SCORE: Story Coherence and Retrieval Enhancement for AI Narratives](https://mlsanity.com/paper/2503.23512/) (2025)
- [EventBERT: A Pre-Trained Model for Event Correlation Reasoning](https://mlsanity.com/paper/2110.06533/) (2021)
- [The Shaky Foundations of Clinical Foundation Models: A Survey of Large Language Models and Foundation Models for EMRs](https://mlsanity.com/paper/2303.12961/) (2023)
- [Style-Aware Contrastive Learning for Multi-Style Image Captioning](https://mlsanity.com/paper/2301.11367/) (2023)

## Abstract (arXiv)

The escalating demand for medical image interpretation underscores the critical need for advanced artificial intelligence solutions to enhance the efficiency and accuracy of radiological diagnoses. This paper introduces CXR-PathFinder, a novel Large Language Model (LLM)-centric foundation model specifically engineered for automated chest X-ray (CXR) report generation. We propose a unique training paradigm, Clinician-Guided Adversarial Fine-Tuning (CGAFT), which meticulously integrates expert clinical feedback into an adversarial learning framework to mitigate factual inconsistencies and improve diagnostic precision. Complementing this, our Knowledge Graph Augmentation Module (KGAM) acts as an inference-time safeguard, dynamically verifying generated medical statements against authoritative knowledge bases to minimize hallucinations and ensure standardized terminology. Leveraging a comprehensive dataset of millions of paired CXR images and expert reports, our experiments demonstrate that CXR-PathFinder significantly outperforms existing state-of-the-art medical vision-language models across various quantitative metrics, including clinical accuracy (Macro F1 (14): 46.5, Micro F1 (14): 59.5). Furthermore, blinded human evaluation by board-certified radiologists confirms CXR-PathFinder's superior clinical utility, completeness, and accuracy, establishing its potential as a reliable and efficient aid for radiological practice. The developed method effectively balances high diagnostic fidelity with computational efficiency, providing a robust solution for automated medical report generation.