# OrthoInsight: Rib Fracture Diagnosis and Report Generation Based on Multi-Modal Large Models

arXiv: https://arxiv.org/abs/2507.13993 · HTML: https://mlsanity.com/paper/2507.13993/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 13 of its 42 references that are in the map.
- First posted on arXiv 18 Jul 2025.

## Builds on (most cited first, 13 of 13)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [Improved Baselines with Visual Instruction Tuning](https://mlsanity.com/paper/2310.03744/) (2023)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models](https://mlsanity.com/paper/2304.10592/) (2023)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [GLM: General Language Model Pretraining with Autoregressive Blank Infilling](https://mlsanity.com/paper/2103.10360/) (2021)
- [CogView: Mastering Text-to-Image Generation via Transformers](https://mlsanity.com/paper/2105.13290/) (2021)
- [Unmasking and Quantifying Racial Bias of Large Language Models in Medical Report Generation](https://mlsanity.com/paper/2401.13867/) (2024)
- [KG4Diagnosis: A Hierarchical Multi-Agent LLM Framework with Knowledge Graph Enhancement for Medical Diagnosis](https://mlsanity.com/paper/2412.16833/) (2024)
- [Abstractive Text Summarization: State of the Art, Challenges, and Improvements](https://mlsanity.com/paper/2409.02413/) (2024)
- [Advancing High Resolution Vision-Language Models in Biomedicine](https://mlsanity.com/paper/2406.09454/) (2024)
- [Power Optimization for Integrated Active and Passive Sensing in DFRC Systems](https://mlsanity.com/paper/2402.11294/) (2024)

## Built on by (most cited first, 1 of 1)

- [Empowering Real-World: A Survey on the Technology, Practice, and Evaluation of LLM-driven Industry Agents](https://mlsanity.com/paper/2510.17491/) (2025)

## Abstract (arXiv)

The growing volume of medical imaging data has increased the need for automated diagnostic tools, especially for musculoskeletal injuries like rib fractures, commonly detected via CT scans. Manual interpretation is time-consuming and error-prone. We propose OrthoInsight, a multi-modal deep learning framework for rib fracture diagnosis and report generation. It integrates a YOLOv9 model for fracture detection, a medical knowledge graph for retrieving clinical context, and a fine-tuned LLaVA language model for generating diagnostic reports. OrthoInsight combines visual features from CT images with expert textual data to deliver clinically useful outputs. Evaluated on 28,675 annotated CT images and expert reports, it achieves high performance across Diagnostic Accuracy, Content Completeness, Logical Coherence, and Clinical Guidance Value, with an average score of 4.28, outperforming models like GPT-4 and Claude-3. This study demonstrates the potential of multi-modal learning in transforming medical image analysis and providing effective support for radiologists.