mlsanityData to 14 Oct 2026

Coarse-to-Fine Personalized LLM Impressions for Streamlined Radiology Reports

arXiv 2508.15845 ↗First posted 19 Aug 2025cs.CL cs.AIcited by 1

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Abstract (arXiv)

The manual creation of the "Impression" section in radiology reports is a primary driver of radiologist burnout. To address this challenge, we propose a coarse-to-fine framework that leverages open-source large language models (LLMs) to automatically generate and personalize impressions from clinical findings. The system first produces a draft impression and then refines it using machine learning and reinforcement learning from human feedback (RLHF) to align with individual radiologists' styles while ensuring factual accuracy. We fine-tune LLaMA and Mistral models on a large dataset of reports from the University of Chicago Medicine. Our approach is designed to significantly reduce administrative workload and improve reporting efficiency while maintaining high standards of clinical precision.

Key facts. Cited by 1 paper in the map (data through 14 Oct 2026). Builds on 67 of its 121 references that are in the map. First posted on arXiv 19 Aug 2025.

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67 of 121 references.

References · 67

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Citing papers per year: 2025: 1.

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  1. 2024MRScore: Evaluating Radiology Report Generation with LLM-based Reward System
  2. 2025CLARIFID: Improving Radiology Report Generation by Reinforcing Clinically Accurate Impressions and Enforcing Detailed Findings
  3. 2024Enhancing LLMs for Impression Generation in Radiology Reports through a Multi-Agent System
  4. 2024LLM-RadJudge: Achieving Radiologist-Level Evaluation for X-Ray Report Generation
  5. 2026Calibrated Confidence Expression for Radiology Report Generation
  6. 2025Look & Mark: Leveraging Radiologist Eye Fixations and Bounding boxes in Multimodal Large Language Models for Chest X-ray Report Generation
  7. 2023Effectively Fine-tune to Improve Large Multimodal Models for Radiology Report Generation
  8. 2026Corpus Characterization and Inverse Constitutional Fine-Tuning for Style-Aware Radiology Reports