# AgentsEval: Clinically Faithful Evaluation of Medical Imaging Reports via Multi-Agent Reasoning

arXiv: https://arxiv.org/abs/2601.16685 · HTML: https://mlsanity.com/paper/2601.16685/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 11 of its 28 references that are in the map.
- First posted on arXiv 23 Jan 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)
- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 11 of 11)

- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [G-Eval: NLG Evaluation using GPT-4 with Better Human Alignment](https://mlsanity.com/paper/2303.16634/) (2023)
- [DeepSeek-V3 Technical Report](https://mlsanity.com/paper/2412.19437/) (2024)
- [Is ChatGPT a Good NLG Evaluator? A Preliminary Study](https://mlsanity.com/paper/2303.04048/) (2023)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [Generalist Foundation Models from a Multimodal Dataset for 3D Computed Tomography](https://mlsanity.com/paper/2403.17834/) (2024)
- [Human-like Summarization Evaluation with ChatGPT](https://mlsanity.com/paper/2304.02554/) (2023)
- [Better Tokens for Better 3D: Advancing Vision-Language Modeling in 3D Medical Imaging](https://mlsanity.com/paper/2510.20639/) (2025)
- [Radiology-Aware Model-Based Evaluation Metric for Report Generation](https://mlsanity.com/paper/2311.16764/) (2023)
- [MedVAL: Toward Expert-Level Medical Text Validation with Language Models](https://mlsanity.com/paper/2507.03152/) (2025)

## Abstract (arXiv)

Evaluating the clinical correctness and reasoning fidelity of automatically generated medical imaging reports remains a critical yet unresolved challenge. Existing evaluation methods often fail to capture the structured diagnostic logic that underlies radiological interpretation, resulting in unreliable judgments and limited clinical relevance. We introduce AgentsEval, a multi-agent stream reasoning framework that emulates the collaborative diagnostic workflow of radiologists. By dividing the evaluation process into interpretable steps including criteria definition, evidence extraction, alignment, and consistency scoring, AgentsEval provides explicit reasoning traces and structured clinical feedback. We also construct a multi-domain perturbation-based benchmark covering five medical report datasets with diverse imaging modalities and controlled semantic variations. Experimental results demonstrate that AgentsEval delivers clinically aligned, semantically faithful, and interpretable evaluations that remain robust under paraphrastic, semantic, and stylistic perturbations. This framework represents a step toward transparent and clinically grounded assessment of medical report generation systems, fostering trustworthy integration of large language models into clinical practice.