# Radiology Report Generation for Low-Quality X-Ray Images

arXiv: https://arxiv.org/abs/2604.10188 · HTML: https://mlsanity.com/paper/2604.10188/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 34 references that are in the map.
- First posted on arXiv 11 Apr 2026.

## Builds on (most cited first, 16 of 16)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [MUSIQ: Multi-scale Image Quality Transformer](https://mlsanity.com/paper/2108.05997/) (2021)
- [Exploring CLIP for Assessing the Look and Feel of Images](https://mlsanity.com/paper/2207.12396/) (2022)
- [Learning to Generalize: Meta-Learning for Domain Generalization](https://mlsanity.com/paper/1710.03463/) (2017)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [Exploring and Distilling Posterior and Prior Knowledge for Radiology Report Generation](https://mlsanity.com/paper/2106.06963/) (2021)
- [R2GenGPT: Radiology Report Generation with Frozen LLMs](https://mlsanity.com/paper/2309.09812/) (2023)
- [METransformer: Radiology Report Generation by Transformer with Multiple Learnable Expert Tokens](https://mlsanity.com/paper/2304.02211/) (2023)
- [Multimodal Image-Text Matching Improves Retrieval-based Chest X-Ray Report Generation](https://mlsanity.com/paper/2303.17579/) (2023)
- [CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Dataset](https://mlsanity.com/paper/2410.00379/) (2024)
- [Libra: Leveraging Temporal Images for Biomedical Radiology Analysis](https://mlsanity.com/paper/2411.19378/) (2024)
- [RadEval: A framework for radiology text evaluation](https://mlsanity.com/paper/2509.18030/) (2025)
- [RADAR: Enhancing Radiology Report Generation with Supplementary Knowledge Injection](https://mlsanity.com/paper/2505.14318/) (2025)
- [A robust and scalable framework for hallucination detection in virtual tissue staining and digital pathology](https://mlsanity.com/paper/2404.18458/) (2024)

## Abstract (arXiv)

Vision-Language Models (VLMs) have significantly advanced automated Radiology Report Generation (RRG). However, existing methods implicitly assume high-quality inputs, overlooking the noise and artifacts prevalent in real-world clinical environments. Consequently, current models exhibit severe performance degradation when processing suboptimal images. To bridge this gap, we propose a robust report generation framework explicitly designed for image quality variations. We first introduce an Automated Quality Assessment Agent (AQAA) to identify low-quality samples within the MIMIC-CXR dataset and establish the Low-quality Radiology Report Generation (LRRG) benchmark. To tackle degradation-induced shifts, we propose a novel Dual-loop Training Strategy leveraging bi-level optimization and gradient consistency. This approach ensures the model learns quality-agnostic diagnostic features by aligning gradient directions across varying quality regimes. Extensive experiments demonstrate that our approach effectively mitigates model performance degradation caused by image quality deterioration. The code and data will be released upon acceptance.