# Improving Health Literacy through Lay Summarization of Radiological Reports: An Evaluation of BioNER and Retrieval-Augmented Generation

arXiv: https://arxiv.org/abs/2609.02396 · HTML: https://mlsanity.com/paper/2609.02396/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical RAG, one of 15 directions in Retrieval-augmented generation.
- Builds on 17 of its 43 references that are in the map.
- First posted on arXiv 2 Sep 2026.

## Placed in

- Retrieval-augmented generation / [Medical and biomedical RAG](https://mlsanity.com/rag/medical-and-biomedical-rag/)

## Builds on (most cited first, 17 of 17)

- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Self-Refine: Iterative Refinement with Self-Feedback](https://mlsanity.com/paper/2303.17651/) (2023)
- [QLoRA: Efficient Finetuning of Quantized LLMs](https://mlsanity.com/paper/2305.14314/) (2023)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [SummaC: Re-Visiting NLI-based Models for Inconsistency Detection in Summarization](https://mlsanity.com/paper/2111.09525/) (2021)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [PadChest: A large chest x-ray image dataset with multi-label annotated reports](https://mlsanity.com/paper/1901.07441/) (2019)
- [ScispaCy: Fast and Robust Models for Biomedical Natural Language Processing](https://mlsanity.com/paper/1902.07669/) (2019)
- [BioBART: Pretraining and Evaluation of A Biomedical Generative Language Model](https://mlsanity.com/paper/2204.03905/) (2022)
- [BIMCV COVID-19+: a large annotated dataset of RX and CT images from COVID-19 patients](https://mlsanity.com/paper/2006.01174/) (2020)
- [Multi-domain Clinical Natural Language Processing with MedCAT: the Medical Concept Annotation Toolkit](https://mlsanity.com/paper/2010.01165/) (2020)
- [FENICE: Factuality Evaluation of summarization based on Natural language Inference and Claim Extraction](https://mlsanity.com/paper/2403.02270/) (2024)
- [Retrieval augmentation of large language models for lay language generation](https://mlsanity.com/paper/2211.03818/) (2022)
- [Overview of the BioLaySumm 2024 Shared Task on the Lay Summarization of Biomedical Research Articles](https://mlsanity.com/paper/2408.08566/) (2024)
- [Simplicity Level Estimate (SLE): A Learned Reference-Less Metric for Sentence Simplification](https://mlsanity.com/paper/2310.08170/) (2023)
- [X-ray Made Simple: Lay Radiology Report Generation and Robust Evaluation](https://mlsanity.com/paper/2406.17911/) (2024)

## Abstract (arXiv)

Radiology reports are written primarily for clinicians, and their specialized terminology often makes them difficult for patients to interpret. As a result, many patients turn to publicly available Large Language Models (LLMs) to help explain their reports, despite well-documented risks of factual inaccuracies and hallucinations. Automated lay-summary generation has emerged as a promising alternative, yet the effectiveness of retrieval-enhanced and clinically informed approaches for radiology-specific communication remains underexplored. This study investigates the extent to which Retrieval-Augmented Generation (RAG) and Named Entity Recognition (NER) improve the quality, factual consistency, and readability of automatically generated lay summaries compared with standard LLM-based generation. We develop a framework combining NER-based extraction of clinically relevant findings with a RAG mechanism for contextual grounding, evaluated across few-shot and fine-tuned variants of two models (Qwen, BioBART). Results show that NER consistently improves readability and overall quality, while RAG alone offers no benefit and can introduce hallucinations from irrelevant retrieved terms. Combining RAG with NER degrades performance in few-shot settings but improves readability when fine-tuned. Fine-tuned BioBART with NER achieves the best overall performance, highlighting entity-aware extraction as the primary driver of improved patient-friendly summaries.