# TALON: A Temporally Aware Longitudinal Framework for Radiology Report Generation

arXiv: https://arxiv.org/abs/2609.20826 · HTML: https://mlsanity.com/paper/2609.20826/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 18 of its 27 references that are in the map.
- First posted on arXiv 22 Jul 2026.

## Builds on (most cited first, 18 of 18)

- [Representation Learning with Contrastive Predictive Coding](https://mlsanity.com/paper/1807.03748/) (2018)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [Making the Most of Text Semantics to Improve Biomedical Vision--Language Processing](https://mlsanity.com/paper/2204.09817/) (2022)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [Learning to Exploit Temporal Structure for Biomedical Vision-Language Processing](https://mlsanity.com/paper/2301.04558/) (2023)
- [Cross-modal Memory Networks for Radiology Report Generation](https://mlsanity.com/paper/2204.13258/) (2022)
- [Exploring scalable medical image encoders beyond text supervision](https://mlsanity.com/paper/2401.10815/) (2024)
- [GREEN: Generative Radiology Report Evaluation and Error Notation](https://mlsanity.com/paper/2405.03595/) (2024)
- [Improving Chest X-Ray Report Generation by Leveraging Warm Starting](https://mlsanity.com/paper/2201.09405/) (2022)
- [Improving Radiology Report Generation Systems by Removing Hallucinated References to Non-existent Priors](https://mlsanity.com/paper/2210.06340/) (2022)
- [Automated Radiology Report Generation: A Review of Recent Advances](https://mlsanity.com/paper/2405.10842/) (2024)
- [Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation](https://mlsanity.com/paper/2502.20056/) (2025)
- [HERGen: Elevating Radiology Report Generation with Longitudinal Data](https://mlsanity.com/paper/2407.15158/) (2024)
- [Radiology Report Generation via Multi-objective Preference Optimization](https://mlsanity.com/paper/2412.08901/) (2024)
- [Structural Entities Extraction and Patient Indications Incorporation for Chest X-ray Report Generation](https://mlsanity.com/paper/2405.14905/) (2024)
- [PriorRG: Prior-Guided Contrastive Pre-training and Coarse-to-Fine Decoding for Chest X-ray Report Generation](https://mlsanity.com/paper/2508.05353/) (2025)

## Abstract (arXiv)

Current radiology report generation (RRG) models usually produce descriptive reports based on a single examination or only the most recent prior examination, limiting their ability to perform accurate and meaningful longitudinal comparisons and detect subtle interval changes. Although recent approaches have begun to incorporate multiple prior examinations, they usually aggregate a fixed-length history without explicitly modeling the role-dependent relevance of each prior examination before fusion. To address this, we propose TALON, a Temporally Aware LONgitudinal RRG framework that adaptively integrates variable-length patient histories. The underlying Dual-Channel Temporal Fusion Module (DCTFM) compares the current examination with each prior examination through complementary similarity and change channels to capture persistent findings and interval changes, respectively. The specially designed channel-specific attention estimates the relevance of each prior examination, while a learned prior-specific gate adaptively integrates informative longitudinal evidence and suppresses redundancy. Experiments on MIMIC-CXR show that TALON outperforms the current state-of-the-art method on various clinical efficacy and graph-based metrics. When more prior examinations become available, TALON's performance on these metrics improves even further, emphasizing the strength of TALON's DCTFM in modeling longitudinal RRG across longer and more complex patient histories than existing approaches.