# Efficient Multi-Granularity Knowledge Transfer for Radiology Report Generation

arXiv: https://arxiv.org/abs/2610.11303 · HTML: https://mlsanity.com/paper/2610.11303/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Distillation for medical imaging, one of 12 directions in Knowledge distillation.
- Builds on 10 of its 52 references that are in the map.
- First posted on arXiv 8 Oct 2026.

## Placed in

- Knowledge distillation / [Distillation for medical imaging](https://mlsanity.com/distill/distillation-for-medical-imaging/)

## Builds on (most cited first, 10 of 10)

- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Distilling the Knowledge in a Neural Network](https://mlsanity.com/paper/1503.02531/) (2015)
- [Empirical Evaluation of Gated Recurrent Neural Networks on Sequence Modeling](https://mlsanity.com/paper/1412.3555/) (2014)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [Cross-modal Memory Networks for Radiology Report Generation](https://mlsanity.com/paper/2204.13258/) (2022)
- [MedKLIP: Medical Knowledge Enhanced Language-Image Pre-Training in Radiology](https://mlsanity.com/paper/2301.02228/) (2023)
- [Chest ImaGenome Dataset for Clinical Reasoning](https://mlsanity.com/paper/2108.00316/) (2021)
- [ORGAN: Observation-Guided Radiology Report Generation via Tree Reasoning](https://mlsanity.com/paper/2306.06466/) (2023)
- [Cross-Modal Causal Intervention for Medical Report Generation](https://mlsanity.com/paper/2303.09117/) (2023)

## Abstract (arXiv)

Radiology report generation can automatically generate clinical descriptions from X-ray images, thereby significantly improving the efficiency of radiologists. This task is challenging because it requires medical knowledge to accurately identify diseases and describe them in a professional manner. However, existing methods often overlook the importance of enhancing medical knowledge in describing pivotal areas, a capability that requires models to effectively extract and aggregate knowledge at multiple levels of granularity. Accordingly, we herein propose a novel and compact Efficient Multi-Granularity Knowledge Transfer (EMGKT) method to address the above issues. First, we encode global knowledge embeddings using a medical vision-language model, which provides contextual medical knowledge. Moreover, we devise a novel Fine-Grained Knowledge Distillation (FGKD) training task which efficiently extract fine-grained knowledge. Specifically, the FGKD training task contains teacher embeddings and student embeddings. Teacher embeddings are encoded using extra priors; while student embeddings are learned from the teacher embeddings through knowledge distillation. During inference, the student embeddings are used to enhance fine-grained knowledge while the teacher embeddings are discarded, resulting in negligible computational costs and no need for extra priors. Finally, we further develop a mixture of disease diagnosis expert classifiers to enhance knowledge extraction. The classifiers are initialized using disease embeddings and are modeled as different experts to address various granularity features. Notably, EMGKT can be efficiently applied to most existing methods. Extensive experiments are conducted on two widely-used public datasets and various baselines, which demonstrates the effectiveness and transferability of EMGKT.