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HFEPX · Eval paper review

Interleaving anatomical inspection and diagnostic reasoning for explainable radiology report generation

Chentao Huang, Runlong Lin, Zhijun Wang, Yunxiang Li +4 more

Published

Nov 10, 2026

Citations

0

Trust level

Low

Usefulness score

0/100 (Low)

Extraction confidence

15% (Low)

Derived from extracted protocol signals and abstract evidence.

Rater population

Not reported

Signals refreshed

Nov 10, 2026

Should you rely on this paper?

This paper is adjacent to HFEPX scope and is best used for background context, not as a primary protocol reference.

Use this as background context only. Do not make protocol decisions from this page alone.

Best use

Background context only

Use if you need

A secondary eval reference to pair with stronger protocol papers.

What to verify

Read the full paper before copying any benchmark, metric, or protocol choices.

Main weakness

This paper looks adjacent to evaluation work, but not like a strong protocol reference.

Human feedback signal
Not explicit
Not explicit in abstract metadata
Evaluation signal
Detected
Eval setup described
Usefulness for eval research
0/100
Adjacent candidate

Treat as adjacent context, not a core eval-method reference.

Abstract

Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise. We introduce ARIVE (Anatomy-guided Reasoning with Interleaved Visual Evidence), an explainable report generation framework that interleaves anatomical inspection with diagnostic reasoning prior to final report composition. To support this process, we constructed 159,416 multimodal chain-of-thought (MCoT) trajectories from MIMIC-CXR, wherein visual evidence from inspected anatomical regions informs subsequent clinical interpretation. Trained on these trajectories and further optimized using anatomical and clinical-content rewards, ARIVE achieved superior clinical-efficacy performance compared with strong baselines on MIMIC-CXR and the abnormality-centered MIMIC-ABN. ARIVE's reports were competitive with those of leading models in blinded expert grading, and its MCoT trajectories earned high ratings for diagnostic traceability. Furthermore, a paired review evaluation suggests that access to MCoT can aid in identifying errors within generated reports.

What we could verify

These are the protocol signals we could actually recover from the available paper metadata. Use them to decide whether this paper is worth deeper reading.

Human Feedback Types

missing

None explicit

No explicit feedback protocol extracted.

"Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise."

Evaluation Modes

missing

None explicit

Validate eval design from full paper text.

"Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise."

Quality Controls

missing

Not reported

No explicit QC controls found.

"Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise."

Benchmarks / Datasets

missing

Not extracted

No benchmark anchors detected.

"Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise."

Reported Metrics

missing

Not extracted

No metric anchors detected.

"Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise."

Benchmarks and datasets

No benchmark or dataset names were extracted from the available abstract.

Reported metrics

No metric terms were extracted from the available abstract.

Human feedback details
Uses human feedback
No
Feedback types
None
Rater population
Not reported
Unit of annotation
Trajectory (inferred)
Expertise required
Medicine
Evaluation details
Evaluation modes
None
Agentic eval
Long Horizon
Quality controls
Not reported
Evidence quality
Low
Use this page as
Background context only

Research brief

Metadata summary

Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise.

Based on abstract + metadata only. Check the source paper before making high-confidence protocol decisions.

Key takeaways

  • Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports difficult to review or revise.
  • We introduce ARIVE (Anatomy-guided Reasoning with Interleaved Visual Evidence), an explainable report generation framework that interleaves anatomical inspection with diagnostic reasoning prior to final report composition.
  • To support this process, we constructed 159,416 multimodal chain-of-thought (MCoT) trajectories from MIMIC-CXR, wherein visual evidence from inspected anatomical regions informs subsequent clinical interpretation.

Researcher actions

  • Compare this paper against nearby papers in the same arXiv category before using it for protocol decisions.
  • Check the full text for explicit evaluation design choices (raters, protocol, and metrics).
  • Use related-paper links to find stronger protocol-specific references.

Caveats

  • Generated from abstract + metadata only; no PDF parsing.
  • Signals below are heuristic and may miss details reported outside the abstract.

Contribution summary

  • Automated radiology report generation can draft clinically plausible reports, yet the pathway from visual evidence to reported findings remains opaque, leaving the diagnostic basis of these reports unexplained and the generated reports…
  • We introduce ARIVE (Anatomy-guided Reasoning with Interleaved Visual Evidence), an explainable report generation framework that interleaves anatomical inspection with diagnostic reasoning prior to final report composition.

Why it matters for eval

  • Furthermore, a paired review evaluation suggests that access to MCoT can aid in identifying errors within generated reports.

Researcher checklist

  • Human feedback protocol is explicit

    No explicit human feedback protocol detected.

  • Evaluation mode is explicit

    No clear evaluation mode extracted.

  • Quality control reporting appears

    No calibration/adjudication/IAA control explicitly detected.

  • Benchmark or dataset anchors are present

    No benchmark/dataset anchor extracted from abstract.

  • Metric reporting is present

    No metric terms extracted.