PET2Rep: Towards Vision-Language Model-Drived Automated Radiology Report Generation for Positron Emission Tomography

Fuente: arXiv
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Autori principali: Zhang, Yichi, Zhang, Wenbo, Ling, Zehui, Feng, Gang, Peng, Sisi, Chen, Deshu, Liu, Yuchen, Zhang, Hongwei, Wang, Shuqi, Li, Lanlan, Han, Limei, Cheng, Yuan, Hu, Zixin, Qi, Yuan, Xue, Le
Natura: Preprint
Pubblicazione: 2025
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author Zhang, Yichi
Zhang, Wenbo
Ling, Zehui
Feng, Gang
Peng, Sisi
Chen, Deshu
Liu, Yuchen
Zhang, Hongwei
Wang, Shuqi
Li, Lanlan
Han, Limei
Cheng, Yuan
Hu, Zixin
Qi, Yuan
Xue, Le
author_facet Zhang, Yichi
Zhang, Wenbo
Ling, Zehui
Feng, Gang
Peng, Sisi
Chen, Deshu
Liu, Yuchen
Zhang, Hongwei
Wang, Shuqi
Li, Lanlan
Han, Limei
Cheng, Yuan
Hu, Zixin
Qi, Yuan
Xue, Le
contents Positron emission tomography (PET) is a cornerstone of modern oncologic and neurologic imaging, distinguished by its unique ability to illuminate dynamic metabolic processes that transcend the anatomical focus of traditional imaging technologies. Radiology reports are essential for clinical decision making, yet their manual creation is labor-intensive and time-consuming. Recent advancements of vision-language models (VLMs) have shown strong potential in medical applications, presenting a promising avenue for automating report generation. However, existing applications of VLMs in the medical domain have predominantly focused on structural imaging modalities, while the unique characteristics of molecular PET imaging have largely been overlooked. To bridge the gap, we introduce PET2Rep, a large-scale comprehensive benchmark for evaluation of general and medical VLMs for radiology report generation for PET images. PET2Rep stands out as the first dedicated dataset for PET report generation with metabolic information, uniquely capturing whole-body image-report pairs that cover dozens of organs to fill the critical gap in existing benchmarks and mirror real-world clinical comprehensiveness. In addition to widely recognized natural language generation metrics, we introduce a series of clinical efficacy metrics to evaluate the quality of radiotracer uptake pattern description in key organs in generated reports. We conduct a head-to-head comparison of 30 cutting-edge general-purpose and medical-specialized VLMs. The results show that the current state-of-the-art VLMs perform poorly on PET report generation task, falling considerably short of fulfilling practical needs. Moreover, we identify several key insufficiency that need to be addressed to advance the development in medical applications.
format Preprint
id arxiv_https___arxiv_org_abs_2508_04062
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle PET2Rep: Towards Vision-Language Model-Drived Automated Radiology Report Generation for Positron Emission Tomography
Zhang, Yichi
Zhang, Wenbo
Ling, Zehui
Feng, Gang
Peng, Sisi
Chen, Deshu
Liu, Yuchen
Zhang, Hongwei
Wang, Shuqi
Li, Lanlan
Han, Limei
Cheng, Yuan
Hu, Zixin
Qi, Yuan
Xue, Le
Image and Video Processing
Computer Vision and Pattern Recognition
Positron emission tomography (PET) is a cornerstone of modern oncologic and neurologic imaging, distinguished by its unique ability to illuminate dynamic metabolic processes that transcend the anatomical focus of traditional imaging technologies. Radiology reports are essential for clinical decision making, yet their manual creation is labor-intensive and time-consuming. Recent advancements of vision-language models (VLMs) have shown strong potential in medical applications, presenting a promising avenue for automating report generation. However, existing applications of VLMs in the medical domain have predominantly focused on structural imaging modalities, while the unique characteristics of molecular PET imaging have largely been overlooked. To bridge the gap, we introduce PET2Rep, a large-scale comprehensive benchmark for evaluation of general and medical VLMs for radiology report generation for PET images. PET2Rep stands out as the first dedicated dataset for PET report generation with metabolic information, uniquely capturing whole-body image-report pairs that cover dozens of organs to fill the critical gap in existing benchmarks and mirror real-world clinical comprehensiveness. In addition to widely recognized natural language generation metrics, we introduce a series of clinical efficacy metrics to evaluate the quality of radiotracer uptake pattern description in key organs in generated reports. We conduct a head-to-head comparison of 30 cutting-edge general-purpose and medical-specialized VLMs. The results show that the current state-of-the-art VLMs perform poorly on PET report generation task, falling considerably short of fulfilling practical needs. Moreover, we identify several key insufficiency that need to be addressed to advance the development in medical applications.
title PET2Rep: Towards Vision-Language Model-Drived Automated Radiology Report Generation for Positron Emission Tomography
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2508.04062