RadReason: Radiology Report Evaluation Metric with Reasons and Sub-Scores

Fuente: arXiv
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Auteurs principaux: Li, Yingshu, Liu, Yunyi, Liu, Lingqiao, Wang, Lei, Zhou, Luping
Format: Preprint
Publié: 2025
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author Li, Yingshu
Liu, Yunyi
Liu, Lingqiao
Wang, Lei
Zhou, Luping
author_facet Li, Yingshu
Liu, Yunyi
Liu, Lingqiao
Wang, Lei
Zhou, Luping
contents Evaluating automatically generated radiology reports remains a fundamental challenge due to the lack of clinically grounded, interpretable, and fine-grained metrics. Existing methods either produce coarse overall scores or rely on opaque black-box models, limiting their usefulness in real-world clinical workflows. We introduce RadReason, a novel evaluation framework for radiology reports that not only outputs fine-grained sub-scores across six clinically defined error types, but also produces human-readable justifications that explain the rationale behind each score. Our method builds on Group Relative Policy Optimization and incorporates two key innovations: (1) Sub-score Dynamic Weighting, which adaptively prioritizes clinically challenging error types based on live F1 statistics; and (2) Majority-Guided Advantage Scaling, which adjusts policy gradient updates based on prompt difficulty derived from sub-score agreement. Together, these components enable more stable optimization and better alignment with expert clinical judgment. Experiments on the ReXVal benchmark show that RadReason surpasses all prior offline metrics and achieves parity with GPT-4-based evaluations, while remaining explainable, cost-efficient, and suitable for clinical deployment. Code will be released upon publication.
format Preprint
id arxiv_https___arxiv_org_abs_2508_15464
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle RadReason: Radiology Report Evaluation Metric with Reasons and Sub-Scores
Li, Yingshu
Liu, Yunyi
Liu, Lingqiao
Wang, Lei
Zhou, Luping
Computation and Language
Artificial Intelligence
Evaluating automatically generated radiology reports remains a fundamental challenge due to the lack of clinically grounded, interpretable, and fine-grained metrics. Existing methods either produce coarse overall scores or rely on opaque black-box models, limiting their usefulness in real-world clinical workflows. We introduce RadReason, a novel evaluation framework for radiology reports that not only outputs fine-grained sub-scores across six clinically defined error types, but also produces human-readable justifications that explain the rationale behind each score. Our method builds on Group Relative Policy Optimization and incorporates two key innovations: (1) Sub-score Dynamic Weighting, which adaptively prioritizes clinically challenging error types based on live F1 statistics; and (2) Majority-Guided Advantage Scaling, which adjusts policy gradient updates based on prompt difficulty derived from sub-score agreement. Together, these components enable more stable optimization and better alignment with expert clinical judgment. Experiments on the ReXVal benchmark show that RadReason surpasses all prior offline metrics and achieves parity with GPT-4-based evaluations, while remaining explainable, cost-efficient, and suitable for clinical deployment. Code will be released upon publication.
title RadReason: Radiology Report Evaluation Metric with Reasons and Sub-Scores
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2508.15464