Process Reward Models for Sentence-Level Verification of LVLM Radiology Reports
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arXiv
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| Autori principali: | , , , |
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| Natura: | Preprint |
| Pubblicazione: |
2025
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| _version_ | 1866909870924496896 |
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| author | Thomas, Alois Varma, Maya Delbrouck, Jean-Benoit Langlotz, Curtis P. |
| author_facet | Thomas, Alois Varma, Maya Delbrouck, Jean-Benoit Langlotz, Curtis P. |
| contents | Automating radiology report generation with Large Vision-Language Models (LVLMs) holds great potential, yet these models often produce clinically critical hallucinations, posing serious risks. Existing hallucination detection methods frequently lack the necessary sentence-level granularity or robust generalization across different LVLM generators. We introduce a novel approach: a sentence-level Process Reward Model (PRM) adapted for this vision-language task. Our PRM predicts the factual correctness of each generated sentence, conditioned on clinical context and preceding text. When fine-tuned on MIMIC-CXR with weakly-supervised labels, a lightweight 0.5B-parameter PRM outperforms existing verification techniques, demonstrating, for instance, relative improvements of 7.5% in Matthews Correlation Coefficient and 1.8% in AUROC over strong white-box baselines on outputs from one LVLM. Unlike methods reliant on internal model states, our PRM demonstrates strong generalization to an unseen LVLM. We further show its practical utility: PRM scores effectively filter low-quality reports, improving F1-CheXbert scores by 4.5% (when discarding the worst 10% of reports). Moreover, when guiding a novel weighted best-of-N selection process on the MIMIC-CXR test set, our PRM show relative improvements in clinical metrics of 7.4% for F1-CheXbert and 0.6% for BERTScore. These results demonstrate that a lightweight, context-aware PRM provides a model-agnostic safety layer for clinical LVLMs without access to internal activations |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2510_23217 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | Process Reward Models for Sentence-Level Verification of LVLM Radiology Reports Thomas, Alois Varma, Maya Delbrouck, Jean-Benoit Langlotz, Curtis P. Computation and Language Artificial Intelligence Automating radiology report generation with Large Vision-Language Models (LVLMs) holds great potential, yet these models often produce clinically critical hallucinations, posing serious risks. Existing hallucination detection methods frequently lack the necessary sentence-level granularity or robust generalization across different LVLM generators. We introduce a novel approach: a sentence-level Process Reward Model (PRM) adapted for this vision-language task. Our PRM predicts the factual correctness of each generated sentence, conditioned on clinical context and preceding text. When fine-tuned on MIMIC-CXR with weakly-supervised labels, a lightweight 0.5B-parameter PRM outperforms existing verification techniques, demonstrating, for instance, relative improvements of 7.5% in Matthews Correlation Coefficient and 1.8% in AUROC over strong white-box baselines on outputs from one LVLM. Unlike methods reliant on internal model states, our PRM demonstrates strong generalization to an unseen LVLM. We further show its practical utility: PRM scores effectively filter low-quality reports, improving F1-CheXbert scores by 4.5% (when discarding the worst 10% of reports). Moreover, when guiding a novel weighted best-of-N selection process on the MIMIC-CXR test set, our PRM show relative improvements in clinical metrics of 7.4% for F1-CheXbert and 0.6% for BERTScore. These results demonstrate that a lightweight, context-aware PRM provides a model-agnostic safety layer for clinical LVLMs without access to internal activations |
| title | Process Reward Models for Sentence-Level Verification of LVLM Radiology Reports |
| topic | Computation and Language Artificial Intelligence |
| url | https://arxiv.org/abs/2510.23217 |