Gaze2Report: Radiology Report Generation via Visual-Gaze Prompt Tuning of LLMs

Fuente: arXiv
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Auteurs principaux: Konwer, Aishik, Bhattacharya, Moinak, Prasanna, Prateek
Format: Preprint
Publié: 2026
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author Konwer, Aishik
Bhattacharya, Moinak
Prasanna, Prateek
author_facet Konwer, Aishik
Bhattacharya, Moinak
Prasanna, Prateek
contents Existing deep learning methods for radiology report generation enhance diagnostic efficiency but often overlook physician-informed medical priors. This leads to a suboptimal alignment between the structured explanations and disease manifestations. Eye gaze data provides critical insights into a radiologist's visual attention, enhancing the relevance and interpretability of extracted features while aligning with human decision-making processes. However, despite its promising potential, the integration of eye gaze information into AI-driven medical imaging workflows is impeded by challenges such as the complexity of multimodal data fusion and the high cost of gaze acquisition, particularly its absence during inference, limiting its practical applicability in real-world clinical settings. To address these issues, we introduce Gaze2Report, a framework which leverages a scanpath prediction module and Graph Neural Network (GNN) to generate joint visual-gaze tokens. Combined with instruction and report tokens, these form a multimodal prompt used to fine-tune LoRA layers of large language models (LLMs) for autoregressive report generation. Gaze2Report enhances report quality through eye-gaze-guided visual learning and incorporates on-the-fly scanpath prediction, enabling the model to operate without gaze input during inference.
format Preprint
id arxiv_https___arxiv_org_abs_2604_08600
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Gaze2Report: Radiology Report Generation via Visual-Gaze Prompt Tuning of LLMs
Konwer, Aishik
Bhattacharya, Moinak
Prasanna, Prateek
Tissues and Organs
Image and Video Processing
Existing deep learning methods for radiology report generation enhance diagnostic efficiency but often overlook physician-informed medical priors. This leads to a suboptimal alignment between the structured explanations and disease manifestations. Eye gaze data provides critical insights into a radiologist's visual attention, enhancing the relevance and interpretability of extracted features while aligning with human decision-making processes. However, despite its promising potential, the integration of eye gaze information into AI-driven medical imaging workflows is impeded by challenges such as the complexity of multimodal data fusion and the high cost of gaze acquisition, particularly its absence during inference, limiting its practical applicability in real-world clinical settings. To address these issues, we introduce Gaze2Report, a framework which leverages a scanpath prediction module and Graph Neural Network (GNN) to generate joint visual-gaze tokens. Combined with instruction and report tokens, these form a multimodal prompt used to fine-tune LoRA layers of large language models (LLMs) for autoregressive report generation. Gaze2Report enhances report quality through eye-gaze-guided visual learning and incorporates on-the-fly scanpath prediction, enabling the model to operate without gaze input during inference.
title Gaze2Report: Radiology Report Generation via Visual-Gaze Prompt Tuning of LLMs
topic Tissues and Organs
Image and Video Processing
url https://arxiv.org/abs/2604.08600