SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learning

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Autori principali: Gulluk, Halil Ibrahim, Gevaert, Olivier
Natura: Preprint
Pubblicazione: 2026
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author Gulluk, Halil Ibrahim
Gevaert, Olivier
author_facet Gulluk, Halil Ibrahim
Gevaert, Olivier
contents Medical vision-language datasets are often limited in size and biased toward negative findings, as clinicians report abnormalities mostly but might omit some positive/neutral findings because they might be considered as irrelevant to the patient's condition. We propose a self-supervised data enrichment method that leverages semantic clustering of report sentences. Then we enrich the findings in the medical reports in the training set by adding positive/neutral observations from different clusters in a self-supervised manner. Our approach yields consistent gains in supervised fine-tuning (5.63%, 3.04%, 7.40%, 5.30%, 7.47% average gains on COMET score, Bert score, Sentence Bleu, CheXbert-F1 and RadGraph-F1 scores respectively). Ablation studies confirm that improvements stem from semantic clustering rather than random augmentation. Furthermore, we introduce a way to incorporate semantic cluster information into the reward design for GRPO training, which leads to further performance gains (2.78%, 3.14%, 12.80% average gains on COMET score, Bert score and Sentence Bleu scores respectively). We share our code at https://anonymous.4open.science/r/SemEnrich-75CF
format Preprint
id arxiv_https___arxiv_org_abs_2604_09887
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learning
Gulluk, Halil Ibrahim
Gevaert, Olivier
Machine Learning
Medical vision-language datasets are often limited in size and biased toward negative findings, as clinicians report abnormalities mostly but might omit some positive/neutral findings because they might be considered as irrelevant to the patient's condition. We propose a self-supervised data enrichment method that leverages semantic clustering of report sentences. Then we enrich the findings in the medical reports in the training set by adding positive/neutral observations from different clusters in a self-supervised manner. Our approach yields consistent gains in supervised fine-tuning (5.63%, 3.04%, 7.40%, 5.30%, 7.47% average gains on COMET score, Bert score, Sentence Bleu, CheXbert-F1 and RadGraph-F1 scores respectively). Ablation studies confirm that improvements stem from semantic clustering rather than random augmentation. Furthermore, we introduce a way to incorporate semantic cluster information into the reward design for GRPO training, which leads to further performance gains (2.78%, 3.14%, 12.80% average gains on COMET score, Bert score and Sentence Bleu scores respectively). We share our code at https://anonymous.4open.science/r/SemEnrich-75CF
title SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learning
topic Machine Learning
url https://arxiv.org/abs/2604.09887