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arXiv · 2510.00428

Automated Structured Radiology Report Generation with Rich Clinical Context

Seongjae Kang·Dong Bok Lee·Juho Jung·Dongseop Kim·Won Hwa Kim·Sunghoon Joo
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Abstract

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

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Seongjae Kang, Dong Bok Lee, Juho Jung, Dongseop Kim, Won Hwa Kim, Sunghoon Joo. 2025-10-01. Automated Structured Radiology Report Generation with Rich Clinical Context. https://arxiv.org/abs/2510.00428

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