arXiv subjects

Kinhei Lee

Publications and source records attributed to Kinhei Lee.

5 recordsLinked to original sources

arXiv2026

Seeing Through Experts Eyes A Foundational Vision Language Model Trained on Radiologists Gaze and Reasoning

Large scale vision language models have shown promise in automating chest Xray interpretation, yet their clinical utility remains limited by a gap between model outputs and radiologist reasoning. Most systems optimize for semantic information without emulating how experts visually examine medical images, often overlooking critical findings or diverging from established diagnostic workflows. Radiologists follow structured protocols (e.g., the ABCDEF approach) that ensure all clinically relevant regions are systematically examined, reducing missed findings and supporting reliable diagnostic reasoning. We introduce GazeX, a vision language model that leverages radiologists' eye tracking data as a behavioral prior to model expert diagnostic reasoning. By incorporating gaze trajectories and fixation patterns into pretraining, GazeX learns to follow the spatial and temporal structure of radiologist attention and integrates observations in a clinically meaningful sequence. Using a curated dataset of over 30,000 gaze key frames from five radiologists, we demonstrate that GazeX produces more accurate, interpretable, and expert consistent outputs across radiology report generation, disease grounding, and visual question answering, utilizing 231,835 radiographic studies, 780,014 question answer pairs, and 1,162 image sentence pairs with bounding boxes. Unlike autonomous reporting systems, GazeX produces verifiable evidence artifacts, including inspection trajectories and finding linked localized regions, enabling efficient human verification and safe human AI collaboration. Learning through expert eyes provides a practical route toward more trustworthy, explainable, and diagnostically robust AI systems for radiology and beyond.

cs.AI↗

arXiv2025

Musical Score Understanding Benchmark: Evaluating Large Language Models' Comprehension of Complete Musical Scores

Understanding complete musical scores entails integrated reasoning over pitch, rhythm, harmony, and large-scale structure, yet the ability of Large Language Models and Vision--Language Models to interpret full musical notation remains insufficiently examined. We introduce Musical Score Understanding Benchmark (MSU-Bench), a human-curated benchmark for score-level musical understanding across textual (ABC notation) and visual (PDF) modalities. MSU-Bench contains 1,800 generative question-answer pairs from works by Bach, Beethoven, Chopin, Debussy, and others, organised into four levels of increasing difficulty, ranging from onset information to texture and form. Evaluations of more than fifteen state-of-the-art models, in both zero-shot and fine-tuned settings, reveal pronounced modality gaps, unstable level-wise performance, and challenges in maintaining multilevel correctness. Fine-tuning substantially improves results across modalities while preserving general knowledge, positioning MSU-Bench as a robust foundation for future research in multimodal reasoning. The benchmark and code are available at https://github.com/Congren-Dai/MSU-Bench.

cs.SD↗

arXiv2025

Reason Like a Radiologist: Chain-of-Thought and Reinforcement Learning for Verifiable Report Generation

Radiology report generation is critical for efficiency but current models lack the structured reasoning of experts, hindering clinical trust and explainability by failing to link visual findings to precise anatomical locations. This paper introduces BoxMed-RL, a groundbreaking unified training framework for generating spatially verifiable and explainable radiology reports. Built on a large vision-language model, BoxMed-RL revolutionizes report generation through two integrated phases: (1) In the Pretraining Phase, we refine the model via medical concept learning, using Chain-of-Thought supervision to internalize the radiologist-like workflow, followed by spatially verifiable reinforcement, which applies reinforcement learning to align medical findings with bounding boxes. (2) In the Downstream Adapter Phase, we freeze the pretrained weights and train a downstream adapter to ensure fluent and clinically credible reports. This framework precisely mimics radiologists' workflow, compelling the model to connect high-level medical concepts with definitive anatomical evidence. Extensive experiments on public datasets demonstrate that BoxMed-RL achieves an average 7% improvement in both METEOR and ROUGE-L metrics compared to state-of-the-art methods. An average 5% improvement in large language model-based metrics further underscores BoxMed-RL's robustness in generating high-quality radiology reports.

cs.AI↗

arXiv2025

GEMA-Score: Granular Explainable Multi-Agent Scoring Framework for Radiology Report Evaluation

Automatic medical report generation has the potential to support clinical diagnosis, reduce the workload of radiologists, and demonstrate potential for enhancing diagnostic consistency. However, current evaluation metrics often fail to reflect the clinical reliability of generated reports. Early overlap-based methods focus on textual matches between predicted and ground-truth entities but miss fine-grained clinical details (e.g., anatomical location, severity). Some diagnostic metrics are limited by fixed vocabularies or templates, reducing their ability to capture diverse clinical expressions. LLM-based approaches further lack interpretable reasoning steps, making it hard to assess or trust their behavior in safety-critical settings. These limitations hinder the comprehensive assessment of the reliability of generated reports and pose risks in their selection for clinical use. Therefore, we propose a Granular Explainable Multi-Agent Score (GEMA-Score) in this paper, which conducts both objective quantification and subjective evaluation through a large language model-based multi-agent workflow. Our GEMA-Score parses structured reports and employs stable calculations through interactive exchanges of information among agents to assess disease diagnosis, location, severity, and uncertainty. Additionally, an LLM-based scoring agent evaluates completeness, readability, and clinical terminology while providing explanatory feedback. Extensive experiments validate that GEMA-Score achieves the highest correlation with human expert evaluations on a public dataset, demonstrating its effectiveness in clinical scoring (Kendall coefficient = $0.69$ for ReXVal dataset and Kendall coefficient = $0.45$ for RadEvalX dataset). The anonymous project demo is available at: https://github.com/Zhenxuan-Zhang/GEMA_score.

cs.CL↗

arXiv2024

Expert Insight-Enhanced Follow-up Chest X-Ray Summary Generation

A chest X-ray radiology report describes abnormal findings not only from X-ray obtained at current examination, but also findings on disease progression or change in device placement with reference to the X-ray from previous examination. Majority of the efforts on automatic generation of radiology report pertain to reporting the former, but not the latter, type of findings. To the best of the authors' knowledge, there is only one work dedicated to generating summary of the latter findings, i.e., follow-up summary. In this study, we therefore propose a transformer-based framework to tackle this task. Motivated by our observations on the significance of medical lexicon on the fidelity of summary generation, we introduce two mechanisms to bestow expert insight to our model, namely expert soft guidance and masked entity modeling loss. The former mechanism employs a pretrained expert disease classifier to guide the presence level of specific abnormalities, while the latter directs the model's attention toward medical lexicon. Extensive experiments were conducted to demonstrate that the performance of our model is competitive with or exceeds the state-of-the-art.

cs.MM↗