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Paper · arXiv

DiffVP: Differential Visual Semantic Prompting for LLM-Based CT Report Generation

While large language models (LLMs) have advanced CT report generation, existing methods typically encode 3D volumes holistically, failing to distinguish informative cues from redundant anatomical background. Inspired by radiological cognitive subtraction, we propose Differential Visual Prompting (DiffVP), which conditions report generation on explicit, high-level semantic scan-to-reference differences rather than solely on absolute visual features. DiffVP employs a hierarchical difference extractor to capture complementary global and local semantic discrepancies into a shared latent space, along with a difference-to-prompt generator that transforms these signals into learnable visual pref...

AuthorsYuhe Tian, Kun Zhang, Haoran Ma et al.
Primary categorycs.CV
Published18 March 2026
Last updated at source18 March 2026
cs.CV
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