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Paper · arXiv

Towards Better Aligned LLM Judges for Radiology Report Evaluation across Modalities and Anatomies

Current work on radiology report evaluation has focused primarily on LLM-based metrics for chest X-rays (CXR), leaving open whether such approaches remain robust across other modalities and anatomies, and which model and prompt configurations are best suited to serve as LLM judges. We present a comprehensive evaluation of LLM judges for radiology report evaluation across diverse model families, prompting strategies, and adaptation methods, leveraging two expert-annotated datasets that span multiple imaging modalities and anatomical regions. Specifically, we compare four existing metrics (RadFact, GREEN, FineRadScore, and CRIMSON) with our proposed metric, VERT, across open- and closed-sou...

AuthorsFederica Bologna, Jean-Philippe Corbeil, Matthew Wilkens et al.
Primary categorycs.AI
Published3 April 2026
Last updated at source14 October 2026
cs.AIcs.CL
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