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Paper · arXiv

Enhancing Reinforcement Learning for Radiology Report Generation with Evidence-aware Rewards and Self-correcting Preference Learning

Recent reinforcement learning (RL) approaches have advanced radiology report generation (RRG), yet two core limitations persist: (1) report-level rewards offer limited evidence-grounded guidance for clinical faithfulness; and (2) current methods lack an explicit self-improving mechanism to align with clinical preference. We introduce clinically aligned Evidence-aware Self-Correcting Reinforcement Learning (ESC-RL), comprising two key components. First, a Group-wise Evidence-aware Alignment Reward (GEAR) delivers group-wise, evidence-aware feedback. GEAR reinforces consistent grounding for true positives, recovers missed findings for false negatives, and suppresses unsupported content for ...

AuthorsQin Zhou, Guoyan Liang, Qianyi Yang et al.
Primary categorycs.LG
Published15 April 2026
Last updated at source15 April 2026
cs.LGstat.ME
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