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Paper · arXiv

Graph-Supervised Hierarchical Clinical Alignment for Radiology Report Generation with Large Language Models

Radiology report generation (RRG) has recently benefited from large language models, which substantially improve report fluency. However, clinically faithful generation remains challenging because current supervision is still imposed mostly at the report level. This creates a granularity mismatch: radiology reports are composed of disease-grounded findings, while existing methods are trained mainly with whole-report objectives. To address this problem, we propose Graph-Supervised Hierarchical Clinical Alignment, which reformulates image-report supervision as a hierarchical clinical alignment problem. Our method structures this alignment as a disease-conditioned process, where supervision ...

AuthorsYingshu Li, Yunyi Liu, Zhanyu Wang et al.
Primary categorycs.CV
Published25 August 2026
Last updated at source16 September 2026
cs.CV
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