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@Michael Oberst
报告书写习惯影响评测:参考报告选择对胸部 X 光报告评估的影响
放射科医生书写习惯存在异质性,同一影像、同一临床发现可能因术语、缩写、格式和详略不同而生成表面差异明显的报告,这给基于与人工参考报告一致性的 AI 放射报告生成(RRG)评测带来被低估的障碍。本文量化了既有评测指标对报告书写习惯变异的敏感性,发现其影响足以改变模型排名;作者提出由放射科医生参与制定的报告变异分类体系,以及在不改变临床解读的前提下沿该分类轴改写参考报告的方法 ReRef,并在 MIMIC 上比较了九个 RRG 模型。
AI推荐理由 针对放射报告生成(RRG)评测中参考报告选择偏差这一被低估的问题,提出放射科医生参与制定的报告变异分类体系与 ReRef 改写方法,并量化了评测指标对报告书写习惯的敏感性,指出其影响足以改变模型排名。属于评测方法论层面的具体新贡献,对医学 AI 评测有实际用途;局限是摘要仅给出在 MIMIC 上比较九个 RRG 模型的片段,未展示完整结果与指标细节。
72
正文
Computer Science > Computation and Language
arXiv:2609.19093v1 (cs)
[Submitted on 16 Sep 2026]
Title:Reporting Practice Matters: The Impact of Reference Choice on Chest X-ray Report Evaluation
Authors:Daniel P. Jeong, Charles Q. Li, Hossein Hosseiny, Nitya M. Bhalla, Fatma Uyar Morency, Pradeep Ravikumar, Zachary C. Lipton, Michael Oberst
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Abstract:Radiologists follow heterogeneous reporting practices. Two radiologists examining the same image and identifying the same clinical findings might nevertheless compose superficially distinct reports, varying in terminology, shorthand, formatting, and level of detail. These variations in reporting norms represent an under-appreciated obstacle in efforts to evaluate AI-based radiology report generation (RRG) models, where machine-generated reports are typically assessed based on their concordance with human-generated references. In this paper, we quantify the sensitivity of established evaluation metrics to variations in reporting practices, revealing impacts large enough to alter the rankings of models. We introduce a radiologist-informed taxonomy of variations in radiology reporting practice and a method (ReRef) that rewrites reference reports along the axes of our taxonomy while preserving clinical interpretation. For instance, when comparing the performance of nine RRG models on MIMIC-CXR using RadCliQ-v1, condensing the discussion of normal findings in the reference reports causes Libra to drop from first to second place while CheXOne rises from third to first. Our results suggest that many current metrics fail to decouple clinical interpretation from conformity to reporting practices and that choosing the ``right'' references that accurately reflect the desired reporting practices can be important in practice. To support future research, we release MIMIC-CXR-Ext-ReRef, a radiologist-validated dataset of 120 (original, alternative) reference report pairs derived from MIMIC-CXR.
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Subjects:
Computation and Language (cs.CL); Artificial Intelligence (cs.AI)
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arXiv:2609.19093 [cs.CL]
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arXiv:2609.19093v1 [cs.CL] for this version)
https://doi.org/10.48550/arXiv.2609.19093
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From: Daniel Jeong [view email]
[v1]
Wed, 16 Sep 2026 17:28:51 UTC (1,158 KB)
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