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About this paper

Xiang Zhang, Shijie Song, Wanqing Zhao, Wei Zhou, Rui Cao, Dekui Wang, Qiyao Hu, Xianlin Peng and 3 more

AR-RRG generates chest-X-ray reports by combining anatomically constrained lesion detection, whole-report templates, finding-specific phrases, similar-case consensus, and visual tokens from a frozen encoder. A LoRA-tuned language model uses these cues to draft reports. On MIMIC-CXR, adding neighborhood consensus raises 14-finding CheXbert Micro-F1 from 0.526 to 0.582, while adding 625 false positives; the gain concerns label recovery, not image-level correctness.

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