MAC-RRG: Iterative Multi-Agent Collaboration for X-ray Radiology Report Generation

📅 2026-09-19
📈 Citations: 0
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🤖 AI Summary
本文提出MAC-RRG框架,通过多智能体协作和迭代优化解决X射线报告生成中的医学幻觉与低解释性问题,结合结构化与非结构化知识指导模型逐步改进报告。
📝 Abstract
Despite the remarkable progress of LLM-based and knowledge graph-augmented Radiology Report Generation (RRG) methods, existing techniques still suffer from inherent defects. Conventional LLM-only models lack structured medical prior knowledge, resulting in frequent medical hallucinations and low diagnostic interpretability. Current knowledge graph-enhanced schemes adopt static one-round knowledge fusion with single-source knowledge, incapable of dynamic knowledge updating according to generation feedback. This paper proposes a novel Multi-Agent Collaborative iterative framework for X-ray Radiology Report Generation, termed MAC-RRG. Inspired by multi-agent technology, our framework constructs a closed-loop optimization paradigm based on task decoupling and collaborative reasoning. Specifically, the framework first generates a preliminary radiology report from input X-ray images via a vision encoder and a basic LLM. Subsequently, a multimodal knowledge graph (MM-KG) agent mines structured disease correlation and anatomical knowledge from medical knowledge graphs, while an auxiliary knowledge agent extracts unstructured domain knowledge from public medical databases. The multi-source knowledge acquired by dual agents is fused and embedded to guide the LLM in iteratively refining the initial report. Extensive quantitative and qualitative experiments on mainstream X-ray RRG datasets, including IU X-ray, MIMIC, and CheXpert Plus, fully verify the superiority of our proposed method. The source code and pre-trained models have been released on https://github.com/Event-AHU/Medical_Image_Analysis
Problem

Research questions and friction points this paper is trying to address.

Radiology Report Generation
Medical Hallucinations
Diagnostic Interpretability
Knowledge Fusion
Dynamic Knowledge Updating
Innovation

Methods, ideas, or system contributions that make the work stand out.

Multi-Agent Collaboration
Iterative Refinement
Multimodal Knowledge Graph
Closed-loop Optimization
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