AR-RRG: Anatomy-Guided Retrieval-Driven Radiology Report Generation
Xiang Zhang, Shijie Song, Wanqing Zhao, Wei Zhou, Rui Cao, Dekui Wang, Qiyao Hu, Xianlin Peng, Hangzai Luo, Sheng Zhong, Jianping Fan
Abstract
Radiology report generation (RRG) streamlines clinical workflows and alleviates the burden of radiologists' documentation. Standard vision-language models capture global visual cues and lack fine-grained alignment between anatomical regions and diagnostic text. Most retrieval-augmented methods retrieve complete historical reports, introducing redundant noise and severe vision-text mismatches that trigger clinically risky hallucinations and missed lesions. In this paper, we introduce AR-RRG, an anatomy-guided retrieval-driven method for the generation of radiology reports. AR-RRG consists of two core modules: the anatomy-aware self-training lesion detection network (ASLDNet) and the retrieval-driven radiology report generation (RRRG). ASLDNet leverages anatomy-aware spatial verification (ASV) and class-adaptive dynamic thresholding (CDT) via self-training, delivering accurate lesion localization to support subsequent generation. As the generative branch of AR-RRG, RRRG eliminates clinical hallucinations through dual-granularity retrieval (DR) and complements missing lesions with a neighborhood consensus (NC) mechanism. A parallel continuous visual perception (PCVP) stream converts radiographs into visual tokens through fixed medical encoding and resampling. Multi-scale text and visual features are fused, followed by LoRA-efficient large language model tuning to generate clinically consistent, visually grounded radiology reports. Extensive evaluations on MS-CXR, MIMIC-CXR, and IU X-Ray demonstrate that AR-RRG consistently outperforms state-of-the-art methods across mainstream metrics. Our code will be made publicly available.