@inproceedings{delbrouck-etal-2025-automated,
title = "Automated Structured Radiology Report Generation",
author = "Delbrouck, Jean-Benoit and
Xu, Justin and
Moll, Johannes and
Thomas, Alois and
Chen, Zhihong and
Ostmeier, Sophie and
Azhar, Asfandyar and
Li, Kelvin Zhenghao and
Johnston, Andrew and
Bluethgen, Christian and
Reis, Eduardo Pontes and
Muneer, Mohamed S and
Varma, Maya and
Langlotz, Curtis",
editor = "Che, Wanxiang and
Nabende, Joyce and
Shutova, Ekaterina and
Pilehvar, Mohammad Taher",
booktitle = "Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)",
month = jul,
year = "2025",
address = "Vienna, Austria",
publisher = "Association for Computational Linguistics",
url = "https://aclanthology.org/2025.acl-long.1301/",
doi = "10.18653/v1/2025.acl-long.1301",
pages = "26813--26829",
ISBN = "979-8-89176-251-0",
abstract = "Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists' workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus, consist entirely of free-form reports, which are inherently variable and unstructured. This variability poses challenges for both generation and evaluation: existing models struggle to produce consistent, clinically meaningful reports, and standard evaluation metrics fail to capture the nuances of radiological interpretation. To address this, we introduce Structured Radiology Report Generation (SRRG), a new task that reformulates free-text radiology reports into a standardized format, ensuring clarity, consistency, and structured clinical reporting. We create a novel dataset by restructuring reports using large language models (LLMs) following strict structured reporting desiderata. Additionally, we introduce SRR-BERT, a fine-grained disease classification model trained on 55 labels, enabling more precise and clinically informed evaluation of structured reports. To assess report quality, we propose F1-SRR-BERT, a metric that leverages SRR-BERT{'}s hierarchical disease taxonomy to bridge the gap between free-text variability and structured clinical reporting. We validate our dataset through a reader study conducted by five board-certified radiologists and extensive benchmarking experiments."
}<?xml version="1.0" encoding="UTF-8"?>
<modsCollection xmlns="http://www.loc.gov/mods/v3">
<mods ID="delbrouck-etal-2025-automated">
<titleInfo>
<title>Automated Structured Radiology Report Generation</title>
</titleInfo>
<name type="personal">
<namePart type="given">Jean-Benoit</namePart>
<namePart type="family">Delbrouck</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Justin</namePart>
<namePart type="family">Xu</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Johannes</namePart>
<namePart type="family">Moll</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Alois</namePart>
<namePart type="family">Thomas</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Zhihong</namePart>
<namePart type="family">Chen</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Sophie</namePart>
<namePart type="family">Ostmeier</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Asfandyar</namePart>
<namePart type="family">Azhar</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Kelvin</namePart>
<namePart type="given">Zhenghao</namePart>
<namePart type="family">Li</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Andrew</namePart>
<namePart type="family">Johnston</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Christian</namePart>
<namePart type="family">Bluethgen</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Eduardo</namePart>
<namePart type="given">Pontes</namePart>
<namePart type="family">Reis</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Mohamed</namePart>
<namePart type="given">S</namePart>
<namePart type="family">Muneer</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Maya</namePart>
<namePart type="family">Varma</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Curtis</namePart>
<namePart type="family">Langlotz</namePart>
<role>
<roleTerm authority="marcrelator" type="text">author</roleTerm>
</role>
</name>
<originInfo>
<dateIssued>2025-07</dateIssued>
</originInfo>
<typeOfResource>text</typeOfResource>
<relatedItem type="host">
<titleInfo>
<title>Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)</title>
</titleInfo>
<name type="personal">
<namePart type="given">Wanxiang</namePart>
<namePart type="family">Che</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Joyce</namePart>
<namePart type="family">Nabende</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ekaterina</namePart>
<namePart type="family">Shutova</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Mohammad</namePart>
<namePart type="given">Taher</namePart>
<namePart type="family">Pilehvar</namePart>
<role>
<roleTerm authority="marcrelator" type="text">editor</roleTerm>
</role>
</name>
<originInfo>
<publisher>Association for Computational Linguistics</publisher>
<place>
<placeTerm type="text">Vienna, Austria</placeTerm>
</place>
</originInfo>
<genre authority="marcgt">conference publication</genre>
<identifier type="isbn">979-8-89176-251-0</identifier>
</relatedItem>
<abstract>Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists’ workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus, consist entirely of free-form reports, which are inherently variable and unstructured. This variability poses challenges for both generation and evaluation: existing models struggle to produce consistent, clinically meaningful reports, and standard evaluation metrics fail to capture the nuances of radiological interpretation. To address this, we introduce Structured Radiology Report Generation (SRRG), a new task that reformulates free-text radiology reports into a standardized format, ensuring clarity, consistency, and structured clinical reporting. We create a novel dataset by restructuring reports using large language models (LLMs) following strict structured reporting desiderata. Additionally, we introduce SRR-BERT, a fine-grained disease classification model trained on 55 labels, enabling more precise and clinically informed evaluation of structured reports. To assess report quality, we propose F1-SRR-BERT, a metric that leverages SRR-BERT’s hierarchical disease taxonomy to bridge the gap between free-text variability and structured clinical reporting. We validate our dataset through a reader study conducted by five board-certified radiologists and extensive benchmarking experiments.</abstract>
<identifier type="citekey">delbrouck-etal-2025-automated</identifier>
<identifier type="doi">10.18653/v1/2025.acl-long.1301</identifier>
<location>
<url>https://aclanthology.org/2025.acl-long.1301/</url>
</location>
<part>
<date>2025-07</date>
<extent unit="page">
<start>26813</start>
<end>26829</end>
</extent>
</part>
</mods>
</modsCollection>
%0 Conference Proceedings
%T Automated Structured Radiology Report Generation
%A Delbrouck, Jean-Benoit
%A Xu, Justin
%A Moll, Johannes
%A Thomas, Alois
%A Chen, Zhihong
%A Ostmeier, Sophie
%A Azhar, Asfandyar
%A Li, Kelvin Zhenghao
%A Johnston, Andrew
%A Bluethgen, Christian
%A Reis, Eduardo Pontes
%A Muneer, Mohamed S.
%A Varma, Maya
%A Langlotz, Curtis
%Y Che, Wanxiang
%Y Nabende, Joyce
%Y Shutova, Ekaterina
%Y Pilehvar, Mohammad Taher
%S Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers)
%D 2025
%8 July
%I Association for Computational Linguistics
%C Vienna, Austria
%@ 979-8-89176-251-0
%F delbrouck-etal-2025-automated
%X Automated radiology report generation from chest X-ray (CXR) images has the potential to improve clinical efficiency and reduce radiologists’ workload. However, most datasets, including the publicly available MIMIC-CXR and CheXpert Plus, consist entirely of free-form reports, which are inherently variable and unstructured. This variability poses challenges for both generation and evaluation: existing models struggle to produce consistent, clinically meaningful reports, and standard evaluation metrics fail to capture the nuances of radiological interpretation. To address this, we introduce Structured Radiology Report Generation (SRRG), a new task that reformulates free-text radiology reports into a standardized format, ensuring clarity, consistency, and structured clinical reporting. We create a novel dataset by restructuring reports using large language models (LLMs) following strict structured reporting desiderata. Additionally, we introduce SRR-BERT, a fine-grained disease classification model trained on 55 labels, enabling more precise and clinically informed evaluation of structured reports. To assess report quality, we propose F1-SRR-BERT, a metric that leverages SRR-BERT’s hierarchical disease taxonomy to bridge the gap between free-text variability and structured clinical reporting. We validate our dataset through a reader study conducted by five board-certified radiologists and extensive benchmarking experiments.
%R 10.18653/v1/2025.acl-long.1301
%U https://aclanthology.org/2025.acl-long.1301/
%U https://doi.org/10.18653/v1/2025.acl-long.1301
%P 26813-26829
Markdown (Informal)
[Automated Structured Radiology Report Generation](https://aclanthology.org/2025.acl-long.1301/) (Delbrouck et al., ACL 2025)
ACL
- Jean-Benoit Delbrouck, Justin Xu, Johannes Moll, Alois Thomas, Zhihong Chen, Sophie Ostmeier, Asfandyar Azhar, Kelvin Zhenghao Li, Andrew Johnston, Christian Bluethgen, Eduardo Pontes Reis, Mohamed S Muneer, Maya Varma, and Curtis Langlotz. 2025. Automated Structured Radiology Report Generation. In Proceedings of the 63rd Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers), pages 26813–26829, Vienna, Austria. Association for Computational Linguistics.