@inproceedings{rabaey-etal-2026-modeling,
title = "Modeling Clinical Uncertainty in Radiology Reports: From Explicit Uncertainty Markers to Implicit Reasoning Pathways",
author = "Rabaey, Paloma and
Moon, Jong Hak and
Lee, Jung-Oh and
Kim, Min Gwan and
Yoon, Hangyul and
Demeester, Thomas and
Choi, Edward",
editor = "Piperidis, Stelios and
Bel, N{\'u}ria and
van den Heuvel, Henk and
Ide, Nancy and
Krek, Simon and
Toral, Antonio",
booktitle = "Proceedings of the Fifteenth Language Resources and Evaluation Conference",
month = may,
year = "2026",
address = "Palma de Mallorca, Spain",
publisher = "ELRA Language Resource Association",
url = "https://aclanthology.org/2026.lrec-1.928/",
doi = "10.63317/2i8nrgcnb52p",
pages = "11852--11873",
abstract = "Radiology reports are invaluable for clinical decision-making and hold great potential for automated analysis when structured into machine-readable formats. These reports often contain uncertainty, which we categorize into two distinct types: (i) Explicit uncertainty reflects doubt about the presence or absence of findings, conveyed through hedging phrases. These vary in meaning depending on the context, making rule-based systems insufficient to quantify the level of uncertainty for specific findings; (ii) Implicit uncertainty arises when radiologists omit parts of their reasoning, recording only key findings or diagnoses. Here, it is often unclear whether omitted findings are truly absent or simply unmentioned for brevity. We address these challenges with a two-part framework. We quantify explicit uncertainty by creating an expert-validated, LLM-based reference ranking of common hedging phrases, and mapping each finding to a probability value based on this reference. In addition, we model implicit uncertainty through an expansion framework that systematically adds characteristic sub-findings derived from expert-defined diagnostic pathways for 14 common diagnoses. Using these methods, we release Lunguage++, an expanded, uncertainty-aware version of the Lunguage benchmark of fine-grained structured radiology reports. This enriched resource enables uncertainty-aware image classification, faithful diagnostic reasoning, and new investigations into the clinical impact of diagnostic uncertainty."
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<abstract>Radiology reports are invaluable for clinical decision-making and hold great potential for automated analysis when structured into machine-readable formats. These reports often contain uncertainty, which we categorize into two distinct types: (i) Explicit uncertainty reflects doubt about the presence or absence of findings, conveyed through hedging phrases. These vary in meaning depending on the context, making rule-based systems insufficient to quantify the level of uncertainty for specific findings; (ii) Implicit uncertainty arises when radiologists omit parts of their reasoning, recording only key findings or diagnoses. Here, it is often unclear whether omitted findings are truly absent or simply unmentioned for brevity. We address these challenges with a two-part framework. We quantify explicit uncertainty by creating an expert-validated, LLM-based reference ranking of common hedging phrases, and mapping each finding to a probability value based on this reference. In addition, we model implicit uncertainty through an expansion framework that systematically adds characteristic sub-findings derived from expert-defined diagnostic pathways for 14 common diagnoses. Using these methods, we release Lunguage++, an expanded, uncertainty-aware version of the Lunguage benchmark of fine-grained structured radiology reports. This enriched resource enables uncertainty-aware image classification, faithful diagnostic reasoning, and new investigations into the clinical impact of diagnostic uncertainty.</abstract>
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%0 Conference Proceedings
%T Modeling Clinical Uncertainty in Radiology Reports: From Explicit Uncertainty Markers to Implicit Reasoning Pathways
%A Rabaey, Paloma
%A Moon, Jong Hak
%A Lee, Jung-Oh
%A Kim, Min Gwan
%A Yoon, Hangyul
%A Demeester, Thomas
%A Choi, Edward
%Y Piperidis, Stelios
%Y Bel, Núria
%Y van den Heuvel, Henk
%Y Ide, Nancy
%Y Krek, Simon
%Y Toral, Antonio
%S Proceedings of the Fifteenth Language Resources and Evaluation Conference
%D 2026
%8 May
%I ELRA Language Resource Association
%C Palma de Mallorca, Spain
%F rabaey-etal-2026-modeling
%X Radiology reports are invaluable for clinical decision-making and hold great potential for automated analysis when structured into machine-readable formats. These reports often contain uncertainty, which we categorize into two distinct types: (i) Explicit uncertainty reflects doubt about the presence or absence of findings, conveyed through hedging phrases. These vary in meaning depending on the context, making rule-based systems insufficient to quantify the level of uncertainty for specific findings; (ii) Implicit uncertainty arises when radiologists omit parts of their reasoning, recording only key findings or diagnoses. Here, it is often unclear whether omitted findings are truly absent or simply unmentioned for brevity. We address these challenges with a two-part framework. We quantify explicit uncertainty by creating an expert-validated, LLM-based reference ranking of common hedging phrases, and mapping each finding to a probability value based on this reference. In addition, we model implicit uncertainty through an expansion framework that systematically adds characteristic sub-findings derived from expert-defined diagnostic pathways for 14 common diagnoses. Using these methods, we release Lunguage++, an expanded, uncertainty-aware version of the Lunguage benchmark of fine-grained structured radiology reports. This enriched resource enables uncertainty-aware image classification, faithful diagnostic reasoning, and new investigations into the clinical impact of diagnostic uncertainty.
%R 10.63317/2i8nrgcnb52p
%U https://aclanthology.org/2026.lrec-1.928/
%U https://doi.org/10.63317/2i8nrgcnb52p
%P 11852-11873
Markdown (Informal)
[Modeling Clinical Uncertainty in Radiology Reports: From Explicit Uncertainty Markers to Implicit Reasoning Pathways](https://aclanthology.org/2026.lrec-1.928/) (Rabaey et al., LREC 2026)
ACL