Parameter-efficient fine-tuning (PEFT) enables low-cost adaptation of large language models but often suffers from limited representational flexibility. To address this, we incorporate a Mixture-of-Experts (MoE) design and propose Efficient and Expressive split-path experts that enhance specialization while maintaining low resource overhead. Split-Path Adaptive Representation Mixture-of-Experts (SparMoE) replaces discrete hard routing with a soft routing and fully-activated mixture, enabling stable optimization. Each expert is parameterized as a split-path modulation module, consisting of a scaling path that promotes expert specialization and a bias path that preserves expert-specific signals. This design significantly enhances expressive capacity while maintaining strict parameter efficiency and architectural compatibility with PEFT. Extensive evaluations on GLUE, GSM8K, MBPP, and a text rewriting task from SmolTalk show that our approach consistently outperforms or matches state-of-the-art PEFT methods under comparable parameter budgets, achieving a favorable trade-off between adaptability and efficiency.

Recent reinforcement learning (RL) approaches have advanced radiology report generation (RRG), yet two core limitations persist: (1) report-level rewards offer limited evidence-grounded guidance for clinical faithfulness; and (2) current methods lack an explicit self-improving mechanism to align with clinical preference. We introduce clinically aligned Evidence-aware Self-Correcting Reinforcement Learning (ESC-RL), comprising two key components. First, a Group-wise Evidence-aware Alignment Reward (GEAR) delivers group-wise, evidence-aware feedback. GEAR reinforces consistent grounding for true positives, recovers missed findings for false negatives, and suppresses unsupported content for false positives. Second, a Self-correcting Preference Learning (SPL) strategy automatically constructs a reliable, disease-aware preference dataset from multiple noisy observations and leverages an LLM to synthesize refined reports without human supervision. ESC-RL promotes clinically faithful, disease-aligned reward and supports continual self-improvement during training. Extensive experiments on two public chest X-ray datasets demonstrate consistent gains and state-of-the-art performance.

Radiology Report Generation (RRG) is an important research topic for relieving radiologists’ heavy workload. Existing RRG models mainly rely on supervised fine-tuning (SFT) based on different model architectures using data pairs of radiological images and corresponding radiologist-annotated reports. Recent research has shifted focus to post-training improvements, aligning RRG model outputs with human preferences using reinforcement learning (RL). However, the limited data coverage of high-quality annotated data poses risks of overfitting and generalization. This paper proposes a novel Online Iterative Self-Alignment (OISA) method for RRG that consists of four stages: self-generation of diverse data, self-evaluation for multi-objective preference data, self-alignment for multi-objective optimization and self-iteration for further improvement. Our approach allows for generating varied reports tailored to specific clinical objectives, enhancing the overall performance of the RRG model iteratively. Unlike existing methods, our framework significantly increases data quality and optimizes performance through iterative multi-objective optimization. Experimental results demonstrate that our method surpasses previous approaches, achieving state-of-the-art performance across multiple evaluation metrics.