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TIM: Temporal Decoupling with Iterative Mutual-Refinement Model for Longitudinal Radiology Report Generation
来源日期(仅到年份) 2026
来源记录日期 2026
雷达观测 2026-11-05 04:03
摘要
Automatic radiology report generation (RRG) aims to translate medical images into diagnostic text, reducing radiologists' workload and standardizing clinical documentation. Nonetheless, existing approaches mainly focus on single-time point analysis and fail to capture temporal disease evolution across longitudinal examinations. While recent longitudinal RRG (LRRG) approaches incorporate historical data, they often combine images from different time points within a single representation space, leading to blurred semantics and inconsistent temporal reasoning. In this work, we propose a Temporal Decoupling with Iterative MutualRefinement Model (TIM), a two-stage framework that explicitly decouples spatial pathology from temporal progression and iteratively refines reports through mutual feedback. Stage I performs temporal-decoupled representation learning, separating temporal evolution patterns from disease-specific features and generating radiology reports for both prior and current studies. Stage II introduces a mutual report refinement mechanism that identifies diagnostic inconsistencies within prior reports and iteratively rectifies both prior and current reports through error-sensitive feedback. Experiments on the Longitudinal-MIMIC dataset demonstrate that TIM surpasses existing single-image and longitudinal baselines, achieving new state-of-the-art performance across both language and clinical metrics. Code is available at https://github.com/yihengd/TIM.
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记录 #1 · 2026 · 最新观测版本
TIM: Temporal Decoupling with Iterative Mutual-Refinement Model for Longitudinal Radiology Report Generation
Automatic radiology report generation (RRG) aims to translate medical images into diagnostic text, reducing radiologists' workload and standardizing clinical documentation. Nonetheless, existing approaches mainly focus on single-time point analysis and fail to capture temporal disease evolution across longitudinal examinations. While recent longitudinal RRG (LRRG) approaches incorporate historical data, they often combine images from different time points within a single representation space, leading to blurred semantics and inconsistent temporal reasoning. In this work, we propose a Temporal Decoupling with Iterative MutualRefinement Model (TIM), a two-stage framework that explicitly decouples spatial pathology from temporal progression and iteratively refines reports through mutual feedback. Stage I performs temporal-decoupled representation learning, separating temporal evolution patterns from disease-specific features and generating radiology reports for both prior and current studies. Stage II introduces a mutual report refinement mechanism that identifies diagnostic inconsistencies within prior reports and iteratively rectifies both prior and current reports through error-sensitive feedback. Experiments on the Longitudinal-MIMIC dataset demonstrate that TIM surpasses existing single-image and longitudinal baselines, achieving new state-of-the-art performance across both language and clinical metrics. Code is available at https://github.com/yihengd/TIM.
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