{"id":"https://openalex.org/W7117308810","doi":"https://doi.org/10.1007/s10916-025-02326-5","title":"Self-Reflective Chest X-Ray Report Generation with Clinical-Aware Detection and Multilevel Readability","display_name":"Self-Reflective Chest X-Ray Report Generation with Clinical-Aware Detection and Multilevel Readability","publication_year":2025,"publication_date":"2025-12-26","ids":{"openalex":"https://openalex.org/W7117308810","doi":"https://doi.org/10.1007/s10916-025-02326-5","pmid":"https://pubmed.ncbi.nlm.nih.gov/41452396"},"language":"en","primary_location":{"id":"doi:10.1007/s10916-025-02326-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02326-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02326-5.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02326-5.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075553169","display_name":"Juhyuk Han","orcid":null},"institutions":[{"id":"https://openalex.org/I35928602","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218","country_code":"KR","type":"education","lineage":["https://openalex.org/I35928602"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Juhyuk Han","raw_affiliation_strings":["Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea"],"affiliations":[{"raw_affiliation_string":"Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea","institution_ids":["https://openalex.org/I35928602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100340267","display_name":"Minjae Kim","orcid":"https://orcid.org/0000-0002-9401-2111"},"institutions":[{"id":"https://openalex.org/I35928602","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218","country_code":"KR","type":"education","lineage":["https://openalex.org/I35928602"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Minjae Kim","raw_affiliation_strings":["Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea"],"affiliations":[{"raw_affiliation_string":"Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea","institution_ids":["https://openalex.org/I35928602"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010984592","display_name":"Yeonwoo Kim","orcid":"https://orcid.org/0000-0002-3334-2627"},"institutions":[{"id":"https://openalex.org/I35928602","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218","country_code":"KR","type":"education","lineage":["https://openalex.org/I35928602"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Yeonwoo Kim","raw_affiliation_strings":["Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea"],"affiliations":[{"raw_affiliation_string":"Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea","institution_ids":["https://openalex.org/I35928602"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5121340055","display_name":"Won Hee Lee","orcid":null},"institutions":[{"id":"https://openalex.org/I35928602","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218","country_code":"KR","type":"education","lineage":["https://openalex.org/I35928602"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Won Hee Lee","raw_affiliation_strings":["Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea. whlee@khu.ac.kr"],"affiliations":[{"raw_affiliation_string":"Department of Software Convergence, Kyung Hee University, Yongin, Republic of Korea. whlee@khu.ac.kr","institution_ids":["https://openalex.org/I35928602"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5075553169"],"corresponding_institution_ids":["https://openalex.org/I35928602"],"apc_list":{"value":3390,"currency":"EUR","value_usd":4390},"apc_paid":{"value":3390,"currency":"EUR","value_usd":4390},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.80484864,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"49","issue":"1","first_page":"190","last_page":"190"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.31929999589920044,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.31929999589920044,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10028","display_name":"Topic Modeling","score":0.1128000020980835,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11775","display_name":"COVID-19 diagnosis using AI","score":0.08579999953508377,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/readability","display_name":"Readability","score":0.7297999858856201},{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.6563000082969666},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.567799985408783},{"id":"https://openalex.org/keywords/fluency","display_name":"Fluency","score":0.5340999960899353},{"id":"https://openalex.org/keywords/unified-medical-language-system","display_name":"Unified Medical Language System","score":0.44350001215934753},{"id":"https://openalex.org/keywords/comprehension","display_name":"Comprehension","score":0.43160000443458557},{"id":"https://openalex.org/keywords/benchmarking","display_name":"Benchmarking","score":0.40709999203681946},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.36149999499320984},{"id":"https://openalex.org/keywords/pipeline","display_name":"Pipeline (software)","score":0.3598000109195709}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7315999865531921},{"id":"https://openalex.org/C2778143727","wikidata":"https://www.wikidata.org/wiki/Q1820650","display_name":"Readability","level":2,"score":0.7297999858856201},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.6563000082969666},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.567799985408783},{"id":"https://openalex.org/C2777413886","wikidata":"https://www.wikidata.org/wiki/Q3276013","display_name":"Fluency","level":2,"score":0.5340999960899353},{"id":"https://openalex.org/C69505689","wikidata":"https://www.wikidata.org/wiki/Q455338","display_name":"Unified Medical Language System","level":2,"score":0.44350001215934753},{"id":"https://openalex.org/C511192102","wikidata":"https://www.wikidata.org/wiki/Q5156948","display_name":"Comprehension","level":2,"score":0.43160000443458557},{"id":"https://openalex.org/C86251818","wikidata":"https://www.wikidata.org/wiki/Q816754","display_name":"Benchmarking","level":2,"score":0.40709999203681946},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.39430001378059387},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.36149999499320984},{"id":"https://openalex.org/C43521106","wikidata":"https://www.wikidata.org/wiki/Q2165493","display_name":"Pipeline (software)","level":2,"score":0.3598000109195709},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3398999869823456},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.3379000127315521},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.33640000224113464},{"id":"https://openalex.org/C106436119","wikidata":"https://www.wikidata.org/wiki/Q836575","display_name":"Quality assurance","level":3,"score":0.33550000190734863},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.3352999985218048},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.31700000166893005},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.31610000133514404},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.30809998512268066},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.29420000314712524},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.2921999990940094},{"id":"https://openalex.org/C113174947","wikidata":"https://www.wikidata.org/wiki/Q2859736","display_name":"Tree (set theory)","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C115903868","wikidata":"https://www.wikidata.org/wiki/Q80993","display_name":"Software engineering","level":1,"score":0.289000004529953},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.26980000734329224},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.2694000005722046},{"id":"https://openalex.org/C110615152","wikidata":"https://www.wikidata.org/wiki/Q1469824","display_name":"Controlled vocabulary","level":2,"score":0.26460000872612},{"id":"https://openalex.org/C2781067378","wikidata":"https://www.wikidata.org/wiki/Q17027399","display_name":"Interpretability","level":2,"score":0.25859999656677246},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25459998846054077}],"mesh":[{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013902","descriptor_name":"Radiography, Thoracic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D013902","descriptor_name":"Radiography, Thoracic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D013902","descriptor_name":"Radiography, Thoracic","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D032882","descriptor_name":"Comprehension","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032882","descriptor_name":"Comprehension","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032882","descriptor_name":"Comprehension","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s10916-025-02326-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02326-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02326-5.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},{"id":"pmid:41452396","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41452396","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical systems","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:12743066","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12743066/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Med Syst","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s10916-025-02326-5","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10916-025-02326-5","pdf_url":"https://link.springer.com/content/pdf/10.1007/s10916-025-02326-5.pdf","source":{"id":"https://openalex.org/S37151855","display_name":"Journal of Medical Systems","issn_l":"0148-5598","issn":["0148-5598","1573-689X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Systems","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8945630788803101,"id":"https://metadata.un.org/sdg/4","display_name":"Quality Education"}],"awards":[{"id":"https://openalex.org/G133373870","display_name":null,"funder_award_id":"IITP-2024-RS-2024-00438239","funder_id":"https://openalex.org/F4320335489","funder_display_name":"Institute for Information and Communications Technology Promotion"},{"id":"https://openalex.org/G1617212052","display_name":null,"funder_award_id":"RS-2024-00509257","funder_id":"https://openalex.org/F4320335489","funder_display_name":"Institute for Information and Communications Technology Promotion"},{"id":"https://openalex.org/G1739134435","display_name":null,"funder_award_id":"IITP-","funder_id":"https://openalex.org/F4320324891","funder_display_name":"Iran Telecommunication Research Center"},{"id":"https://openalex.org/G335632789","display_name":null,"funder_award_id":"RS-2024-00509257","funder_id":"https://openalex.org/F4320328359","funder_display_name":"Ministry of Science and ICT, South Korea"},{"id":"https://openalex.org/G3872958509","display_name":null,"funder_award_id":"RS-2022-00155911","funder_id":"https://openalex.org/F4320328359","funder_display_name":"Ministry of Science and ICT, South Korea"},{"id":"https://openalex.org/G4700831490","display_name":null,"funder_award_id":"2022-","funder_id":"https://openalex.org/F4320335489","funder_display_name":"Institute for Information and Communications Technology Promotion"},{"id":"https://openalex.org/G4932531269","display_name":null,"funder_award_id":"RS-2022-00155911","funder_id":"https://openalex.org/F4320321332","funder_display_name":"Kyung Hee University"},{"id":"https://openalex.org/G585115220","display_name":null,"funder_award_id":"RS-2022-00155911","funder_id":"https://openalex.org/F4320335489","funder_display_name":"Institute for Information and Communications Technology Promotion"},{"id":"https://openalex.org/G5990826608","display_name":null,"funder_award_id":"IITP-2024-RS-2024-00438239","funder_id":"https://openalex.org/F4320328359","funder_display_name":"Ministry of Science and ICT, South Korea"},{"id":"https://openalex.org/G7915610249","display_name":null,"funder_award_id":"RS-2025\u201302293110","funder_id":"https://openalex.org/F4320322107","funder_display_name":"Korea Health Industry Development Institute"}],"funders":[{"id":"https://openalex.org/F4320321332","display_name":"Kyung Hee University","ror":"https://ror.org/01zqcg218"},{"id":"https://openalex.org/F4320322107","display_name":"Korea Health Industry Development Institute","ror":"https://ror.org/00fdzyk40"},{"id":"https://openalex.org/F4320324891","display_name":"Iran Telecommunication Research Center","ror":"https://ror.org/01a3g2z22"},{"id":"https://openalex.org/F4320328359","display_name":"Ministry of Science and ICT, South Korea","ror":"https://ror.org/01wpjm123"},{"id":"https://openalex.org/F4320335489","display_name":"Institute for Information and Communications Technology Promotion","ror":"https://ror.org/01g0hqq23"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7117308810.pdf"},"referenced_works_count":40,"referenced_works":["https://openalex.org/W2101105183","https://openalex.org/W2105099865","https://openalex.org/W2117586793","https://openalex.org/W2152772232","https://openalex.org/W2962858109","https://openalex.org/W2963446712","https://openalex.org/W2963466845","https://openalex.org/W2995225687","https://openalex.org/W3022730539","https://openalex.org/W3046768359","https://openalex.org/W3103694015","https://openalex.org/W3216083537","https://openalex.org/W4206048141","https://openalex.org/W4231122779","https://openalex.org/W4295233302","https://openalex.org/W4307870239","https://openalex.org/W4312533035","https://openalex.org/W4324144441","https://openalex.org/W4385546024","https://openalex.org/W4386003857","https://openalex.org/W4386075916","https://openalex.org/W4387846261","https://openalex.org/W4388639270","https://openalex.org/W4389267014","https://openalex.org/W4389519254","https://openalex.org/W4389519798","https://openalex.org/W4389519945","https://openalex.org/W4389665166","https://openalex.org/W4390189911","https://openalex.org/W4390905318","https://openalex.org/W4392044798","https://openalex.org/W4395701369","https://openalex.org/W4396753423","https://openalex.org/W4399458523","https://openalex.org/W4401042290","https://openalex.org/W4401044072","https://openalex.org/W4404719591","https://openalex.org/W4408363098","https://openalex.org/W4409366255","https://openalex.org/W4413447271"],"related_works":[],"abstract_inverted_index":{"Clinical":[0],"documentation":[1,170,190],"demands":[2],"necessitate":[3],"automated":[4,188],"solutions":[5],"balancing":[6],"clinical":[7,63,74,104,163,194],"precision":[8,195],"with":[9,76,196],"patient":[10,149,167,177,197],"comprehension.":[11],"This":[12,182],"study":[13],"aims":[14],"to":[15,32,37],"develop":[16],"and":[17,36,60,66,84,100,121,127,152,175],"validate":[18],"a":[19,48,54,85],"unified":[20,49],"framework":[21,50,159],"that":[22,191],"maintains":[23],"diagnostic":[24,156],"accuracy":[25,138],"while":[26,102,165],"dynamically":[27,91],"adapting":[28,92],"medical":[29,44,82,189],"report":[30,93,116],"complexity":[31,94],"diverse":[33],"literacy":[34],"levels,":[35],"establish":[38],"comprehensive":[39],"evaluation":[40,110],"methodologies":[41],"for":[42,62,79,187],"patient-centered":[43],"documentation.":[45],"We":[46],"developed":[47],"integrating":[51],"three":[52],"innovations:":[53],"hybrid":[55],"detection":[56,65],"method":[57],"combining":[58],"CheXFusion":[59],"Eigen-CAM":[61],"finding":[64],"anatomical":[67,77],"localization;":[68],"an":[69],"advanced":[70],"LLaVA-based":[71],"pipeline":[72],"synthesizing":[73],"predictions":[75],"data":[78],"contextually":[80],"rich":[81],"reports;":[83],"self-reflective":[86],"large":[87],"language":[88],"model":[89,114],"system":[90],"across":[95],"reading":[96],"levels":[97],"(6th,":[98],"11th,":[99],"18th-grade)":[101],"preserving":[103],"integrity.":[105],"Our":[106],"methodology":[107],"introduces":[108],"novel":[109],"using":[111],"the":[112],"Mistral-small":[113],"assessing":[115],"quality":[117],"through":[118,179],"consistency,":[119],"coverage,":[120],"fluency":[122],"metrics.":[123],"Validation":[124],"on":[125,172],"MIMIC-CXR":[126],"IU":[128],"X-Ray":[129],"datasets":[130],"demonstrated":[131],"substantial":[132],"improvements:":[133],"19.78%":[134],"enhancement":[135],"in":[136,142,148,155,199],"classification":[137],"(AUROC),":[139],"17.29%":[140],"improvement":[141],"mean":[143],"average":[144],"precision,":[145],"56.88%":[146],"increase":[147],"comprehension":[150,198],"scores,":[151],"5.26%":[153],"gain":[154],"precision.":[157],"The":[158],"successfully":[160],"addresses":[161],"maintaining":[162],"rigor":[164],"enhancing":[166],"accessibility,":[168],"reducing":[169],"burden":[171],"healthcare":[173,200],"providers":[174],"improving":[176],"engagement":[178],"comprehensible":[180],"reporting.":[181],"work":[183],"establishes":[184],"new":[185],"standards":[186],"effectively":[192],"reconcile":[193],"communication.":[201]},"counts_by_year":[],"updated_date":"2026-04-21T08:09:41.155169","created_date":"2025-12-26T00:00:00"}
