{"id":"https://openalex.org/W7126024582","doi":"https://doi.org/10.1007/s44443-026-00475-2","title":"Dual-level interactive learning with symptom-aware attention for automatic radiology report generation","display_name":"Dual-level interactive learning with symptom-aware attention for automatic radiology report generation","publication_year":2026,"publication_date":"2026-01-29","ids":{"openalex":"https://openalex.org/W7126024582","doi":"https://doi.org/10.1007/s44443-026-00475-2"},"language":"en","primary_location":{"id":"doi:10.1007/s44443-026-00475-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44443-026-00475-2","pdf_url":null,"source":{"id":"https://openalex.org/S2764955546","display_name":"Journal of King Saud University - Computer and Information Sciences","issn_l":"1319-1578","issn":["1319-1578","2213-1248"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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 King Saud University Computer and Information Sciences","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s44443-026-00475-2","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5124253240","display_name":"Minghao Tang","orcid":null},"institutions":[{"id":"https://openalex.org/I4210139237","display_name":"First Hospital of Jiaxing","ror":"https://ror.org/03q5hbn76","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210139237"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Minghao Tang","raw_affiliation_strings":["Department of Anesthesiology, First People\u2019s Hospital of Jiashan/Jiashan Hospital Affiliated to Jiaxing University, Jiaxing, 314100, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, First People\u2019s Hospital of Jiashan/Jiashan Hospital Affiliated to Jiaxing University, Jiaxing, 314100, China","institution_ids":["https://openalex.org/I4210139237"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079452042","display_name":"Weina Ding","orcid":null},"institutions":[{"id":"https://openalex.org/I2800570007","display_name":"Renji Hospital","ror":"https://ror.org/03ypbx660","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2800570007"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weina Ding","raw_affiliation_strings":["Department of Radiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China","institution_ids":["https://openalex.org/I2800570007"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124213153","display_name":"Wei CAI","orcid":null},"institutions":[{"id":"https://openalex.org/I4210139237","display_name":"First Hospital of Jiaxing","ror":"https://ror.org/03q5hbn76","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210139237"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wei Cai","raw_affiliation_strings":["Department of Radiology, First People\u2019s Hospital of Jiashan /Jiashan Hospital Affiliated to Jiaxing, Jiaxing, 314100, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, First People\u2019s Hospital of Jiashan /Jiashan Hospital Affiliated to Jiaxing, Jiaxing, 314100, China","institution_ids":["https://openalex.org/I4210139237"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5124286488","display_name":"Yuan Jiang","orcid":null},"institutions":[{"id":"https://openalex.org/I4210139237","display_name":"First Hospital of Jiaxing","ror":"https://ror.org/03q5hbn76","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210139237"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yuan Jiang","raw_affiliation_strings":["Department of Rehabilitation Medicine, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, 314000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Rehabilitation Medicine, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, 314000, China","institution_ids":["https://openalex.org/I4210139237"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5124286488"],"corresponding_institution_ids":["https://openalex.org/I4210139237"],"apc_list":{"value":1350,"currency":"USD","value_usd":1350},"apc_paid":{"value":1350,"currency":"USD","value_usd":1350},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.08937149,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"38","issue":"3","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.29330000281333923,"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"}},"topics":[{"id":"https://openalex.org/T11894","display_name":"Radiology practices and education","score":0.29330000281333923,"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"}},{"id":"https://openalex.org/T11714","display_name":"Multimodal Machine Learning Applications","score":0.20679999887943268,"subfield":{"id":"https://openalex.org/subfields/1707","display_name":"Computer Vision and Pattern Recognition"},"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":0.06679999828338623,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/interactive-learning","display_name":"Interactive Learning","score":0.516700029373169},{"id":"https://openalex.org/keywords/feature","display_name":"Feature (linguistics)","score":0.33149999380111694},{"id":"https://openalex.org/keywords/interactive-video","display_name":"Interactive video","score":0.2754000127315521},{"id":"https://openalex.org/keywords/window","display_name":"Window (computing)","score":0.2745000123977661},{"id":"https://openalex.org/keywords/key","display_name":"Key (lock)","score":0.266400009393692}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5723999738693237},{"id":"https://openalex.org/C2776716048","wikidata":"https://www.wikidata.org/wiki/Q6045290","display_name":"Interactive Learning","level":2,"score":0.516700029373169},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.4000000059604645},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.3702000081539154},{"id":"https://openalex.org/C2776401178","wikidata":"https://www.wikidata.org/wiki/Q12050496","display_name":"Feature (linguistics)","level":2,"score":0.33149999380111694},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3248000144958496},{"id":"https://openalex.org/C2776566319","wikidata":"https://www.wikidata.org/wiki/Q3495514","display_name":"Interactive video","level":2,"score":0.2754000127315521},{"id":"https://openalex.org/C2778751112","wikidata":"https://www.wikidata.org/wiki/Q835016","display_name":"Window (computing)","level":2,"score":0.2745000123977661},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.266400009393692},{"id":"https://openalex.org/C89505385","wikidata":"https://www.wikidata.org/wiki/Q47146","display_name":"User interface","level":2,"score":0.2563999891281128},{"id":"https://openalex.org/C40866790","wikidata":"https://www.wikidata.org/wiki/Q956238","display_name":"Interactive computing","level":2,"score":0.25270000100135803}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1007/s44443-026-00475-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44443-026-00475-2","pdf_url":null,"source":{"id":"https://openalex.org/S2764955546","display_name":"Journal of King Saud University - Computer and Information Sciences","issn_l":"1319-1578","issn":["1319-1578","2213-1248"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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 King Saud University Computer and Information Sciences","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:6e42d0146453423ca507efc97409da0d","is_oa":true,"landing_page_url":"https://doaj.org/article/6e42d0146453423ca507efc97409da0d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of King Saud University: Computer and Information Sciences, Vol 38, Iss 3 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1007/s44443-026-00475-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s44443-026-00475-2","pdf_url":null,"source":{"id":"https://openalex.org/S2764955546","display_name":"Journal of King Saud University - Computer and Information Sciences","issn_l":"1319-1578","issn":["1319-1578","2213-1248"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"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 King Saud University Computer and Information Sciences","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":48,"referenced_works":["https://openalex.org/W1487200905","https://openalex.org/W1895577753","https://openalex.org/W1956340063","https://openalex.org/W2101105183","https://openalex.org/W2152772232","https://openalex.org/W2575842049","https://openalex.org/W2745461083","https://openalex.org/W2770165365","https://openalex.org/W2911489562","https://openalex.org/W2942105358","https://openalex.org/W2949167374","https://openalex.org/W2963466845","https://openalex.org/W2986670728","https://openalex.org/W2996421194","https://openalex.org/W3003817677","https://openalex.org/W3034655362","https://openalex.org/W3104609094","https://openalex.org/W3166845084","https://openalex.org/W3167939936","https://openalex.org/W3173688449","https://openalex.org/W3175737519","https://openalex.org/W3177048142","https://openalex.org/W3181252431","https://openalex.org/W4206338263","https://openalex.org/W4206368078","https://openalex.org/W4291021452","https://openalex.org/W4312605942","https://openalex.org/W4312922092","https://openalex.org/W4386065580","https://openalex.org/W4386076360","https://openalex.org/W4386076536","https://openalex.org/W4387968461","https://openalex.org/W4390605154","https://openalex.org/W4392309196","https://openalex.org/W4396803121","https://openalex.org/W4402780128","https://openalex.org/W4403075361","https://openalex.org/W4403088730","https://openalex.org/W4405645745","https://openalex.org/W4409366255","https://openalex.org/W4409366934","https://openalex.org/W4410083285","https://openalex.org/W4411201495","https://openalex.org/W4412889900","https://openalex.org/W4413147664","https://openalex.org/W4414349966","https://openalex.org/W4414364935","https://openalex.org/W6887810455"],"related_works":[],"abstract_inverted_index":{"Automatically":[0],"generating":[1],"radiology":[2],"reports":[3],"for":[4,150],"X-ray":[5,179],"scans":[6],"holds":[7],"substantial":[8],"potential":[9],"to":[10,37,48,56,103,202,206],"assist":[11],"radiologists":[12],"in":[13],"mitigating":[14],"the":[15,46,101,138,155],"time-consuming":[16],"burden":[17],"of":[18,144],"report":[19],"composition.":[20],"Despite":[21],"notable":[22],"advancements,":[23],"critical":[24],"challenges":[25],"remain:":[26],"existing":[27],"approaches":[28],"rely":[29],"solely":[30],"on":[31,158,208],"grid-level":[32,94],"or":[33],"region-level":[34,97],"features,":[35],"failing":[36],"emphasize":[38],"their":[39],"intrinsic":[40],"relationship,":[41],"and":[42,79,96,146,183,204,211],"language":[43],"decoders":[44],"lack":[45,62],"ability":[47],"distinguish":[49],"symptom-related":[50,147],"words":[51],"from":[52,188,200],"non-symptom":[53,164],"terms,":[54],"leading":[55],"imprecise":[57],"descriptions.":[58],"Additionally,":[59],"most":[60],"datasets":[61,210],"region":[63,186],"annotations,":[64],"limiting":[65],"model":[66,102,126,156],"training":[67],"support.":[68],"To":[69],"address":[70],"these":[71],"issues,":[72],"this":[73],"paper":[74],"proposes":[75],"two":[76],"key":[77],"components":[78],"a":[80,84,124,132,172],"novel":[81],"dataset.":[82],"First,":[83],"Relative":[85],"Position-Augmented":[86],"(RPA)":[87],"module":[88,136],"integrates":[89],"relative":[90],"geometric":[91],"features":[92,149],"between":[93],"elements":[95],"objects.":[98],"This":[99,153],"enhances":[100],"associate":[104],"fine-grained":[105,184],"grid":[106],"details":[107],"with":[108,115,131,196],"global":[109],"anatomical":[110],"regions,":[111],"capturing":[112],"visual":[113,145],"representations":[114],"more":[116],"clinical":[117],"information":[118],"while":[119,161],"reducing":[120],"feature":[121],"noise.":[122],"Second,":[123],"BioBERT-based":[125],"extracts":[127],"domain-specific":[128],"linguistic":[129],"context,":[130],"Symptom-aware":[133],"Attention":[134],"(SA)":[135],"atop":[137],"decoder":[139],"that":[140],"adaptively":[141],"quantifies":[142],"contributions":[143],"textual":[148],"word":[151],"prediction.":[152],"ensures":[154],"focuses":[157],"symptom-relevant":[159],"terms":[160],"suppressing":[162],"redundant":[163],"content":[165],"during":[166],"decoding":[167],"process.":[168],"We":[169],"also":[170],"build":[171],"Region-level":[173],"X-Ray":[174,213],"(RL":[175],"X-Ray)":[176],"dataset":[177],"containing":[178],"scans,":[180],"diagnostic":[181],"reports,":[182],"abnormal":[185],"annotations":[187],"8500":[189],"patients.":[190],"Comprehensive":[191],"experiments":[192],"validate":[193],"our":[194],"method,":[195],"CIDEr-D":[197],"scores":[198],"increasing":[199],"43.5%":[201],"46.2%":[203],"15.0%":[205],"17.6%":[207],"IU-Xray":[209],"RL":[212],"datasets,":[214],"respectively.":[215]},"counts_by_year":[],"updated_date":"2026-06-18T08:10:14.011955","created_date":"2026-01-30T00:00:00"}