Structural Entities Extraction and Patient Indications Incorporation for Chest X-ray Report GenerationKang Liu, Zhuoqi Ma, Xiaolu Kang et al.
The automated generation of imaging reports proves invaluable in alleviating the workload of radiologists. A clinically applicable reports generation algorithm should demonstrate its effectiveness in producing reports that accurately describe radiology findings and attend to patient-specific indications. In this paper, we introduce a novel method, \textbf{S}tructural \textbf{E}ntities extraction and patient indications \textbf{I}ncorporation (SEI) for chest X-ray report generation. Specifically, we employ a structural entities extraction (SEE) approach to eliminate presentation-style vocabulary in reports and improve the quality of factual entity sequences. This reduces the noise in the following cross-modal alignment module by aligning X-ray images with factual entity sequences in reports, thereby enhancing the precision of cross-modal alignment and further aiding the model in gradient-free retrieval of similar historical cases. Subsequently, we propose a cross-modal fusion network to integrate information from X-ray images, similar historical cases, and patient-specific indications. This process allows the text decoder to attend to discriminative features of X-ray images, assimilate historical diagnostic information from similar cases, and understand the examination intention of patients. This, in turn, assists in triggering the text decoder to produce high-quality reports. Experiments conducted on MIMIC-CXR validate the superiority of SEI over state-of-the-art approaches on both natural language generation and clinical efficacy metrics.
13.9CLJun 8, 2025
RULE: Reinforcement UnLEarning Achieves Forget-Retain Pareto OptimalityChenlong Zhang, Zhuoran Jin, Hongbang Yuan et al.
The widespread deployment of Large Language Models (LLMs) trained on massive, uncurated corpora has raised growing concerns about the inclusion of sensitive, copyrighted, or illegal content. This has led to increasing interest in LLM unlearning: the task of selectively removing specific information from a model without retraining from scratch or degrading overall utility. However, existing methods often rely on large-scale forget and retain datasets, and suffer from unnatural responses, poor generalization, or catastrophic utility loss. In this work, we propose Reinforcement UnLearning (RULE), an efficient framework that formulates unlearning as a refusal boundary optimization problem. RULE is trained with a small portion of the forget set and synthesized boundary queries, using a verifiable reward function that encourages safe refusal on forget--related queries while preserving helpful responses on permissible inputs. We provide both theoretical and empirical evidence demonstrating the effectiveness of RULE in achieving targeted unlearning without compromising model utility. Experimental results show that, with only $12%$ forget set and $8%$ synthesized boundary data, RULE outperforms existing baselines by up to $17.5%$ forget quality and $16.3%$ naturalness response while maintaining general utility, achieving forget--retain Pareto optimality. Remarkably, we further observe that RULE improves the naturalness of model outputs, enhances training efficiency, and exhibits strong generalization ability, generalizing refusal behavior to semantically related but unseen queries.