Suzhong Fu

Suzhong Fu, Jingqi Dong, Xuan Ding et al.

Evaluating the clinical correctness and reasoning fidelity of automatically generated medical imaging reports remains a critical yet unresolved challenge. Existing evaluation methods often fail to capture the structured diagnostic logic that underlies radiological interpretation, resulting in unreliable judgments and limited clinical relevance. We introduce AgentsEval, a multi-agent stream reasoning framework that emulates the collaborative diagnostic workflow of radiologists. By dividing the evaluation process into interpretable steps including criteria definition, evidence extraction, alignment, and consistency scoring, AgentsEval provides explicit reasoning traces and structured clinical feedback. We also construct a multi-domain perturbation-based benchmark covering five medical report datasets with diverse imaging modalities and controlled semantic variations. Experimental results demonstrate that AgentsEval delivers clinically aligned, semantically faithful, and interpretable evaluations that remain robust under paraphrastic, semantic, and stylistic perturbations. This framework represents a step toward transparent and clinically grounded assessment of medical report generation systems, fostering trustworthy integration of large language models into clinical practice.

Suzhong Fu, Rui Sun, Xuan Ding et al.

Accurate vessel segmentation is critical for clinical applications such as disease diagnosis and surgical planning, yet remains challenging due to thin, branching structures and low texture contrast. While foundation models like the Segment Anything Model (SAM) have shown promise in generic segmentation, they perform sub-optimally on vascular structures. In this work, we present VesSAM, a powerful and efficient framework tailored for 2D vessel segmentation. VesSAM integrates (1) a convolutional adapter to enhance local texture features, (2) a multi-prompt encoder that fuses anatomical prompts, including skeletons, bifurcation points, and segment midpoints, via hierarchical cross-attention, and (3) a lightweight mask decoder to reduce jagged artifacts. We also introduce an automated pipeline to generate structured multi-prompt annotations, and curate a diverse benchmark dataset spanning 8 datasets across 5 imaging modalities. Experimental results demonstrate that VesSAM consistently outperforms state-of-the-art PEFT-based SAM variants by over 10% Dice and 13% IoU, and achieves competitive performance compared to fully fine-tuned methods, with significantly fewer parameters. VesSAM also generalizes well to out-of-distribution (OoD) settings, outperforming all baselines in average OoD Dice and IoU.