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DiffRGenNet: Difference-aware Medical Report Generation
Proceedings of The 8th International Conference on Medical Imaging with Deep Learning, PMLR 301:153-166, 2026.
Abstract
Medical report generation is a critical task in healthcare, aiming to automatically pro-duce accurate diagnostic reports from medical images, thereby alleviating the burden onradiologists. However, due to the high similarity among medical images of the same anatom-ical region and the substantial variations captured from the same region across different timepoints for individual patients, capturing these differences poses a significant challenge. Wepropose a Difference-aware Report Generation Network (DiffRGenNet), which retrievessimilar reports through image search, identifies differences using the Feature Diff module,and dynamically orchestrates global and local dependencies via the FlexiRoute AggregationModule to determine the optimal routing path for each sample, selecting the most suitablereport to describe the variations and connections. Finally, by leveraging the consistencyof classification information and the discrepancy information from the diff module, DiffR-GenNet enhances the ability to learn differences in rare diseases, generating more precisereports. Experiments demonstrate that DiffRGenNet outperforms existing methods on theMIMIC-CXR and IU X-Ray datasets, confirming its effectiveness and potential.