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ReXrank: A Public Leaderboard for AI-Powered Radiology Report Generation

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arxiv 2411.15122 v1 pith:X32JKEIW submitted 2024-11-22 cs.CV cs.AIcs.CL

classification cs.CVcs.AIcs.CL
keywords rexrankgenerationreportevaluationframeworkpublicradiologyacross
verification ladder T0 review T1 audit T2 compute T3 formal
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AI-driven models have demonstrated significant potential in automating radiology report generation for chest X-rays. However, there is no standardized benchmark for objectively evaluating their performance. To address this, we present ReXrank, https://rexrank.ai, a public leaderboard and challenge for assessing AI-powered radiology report generation. Our framework incorporates ReXGradient, the largest test dataset consisting of 10,000 studies, and three public datasets (MIMIC-CXR, IU-Xray, CheXpert Plus) for report generation assessment. ReXrank employs 8 evaluation metrics and separately assesses models capable of generating only findings sections and those providing both findings and impressions sections. By providing this standardized evaluation framework, ReXrank enables meaningful comparisons of model performance and offers crucial insights into their robustness across diverse clinical settings. Beyond its current focus on chest X-rays, ReXrank's framework sets the stage for comprehensive evaluation of automated reporting across the full spectrum of medical imaging.

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Cited by 6 Pith papers

Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score.

  1. CXR-ContraBench: Benchmarking Negated-Option Attraction in Medical VLMs

    cs.CV 2026-05 conditional novelty 7.0 of 10

    Medical VLMs frequently select negated options that contradict visible chest X-ray findings, achieving only ~30% accuracy on direct presence probes, but a post-hoc consistency verifier raises accuracy above 95%.

  2. CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement

    cs.CV 2026-08 conditional novelty 6.0 of 10

    A chest X-ray VLM co-trained with classification and grounding heads, tuned with DAPO reinforcement learning, and augmented with deterministic measurement tools outperforms prior radiology VLMs on report generation, V...

  3. Discrete Diffusion Language Models for Interactive Radiology Report Drafting

    cs.AI 2026-07 unverdicted novelty 6.0 of 10

    Diffusion LM matches AR performance on medical VQA, runs 3.5-4.4x faster, and enables bidirectional infilling for interactive radiology report drafting.

  4. Scaling medical imaging report generation with multimodal reinforcement learning

    cs.CV 2026-01 conditional novelty 6.0 of 10

    UniRG-CXR, a Qwen3-VL-8B model trained with SFT plus GRPO reinforcement learning that directly optimizes the ReXrank metric components, reports state-of-the-art 1/RadCliQ-v1 results on all four ReXrank chest X-ray dat...

  5. Exploring the Capabilities of Large Language Model Encoders for Image-Text Retrieval in Chest X-rays

    cs.CV 2025-09 conditional novelty 6.0 of 10

    Domain-adapted LLM encoders trained with masked token prediction and supervised contrastive learning improve chest X-ray image-text retrieval and external generalization, reaching GREEN scores of 0.308 on MIMIC-CXR an...

  6. UniReason-Med: A Shared Grounded Reasoning Interface for 2D-to-3D Transfer in Medical VQA

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