Radiology Report Generation (RRG) is an important research topic for relieving radiologist' heavy workload. Existing RRG models mainly rely on supervised fine-tuning (SFT) based on different model architectures using data pairs of radiological images and corresponding radiologist-annotated reports. Recent research has shifted focus to post-training improvements, aligning RRG model outputs with human preferences using reinforcement learning (RL). However, the limited data coverage of high-quality annotated data poses risks of overfitting and generalization. This paper proposes a novel Online Iterative Self-Alignment (OISA) method for RRG that consists of four stages: self-generation of diverse data, self-evaluation for multi-objective preference data,self-alignment for multi-objective optimization and self-iteration for further improvement. Our approach allows for generating varied reports tailored to specific clinical objectives, enhancing the overall performance of the RRG model iteratively. Unlike existing methods, our frame-work significantly increases data quality and optimizes performance through iterative multi-objective optimization. Experimental results demonstrate that our method surpasses previous approaches, achieving state-of-the-art performance across multiple evaluation metrics.
View on arXiv@article{xiao2025_2505.11983,
title={ Online Iterative Self-Alignment for Radiology Report Generation },
author={ Ting Xiao and Lei Shi and Yang Zhang and HaoFeng Yang and Zhe Wang and Chenjia Bai },
journal={arXiv preprint arXiv:2505.11983},
year={ 2025 }
}