Visual Alignment of Medical Vision-Language Models for Grounded Radiology Report Generation

Radiology Report Generation (RRG) is a critical step toward automating healthcare workflows, facilitating accurate patient assessments, and reducing the workload of medical professionals. Despite recent progress in Large Medical Vision-Language Models (Med-VLMs), generating radiology reports that are both visually grounded and clinically accurate remains a significant challenge. Existing approaches often rely on large labeled corpora for pre-training, costly task-specific preference data, or retrieval-based methods. However, these strategies do not adequately mitigate hallucinations arising from poor cross-modal alignment between visual and linguistic representations. To address these limitations, we propose VALOR:Visual Alignment of Medical Vision-Language Models for GrOunded Radiology Report Generation. Our method introduces a reinforcement learning-based post-alignment framework utilizing Group-Relative Proximal Optimization (GRPO). The training proceeds in two stages: (1) improving the Med-VLM with textual rewards to encourage clinically precise terminology, and (2) aligning the vision projection module of the textually grounded model with disease findings, thereby guiding attention toward image re gions most relevant to the diagnostic task. Extensive experiments on multiple benchmarks demonstrate that VALOR substantially improves factual accuracy and visual grounding, achieving significant performance gains over state-of-the-art report generation methods.

StreamingRAG: Real-time Contextual Retrieval and Generation Framework

Extracting real-time insights from multi-modal data streams from various domains such as healthcare, intelligent transportation, and satellite remote sensing remains a challenge. High computational demands and limited knowledge scope restrict the applicability of Multi-Modal Large Language Models (MM-LLMs) on these data streams. Traditional Retrieval-Augmented Generation (RAG) systems address knowledge limitations of these models, but suffer from slow preprocessing, making them unsuitable for real-time analysis. We propose StreamingRAG, a novel RAG framework designed for streaming data. StreamingRAG constructs evolving knowledge graphs capturing scene-object-entity relationships in real-time. The knowledge graph achieves temporal-aware scene representations using MM-LLMs and enables timely responses for specific events or user queries. StreamingRAG addresses limitations in existing methods, achieving significant improvements in real-time analysis (5-6x faster throughput), contextual accuracy (through a temporal knowledge graph), and reduced resource consumption (using lightweight models by 2-3x).