Argus: Benchmarking and Enhancing Vision-Language Models for 3D Radiology Report Generation

Che Liu, Zhongwei Wan, Yuqi Wang, Hui Shen, Haozhe Wang, Kangyu Zheng, Mi Zhang, Rossella Arcucci


Abstract
Automatic radiology report generation holds significant potential to streamline the labor-intensive process of report writing by radiologists, particularly for 3D radiographs such as CT scans. While CT scans are critical for clinical diagnostics, they remain less explored compared to 2D radiographs. To date, there has been no comprehensive benchmark for 3D radiograph report generation (3DRRG), nor sufficient investigation into the optimal training strategies for Vision Language Models (VLMs) in this context, particularly with respect to vision encoder choices, visual token compression, and model scaling.In this work, we make two three contributions. We curate CT-3DRRG, the largest publicly available 3D CT-report dataset, establishing a robust and diverse benchmark for evaluating VLM performance on 3DRRG. Furthermore, we propose a comprehensive training recipe for building high-performing VLMs for 3DRRG, exploring key factors such as vision encoder pretraining strategies, visual token compression, and the impact of data & model scale. Guided by these findings, we introduce Argus, a state-of-the-art family of VLMs that achieve superior performance across different model sizes and input 3D medical image resolutions, efficiently processing high-resolution 3D images up to 512 × 512 × 256.
Anthology ID:
2025.findings-acl.845
Volume:
Findings of the Association for Computational Linguistics: ACL 2025
Month:
July
Year:
2025
Address:
Vienna, Austria
Editors:
Wanxiang Che, Joyce Nabende, Ekaterina Shutova, Mohammad Taher Pilehvar
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
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Pages:
16448–16460
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URL:
https://preview.aclanthology.org/display_plenaries/2025.findings-acl.845/
DOI:
Bibkey:
Cite (ACL):
Che Liu, Zhongwei Wan, Yuqi Wang, Hui Shen, Haozhe Wang, Kangyu Zheng, Mi Zhang, and Rossella Arcucci. 2025. Argus: Benchmarking and Enhancing Vision-Language Models for 3D Radiology Report Generation. In Findings of the Association for Computational Linguistics: ACL 2025, pages 16448–16460, Vienna, Austria. Association for Computational Linguistics.
Cite (Informal):
Argus: Benchmarking and Enhancing Vision-Language Models for 3D Radiology Report Generation (Liu et al., Findings 2025)
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PDF:
https://preview.aclanthology.org/display_plenaries/2025.findings-acl.845.pdf