Simplified Rewriting Improves Expert Summarization

Xingmeng Zhao, Tongnian Wang, Anthony Rios


Abstract
Radiology report summarization (RRS) is critical for clinical workflows, requiring concise Impressions “distilled from detailed Findings.” This paper proposes a novel prompting strategy that enhances RRS by introducing a layperson summary as an intermediate step. This summary helps normalize key observations and simplify complex terminology using communication techniques inspired by doctor–patient interactions. Combined with few-shot in-context learning, this approach improves the model’s ability to map generalized descriptions to specific clinical findings. We evaluate our method on three benchmark datasets, MIMIC-CXR, CheXpert, and MIMIC-III, and compare it against state-of-the-art open-source language models in the 7B/8B parameter range, such as Llama-3.1-8B-Instruct. Results show consistent improvements in summarization quality, with gains of up to 5% on some metrics for prompting, and more than 20% for some models when instruction tuning.
Anthology ID:
2025.ijcnlp-long.165
Volume:
Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics
Month:
December
Year:
2025
Address:
Mumbai, India
Editors:
Kentaro Inui, Sakriani Sakti, Haofen Wang, Derek F. Wong, Pushpak Bhattacharyya, Biplab Banerjee, Asif Ekbal, Tanmoy Chakraborty, Dhirendra Pratap Singh
Venues:
IJCNLP | AACL
SIG:
Publisher:
The Asian Federation of Natural Language Processing and The Association for Computational Linguistics
Note:
Pages:
3075–3097
Language:
URL:
https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.ijcnlp-long.165/
DOI:
Bibkey:
Cite (ACL):
Xingmeng Zhao, Tongnian Wang, and Anthony Rios. 2025. Simplified Rewriting Improves Expert Summarization. In Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics, pages 3075–3097, Mumbai, India. The Asian Federation of Natural Language Processing and The Association for Computational Linguistics.
Cite (Informal):
Simplified Rewriting Improves Expert Summarization (Zhao et al., IJCNLP-AACL 2025)
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PDF:
https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.ijcnlp-long.165.pdf