Radiology Report Generation (RRG) is an important research topic for relieving radiologists’ 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 framework 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.

Grounding the reasoning ability of large language models (LLMs) for embodied tasks is challenging due to the complexity of the physical world. Especially, LLM planning for multi-agent collaboration requires communication of agents or credit assignment as the feedback to re-adjust the proposed plans and achieve effective coordination. However, existing methods that overly rely on physical verification or self-reflection suffer from excessive and inefficient querying of LLMs. In this paper, we propose a novel framework for multi-agent collaboration that introduces Reinforced Advantage feedback (ReAd) for efficient self-refinement of plans. Specifically, we perform critic regression to learn a sequential advantage function from LLM-planned data, and then treat the LLM planner as an optimizer to generate actions that maximize the advantage function. It endows the LLM with the foresight to discern whether the action contributes to accomplishing the final task. We provide theoretical analysis by extending advantage-weighted regression in reinforcement learning to multi-agent systems. Experiments on Overcooked-AI and a difficult variant of RoCoBench show that ReAd surpasses baselines in success rate, and also significantly decreases the interaction steps of agents and query rounds of LLMs, demonstrating its high efficiency for grounding LLMs. More results are given at https://read-llm.github.io/.