IJCNLP-AACL 2025

December 21, 2025

Mumbai, India

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keywords:

radiology reports

prompt engineering

in-context learning

clinical text

biomedical nlp

summarization

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.

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