Automated radiology report generation (R2Gen) has advanced significantly, yet evaluation remains challenging due to the complexity of assessing report quality. Traditional metrics often misalign with human judgments, failing to identify specific deficiencies. To address this, we introduce ReFINE, a framework for training an Evaluation Model using a novel margin-based reward enforcement loss. This approach decomposes report quality into fine-grained sub-scores across user-defined criteria, improving interpretability. Leveraging GPT-4, we generate diverse training data with paired accepted and rejected reports to train our model under a reward-based system. The trained ReFINE Score provides both granular sub-scores and an aggregated quality assessment, enabling criterion-specific evaluation. Experimental results demonstrate ReFINE's superior alignment with human judgments, outperforming traditional metrics in model selection. Its robustness is validated across three expert-annotated datasets—including chest X-rays and multimodal reports covering 9 imaging modalities—and under two distinct scoring systems.

Medical Visual Question Answering (Med-VQA) systems benefit the interpretation of medical images containing critical clinical information. However, the challenge of noisy labels and limited high-quality datasets remains underexplored. To address this, we establish the first benchmark for noisy labels in Med-VQA by simulating human mislabeling with semantically designed noise types. More importantly, we introduce the DiN framework, which leverages a diffusion model to handle noisy labels in Med-VQA. Unlike the dominant classification-based VQA approaches that directly predict answers, our Answer Diffuser (AD) module employs a coarse-to-fine process, refining answer candidates with a diffusion model for improved accuracy. The Answer Condition Generator (ACG) further enhances this process by generating task-specific conditional information via integrating answer embeddings with fused image-question features. To address label noise, our Noisy Label Refinement(NLR) module introduces a robust loss function and dynamic answer adjustment to further boost the performance of the AD module. Our DiN framework consistently outperforms existing methods across multiple benchmarks with varying noise levels1.

In recent years, high‐speed railways (HSRs) are being developed rapidly all over the world because of their convenience, safety, comfort, and other advantages. However, the reliability and security of HSR wireless communication systems have faced severe challenges, such as the Doppler effect, complicated wireless channel model, frequent handovers and so on. The International Union of Railways is pushing the evolution of the global system for mobile communications for railway (GSM‐R) internationally. In this study, a high‐speed based adaptive beamforming handover scheme is proposed to improve the handover performance for HSR wireless communication systems. When the high‐speed train enters the overlapping region, the serving evolved NodeB (eNodeB) and target eNodeB are using beamforming with different gain factors to improve the received signal quality. In addition, this scheme can dynamically adjust the handover hysteresis margins of the reference signal receiving power (RSRP) and the reference signal receiving quality (RSRQ) based on the speed and position. Simulation results have demonstrated that the proposed handover scheme can improve the handover performance by increasing the handover trigger probability and success probability effectively.