Seeing Red: Why Radiology AI Needs a Clinically Grounded Score
Chest X-rays are not product reviews. This should not need saying, but much of automated report evaluation has behaved as if the difference were mostly decorative. A generated radiology report can sound fluent, mention familiar anatomy, and overlap nicely with a reference report while still missing the sentence that matters. A model that overlooks a life-threatening pneumothorax has not made the same kind of mistake as a model that fails to mention age-appropriate aortic calcification. One error can change patient management immediately. The other may be little more than reporting style. ...