Clinical Reasoning Under a Partially Observed Objective in Cone Beam CT Report Generation

תקציר מקורי באנגליתarXiv:2609.13238v1 Announce Type: new Abstract: Maxillofacial report generation from cone beam computed tomography is scored here by a composite objective placing 80% of its weight on a large language model judgement of factual entailment and 20% on lexical overlap, of which only the lexical fifth is visible during development. The grader's BLEU-4 and METEOR routines are reproduced in pure Python and match the reference to machine precision, and an offline entailment surrogate, which tells a report written for one patient from one written for another at an area under the curve of 0.987, makes the composite objective cheap enough to optimise directly. Over the 622-case public release, a report selected against the visible lexical ranking scores 0.2909, whereas one selected against the compo