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MetricEval-BodyCT
This repository is a body CT benchmark for evaluating radiology report-generation metrics against radiologists' judgment.
It covers 100 CT studies (50 chest and 50 abdomen/pelvis), with three candidate reports each. Every
candidate was independently annotated by multiple board-certified radiologists. The reference reports
are de-identified radiology reports from multiple US centers, provided by Segmed and redistributed
under the Data Use Agreement in LICENSE. The candidate reports are synthetic perturbations of those
references: deliberately injected errors, false clinical statements, hallucinations, etc.
1. Evaluation protocol
Write your metric's scores to a CSV (300 rows, one per candidate), where higher must mean better. Then run:
python3 eval.py --scores your_metric_scores.csv --out results_your_metric.json --label YourMetric
An example input file, example_scores.csv, is included in this repository:
study_id,candidate_label,score
abdomen_0108ee4fedcc,a,0.617761
abdomen_0108ee4fedcc,b,0.717391
abdomen_0108ee4fedcc,c,0.745223
...
An example of output
endpoint tau_b 95% CI blocks
-------------------------- -------- ------------------ -------
n_errors -0.361 [-0.432, -0.291] 97
n_significant -0.213 [-0.288, -0.142] 72
rank_accuracy -0.310 [-0.371, -0.252] 99
rank_answers_indication -0.209 [-0.275, -0.145] 94
cat_hallucinated -0.212 [-0.281, -0.142] 97
cat_missed -0.172 [-0.308, -0.038] 33
cat_other -0.075 [-0.387, +0.245] 6
cat_wrong_certainty -0.051 [-0.148, +0.050] 40
cat_wrong_characterization -0.270 [-0.453, -0.095] 13
cat_wrong_comparison -0.312 [-0.540, +0.069] 8
cat_wrong_location -0.369 [-0.494, -0.231] 20
cat_wrong_measurement -0.235 [-0.401, -0.054] 18
cat_wrong_severity -0.317 [-0.435, -0.197] 29
Results are also persisted as a JSON file.
Each endpoint is a different entry point into the radiologists' judgment:
| endpoint | what it is | inter-rater ceiling (95% CI) |
|---|---|---|
n_errors |
primary β their total error count | -0.694 [-0.751, -0.634] |
n_significant |
their count of clinically significant errors | -0.471 [-0.564, -0.383] |
rank_accuracy |
their ranking of the whole report's fidelity to the reference | -0.645 [-0.746, -0.538] |
rank_answers_indication |
their ranking of how well the impression answers the clinical indication | -0.701 [-0.774, -0.618] |
cat_hallucinated |
findings asserted by the candidate that the reference does not support | -0.821 [-0.867, -0.773] |
cat_missed |
findings present in the reference and absent from the candidate | -0.690 [-0.820, -0.532] |
cat_wrong_location |
a real finding placed at the wrong anatomic site | -0.890 [-0.982, -0.786] |
cat_wrong_severity |
a real finding graded more or less severe than the reference | -0.879 [-0.975, -0.765] |
cat_wrong_characterization |
a real finding described with the wrong morphology | -0.922 [-1.000, -0.769] |
cat_wrong_measurement |
a size, count or distance that disagrees with the reference | -0.874 [-0.978, -0.700] |
cat_wrong_certainty |
hedging that over- or under-states how definite the reference is | -0.658 [-0.792, -0.517] |
cat_wrong_comparison |
a change from a prior study invented, dropped or reversed | -1.000 [-1.000, -1.000] |
cat_other |
an error the rater logged outside the categories above | too few blocks |
2. Error records
Each rater, for each candidate, logged every error they found and then ranked the three candidates.
annotations.errors is a nested column holding the individual errors; an empty list means the rater
reviewed that candidate and confirmed it error-free.
| field | description |
|---|---|
error_id |
stable id, so a specific error can be cited |
category |
one of the 9 categories β see Dataset statistics for the taxonomy |
significance |
significant | insignificant |
anchor_line |
1-based line of candidate_<label> the error sits on, or None |
note |
optional free text, on 82 / 1582 errors (median 10 characters) |
Because the published report text is the numbered view the radiologist saw, anchor_line resolves to
a line by direct indexing:
line = study_row[f"candidate_{ann_row['candidate_label']}"].split("\n")[error["anchor_line"] - 1]
3. Dataset statistics
- 100 studies β 50
chest_ct, 50abdomen_ct, one per patient - 300 candidate reports β 3 per study
- 600 independent expert reads β 2 radiologists Γ 300 candidates
- 1582 error records
- mean: 2.64, median: 3, min:0, max:10
- 460 (29.1%) clinically significant
- 1495 (94.5%) localized to a line
- 82 (5.2%) carrying a free-text note
- 62 of the 600 reads confirmed error-free
The error taxonomy and the distribution of categories:
| category | definition | n |
|---|---|---|
hallucinated |
finding asserted that is absent from the reference | 903 (57.1%) |
wrong_certainty |
hedging error; over- or under-call of confidence | 229 (14.5%) |
missed |
omission of a reference finding | 135 (8.5%) |
wrong_severity |
wrong severity or extent | 87 (5.5%) |
wrong_location |
wrong site or laterality | 57 (3.6%) |
wrong_comparison |
false, missing, or wrong-direction comparison to a prior study | 56 (3.5%) |
wrong_measurement |
wrong numeric measurement or count | 52 (3.3%) |
wrong_characterization |
wrong descriptor or characterization | 37 (2.3%) |
other |
catch-all; see note |
26 (1.6%) |
Citation
@misc{radmatch2026,
title = {RadMatch: Auditable Radiology Report Evaluation via Finding-Level Matching},
author = {Corbi\`ere, Charles and Machado, L\'eo and Charley, Aubin and Caillard, Baptiste
and Le Floch, Korentin and Manceron, Pierre and Dancette, Corentin},
year = {2026},
}
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