{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T19:18:49Z","timestamp":1769800729367,"version":"3.49.0"},"reference-count":202,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021171","name":"Guangdong Basic and Applied Basic Research Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100021171","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Shenzhen Joint Fund"},{"name":"Guangdong-Hong Kong-Macau Research Team Project","award":["2021B1515130003"],"award-info":[{"award-number":["2021B1515130003"]}]},{"name":"Key Research and Development Plan of Hubei Province","award":["2022BCE034"],"award-info":[{"award-number":["2022BCE034"]}]},{"DOI":"10.13039\/501100003819","name":"Natural Science Foundation of Hubei Province","doi-asserted-by":"crossref","award":["2024AFB1054"],"award-info":[{"award-number":["2024AFB1054"]}],"id":[{"id":"10.13039\/501100003819","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>The increasing demand for medical imaging has significantly challenged healthcare systems, emphasizing the need for efficient and accurate diagnostic support tools. Recent advancements in computer vision (CV) and natural language processing (NLP) have demonstrated great promise in addressing these challenges, particularly through the automation of medical report generation. Automatic medical report generation (AMRG) has become a pivotal application of artificial intelligence (AI) in the medical domain, which involves extracting critical information from medical images and generating textual reports. These reports aid clinicians in analyzing image content more efficiently and accurately, thereby improving diagnostic precision. This article provides a comprehensive review of recent advancements in AMRG, with a particular focus on the commonly\u2014employed methodologies, including convolutional neural network (CNN), recurrent neural network (RNN), Transformers and their variants, and large language model (LLM) into AMRG. Moreover, this review also examines both widely\u2014used and less frequently-used datasets and compares various evaluation metrics to provide an in-depth analysis of different AMRG methodologies. Finally, key achievements and future research directions in the field are summarized, highlighting challenges such as cross-modal fusion, model interpretability, and data privacy protection, while suggesting potential future trends in the development of this technology.<\/jats:p>","DOI":"10.7717\/peerj-cs.3474","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T08:09:53Z","timestamp":1769760593000},"page":"e3474","source":"Crossref","is-referenced-by-count":0,"title":["Automatic medical report generation: a comprehensive review of methodologies and applications"],"prefix":"10.7717","volume":"12","author":[{"given":"Tao","family":"Yan","sequence":"first","affiliation":[{"name":"School of Mechanical Engineering, Hubei University of Arts and Science, Xiangyang, Hubei, China"},{"name":"Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua wei","family":"He","sequence":"additional","affiliation":[{"name":"School of Mechanical Engineering, Hubei University of Arts and Science, Xiangyang, Hubei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Neng","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Electromechanical Engineering, University of Macau, Taipa, Macau, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7779-1045","authenticated-orcid":true,"given":"Ye ying","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Electromechanical Engineering, University of Macau, Taipa, Macau, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Li","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 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