NeuroSymb-MRG generates radiology reports via differentiable abductive reasoning and active uncertainty minimization, raising BLEU-1 to 0.602 on IU X-ray and 0.487 on MIMIC-CXR
The work presents NeuroSymb-MRG, a framework that maps image features to probabilistic clinical concepts, composes multi-hop abductive reasoning chains through a differentiable logic layer (product t-norm AND, probabilistic sum OR, learnable gating α), decodes those chains into roughly 120 clause templates augmented with retrieved evidence and constrained LLM paraphrasing, and drives clinician-in-the-loop review with active sampling based on rule-level predictive entropy (5 MC-dropout passes) plus k-center diversity (k=16 per round); on IU X-ray and MIMIC-CXR it improves BLEU-1 through BLEU-4, ROUGE-L and METEOR over the listed representative baselines, for example IU X-ray BLEU-1 of 0.602 and MIMIC-CXR BLEU-1 of 0.487.