Peer-Reviewed Publication
Acad Radiol2026October 13, 2026Journal Article

Automated Structured Reporting of Neurodegenerative Imaging Markers Using Quantitative MRI and Large Language Models.

Ji Su Ko1, Wooseok Jung2, Pae Sun Suh3, Hwon Heo4, Woo Hyun Shim5, Dong-Hee Kim6, Seung Hyun Lee6, Mijoo Kim6, Nahyuk Lee6, Saehyun Kim6, Sang Joon Kim7, Chong Hyun Suh7
1Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea (J.S.K.).
2VUNO Inc, Seoul, Republic of Korea (W.J., D.-H.K., S.H.L., M.K., N.L., S.K.); UC Berkeley-UCSF Graduate Program in Bioengineering, University of California, San Francisco, San Francisco, California (W.J.).
3Department of Radiology, Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Yonsei University College of Medicine, Seoul, Republic of Korea (P.S.S.). Electronic address: blackmizz@gmail.com.
4Department of Medical Science, Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea (H.H., W.H.S.).
5Department of Medical Science, Asan Medical Institute of Convergence Science and Technology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea (H.H., W.H.S.); Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea (W.H.S., S.J.K., C.H.S.).
6VUNO Inc, Seoul, Republic of Korea (W.J., D.-H.K., S.H.L., M.K., N.L., S.K.).
7Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea (W.H.S., S.J.K., C.H.S.).

Abstract

RATIONALE AND OBJECTIVES: To evaluate the feasibility of a quantitative magnetic resonance imaging (MRI)-to-structured reporting pipeline that integrates quantitative MRI software with large language models (LLMs) for structured drafting of neurodegenerative imaging markers and generating clinician-facing report conclusions. MATERIALS AND METHODS: A total of 192 patients with 3D T1 and 2D or 3D F…

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