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Reinforcement Learning in Medical Imaging: Taxonomy, LLMs, and Clinical Challenges
Journal article   Open access   Peer reviewed

Reinforcement Learning in Medical Imaging: Taxonomy, LLMs, and Clinical Challenges

A. B. M. Kamrul Islam Riad, Md. Abdul Barek, Hossain Shahriar, Guillermo Francia and Sheikh Iqbal Ahamed
Future internet, Vol.17(9), p.396
08/30/2025
Web of Science ID: WOS:001580972800001

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Abstract

Reinforcement learning (RL) is being used more in medical imaging for segmentation, detection, registration, and classification. This survey provides a comprehensive overview of RL techniques applied in this domain, categorizing the literature based on clinical task, imaging modality, learning paradigm, and algorithmic design. We introduce a unified taxonomy that supports reproducibility, highlights design guidance, and identifies underexplored intersections. Furthermore, we examine the integration of Large Language Models (LLMs) for automation and interpretability, and discuss privacy-preserving extensions using Differential Privacy (DP) and Federated Learning (FL). Finally, we address deployment challenges and outline future research directions toward trustworthy and scalable medical RL systems.
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