
Reinforcement Learning for Clinical Reasoning: Aligning LLMs with ACR Imaging Appropriateness Criteria
Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness Criteria, developed through extensive multidisciplinary review, provide evidence-based guidance but remain underutilized. Leveraging advances in LLM reasoning, we introduce a Reasoning Agent trained with Reinforcement Learning (RL), specifically Group Relative…