Multidimensional Evaluation Framework for Local LLM-Based Clinical Summarization: A Cross-Lingual Prototype on Multi-Modality PACS-Derived Imaging Reports
Large language models (LLMs) are increasingly proposed for clinical summarization, yet evaluations relying on textual similarity overlook clinically consequential failure modes such as fabrication, omission, contradiction, and negation inversion. We treat medical summarization as controlled clinical compression, operat...