DB-ATRG: Density and BI-RADS-Aware Triage and Automatic Report Generation for Mammography
A human-centered clinical decision support framework (DB-ATRG) combining model-driven triage and automated report generation. Fine-tuned MedGemma 1.5 (4B) using QLoRA on DMID and VinDr-Mammo datasets, capturing 100% of high-risk malignancies within the first 20% of reading workload.