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Radiology report generation, translating radiological images into precise and clinically relevant description, may face the data imbalance challenge — medical tokens appear less frequently than regular tokens, and normal entries are significantly more than abnormal ones. However, very few studies consider the imbalance issues, not even with conjugate imbalance factors. In this study, we propose a Joint Imbalance Adaptation (JIMA) model to promote task robustness by leveraging token and label imbalance. We employ a hard-to-easy learning strategy that mitigates overfitting to frequent labels and tokens, thereby encouraging the model to focus more on infrequent labels and clinical tokens. JIMA presents notable improvements (16.75–50.50% on average) across evaluation metrics on IU X-ray and MIMIC-CXR datasets. Our ablation analysis and human evaluations show the improvements mainly come from enhancing performance on infrequent tokens and abnormal radiological entries, which can also lead to more clinically accurate reports. While data imbalance (e.g., infrequent tokens and abnormal labels) can lead to the underperformance of radiology report generation, our imbalance learning strategy opens promising directions on how to encounter data imbalance by reducing overfitting on frequent patterns and underfitting on infrequent patterns. 

Abstract SN 2023ehl, a normal Type Ia supernova with a typical decline rate, was discovered in the galaxy UGC 11555 and offers valuable insights into the explosion mechanisms of white dwarfs. We present a detailed analysis of SN 2023ehl, including spectroscopic and photometric observations. The supernova exhibits high-velocity features in its ejecta, which are crucial for understanding the physical processes during the explosion. We compared the light curves of SN 2023ehl with other well-observed Type Ia supernovae, finding similarities in their evolution. The line strength ratioR(Siii) was calculated to be 0.17 ± 0.04, indicating a higher photospheric temperature compared to other supernovae. The maximum quasi-bolometric luminosity was determined to be 1.52 × 10⁴³erg s⁻¹, and the synthesized⁵⁶Ni mass was estimated at 0.77 ± 0.05M_⊙. The photospheric velocity atB-band maximum light was measured as 10,150 ± 240 km s⁻¹, classifying SN 2023ehl as a normal velocity Type Ia supernova. Our analysis suggests that SN 2023ehl aligns more with both the gravitationally confined detonation, providing a comprehensive view of the diversity and complexity of Type Ia supernovae.