Advancing Text-Driven Chest X-Ray Generation with Policy-Based Reinforcement Learning

Fuente: arXiv
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Auteurs principaux: Han, Woojung, Kim, Chanyoung, Ju, Dayun, Shim, Yumin, Hwang, Seong Jae
Format: Preprint
Publié: 2024
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author Han, Woojung
Kim, Chanyoung
Ju, Dayun
Shim, Yumin
Hwang, Seong Jae
author_facet Han, Woojung
Kim, Chanyoung
Ju, Dayun
Shim, Yumin
Hwang, Seong Jae
contents Recent advances in text-conditioned image generation diffusion models have begun paving the way for new opportunities in modern medical domain, in particular, generating Chest X-rays (CXRs) from diagnostic reports. Nonetheless, to further drive the diffusion models to generate CXRs that faithfully reflect the complexity and diversity of real data, it has become evident that a nontrivial learning approach is needed. In light of this, we propose CXRL, a framework motivated by the potential of reinforcement learning (RL). Specifically, we integrate a policy gradient RL approach with well-designed multiple distinctive CXR-domain specific reward models. This approach guides the diffusion denoising trajectory, achieving precise CXR posture and pathological details. Here, considering the complex medical image environment, we present "RL with Comparative Feedback" (RLCF) for the reward mechanism, a human-like comparative evaluation that is known to be more effective and reliable in complex scenarios compared to direct evaluation. Our CXRL framework includes jointly optimizing learnable adaptive condition embeddings (ACE) and the image generator, enabling the model to produce more accurate and higher perceptual CXR quality. Our extensive evaluation of the MIMIC-CXR-JPG dataset demonstrates the effectiveness of our RL-based tuning approach. Consequently, our CXRL generates pathologically realistic CXRs, establishing a new standard for generating CXRs with high fidelity to real-world clinical scenarios.
format Preprint
id arxiv_https___arxiv_org_abs_2403_06516
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Advancing Text-Driven Chest X-Ray Generation with Policy-Based Reinforcement Learning
Han, Woojung
Kim, Chanyoung
Ju, Dayun
Shim, Yumin
Hwang, Seong Jae
Computer Vision and Pattern Recognition
Recent advances in text-conditioned image generation diffusion models have begun paving the way for new opportunities in modern medical domain, in particular, generating Chest X-rays (CXRs) from diagnostic reports. Nonetheless, to further drive the diffusion models to generate CXRs that faithfully reflect the complexity and diversity of real data, it has become evident that a nontrivial learning approach is needed. In light of this, we propose CXRL, a framework motivated by the potential of reinforcement learning (RL). Specifically, we integrate a policy gradient RL approach with well-designed multiple distinctive CXR-domain specific reward models. This approach guides the diffusion denoising trajectory, achieving precise CXR posture and pathological details. Here, considering the complex medical image environment, we present "RL with Comparative Feedback" (RLCF) for the reward mechanism, a human-like comparative evaluation that is known to be more effective and reliable in complex scenarios compared to direct evaluation. Our CXRL framework includes jointly optimizing learnable adaptive condition embeddings (ACE) and the image generator, enabling the model to produce more accurate and higher perceptual CXR quality. Our extensive evaluation of the MIMIC-CXR-JPG dataset demonstrates the effectiveness of our RL-based tuning approach. Consequently, our CXRL generates pathologically realistic CXRs, establishing a new standard for generating CXRs with high fidelity to real-world clinical scenarios.
title Advancing Text-Driven Chest X-Ray Generation with Policy-Based Reinforcement Learning
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2403.06516