Large Model driven Radiology Report Generation with Clinical Quality Reinforcement Learning

Fuente: arXiv
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Autores principales: Zhou, Zijian, Shi, Miaojing, Wei, Meng, Alabi, Oluwatosin, Yue, Zijie, Vercauteren, Tom
Formato: Preprint
Publicado: 2024
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author Zhou, Zijian
Shi, Miaojing
Wei, Meng
Alabi, Oluwatosin
Yue, Zijie
Vercauteren, Tom
author_facet Zhou, Zijian
Shi, Miaojing
Wei, Meng
Alabi, Oluwatosin
Yue, Zijie
Vercauteren, Tom
contents Radiology report generation (RRG) has attracted significant attention due to its potential to reduce the workload of radiologists. Current RRG approaches are still unsatisfactory against clinical standards. This paper introduces a novel RRG method, \textbf{LM-RRG}, that integrates large models (LMs) with clinical quality reinforcement learning to generate accurate and comprehensive chest X-ray radiology reports. Our method first designs a large language model driven feature extractor to analyze and interpret different regions of the chest X-ray image, emphasizing specific regions with medical significance. Next, based on the large model's decoder, we develop a multimodal report generator that leverages multimodal prompts from visual features and textual instruction to produce the radiology report in an auto-regressive way. Finally, to better reflect the clinical significant and insignificant errors that radiologists would normally assign in the report, we introduce a novel clinical quality reinforcement learning strategy. It utilizes the radiology report clinical quality (RadCliQ) metric as a reward function in the learning process. Extensive experiments on the MIMIC-CXR and IU-Xray datasets demonstrate the superiority of our method over the state of the art.
format Preprint
id arxiv_https___arxiv_org_abs_2403_06728
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Large Model driven Radiology Report Generation with Clinical Quality Reinforcement Learning
Zhou, Zijian
Shi, Miaojing
Wei, Meng
Alabi, Oluwatosin
Yue, Zijie
Vercauteren, Tom
Computer Vision and Pattern Recognition
Radiology report generation (RRG) has attracted significant attention due to its potential to reduce the workload of radiologists. Current RRG approaches are still unsatisfactory against clinical standards. This paper introduces a novel RRG method, \textbf{LM-RRG}, that integrates large models (LMs) with clinical quality reinforcement learning to generate accurate and comprehensive chest X-ray radiology reports. Our method first designs a large language model driven feature extractor to analyze and interpret different regions of the chest X-ray image, emphasizing specific regions with medical significance. Next, based on the large model's decoder, we develop a multimodal report generator that leverages multimodal prompts from visual features and textual instruction to produce the radiology report in an auto-regressive way. Finally, to better reflect the clinical significant and insignificant errors that radiologists would normally assign in the report, we introduce a novel clinical quality reinforcement learning strategy. It utilizes the radiology report clinical quality (RadCliQ) metric as a reward function in the learning process. Extensive experiments on the MIMIC-CXR and IU-Xray datasets demonstrate the superiority of our method over the state of the art.
title Large Model driven Radiology Report Generation with Clinical Quality Reinforcement Learning
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2403.06728