Towards Interpretable Radiology Report Generation via Concept Bottlenecks using a Multi-Agentic RAG

Fuente: arXiv
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Autores principales: Alam, Hasan Md Tusfiqur, Srivastav, Devansh, Kadir, Md Abdul, Sonntag, Daniel
Formato: Preprint
Publicado: 2024
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author Alam, Hasan Md Tusfiqur
Srivastav, Devansh
Kadir, Md Abdul
Sonntag, Daniel
author_facet Alam, Hasan Md Tusfiqur
Srivastav, Devansh
Kadir, Md Abdul
Sonntag, Daniel
contents Deep learning has advanced medical image classification, but interpretability challenges hinder its clinical adoption. This study enhances interpretability in Chest X-ray (CXR) classification by using concept bottleneck models (CBMs) and a multi-agent Retrieval-Augmented Generation (RAG) system for report generation. By modeling relationships between visual features and clinical concepts, we create interpretable concept vectors that guide a multi-agent RAG system to generate radiology reports, enhancing clinical relevance, explainability, and transparency. Evaluation of the generated reports using an LLM-as-a-judge confirmed the interpretability and clinical utility of our model's outputs. On the COVID-QU dataset, our model achieved 81% classification accuracy and demonstrated robust report generation performance, with five key metrics ranging between 84% and 90%. This interpretable multi-agent framework bridges the gap between high-performance AI and the explainability required for reliable AI-driven CXR analysis in clinical settings. Our code is available at https://github.com/tifat58/IRR-with-CBM-RAG.git.
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id arxiv_https___arxiv_org_abs_2412_16086
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Towards Interpretable Radiology Report Generation via Concept Bottlenecks using a Multi-Agentic RAG
Alam, Hasan Md Tusfiqur
Srivastav, Devansh
Kadir, Md Abdul
Sonntag, Daniel
Information Retrieval
Artificial Intelligence
Computation and Language
Computer Vision and Pattern Recognition
Image and Video Processing
Deep learning has advanced medical image classification, but interpretability challenges hinder its clinical adoption. This study enhances interpretability in Chest X-ray (CXR) classification by using concept bottleneck models (CBMs) and a multi-agent Retrieval-Augmented Generation (RAG) system for report generation. By modeling relationships between visual features and clinical concepts, we create interpretable concept vectors that guide a multi-agent RAG system to generate radiology reports, enhancing clinical relevance, explainability, and transparency. Evaluation of the generated reports using an LLM-as-a-judge confirmed the interpretability and clinical utility of our model's outputs. On the COVID-QU dataset, our model achieved 81% classification accuracy and demonstrated robust report generation performance, with five key metrics ranging between 84% and 90%. This interpretable multi-agent framework bridges the gap between high-performance AI and the explainability required for reliable AI-driven CXR analysis in clinical settings. Our code is available at https://github.com/tifat58/IRR-with-CBM-RAG.git.
title Towards Interpretable Radiology Report Generation via Concept Bottlenecks using a Multi-Agentic RAG
topic Information Retrieval
Artificial Intelligence
Computation and Language
Computer Vision and Pattern Recognition
Image and Video Processing
url https://arxiv.org/abs/2412.16086