Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation

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Hauptverfasser: Liu, Kang, Ma, Zhuoqi, Kang, Xiaolu, Li, Yunan, Xie, Kun, Jiao, Zhicheng, Miao, Qiguang
Format: Preprint
Veröffentlicht: 2025
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author Liu, Kang
Ma, Zhuoqi
Kang, Xiaolu
Li, Yunan
Xie, Kun
Jiao, Zhicheng
Miao, Qiguang
author_facet Liu, Kang
Ma, Zhuoqi
Kang, Xiaolu
Li, Yunan
Xie, Kun
Jiao, Zhicheng
Miao, Qiguang
contents Automated radiology report generation offers an effective solution to alleviate radiologists' workload. However, most existing methods focus primarily on single or fixed-view images to model current disease conditions, which limits diagnostic accuracy and overlooks disease progression. Although some approaches utilize longitudinal data to track disease progression, they still rely on single images to analyze current visits. To address these issues, we propose enhanced contrastive learning with Multi-view Longitudinal data to facilitate chest X-ray Report Generation, named MLRG. Specifically, we introduce a multi-view longitudinal contrastive learning method that integrates spatial information from current multi-view images and temporal information from longitudinal data. This method also utilizes the inherent spatiotemporal information of radiology reports to supervise the pre-training of visual and textual representations. Subsequently, we present a tokenized absence encoding technique to flexibly handle missing patient-specific prior knowledge, allowing the model to produce more accurate radiology reports based on available prior knowledge. Extensive experiments on MIMIC-CXR, MIMIC-ABN, and Two-view CXR datasets demonstrate that our MLRG outperforms recent state-of-the-art methods, achieving a 2.3% BLEU-4 improvement on MIMIC-CXR, a 5.5% F1 score improvement on MIMIC-ABN, and a 2.7% F1 RadGraph improvement on Two-view CXR.
format Preprint
id arxiv_https___arxiv_org_abs_2502_20056
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation
Liu, Kang
Ma, Zhuoqi
Kang, Xiaolu
Li, Yunan
Xie, Kun
Jiao, Zhicheng
Miao, Qiguang
Computer Vision and Pattern Recognition
Artificial Intelligence
Automated radiology report generation offers an effective solution to alleviate radiologists' workload. However, most existing methods focus primarily on single or fixed-view images to model current disease conditions, which limits diagnostic accuracy and overlooks disease progression. Although some approaches utilize longitudinal data to track disease progression, they still rely on single images to analyze current visits. To address these issues, we propose enhanced contrastive learning with Multi-view Longitudinal data to facilitate chest X-ray Report Generation, named MLRG. Specifically, we introduce a multi-view longitudinal contrastive learning method that integrates spatial information from current multi-view images and temporal information from longitudinal data. This method also utilizes the inherent spatiotemporal information of radiology reports to supervise the pre-training of visual and textual representations. Subsequently, we present a tokenized absence encoding technique to flexibly handle missing patient-specific prior knowledge, allowing the model to produce more accurate radiology reports based on available prior knowledge. Extensive experiments on MIMIC-CXR, MIMIC-ABN, and Two-view CXR datasets demonstrate that our MLRG outperforms recent state-of-the-art methods, achieving a 2.3% BLEU-4 improvement on MIMIC-CXR, a 5.5% F1 score improvement on MIMIC-ABN, and a 2.7% F1 RadGraph improvement on Two-view CXR.
title Enhanced Contrastive Learning with Multi-view Longitudinal Data for Chest X-ray Report Generation
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2502.20056