LEAVS: An LLM-based Labeler for Abdominal CT Supervision

Fuente: arXiv
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Autores principales: Lanfredi, Ricardo Bigolin, Zhuang, Yan, Finkelstein, Mark, Balamuralikrishna, Praveen Thoppey Srinivasan, Krembs, Luke, Khoury, Brandon, Reddy, Arthi, Mukherjee, Pritam, Rofsky, Neil M., Summers, Ronald M.
Formato: Preprint
Publicado: 2025
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author Lanfredi, Ricardo Bigolin
Zhuang, Yan
Finkelstein, Mark
Balamuralikrishna, Praveen Thoppey Srinivasan
Krembs, Luke
Khoury, Brandon
Reddy, Arthi
Mukherjee, Pritam
Rofsky, Neil M.
Summers, Ronald M.
author_facet Lanfredi, Ricardo Bigolin
Zhuang, Yan
Finkelstein, Mark
Balamuralikrishna, Praveen Thoppey Srinivasan
Krembs, Luke
Khoury, Brandon
Reddy, Arthi
Mukherjee, Pritam
Rofsky, Neil M.
Summers, Ronald M.
contents Extracting structured labels from radiology reports has been employed to create vision models to simultaneously detect several types of abnormalities. However, existing works focus mainly on the chest region. Few works have been investigated on abdominal radiology reports due to more complex anatomy and a wider range of pathologies in the abdomen. We propose LEAVS (Large language model Extractor for Abdominal Vision Supervision). This labeler can annotate the certainty of presence and the urgency of seven types of abnormalities for nine abdominal organs on CT radiology reports. To ensure broad coverage, we chose abnormalities that encompass most of the finding types from CT reports. Our approach employs a specialized chain-of-thought prompting strategy for a locally-run LLM using sentence extraction and multiple-choice questions in a tree-based decision system. We demonstrate that the LLM can extract several abnormality types across abdominal organs with an average F1 score of 0.89, significantly outperforming competing labelers and humans. Additionally, we show that extraction of urgency labels achieved performance comparable to human annotations. Finally, we demonstrate that the abnormality labels contain valuable information for training a single vision model that classifies several organs as normal or abnormal. We release our code and structured annotations for a public CT dataset containing over 1,000 CT volumes.
format Preprint
id arxiv_https___arxiv_org_abs_2503_13330
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle LEAVS: An LLM-based Labeler for Abdominal CT Supervision
Lanfredi, Ricardo Bigolin
Zhuang, Yan
Finkelstein, Mark
Balamuralikrishna, Praveen Thoppey Srinivasan
Krembs, Luke
Khoury, Brandon
Reddy, Arthi
Mukherjee, Pritam
Rofsky, Neil M.
Summers, Ronald M.
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Extracting structured labels from radiology reports has been employed to create vision models to simultaneously detect several types of abnormalities. However, existing works focus mainly on the chest region. Few works have been investigated on abdominal radiology reports due to more complex anatomy and a wider range of pathologies in the abdomen. We propose LEAVS (Large language model Extractor for Abdominal Vision Supervision). This labeler can annotate the certainty of presence and the urgency of seven types of abnormalities for nine abdominal organs on CT radiology reports. To ensure broad coverage, we chose abnormalities that encompass most of the finding types from CT reports. Our approach employs a specialized chain-of-thought prompting strategy for a locally-run LLM using sentence extraction and multiple-choice questions in a tree-based decision system. We demonstrate that the LLM can extract several abnormality types across abdominal organs with an average F1 score of 0.89, significantly outperforming competing labelers and humans. Additionally, we show that extraction of urgency labels achieved performance comparable to human annotations. Finally, we demonstrate that the abnormality labels contain valuable information for training a single vision model that classifies several organs as normal or abnormal. We release our code and structured annotations for a public CT dataset containing over 1,000 CT volumes.
title LEAVS: An LLM-based Labeler for Abdominal CT Supervision
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2503.13330