IP-CRR: Information Pursuit for Interpretable Classification of Chest Radiology Reports

Fuente: arXiv
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Auteurs principaux: Ge, Yuyan, Chan, Kwan Ho Ryan, Messina, Pablo, Vidal, René
Format: Preprint
Publié: 2025
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author Ge, Yuyan
Chan, Kwan Ho Ryan
Messina, Pablo
Vidal, René
author_facet Ge, Yuyan
Chan, Kwan Ho Ryan
Messina, Pablo
Vidal, René
contents The development of AI-based methods to analyze radiology reports could lead to significant advances in medical diagnosis, from improving diagnostic accuracy to enhancing efficiency and reducing workload. However, the lack of interpretability of AI-based methods could hinder their adoption in clinical settings. In this paper, we propose an interpretable-by-design framework for classifying chest radiology reports. First, we extract a set of representative facts from a large set of reports. Then, given a new report, we query whether a small subset of the representative facts is entailed by the report, and predict a diagnosis based on the selected subset of query-answer pairs. The explanation for a prediction is, by construction, the set of selected queries and answers. We use the Information Pursuit framework to select the most informative queries, a natural language inference model to determine if a fact is entailed by the report, and a classifier to predict the disease. Experiments on the MIMIC-CXR dataset demonstrate the effectiveness of the proposed method, highlighting its potential to enhance trust and usability in medical AI.
format Preprint
id arxiv_https___arxiv_org_abs_2505_00191
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle IP-CRR: Information Pursuit for Interpretable Classification of Chest Radiology Reports
Ge, Yuyan
Chan, Kwan Ho Ryan
Messina, Pablo
Vidal, René
Computation and Language
The development of AI-based methods to analyze radiology reports could lead to significant advances in medical diagnosis, from improving diagnostic accuracy to enhancing efficiency and reducing workload. However, the lack of interpretability of AI-based methods could hinder their adoption in clinical settings. In this paper, we propose an interpretable-by-design framework for classifying chest radiology reports. First, we extract a set of representative facts from a large set of reports. Then, given a new report, we query whether a small subset of the representative facts is entailed by the report, and predict a diagnosis based on the selected subset of query-answer pairs. The explanation for a prediction is, by construction, the set of selected queries and answers. We use the Information Pursuit framework to select the most informative queries, a natural language inference model to determine if a fact is entailed by the report, and a classifier to predict the disease. Experiments on the MIMIC-CXR dataset demonstrate the effectiveness of the proposed method, highlighting its potential to enhance trust and usability in medical AI.
title IP-CRR: Information Pursuit for Interpretable Classification of Chest Radiology Reports
topic Computation and Language
url https://arxiv.org/abs/2505.00191