Eyes on the Image: Gaze Supervised Multimodal Learning for Chest X-ray Diagnosis and Report Generation
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| Main Authors: | , , , , |
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| Format: | Preprint |
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2025
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| _version_ | 1866918126615003136 |
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| author | Riju, Tanjim Islam Anwar, Shuchismita Joy, Saman Sarker Sadeque, Farig Shatabda, Swakkhar |
| author_facet | Riju, Tanjim Islam Anwar, Shuchismita Joy, Saman Sarker Sadeque, Farig Shatabda, Swakkhar |
| contents | We propose a two-stage multimodal framework that enhances disease classification and region-aware radiology report generation from chest X-rays, leveraging the MIMIC-Eye dataset. In the first stage, we introduce a gaze-guided contrastive learning architecture for disease classification. It integrates visual features, clinical labels, bounding boxes, and radiologist eye-tracking signals and is equipped with a novel multi-term gaze-attention loss combining MSE, KL divergence, correlation, and center-of-mass alignment. Incorporating fixations improves F1 score from 0.597 to 0.631 (+5.70%) and AUC from 0.821 to 0.849 (+3.41%), while also improving precision and recall, highlighting the effectiveness of gaze-informed attention supervision. In the second stage, we present a modular report generation pipeline that extracts confidence-weighted diagnostic keywords, maps them to anatomical regions using a curated dictionary constructed from domain-specific priors, and generates region-aligned sentences via structured prompts. This pipeline improves report quality as measured by clinical keyword recall and ROUGE overlap. Our results demonstrate that integrating gaze data improves both classification performance and the interpretability of generated medical reports. |
| format | Preprint |
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arxiv_https___arxiv_org_abs_2508_13068 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | Eyes on the Image: Gaze Supervised Multimodal Learning for Chest X-ray Diagnosis and Report Generation Riju, Tanjim Islam Anwar, Shuchismita Joy, Saman Sarker Sadeque, Farig Shatabda, Swakkhar Computer Vision and Pattern Recognition Machine Learning We propose a two-stage multimodal framework that enhances disease classification and region-aware radiology report generation from chest X-rays, leveraging the MIMIC-Eye dataset. In the first stage, we introduce a gaze-guided contrastive learning architecture for disease classification. It integrates visual features, clinical labels, bounding boxes, and radiologist eye-tracking signals and is equipped with a novel multi-term gaze-attention loss combining MSE, KL divergence, correlation, and center-of-mass alignment. Incorporating fixations improves F1 score from 0.597 to 0.631 (+5.70%) and AUC from 0.821 to 0.849 (+3.41%), while also improving precision and recall, highlighting the effectiveness of gaze-informed attention supervision. In the second stage, we present a modular report generation pipeline that extracts confidence-weighted diagnostic keywords, maps them to anatomical regions using a curated dictionary constructed from domain-specific priors, and generates region-aligned sentences via structured prompts. This pipeline improves report quality as measured by clinical keyword recall and ROUGE overlap. Our results demonstrate that integrating gaze data improves both classification performance and the interpretability of generated medical reports. |
| title | Eyes on the Image: Gaze Supervised Multimodal Learning for Chest X-ray Diagnosis and Report Generation |
| topic | Computer Vision and Pattern Recognition Machine Learning |
| url | https://arxiv.org/abs/2508.13068 |