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Main Authors: Song, Yucheng, Ge, Yifan, Li, Junhao, Liao, Zhining, Liao, Zhifang
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2511.02271
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author Song, Yucheng
Ge, Yifan
Li, Junhao
Liao, Zhining
Liao, Zhifang
author_facet Song, Yucheng
Ge, Yifan
Li, Junhao
Liao, Zhining
Liao, Zhifang
contents Medical Report Generation (MRG) is a key part of modern medical diagnostics, as it automatically generates reports from radiological images to reduce radiologists' burden. However, reliable MRG models for lesion description face three main challenges: insufficient domain knowledge understanding, poor text-visual entity embedding alignment, and spurious correlations from cross-modal biases. Previous work only addresses single challenges, while this paper tackles all three via a novel hierarchical task decomposition approach, proposing the HTSC-CIF framework. HTSC-CIF classifies the three challenges into low-, mid-, and high-level tasks: 1) Low-level: align medical entity features with spatial locations to enhance domain knowledge for visual encoders; 2) Mid-level: use Prefix Language Modeling (text) and Masked Image Modeling (images) to boost cross-modal alignment via mutual guidance; 3) High-level: a cross-modal causal intervention module (via front-door intervention) to reduce confounders and improve interpretability. Extensive experiments confirm HTSC-CIF's effectiveness, significantly outperforming state-of-the-art (SOTA) MRG methods. Code will be made public upon paper acceptance.
format Preprint
id arxiv_https___arxiv_org_abs_2511_02271
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Medical Report Generation: A Hierarchical Task Structure-Based Cross-Modal Causal Intervention Framework
Song, Yucheng
Ge, Yifan
Li, Junhao
Liao, Zhining
Liao, Zhifang
Computer Vision and Pattern Recognition
Medical Report Generation (MRG) is a key part of modern medical diagnostics, as it automatically generates reports from radiological images to reduce radiologists' burden. However, reliable MRG models for lesion description face three main challenges: insufficient domain knowledge understanding, poor text-visual entity embedding alignment, and spurious correlations from cross-modal biases. Previous work only addresses single challenges, while this paper tackles all three via a novel hierarchical task decomposition approach, proposing the HTSC-CIF framework. HTSC-CIF classifies the three challenges into low-, mid-, and high-level tasks: 1) Low-level: align medical entity features with spatial locations to enhance domain knowledge for visual encoders; 2) Mid-level: use Prefix Language Modeling (text) and Masked Image Modeling (images) to boost cross-modal alignment via mutual guidance; 3) High-level: a cross-modal causal intervention module (via front-door intervention) to reduce confounders and improve interpretability. Extensive experiments confirm HTSC-CIF's effectiveness, significantly outperforming state-of-the-art (SOTA) MRG methods. Code will be made public upon paper acceptance.
title Medical Report Generation: A Hierarchical Task Structure-Based Cross-Modal Causal Intervention Framework
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.02271