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Auteurs principaux: Li, Haoqing, Shi, Jun, Chen, Xianmeng, Jia, Qiwei, Wang, Rui, Wei, Wei, An, Hong, Hu, Xiaowen
Format: Preprint
Publié: 2025
Sujets:
Accès en ligne:https://arxiv.org/abs/2511.19834
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author Li, Haoqing
Shi, Jun
Chen, Xianmeng
Jia, Qiwei
Wang, Rui
Wei, Wei
An, Hong
Hu, Xiaowen
author_facet Li, Haoqing
Shi, Jun
Chen, Xianmeng
Jia, Qiwei
Wang, Rui
Wei, Wei
An, Hong
Hu, Xiaowen
contents Deep learning methods face dual challenges of limited clinical samples and low inter-class differentiation among Diffuse Cystic Lung Diseases (DCLDs) in advancing Birt-Hogg-Dube syndrome (BHD) diagnosis via Computed Tomography (CT) imaging. While Multimodal Large Language Models (MLLMs) demonstrate diagnostic potential fo such rare diseases, the absence of domain-specific knowledge and referable radiological features intensify hallucination risks. To address this problem, we propose BHD-RAG, a multimodal retrieval-augmented generation framework that integrates DCLD-specific expertise and clinical precedents with MLLMs to improve BHD diagnostic accuracy. BHDRAG employs: (1) a specialized agent generating imaging manifestation descriptions of CT images to construct a multimodal corpus of DCLDs cases. (2) a cosine similarity-based retriever pinpointing relevant imagedescription pairs for query images, and (3) an MLLM synthesizing retrieved evidence with imaging data for diagnosis. BHD-RAG is validated on the dataset involving four types of DCLDs, achieving superior accuracy and generating evidence-based descriptions closely aligned with expert insights.
format Preprint
id arxiv_https___arxiv_org_abs_2511_19834
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Large Language Model Aided Birt-Hogg-Dube Syndrome Diagnosis with Multimodal Retrieval-Augmented Generation
Li, Haoqing
Shi, Jun
Chen, Xianmeng
Jia, Qiwei
Wang, Rui
Wei, Wei
An, Hong
Hu, Xiaowen
Computer Vision and Pattern Recognition
Deep learning methods face dual challenges of limited clinical samples and low inter-class differentiation among Diffuse Cystic Lung Diseases (DCLDs) in advancing Birt-Hogg-Dube syndrome (BHD) diagnosis via Computed Tomography (CT) imaging. While Multimodal Large Language Models (MLLMs) demonstrate diagnostic potential fo such rare diseases, the absence of domain-specific knowledge and referable radiological features intensify hallucination risks. To address this problem, we propose BHD-RAG, a multimodal retrieval-augmented generation framework that integrates DCLD-specific expertise and clinical precedents with MLLMs to improve BHD diagnostic accuracy. BHDRAG employs: (1) a specialized agent generating imaging manifestation descriptions of CT images to construct a multimodal corpus of DCLDs cases. (2) a cosine similarity-based retriever pinpointing relevant imagedescription pairs for query images, and (3) an MLLM synthesizing retrieved evidence with imaging data for diagnosis. BHD-RAG is validated on the dataset involving four types of DCLDs, achieving superior accuracy and generating evidence-based descriptions closely aligned with expert insights.
title Large Language Model Aided Birt-Hogg-Dube Syndrome Diagnosis with Multimodal Retrieval-Augmented Generation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.19834