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Generating Radiology Reports via Memory-driven Transformer (2010.16056v2)

Published 30 Oct 2020 in cs.CL

Abstract: Medical imaging is frequently used in clinical practice and trials for diagnosis and treatment. Writing imaging reports is time-consuming and can be error-prone for inexperienced radiologists. Therefore, automatically generating radiology reports is highly desired to lighten the workload of radiologists and accordingly promote clinical automation, which is an essential task to apply artificial intelligence to the medical domain. In this paper, we propose to generate radiology reports with memory-driven Transformer, where a relational memory is designed to record key information of the generation process and a memory-driven conditional layer normalization is applied to incorporating the memory into the decoder of Transformer. Experimental results on two prevailing radiology report datasets, IU X-Ray and MIMIC-CXR, show that our proposed approach outperforms previous models with respect to both language generation metrics and clinical evaluations. Particularly, this is the first work reporting the generation results on MIMIC-CXR to the best of our knowledge. Further analyses also demonstrate that our approach is able to generate long reports with necessary medical terms as well as meaningful image-text attention mappings.

Generating Radiology Reports via Memory-driven Transformer

The paper "Generating Radiology Reports via Memory-driven Transformer" introduces a novel approach to automatically generate radiology reports using advanced machine learning techniques. The authors propose utilizing a memory-driven Transformer model, which integrates a relational memory module and a memory-driven conditional layer normalization (MCLN) mechanism. This methodology is aimed at overcoming the challenges inherent in generating long-form, clinically accurate textual descriptions from medical images.

Radiology report generation, unlike conventional image captioning, requires the synthesis of detailed, structured narratives that closely adhere to medical standards. These reports must accurately describe radiological findings, making this task particularly challenging due to the necessity for precision and domain-specific language. Traditionally, the task employs sequence-to-sequence models, but the authors argue that these are insufficient for capturing and generating the complex patterns found within medical reports.

The proposed model incorporates relational memory to record and utilize pattern information from previous generation processes. The memory module employs a matrix that serves as both a query and, through concatenation with the previous output, a key and value for the multi-head attention in the Transformer architecture. This configuration allows the model to implicitly learn and recall recurrent patterns across different medical reports, thereby facilitating the generation of coherent and contextually enriched outputs.

Experimental evaluation was conducted on two prominent datasets: IU X-Ray and MIMIC-CXR. The findings demonstrate that the memory-driven Transformer outperforms state-of-the-art models in both language generation and clinical metrics. The use of MCLN further enhances performance by finely integrating memory outputs into the decoding layers, allowing the model to adjust dynamically to the intricacies of long-text generation.

Significantly, this work reports for the first time on the successful application of such techniques to the MIMIC-CXR dataset, underscoring its competitiveness. The results highlight both numerical improvements in established natural language generation (NLG) metrics such as BLEU, METEOR, and ROUGE-L, and higher clinical efficacy (CE) scores compared to baseline methods.

The implications of this research extend beyond the immediate goal of automating report generation. They provide valuable insights into the application of advanced Transformer architectures within specialized domains such as healthcare. By addressing the persistent challenge of generating lengthy, domain-specific text, the proposed approach potentially sets a precedent for future developments in AI-driven clinical support tools. The introduction of memory mechanisms and innovative layer normalization techniques into generative models suggests avenues for further exploration, focusing on scalability and integration with broader clinical systems.

In conclusion, the research showcases the capacity of memory-driven Transformers to significantly enhance the quality and efficiency of radiology report generation, paving the way for increased automation in clinical settings. The adoption and adaptation of such techniques could transform other areas of the healthcare industry, particularly where the synthesis of complex, structured text from non-narrative data is required. Future AI advancements undoubtedly will continue to build upon these foundational enhancements, honing the intersection of artificial intelligence and precision medicine.

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Authors (4)
  1. Zhihong Chen (63 papers)
  2. Yan Song (91 papers)
  3. Tsung-Hui Chang (86 papers)
  4. Xiang Wan (93 papers)
Citations (401)