LT-ViT: A Vision Transformer for multi-label Chest X-ray classification

Abstract: Vision Transformers (ViTs) are widely adopted in medical imaging tasks, and some existing efforts have been directed towards vision-language training for Chest X-rays (CXRs). However, we envision that there still exists a potential for improvement in vision-only training for CXRs using ViTs, by aggregating information from multiple scales, which has been proven beneficial for non-transformer networks. Hence, we have developed LT-ViT, a transformer that utilizes combined attention between image tokens and randomly initialized auxiliary tokens that represent labels. Our experiments demonstrate that LT-ViT (1) surpasses the state-of-the-art performance using pure ViTs on two publicly available CXR datasets, (2) is generalizable to other pre-training methods and therefore is agnostic to model initialization, and (3) enables model interpretability without grad-cam and its variants.