Chuanfu Li

Xiao Wang, Yuehang Li, Fuling Wang et al.

Inspired by the tremendous success of Large Language Models (LLMs), existing Radiology report generation methods attempt to leverage large models to achieve better performance. They usually adopt a Transformer to extract the visual features of a given X-ray image, and then, feed them into the LLM for text generation. How to extract more effective information for the LLMs to help them improve final results is an urgent problem that needs to be solved. Additionally, the use of visual Transformer models also brings high computational complexity. To address these issues, this paper proposes a novel context-guided efficient radiology report generation framework. Specifically, we introduce the Mamba as the vision backbone with linear complexity, and the performance obtained is comparable to that of the strong Transformer model. More importantly, we perform context retrieval from the training set for samples within each mini-batch during the training phase, utilizing both positively and negatively related samples to enhance feature representation and discriminative learning. Subsequently, we feed the vision tokens, context information, and prompt statements to invoke the LLM for generating high-quality medical reports. Extensive experiments on three X-ray report generation datasets (i.e., IU X-Ray, MIMIC-CXR, CheXpert Plus) fully validated the effectiveness of our proposed model. The source code is available at https://github.com/Event-AHU/Medical_Image_Analysis.

Xiao Wang, Fuling Wang, Haowen Wang et al.

X-ray image based medical report generation achieves significant progress in recent years with the help of the large language model, however, these models have not fully exploited the effective information in visual image regions, resulting in reports that are linguistically sound but insufficient in describing key diseases. In this paper, we propose a novel associative memory-enhanced X-ray report generation model that effectively mimics the process of professional doctors writing medical reports. It considers both the mining of global and local visual information and associates historical report information to better complete the writing of the current report. Specifically, given an X-ray image, we first utilize a classification model along with its activation maps to accomplish the mining of visual regions highly associated with diseases and the learning of disease query tokens. Then, we employ a visual Hopfield network to establish memory associations for disease-related tokens, and a report Hopfield network to retrieve report memory information. This process facilitates the generation of high-quality reports based on a large language model and achieves state-of-the-art performance on multiple benchmark datasets, including the IU X-ray, MIMIC-CXR, and Chexpert Plus. The source code of this work is released on \url{https://github.com/Event-AHU/Medical_Image_Analysis}.

Xiao Wang, Yuehang Li, Wentao Wu et al.

Existing X-ray based pre-trained vision models are usually conducted on a relatively small-scale dataset (less than 500k samples) with limited resolution (e.g., 224 $\times$ 224). However, the key to the success of self-supervised pre-training large models lies in massive training data, and maintaining high resolution in the field of X-ray images is the guarantee of effective solutions to difficult miscellaneous diseases. In this paper, we address these issues by proposing the first high-definition (1280 $\times$ 1280) X-ray based pre-trained foundation vision model on our newly collected large-scale dataset which contains more than 1 million X-ray images. Our model follows the masked auto-encoder framework which takes the tokens after mask processing (with a high rate) is used as input, and the masked image patches are reconstructed by the Transformer encoder-decoder network. More importantly, we introduce a novel context-aware masking strategy that utilizes the chest contour as a boundary for adaptive masking operations. We validate the effectiveness of our model on two downstream tasks, including X-ray report generation and disease recognition. Extensive experiments demonstrate that our pre-trained medical foundation vision model achieves comparable or even new state-of-the-art performance on downstream benchmark datasets. The source code and pre-trained models of this paper will be released on https://github.com/Event-AHU/Medical_Image_Analysis.