Trust It or Not: Confidence-Guided Automatic Radiology Report Generation
This work addresses the need for reliable confidence estimates in automated radiology report generation to assist clinicians, representing an incremental improvement over existing deep learning methods.
The paper tackles the problem of generating radiology reports from medical images by addressing model uncertainty, proposing a method to quantify visual and textual uncertainties to provide confidence scores, resulting in improved model performance on two public datasets and human-evaluated reliability.
Medical imaging plays a pivotal role in diagnosis and treatment in clinical practice. Inspired by the significant progress in automatic image captioning, various deep learning (DL)-based methods have been proposed to generate radiology reports for medical images. Despite promising results, previous works overlook the uncertainties of their models and are thus unable to provide clinicians with the reliability/confidence of the generated radiology reports to assist their decision-making. In this paper, we propose a novel method to explicitly quantify both the visual uncertainty and the textual uncertainty for DL-based radiology report generation. Such multi-modal uncertainties can sufficiently capture the model confidence degree at both the report level and the sentence level, and thus they are further leveraged to weight the losses for more comprehensive model optimization. Experimental results have demonstrated that the proposed method for model uncertainty characterization and estimation can produce more reliable confidence scores for radiology report generation, and the modified loss function, which takes into account the uncertainties, leads to better model performance on two public radiology report datasets. In addition, the quality of the automatically generated reports was manually evaluated by human raters and the results also indicate that the proposed uncertainties can reflect the variance of clinical diagnosis.