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Register a new userExploring and Distilling Posterior and Prior Knowledge for Radiology Report Generation
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Added by
Fenglin Liu
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Automatically generating radiology reports can improve current clinical practice in diagnostic radiology. On one hand, it can relieve radiologists from the heavy burden of report writing; On the other hand, it can remind radiologists of abnormalities and avoid the misdiagnosis and missed diagnosis. Yet, this task remains a challenging job for data-driven neural networks, due to the serious visual and textual data biases. To this end, we propose a Posterior-and-Prior Knowledge Exploring-and-Distilling approach (PPKED) to imitate the working patterns of radiologists, who will first examine the abnormal regions and assign the disease topic tags to the abnormal regions, and then rely on the years of prior medical knowledge and prior working experience accumulations to write reports. Thus, the PPKED includes three modules: Posterior Knowledge Explorer (PoKE), Prior Knowledge Explorer (PrKE) and Multi-domain Knowledge Distiller (MKD). In detail, PoKE explores the posterior knowledge, which provides explicit abnormal visual regions to alleviate visual data bias; PrKE explores the prior knowledge from the prior medical knowledge graph (medical knowledge) and prior radiology reports (working experience) to alleviate textual data bias. The explored knowledge is distilled by the MKD to generate the final reports. Evaluated on MIMIC-CXR and IU-Xray datasets, our method is able to outperform previous state-of-the-art models on these two datasets.
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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 architectures have been proposed for generating radiology reports for medical images. However, model uncertainty (i.e., model reliability/confidence on report generation) is still an under-explored problem. In this paper, we propose a novel method to explicitly quantify both the visual uncertainty and the textual uncertainty for the task of radiology report generation. Such multi-modal uncertainties can sufficiently capture the model confidence scores at both the report-level and the sentence-level, and thus they are further leveraged to weight the losses for achieving more comprehensive model optimization. Our experimental results have demonstrated that our proposed method for model uncertainty characterization and estimation can provide more reliable confidence scores for radiology report generation, and our proposed uncertainty-weighted losses can achieve more comprehensive model optimization and result in state-of-the-art performance on a public radiology report dataset.
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