Automatic Medical Report Generation: Methods and Applications

The increasing demand for medical imaging has surpassed the capacity of available radiologists, leading to diagnostic delays and potential misdiagnoses. Artificial intelligence (AI) techniques, particularly in automatic medical report generation (AMRG), offer a promising solution to this dilemma. This review comprehensively examines AMRG methods from 2021 to 2024. It (i) presents solutions to primary challenges in this field, (ii) explores AMRG applications across various imaging modalities, (iii) introduces publicly available datasets, (iv) outlines evaluation metrics, (v) identifies techniques that significantly enhance model performance, and (vi) discusses unresolved issues and potential future research directions. This paper aims to provide a comprehensive understanding of the existing literature and inspire valuable future research.

COVID-19 Infection Localization and Severity Grading from Chest X-ray Images

Coronavirus disease 2019 (COVID-19) has been the main agenda of the whole world, since it came into sight in December 2019 as it has significantly affected the world economy and healthcare system. Given the effects of COVID-19 on pulmonary tissues, chest radiographic imaging has become a necessity for screening and monitoring the disease. Numerous studies have proposed Deep Learning approaches for the automatic diagnosis of COVID-19. Although these methods achieved astonishing performance in detection, they have used limited chest X-ray (CXR) repositories for evaluation, usually with a few hundred COVID-19 CXR images only. Thus, such data scarcity prevents reliable evaluation with the potential of overfitting. In addition, most studies showed no or limited capability in infection localization and severity grading of COVID-19 pneumonia. In this study, we address this urgent need by proposing a systematic and unified approach for lung segmentation and COVID-19 localization with infection quantification from CXR images. To accomplish this, we have constructed the largest benchmark dataset with 33,920 CXR images, including 11,956 COVID-19 samples, where the annotation of ground-truth lung segmentation masks is performed on CXRs by a novel human-machine collaborative approach. An extensive set of experiments was performed using the state-of-the-art segmentation networks, U-Net, U-Net++, and Feature Pyramid Networks (FPN). The developed network, after an extensive iterative process, reached a superior performance for lung region segmentation with Intersection over Union (IoU) of 96.11% and Dice Similarity Coefficient (DSC) of 97.99%. Furthermore, COVID-19 infections of various shapes and types were reliably localized with 83.05% IoU and 88.21% DSC. Finally, the proposed approach has achieved an outstanding COVID-19 detection performance with both sensitivity and specificity values above 99%.