CheX-GPT: Harnessing Large Language Models for Enhanced Chest X-ray Report Labeling

Free-text radiology reports present a rich data source for various medical tasks, but effectively labeling these texts remains challenging. Traditional rule-based labeling methods fall short of capturing the nuances of diverse free-text patterns. Moreover, models using expert-annotated data are limited by data scarcity and pre-defined classes, impacting their performance, flexibility and scalability. To address these issues, our study offers three main contributions: 1) We demonstrate the potential of GPT as an adept labeler using carefully designed prompts. 2) Utilizing only the data labeled by GPT, we trained a BERT-based labeler, CheX-GPT, which operates faster and more efficiently than its GPT counterpart. 3) To benchmark labeler performance, we introduced a publicly available expert-annotated test set, MIMIC-500, comprising 500 cases from the MIMIC validation set. Our findings demonstrate that CheX-GPT not only excels in labeling accuracy over existing models, but also showcases superior efficiency, flexibility, and scalability, supported by our introduction of the MIMIC-500 dataset for robust benchmarking. Code and models are available at https://github.com/kakaobrain/CheXGPT.

CXR-CLIP: Toward Large Scale Chest X-ray Language-Image Pre-training

A large-scale image-text pair dataset has greatly contributed to the development of vision-language pre-training (VLP) models, which enable zero-shot or few-shot classification without costly annotation. However, in the medical domain, the scarcity of data remains a significant challenge for developing a powerful VLP model. In this paper, we tackle the lack of image-text data in chest X-ray by expanding image-label pair as image-text pair via general prompt and utilizing multiple images and multiple sections in a radiologic report. We also design two contrastive losses, named ICL and TCL, for learning study-level characteristics of medical images and reports, respectively. Our model outperforms the state-of-the-art models trained under the same conditions. Also, enlarged dataset improve the discriminative power of our pre-trained model for classification, while sacrificing marginal retrieval performance. Code is available at https://github.com/kakaobrain/cxr-clip.