CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Dataset

X-ray image-based medical report generation (MRG) is a pivotal area in artificial intelligence which can significantly reduce diagnostic burdens and patient wait times. Despite significant progress, we believe that the task has reached a bottleneck due to the limited benchmark datasets and the existing large models' insufficient capability enhancements in this specialized domain. Specifically, the recently released CheXpert Plus dataset lacks comparative evaluation algorithms and their results, providing only the dataset itself. This situation makes the training, evaluation, and comparison of subsequent algorithms challenging. Thus, we conduct a comprehensive benchmarking of existing mainstream X-ray report generation models and large language models (LLMs), on the CheXpert Plus dataset. We believe that the proposed benchmark can provide a solid comparative basis for subsequent algorithms and serve as a guide for researchers to quickly grasp the state-of-the-art models in this field. More importantly, we propose a large model for the X-ray image report generation using a multi-stage pre-training strategy, including self-supervised autoregressive generation and Xray-report contrastive learning, and supervised fine-tuning. Extensive experimental results indicate that the autoregressive pre-training based on Mamba effectively encodes X-ray images, and the image-text contrastive pre-training further aligns the feature spaces, achieving better experimental results. Source code can be found on \url{https://github.com/Event-AHU/Medical_Image_Analysis}.

Event Stream based Sign Language Translation: A High-Definition Benchmark Dataset and A New Algorithm

Sign Language Translation (SLT) is a core task in the field of AI-assisted disability. Unlike traditional SLT based on visible light videos, which is easily affected by factors such as lighting, rapid hand movements, and privacy breaches, this paper proposes the use of high-definition Event streams for SLT, effectively mitigating the aforementioned issues. This is primarily because Event streams have a high dynamic range and dense temporal signals, which can withstand low illumination and motion blur well. Additionally, due to their sparsity in space, they effectively protect the privacy of the target person. More specifically, we propose a new high-resolution Event stream sign language dataset, termed Event-CSL, which effectively fills the data gap in this area of research. It contains 14,827 videos, 14,821 glosses, and 2,544 Chinese words in the text vocabulary. These samples are collected in a variety of indoor and outdoor scenes, encompassing multiple angles, light intensities, and camera movements. We have benchmarked existing mainstream SLT works to enable fair comparison for future efforts. Based on this dataset and several other large-scale datasets, we propose a novel baseline method that fully leverages the Mamba model's ability to integrate temporal information of CNN features, resulting in improved sign language translation outcomes. Both the benchmark dataset and source code will be released on https://github.com/Event-AHU/OpenESL

R2GenCSR: Retrieving Context Samples for Large Language Model based X-ray Medical Report Generation

Inspired by the tremendous success of Large Language Models (LLMs), existing X-ray medical 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 X-ray medical 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-Xray, MIMIC-CXR, CheXpert Plus) fully validated the effectiveness of our proposed model. The source code of this work will be released on \url{https://github.com/Event-AHU/Medical_Image_Analysis}.