Prompt-Guided Generation of Structured Chest X-Ray Report Using a Pre-trained LLM

Medical report generation automates radiology descriptions from images, easing the burden on physicians and minimizing errors. However, current methods lack structured outputs and physician interactivity for clear, clinically relevant reports. Our method introduces a prompt-guided approach to generate structured chest X-ray reports using a pre-trained large language model (LLM). First, we identify anatomical regions in chest X-rays to generate focused sentences that center on key visual elements, thereby establishing a structured report foundation with anatomy-based sentences. We also convert the detected anatomy into textual prompts conveying anatomical comprehension to the LLM. Additionally, the clinical context prompts guide the LLM to emphasize interactivity and clinical requirements. By integrating anatomy-focused sentences and anatomy/clinical prompts, the pre-trained LLM can generate structured chest X-ray reports tailored to prompted anatomical regions and clinical contexts. We evaluate using language generation and clinical effectiveness metrics, demonstrating strong performance.

PE: A Poincare Explanation Method for Fast Text Hierarchy Generation

The black-box nature of deep learning models in NLP hinders their widespread application. The research focus has shifted to Hierarchical Attribution (HA) for its ability to model feature interactions. Recent works model non-contiguous combinations with a time-costly greedy search in Eculidean spaces, neglecting underlying linguistic information in feature representations. In this work, we introduce a novel method, namely Poincar\'e Explanation (PE), for modeling feature interactions using hyperbolic spaces in an $O(n^2logn)$ time complexity. Inspired by Poincar\'e model, we propose a framework to project the embeddings into hyperbolic spaces, which exhibit better inductive biases for syntax and semantic hierarchical structures. Eventually, we prove that the hierarchical clustering process in the projected space could be viewed as building a minimum spanning tree and propose a time efficient algorithm. Experimental results demonstrate the effectiveness of our approach.