Gla-AI4BioMed at RRG24: Visual Instruction-tuned Adaptation for Radiology Report Generation

We introduce a radiology-focused visual language model designed to generate radiology reports from chest X-rays. Building on previous findings that large language models (LLMs) can acquire multimodal capabilities when aligned with pretrained vision encoders, we demonstrate similar potential with chest X-ray images. This integration enhances the ability of model to understand and describe chest X-ray images. Our model combines an image encoder with a fine-tuned LLM based on the Vicuna-7B architecture, enabling it to generate different sections of a radiology report with notable accuracy. The training process involves a two-stage approach: (i) initial alignment of chest X-ray features with the LLM (ii) followed by fine-tuning for radiology report generation.

Libra: Leveraging Temporal Images for Biomedical Radiology Analysis

Radiology report generation (RRG) is a challenging task, as it requires a thorough understanding of medical images, integration of multiple temporal inputs, and accurate report generation. Effective interpretation of medical images, such as chest X-rays (CXRs), demands sophisticated visual-language reasoning to map visual findings to structured reports. Recent studies have shown that multimodal large language models (MLLMs) can acquire multimodal capabilities by aligning with pre-trained vision encoders. However, current approaches predominantly focus on single-image analysis or utilise rule-based symbolic processing to handle multiple images, thereby overlooking the essential temporal information derived from comparing current images with prior ones. To overcome this critical limitation, we introduce Libra, a temporal-aware MLLM tailored for CXR report generation using temporal images. Libra integrates a radiology-specific image encoder with a MLLM and utilises a novel Temporal Alignment Connector to capture and synthesise temporal information of images across different time points with unprecedented precision. Extensive experiments show that Libra achieves new state-of-the-art performance among the same parameter scale MLLMs for RRG tasks on the MIMIC-CXR. Specifically, Libra improves the RadCliQ metric by 12.9% and makes substantial gains across all lexical metrics compared to previous models.

Zero-shot and Few-shot Generation Strategies for Artificial Clinical Records

The challenge of accessing historical patient data for clinical research, while adhering to privacy regulations, is a significant obstacle in medical science. An innovative approach to circumvent this issue involves utilising synthetic medical records that mirror real patient data without compromising individual privacy. The creation of these synthetic datasets, particularly without using actual patient data to train Large Language Models (LLMs), presents a novel solution as gaining access to sensitive patient information to train models is also a challenge. This study assesses the capability of the Llama 2 LLM to create synthetic medical records that accurately reflect real patient information, employing zero-shot and few-shot prompting strategies for comparison against fine-tuned methodologies that do require sensitive patient data during training. We focus on generating synthetic narratives for the History of Present Illness section, utilising data from the MIMIC-IV dataset for comparison. In this work introduce a novel prompting technique that leverages a chain-of-thought approach, enhancing the model's ability to generate more accurate and contextually relevant medical narratives without prior fine-tuning. Our findings suggest that this chain-of-thought prompted approach allows the zero-shot model to achieve results on par with those of fine-tuned models, based on Rouge metrics evaluation.