M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretation

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

A Bi-directional Transformer for Musical Chord Recognition

Chord recognition is an important task since chords are highly abstract and descriptive features of music. For effective chord recognition, it is essential to utilize relevant context in audio sequence. While various machine learning models such as convolutional neural networks (CNNs) and recurrent neural networks (RNNs) have been employed for the task, most of them have limitations in capturing long-term dependency or require training of an additional model. In this work, we utilize a self-attention mechanism for chord recognition to focus on certain regions of chords. Training of the proposed bi-directional Transformer for chord recognition (BTC) consists of a single phase while showing competitive performance. Through an attention map analysis, we have visualized how attention was performed. It turns out that the model was able to divide segments of chords by utilizing adaptive receptive field of the attention mechanism. Furthermore, it was observed that the model was able to effectively capture long-term dependencies, making use of essential information regardless of distance.