LLM Itself Can Read and Generate CXR Images

Building on the recent remarkable development of large language models (LLMs), active attempts are being made to extend the utility of LLMs to multimodal tasks. There have been previous efforts to link language and visual information, and attempts to add visual capabilities to LLMs are ongoing as well. However, existing attempts use LLMs only as image decoders and no attempt has been made to generate images in the same line as the natural language. By adopting a VQ-GAN framework in which latent representations of images are treated as a kind of text tokens, we present a novel method to fine-tune a pre-trained LLM to read and generate images like text without any structural changes, extra training objectives, or the need for training an ad-hoc network while still preserving the of the instruction-following capability of the LLM. We apply this framework to chest X-ray (CXR) image and report generation tasks as it is a domain in which translation of complex information between visual and language domains is important. The code is available at https://github.com/hyn2028/llm-cxr.