We systematically investigate lightweight strategies to adapt large language models (LLMs) for the task of radiology report summarization (RRS). Specifically, we focus on domain adaptation via pretraining (on natural language, biomedical text, or clinical text) and via discrete prompting or parameter-efficient fine-tuning. Our results consistently achieve best performance by maximally adapting to the task via pretraining on clinical text and fine-tuning on RRS examples. Importantly, this method fine-tunes a mere 0.32% of parameters throughout the model, in contrast to end-to-end fine-tuning (100% of parameters). Additionally, we study the effect of in-context examples and out-of-distribution (OOD) training before concluding with a radiologist reader study and qualitative analysis. Our findings highlight the importance of domain adaptation in RRS and provide valuable insights toward developing effective natural language processing solutions for clinical tasks.

Radiology report summarization is a growing area of research. Given the Findings and/or Background sections of a radiology report, the goal is to generate a summary (called an Impression section) that highlights the key observations and conclusions of the radiology study. Recent efforts have released systems that achieve promising performance as measured by widely used summarization metrics such as BLEU and ROUGE. However, the research area of radiology report summarization currently faces two important limitations. First, most of the results are reported on private datasets. This limitation prevents the ability to reproduce results and fairly compare different systems and solutions. Secondly, to the best of our knowledge, most research is carried out on chest X-rays. To palliate these two limitations, we propose a radiology report summarization (RadSum) challenge on i) a new dataset of eleven different modalities and anatomies pairs based on the MIMIC-III database ii) a multimodal report summarization dataset based on MIMIC-CXR enhanced with a brand-new test-set from Stanford Hospital. In total, we received 112 submissions across 11 teams.

Radiology report summarization (RRS) is a growing area of research. Given the Findings section of a radiology report, the goal is to generate a summary (called an Impression section) that highlights the key observations and conclusions of the radiology study. However, RRS currently faces essential limitations. First, many prior studies conduct experiments on private datasets, preventing reproduction of results and fair comparisons across different systems and solutions. Second, most prior approaches are evaluated solely on chest X-rays. To address these limitations, we propose a dataset (MIMIC-RRS) involving three new modalities and seven new anatomies based on the MIMIC-III and MIMIC-CXR datasets. We then conduct extensive experiments to evaluate the performance of models both within and across modality-anatomy pairs in MIMIC-RRS. In addition, we evaluate their clinical efficacy via RadGraph, a factual correctness metric.

There is a growing need to model interactions between data modalities (e.g., vision, language) — both to improve AI predictions on existing tasks and to enable new applications. In the recent field of multimodal medical AI, integrating multiple modalities has gained widespread popularity as multimodal models have proven to improve performance, robustness, require less training samples and add complementary information. To improve technical reproducibility and transparency for multimodal medical tasks as well as speed up progress across medical AI, we present ViLMedic, a Vision-and-Language medical library. As of 2022, the library contains a dozen reference implementations replicating the state-of-the-art results for problems that range from medical visual question answering and radiology report generation to multimodal representation learning on widely adopted medical datasets. In addition, ViLMedic hosts a model-zoo with more than twenty pretrained models for the above tasks designed to be extensible by researchers but also simple for practitioners. Ultimately, we hope our reproducible pipelines can enable clinical translation and create real impact. The library is available at https://github.com/jbdel/vilmedic.

Neural image-to-text radiology report generation systems offer the potential to improve radiology reporting by reducing the repetitive process of report drafting and identifying possible medical errors. These systems have achieved promising performance as measured by widely used NLG metrics such as BLEU and CIDEr. However, the current systems face important limitations. First, they present an increased complexity in architecture that offers only marginal improvements on NLG metrics. Secondly, these systems that achieve high performance on these metrics are not always factually complete or consistent due to both inadequate training and evaluation. Recent studies have shown the systems can be substantially improved by using new methods encouraging 1) the generation of domain entities consistent with the reference and 2) describing these entities in inferentially consistent ways. So far, these methods rely on weakly-supervised approaches (rule-based) and named entity recognition systems that are not specific to the chest X-ray domain. To overcome this limitation, we propose a new method, the RadGraph reward, to further improve the factual completeness and correctness of generated radiology reports. More precisely, we leverage the RadGraph dataset containing annotated chest X-ray reports with entities and relations between entities. On two open radiology report datasets, our system substantially improves the scores up to 14.2% and 25.3% on metrics evaluating the factual correctness and completeness of reports.

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This paper describes the solution of the QIAI lab sent to the Radiology Report Summarization (RRS) challenge at MEDIQA 2021. This paper aims to investigate whether using multimodality during training improves the summarizing performances of the model at test-time. Our preliminary results shows that taking advantage of the visual features from the x-rays associated to the radiology reports leads to higher evaluation metrics compared to a text-only baseline system. These improvements are reported according to the automatic evaluation metrics METEOR, BLEU and ROUGE scores. Our experiments can be fully replicated at the following address: https://github.com/jbdel/vilmedic.

Understanding expressed sentiment and emotions are two crucial factors in human multimodal language. This paper describes a Transformer-based joint-encoding (TBJE) for the task of Emotion Recognition and Sentiment Analysis. In addition to use the Transformer architecture, our approach relies on a modular co-attention and a glimpse layer to jointly encode one or more modalities. The proposed solution has also been submitted to the ACL20: Second Grand-Challenge on Multimodal Language to be evaluated on the CMU-MOSEI dataset. The code to replicate the presented experiments is open-source .

This paper aims to bring a new lightweight yet powerful solution for the task of Emotion Recognition and Sentiment Analysis. Our motivation is to propose two architectures based on Transformers and modulation that combine the linguistic and acoustic inputs from a wide range of datasets to challenge, and sometimes surpass, the state-of-the-art in the field. To demonstrate the efficiency of our models, we carefully evaluate their performances on the IEMOCAP, MOSI, MOSEI and MELD dataset. The experiments can be directly replicated and the code is fully open for future researches.

In state-of-the-art Neural Machine Translation (NMT), an attention mechanism is used during decoding to enhance the translation. At every step, the decoder uses this mechanism to focus on different parts of the source sentence to gather the most useful information before outputting its target word. Recently, the effectiveness of the attention mechanism has also been explored for multi-modal tasks, where it becomes possible to focus both on sentence parts and image regions that they describe. In this paper, we compare several attention mechanism on the multi-modal translation task (English, image → German) and evaluate the ability of the model to make use of images to improve translation. We surpass state-of-the-art scores on the Multi30k data set, we nevertheless identify and report different misbehavior of the machine while translating.