Skip to main content

Hierarchical X-Ray Report Generation via Pathology Tags and Multi Head Attention

  • Conference paper
  • First Online:
Computer Vision – ACCV 2020 (ACCV 2020)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 12626))

Included in the following conference series:

Abstract

Examining radiology images, such as X-Ray images as accurately as possible, forms a crucial step in providing the best healthcare facilities. However, this requires high expertise and clinical experience. Even for experienced radiologists, this is a time-consuming task. Hence, the automated generation of accurate radiology reports from chest X-Ray images is gaining popularity. Compared to other image captioning tasks where coherence is the key criterion, medical image captioning requires high accuracy in detecting anomalies and extracting information along with coherence. That is, the report must be easy to read and convey medical facts accurately. We propose a deep neural network to achieve this. Given a set of Chest X-Ray images of the patient, the proposed network predicts the medical tags and generates a readable radiology report. For generating the report and tags, the proposed network learns to extract salient features of the image from a deep CNN and generates tag embeddings for each patient’s X-Ray images. We use transformers for learning self and cross attention. We encode the image and tag features with self-attention to get a finer representation. Use both the above features in cross attention with the input sequence to generate the report’s Findings. Then, cross attention is applied between the generated Findings and the input sequence to generate the report’s Impressions. We use a publicly available dataset to evaluate the proposed network. The performance indicates that we can generate a readable radiology report, with a relatively higher BLEU score over SOTA. The code and trained models are available at https://medicalcaption.github.io.

P. Srinivasan and D. Thapar—Equal Contribution.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Delrue, L., Gosselin, R., Ilsen, B., Van Landeghem, A., de Mey, J., Duyck, P.: Difficulties in the interpretation of chest radiography. In: Coche, E., Ghaye, B., de Mey, J., Duyck, P. (eds.) Comparative Interpretation of CT and Standard Radiography of the Chest. MEDRAD, pp. 27–49. Springer, Heidelberg (2011). https://doi.org/10.1007/978-3-540-79942-9_2

    Chapter  Google Scholar 

  2. Jing, B., Xie, P., Xing, E.: On the automatic generation of medical imaging reports. ACL (2018)

    Google Scholar 

  3. Wang, X., Peng, Y., Lu, L., Lu, Z., Summers, R.M.: TieNet: text-image embedding network for common thorax disease classification and reporting in chest x-rays. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 9049–9058 (2018)

    Google Scholar 

  4. Johnson, J., Karpathy, A., Fei-Fei, L.: DenseCap: fully convolutional localization networks for dense captioning. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 4565–4574 (2016)

    Google Scholar 

  5. Demner-Fushman, D., et al.: Preparing a collection of radiology examinations for distribution and retrieval. J. Am. Med. Inform. Assoc. 23, 304–310 (2016)

    Article  Google Scholar 

  6. Wang, X., Peng, Y., Lu, L., Lu, Z., Bagheri, M., Summers, R.: Hospital-scale chest x-ray database and benchmarks on weakly-supervised classification and localization of common thorax diseases. In: IEEE CVPR (2017)

    Google Scholar 

  7. Yao, L., Poblenz, E., Dagunts, D., Covington, B., Bernard, D., Lyman, K.: Learning to diagnose from scratch by exploiting dependencies among labels. arXiv preprint arXiv:1710.10501 (2017)

  8. Rajpurkar, P., et al.: CheXNet: radiologist-level pneumonia detection on chest x-rays with deep learning. arXiv preprint arXiv:1711.05225 (2017)

  9. Kisilev, P., Walach, E., Barkan, E., Ophir, B., Alpert, S., Hashoul, S.Y.: From medical image to automatic medical report generation. IBM J. Res. Dev. 59, 2:1–2:7 (2015)

    Article  Google Scholar 

  10. Shin, H.C., Roberts, K., Lu, L., Demner-Fushman, D., Yao, J., Summers, R.M.: Learning to read chest X-rays: recurrent neural cascade model for automated image annotation. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp. 2497–2506 (2016)

    Google Scholar 

  11. Zhang, Z., Xie, Y., Xing, F., McGough, M., Yang, L.: MDNet: a semantically and visually interpretable medical image diagnosis network. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 6428–6436 (2017)

    Google Scholar 

  12. Li, Y., Liang, X., Hu, Z., Xing, E.P.: Hybrid retrieval-generation reinforced agent for medical image report generation. In: Advances in Neural Information Processing Systems, pp. 1530–1540 (2018)

    Google Scholar 

  13. Xiong, Y., Du, B., Yan, P.: Reinforced transformer for medical image captioning. In: Suk, H.-I., Liu, M., Yan, P., Lian, C. (eds.) MLMI 2019. LNCS, vol. 11861, pp. 673–680. Springer, Cham (2019). https://doi.org/10.1007/978-3-030-32692-0_77

    Chapter  Google Scholar 

  14. Huang, G., Liu, Z., Van Der Maaten, L., Weinberger, K.Q.: Densely connected convolutional networks. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 4700–4708 (2017)

    Google Scholar 

  15. Chollet, F.: Xception: deep learning with depthwise separable convolutions. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 1251–1258 (2017)

    Google Scholar 

  16. Schroff, F., Kalenichenko, D., Philbin, J.: FaceNet: a unified embedding for face recognition and clustering. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 815–823 (2015)

    Google Scholar 

  17. Weston, J., Bengio, S., Usunier, N.: WSABIE: scaling up to large vocabulary image annotation. In: Twenty-Second International Joint Conference on Artificial Intelligence (2011)

    Google Scholar 

  18. Zhang, M.L., Zhou, Z.H.: Multilabel neural networks with applications to functional genomics and text categorization. IEEE Trans. Knowl. Data Eng. 18, 1338–1351 (2006)

    Article  Google Scholar 

  19. Li, Y., Song, Y., Luo, J.: Improving pairwise ranking for multi-label image classification. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 3617–3625 (2017)

    Google Scholar 

  20. Karpathy, A., Fei-Fei, L.: Deep visual-semantic alignments for generating image descriptions. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 3128–3137 (2015)

    Google Scholar 

  21. Vaswani, A., et al.: Attention is all you need. In: Advances in Neural Information Processing Systems, pp. 5998–6008 (2017)

    Google Scholar 

  22. Liu, W., et al.: SSD: single shot multibox detector. In: Leibe, B., Matas, J., Sebe, N., Welling, M. (eds.) ECCV 2016. LNCS, vol. 9905, pp. 21–37. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-46448-0_2

    Chapter  Google Scholar 

  23. Simonyan, K., Zisserman, A.: Very deep convolutional networks for large-scale image recognition. arXiv preprint arXiv:1409.1556 (2014)

  24. He, K., Zhang, X., Ren, S., Sun, J.: Deep residual learning for image recognition. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 770–778 (2016)

    Google Scholar 

  25. Thapar, D., Jaswal, G., Nigam, A., Arora, C.: Gait metric learning Siamese network exploiting dual of spatio-temporal 3D-CNN intra and LSTM based inter gait-cycle-segment features. Pattern Recogn. Lett. 125, 646–653 (2019)

    Article  Google Scholar 

  26. Papineni, K., Roukos, S., Ward, T., Zhu, W.J.: BLEU: a method for automatic evaluation of machine translation. In: Proceedings of the 40th Annual Meeting on Association for Computational Linguistics, pp. 311–318. Association for Computational Linguistics (2002)

    Google Scholar 

  27. Vinyals, O., Toshev, A., Bengio, S., Erhan, D.: Show and tell: a neural image caption generator. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 3156–3164 (2015)

    Google Scholar 

  28. Xu, K., et al.: Show, attend and tell: neural image caption generation with visual attention. In: International conference on machine learning, pp. 2048–2057 (2015)

    Google Scholar 

  29. Liu, G., Hsu, T.M.H., McDermott, M., Boag, W., Weng, W.H., Szolovits, P., Ghassemi, M.: Clinically accurate chest x-ray report generation. arXiv preprint arXiv:1904.02633 (2019)

  30. Donahue, J., et al.: Long-term recurrent convolutional networks for visual recognition and description. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 2625–2634 (2015)

    Google Scholar 

  31. Lu, J., Xiong, C., Parikh, D., Socher, R.: Knowing when to look: adaptive attention via a visual sentinel for image captioning. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 375–383 (2017)

    Google Scholar 

  32. Rennie, S.J., Marcheret, E., Mroueh, Y., Ross, J., Goel, V.: Self-critical sequence training for image captioning. In: Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, pp. 7008–7024 (2017)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Preethi Srinivasan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Srinivasan, P., Thapar, D., Bhavsar, A., Nigam, A. (2021). Hierarchical X-Ray Report Generation via Pathology Tags and Multi Head Attention. In: Ishikawa, H., Liu, CL., Pajdla, T., Shi, J. (eds) Computer Vision – ACCV 2020. ACCV 2020. Lecture Notes in Computer Science(), vol 12626. Springer, Cham. https://doi.org/10.1007/978-3-030-69541-5_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-69541-5_36

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-69540-8

  • Online ISBN: 978-3-030-69541-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics