MedPromptX: Grounded Multimodal Prompting for Chest X-ray Diagnosis

Chest X-ray images are commonly used for predicting acute and chronic cardiopulmonary conditions, but efforts to integrate them with structured clinical data face challenges due to incomplete electronic health records (EHR). This paper introduces MedPromptX, the first model to integrate multimodal large language models (MLLMs), few-shot prompting (FP) and visual grounding (VG) to combine imagery with EHR data for chest X-ray diagnosis. A pre-trained MLLM is utilized to complement the missing EHR information, providing a comprehensive understanding of patients' medical history. Additionally, FP reduces the necessity for extensive training of MLLMs while effectively tackling the issue of hallucination. Nevertheless, the process of determining the optimal number of few-shot examples and selecting high-quality candidates can be burdensome, yet it profoundly influences model performance. Hence, we propose a new technique that dynamically refines few-shot data for real-time adjustment to new patient scenarios. Moreover, VG aids in focusing the model's attention on relevant regions of interest in X-ray images, enhancing the identification of abnormalities. We release MedPromptX-VQA, a new in-context visual question answering dataset encompassing interleaved image and EHR data derived from MIMIC-IV and MIMIC-CXR databases. Results demonstrate the SOTA performance of MedPromptX, achieving an 11% improvement in F1-score compared to the baselines. Code and data are available at https://github.com/BioMedIA-MBZUAI/MedPromptX

Fine-Tuned Large Language Models for Symptom Recognition from Spanish Clinical Text

The accurate recognition of symptoms in clinical reports is significantly important in the fields of healthcare and biomedical natural language processing. These entities serve as essential building blocks for clinical information extraction, enabling retrieval of critical medical insights from vast amounts of textual data. Furthermore, the ability to identify and categorize these entities is fundamental for developing advanced clinical decision support systems, aiding healthcare professionals in diagnosis and treatment planning. In this study, we participated in SympTEMIST, a shared task on the detection of symptoms, signs and findings in Spanish medical documents. We combine a set of large language models fine-tuned with the data released by the organizers.

Improving Pseudo-labelling and Enhancing Robustness for Semi-Supervised Domain Generalization

Beyond attaining domain generalization (DG), visual recognition models should also be data-efficient during learning by leveraging limited labels. We study the problem of Semi-Supervised Domain Generalization (SSDG) which is crucial for real-world applications like automated healthcare. SSDG requires learning a cross-domain generalizable model when the given training data is only partially labelled. Empirical investigations reveal that the DG methods tend to underperform in SSDG settings, likely because they are unable to exploit the unlabelled data. Semi-supervised learning (SSL) shows improved but still inferior results compared to fully-supervised learning. A key challenge, faced by the best-performing SSL-based SSDG methods, is selecting accurate pseudo-labels under multiple domain shifts and reducing overfitting to source domains under limited labels. In this work, we propose new SSDG approach, which utilizes a novel uncertainty-guided pseudo-labelling with model averaging (UPLM). Our uncertainty-guided pseudo-labelling (UPL) uses model uncertainty to improve pseudo-labelling selection, addressing poor model calibration under multi-source unlabelled data. The UPL technique, enhanced by our novel model averaging (MA) strategy, mitigates overfitting to source domains with limited labels. Extensive experiments on key representative DG datasets suggest that our method demonstrates effectiveness against existing methods. Our code and chosen labelled data seeds are available on GitHub: https://github.com/Adnan-Khan7/UPLM