Generating Findings for Jaw Cysts in Dental Panoramic Radiographs Using GPT-4o: Building a Two-Stage Self-Correction Loop with Structured Output (SLSO) Framework

In this study, we utilized the multimodal capabilities of OpenAI GPT-4o to automatically generate jaw cyst findings on dental panoramic radiographs. To improve accuracy, we constructed a Self-correction Loop with Structured Output (SLSO) framework and verified its effectiveness. A 10-step process was implemented for 22 cases of jaw cysts, including image input and analysis, structured data generation, tooth number extraction and consistency checking, iterative regeneration when inconsistencies were detected, and finding generation with subsequent restructuring and consistency verification. A comparative experiment was conducted using the conventional Chain-of-Thought (CoT) method across seven evaluation items: transparency, internal structure, borders, root resorption, tooth movement, relationships with other structures, and tooth number. The results showed that the proposed SLSO framework improved output accuracy for many items, with 66.9%, 33.3%, and 28.6% improvement rates for tooth number, tooth movement, and root resorption, respectively. In the successful cases, a consistently structured output was achieved after up to five regenerations. Although statistical significance was not reached because of the small size of the dataset, the overall SLSO framework enforced negative finding descriptions, suppressed hallucinations, and improved tooth number identification accuracy. However, the accurate identification of extensive lesions spanning multiple teeth is limited. Nevertheless, further refinement is required to enhance overall performance and move toward a practical finding generation system.

Automated Report Generation for Lung Cytological Images Using a CNN Vision Classifier and Multiple-Transformer Text Decoders: Preliminary Study

Cytology plays a crucial role in lung cancer diagnosis. Pulmonary cytology involves cell morphological characterization in the specimen and reporting the corresponding findings, which are extremely burdensome tasks. In this study, we propose a report-generation technique for lung cytology images. In total, 71 benign and 135 malignant pulmonary cytology specimens were collected. Patch images were extracted from the captured specimen images, and the findings were assigned to each image as a dataset for report generation. The proposed method consists of a vision model and a text decoder. In the former, a convolutional neural network (CNN) is used to classify a given image as benign or malignant, and the features related to the image are extracted from the intermediate layer. Independent text decoders for benign and malignant cells are prepared for text generation, and the text decoder switches according to the CNN classification results. The text decoder is configured using a Transformer that uses the features obtained from the CNN for report generation. Based on the evaluation results, the sensitivity and specificity were 100% and 96.4%, respectively, for automated benign and malignant case classification, and the saliency map indicated characteristic benign and malignant areas. The grammar and style of the generated texts were confirmed as correct and in better agreement with gold standard compared to existing LLM-based image-captioning methods and single-text-decoder ablation model. These results indicate that the proposed method is useful for pulmonary cytology classification and reporting.