RL-ACRGNet: Reinforcement Learning-Based Chest Radiology Report Generation Network

Medical imaging interpretation is a foundational pillar of modern clinical diagnostics, yet the manual generation of radiology reports remains a time-consuming process prone to interpretation inconsistencies. Within the field of medical AI, automating these descriptions through deep learning promises to streamline clinical workflows and standardise diagnostic output. However, accurate disease detection and precise report generation remain significant challenges due to limitations in capturing fine-grained visual features and ensuring clinical coherence. To address these issues, we propose RL-ACRGNet, an improved encoder-decoder model that integrates a pre-trained DenseNet encoder with a multilevel LSTM decoder within an off-policy reinforcement learning framework. Using a dual-network approach to refine visual-semantic embeddings through a metric-based reward mechanism, we demonstrate that RL-ACRGNet consistently outperforms state-of-the-art baselines on the IU-Xray dataset, achieving quantitative improvements in BLEU-4 (0.47%), METEOR (0.17%) and ROUGE-L (0.518). Furthermore, comprehensive evaluations on the large-scale MIMIC-CXR data set confirm the robust generalisation of the model and its ability to generate high-quality, clinically relevant reports

MultiFusionNet: Multilayer Multimodal Fusion of Deep Neural Networks for Chest X-Ray Image Classification

Chest X-ray imaging is a critical diagnostic tool for identifying pulmonary diseases. However, manual interpretation of these images is time-consuming and error-prone. Automated systems utilizing convolutional neural networks (CNNs) have shown promise in improving the accuracy and efficiency of chest X-ray image classification. While previous work has mainly focused on using feature maps from the final convolution layer, there is a need to explore the benefits of leveraging additional layers for improved disease classification. Extracting robust features from limited medical image datasets remains a critical challenge. In this paper, we propose a novel deep learning-based multilayer multimodal fusion model that emphasizes extracting features from different layers and fusing them. Our disease detection model considers the discriminatory information captured by each layer. Furthermore, we propose the fusion of different-sized feature maps (FDSFM) module to effectively merge feature maps from diverse layers. The proposed model achieves a significantly higher accuracy of 97.21% and 99.60% for both three-class and two-class classifications, respectively. The proposed multilayer multimodal fusion model, along with the FDSFM module, holds promise for accurate disease classification and can also be extended to other disease classifications in chest X-ray images.