DART: Disease-aware Image-Text Alignment and Self-correcting Re-alignment for Trustworthy Radiology Report Generation

The automatic generation of radiology reports has emerged as a promising solution to reduce a time-consuming task and accurately capture critical disease-relevant findings in X-ray images. Previous approaches for radiology report generation have shown impressive performance. However, there remains significant potential to improve accuracy by ensuring that retrieved reports contain disease-relevant findings similar to those in the X-ray images and by refining generated reports. In this study, we propose a Disease-aware image-text Alignment and self-correcting Re-alignment for Trustworthy radiology report generation (DART) framework. In the first stage, we generate initial reports based on image-to-text retrieval with disease-matching, embedding both images and texts in a shared embedding space through contrastive learning. This approach ensures the retrieval of reports with similar disease-relevant findings that closely align with the input X-ray images. In the second stage, we further enhance the initial reports by introducing a self-correction module that re-aligns them with the X-ray images. Our proposed framework achieves state-of-the-art results on two widely used benchmarks, surpassing previous approaches in both report generation and clinical efficacy metrics, thereby enhancing the trustworthiness of radiology reports.

Multi-view Cross-Modality MR Image Translation for Vestibular Schwannoma and Cochlea Segmentation

In this work, we propose a multi-view image translation framework, which can translate contrast-enhanced T1 (ceT1) MR imaging to high-resolution T2 (hrT2) MR imaging for unsupervised vestibular schwannoma and cochlea segmentation. We adopt two image translation models in parallel that use a pixel-level consistent constraint and a patch-level contrastive constraint, respectively. Thereby, we can augment pseudo-hrT2 images reflecting different perspectives, which eventually lead to a high-performing segmentation model. Our experimental results on the CrossMoDA challenge show that the proposed method achieved enhanced performance on the vestibular schwannoma and cochlea segmentation.