INSITE: labelling medical images using submodular functions and semi-supervised data programming

The necessity of large amounts of labeled data to train deep models, especially in medical imaging creates an implementation bottleneck in resource-constrained settings. In Insite (labelINg medical imageS usIng submodular funcTions and sEmi-supervised data programming) we apply informed subset selection to identify a small number of most representative or diverse images from a huge pool of unlabelled data subsequently annotated by a domain expert. The newly annotated images are then used as exemplars to develop several data programming-driven labeling functions. These labelling functions output a predicted-label and a similarity score when given an unlabelled image as an input. A consensus is brought amongst the outputs of these labeling functions by using a label aggregator function to assign the final predicted label to each unlabelled data point. We demonstrate that informed subset selection followed by semi-supervised data programming methods using these images as exemplars perform better than other state-of-the-art semi-supervised methods. Further, for the first time we demonstrate that this can be achieved through a small set of images used as exemplars.

Replace and Report: NLP Assisted Radiology Report Generation

Clinical practice frequently uses medical imaging for diagnosis and treatment. A significant challenge for automatic radiology report generation is that the radiology reports are long narratives consisting of multiple sentences for both abnormal and normal findings. Therefore, applying conventional image captioning approaches to generate the whole report proves to be insufficient, as these are designed to briefly describe images with short sentences. We propose a template-based approach to generate radiology reports from radiographs. Our approach involves the following: i) using a multilabel image classifier, produce the tags for the input radiograph; ii) using a transformer-based model, generate pathological descriptions (a description of abnormal findings seen on radiographs) from the tags generated in step (i); iii) using a BERT-based multi-label text classifier, find the spans in the normal report template to replace with the generated pathological descriptions; and iv) using a rule-based system, replace the identified span with the generated pathological description. We performed experiments with the two most popular radiology report datasets, IU Chest X-ray and MIMIC-CXR and demonstrated that the BLEU-1, ROUGE-L, METEOR, and CIDEr scores are better than the State-of-the-Art models by 25%, 36%, 44% and 48% respectively, on the IU X-RAY dataset. To the best of our knowledge, this is the first attempt to generate chest X-ray radiology reports by first creating small sentences for abnormal findings and then replacing them in the normal report template.