RAD-PHI2: Instruction Tuning PHI-2 for Radiology

Small Language Models (SLMs) have shown remarkable performance in general domain language understanding, reasoning and coding tasks, but their capabilities in the medical domain, particularly concerning radiology text, is less explored. In this study, we investigate the application of SLMs for general radiology knowledge specifically question answering related to understanding of symptoms, radiological appearances of findings, differential diagnosis, assessing prognosis, and suggesting treatments w.r.t diseases pertaining to different organ systems. Additionally, we explore the utility of SLMs in handling text-related tasks with respect to radiology reports within AI-driven radiology workflows. We fine-tune Phi-2, a SLM with 2.7 billion parameters using high-quality educational content from Radiopaedia, a collaborative online radiology resource. The resulting language model, RadPhi-2-Base, exhibits the ability to address general radiology queries across various systems (e.g., chest, cardiac). Furthermore, we investigate Phi-2 for instruction tuning, enabling it to perform specific tasks. By fine-tuning Phi-2 on both general domain tasks and radiology-specific tasks related to chest X-ray reports, we create Rad-Phi2. Our empirical results reveal that Rad-Phi2 Base and Rad-Phi2 perform comparably or even outperform larger models such as Mistral-7B-Instruct-v0.2 and GPT-4 providing concise and precise answers. In summary, our work demonstrates the feasibility and effectiveness of utilizing SLMs in radiology workflows both for knowledge related queries as well as for performing specific tasks related to radiology reports thereby opening up new avenues for enhancing the quality and efficiency of radiology practice.

MAIRA-1: A specialised large multimodal model for radiology report generation

We present a radiology-specific multimodal model for the task for generating radiological reports from chest X-rays (CXRs). Our work builds on the idea that large language model(s) can be equipped with multimodal capabilities through alignment with pre-trained vision encoders. On natural images, this has been shown to allow multimodal models to gain image understanding and description capabilities. Our proposed model (MAIRA-1) leverages a CXR-specific image encoder in conjunction with a fine-tuned large language model based on Vicuna-7B, and text-based data augmentation, to produce reports with state-of-the-art quality. In particular, MAIRA-1 significantly improves on the radiologist-aligned RadCliQ metric and across all lexical metrics considered. Manual review of model outputs demonstrates promising fluency and accuracy of generated reports while uncovering failure modes not captured by existing evaluation practices. More information and resources can be found on the project website: https://aka.ms/maira.

Breaking Language Barriers with a LEAP: Learning Strategies for Polyglot LLMs

Large language models (LLMs) are at the forefront of transforming numerous domains globally. However, their inclusivity and effectiveness remain limited for non-Latin scripts and low-resource languages. This paper tackles the imperative challenge of enhancing the multilingual performance of LLMs, specifically focusing on Generative models. Through systematic investigation and evaluation of diverse languages using popular question-answering (QA) datasets, we present novel techniques that unlock the true potential of LLMs in a polyglot landscape. Our approach encompasses three key strategies that yield remarkable improvements in multilingual proficiency. First, by meticulously optimizing prompts tailored for polyglot LLMs, we unlock their latent capabilities, resulting in substantial performance boosts across languages. Second, we introduce a new hybrid approach that synergizes GPT generation with multilingual embeddings and achieves significant multilingual performance improvement on critical tasks like QA and retrieval. Finally, to further propel the performance of polyglot LLMs, we introduce a novel learning algorithm that dynamically selects the optimal prompt strategy, LLM model, and embeddings per query. This dynamic adaptation maximizes the efficacy of LLMs across languages, outperforming best static and random strategies. Our results show substantial advancements in multilingual understanding and generation across a diverse range of languages.

Retrieval Augmented Chest X-Ray Report Generation using OpenAI GPT models

We propose Retrieval Augmented Generation (RAG) as an approach for automated radiology report writing that leverages multimodally aligned embeddings from a contrastively pretrained vision language model for retrieval of relevant candidate radiology text for an input radiology image and a general domain generative model like OpenAI text-davinci-003, gpt-3.5-turbo and gpt-4 for report generation using the relevant radiology text retrieved. This approach keeps hallucinated generations under check and provides capabilities to generate report content in the format we desire leveraging the instruction following capabilities of these generative models. Our approach achieves better clinical metrics with a BERTScore of 0.2865 ({\Delta}+ 25.88%) and Semb score of 0.4026 ({\Delta}+ 6.31%). Our approach can be broadly relevant for different clinical settings as it allows to augment the automated radiology report generation process with content relevant for that setting while also having the ability to inject user intents and requirements in the prompts as part of the report generation process to modulate the content and format of the generated reports as applicable for that clinical setting.