Improving Medical Speech-to-Text Accuracy with Vision-Language Pre-training Model

Automatic Speech Recognition (ASR) is a technology that converts spoken words into text, facilitating interaction between humans and machines. One of the most common applications of ASR is Speech-To-Text (STT) technology, which simplifies user workflows by transcribing spoken words into text. In the medical field, STT has the potential to significantly reduce the workload of clinicians who rely on typists to transcribe their voice recordings. However, developing an STT model for the medical domain is challenging due to the lack of sufficient speech and text datasets. To address this issue, we propose a medical-domain text correction method that modifies the output text of a general STT system using the Vision Language Pre-training (VLP) method. VLP combines textual and visual information to correct text based on image knowledge. Our extensive experiments demonstrate that the proposed method offers quantitatively and clinically significant improvements in STT performance in the medical field. We further show that multi-modal understanding of image and text information outperforms single-modal understanding using only text information.

MS-DINO: Efficient Distributed Training of Vision Transformer Foundation Model in Medical Domain through Masked Sampling

In spite of the recent success of deep learning in the medical domain, the problem of data scarcity in the medical domain gets aggravated due to privacy and data ownership issues. Distributed learning approaches including federated learning have been studied to alleviate the problems, but they suffer from cumbersome communication overheads and weakness in privacy protection. To address this, here we propose a self-supervised masked sampling distillation method for vision transformer that can be performed without continuous communication but still enhance privacy using a vision transformer-specific encryption method. The effectiveness of our method is demonstrated with extensive experiments on two medical domain data and two different downstream tasks, showing superior performances than those obtained with the existing distributed learning strategy as well as the fine-tuning only baseline. As the self-supervised model built with the proposed method is capable of having a general semantic understanding of the modality, we demonstrate its potential as a task-agnostic foundation model for various medical tasks, widening the applicability in the medical domain.

Alternating Cross-attention Vision-Language Model for Efficient Learning with Medical Image and Report without Curation

Recent advances in vision-language pre-training have demonstrated astounding performances in diverse vision-language tasks, shedding a light on the long-standing problems of a comprehensive understanding of both visual and textual concepts in artificial intelligence research. However, there has been limited success in the application of vision-language pre-training in the medical domain, as the current vision-language models and learning strategies for photographic images and captions are not optimal to process the medical data which are usually insufficient in the amount and the diversity, which impedes successful learning of joint vision-language concepts. In this study, we introduce MAX-VL, a model tailored for efficient vision-language pre-training in the medical domain. We experimentally demonstrated that the pre-trained MAX-VL model outperforms the current state-of-the-art vision language models in various vision-language tasks. We also suggested the clinical utility for the diagnosis of newly emerging diseases and human error detection as well as showed the widespread applicability of the model in different domain data.

Multi-Task Distributed Learning using Vision Transformer with Random Patch Permutation

The widespread application of artificial intelligence in health research is currently hampered by limitations in data availability. Distributed learning methods such as federated learning (FL) and shared learning (SL) are introduced to solve this problem as well as data management and ownership issues with their different strengths and weaknesses. The recent proposal of federated split task-agnostic (FeSTA) learning tries to reconcile the distinct merits of FL and SL by enabling the multi-task collaboration between participants through Vision Transformer (ViT) architecture, but they suffer from higher communication overhead. To address this, here we present a multi-task distributed learning using ViT with random patch permutation. Instead of using a CNN based head as in FeSTA, p-FeSTA adopts a randomly permuting simple patch embedder, improving the multi-task learning performance without sacrificing privacy. Experimental results confirm that the proposed method significantly enhances the benefit of multi-task collaboration, communication efficiency, and privacy preservation, shedding light on practical multi-task distributed learning in the field of medical imaging.

AI can evolve without labels: self-evolving vision transformer for chest X-ray diagnosis through knowledge distillation

Although deep learning-based computer-aided diagnosis systems have recently achieved expert-level performance, developing a robust deep learning model requires large, high-quality data with manual annotation, which is expensive to obtain. This situation poses the problem that the chest x-rays collected annually in hospitals cannot be used due to the lack of manual labeling by experts, especially in deprived areas. To address this, here we present a novel deep learning framework that uses knowledge distillation through self-supervised learning and self-training, which shows that the performance of the original model trained with a small number of labels can be gradually improved with more unlabeled data. Experimental results show that the proposed framework maintains impressive robustness against a real-world environment and has general applicability to several diagnostic tasks such as tuberculosis, pneumothorax, and COVID-19. Notably, we demonstrated that our model performs even better than those trained with the same amount of labeled data. The proposed framework has a great potential for medical imaging, where plenty of data is accumulated every year, but ground truth annotations are expensive to obtain.

Federated Split Vision Transformer for COVID-19 CXR Diagnosis using Task-Agnostic Training

Federated learning, which shares the weights of the neural network across clients, is gaining attention in the healthcare sector as it enables training on a large corpus of decentralized data while maintaining data privacy. For example, this enables neural network training for COVID-19 diagnosis on chest X-ray (CXR) images without collecting patient CXR data across multiple hospitals. Unfortunately, the exchange of the weights quickly consumes the network bandwidth if highly expressive network architecture is employed. So-called split learning partially solves this problem by dividing a neural network into a client and a server part, so that the client part of the network takes up less extensive computation resources and bandwidth. However, it is not clear how to find the optimal split without sacrificing the overall network performance. To amalgamate these methods and thereby maximize their distinct strengths, here we show that the Vision Transformer, a recently developed deep learning architecture with straightforward decomposable configuration, is ideally suitable for split learning without sacrificing performance. Even under the non-independent and identically distributed data distribution which emulates a real collaboration between hospitals using CXR datasets from multiple sources, the proposed framework was able to attain performance comparable to data-centralized training. In addition, the proposed framework along with heterogeneous multi-task clients also improves individual task performances including the diagnosis of COVID-19, eliminating the need for sharing large weights with innumerable parameters. Our results affirm the suitability of Transformer for collaborative learning in medical imaging and pave the way forward for future real-world implementations.

Federated Split Vision Transformer for COVID-19CXR Diagnosis using Task-Agnostic Training

Federated learning, which shares the weights of the neural network across clients, is gaining attention in the healthcare sector as it enables training on a large corpus of decentralized data while maintaining data privacy. For example, this enables neural network training for COVID-19 diagnosis on chest X-ray (CXR) images without collecting patient CXR data across multiple hospitals. Unfortunately, the exchange of the weights quickly consumes the network bandwidth if highly expressive network architecture is employed. So-called split learning partially solves this problem by dividing a neural network into a client and a server part, so that the client part of the network takes up less extensive computation resources and bandwidth. However, it is not clear how to find the optimal split without sacrificing the overall network performance. To amalgamate these methods and thereby maximize their distinct strengths, here we show that the Vision Transformer, a recently developed deep learning architecture with straightforward decomposable configuration, is ideally suitable for split learning without sacrificing performance. Even under the non-independent and identically distributed data distribution which emulates a real collaboration between hospitals using CXR datasets from multiple sources, the proposed framework was able to attain performance comparable to data-centralized training. In addition, the proposed framework along with heterogeneous multi-task clients also improves individual task performances including the diagnosis of COVID-19, eliminating the need for sharing large weights with innumerable parameters. Our results affirm the suitability of Transformer for collaborative learning in medical imaging and pave the way forward for future real-world implementations.

Vision Transformer using Low-level Chest X-ray Feature Corpus for COVID-19 Diagnosis and Severity Quantification

Developing a robust algorithm to diagnose and quantify the severity of COVID-19 using Chest X-ray (CXR) requires a large number of well-curated COVID-19 datasets, which is difficult to collect under the global COVID-19 pandemic. On the other hand, CXR data with other findings are abundant. This situation is ideally suited for the Vision Transformer (ViT) architecture, where a lot of unlabeled data can be used through structural modeling by the self-attention mechanism. However, the use of existing ViT is not optimal, since feature embedding through direct patch flattening or ResNet backbone in the standard ViT is not intended for CXR. To address this problem, here we propose a novel Vision Transformer that utilizes low-level CXR feature corpus obtained from a backbone network that extracts common CXR findings. Specifically, the backbone network is first trained with large public datasets to detect common abnormal findings such as consolidation, opacity, edema, etc. Then, the embedded features from the backbone network are used as corpora for a Transformer model for the diagnosis and the severity quantification of COVID-19. We evaluate our model on various external test datasets from totally different institutions to evaluate the generalization capability. The experimental results confirm that our model can achieve the state-of-the-art performance in both diagnosis and severity quantification tasks with superior generalization capability, which are sine qua non of widespread deployment.

Severity Quantification and Lesion Localization of COVID-19 on CXR using Vision Transformer

Under the global pandemic of COVID-19, building an automated framework that quantifies the severity of COVID-19 and localizes the relevant lesion on chest X-ray images has become increasingly important. Although pixel-level lesion severity labels, e.g. lesion segmentation, can be the most excellent target to build a robust model, collecting enough data with such labels is difficult due to time and labor-intensive annotation tasks. Instead, array-based severity labeling that assigns integer scores on six subdivisions of lungs can be an alternative choice enabling the quick labeling. Several groups proposed deep learning algorithms that quantify the severity of COVID-19 using the array-based COVID-19 labels and localize the lesions with explainability maps. To further improve the accuracy and interpretability, here we propose a novel Vision Transformer tailored for both quantification of the severity and clinically applicable localization of the COVID-19 related lesions. Our model is trained in a weakly-supervised manner to generate the full probability maps from weak array-based labels. Furthermore, a novel progressive self-training method enables us to build a model with a small labeled dataset. The quantitative and qualitative analysis on the external testset demonstrates that our method shows comparable performance with radiologists for both tasks with stability in a real-world application.

Vision Transformer for COVID-19 CXR Diagnosis using Chest X-ray Feature Corpus

Under the global COVID-19 crisis, developing robust diagnosis algorithm for COVID-19 using CXR is hampered by the lack of the well-curated COVID-19 data set, although CXR data with other disease are abundant. This situation is suitable for vision transformer architecture that can exploit the abundant unlabeled data using pre-training. However, the direct use of existing vision transformer that uses the corpus generated by the ResNet is not optimal for correct feature embedding. To mitigate this problem, we propose a novel vision Transformer by using the low-level CXR feature corpus that are obtained to extract the abnormal CXR features. Specifically, the backbone network is trained using large public datasets to obtain the abnormal features in routine diagnosis such as consolidation, glass-grass opacity (GGO), etc. Then, the embedded features from the backbone network are used as corpus for vision transformer training. We examine our model on various external test datasets acquired from totally different institutions to assess the generalization ability. Our experiments demonstrate that our method achieved the state-of-art performance and has better generalization capability, which are crucial for a widespread deployment.