Ultrasound Report Generation with Multimodal Large Language Models for Standardized Texts

Ultrasound (US) report generation is a challenging task due to the variability of US images, operator dependence, and the need for standardized text. Unlike X-ray and CT, US imaging lacks consistent datasets, making automation difficult. In this study, we propose a unified framework for multi-organ and multilingual US report generation, integrating fragment-based multilingual training and leveraging the standardized nature of US reports. By aligning modular text fragments with diverse imaging data and curating a bilingual English-Chinese dataset, the method achieves consistent and clinically accurate text generation across organ sites and languages. Fine-tuning with selective unfreezing of the vision transformer (ViT) further improves text-image alignment. Compared to the previous state-of-the-art KMVE method, our approach achieves relative gains of about 2\% in BLEU scores, approximately 3\% in ROUGE-L, and about 15\% in CIDEr, while significantly reducing errors such as missing or incorrect content. By unifying multi-organ and multi-language report generation into a single, scalable framework, this work demonstrates strong potential for real-world clinical workflows.

Ultrasound Report Generation with Cross-Modality Feature Alignment via Unsupervised Guidance

Automatic report generation has arisen as a significant research area in computer-aided diagnosis, aiming to alleviate the burden on clinicians by generating reports automatically based on medical images. In this work, we propose a novel framework for automatic ultrasound report generation, leveraging a combination of unsupervised and supervised learning methods to aid the report generation process. Our framework incorporates unsupervised learning methods to extract potential knowledge from ultrasound text reports, serving as the prior information to guide the model in aligning visual and textual features, thereby addressing the challenge of feature discrepancy. Additionally, we design a global semantic comparison mechanism to enhance the performance of generating more comprehensive and accurate medical reports. To enable the implementation of ultrasound report generation, we constructed three large-scale ultrasound image-text datasets from different organs for training and validation purposes. Extensive evaluations with other state-of-the-art approaches exhibit its superior performance across all three datasets. Code and dataset are valuable at this link.

Design as Desired: Utilizing Visual Question Answering for Multimodal Pre-training

Multimodal pre-training demonstrates its potential in the medical domain, which learns medical visual representations from paired medical reports. However, many pre-training tasks require extra annotations from clinicians, and most of them fail to explicitly guide the model to learn the desired features of different pathologies. To the best of our knowledge, we are the first to utilize Visual Question Answering (VQA) for multimodal pre-training to guide the framework focusing on targeted pathological features. In this work, we leverage descriptions in medical reports to design multi-granular question-answer pairs associated with different diseases, which assist the framework in pre-training without requiring extra annotations from experts. We also propose a novel pre-training framework with a quasi-textual feature transformer, a module designed to transform visual features into a quasi-textual space closer to the textual domain via a contrastive learning strategy. This narrows the vision-language gap and facilitates modality alignment. Our framework is applied to four downstream tasks: report generation, classification, segmentation, and detection across five datasets. Extensive experiments demonstrate the superiority of our framework compared to other state-of-the-art methods. Our code will be released upon acceptance.