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Mar 14

MAIRA-2: Grounded Radiology Report Generation

Radiology reporting is a complex task that requires detailed image understanding, integration of multiple inputs, including comparison with prior imaging, and precise language generation. This makes it ideal for the development and use of generative multimodal models. Here, we extend report generation to include the localisation of individual findings on the image - a task we call grounded report generation. Prior work indicates that grounding is important for clarifying image understanding and interpreting AI-generated text. Therefore, grounded reporting stands to improve the utility and transparency of automated report drafting. To enable evaluation of grounded reporting, we propose a novel evaluation framework - RadFact - leveraging the reasoning capabilities of large language models (LLMs). RadFact assesses the factuality of individual generated sentences, as well as correctness of generated spatial localisations when present. We introduce MAIRA-2, a large multimodal model combining a radiology-specific image encoder with a LLM, and trained for the new task of grounded report generation on chest X-rays. MAIRA-2 uses more comprehensive inputs than explored previously: the current frontal image, the current lateral image, the prior frontal image and prior report, as well as the Indication, Technique and Comparison sections of the current report. We demonstrate that these additions significantly improve report quality and reduce hallucinations, establishing a new state of the art on findings generation (without grounding) on MIMIC-CXR while demonstrating the feasibility of grounded reporting as a novel and richer task.

Language with Vision: a Study on Grounded Word and Sentence Embeddings

Language grounding to vision is an active field of research aiming to enrich text-based representations of word meanings by leveraging perceptual knowledge from vision. Despite many attempts at language grounding, it is still unclear how to effectively inject visual knowledge into the word embeddings of a language in such a way that a proper balance of textual and visual knowledge is maintained. Some common concerns are the following. Is visual grounding beneficial for abstract words or is its contribution only limited to concrete words? What is the optimal way of bridging the gap between text and vision? How much do we gain by visually grounding textual embeddings? The present study addresses these questions by proposing a simple yet very effective grounding approach for pre-trained word embeddings. Our model aligns textual embeddings with vision while largely preserving the distributional statistics that characterize word use in text corpora. By applying a learned alignment, we are able to generate visually grounded embeddings for unseen words, including abstract words. A series of evaluations on word similarity benchmarks shows that visual grounding is beneficial not only for concrete words, but also for abstract words. We also show that our method for visual grounding offers advantages for contextualized embeddings, but only when these are trained on corpora of relatively modest size. Code and grounded embeddings for English are available at https://github.com/Hazel1994/Visually_Grounded_Word_Embeddings_2.