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arXiv 2505.08838eess.IVcs.AIcs.CV

面向标准化文本的基于多模态大语言模型的超声报告生成

Ultrasound Report Generation with Multimodal Large Language Models for Standardized Texts

Shenzhen Institutes of Advanced Technology(深圳先进技术研究院);University of Macau(澳门大学);Chinese PLA General Hospital(中国人民解放军总医院);Macau University of Science and Technology(澳门科学技术大学)

Peixuan Ge, Tongkun Su, Faqin Lv, Baoliang Zhao, Peng Zhang, Chi Hong Wong, Liang Yao, Yu Sun, Zenan Wang, Pak Kin Wong, Ying Hu

AI总结:

针对超声报告生成缺乏统一数据集、自动化难的问题,提出整合基于片段的多语言训练、对齐模块化文本与成像数据、结合ViT选择性解冻微调的统一框架,在多器官多语言场景下多项指标优于现有最优方法,具备临床应用潜力。

摘要:

超声(US)报告生成是一项具有挑战性的任务,原因在于超声图像存在差异性、依赖操作者,且需要输出标准化文本。与X射线和CT不同,超声成像缺乏统一的数据集,这使得自动化难度较高。本研究提出了一个适用于多器官、多语言超声报告生成的统一框架,该框架整合了基于片段的多语言训练,并利用了超声报告的标准化特性。通过将模块化文本片段与多样化成像数据对齐,并构建一个中英双语数据集,该方法可在不同器官部位和语言下生成一致且临床准确的文本。采用选择性解冻视觉Transformer(ViT)的微调策略进一步提升了文图对齐效果。与此前的最优方法KMVE相比,我们的方法在BLEU分数上实现了约2%的相对提升,ROUGE-L提升约3%,CIDEr提升约15%,同时显著减少了内容缺失或错误等问题。通过将多器官、多语言报告生成统一到单个可扩展框架中,本研究展现了在实际临床工作流程中的巨大应用潜力。

英文摘要:

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.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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