Visual-Textual Attentive Semantic Consistency for Medical Report Generation

Automatic report generation on medical radiographs have recently gained interest. However, identifying diseases as well as correctly predicting their corresponding sizes, locations and other medical description patterns, which is essential for generating high-quality reports, is challenging. Although previous methods focused on producing readable reports, how to accurately detect and describe findings that match with the query X-Ray has not been successfully addressed. In this paper, we propose a multi-modality semantic attention model to integrate visual features, predicted key finding embeddings, as well as clinical features, and progressively decode reports with visual-textual semantic consistency. First, multi-modality features are extracted and attended with the hidden states from the sentence decoder, to encode enriched context vectors for better decoding a report. These modalities include regional visual features of scans, semantic word embeddings of the top-K findings predicted with high probabilities, and clinical features of indications. Second, the progressive report decoder consists of a sentence decoder and a word decoder, where we propose image-sentence matching and description accuracy losses to constrain the visual-textual semantic consistency. Extensive experiments on the public MIMIC-CXR and IU X-Ray datasets show that our model achieves consistent improvements over the state-of-the-art methods.