Extracting and Encoding: Leveraging Large Language Models and Medical Knowledge to Enhance Radiological Text Representation

Pablo Messina, Rene Vidal, Denis Parra, Alvaro Soto, Vladimir Araujo


Abstract
Advancing representation learning in specialized fields like medicine remains challenging due to the scarcity of expert annotations for text and images. To tackle this issue, we present a novel two-stage framework designed to extract high-quality factual statements from free-text radiology reports in order to improve the representations of text encoders and, consequently, their performance on various downstream tasks.In the first stage, we propose a Fact Extractor that leverages large language models (LLMs) to identify factual statements from well-curated domain-specific datasets. In the second stage, we introduce a Fact Encoder (CXRFE) based on a BERT model fine-tuned with objective functions designed to improve its representations using the extracted factual data. Our framework also includes a new embedding-based metric (CXRFEScore) for evaluating chest X-ray text generation systems, leveraging both stages of our approach. Extensive evaluations show that our fact extractor and encoder outperform current state-of-the-art methods in tasks such as sentence ranking, natural language inference, and label extraction from radiology reports. Additionally, our metric proves to be more robust and effective than existing metrics commonly used in the radiology report generation literature. The code of this project is available at https://github.com/PabloMessina/CXR-Fact-Encoder.
Anthology ID:
2024.findings-acl.236
Volume:
Findings of the Association for Computational Linguistics ACL 2024
Month:
August
Year:
2024
Address:
Bangkok, Thailand and virtual meeting
Editors:
Lun-Wei Ku, Andre Martins, Vivek Srikumar
Venue:
Findings
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
3955–3986
Language:
URL:
https://aclanthology.org/2024.findings-acl.236
DOI:
Bibkey:
Cite (ACL):
Pablo Messina, Rene Vidal, Denis Parra, Alvaro Soto, and Vladimir Araujo. 2024. Extracting and Encoding: Leveraging Large Language Models and Medical Knowledge to Enhance Radiological Text Representation. In Findings of the Association for Computational Linguistics ACL 2024, pages 3955–3986, Bangkok, Thailand and virtual meeting. Association for Computational Linguistics.
Cite (Informal):
Extracting and Encoding: Leveraging Large Language Models and Medical Knowledge to Enhance Radiological Text Representation (Messina et al., Findings 2024)
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PDF:
https://aclanthology.org/2024.findings-acl.236.pdf