Vision-language models, while effective in general domains and showing strong performance in diverse multi-modal applications like visual question-answering (VQA), struggle to maintain the same level of effectiveness in more specialized domains, e.g., medical. We propose a medical vision-language model that integrates large vision and language models adapted for the medical domain. This model goes through three stages of parameter-efficient training using three separate biomedical and radiology multi-modal visual and text datasets. The proposed model achieves state-of-the-art performance on the SLAKE 1.0 medical VQA (MedVQA) dataset with an overall accuracy of 87.5% and demonstrates strong performance on another MedVQA dataset, VQA-RAD, achieving an overall accuracy of 73.2%.

Most natural language tasks in the radiology domain use language models pre-trained on biomedical corpus. There are few pretrained language models trained specifically for radiology, and fewer still that have been trained in a low data setting and gone on to produce comparable results in fine-tuning tasks. We present RadLing, a continuously pretrained language model using ELECTRA-small architecture, trained using over 500K radiology reports that can compete with state-of-the-art results for fine tuning tasks in radiology domain. Our main contribution in this paper is knowledge-aware masking which is an taxonomic knowledge-assisted pre-training task that dynamically masks tokens to inject knowledge during pretraining. In addition, we also introduce an knowledge base-aided vocabulary extension to adapt the general tokenization vocabulary to radiology domain.

Instruction-tuned generative large language models (LLMs), such as ChatGPT and Bloomz, possess excellent generalization abilities. However, they face limitations in understanding radiology reports, particularly when generating the IMPRESSIONS section from the FINDINGS section. These models tend to produce either verbose or incomplete IMPRESSIONS, mainly due to insufficient exposure to medical text data during training. We present a system that leverages large-scale medical text data for domain-adaptive pre-training of instruction-tuned LLMs, enhancing their medical knowledge and performance on specific medical tasks. We demonstrate that this system performs better in a zero-shot setting compared to several pretrain-and-finetune adaptation methods on the IMPRESSIONS generation task. Furthermore, it ranks 1st among participating systems in Task 1B: Radiology Report Summarization.

The IMPRESSIONS section of a radiology report about an imaging study is a summary of the radiologist’s reasoning and conclusions, and it also aids the referring physician in confirming or excluding certain diagnoses. A cascade of tasks are required to automatically generate an abstractive summary of the typical information-rich radiology report. These tasks include acquisition of salient content from the report and generation of a concise, easily consumable IMPRESSIONS section. Prior research on radiology report summarization has focused on single-step end-to-end models – which subsume the task of salient content acquisition. To fully explore the cascade structure and explainability of radiology report summarization, we introduce two innovations. First, we design a two-step approach: extractive summarization followed by abstractive summarization. Second, we additionally break down the extractive part into two independent tasks: extraction of salient (1) sentences and (2) keywords. Experiments on English radiology reports from two clinical sites show our novel approach leads to a more precise summary compared to single-step and to two-step-with-single-extractive-process baselines with an overall improvement in F1 score of 3-4%.

We present a novel deep learning architecture to address the natural language inference (NLI) task. Existing approaches mostly rely on simple reading mechanisms for independent encoding of the premise and hypothesis. Instead, we propose a novel dependent reading bidirectional LSTM network (DR-BiLSTM) to efficiently model the relationship between a premise and a hypothesis during encoding and inference. We also introduce a sophisticated ensemble strategy to combine our proposed models, which noticeably improves final predictions. Finally, we demonstrate how the results can be improved further with an additional preprocessing step. Our evaluation shows that DR-BiLSTM obtains the best single model and ensemble model results achieving the new state-of-the-art scores on the Stanford NLI dataset.

Clinical diagnosis is a critical and non-trivial aspect of patient care which often requires significant medical research and investigation based on an underlying clinical scenario. This paper proposes a novel approach by formulating clinical diagnosis as a reinforcement learning problem. During training, the reinforcement learning agent mimics the clinician’s cognitive process and learns the optimal policy to obtain the most appropriate diagnoses for a clinical narrative. This is achieved through an iterative search for candidate diagnoses from external knowledge sources via a sentence-by-sentence analysis of the inherent clinical context. A deep Q-network architecture is trained to optimize a reward function that measures the accuracy of the candidate diagnoses. Experiments on the TREC CDS datasets demonstrate the effectiveness of our system over various non-reinforcement learning-based systems.

Paraphrase generation is important in various applications such as search, summarization, and question answering due to its ability to generate textual alternatives while keeping the overall meaning intact. Clinical paraphrase generation is especially vital in building patient-centric clinical decision support (CDS) applications where users are able to understand complex clinical jargons via easily comprehensible alternative paraphrases. This paper presents Neural Clinical Paraphrase Generation (NCPG), a novel approach that casts the task as a monolingual neural machine translation (NMT) problem. We propose an end-to-end neural network built on an attention-based bidirectional Recurrent Neural Network (RNN) architecture with an encoder-decoder framework to perform the task. Conventional bilingual NMT models mostly rely on word-level modeling and are often limited by out-of-vocabulary (OOV) issues. In contrast, we represent the source and target paraphrase pairs as character sequences to address this limitation. To the best of our knowledge, this is the first work that uses attention-based RNNs for clinical paraphrase generation and also proposes an end-to-end character-level modeling for this task. Extensive experiments on a large curated clinical paraphrase corpus show that the attention-based NCPG models achieve improvements of up to 5.2 BLEU points and 0.5 METEOR points over a non-attention based strong baseline for word-level modeling, whereas further gains of up to 6.1 BLEU points and 1.3 METEOR points are obtained by the character-level NCPG models over their word-level counterparts. Overall, our models demonstrate comparable performance relative to the state-of-the-art phrase-based non-neural models.

In this paper, we propose a novel neural approach for paraphrase generation. Conventional paraphrase generation methods either leverage hand-written rules and thesauri-based alignments, or use statistical machine learning principles. To the best of our knowledge, this work is the first to explore deep learning models for paraphrase generation. Our primary contribution is a stacked residual LSTM network, where we add residual connections between LSTM layers. This allows for efficient training of deep LSTMs. We evaluate our model and other state-of-the-art deep learning models on three different datasets: PPDB, WikiAnswers, and MSCOCO. Evaluation results demonstrate that our model outperforms sequence to sequence, attention-based, and bi-directional LSTM models on BLEU, METEOR, TER, and an embedding-based sentence similarity metric.