Radiology report generation systems have the potential to reduce the workload of radiologists by automatically describing the findings in medical images.To broaden the application of the report generation system, the system should generate reports that are not only factually accurate but also chronologically consistent, describing images that are presented in time order, that is, the correct order.We employ a planning-based radiology report generation system that generates the overall structure of reports as “plans’” prior to generating reports that are accurate and consistent in order.Additionally, we propose a novel reinforcement learning and inference method, Coordinated Planning (CoPlan), that includes a content planner and a text generator to train and infer in a coordinated manner to alleviate the cascading of errors that are often inherent in planning-based models.We conducted experiments with single-phase diagnostic reports in which the factual accuracy is critical and multi-phase diagnostic reports in which the description order is critical.Our proposed CoPlan improves the content order score by 5.1 pt in time series critical scenarios and the clinical factual accuracy F-score by 9.1 pt in time series irrelevant scenarios, compared those of the baseline models without CoPlan.

Much research has reported the training data of summarization models are noisy; summaries often do not reflect what is written in the source texts. We propose an effective method of curriculum learning to train summarization models from such noisy data. Curriculum learning is used to train sequence-to-sequence models with noisy data. In translation tasks, previous research quantified noise of the training data using two models trained with noisy and clean corpora. Because such corpora do not exist in summarization fields, we propose a model that can quantify noise from a single noisy corpus. We conduct experiments on three summarization models; one pretrained model and two non-pretrained models, and verify our method improves the performance. Furthermore, we analyze how different curricula affect the performance of pretrained and non-pretrained summarization models. Our result on human evaluation also shows our method improves the performance of summarization models.

Automated generation of medical reports that describe the findings in the medical images helps radiologists by alleviating their workload. Medical report generation system should generate correct and concise reports. However, data imbalance makes it difficult to train models accurately. Medical datasets are commonly imbalanced in their finding labels because incidence rates differ among diseases; moreover, the ratios of abnormalities to normalities are significantly imbalanced. We propose a novel reinforcement learning method with a reconstructor to improve the clinical correctness of generated reports to train the data-to-text module with a highly imbalanced dataset. Moreover, we introduce a novel data augmentation strategy for reinforcement learning to additionally train the model on infrequent findings. From the perspective of a practical use, we employ a Two-Stage Medical Report Generator (TS-MRGen) for controllable report generation from input images. TS-MRGen consists of two separated stages: an image diagnosis module and a data-to-text module. Radiologists can modify the image diagnosis module results to control the reports that the data-to-text module generates. We conduct an experiment with two medical datasets to assess the data-to-text module and the entire two-stage model. Results demonstrate that the reports generated by our model describe the findings in the input image more correctly.

The automated generation of information indicating the characteristics of articles such as headlines, key phrases, summaries and categories helps writers to alleviate their workload. Previous research has tackled these tasks using neural abstractive summarization and classification methods. However, the outputs may be inconsistent if they are generated individually. The purpose of our study is to generate multiple outputs consistently. We introduce a multi-task learning model with a shared encoder and multiple decoders for each task. We propose a novel loss function called hierarchical consistency loss to maintain consistency among the attention weights of the decoders. To evaluate the consistency, we employ a human evaluation. The results show that our model generates more consistent headlines, key phrases and categories. In addition, our model outperforms the baseline model on the ROUGE scores, and generates more adequate and fluent headlines.