Instance-level Expert Knowledge and Aggregate Discriminative Attention for Radiology Report Generation

Shenshen Bu, Taiji Li, Yuedong Yang, Zhiming Dai; Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), 2024, pp. 14194-14204

Automatic radiology report generation can provide substantial advantages to clinical physicians by effectively reducing their workload and improving efficiency. Despite the promising potential of current methods challenges persist in effectively extracting and preventing degradation of prominent features as well as enhancing attention on pivotal regions. In this paper we propose an Instance-level Expert Knowledge and Aggregate Discriminative Attention framework (EKAGen) for radiology report generation. We convert expert reports into an embedding space and generate comprehensive representations for each disease which serve as Preliminary Knowledge Support (PKS). To prevent feature disruption we select the representations in the embedding space with the smallest distances to PKS as Rectified Knowledge Support (RKS). Then EKAGen diagnoses the diseases and retrieves knowledge from RKS creating Instance-level Expert Knowledge (IEK) for each query image boosting generation. Additionally we introduce Aggregate Discriminative Attention Map (ADM) which uses weak supervision to create maps of discriminative regions that highlight pivotal regions. For training we propose a Global Information Self-Distillation (GID) strategy using an iteratively optimized model to distill global knowledge into EKAGen. Extensive experiments and analyses on IU X-Ray and MIMIC-CXR datasets demonstrate that EKAGen outperforms previous state-of-the-art methods.