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Q2ATransformer: Improving Medical VQA via an Answer Querying Decoder

2023/04/04 by Yunyi Liu, Zhanyu Wang, Liu, Yunyi +5 · 5 citations
Computer Science · #Advanced Image and Video Retrieval Techniques #Artificial Intelligence (cs.AI) #Computer Vision and Pattern Recognition (cs.CV) #Domain Adaptation and Few-Shot Learning #FOS: Computer and information sciences #Multimodal Machine Learning Applications

paper · pdf · doi:10.48550/arxiv.2304.01611

openalex publication_date 2023/04/04 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

Medical Visual Question Answering (VQA) systems play a supporting role to understand clinic-relevant information carried by medical images. The questions to a medical image include two categories: close-end (such as Yes/No question) and open-end. To obtain answers, the majority of the existing medical VQA methods relies on classification approaches, while a few works attempt to use generation approaches or a mixture of the two. The classification approaches are relatively simple but perform poorly on long open-end questions. To bridge this gap, in this paper, we propose a new Transformer based framework for medical VQA (named as Q2ATransformer), which integrates the advantages of both the classification and the generation approaches and provides a unified treatment for the close-end and open-end questions. Specifically, we introduce an additional Transformer decoder with a set of learnable candidate answer embeddings to query the existence of each answer class to a given image-question pair. Through the Transformer attention, the candidate answer embeddings interact with the fused features of the image-question pair to make the decision. In this way, despite being a classification-based approach, our method provides a mechanism to interact with the answer information for prediction like the generation-based approaches. On the other hand, by classification, we mitigate the task difficulty by reducing the search space of answers. Our method achieves new state-of-the-art performance on two medical VQA benchmarks. Especially, for the open-end questions, we achieve 79.19% on VQA-RAD and 54.85% on PathVQA, with 16.09% and 41.45% absolute improvements, respectively.

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