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RaDialog: A Large Vision-Language Model for Radiology Report Generation and Conversational Assistance

2023/11/30 by Chantal Pellegrini, Ege Özsoy, Pellegrini, Chantal +7 · 9 citations
Computer Science · #Computation and Language (cs.CL) #Computer Vision and Pattern Recognition (cs.CV) #FOS: Computer and information sciences #Multimodal Machine Learning Applications #Natural Language Processing Techniques #Topic Modeling

paper · pdf · doi:10.48550/arxiv.2311.18681

openalex publication_date 2023/11/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

Conversational AI tools that can generate and discuss clinically correct radiology reports for a given medical image have the potential to transform radiology. Such a human-in-the-loop radiology assistant could facilitate a collaborative diagnostic process, thus saving time and improving the quality of reports. Towards this goal, we introduce RaDialog, the first thoroughly evaluated and publicly available large vision-language model for radiology report generation and interactive dialog. RaDialog effectively integrates visual image features and structured pathology findings with a large language model (LLM) while simultaneously adapting it to a specialized domain using parameter-efficient fine-tuning. To keep the conversational abilities of the underlying LLM, we propose a comprehensive, semi-automatically labeled, image-grounded instruct dataset for chest X-ray radiology tasks. By training with this dataset, our method achieves state-of-the-art clinical correctness in report generation and shows impressive abilities in interactive tasks such as correcting reports and answering questions, serving as a foundational step toward clinical dialog systems. Our code is available on github: https://github.com/ChantalMP/RaDialog.

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