Automatic extraction of medical conditions from free-text radiology reports is critical for supervising computer vision models to interpret medical images. In this work, we show that radiologists labeling reports significantly disagree with radiologists labeling corresponding chest X-ray images, which reduces the quality of report labels as proxies for image labels. We develop and evaluate methods to produce labels from radiology reports that have better agreement with radiologists labeling images. Our best performing method, called VisualCheXbert, uses a biomedically-pretrained BERT model to directly map from a radiology report to the image labels, with a supervisory signal determined by a computer vision model trained to detect medical conditions from chest X-ray images. We find that VisualCheXbert outperforms an approach using an existing radiology report labeler by an average F1 score of 0.14 (95% CI 0.12, 0.17). We also find that VisualCheXbert better agrees with radiologists labeling chest X-ray images than do radiologists labeling the corresponding radiology reports by an average F1 score across several medical conditions of between 0.12 (95% CI 0.09, 0.15) and 0.21 (95% CI 0.18, 0.24).

使用 BERT 模型直接从放射学报告映射到图像标签的方法，优于现有的医学报告标签方法，与放射科医生标注的胸部 X 光图像的平均 F1 分数为0.12至0.21。

VisualCheXbert：解决放射学报告标签和图像标签之间的差异