Our paper focuses on automating the generation of medical reports from chest X-ray image inputs, a critical yet time-consuming task for radiologists. Unlike existing medical re-port generation efforts that tend to produce human-readable reports, we aim to generate medical reports that are both fluent and clinically accurate. This is achieved by our fully differentiable and end-to-end paradigm containing three complementary modules: taking the chest X-ray images and clinical his-tory document of patients as inputs, our classification module produces an internal check-list of disease-related topics, referred to as enriched disease embedding; the embedding representation is then passed to our transformer-based generator, giving rise to the medical reports; meanwhile, our generator also pro-duces the weighted embedding representation, which is fed to our interpreter to ensure consistency with respect to disease-related topics.Our approach achieved promising results on commonly-used metrics concerning language fluency and clinical accuracy. Moreover, noticeable performance gains are consistently ob-served when additional input information is available, such as the clinical document and extra scans of different views.

本研究旨在通过将病人的胸部X射线图像和临床病史文档作为输入，利用一种完全可微的端到端框架来生成既流畅又具有临床准确性的医学报告，并通过分类、生成和解释三个互补模块来实现。其表现出良好的语言流畅性和临床准确性，当可提供附加信息时，例如临床文档和不同视图的额外扫描，仍然可以始终显著提高性能。

自动生成精准流畅的医学X光报告