Lung nodule malignancy prediction has been enhanced by advanced deep-learning techniques and effective tricks. Nevertheless, current methods are mainly trained with cross-entropy loss using one-hot categorical labels, which results in difficulty in distinguishing those nodules with closer progression labels. Interestingly, we observe that clinical text information annotated by radiologists provides us with discriminative knowledge to identify challenging samples. Drawing on the capability of the contrastive language-image pre-training (CLIP) model to learn generalized visual representations from text annotations, in this paper, we propose CLIP-Lung, a textual knowledge-guided framework for lung nodule malignancy prediction. First, CLIP-Lung introduces both class and attribute annotations into the training of the lung nodule classifier without any additional overheads in inference. Second, we designed a channel-wise conditional prompt (CCP) module to establish consistent relationships between learnable context prompts and specific feature maps. Third, we align image features with both class and attribute features via contrastive learning, rectifying false positives and false negatives in latent space. The experimental results on the benchmark LIDC-IDRI dataset have demonstrated the superiority of CLIP-Lung, both in classification performance and interpretability of attention maps.

本文提出了 CLIP-Lung 作为肺结节恶性预测的文本知识引导框架，通过融合深度学习和临床文本信息提高了肺结节恶性预测的性能和可解释性。

CLIP-Lung:基于文本知识指导的肺结节恶性预测