Image-to-text radiology report generation aims to automatically produce radiology reports that describe the findings in medical images. Most existing methods focus solely on the image data, disregarding the other patient information accessible to radiologists. In this paper, we present a novel multi-modal deep neural network framework for generating chest X-rays reports by integrating structured patient data, such as vital signs and symptoms, alongside unstructured clinical notes.We introduce a conditioned cross-multi-head attention module to fuse these heterogeneous data modalities, bridging the semantic gap between visual and textual data. Experiments demonstrate substantial improvements from using additional modalities compared to relying on images alone. Notably, our model achieves the highest reported performance on the ROUGE-L metric compared to relevant state-of-the-art models in the literature. Furthermore, we employed both human evaluation and clinical semantic similarity measurement alongside word-overlap metrics to improve the depth of quantitative analysis. A human evaluation, conducted by a board-certified radiologist, confirms the model's accuracy in identifying high-level findings, however, it also highlights that more improvement is needed to capture nuanced details and clinical context.

通过结合结构化患者数据和非结构化临床记录，我们提出了一种新颖的多模态深度神经网络框架，用于生成描述医学图像结果的胸部X射线检查报告，并通过引入条件交叉多头注意力模块来融合这些异构数据模态，弥合视觉和文字数据之间的语义差距。与仅依赖图像的模型相比，实验证明通过使用附加模态可以显著改善结果，在ROUGE-L指标上达到了文献相关最高的性能。此外，我们采用了人工评估和临床语义相似度测量以及词重叠度指标来提高定量分析的深度。由经过认证的放射科医师进行的人工评估确认了该模型在识别高级结果方面的准确性，但也强调需要更多的改进以捕捉细微的细节和临床背景。

超越图像：胸部X光片报告生成的综合多模态方法