Daily Papers

In this study, we aimed to determine if fine-tuned large language models (LLMs) can generate accurate, personalized impressions for whole-body PET reports. Twelve language models were trained on a corpus of PET reports using the teacher-forcing algorithm, with the report findings as input and the clinical impressions as reference. An extra input token encodes the reading physician's identity, allowing models to learn physician-specific reporting styles. Our corpus comprised 37,370 retrospective PET reports collected from our institution between 2010 and 2022. To identify the best LLM, 30 evaluation metrics were benchmarked against quality scores from two nuclear medicine (NM) physicians, with the most aligned metrics selecting the model for expert evaluation. In a subset of data, model-generated impressions and original clinical impressions were assessed by three NM physicians according to 6 quality dimensions (3-point scale) and an overall utility score (5-point scale). Each physician reviewed 12 of their own reports and 12 reports from other physicians. Bootstrap resampling was used for statistical analysis. Of all evaluation metrics, domain-adapted BARTScore and PEGASUSScore showed the highest Spearman's rank correlations (0.568 and 0.563) with physician preferences. Based on these metrics, the fine-tuned PEGASUS model was selected as the top LLM. When physicians reviewed PEGASUS-generated impressions in their own style, 89% were considered clinically acceptable, with a mean utility score of 4.08 out of 5. Physicians rated these personalized impressions as comparable in overall utility to the impressions dictated by other physicians (4.03, P=0.41). In conclusion, personalized impressions generated by PEGASUS were clinically useful, highlighting its potential to expedite PET reporting.

Vision-language models can connect the text description of an object to its specific location in an image through visual grounding. This has potential applications in enhanced radiology reporting. However, these models require large annotated image-text datasets, which are lacking for PET/CT. We developed an automated pipeline to generate weak labels linking PET/CT report descriptions to their image locations and used it to train a 3D vision-language visual grounding model. Our pipeline finds positive findings in PET/CT reports by identifying mentions of SUVmax and axial slice numbers. From 25,578 PET/CT exams, we extracted 11,356 sentence-label pairs. Using this data, we trained ConTEXTual Net 3D, which integrates text embeddings from a large language model with a 3D nnU-Net via token-level cross-attention. The model's performance was compared against LLMSeg, a 2.5D version of ConTEXTual Net, and two nuclear medicine physicians. The weak-labeling pipeline accurately identified lesion locations in 98% of cases (246/251), with 7.5% requiring boundary adjustments. ConTEXTual Net 3D achieved an F1 score of 0.80, outperforming LLMSeg (F1=0.22) and the 2.5D model (F1=0.53), though it underperformed both physicians (F1=0.94 and 0.91). The model achieved better performance on FDG (F1=0.78) and DCFPyL (F1=0.75) exams, while performance dropped on DOTATE (F1=0.58) and Fluciclovine (F1=0.66). The model performed consistently across lesion sizes but showed reduced accuracy on lesions with low uptake. Our novel weak labeling pipeline accurately produced an annotated dataset of PET/CT image-text pairs, facilitating the development of 3D visual grounding models. ConTEXTual Net 3D significantly outperformed other models but fell short of the performance of nuclear medicine physicians. Our study suggests that even larger datasets may be needed to close this performance gap.

Positron emission tomography (PET) is a cornerstone of modern oncologic and neurologic imaging, distinguished by its unique ability to illuminate dynamic metabolic processes that transcend the anatomical focus of traditional imaging technologies. Radiology reports are essential for clinical decision making, yet their manual creation is labor-intensive and time-consuming. Recent advancements of vision-language models (VLMs) have shown strong potential in medical applications, presenting a promising avenue for automating report generation. However, existing applications of VLMs in the medical domain have predominantly focused on structural imaging modalities, while the unique characteristics of molecular PET imaging have largely been overlooked. To bridge the gap, we introduce PET2Rep, a large-scale comprehensive benchmark for evaluation of general and medical VLMs for radiology report generation for PET images. PET2Rep stands out as the first dedicated dataset for PET report generation with metabolic information, uniquely capturing whole-body image-report pairs that cover dozens of organs to fill the critical gap in existing benchmarks and mirror real-world clinical comprehensiveness. In addition to widely recognized natural language generation metrics, we introduce a series of clinical efficiency metrics to evaluate the quality of radiotracer uptake pattern description in key organs in generated reports. We conduct a head-to-head comparison of 30 cutting-edge general-purpose and medical-specialized VLMs. The results show that the current state-of-the-art VLMs perform poorly on PET report generation task, falling considerably short of fulfilling practical needs. Moreover, we identify several key insufficiency that need to be addressed to advance the development in medical applications.

Rationale and Objectives: To develop and validate PARROT (Polyglottal Annotated Radiology Reports for Open Testing), a large, multicentric, open-access dataset of fictional radiology reports spanning multiple languages for testing natural language processing applications in radiology. Materials and Methods: From May to September 2024, radiologists were invited to contribute fictional radiology reports following their standard reporting practices. Contributors provided at least 20 reports with associated metadata including anatomical region, imaging modality, clinical context, and for non-English reports, English translations. All reports were assigned ICD-10 codes. A human vs. AI report differentiation study was conducted with 154 participants (radiologists, healthcare professionals, and non-healthcare professionals) assessing whether reports were human-authored or AI-generated. Results: The dataset comprises 2,658 radiology reports from 76 authors across 21 countries and 13 languages. Reports cover multiple imaging modalities (CT: 36.1%, MRI: 22.8%, radiography: 19.0%, ultrasound: 16.8%) and anatomical regions, with chest (19.9%), abdomen (18.6%), head (17.3%), and pelvis (14.1%) being most prevalent. In the differentiation study, participants achieved 53.9% accuracy (95% CI: 50.7%-57.1%) in distinguishing between human and AI-generated reports, with radiologists performing significantly better (56.9%, 95% CI: 53.3%-60.6%, p<0.05) than other groups. Conclusion: PARROT represents the largest open multilingual radiology report dataset, enabling development and validation of natural language processing applications across linguistic, geographic, and clinical boundaries without privacy constraints.

In the absence of data protection measures, software applications lead to privacy breaches, posing threats to end-users and software organisations. Privacy Enhancing Technologies (PETs) are technical measures that protect personal data, thus minimising such privacy breaches. However, for software applications to deliver data protection using PETs, software developers should actively and correctly incorporate PETs into the software they develop. Therefore, to uncover ways to encourage and support developers to embed PETs into software, this Systematic Literature Review (SLR) analyses 39 empirical studies on developers' privacy practices. It reports the usage of six PETs in software application scenarios. Then, it discusses challenges developers face when integrating PETs into software, ranging from intrinsic challenges, such as the unawareness of PETs, to extrinsic challenges, such as the increased development cost. Next, the SLR presents the existing solutions to address these challenges, along with the limitations of the solutions. Further, it outlines future research avenues to better understand PETs from a developer perspective and minimise the challenges developers face when incorporating PETs into software.

With over 85 million CT scans performed annually in the United States, creating tumor-related reports is a challenging and time-consuming task for radiologists. To address this need, we present RadGPT, an Anatomy-Aware Vision-Language AI Agent for generating detailed reports from CT scans. RadGPT first segments tumors, including benign cysts and malignant tumors, and their surrounding anatomical structures, then transforms this information into both structured reports and narrative reports. These reports provide tumor size, shape, location, attenuation, volume, and interactions with surrounding blood vessels and organs. Extensive evaluation on unseen hospitals shows that RadGPT can produce accurate reports, with high sensitivity/specificity for small tumor (<2 cm) detection: 80/73% for liver tumors, 92/78% for kidney tumors, and 77/77% for pancreatic tumors. For large tumors, sensitivity ranges from 89% to 97%. The results significantly surpass the state-of-the-art in abdominal CT report generation. RadGPT generated reports for 17 public datasets. Through radiologist review and refinement, we have ensured the reports' accuracy, and created the first publicly available image-text 3D medical dataset, comprising over 1.8 million text tokens and 2.7 million images from 9,262 CT scans, including 2,947 tumor scans/reports of 8,562 tumor instances. Our reports can: (1) localize tumors in eight liver sub-segments and three pancreatic sub-segments annotated per-voxel; (2) determine pancreatic tumor stage (T1-T4) in 260 reports; and (3) present individual analyses of multiple tumors--rare in human-made reports. Importantly, 948 of the reports are for early-stage tumors.

Euphemisms have not received much attention in natural language processing, despite being an important element of polite and figurative language. Euphemisms prove to be a difficult topic, not only because they are subject to language change, but also because humans may not agree on what is a euphemism and what is not. Nevertheless, the first step to tackling the issue is to collect and analyze examples of euphemisms. We present a corpus of potentially euphemistic terms (PETs) along with example texts from the GloWbE corpus. Additionally, we present a subcorpus of texts where these PETs are not being used euphemistically, which may be useful for future applications. We also discuss the results of multiple analyses run on the corpus. Firstly, we find that sentiment analysis on the euphemistic texts supports that PETs generally decrease negative and offensive sentiment. Secondly, we observe cases of disagreement in an annotation task, where humans are asked to label PETs as euphemistic or not in a subset of our corpus text examples. We attribute the disagreement to a variety of potential reasons, including if the PET was a commonly accepted term (CAT).

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

Automated animal face identification plays a crucial role in the monitoring of behaviors, conducting of surveys, and finding of lost animals. Despite the advancements in human face identification, the lack of datasets and benchmarks in the animal domain has impeded progress. In this paper, we introduce the PetFace dataset, a comprehensive resource for animal face identification encompassing 257,484 unique individuals across 13 animal families and 319 breed categories, including both experimental and pet animals. This large-scale collection of individuals facilitates the investigation of unseen animal face verification, an area that has not been sufficiently explored in existing datasets due to the limited number of individuals. Moreover, PetFace also has fine-grained annotations such as sex, breed, color, and pattern. We provide multiple benchmarks including re-identification for seen individuals and verification for unseen individuals. The models trained on our dataset outperform those trained on prior datasets, even for detailed breed variations and unseen animal families. Our result also indicates that there is some room to improve the performance of integrated identification on multiple animal families. We hope the PetFace dataset will facilitate animal face identification and encourage the development of non-invasive animal automatic identification methods.

As infamous invaders to the North American ecosystem, the Asian giant hornet (Vespa mandarinia) is devastating not only to native bee colonies, but also to local apiculture. One of the most effective way to combat the harmful species is to locate and destroy their nests. By mobilizing the public to actively report possible sightings of the Asian giant hornet, the governmentcould timely send inspectors to confirm and possibly destroy the nests. However, such confirmation requires lab expertise, where manually checking the reports one by one is extremely consuming of human resources. Further given the limited knowledge of the public about the Asian giant hornet and the randomness of report submission, only few of the numerous reports proved positive, i.e. existing nests. How to classify or prioritize the reports efficiently and automatically, so as to determine the dispatch of personnel, is of great significance to the control of the Asian giant hornet. In this paper, we propose a method to predict the priority of sighting reports based on machine learning. We model the problem of optimal prioritization of sighting reports as a problem of classification and prediction. We extracted a variety of rich features in the report: location, time, image(s), and textual description. Based on these characteristics, we propose a classification model based on logistic regression to predict the credibility of a certain report. Furthermore, our model quantifies the impact between reports to get the priority ranking of the reports. Extensive experiments on the public dataset from the WSDA (the Washington State Department of Agriculture) have proved the effectiveness of our method.

Medical imaging is widely used in clinical practice for diagnosis and treatment. Report-writing can be error-prone for unexperienced physicians, and time- consuming and tedious for experienced physicians. To address these issues, we study the automatic generation of medical imaging reports. This task presents several challenges. First, a complete report contains multiple heterogeneous forms of information, including findings and tags. Second, abnormal regions in medical images are difficult to identify. Third, the re- ports are typically long, containing multiple sentences. To cope with these challenges, we (1) build a multi-task learning framework which jointly performs the pre- diction of tags and the generation of para- graphs, (2) propose a co-attention mechanism to localize regions containing abnormalities and generate narrations for them, (3) develop a hierarchical LSTM model to generate long paragraphs. We demonstrate the effectiveness of the proposed methods on two publicly available datasets.

Process extraction from text is an important task of process discovery, for which various approaches have been developed in recent years. However, in contrast to other information extraction tasks, there is a lack of gold-standard corpora of business process descriptions that are carefully annotated with all the entities and relationships of interest. Due to this, it is currently hard to compare the results obtained by extraction approaches in an objective manner, whereas the lack of annotated texts also prevents the application of data-driven information extraction methodologies, typical of the natural language processing field. Therefore, to bridge this gap, we present the PET dataset, a first corpus of business process descriptions annotated with activities, gateways, actors, and flow information. We present our new resource, including a variety of baselines to benchmark the difficulty and challenges of business process extraction from text. PET can be accessed via huggingface.co/datasets/patriziobellan/PET

Radiology reports are one of the main forms of communication between radiologists and other clinicians and contain important information for patient care. In order to use this information for research and automated patient care programs, it is necessary to convert the raw text into structured data suitable for analysis. State-of-the-art natural language processing (NLP) domain-specific contextual word embeddings have been shown to achieve impressive accuracy for these tasks in medicine, but have yet to be utilized for section structure segmentation. In this work, we pre-trained a contextual embedding BERT model using breast radiology reports and developed a classifier that incorporated the embedding with auxiliary global textual features in order to perform section segmentation. This model achieved a 98% accuracy at segregating free text reports sentence by sentence into sections of information outlined in the Breast Imaging Reporting and Data System (BI-RADS) lexicon, a significant improvement over the Classic BERT model without auxiliary information. We then evaluated whether using section segmentation improved the downstream extraction of clinically relevant information such as modality/procedure, previous cancer, menopausal status, the purpose of the exam, breast density, and breast MRI background parenchymal enhancement. Using the BERT model pre-trained on breast radiology reports combined with section segmentation resulted in an overall accuracy of 95.9% in the field extraction tasks. This is a 17% improvement compared to an overall accuracy of 78.9% for field extraction with models using Classic BERT embeddings and not using section segmentation. Our work shows the strength of using BERT in radiology report analysis and the advantages of section segmentation in identifying key features of patient factors recorded in breast radiology reports.

Deciphering the semantics of animal language has been a grand challenge. This study presents a data-driven investigation into the semantics of dog vocalizations via correlating different sound types with consistent semantics. We first present a new dataset of Shiba Inu sounds, along with contextual information such as location and activity, collected from YouTube with a well-constructed pipeline. The framework is also applicable to other animal species. Based on the analysis of conditioned probability between dog vocalizations and corresponding location and activity, we discover supporting evidence for previous heuristic research on the semantic meaning of various dog sounds. For instance, growls can signify interactions. Furthermore, our study yields new insights that existing word types can be subdivided into finer-grained subtypes and minimal semantic unit for Shiba Inu is word-related. For example, whimper can be subdivided into two types, attention-seeking and discomfort.