@inproceedings{zhu-etal-2024-multi,
    title = "A Multi-Task Transformer Model for Fine-grained Labelling of Chest {X}-Ray Reports",
    author = "Zhu, Yuanyi  and
      Liakata, Maria  and
      Montana, Giovanni",
    editor = "Calzolari, Nicoletta  and
      Kan, Min-Yen  and
      Hoste, Veronique  and
      Lenci, Alessandro  and
      Sakti, Sakriani  and
      Xue, Nianwen",
    booktitle = "Proceedings of the 2024 Joint International Conference on Computational Linguistics, Language Resources and Evaluation (LREC-COLING 2024)",
    month = may,
    year = "2024",
    address = "Torino, Italia",
    publisher = "ELRA and ICCL",
    url = "https://aclanthology.org/2024.lrec-main.78",
    pages = "862--875",
    abstract = "Precise understanding of free-text radiology reports through localised extraction of clinical findings can enhance medical imaging applications like computer-aided diagnosis. We present a new task, that of segmenting radiology reports into topically meaningful passages (segments) and a transformer-based model that both segments reports into semantically coherent segments and classifies each segment using a set of 37 radiological abnormalities, thus enabling fine-grained analysis. This contrasts with prior work that performs classification on full reports without localisation. Trained on over 2.7 million unlabelled chest X-ray reports and over 28k segmented and labelled reports, our model achieves state-of-the-art performance on report segmentation (0.0442 WinDiff) and multi-label classification (0.84 report-level macro F1) over 37 radiological labels and 8 NLP-specific labels. This work establishes new benchmarks for fine-grained understanding of free-text radiology reports, with precise localisation of semantics unlocking new opportunities to improve computer vision model training and clinical decision support. We open-source our annotation tool, model code and pretrained weights to encourage future research.",
}

Precise understanding of free-text radiology reports through localised extraction of clinical findings can enhance medical imaging applications like computer-aided diagnosis. We present a new task, that of segmenting radiology reports into topically meaningful passages (segments) and a transformer-based model that both segments reports into semantically coherent segments and classifies each segment using a set of 37 radiological abnormalities, thus enabling fine-grained analysis. This contrasts with prior work that performs classification on full reports without localisation. Trained on over 2.7 million unlabelled chest X-ray reports and over 28k segmented and labelled reports, our model achieves state-of-the-art performance on report segmentation (0.0442 WinDiff) and multi-label classification (0.84 report-level macro F1) over 37 radiological labels and 8 NLP-specific labels. This work establishes new benchmarks for fine-grained understanding of free-text radiology reports, with precise localisation of semantics unlocking new opportunities to improve computer vision model training and clinical decision support. We open-source our annotation tool, model code and pretrained weights to encourage future research.
Zhu, Yuanyi Liakata, Maria Montana, Giovanni
A Multi-Task Transformer Model for Fine-grained Labelling of Chest X-Ray Reports