An Iterative Optimizing Framework for Radiology Report Summarization with ChatGPT

作者：Chong Ma, Zihao Wu, Jiaqi Wang, Shaochen Xu, Yaonai Wei, Zeng, Fang, Zhengliang Liu, Xi Jiang, Lei Guo, Xiaoyan Cai, Shu Zhang, Tuo Zhang, Dajiang Zhu, Dinggang Shen, Tianming Liu, Xiang Li · 发表于：arXiv (Cornell University) · 年份：2023 · DOI：10.48550/arxiv.2304.08448 · 被引用次数：40 · 研究领域：Topic Modeling、Natural Language Processing Techniques、Machine Learning in Healthcare

The 'Impression' section of a radiology report is a critical basis for communication between radiologists and other physicians, and it is typically written by radiologists based on the 'Findings' section. However, writing numerous impressions can be laborious and error-prone for radiologists. Although recent studies have achieved promising results in automatic impression generation using large-scale medical text data for pre-training and fine-tuning pre-trained language models, such models often require substantial amounts of medical text data and have poor generalization performance. While large language models (LLMs) like ChatGPT have shown strong generalization capabilities and performance, their performance in specific domains, such as radiology, remains under-investigated and potentially limited. To address this limitation, we propose ImpressionGPT, which leverages the in-context learning capability of LLMs by constructing dynamic contexts using domain-specific, individualized data. This dynamic prompt approach enables the model to learn contextual knowledge from semantically similar examples from existing data. Additionally, we design an iterative optimization algorithm that performs automatic evaluation on the generated impression results and composes the corresponding instruction prompts to further optimize the model. The proposed ImpressionGPT model achieves state-of-the-art performance on both MIMIC-CXR and OpenI datasets without requiring additional training data o...