Improving Joint Learning of Chest X-Ray and Radiology Report by Word Region Alignment
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Abstract (arXiv)
Self-supervised learning provides an opportunity to explore unlabeled chest X-rays and their associated free-text reports accumulated in clinical routine without manual supervision. This paper proposes a Joint Image Text Representation Learning Network (JoImTeRNet) for pre-training on chest X-ray images and their radiology reports. The model was pre-trained on both the global image-sentence level and the local image region-word level for visual-textual matching. Both are bidirectionally constrained on Cross-Entropy based and ranking-based Triplet Matching Losses. The region-word matching is calculated using the attention mechanism without direct supervision about their mapping. The pre-trained multi-modal representation learning paves the way for downstream tasks concerning image and/or text encoding. We demonstrate the representation learning quality by cross-modality retrievals and multi-label classifications on two datasets: OpenI-IU and MIMIC-CXR
Key facts. Cited by 13 papers in the map (data through 7 Oct 2026). Builds on 22 of its 27 references that are in the map. First posted on arXiv 4 Sep 2021.
Builds on
22 of 27 references.
References · 22
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10 more
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Citing papers per year: 2022: 2; 2023: 3; 2024: 3; 2025: 4; 2026: 1.
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- 2023Fine-Grained Image-Text Alignment in Medical Imaging Enables Explainable Cyclic Image-Report Generationcited by 25
- 2025O-TPT: Orthogonality Constraints for Calibrating Test-time Prompt Tuning in Vision-Language Modelscited by 14
- 2023A scoping review on multimodal deep learning in biomedical images and textscited by 13
- 2024Multi-View and Multi-Scale Alignment for Contrastive Language-Image Pre-training in Mammographycited by 9
- 2024Looking Beyond What You See: An Empirical Analysis on Subgroup Intersectional Fairness for Multi-label Chest X-ray Classification Using Social Determinants of Racial Health Inequitiescited by 3
- 2025A-TPT: Angular Diversity Calibration Properties for Test-Time Prompt Tuning of Vision-Language Modelscited by 3
- 2023A Survey of the Impact of Self-Supervised Pretraining for Diagnostic Tasks with Radiological Imagescited by 2
- 2024Tumor Location-weighted MRI-Report Contrastive Learning: A Framework for Improving the Explainability of Pediatric Brain Tumor Diagnosiscited by 1
- 2025Bridging Electronic Health Records and Clinical Texts: Contrastive Learning for Enhanced Clinical Taskscited by 1
- 2022A Bayesian Detect to Track System for Robust Visual Object Tracking and Semi-Supervised Model Learningcited by 0
- 2022That's the Wrong Lung! Evaluating and Improving the Interpretability of Unsupervised Multimodal Encoders for Medical Datacited by 0
- 2025Anatomy-Aware Conditional Image-Text Retrievalcited by 0
- 2026Multimodal Semantic-Aware Contrastive Learning For False Negative Mitigation in 3D Medical Imaging16 Jul 2026
- 2025A-TPT: Angular Diversity Calibration Properties for Test-Time Prompt Tuning of Vision-Language Models30 Oct 2025
- 2025Bridging Electronic Health Records and Clinical Texts: Contrastive Learning for Enhanced Clinical Tasks23 May 2025
- 2025O-TPT: Orthogonality Constraints for Calibrating Test-time Prompt Tuning in Vision-Language Models15 Mar 2025
- 2025Anatomy-Aware Conditional Image-Text Retrieval10 Mar 2025
- 2024Tumor Location-weighted MRI-Report Contrastive Learning: A Framework for Improving the Explainability of Pediatric Brain Tumor Diagnosis1 Nov 2024
- 2024Multi-View and Multi-Scale Alignment for Contrastive Language-Image Pre-training in Mammography26 Sep 2024
- 2024Looking Beyond What You See: An Empirical Analysis on Subgroup Intersectional Fairness for Multi-label Chest X-ray Classification Using Social Determinants of Racial Health Inequities27 Mar 2024
- 2023Fine-Grained Image-Text Alignment in Medical Imaging Enables Explainable Cyclic Image-Report Generation13 Dec 2023
- 2023A Survey of the Impact of Self-Supervised Pretraining for Diagnostic Tasks with Radiological Images5 Sep 2023
- 2023A scoping review on multimodal deep learning in biomedical images and texts14 Jul 2023
- 2022That's the Wrong Lung! Evaluating and Improving the Interpretability of Unsupervised Multimodal Encoders for Medical Data12 Oct 2022
- 2023Fine-Grained Image-Text Alignment in Medical Imaging Enables Explainable Cyclic Image-Report Generationcited by 25
- 2023A scoping review on multimodal deep learning in biomedical images and textscited by 13
- 2024Multi-View and Multi-Scale Alignment for Contrastive Language-Image Pre-training in Mammographycited by 9
- 2024Looking Beyond What You See: An Empirical Analysis on Subgroup Intersectional Fairness for Multi-label Chest X-ray Classification Using Social Determinants of Racial Health Inequitiescited by 3
- 2023A Survey of the Impact of Self-Supervised Pretraining for Diagnostic Tasks with Radiological Imagescited by 2
- 2024Tumor Location-weighted MRI-Report Contrastive Learning: A Framework for Improving the Explainability of Pediatric Brain Tumor Diagnosiscited by 1
- 2025Bridging Electronic Health Records and Clinical Texts: Contrastive Learning for Enhanced Clinical Taskscited by 1
- 2022A Bayesian Detect to Track System for Robust Visual Object Tracking and Semi-Supervised Model Learningcited by 0
- 2022That's the Wrong Lung! Evaluating and Improving the Interpretability of Unsupervised Multimodal Encoders for Medical Datacited by 0
- 2025Anatomy-Aware Conditional Image-Text Retrievalcited by 0
- 2026Multimodal Semantic-Aware Contrastive Learning For False Negative Mitigation in 3D Medical Imagingcited by 0
- 2026Multimodal Semantic-Aware Contrastive Learning For False Negative Mitigation in 3D Medical Imaging16 Jul 2026
- 2025Bridging Electronic Health Records and Clinical Texts: Contrastive Learning for Enhanced Clinical Tasks23 May 2025
- 2025Anatomy-Aware Conditional Image-Text Retrieval10 Mar 2025
- 2024Tumor Location-weighted MRI-Report Contrastive Learning: A Framework for Improving the Explainability of Pediatric Brain Tumor Diagnosis1 Nov 2024
- 2024Multi-View and Multi-Scale Alignment for Contrastive Language-Image Pre-training in Mammography26 Sep 2024
- 2024Looking Beyond What You See: An Empirical Analysis on Subgroup Intersectional Fairness for Multi-label Chest X-ray Classification Using Social Determinants of Racial Health Inequities27 Mar 2024
- 2023Fine-Grained Image-Text Alignment in Medical Imaging Enables Explainable Cyclic Image-Report Generation13 Dec 2023
- 2023A Survey of the Impact of Self-Supervised Pretraining for Diagnostic Tasks with Radiological Images5 Sep 2023
- 2023A scoping review on multimodal deep learning in biomedical images and texts14 Jul 2023
- 2022That's the Wrong Lung! Evaluating and Improving the Interpretability of Unsupervised Multimodal Encoders for Medical Data12 Oct 2022
- 2022A Bayesian Detect to Track System for Robust Visual Object Tracking and Semi-Supervised Model Learning5 May 2022