# Improving Radiology Summarization with Radiograph and Anatomy Prompts

arXiv: https://arxiv.org/abs/2210.08303 · HTML: https://mlsanity.com/paper/2210.08303/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 34 of its 55 references that are in the map.
- First posted on arXiv 15 Oct 2022.

## Builds on (most cited first, 30 of 34)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [SimCSE: Simple Contrastive Learning of Sentence Embeddings](https://mlsanity.com/paper/2104.08821/) (2021)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Get To The Point: Summarization with Pointer-Generator Networks](https://mlsanity.com/paper/1704.04368/) (2017)
- [Contrastive Learning of Medical Visual Representations from Paired Images and Text](https://mlsanity.com/paper/2010.00747/) (2020)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [Text Summarization with Pretrained Encoders](https://mlsanity.com/paper/1908.08345/) (2019)
- [Generating Radiology Reports via Memory-driven Transformer](https://mlsanity.com/paper/2010.16056/) (2020)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [Image Captioning with Semantic Attention](https://mlsanity.com/paper/1603.03925/) (2016)
- [Cross-modal Memory Networks for Radiology Report Generation](https://mlsanity.com/paper/2204.13258/) (2022)
- [Fast Abstractive Summarization with Reinforce-Selected Sentence Rewriting](https://mlsanity.com/paper/1805.11080/) (2018)
- [When Radiology Report Generation Meets Knowledge Graph](https://mlsanity.com/paper/2002.08277/) (2020)
- [Clinically Accurate Chest X-Ray Report Generation](https://mlsanity.com/paper/1904.02633/) (2019)
- [Optimizing the Factual Correctness of a Summary: A Study of Summarizing Radiology Reports](https://mlsanity.com/paper/1911.02541/) (2019)
- [Competence-based Multimodal Curriculum Learning for Medical Report Generation](https://mlsanity.com/paper/2206.14579/) (2022)
- [AlignTransformer: Hierarchical Alignment of Visual Regions and Disease Tags for Medical Report Generation](https://mlsanity.com/paper/2203.10095/) (2022)
- [Show, Describe and Conclude: On Exploiting the Structure Information of Chest X-Ray Reports](https://mlsanity.com/paper/2004.12274/) (2020)
- [Learning to Summarize Radiology Findings](https://mlsanity.com/paper/1809.04698/) (2018)
- [Convolutional Image Captioning](https://mlsanity.com/paper/1711.09151/) (2017)
- [Aligning Visual Regions and Textual Concepts for Semantic-Grounded Image Representations](https://mlsanity.com/paper/1905.06139/) (2019)
- [BERT, mBERT, or BiBERT? A Study on Contextualized Embeddings for Neural Machine Translation](https://mlsanity.com/paper/2109.04588/) (2021)
- [Scoring Sentence Singletons and Pairs for Abstractive Summarization](https://mlsanity.com/paper/1906.00077/) (2019)
- [Ontology-Aware Clinical Abstractive Summarization](https://mlsanity.com/paper/1905.05818/) (2019)
- [Attend to Medical Ontologies: Content Selection for Clinical Abstractive Summarization](https://mlsanity.com/paper/2005.00163/) (2020)
- [Towards Accurate Text-based Image Captioning with Content Diversity Exploration](https://mlsanity.com/paper/2105.03236/) (2021)
- [Graph Enhanced Contrastive Learning for Radiology Findings Summarization](https://mlsanity.com/paper/2204.00203/) (2022)
- [Word Graph Guided Summarization for Radiology Findings](https://mlsanity.com/paper/2112.09925/) (2021)

## Built on by (most cited first, 4 of 4)

- [Opportunities and Challenges for ChatGPT and Large Language Models in Biomedicine and Health](https://mlsanity.com/paper/2306.10070/) (2023)
- [KU-DMIS-MSRA at RadSum23: Pre-trained Vision-Language Model for Radiology Report Summarization](https://mlsanity.com/paper/2307.07409/) (2023)
- [CSTRL: Context-Driven Sequential Transfer Learning for Abstractive Radiology Report Summarization](https://mlsanity.com/paper/2503.05750/) (2025)
- [Less Is More? Selective Visual Attention to High-Importance Regions for Multimodal Radiology Summarization](https://mlsanity.com/paper/2603.29901/) (2026)

## Abstract (arXiv)

The impression is crucial for the referring physicians to grasp key information since it is concluded from the findings and reasoning of radiologists. To alleviate the workload of radiologists and reduce repetitive human labor in impression writing, many researchers have focused on automatic impression generation. However, recent works on this task mainly summarize the corresponding findings and pay less attention to the radiology images. In clinical, radiographs can provide more detailed valuable observations to enhance radiologists' impression writing, especially for complicated cases. Besides, each sentence in findings usually focuses on single anatomy, so they only need to be matched to corresponding anatomical regions instead of the whole image, which is beneficial for textual and visual features alignment. Therefore, we propose a novel anatomy-enhanced multimodal model to promote impression generation. In detail, we first construct a set of rules to extract anatomies and put these prompts into each sentence to highlight anatomy characteristics. Then, two separate encoders are applied to extract features from the radiograph and findings. Afterward, we utilize a contrastive learning module to align these two representations at the overall level and use a co-attention to fuse them at the sentence level with the help of anatomy-enhanced sentence representation. Finally, the decoder takes the fused information as the input to generate impressions. The experimental results on two benchmark datasets confirm the effectiveness of the proposed method, which achieves state-of-the-art results.
