# Improving Medical Speech-to-Text Accuracy with Vision-Language Pre-training Model

arXiv: https://arxiv.org/abs/2303.00091 · HTML: https://mlsanity.com/paper/2303.00091/

## Key facts

- Cited by 6 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 27 of its 54 references that are in the map.
- First posted on arXiv 27 Feb 2023.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 27 of 27)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [SGDR: Stochastic Gradient Descent with Warm Restarts](https://mlsanity.com/paper/1608.03983/) (2016)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [ViLBERT: Pretraining Task-Agnostic Visiolinguistic Representations for Vision-and-Language Tasks](https://mlsanity.com/paper/1908.02265/) (2019)
- [CIDEr: Consensus-based Image Description Evaluation](https://mlsanity.com/paper/1411.5726/) (2014)
- [Conformer: Convolution-augmented Transformer for Speech Recognition](https://mlsanity.com/paper/2005.08100/) (2020)
- [Align before Fuse: Vision and Language Representation Learning with Momentum Distillation](https://mlsanity.com/paper/2107.07651/) (2021)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [VisualBERT: A Simple and Performant Baseline for Vision and Language](https://mlsanity.com/paper/1908.03557/) (2019)
- [VL-BERT: Pre-training of Generic Visual-Linguistic Representations](https://mlsanity.com/paper/1908.08530/) (2019)
- [Speech Recognition with Deep Recurrent Neural Networks](https://mlsanity.com/paper/1303.5778/) (2013)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [Deep Speech 2: End-to-End Speech Recognition in English and Mandarin](https://mlsanity.com/paper/1512.02595/) (2015)
- [Unicoder-VL: A Universal Encoder for Vision and Language by Cross-modal Pre-training](https://mlsanity.com/paper/1908.06066/) (2019)
- [Deep Speech: Scaling up end-to-end speech recognition](https://mlsanity.com/paper/1412.5567/) (2014)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [ContextNet: Improving Convolutional Neural Networks for Automatic Speech Recognition with Global Context](https://mlsanity.com/paper/2005.03191/) (2020)
- [Multi-modal Understanding and Generation for Medical Images and Text via Vision-Language Pre-Training](https://mlsanity.com/paper/2105.11333/) (2021)
- [NegBio: a high-performance tool for negation and uncertainty detection in radiology reports](https://mlsanity.com/paper/1712.05898/) (2017)
- [Jasper: An End-to-End Convolutional Neural Acoustic Model](https://mlsanity.com/paper/1904.03288/) (2019)
- [Wav2Letter: an End-to-End ConvNet-based Speech Recognition System](https://mlsanity.com/paper/1609.03193/) (2016)
- [wav2letter++: The Fastest Open-source Speech Recognition System](https://mlsanity.com/paper/1812.07625/) (2018)
- [End-to-end Speech Recognition with Word-based RNN Language Models](https://mlsanity.com/paper/1808.02608/) (2018)
- [Fully Convolutional Speech Recognition](https://mlsanity.com/paper/1812.06864/) (2018)
- [Improvements to deep convolutional neural networks for LVCSR](https://mlsanity.com/paper/1309.1501/) (2013)
- [Weak-Attention Suppression For Transformer Based Speech Recognition](https://mlsanity.com/paper/2005.09137/) (2020)

## Built on by (most cited first, 6 of 6)

- [ChatGPT for Shaping the Future of Dentistry: The Potential of Multi-Modal Large Language Model](https://mlsanity.com/paper/2304.03086/) (2023)
- [MedUnifier: Unifying Vision-and-Language Pre-training on Medical Data with Vision Generation Task using Discrete Visual Representations](https://mlsanity.com/paper/2503.01019/) (2025)
- [Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Review](https://mlsanity.com/paper/2506.18378/) (2025)
- [From large language models to multimodal AI: A scoping review on the potential of generative AI in medicine](https://mlsanity.com/paper/2502.09242/) (2025)
- [Improving Medical Visual Representation Learning with Pathological-level Cross-Modal Alignment and Correlation Exploration](https://mlsanity.com/paper/2506.10573/) (2025)
- [Whispy: Adapting STT Whisper Models to Real-Time Environments](https://mlsanity.com/paper/2405.03484/) (2024)

## Abstract (arXiv)

Automatic Speech Recognition (ASR) is a technology that converts spoken words into text, facilitating interaction between humans and machines. One of the most common applications of ASR is Speech-To-Text (STT) technology, which simplifies user workflows by transcribing spoken words into text. In the medical field, STT has the potential to significantly reduce the workload of clinicians who rely on typists to transcribe their voice recordings. However, developing an STT model for the medical domain is challenging due to the lack of sufficient speech and text datasets. To address this issue, we propose a medical-domain text correction method that modifies the output text of a general STT system using the Vision Language Pre-training (VLP) method. VLP combines textual and visual information to correct text based on image knowledge. Our extensive experiments demonstrate that the proposed method offers quantitatively and clinically significant improvements in STT performance in the medical field. We further show that multi-modal understanding of image and text information outperforms single-modal understanding using only text information.
