# Pseudo-Prompt Generating in Pre-trained Vision-Language Models for Multi-Label Medical Image Classification

arXiv: https://arxiv.org/abs/2405.06468 · HTML: https://mlsanity.com/paper/2405.06468/

## Key facts

- Cited by 1 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 30 of its 38 references that are in the map.
- First posted on arXiv 10 May 2024.

## Placed in

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

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

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Neural Machine Translation by Jointly Learning to Align and Translate](https://mlsanity.com/paper/1409.0473/) (2014)
- [Sequence to Sequence Learning with Neural Networks](https://mlsanity.com/paper/1409.3215/) (2014)
- [Learning to Prompt for Vision-Language Models](https://mlsanity.com/paper/2109.01134/) (2021)
- [Pre-train, Prompt, and Predict: A Systematic Survey of Prompting Methods in Natural Language Processing](https://mlsanity.com/paper/2107.13586/) (2021)
- [Conditional Prompt Learning for Vision-Language Models](https://mlsanity.com/paper/2203.05557/) (2022)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [Publicly Available Clinical BERT Embeddings](https://mlsanity.com/paper/1904.03323/) (2019)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [Contrastive Learning of Medical Visual Representations from Paired Images and Text](https://mlsanity.com/paper/2010.00747/) (2020)
- [Extract Free Dense Labels from CLIP](https://mlsanity.com/paper/2112.01071/) (2021)
- [ECA-Net: Efficient Channel Attention for Deep Convolutional Neural Networks](https://mlsanity.com/paper/1910.03151/) (2019)
- [MedCLIP: Contrastive Learning from Unpaired Medical Images and Text](https://mlsanity.com/paper/2210.10163/) (2022)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Asymmetric Loss For Multi-Label Classification](https://mlsanity.com/paper/2009.14119/) (2020)
- [Making the Most of Text Semantics to Improve Biomedical Vision--Language Processing](https://mlsanity.com/paper/2204.09817/) (2022)
- [PadChest: A large chest x-ray image dataset with multi-label annotated reports](https://mlsanity.com/paper/1901.07441/) (2019)
- [Visual-Language Prompt Tuning with Knowledge-guided Context Optimization](https://mlsanity.com/paper/2303.13283/) (2023)
- [VinDr-CXR: An open dataset of chest X-rays with radiologist's annotations](https://mlsanity.com/paper/2012.15029/) (2020)
- [Learning to Exploit Temporal Structure for Biomedical Vision-Language Processing](https://mlsanity.com/paper/2301.04558/) (2023)
- [Learning Fine-grained Image Similarity with Deep Ranking](https://mlsanity.com/paper/1404.4661/) (2014)
- [Knowledge-enhanced Visual-Language Pre-training on Chest Radiology Images](https://mlsanity.com/paper/2302.14042/) (2023)
- [DualCoOp: Fast Adaptation to Multi-Label Recognition with Limited Annotations](https://mlsanity.com/paper/2206.09541/) (2022)
- [TCP:Textual-based Class-aware Prompt tuning for Visual-Language Model](https://mlsanity.com/paper/2311.18231/) (2023)
- [Knowledge-Aware Prompt Tuning for Generalizable Vision-Language Models](https://mlsanity.com/paper/2308.11186/) (2023)
- [Enhancing Label Correlation Feedback in Multi-Label Text Classification via Multi-Task Learning](https://mlsanity.com/paper/2106.03103/) (2021)
- [An Adversarial Approach for the Robust Classification of Pneumonia from Chest Radiographs](https://mlsanity.com/paper/2001.04051/) (2020)

## Built on by (most cited first, 1 of 1)

- [Prompt Mechanisms in Medical Imaging: A Comprehensive Survey](https://mlsanity.com/paper/2507.01055/) (2025)

## Abstract (arXiv)

The task of medical image recognition is notably complicated by the presence of varied and multiple pathological indications, presenting a unique challenge in multi-label classification with unseen labels. This complexity underlines the need for computer-aided diagnosis methods employing multi-label zero-shot learning. Recent advancements in pre-trained vision-language models (VLMs) have showcased notable zero-shot classification abilities on medical images. However, these methods have limitations on leveraging extensive pre-trained knowledge from broader image datasets, and often depend on manual prompt construction by expert radiologists. By automating the process of prompt tuning, prompt learning techniques have emerged as an efficient way to adapt VLMs to downstream tasks. Yet, existing CoOp-based strategies fall short in performing class-specific prompts on unseen categories, limiting generalizability in fine-grained scenarios. To overcome these constraints, we introduce a novel prompt generation approach inspirited by text generation in natural language processing (NLP). Our method, named Pseudo-Prompt Generating (PsPG), capitalizes on the priori knowledge of multi-modal features. Featuring a RNN-based decoder, PsPG autoregressively generates class-tailored embedding vectors, i.e., pseudo-prompts. Comparative evaluations on various multi-label chest radiograph datasets affirm the superiority of our approach against leading medical vision-language and multi-label prompt learning methods. The source code is available at https://github.com/fallingnight/PsPG