# Automated Spinal MRI Labelling from Reports Using a Large Language Model

arXiv: https://arxiv.org/abs/2410.17235 · HTML: https://mlsanity.com/paper/2410.17235/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 15 of its 23 references that are in the map.
- First posted on arXiv 22 Oct 2024.

## Builds on (most cited first, 15 of 15)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Mistral 7B](https://mlsanity.com/paper/2310.06825/) (2023)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [BioGPT: Generative Pre-trained Transformer for Biomedical Text Generation and Mining](https://mlsanity.com/paper/2210.10341/) (2022)
- [Making the Most of Text Semantics to Improve Biomedical Vision--Language Processing](https://mlsanity.com/paper/2204.09817/) (2022)
- [Can Generalist Foundation Models Outcompete Special-Purpose Tuning? Case Study in Medicine](https://mlsanity.com/paper/2311.16452/) (2023)
- [Learning to Exploit Temporal Structure for Biomedical Vision-Language Processing](https://mlsanity.com/paper/2301.04558/) (2023)
- [NegBio: a high-performance tool for negation and uncertainty detection in radiology reports](https://mlsanity.com/paper/1712.05898/) (2017)
- [Context-Aware Transformers For Spinal Cancer Detection and Radiological Grading](https://mlsanity.com/paper/2206.13173/) (2022)

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

- [More performant and scalable: Rethinking contrastive vision-language pre-training of radiology in the LLM era](https://mlsanity.com/paper/2509.13175/) (2025)

## Abstract (arXiv)

We propose a general pipeline to automate the extraction of labels from radiology reports using large language models, which we validate on spinal MRI reports. The efficacy of our labelling method is measured on five distinct conditions: spinal cancer, stenosis, spondylolisthesis, cauda equina compression and herniation. Using open-source models, our method equals or surpasses GPT-4 on a held-out set of reports. Furthermore, we show that the extracted labels can be used to train imaging models to classify the identified conditions in the accompanying MR scans. All classifiers trained using automated labels achieve comparable performance to models trained using scans manually annotated by clinicians. Code can be found at https://github.com/robinyjpark/AutoLabelClassifier.