# ProMRVL-CAD: Proactive Dialogue System with Multi-Round Vision-Language Interactions for Computer-Aided Diagnosis

arXiv: https://arxiv.org/abs/2502.10620 · HTML: https://mlsanity.com/paper/2502.10620/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 30 of its 56 references that are in the map.
- First posted on arXiv 15 Feb 2025.

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

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [PaLM: Scaling Language Modeling with Pathways](https://mlsanity.com/paper/2204.02311/) (2022)
- [Training Compute-Optimal Large Language Models](https://mlsanity.com/paper/2203.15556/) (2022)
- [MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models](https://mlsanity.com/paper/2304.10592/) (2023)
- [Making the V in VQA Matter: Elevating the Role of Image Understanding in Visual Question Answering](https://mlsanity.com/paper/1612.00837/) (2016)
- [VQA: Visual Question Answering](https://mlsanity.com/paper/1505.00468/) (2015)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [MiniLM: Deep Self-Attention Distillation for Task-Agnostic Compression of Pre-Trained Transformers](https://mlsanity.com/paper/2002.10957/) (2020)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [A Survey on Visual Transformer](https://mlsanity.com/paper/2012.12556/) (2020)
- [Knowledge Graphs](https://mlsanity.com/paper/2003.02320/) (2020)
- [Towards Expert-Level Medical Question Answering with Large Language Models](https://mlsanity.com/paper/2305.09617/) (2023)
- [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)
- [MEDITRON-70B: Scaling Medical Pretraining for Large Language Models](https://mlsanity.com/paper/2311.16079/) (2023)
- [HuatuoGPT, towards Taming Language Model to Be a Doctor](https://mlsanity.com/paper/2305.15075/) (2023)
- [Cross-modal Memory Networks for Radiology Report Generation](https://mlsanity.com/paper/2204.13258/) (2022)
- [A Survey on Knowledge Graph-Based Recommender Systems](https://mlsanity.com/paper/2003.00911/) (2020)
- [MedDialog: Two Large-scale Medical Dialogue Datasets](https://mlsanity.com/paper/2004.03329/) (2020)
- [ZeroCap: Zero-Shot Image-to-Text Generation for Visual-Semantic Arithmetic](https://mlsanity.com/paper/2111.14447/) (2021)
- [Zhongjing: Enhancing the Chinese Medical Capabilities of Large Language Model through Expert Feedback and Real-world Multi-turn Dialogue](https://mlsanity.com/paper/2308.03549/) (2023)
- [R2GenGPT: Radiology Report Generation with Frozen LLMs](https://mlsanity.com/paper/2309.09812/) (2023)
- [METransformer: Radiology Report Generation by Transformer with Multiple Learnable Expert Tokens](https://mlsanity.com/paper/2304.02211/) (2023)
- [Unifying Knowledge Graph Learning and Recommendation: Towards a Better Understanding of User Preferences](https://mlsanity.com/paper/1902.06236/) (2019)
- [LoRA-XS: Low-Rank Adaptation with Extremely Small Number of Parameters](https://mlsanity.com/paper/2405.17604/) (2024)
- [Better Summarization Evaluation with Word Embeddings for ROUGE](https://mlsanity.com/paper/1508.06034/) (2015)
- [LLM-CXR: Instruction-Finetuned LLM for CXR Image Understanding and Generation](https://mlsanity.com/paper/2305.11490/) (2023)
- [ChatCAD+: Towards a Universal and Reliable Interactive CAD using LLMs](https://mlsanity.com/paper/2305.15964/) (2023)
- [On the Generation of Medical Dialogues for COVID-19](https://mlsanity.com/paper/2005.05442/) (2020)

## Abstract (arXiv)

Recent advancements in large language models (LLMs) have demonstrated extraordinary comprehension capabilities with remarkable breakthroughs on various vision-language tasks. However, the application of LLMs in generating reliable medical diagnostic reports remains in the early stages. Currently, medical LLMs typically feature a passive interaction model where doctors respond to patient queries with little or no involvement in analyzing medical images. In contrast, some ChatBots simply respond to predefined queries based on visual inputs, lacking interactive dialogue or consideration of medical history. As such, there is a gap between LLM-generated patient-ChatBot interactions and those occurring in actual patient-doctor consultations. To bridge this gap, we develop an LLM-based dialogue system, namely proactive multi-round vision-language interactions for computer-aided diagnosis (ProMRVL-CAD), to generate patient-friendly disease diagnostic reports. The proposed ProMRVL-CAD system allows proactive dialogue to provide patients with constant and reliable medical access via an integration of knowledge graph into a recommendation system. Specifically, we devise two generators: a Proactive Question Generator (Pro-Q Gen) to generate proactive questions that guide the diagnostic procedure and a Multi-Vision Patient-Text Diagnostic Report Generator (MVP-DR Gen) to produce high-quality diagnostic reports. Evaluating two real-world publicly available datasets, MIMIC-CXR and IU-Xray, our model has better quality in generating medical reports. We further demonstrate the performance of ProMRVL achieves robust under the scenarios with low image quality. Moreover, we have created a synthetic medical dialogue dataset that simulates proactive diagnostic interactions between patients and doctors, serving as a valuable resource for training LLM.