# PromptRad: Knowledge-Enhanced Multi-Label Prompt-Tuning for Low-Resource Radiology Report Labeling

arXiv: https://arxiv.org/abs/2605.20052 · HTML: https://mlsanity.com/paper/2605.20052/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 21 of its 41 references that are in the map.
- First posted on arXiv 19 May 2026.

## Builds on (most cited first, 21 of 21)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [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)
- [Making Pre-trained Language Models Better Few-shot Learners](https://mlsanity.com/paper/2012.15723/) (2020)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [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)
- [Exploiting Cloze Questions for Few Shot Text Classification and Natural Language Inference](https://mlsanity.com/paper/2001.07676/) (2020)
- [It's Not Just Size That Matters: Small Language Models Are Also Few-Shot Learners](https://mlsanity.com/paper/2009.07118/) (2020)
- [Fine-Tuning Pretrained Language Models: Weight Initializations, Data Orders, and Early Stopping](https://mlsanity.com/paper/2002.06305/) (2020)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [Transfer Learning in Biomedical Natural Language Processing: An Evaluation of BERT and ELMo on Ten Benchmarking Datasets](https://mlsanity.com/paper/1906.05474/) (2019)
- [Knowledgeable Prompt-tuning: Incorporating Knowledge into Prompt Verbalizer for Text Classification](https://mlsanity.com/paper/2108.02035/) (2021)
- [SciFive: a text-to-text transformer model for biomedical literature](https://mlsanity.com/paper/2106.03598/) (2021)
- [NegBio: a high-performance tool for negation and uncertainty detection in radiology reports](https://mlsanity.com/paper/1712.05898/) (2017)
- [Automated Labelling using an Attention model for Radiology reports of MRI scans (ALARM)](https://mlsanity.com/paper/2002.06588/) (2020)
- [CheX-GPT: Harnessing Large Language Models for Enhanced Chest X-ray Report Labeling](https://mlsanity.com/paper/2401.11505/) (2024)
- [Classification of Radiology Reports Using Neural Attention Models](https://mlsanity.com/paper/1708.06828/) (2017)
- [Can Rule-Based Insights Enhance LLMs for Radiology Report Classification? Introducing the RadPrompt Methodology](https://mlsanity.com/paper/2408.04121/) (2024)

## Abstract (arXiv)

Automatic report labeling facilitates the identification of clinical findings from unstructured text and enables large-scale annotation for medical imaging research. Existing rule-based labelers struggle with the diverse descriptions in clinical reports, while fine-tuning pre-trained language models (PLMs) requires large amounts of labeled data that are often unavailable in clinical settings. In this paper, we propose PromptRad, a knowledge-enhanced multi-label prompt-tuning approach for radiology report labeling under low-resource settings. PromptRad reformulates multi-label classification as masked language modeling and incorporates synonyms from the UMLS Metathesaurus into a multi-word verbalizer to enrich category representations. By fine-tuning the PLM without additional classification layers, PromptRad requires substantially less labeled data than conventional fine-tuning. Experiments on liver CT (computed tomography) reports show that PromptRad outperforms dictionary-based and fine-tuning baselines with only 32 labeled training examples, and achieves competitive performance with GPT-4 despite using a much smaller model. Further analysis demonstrates that PromptRad captures complex negation patterns more effectively than existing methods, making it a promising solution for report labeling in data-scarce clinical scenarios. Our code is available at https://github.com/ila-lab/PromptRad.