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Cross-Modal Augmented Transformer for Automated Medical Report Generation

Tang Y, Yuan Y, Tao F, Tang M

IEEE journal of translational engineering in health and medicine, 2025

Abstract

In clinical practice, interpreting medical images and composing diagnostic reports typically involve significant manual workload. Therefore, an automated report generation framework that mimics a doctor's diagnosis better meets the requirements of medical scenarios. Prior investigations often overlook this critical aspect, primarily relying on traditional image captioning frameworks initially designed for general-domain images and sentences. Despite achieving some advancements, these methodologies encounter two primary challenges. First, the strong noise in blurred medical images always hinders the model of capturing the lesion region. Second, during report writing, doctors typically rely on terminology for diagnosis, a crucial aspect that has been neglected in prior frameworks. In this paper, we present a novel approach called Cross-modal Augmented Transformer (CAT) for medical report generation. Unlike previous methods that rely on coarse-grained features without human intervention, our method introduces a "locate then generate" pattern, thereby improving the interpretability of the generated reports. During the locate stage, CAT captures crucial representations by pre-aligning significant patches and their corresponding medical terminologies. This pre-alignment helps reduce visual noise by discarding low-ranking content, ensuring that only relevant information is considered in the report generation process. During the generation phase, CAT utilizes a multi-modality…

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