The radiology report is the main form of communication between radiologists and other clinicians. Prior work in natural language processing in radiology reports has shown the value of developing methods tailored for individual tasks such as identifying reports with critical results or disease detection. Meanwhile, English and biomedical natural language understanding benchmarks such as the General Language Understanding and Evaluation as well as Biomedical Language Understanding and Reasoning Benchmark have motivated the development of models that can be easily adapted to address many tasks in those domains. Here, we characterize the radiology report as a distinct domain and introduce RaLEs, the Radiology Language Evaluations, as a benchmark for natural language understanding and generation in radiology. RaLEs is comprised of six natural language understanding and generation evaluations including the extraction of anatomical and disease entities and their relations, procedure selection, and report summarization. We characterize the performance of models designed for the general, biomedical, clinical and radiology domains across these tasks. We find that advances in the general and biomedical domains do not necessarily translate to radiology, and that certain more advanced models from the general domain can perform comparably to smaller clinical-specific models. The limited performance of existing pre-trained models on RaLEs highlights the opportunity to improve domain-specific self-supervised models for natural language processing in radiology. We propose RaLEs as a benchmark to promote and track the development of such domain-specific radiology language models.

While recent large-scale neural codec language models have shown significant improvement in zero-shot TTS by training on thousands of hours of data, they suffer from drawbacks such as a lack of robustness, slow sampling speed similar to previous autoregressive TTS methods, and reliance on pre-trained neural codec representations. Our work proposes P-Flow, a fast and data-efficient zero-shot TTS model that uses speech prompts for speaker adaptation. P-Flow comprises a speechprompted text encoder for speaker adaptation and a flow matching generative decoder for high-quality and fast speech synthesis. Our speech-prompted text encoder uses speech prompts and text input to generate speaker-conditional text representation. The flow matching generative decoder uses the speaker-conditional output to synthesize high-quality personalized speech significantly faster than in real-time. Unlike the neural codec language models, we specifically train P-Flow on LibriTTS dataset using a continuous mel-representation. Through our training method using continuous speech prompts, P-Flow matches the speaker similarity performance of the large-scale zero-shot TTS models with two orders of magnitude less training data and has more than 20 faster sampling speed. Our results show that P-Flow has better pronunciation and is preferred in human likeness and speaker similarity to its recent state-of-the-art counterparts, thus defining P-Flow as an attractive and desirable alternative. We provide audio samples on our demo page.

Despite its practical importance across a wide range of modalities, recent advances in self-supervised learning (SSL) have been primarily focused on a few wellcurated domains, e.g., vision and language, often relying on their domain-specific knowledge. For example, Masked Auto-Encoder (MAE) has become one of the popular architectures in these domains, but less has explored its potential in other modalities. In this paper, we develop MAE as a unified, modality-agnostic SSL framework. In turn, we argue meta-learning as a key to interpreting MAE as a modality-agnostic learner, and propose enhancements to MAE from the motivation to jointly improve its SSL across diverse modalities, coined MetaMAE as a result. Our key idea is to view the mask reconstruction of MAE as a meta-learning task: masked tokens are predicted by adapting the Transformer meta-learner through the amortization of unmasked tokens. Based on this novel interpretation, we propose to integrate two advanced meta-learning techniques. First, we adapt the amortized latent of the Transformer encoder using gradient-based meta-learning to enhance the reconstruction. Then, we maximize the alignment between amortized and adapted latents through task contrastive learning which guides the Transformer encoder to better encode the task-specific knowledge. Our experiment demonstrates the superiority of MetaMAE in the modality-agnostic SSL benchmark (called DABS), significantly outperforming prior baselines.