A Survey on Deep Learning and Explainability for Automatic Image-based Medical Report Generation

Research over the last five years shows a clear improvement in computer-aided detection (CAD), specifically in disease prediction from medical images [36, 61, 105, 130, 134] as well as from Electronic Health Records (EHR) [113], by using deep neural networks (DNN) and treating the problem as supervised classification or segmentation tasks. Recently, Topol [129] indicates that the need for diagnosis and reporting from image-based examinations far exceeds the current medical capacity of physicians in the US. This situation promotes the development of automatic image-based diagnosis as well as automatic reporting. Furthermore, the lack of specialist physicians is even more critical in resource-limited countries [111], and therefore the expected impacts of this technology would become even more relevant. However, the elaboration of high-quality medical reports from medical images, such as chest X-rays, computed tomography (CT) or magnetic resonance (MRI) scans, is a task that requires a trained radiologist with years of experience.