Automatic medical report generation (MRG), which aims to produce detailed text reports from medical images, has emerged as a critical task in this domain. MRG systems can enhance radiological workflows by reducing the time and effort required for report writing, thereby improving diagnostic efficiency. In this work, we present a novel approach for automatic MRG utilizing a multimodal large language model. Specifically, we employed the 3D Vision Transformer (ViT3D) image encoder introduced from M3D-CLIP to process 3D scans and use the Asclepius-Llama3-8B as the language model to generate the text reports by auto-regressive decoding. The experiment shows our model achieved an average Green score of 0.3 on the MRG task validation set and an average accuracy of 0.61 on the visual question answering (VQA) task validation set, outperforming the baseline model. Our approach demonstrates the effectiveness of the ViT3D alignment of LLaMA3 for automatic MRG and VQA tasks by tuning the model on a small dataset.

In recent years, deep learning has been successfully adopted in a wide range of applications related to electronic health records (EHRs) such as representation learning and clinical event prediction. However, due to privacy constraints, limited access to EHR becomes a bottleneck for deep learning research. To mitigate these concerns, generative adversarial networks (GANs) have been successfully used for generating EHR data. However, there are still challenges in high-quality EHR generation, including generating time-series EHR data and imbalanced uncommon diseases. In this work, we propose a Multi-label Time-series GAN (MTGAN) to generate EHR and simultaneously improve the quality of uncommon disease generation. The generator of MTGAN uses a gated recurrent unit (GRU) with a smooth conditional matrix to generate sequences and uncommon diseases. The critic gives scores using Wasserstein distance to recognize real samples from synthetic samples by considering both data and temporal features. We also propose a training strategy to calculate temporal features for real data and stabilize GAN training. Furthermore, we design multiple statistical metrics and prediction tasks to evaluate the generated data. Experimental results demonstrate the quality of the synthetic data and the effectiveness of MTGAN in generating realistic sequential EHR data, especially for uncommon diseases.