Recent advancements in large language models (LLMs) have demonstrated extraordinary comprehension capabilities with remarkable breakthroughs on various vision-language tasks. However, the application of LLMs in generating reliable medical diagnostic reports remains in the early stages. Currently, medical LLMs typically feature a passive interaction model where doctors respond to patient queries with little or no involvement in analyzing medical images. In contrast, some ChatBots simply respond to predefined queries based on visual inputs, lacking interactive dialogue or consideration of medical history. As such, there is a gap between LLM-generated patient-ChatBot interactions and those occurring in actual patient-doctor consultations. To bridge this gap, we develop an LLM-based dialogue system, namely proactive multi-round vision-language interactions for computer-aided diagnosis (ProMRVL-CAD), to generate patient-friendly disease diagnostic reports. The proposed ProMRVL-CAD system allows proactive dialogue to provide patients with constant and reliable medical access via an integration of knowledge graph into a recommendation system. Specifically, we devise two generators: a Proactive Question Generator (Pro-Q Gen) to generate proactive questions that guide the diagnostic procedure and a Multi-Vision Patient-Text Diagnostic Report Generator (MVP-DR Gen) to produce high-quality diagnostic reports. Evaluating two real-world publicly available datasets, MIMIC-CXR and IU-Xray, our model has better quality in generating medical reports. We further demonstrate the performance of ProMRVL achieves robust under the scenarios with low image quality. Moreover, we have created a synthetic medical dialogue dataset that simulates proactive diagnostic interactions between patients and doctors, serving as a valuable resource for training LLM.

Medical imaging has been used for diagnosis of various conditions, making it one of the most powerful resources for effective patient care. Due to widespread availability, low cost, and low radiation, chest X-ray is one of the most sought after radiology examination for the diagnosis of various thoracic diseases. Due to advancements in medical imaging technologies and increasing patient load, current radiology workflow faces various challenges including increasing backlogs, working long hours, and increase in diagnostic errors. An automated computer-aided diagnosis system that can interpret chest X-rays to augment radiologists by providing actionable insights has potential to provide second opinion to radiologists, highlight relevant regions in the image, in turn expediting clinical workflow, reducing diagnostic errors, and improving patient care. In this study, we applied a novel architecture augmenting the DenseNet121 Convolutional Neural Network (CNN) with multi-head self-attention mechanism using transformer, namely SA-DenseNet121, that can identify multiple thoracic diseases in chest X-rays. We conducted experiments on four of the largest chest X-ray datasets, namely, ChestX-ray14, CheXpert, MIMIC-CXR-JPG, and IU-CXR. Experimental results in terms of area under the receiver operating characteristics (AUC-ROC) shows that augmenting CNN with self-attention has potential in diagnosing different thoracic diseases from chest X-rays. The proposed methodology has the potential to support the reading workflow, improve efficiency, and reduce diagnostic errors.

One principal impediment in the successful deployment of AI-based Computer-Aided Diagnosis (CAD) systems in clinical workflows is their lack of transparent decision making. Although commonly used eXplainable AI methods provide some insight into opaque algorithms, such explanations are usually convoluted and not readily comprehensible except by highly trained experts. The explanation of decisions regarding the malignancy of skin lesions from dermoscopic images demands particular clarity, as the underlying medical problem definition is itself ambiguous. This work presents ExAID (Explainable AI for Dermatology), a novel framework for biomedical image analysis, providing multi-modal concept-based explanations consisting of easy-to-understand textual explanations supplemented by visual maps justifying the predictions. ExAID relies on Concept Activation Vectors to map human concepts to those learnt by arbitrary Deep Learning models in latent space, and Concept Localization Maps to highlight concepts in the input space. This identification of relevant concepts is then used to construct fine-grained textual explanations supplemented by concept-wise location information to provide comprehensive and coherent multi-modal explanations. All information is comprehensively presented in a diagnostic interface for use in clinical routines. An educational mode provides dataset-level explanation statistics and tools for data and model exploration to aid medical research and education. Through rigorous quantitative and qualitative evaluation of ExAID, we show the utility of multi-modal explanations for CAD-assisted scenarios even in case of wrong predictions. We believe that ExAID will provide dermatologists an effective screening tool that they both understand and trust. Moreover, it will be the basis for similar applications in other biomedical imaging fields.

We introduce a new dataset called Synthetic COVID-19 Chest X-ray Dataset for training machine learning models. The dataset consists of 21,295 synthetic COVID-19 chest X-ray images to be used for computer-aided diagnosis. These images, generated via an unsupervised domain adaptation approach, are of high quality. We find that the synthetic images not only improve performance of various deep learning architectures when used as additional training data under heavy imbalance conditions, but also detect the target class with high confidence. We also find that comparable performance can also be achieved when trained only on synthetic images.

Published under a CC BY 4.0 license. Supplemental material is available for this article. This dataset provides vertebral segmentation masks for spine CT images and annotations of vertebral fractures or abnormalities per vertebral level; it is available from https://osf.io/nqjyw/ This public CT dataset holds 160 image series of 141 patients including segmentation masks of 1725 fully visualized vertebrae; it is split into a training dataset (80 image series, 862 vertebrae), a public validation dataset (40 image series, 434 vertebrae), and a secret test dataset (40 image series, 429 vertebrae, to be released in December 2020). Metadata include annotations of vertebral fractures using the semiquantitative method by Genant and of instances of foreign material per vertebral level, as well as opportunistic measurements of lumbar bone mineral density per patient.

Diagnosis of gastrointestinal (GI) ulcers and/or hemorrhage by wireless capsule endoscopy (WCE) is limited by the physician-dependent, tedious, time-consuming process of image and/ or video classification. Computer-aided diagnosis (CAD) by convolutional neural networks (CNN) based machine learning may help reduce this burden. Our aim was to conduct a meta-analysis and appraise the reported data.

Deep neural networks have revolutionized medical image analysis and disease diagnosis. Despite their impressive performance, it is difficult to generate well-calibrated probabilistic outputs for such networks, which makes them uninterpretable black boxes. Bayesian neural networks provide a principled approach for modelling uncertainty and increasing patient safety, but they have a large computational overhead and provide limited improvement in calibration. In this work, by taking skin lesion classification as an example task, we show that by shifting Bayesian inference to the functional space we can craft meaningful priors that give better calibrated uncertainty estimates at a much lower computational cost.

Use expert visualization or conventional clinical indices can lack accuracy for borderline classications. Advanced statistical approaches based on eigen-decomposition have been mostly concerned with shape and motion indices. In this paper, we present a new approach to identify CVDs from cine-MRI by estimating large pools of radiomic features (statistical, shape and textural features) encoding relevant changes in anatomical and image characteristics due to CVDs. The calculated cine-MRI radiomic features are assessed using sequential forward feature selection to identify the most relevant ones for given CVD classes (e.g. myocardial infarction, cardiomyopathy, abnormal right ventricle). Finally, advanced machine learning is applied to suitably integrate the selected radiomics for final multi-feature classification based on Support Vector Machines (SVMs). The proposed technique was trained and cross-validated using 100 cine-MRI cases corresponding to five different cardiac classes from the ACDC MICCAI 2017 challenge \footnote{https://www.creatis.insa-lyon.fr/Challenge/acdc/index.html}. All cases were correctly classified in this preliminary study, indicating potential of using large-scale radiomics for MRI-based diagnosis of CVDs.

This book has been adapted in large part from the author's doctoral thesis [Shortliffe, l 974b]. Portions of the work appeared previously in Computers And Biomedical Research [Shortliffe, 1973, l 975b], Mathematical Biosciences [Shortliffe, 1975a], and the Proceedings Of The Thirteenth San Diego Biomedical Symposium [Shortliffe, l 974a]. To Stanford's Medical Scientist Training Program, which is supported by the National Institutes of Health Contents

More than six billion dollars: That's how much health care providers and consumers will be spending every year on artificial intelligence tools by 2021--a tenfold increase from today--according to a new report from research firm Frost & Sullivan. AI will be everywhere--from diagnosing cancer to providing weight-loss coaching, says Venkat Rajan, who has the great title of global director for the company's Visionary Healthcare Program. "Prior to 2015, most of what was happening was sort of academic: pilot programs, exploratory, proof of concept-type stuff," he says. AI's ability to sort through scads of information, and remember everything it has ever seen, could enable a digital (and congenial) version of Dr. House, the brilliant diagnostician from the eponymous TV show, says Rajan. "At first, it's a complete mystery, it could be one of ten different things," he says, about the process in the show, and real life, called differential diagnosis. "And then he's able to sort through various issues, you know, illuminate certain factors on why it's not one of these other conditions, and he's able to pull something from memory that figures out ultimately what it is, and they can provide the appropriate treatment." Robots won't steal doctors' jobs, says Rajan, but they will spare overworked docs some of the dangerous fatigue that can lead to mistakes.