Sloan Phillip, Clatworthy Philip, Simpson Edwin, Mirmehdi Majid
IEEE Rev Biomed Eng. 2025;18:368-387. doi: 10.1109/RBME.2024.3408456. Epub 2025 Jan 28.
Increasing demands on medical imaging departments are taking a toll on the radiologist's ability to deliver timely and accurate reports. Recent technological advances in artificial intelligence have demonstrated great potential for automatic radiology report generation (ARRG), sparking an explosion of research. This survey paper conducts a methodological review of contemporary ARRG approaches by way of (i) assessing datasets based on characteristics, such as availability, size, and adoption rate, (ii) examining deep learning training methods, such as contrastive learning and reinforcement learning, (iii) exploring state-of-the-art model architectures, including variations of CNN and transformer models, (iv) outlining techniques integrating clinical knowledge through multimodal inputs and knowledge graphs, and (v) scrutinising current model evaluation techniques, including commonly applied NLP metrics and qualitative clinical reviews. Furthermore, the quantitative results of the reviewed models are analysed, where the top performing models are examined to seek further insights. Finally, potential new directions are highlighted, with the adoption of additional datasets from other radiological modalities and improved evaluation methods predicted as important areas of future development.
对医学影像科不断增加的需求正在影响放射科医生及时提供准确报告的能力。人工智能领域最近的技术进步已显示出自动生成放射学报告(ARRG)的巨大潜力,引发了大量研究。本文通过以下方式对当代ARRG方法进行了方法学综述:(i)根据可用性、规模和采用率等特征评估数据集;(ii)研究深度学习训练方法,如对比学习和强化学习;(iii)探索包括卷积神经网络(CNN)和Transformer模型变体在内的最新模型架构;(iv)概述通过多模态输入和知识图谱整合临床知识的技术;(v)审视当前的模型评估技术,包括常用的自然语言处理指标和定性临床评价。此外,还分析了所综述模型的定量结果,研究了表现最佳的模型以寻求更多见解。最后,强调了潜在的新方向,预测采用来自其他放射学模态的额外数据集和改进评估方法将是未来发展的重要领域。