MEPNet: Medical Entity-Balanced Prompting Network for Brain CT Report Generation

The automatic generation of brain CT reports has gained widespread attention, given its potential to assist radiologists in diagnosing cranial diseases. However, brain CT scans involve extensive medical entities, such as diverse anatomy regions and lesions, exhibiting highly inconsistent spatial patterns in 3D volumetric space. This leads to biased learning of medical entities in existing methods, resulting in repetitiveness and inaccuracy in generated reports. To this end, we propose a Medical Entity-balanced Prompting Network (MEPNet), which harnesses the large language model (LLM) to fairly interpret various entities for accurate brain CT report generation. By introducing the visual embedding and the learning status of medical entities as enriched clues, our method prompts the LLM to balance the learning of diverse entities, thereby enhancing reports with comprehensive findings. First, to extract visual embedding of entities, we propose Knowledge-driven Joint Attention to explore and distill entity patterns using both explicit and implicit medical knowledge. Then, a Learning Status Scorer is designed to evaluate the learning of entity visual embeddings, resulting in unique learning status for individual entities. Finally, these entity visual embeddings and status are elaborately integrated into multi-modal prompts, to guide the text generation of LLM. This process allows LLM to self-adapt the learning process for biased-fitted entities, thereby covering detailed findings in generated reports. We conduct experiments on two brain CT report generation benchmarks, showing the effectiveness in clinical accuracy and text coherence.