No abstract

Deep learning models have shown a great effectiveness in recognition of findings in medical images. However, they cannot handle the ever-changing clinical environment, bringing newly annotated medical data from different sources. To exploit the incoming streams of data, these models would benefit largely from sequentially learning from new samples, without forgetting the previously obtained knowledge. In this paper we introduce LifeLonger, a benchmark for continual disease classification on the MedMNIST collection, by applying existing state-of-theart continual learning methods. In particular, we consider three continual learning scenarios, namely, task and class incremental learning and the newly defined cross-domain incremental learning. Task and class incremental learning of diseases address the issue of classifying new samples without re-training the models from scratch, while cross-domain incremental learning addresses the issue of dealing with datasets originating from different institutions while retaining the previously obtained knowledge. We perform a thorough analysis of the performance and examine how the well-known challenges of continual learning, such as the catastrophic forgetting exhibit themselves in this setting. The encouraging results demonstrate that continual learning has a major potential to advance disease classification and to produce a more robust and efficient learning framework for clinical settings. The code repository, data partitions and baseline results for the complete benchmark are publicly available 1 (https://github.com/mmderakhshani/LifeLonger).

Automating report generation for medical imaging promises to reduce workload and assist diagnosis in clinical practice. Recent work has shown that deep learning models can successfully caption natural images. However, learning from medical data is challenging due to the diversity and uncertainty inherent in the reports written by different radiologists with discrepant expertise and experience. To tackle these challenges, we propose variational topic inference for automatic report generation. Specifically, we introduce a set of topics as latent variables to guide sentence generation by aligning image and language modalities in a latent space. The topics are inferred in a conditional variational inference framework, with each topic governing the generation of a sentence in the report. Further, we adopt a visual attention module that enables the model to attend to different locations in the image and generate more informative descriptions. We conduct extensive experiments on two benchmarks, namely Indiana U. Chest X-rays and MIMIC-CXR. The results demonstrate that our proposed variational topic inference method can generate novel reports rather than mere copies of reports used in training, while still achieving comparable performance to state-of-theart methods in terms of standard language generation criteria.

Multimodal few-shot learning is challenging due to the large domain gap between vision and language modalities. Existing methods are trying to communicate visual concepts as prompts to frozen language models, but rely on hand-engineered task induction to reduce the hypothesis space. To make the whole process learnable, we introduce a multimodal meta-learning approach. Specifically, our approach decomposes the training of the model into a set of related multimodal few-shot tasks. We define a meta-mapper network, acting as a meta-learner, to efficiently bridge frozen large-scale vision and language models and leverage their already learned capacity. By updating the learnable parameters only of the meta-mapper, it learns to accrue shared meta-knowledge among these tasks. Thus, it can rapidly adapt to newly presented samples with only a few gradient updates. Importantly, it induces the task in a completely data-driven manner, with no need for a hand-engineered task induction. We evaluate our approach on recently proposed multimodal few-shot benchmarks, measuring how rapidly the model can bind novel visual concepts to words and answer visual questions by observing only a limited set of labeled examples. The experimental results show that our meta-learning approach outperforms the baseline across multiple datasets and various training settings while being computationally more efficient.