Chest X-ray image cross-modal analysis method based on visual thinking chain

Through a method based on visual thinking chain, chest X-ray image analysis is decomposed into multiple explainable reasoning steps. Combining visual and textual interaction, it solves the "black box" problem of existing models, achieves more transparent and accurate diagnostic results, reduces the risk of misdiagnosis, and improves the efficiency of imaging diagnosis.

CN120656687APending Publication Date: 2025-09-16HANGZHOU DIANZI UNIV
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Patent Information

Application Number
CN202510717243.5
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-05-30
Publication Date
2025-09-16

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Abstract

The invention discloses a chest X-ray image cross-modal analysis method based on a visual thinking chain. The chest X-ray image cross-modal analysis method comprises the following steps: S1, acquiring and preprocessing original data; the original data comprises a CXR image and a diagnosis report corresponding to the CXR image; s2, disassembling the diagnosis report into independent diagnosis statements; s3, annotation information is labeled on the independent diagnosis statements; s4, constructing a visual thinking chain generation model according to the decomposition step of generating the reasoning chain; s5, training a segmentation module and a text generation module of the visual thinking chain generation model; s6, establishing a unified modal representation structure to fuse the visual clues and the text clues; s7, finely adjusting the visual thinking chain generation model; and S8, generating a matrix table containing questions, reasoning steps and answers according to the trained visual thinking chain generation model. According to the method, the analysis process of the chest X-ray image is decomposed into a plurality of interpretable reasoning steps, and the analysis thought of a doctor is simulated by combining vision and text interaction, so that the interpretability and the accuracy of an analysis result are improved.
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Claims

1. A cross-modal analysis method for chest X-ray images based on visual thinking chain, characterized in that: The following steps are involved: S1. Acquire and preprocess raw data; the raw data includes CXR images and diagnostic reports corresponding to the CXR images; S2. Decomposing the diagnostic report into independent diagnostic statements; S3. Annotate the independent diagnostic statement with annotation information; S4. Construct a visual thinking chain generation model based on the decomposition steps of generating a reasoning chain; S5, training the segmentation module and text generation module of the visual thinking chain generation model; S6. Establish a unified modality representation structure to integrate visual and textual cues; S7, fine-tuning the visual thinking chain generation model; S8. Generate a matrix table including the question, the reasoning steps and the answer based on the trained visual thinking chain generation model.

2. The chest X-ray image cross-modal analysis method based on visual thinking chain according to claim 1 is characterized in that: In step S2, the diagnosis report is disassembled using NLP tools according to the ABCDE rule.

3. The chest X-ray image cross-modal analysis method based on visual thinking chain according to claim 1 is characterized in that: In step S3, a computer vision annotation tool is used to annotate each independent diagnostic statement.

4. The chest X-ray image cross-modal analysis method based on visual thinking chain according to claim 1 is characterized in that: The decomposition steps of generating the reasoning chain include: S41, acquiring an image segmentation task based on the original data, and acquiring the visual clues through the image segmentation task; S42. Acquire text clues based on the visual clues; S43, obtaining multiple relevant visual clues based on the text clues; S44, matching the relevant visual clues and text clues to obtain a conclusive description; S45. Generate an explainable report.

5. The chest X-ray image cross-modal analysis method based on visual thinking chain according to claim 3 is characterized in that: The segmentation module includes a SAM model; the text generation module includes a Llama 3 model; and step S5 includes: S51, modifying the prompt encoder of the SAM model; removing the bounding box prompt and introducing the text category prompt; and iterating using the point sampling strategy; S52. The text generation module converts the current analysis step into a text description according to the label category; then inputs the text description, the original visual clues and text clues of the data, and the conclusive description into the large language model; and trains the large language model to understand the causal relationship between the annotation information in the current analysis step and the conclusive description.

6. The chest X-ray image cross-modal analysis method based on visual thinking chain according to claim 4 is characterized in that: The step S6 comprises: S61, sampling the visual cues using a VQ-GAN model, and obtaining a visual representation codebook through discrete quantization; S62, encoding and decoding the visual clues using an encoder and a decoder of a variational autoencoder; S63, reconstructing the CXR image by minimizing the loss function: S64: Merge the visual representation codebook with the text dictionary of the large language model to construct a modality-unified word segmenter; the word segmenter encodes the input visual clues or the input text clues into corresponding discrete tags.