The invention discloses an X-
ray chest
radiography report automatic generation method,
system and device based on factual description enhancement and a medium. The method comprises the following steps: firstly, constructing a medical entity extraction method based on a RadGraph model, and carrying out identification and structured extraction on clinical keywords to obtain factual description consisting of key medical entities; secondly, establishing a comparative learning method guided by factual description, enhancing
semantic consistency between the image and the text from global and local levels, and extracting visual features with diagnostic value; establishing a historical similar case retrieval strategy independent of
disease tags, and calculating visual
semantic similarity to realize automatic retrieval of historical cases; and finally, proposing an evidence-driven chest
radiography report generation method, constructing a cross-
modal fusion network, and generating a chest
radiography report with clinical accuracy and consistency. The
system, the equipment and the medium automatically generate an X-
ray chest radiography report based on factual description enhancement based on the method; according to the method, efficient and stable automatic retrieval is realized, the clinical accuracy of the generated
chest radiograph report and the reliability of evaluation are improved, and the universality and robustness of the model are remarkably improved.