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Abn-BLIP: Abnormality-aligned Bootstrapping Language-Image Pre-training for Pulmonary Embolism Diagnosis and Report Generation from CTPA

Abstract

Medical imaging plays a pivotal role in modern healthcare, with computed tomography pulmonary angiography (CTPA) being a critical tool for diagnosing pulmonary embolism and other thoracic conditions. However, the complexity of interpreting CTPA scans and generating accurate radiology reports remains a significant challenge. This paper introduces Abn-BLIP (Abnormality-aligned Bootstrapping Language-Image Pretraining), an advanced diagnosis model designed to align abnormal findings to generate the accuracy and comprehensiveness of radiology reports. By leveraging learnable queries and cross-modal attention mechanisms, our model demonstrates superior performance in detecting abnormalities, reducing missed findings, and generating structured reports compared to existing methods. Our experiments show that Abn-BLIP outperforms state-of-the-art medical vision-language models and 3D report generation methods in both accuracy and clinical relevance. These results highlight the potential of integrating multimodal learning strategies for improving radiology reporting. The source code is available atthis https URL.

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@article{zhong2025_2503.02034,
  title={ Abn-BLIP: Abnormality-aligned Bootstrapping Language-Image Pre-training for Pulmonary Embolism Diagnosis and Report Generation from CTPA },
  author={ Zhusi Zhong and Yuli Wang and Lulu Bi and Zhuoqi Ma and Sun Ho Ahn and Christopher J. Mullin and Colin F. Greineder and Michael K. Atalay and Scott Collins and Grayson L. Baird and Cheng Ting Lin and Webster Stayman and Todd M. Kolb and Ihab Kamel and Harrison X. Bai and Zhicheng Jiao },
  journal={arXiv preprint arXiv:2503.02034},
  year={ 2025 }
}
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