Radiology Report Generation (R2Gen) demonstrates how Multi-modal Large Language Models (MLLMs) can automate the creation of accurate and coherent radiological reports. Existing methods often hallucinate details in text-based reports that don’t accurately reflect the image content. To mitigate this, we introduce a novel strategy, SERPENT-VLM (SElf Refining Radiology RePort GENeraTion using Vision Language Models), which improves the R2Gen task by integrating a self-refining mechanism into the MLLM framework. We employ a unique self-supervised loss that leverages similarity between pooled image representations and the contextual representations of the generated radiological text, alongside the standard Causal Language Modeling objective, to refine image-text representations. This allows the model to scrutinize and align the generated text through dynamic interaction between a given image and the generated text, therefore reducing hallucination and continuously enhancing nuanced report generation. SERPENT-VLM outperforms existing baselines such as LlaVA-Med, BiomedGPT, etc., achieving SoTA performance on the IU X-ray and Radiology Objects in COntext (ROCO) datasets, and also proves to be robust against noisy images. A qualitative case study emphasizes the significant advancements towards more sophisticated MLLM frameworks for R2Gen, opening paths for further research into self-supervised refinement in the medical imaging domain.

Scarcity of data and technological limitations for resource-poor languages in developing countries like India poses a threat to the development of sophisticated NLU systems for healthcare. To assess the current status of various state-of-the-art language models in healthcare, this paper studies the problem by initially proposing two different Healthcare datasets, Indian Healthcare Query Intent-WebMD and 1mg (IHQID-WebMD and IHQID-1mg) and one real world Indian hospital query data in English and multiple Indic languages (Hindi, Bengali, Tamil, Telugu, Marathi and Gujarati) which are annotated with the query intents as well as entities. Our aim is to detect query intents and corresponding entities. We perform extensive experiments on a set of models which in various realistic settings and explore two scenarios based on the access to English data only (less costly) and access to target language data (more expensive). We analyze context specific practical relevancy through empirical analysis. The results, expressed in terms of overall F-score show that our approach is practically useful to identify intents and entities.