Recent advances in large language models (LLMs) and their extension to vision-language models (VLMs) have made it easier to combine text and images for tasks such as report generation. Existing VLMs in medicine typically focus on 2D images (chest X-rays), and their extension to 3D imaging has been difficult because of the lack of paired 3D imaging-text data. Thus, we introduce a new method for creating a 3D image-text dataset for brain oncology using 3D MRI scans of glioma and meningioma cases. We use a cooperative system in which several LLMs work together to generate and check reports, ensuring that they are accurate and clear. By leveraging the new 3D MRI-text dataset, we further build a VLM that converts MRI scans into tokens and aligns them with text instructions. Our VLM performed better in report generation and visual question answering tasks than other 2D and 3D methods. Our method not only improves the quality of reports but also helps with better diagnosis and treatment in brain oncology.
Automating radiology report generation is important for improving reporting consistency and clinical workflows . While Contrastive Language--Image Pretraining (CLIP) has advanced medical vision language modeling, existing CLIP-style approaches may still provide insufficient fine-…
Recent years have seen substantial advances in radiology report generation (RRG), yet existing approaches predominantly adopt direct feature fusion when handling multi-view X-ray images. Such approaches overlook the potential clinical inconsistencies and inaccuracies arising when…
Visual generators excel at rendering, but they confidently fabricate what they do not know. User requests are unbounded, evolving, and deeply long-tailed: new characters, trending entities, post-cutoff events, and more. This world-knowledge bottleneck is structural: generators ar…
Foundation models pretrained using self-supervised learning have transformed computer vision by learning transferable representations from large-scale unlabeled data. However, existing foundation models for neuroimaging remain limited by task-specific training, slice-based learni…
Deep networks now subtype brain tumors on MRI about as well as specialist readers, yet accuracy is not what keeps them out of the clinic. What matters at the point of care is whether a model's confidence can be trusted to flag the cases it is likely to misclassify and defer them…
Multi-contrast 3D MRI segmentation can be computationally demanding when all available sequences are used. We evaluate a pre-training Partial Information Decomposition framework that ranks input pairs according to their redundant, unique, and synergistic information about regiona…