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CXR-LLaVA: a multimodal large language model for interpreting chest X-ray images.

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January 2025

Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

Objective: This study aimed to develop an open-source multimodal large language model (CXR-LLaVA) for interpreting chest X-ray images (CXRs), leveraging recent advances in large language models (LLMs) to potentially replicate the image interpretation skills of human radiologists.

Materials And Methods: For training, we collected 592,580 publicly available CXRs, of which 374,881 had labels for certain radiographic abnormalities (Dataset 1) and 217,699 provided free-text radiology reports (Dataset 2). After pre-training a vision transformer with Dataset 1, we integrated it with an LLM influenced by the LLaVA network.

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Diffusion models, variational autoencoders, and generative adversarial networks (GANs) are three common types of generative artificial intelligence models for image generation. Among these, GANs are the most frequently used for medical image generation and are often employed for data augmentation in various studies. However, due to the adversarial nature of GANs, where the generator and discriminator compete against each other, the training process can sometimes end with the model unable to generate meaningful images or even producing noise.

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A Structured, Anatomy-Based Chest CT Interpretation Curriculum for Pulmonary Fellows Covering the Main Patterns of Parenchymal Lung Disease.

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