Abstract

Medical caption prediction which can be regarded as a task of medical report generation (MRG), requires the automatic generation of coherent and accurate captions for the given medical images. However, the scarcity of labelled medical image-report pairs presents great challenges in the development of deep and large-scale neural networks capable of harnessing the potential artificial general intelligence power like large language models (LLMs). In this work, we propose customizing off-the-shelf general-purpose large-scale pre-trained models, i.e., foundation models (FMs), in computer vision and natural language processing with a specific focus on medical report generation. Specifically, following BLIP-2, a state-of-the-art vision-language pre-training approach, we introduce our encoder-decoder-based MRG model. This model utilizes a lightweight query Transformer to connect two FMs: the giant vision Transformer EVA-ViT-g and a bilingual LLM trained to align with human intentions (referred to as ChatGLM-6B). Furthermore, we conduct ablative experiments on the trainable components of the model to identify the crucial factors for effective transfer learning. Our findings demonstrate that