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Explaining Chest X-ray Pathologies in Natural Language

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arxiv 2207.04343 v1 pith:6N3NUMHX submitted 2022-07-09 cs.CV cs.AIcs.CL

classification cs.CVcs.AIcs.CL
keywords nlesmedicalchestdatasetexplanationsimagingintroducelack
verification ladder T0 review T1 audit T2 compute T3 formal
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Most deep learning algorithms lack explanations for their predictions, which limits their deployment in clinical practice. Approaches to improve explainability, especially in medical imaging, have often been shown to convey limited information, be overly reassuring, or lack robustness. In this work, we introduce the task of generating natural language explanations (NLEs) to justify predictions made on medical images. NLEs are human-friendly and comprehensive, and enable the training of intrinsically explainable models. To this goal, we introduce MIMIC-NLE, the first, large-scale, medical imaging dataset with NLEs. It contains over 38,000 NLEs, which explain the presence of various thoracic pathologies and chest X-ray findings. We propose a general approach to solve the task and evaluate several architectures on this dataset, including via clinician assessment.

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Cited by 2 Pith papers

Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score.

  1. Consistent but Miscalibrated: Evaluating LLM Limitations for Risk Communication in Natural Language

    cs.CL 2026-07 conditional novelty 6.0 of 10

    Current LLMs are consistent but miscalibrated when selecting verbal descriptors for likelihood and uncertainty of probabilistic predictions, with the bottleneck in verbalization itself.

  2. Consistent but Miscalibrated: Evaluating LLM Limitations for Risk Communication in Natural Language

    cs.CL 2026-07 accept novelty 6.0 of 10

    Current LLMs produce consistent but miscalibrated natural-language descriptors of likelihood and uncertainty from probabilistic predictions and are not yet reliable zero-shot risk communicators.

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