Medical Report Generation Research Articles

MMTN: Multi-Modal Memory Transformer Network for Image-Report Consistent Medical Report Generation

Automatic medical report generation is an essential task in applying artificial intelligence to the medical domain, which can lighten the workloads of doctors and promote clinical automation. The state-of-the-art approaches employ Transformer-based encoder-decoder architectures to generate reports for medical images. However, they do not fully explore the relationships between multi-modal medical data, and generate inaccurate and inconsistent reports. To address these issues, this paper proposes a Multi-modal Memory Transformer Network (MMTN) to cope with multi-modal medical data for generating image-report consistent medical reports. On the one hand, MMTN reduces the occurrence of image-report inconsistencies by designing a unique encoder to associate and memorize the relationship between medical images and medical terminologies. On the other hand, MMTN utilizes the cross-modal complementarity of the medical vision and language for the word prediction, which further enhances the accuracy of generating medical reports. Extensive experiments on three real datasets show that MMTN achieves significant effectiveness over state-of-the-art approaches on both automatic metrics and human evaluation.

Vision-knowledge fusion model for multi-domain medical report generation

Medical report generation with knowledge graph is an essential task in the medical field. Although the existing knowledge graphs have many entities, their semantics are not sufficient due to the challenge of uniformly extracting and fusing the expert knowledge from different diseases. Therefore, it is necessary to automatically construct specific knowledge graph. In this paper, we propose a vision-knowledge fusion model based on medical images and knowledge graphs to fully utilize high-quality data from different diseases and languages. Firstly, we give a general method to automatically construct every domain knowledge graph based on medical standards. Secondly, we design a knowledge-based attention mechanism to effectively fuse image and knowledge. Then, we build a triples restoration module to obtain fine-grained knowledge, and the knowledge-based evaluation metrics are first proposed which are more reasonable and measurable from different dimensions. Finally, we conduct experiments to verify the effectiveness of our model on two different diseases datasets: the IU-Xray chest radiograph public dataset and the NCRC-DS dataset of Chinese dermoscopy reports we compiled. Our model outperforms previous benchmark methods and achieves excellent evaluation scores on both datasets. Additionally, interpretability and clinical usefulness of the model are validated and our method can be generalized to multiple domains and different diseases.

Contrastive pre-training and linear interaction attention-based transformer for universal medical reports generation

Interpreting medical images such as chest X-ray images and retina images is an essential step for diagnosing and treating relevant diseases. Proposing automatic and reliable medical report generation systems can reduce the time-consuming workload, improve efficiencies of clinical workflows, and decrease practical variations between different clinical professionals. Many recent approaches based on image-encoder and language-decoder structure have been proposed to tackle this task. However, some technical challenges remain to be solved, including the fusion efficacy between the language and visual cues and the difficulty of obtaining an effective pre-trained image feature extractor for medical-specific tasks. In this work, we proposed the weighted query-key interacting attention module, including both the second-order and first-order interactions. Compared with the conventional scaled dot-product attention, this design generates a strong fusion mechanism between language and visual signals. In addition, we also proposed the contrastive pre-training step to reduce the domain gap between the image encoder and the target dataset. To test the generalizability of our learning scheme, we collected and verified our model on the world-first multi-modality retina report generation dataset referred to as Retina ImBank and another large-scale retina Chinese-based report dataset referred to as Retina Chinese. These two datasets will be made publicly available and serve as benchmarks to encourage further research exploration in this field. From our experimental results, we demonstrate that our proposed method has outperformed multiple state-of-the-art image captioning and medical report generation methods on IU X-RAY, MIMIC-CXR, Retina ImBank, and Retina Chinese datasets.

A benchmark for automatic medical consultation system: frameworks, tasks and datasets.

In recent years, interest has arisen in using machine learning to improve the efficiency of automatic medical consultation and enhance patient experience. In this article, we propose two frameworks to support automatic medical consultation, namely doctor-patient dialogue understanding and task-oriented interaction. We create a new large medical dialogue dataset with multi-level fine-grained annotations and establish five independent tasks, including named entity recognition, dialogue act classification, symptom label inference, medical report generation and diagnosis-oriented dialogue policy. We report a set of benchmark results for each task, which shows the usability of the dataset and sets a baseline for future studies. Both code and data are available from https://github.com/lemuria-wchen/imcs21. Supplementary data are available at Bioinformatics online.

Explainable-AI in Automated Medical Report Generation Using Chest X-ray Images

The use of machine learning in healthcare has the potential to revolutionize virtually every aspect of the industry. However, the lack of transparency in AI applications may lead to the problem of trustworthiness and reliability of the information provided by these applications. Medical practitioners rely on such systems for clinical decision making, but without adequate explanations, diagnosis made by these systems cannot be completely trusted. Explainability in Artificial Intelligence (XAI) aims to improve our understanding of why a given output has been produced by an AI system. Automated medical report generation is one area that would benefit greatly from XAI. This survey provides an extensive literature review on XAI techniques used in medical image analysis and automated medical report generation. We present a systematic classification of XAI techniques used in this field, highlighting the most important features of each one that could be used by future research to select the most appropriate XAI technique to create understandable and reliable explanations for decisions made by AI systems. In addition to providing an overview of the state of the art in this area, we identify some of the most important issues that need to be addressed and on which research should be focused.

Improving Medical X-ray Report Generation by Using Knowledge Graph

In clinical diagnosis, radiological reports are essential to guide the patient’s treatment. However, writing radiology reports is a critical and time-consuming task for radiologists. Existing deep learning methods often ignore the interplay between medical findings, which may be a bottleneck limiting the quality of generated radiology reports. Our paper focuses on the automatic generation of medical reports from input chest X-ray images. In this work, we mine the associations between medical discoveries in the given texts and construct a knowledge graph based on the associations between medical discoveries. The patient’s chest X-ray image and clinical history file were used as input to extract the image–text hybrid features. Then, this feature is used as the input of the adjacency matrix of the knowledge graph, and the graph neural network is used to aggregate and transfer the information between each node to generate the situational representation of the disease with prior knowledge. These disease situational representations with prior knowledge are fed into the generator for self-supervised learning to generate radiology reports. We evaluate the performance of the proposed method using metrics from natural language generation and clinical efficacy on two public datasets. Our experiments show that our method outperforms state-of-the-art methods with the help of a knowledge graph constituted by prior knowledge of the patient.

RadioBERT: A deep learning-based system for medical report generation from chest X-ray images using contextual embeddings

Background:Increasing number of chest X-ray (CXR) examinations in radiodiagnosis departments burdens radiologists’ and makes the timely generation of accurate radiological reports highly challenging. An automatic radiological report generation (ARRG) system is envisaged to generate radiographic reports with minimal human intervention, ease radiologists’ burden, and smoothen the clinical workflow. The success of an ARRG system depends on two critical factors: i) quality of the features extracted by the ARRG system from the CXR images, and ii) quality of the linguistic expression generated by the ARRG system describing the normalities and abnormalities as indicated by the extracted features. Most of the existing ARRG systems miserably fail due to the latter factor and do not generate clinically acceptable reports because they ignore the contextual importance of the medical terms. Objectives:The advent of contextual word embeddings, like ELMo and BERT, has revolutionized several natural language processing (NLP) tasks. A contextual embedding represents a word based on its context. The main objective of this work is to develop an ARRG system that uses contextual word embeddings to generate clinically accurate reports from CXR images. Methods:We present an end-to-end deep neural network that uses contextual word representations for generating clinically useful radiological reports from CXR images. The proposed network, termed as RadioBERT, uses DistilBERT for contextual word representation and leverages transfer learning. Additionally, due to the importance of abnormal observations over the normal ones, the network reorders the generated sentences by applying sentiment analysis to keep abnormal descriptions on the top of the generated report. Results:The empirical study consisting of several experiments performed on the OpenI dataset indicates that CNN+Hierarchical LSTM with DistilBERT embedding improves the benchmark performance. We have been able to achieve the following performance scores: BLEU-1 = 0.772, BLEU-2 = 0.770, BLEU-3 = 0.768, BLEU-4 = 0.767, CIDEr = 0.5563, and ROUGE = 0.897. Conclusion:The proposed method improves the state-of-the-art performance scores by a substantial margin. It is concluded that the use of word embeddings generated by DistilBERT enhances the performance of hierarchical LSTM for producing clinical reports by significant margin.

Automated Radiographic Report Generation Purely on Transformer: A Multicriteria Supervised Approach.

Automated radiographic report generation is challenging in at least two aspects. First, medical images are very similar to each other and the visual differences of clinic importance are often fine-grained. Second, the disease-related words may be submerged by many similar sentences describing the common content of the images, causing the abnormal to be misinterpreted as the normal in the worst case. To tackle these challenges, this paper proposes a pure transformer-based framework to jointly enforce better visual-textual alignment, multi-label diagnostic classification, and word importance weighting, to facilitate report generation. To the best of our knowledge, this is the first pure transformer-based framework for medical report generation, which enjoys the capacity of transformer in learning long range dependencies for both image regions and sentence words. Specifically, for the first challenge, we design a novel mechanism to embed an auxiliary image-text matching objective into the transformer's encoder-decoder structure, so that better correlated image and text features could be learned to help a report to discriminate similar images. For the second challenge, we integrate an additional multi-label classification task into our framework to guide the model in making correct diagnostic predictions. Also, a term-weighting scheme is proposed to reflect the importance of words for training so that our model would not miss key discriminative information. Our work achieves promising performance over the state-of-the-arts on two benchmark datasets, including the largest dataset MIMIC-CXR.

Auxiliary signal-guided knowledge encoder-decoder for medical report generation

Medical reports have significant clinical value to radiologists and specialists, especially during a pandemic like COVID. However, beyond the common difficulties faced in the natural image captioning, medical report generation specifically requires the model to describe a medical image with a fine-grained and semantic-coherence paragraph that should satisfy both medical commonsense and logic. Previous works generally extract the global image features and attempt to generate a paragraph that is similar to referenced reports; however, this approach has two limitations. Firstly, the regions of primary interest to radiologists are usually located in a small area of the global image, meaning that the remainder parts of the image could be considered as irrelevant noise in the training procedure. Secondly, there are many similar sentences used in each medical report to describe the normal regions of the image, which causes serious data bias. This deviation is likely to teach models to generate these inessential sentences on a regular basis. To address these problems, we propose an Auxiliary Signal-Guided Knowledge Encoder-Decoder (ASGK) to mimic radiologists’ working patterns. Specifically, the auxiliary patches are explored to expand the widely used visual patch features before fed to the Transformer encoder, while the external linguistic signals help the decoder better master prior knowledge during the pre-training process. Our approach performs well on common benchmarks, including CX-CHR, IU X-Ray, and COVID-19 CT Report dataset (COV-CTR), demonstrating combining auxiliary signals with transformer architecture can bring a significant improvement in terms of medical report generation. The experimental results confirm that auxiliary signals driven Transformer-based models are with solid capabilities to outperform previous approaches on both medical terminology classification and paragraph generation metrics.

Medical Report Generation through Radiology Images: An Overview

The interpretation of medical images is a fundamental process for the diagnosis and treatment of patients. This process contributes determining the causes of symptoms as well as monitoring the effects of any treatment. Although the generation of medical reports from images is a complex task, deep learning strategies have been integrated with models that allow this arduous task to be tackled, achieving promising results. This work aims to present a compilation of the most outstanding deep learning strategies focused on the automatic generation of medical radiology reports from X-Ray images. Papers based on DenseNet, ResNet and VGG architectures, in combination with Long Short-Term Memories (LSTMs) and attention models, are analyzed in terms of the pre-processing strategies, databases used, model adaptations, and metric results. All these important findings are summarized in this survey, highlighting those models that reported the highest performance.

Review on natural language generation

Natural Language Generation is a field evolved from a computational linguistic, the discipline concerned with understanding written and spoken words and building artifacts that usually process and produce language. The emphasis of NLG is on computer systems that can produce understandable texts in human languages. It is one of the fastest growing applications of Artificial Intelligence as it articulately communicates ideas from data at remarkable scale and accuracy. NLG includes variety of application areas such as Healthcare, Finance, Human Resources, Legal, Marketing, Sales, Operations, Strategy, and Supply Chain. The field of NLG has changed drastically in last few years with the emergence of successful deep learning methods. This paper focuses on deep learning techniques and methods used for Natural Language Generation by reviewing some of the recent work done in this direction, mainly in the field of healthcare. In recent times the need for automatic medical report generation has become a new challenge for the doctors and physicians, so that they could spend quality time with patients rather than investing time in preparing manual reports.

Translating medical image to radiological report: Adaptive multilevel multi-attention approach

Background and ObjectiveMedical imaging techniques are widely employed in disease diagnosis and treatment. A readily available medical report can be a useful tool in assisting an expert for investigating the patient’s health. A radiologist can benefit from an automatic medical image to radiological report translation system while preparing a final report. Previous attempts on automatic medical report generation task includes image captioning algorithms without taking domain-specific visual and textual contents into account, thus arises the question about credibility of generated report. MethodsIn this work, a novel Adaptive Multilevel Multi-Attention (AMLMA) approach is proposed by offering domain-specific visual-textual knowledge to generate a thorough and believable radiological report for any view of a human chest X-ray image. The proposed approach leverages the encoder-decoder framework incorporated with multiple adaptive attention mechanisms. The potential of a convolutional neural network (CNN) with residual attention module (RAM) is demonstrated as a strong visual encoder for multi-label abnormality detection. The multilevel visual features (local and global) are extracted from proposed visual encoder to retrieve regional-level and abstract-level radiology-based semantic information. The Word2Vec and FastText word embeddings are trained on medical reports to acquire radiological knowledge and further used as textual encoders, feeding as input to Bi-directional Long Short Term Memory (Bi-LSTM) network to learn the co-relationship between medical terminologies in radiological reports. The AMLMA employs a weighted multilevel association of adaptive visual-semantic attention and visual-based linguistic attention mechanisms. This association of adaptive attention is exploited as a decoder and produces significant improvements in the report generation task. ResultsThe proposed approach is evaluated on a publicly available Indiana University chest X-ray (IU-CXR) dataset. The CNN with RAM shows the significant improvement in recall (0.4423), precision (0.1803) and F1-score (0.2551) for prediction of multiple abnormalities in X-ray image. The results of language generation metrics for proposed variants were acquired using the COCO-caption evaluation Application Program Interface (API). The trained embeddings with AMLMA model generates the convincing radiology report and outperform state-of-the-art (SOTA) approaches with high evaluation metrics scores for Bleu-4 (0.172), Meteor (0.247), Rouge_L (0.376) and CIDEr (0.381). In addition, a new “Unique Index” (UI) statistic is introduced to highlight the model’s ability for generating unique reports. ConclusionThe overall architecture aids to the understanding of various X-ray image views and generating the relevant normal and abnormal radiography statements. The proposed model is emphasized on multi-level visual-textual knowledge with adaptive attention mechanism to balance visual and linguistic information for the generation of admissible radiology report.

Attention based automated radiology report generation using CNN and LSTM.

The automated generation of radiology reports provides X-rays and has tremendous potential to enhance the clinical diagnosis of diseases in patients. A new research direction is gaining increasing attention that involves the use of hybrid approaches based on natural language processing and computer vision techniques to create auto medical report generation systems. The auto report generator, producing radiology reports, will significantly reduce the burden on doctors and assist them in writing manual reports. Because the sensitivity of chest X-ray (CXR) findings provided by existing techniques not adequately accurate, producing comprehensive explanations for medical photographs remains a difficult task. A novel approach to address this issue was proposed, based on the continuous integration of convolutional neural networks and long short-term memory for detecting diseases, followed by the attention mechanism for sequence generation based on these diseases. Experimental results obtained by using the Indiana University CXR and MIMIC-CXR datasets showed that the proposed model attained the current state-of-the-art efficiency as opposed to other solutions of the baseline. BLEU-1, BLEU-2, BLEU-3, and BLEU-4 were used as the evaluation metrics.

Medical-VLBERT: Medical Visual Language BERT for COVID-19 CT Report Generation With Alternate Learning.

Medical imaging technologies, including computed tomography (CT) or chest X-Ray (CXR), are largely employed to facilitate the diagnosis of the COVID-19. Since manual report writing is usually too time-consuming, a more intelligent auxiliary medical system that could generate medical reports automatically and immediately is urgently needed. In this article, we propose to use the medical visual language BERT (Medical-VLBERT) model to identify the abnormality on the COVID-19 scans and generate the medical report automatically based on the detected lesion regions. To produce more accurate medical reports and minimize the visual-and-linguistic differences, this model adopts an alternate learning strategy with two procedures that are knowledge pretraining and transferring. To be more precise, the knowledge pretraining procedure is to memorize the knowledge from medical texts, while the transferring procedure is to utilize the acquired knowledge for professional medical sentences generations through observations of medical images. In practice, for automatic medical report generation on the COVID-19 cases, we constructed a dataset of 368 medical findings in Chinese and 1104 chest CT scans from The First Affiliated Hospital of Jinan University, Guangzhou, China, and The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China. Besides, to alleviate the insufficiency of the COVID-19 training samples, our model was first trained on the large-scale Chinese CX-CHR dataset and then transferred to the COVID-19 CT dataset for further fine-tuning. The experimental results showed that Medical-VLBERT achieved state-of-the-art performances on terminology prediction and report generation with the Chinese COVID-19 CT dataset and the CX-CHR dataset. The Chinese COVID-19 CT dataset is available at https://covid19ct.github.io/.

Deep Neural Network Driven Speech Classification for Relevance Detection in Automatic Medical Documentation.

The automation of medical documentation is a highly desirable process, especially as it could avert significant temporal and monetary expenses in healthcare. With the help of complex modelling and high computational capability, Automatic Speech Recognition (ASR) and deep learning have made several promising attempts to this end. However, a factor that significantly determines the efficiency of these systems is the volume of speech that is processed in each medical examination. In the course of this study, we found that over half of the speech, recorded during follow-up examinations of patients treated with Intra-Vitreal Injections, was not relevant for medical documentation. In this paper, we evaluate the application of Convolutional and Long Short-Term Memory (LSTM) neural networks for the development of a speech classification module aimed at identifying speech relevant for medical report generation. In this regard, various topology parameters are tested and the effect of the model performance on different speaker attributes is analyzed. The results indicate that Convolutional Neural Networks (CNNs) are more successful than LSTM networks, and achieve a validation accuracy of 92.41%. Furthermore, on evaluation of the robustness of the model to gender, accent and unknown speakers, the neural network generalized satisfactorily.

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients.

TBase is an electronic health record (EHR) for kidney transplant recipients (KTR) combining automated data entry of key clinical data (e.g., laboratory values, medical reports, radiology and pathology data) via standardized interfaces with manual data entry during routine treatment (e.g., clinical notes, medication list, and transplantation data). By this means, a comprehensive database for KTR is created with benefits for routine clinical care and research. It enables both easy everyday clinical use and quick access for research questions with highest data quality. This is achieved by the concept of data validation in clinical routine in which clinical users and patients have to rely on correct data for treatment and medication plans and thereby validate and correct the clinical data in their daily practice. This EHR is tailored for the needs of transplant outpatient care and proved its clinical utility for more than 20 years at Charité - Universitätsmedizin Berlin. It facilitates efficient routine work with well-structured, comprehensive long-term data and allows their easy use for clinical research. To this point, its functionality covers automated transmission of routine data via standardized interfaces from different hospital information systems, availability of transplant-specific data, a medication list with an integrated check for drug-drug interactions, and semi-automated generation of medical reports among others. Key elements of the latest reengineering are a robust privacy-by-design concept, modularity, and hence portability into other clinical contexts as well as usability and platform independence enabled by HTML5 (Hypertext Markup Language) based responsive web design. This allows fast and easy scalability into other disease areas and other university hospitals. The comprehensive long-term datasets are the basis for the investigation of Machine Learning algorithms, and the modular structure allows to rapidly implement these into clinical care. Patient reported data and telemedicine services are integrated into TBase in order to meet future needs of the patients. These novel features aim to improve clinical care as well as to create new research options and therapeutic interventions.

Automatic ultrasound image report generation with adaptive multimodal attention mechanism

Text report writing for medical images is a fundamental task for diagnosis and treatment in clinical medicine. However, this work is tedious and time-consuming because of the special report features (e.g., boundary conditions and fixed templates). The existing works mainly adopt image captioning methods for medical report generation but the special report features are not fully considered in these models. This paper proposes an Adaptive Multimodal Attention network (AMAnet) to generate high-quality medical image reports. First, a Multi-Label Classification network is designed to predict the essential local properties. And then the word embedding vectors of these properties can serve as the semantic features to aid report generation. Second, we develop a semantic attention mechanism to imitate the spatial attention. Third, we introduce an adaptive attention mechanism with a sentinel gate to control the attention level at current visual features and language model memories when generating the next word. Experimental results demonstrate AMAnet outperforms the state-of-the-art image captioning methods with over 1 CIDEr score improvement.

Unifying neural learning and symbolic reasoning for spinal medical report generation.

Automated medical report generation in spine radiology, i.e., given spinal medical images and directly create radiologist-level diagnosis reports to support clinical decision making, is a novel yet fundamental study in the domain of artificial intelligence in healthcare. However, it is incredibly challenging because it is an extremely complicated task that involves visual perception and high-level reasoning processes. In this paper, we propose the neural-symbolic learning (NSL) framework that performs human-like learning by unifying deep neural learning and symbolic logical reasoning for the spinal medical report generation. Generally speaking, the NSL framework firstly employs deep neural learning to imitate human visual perception for detecting abnormalities of target spinal structures. Concretely, we design an adversarial graph network that interpolates a symbolic graph reasoning module into a generative adversarial network through embedding prior domain knowledge, achieving semantic segmentation of spinal structures with high complexity and variability. NSL secondly conducts human-like symbolic logical reasoning that realizes unsupervised causal effect analysis of detected entities of abnormalities through meta-interpretive learning. NSL finally fills these discoveries of target diseases into a unified template, successfully achieving a comprehensive medical report generation. When employed in a real-world clinical dataset, a series of empirical studies demonstrate its capacity on spinal medical report generation and show that our algorithm remarkably exceeds existing methods in the detection of spinal structures. These indicate its potential as a clinical tool that contributes to computer-aided diagnosis.

Knowledge-Driven Encode, Retrieve, Paraphrase for Medical Image Report Generation

Generating long and semantic-coherent reports to describe medical images poses great challenges towards bridging visual and linguistic modalities, incorporating medical domain knowledge, and generating realistic and accurate descriptions. We propose a novel Knowledge-driven Encode, Retrieve, Paraphrase (KERP) approach which reconciles traditional knowledge- and retrieval-based methods with modern learning-based methods for accurate and robust medical report generation. Specifically, KERP decomposes medical report generation into explicit medical abnormality graph learning and subsequent natural language modeling. KERP first employs an Encode module that transforms visual features into a structured abnormality graph by incorporating prior medical knowledge; then a Retrieve module that retrieves text templates based on the detected abnormalities; and lastly, a Paraphrase module that rewrites the templates according to specific cases. The core of KERP is a proposed generic implementation unit—Graph Transformer (GTR) that dynamically transforms high-level semantics between graph-structured data of multiple domains such as knowledge graphs, images and sequences. Experiments show that the proposed approach generates structured and robust reports supported with accurate abnormality description and explainable attentive regions, achieving the state-of-the-art results on two medical report benchmarks, with the best medical abnormality and disease classification accuracy and improved human evaluation performance.

Classification for EEG report generation and epilepsy detection

An automatic generation of medical report method (AGMedRep) was proposed in order to process electroencephalogram (EEG) segments using machine learning (ML) to generate textual reports for epilepsy detection. This method is applied in two phases: (1) predictive model building, and (2) automatic generation of medical reports. In Phase 1, classifiers are built and evaluated, in which the best predictive model is chosen to perform Phase 2 for report generation. The AGMedRep was applied in a set of 500 EEG segments, 100 for each class, in a total of five classes. In the first phase, 90 signal segments for each class were selected for feature extraction and classifier building. Posteriorly, five different report expression were defined, one for each class. In each EEG segment, all possible combination of cross-correlogram, power spectrum, spectrogram (SG), and bispectrogram (BS) were computed for feature extraction, generating a total of 15 different datasets. Afterwards, ML methods, such as decision tree, 1-nearest-neighbor (1NN), naive Bayes, backpropagation based on multilayer perceptron (MLP), and support vector machine (SVM) were applied in each dataset considering a multiclass decomposition approach, generating a total of 75 (15 datasets × 5 ML techniques) classifiers. In the evaluation step, it was found that the “SG” 1NN, “SG and BS” MLP, and “SG and BS” SVM reached, statistically, the best performances for signal classification, but a statistical difference was not found among them. In this sense, the “SG” 1NN model was chosen for report generation due to its lower computation cost, and it proved to be one of the most accurate models. In the second phase, the 50 remaining EEG segments were equally distributed, randomly, into ten folders in order to simulate individual EEG exams. Finally, the chosen classifier was computed in each examination to construct textual reports. As a result, the 1NN model reached an average of 84% accuracy in the report generation. Our results suggest that the AGMedRep can be able to assist medical experts in the identification of patterns related to epileptic events in EEG.