在标注极少时,通过约束实体不新增来可靠补全牙科记录。
Entity-Constrained CBCT Retrieval for Low-Resource Dental Record Completion

- 用先验知识和图像证据分离,仅允许不扩展实体的证据加入。
- 在50个标注样本上达到加权得分0.3134,优于完整检索和纯文本先验。
- 适合低资源场景下需严格控制信息引入的医疗记录补全任务。
在标注稀缺的情况下,从锥形束CT(CBCT)补全牙科记录极具挑战性,因不同临床字段依赖不同证据类型。MMDental Task 3要求仅基于50个标注的CBCT案例完成七字段记录,评分标准为结构化FDI位置与ICD编码的正确性;因此,即使视觉上合理的检索记录,若引入未被支持的实体仍具危害。我们提出无参数框架ECCR,将证据可用性与权威性分离:首先由语料库生成的先验提供完整记录;再使用冻结的3D编码器检索图像条件下的诊断证据,仅当其不扩展先验中的FDI或ICD实体集时才追加,从而保证声明实体集不变。在公开验证中,ECCR得分为0.3134,优于完整记录多模态检索(0.2237)与静态文本先验(0.2915);该保护机制阻断了63.3%的候选项,每项本会引入先验中不存在的FDI位置或ICD代码。最终测试中,ECCR获得11.37分(最高97.4分),位列第二。结果表明,在极端低资源条件下,控制可修改的多模态证据比直接传递整条检索记录更可靠。
原文摘要 · Abstract (English)
Completing dental records from cone-beam computed tomography (CBCT) is difficult when annotation is scarce and individual clinical fields are supported by different types of evidence. MMDental Task 3 requires seven-field record completion from only 50 labeled CBCT cases and scores the correctness of structured FDI positions and ICD codes; consequently, a visually plausible retrieved record can still be harmful when it introduces an unsupported entity. We propose Entity-Constrained CBCT-Guided Retrieval (ECCR), a parameter-free framework that separates evidence availability from evidence authority. A corpus-derived prior first supplies the complete record. A frozen 3D encoder retrieves image-conditioned Diagnosis evidence, which is appended only if it does not expand the prior FDI or ICD entity set, so the asserted entity set is invariant by construction. On public validation, ECCR reaches a weighted score of 0.3134, improving on both full-record multimodal retrieval (0.2237) and a static text-only prior (0.2915); the guard blocks 63.3% of retrieved candidates, each of which would otherwise have injected an FDI position or ICD code absent from the prior. On the final test evaluation, ECCR obtains 11.37 of a 97.4-point attainable maximum, securing second place overall. The result indicates that, in an extreme low-resource setting, controlling what multimodal evidence is allowed to modify can be more reliable than transferring an entire retrieved record.
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