# xray_generator/utils/dataset.py import os import numpy as np import pandas as pd import torch import logging from torch.utils.data import Dataset from PIL import Image import torchvision.transforms.functional as TF import cv2 from transformers import AutoTokenizer from tqdm.auto import tqdm logger = logging.getLogger(__name__) class MedicalReport: """ Class to handle medical report text processing and normalization. """ # Common sections in radiology reports SECTIONS = ["findings", "impression", "indication", "comparison", "technique"] # Common medical imaging abbreviations and their expansions ABBREVIATIONS = { "w/": "with", "w/o": "without", "b/l": "bilateral", "AP": "anteroposterior", "PA": "posteroanterior", "lat": "lateral", } @staticmethod def normalize_text(text): """Normalize and clean text content.""" if pd.isna(text) or text is None: return "" # Convert to string and strip whitespace text = str(text).strip() # Replace multiple whitespace with single space text = ' '.join(text.split()) return text @staticmethod def preprocess_report(findings, impression): """ Combine findings and impression with proper section markers. """ findings = MedicalReport.normalize_text(findings) impression = MedicalReport.normalize_text(impression) # Build report with section markers report_parts = [] if findings: report_parts.append(f"FINDINGS: {findings}") if impression: report_parts.append(f"IMPRESSION: {impression}") # Join sections with double newline for clear separation return " ".join(report_parts) @staticmethod def extract_medical_concepts(text): """ Extract key medical concepts from text. Simple keyword-based extraction. """ # Simple keyword-based extraction key_findings = [] # Common radiological findings findings_keywords = [ "pneumonia", "effusion", "edema", "cardiomegaly", "atelectasis", "consolidation", "pneumothorax", "mass", "nodule", "infiltrate", "fracture", "opacity" ] # Check for keywords for keyword in findings_keywords: if keyword in text.lower(): key_findings.append(keyword) return key_findings class ChestXrayDataset(Dataset): """ Dataset for chest X-ray images and reports from the IU dataset. """ def __init__( self, reports_csv, projections_csv, image_folder, transform=None, target_size=(256, 256), filter_frontal=True, tokenizer_name="dmis-lab/biobert-base-cased-v1.1", max_length=256, load_tokenizer=True, use_clahe=True ): """Initialize the chest X-ray dataset.""" self.image_folder = image_folder self.transform = transform self.target_size = target_size self.max_length = max_length self.use_clahe = use_clahe self.report_processor = MedicalReport() # Load data with proper error handling try: logger.info(f"Loading reports from {reports_csv}") reports_df = pd.read_csv(reports_csv) logger.info(f"Loading projections from {projections_csv}") projections_df = pd.read_csv(projections_csv) # Log initial data statistics logger.info(f"Loaded reports CSV with {len(reports_df)} entries") logger.info(f"Loaded projections CSV with {len(projections_df)} entries") # Merge datasets on uid merged_df = pd.merge(reports_df, projections_df, on='uid') logger.info(f"Merged dataframe has {len(merged_df)} entries") # Filter for frontal projections if requested if filter_frontal: frontal_df = merged_df[merged_df['projection'] == 'Frontal'].reset_index(drop=True) logger.info(f"Filtered for frontal projections: {len(frontal_df)}/{len(merged_df)} entries") merged_df = frontal_df # Filter for entries with both findings and impression valid_df = merged_df.dropna(subset=['findings', 'impression']).reset_index(drop=True) logger.info(f"Filtered for valid reports: {len(valid_df)}/{len(merged_df)} entries") # Verify image files exist self.data = self._filter_existing_images(valid_df) # Load tokenizer if requested self.tokenizer = None if load_tokenizer: try: self.tokenizer = AutoTokenizer.from_pretrained(tokenizer_name) logger.info(f"Loaded tokenizer: {tokenizer_name}") except Exception as e: logger.error(f"Error loading tokenizer: {e}") logger.warning("Proceeding without tokenizer") except Exception as e: logger.error(f"Error initializing dataset: {e}") raise def _filter_existing_images(self, df): """Filter dataframe to only include entries with existing image files.""" valid_entries = [] missing_files = 0 for idx, row in tqdm(df.iterrows(), total=len(df), desc="Verifying image files"): img_path = os.path.join(self.image_folder, row['filename']) if os.path.exists(img_path): valid_entries.append(idx) else: missing_files += 1 if missing_files > 0: logger.warning(f"Found {missing_files} missing image files out of {len(df)}") # Keep only entries with existing files valid_df = df.iloc[valid_entries].reset_index(drop=True) logger.info(f"Final dataset size after filtering: {len(valid_df)} entries") return valid_df def __len__(self): """Get dataset length.""" return len(self.data) def __getitem__(self, idx): """Get dataset item with proper error handling.""" try: row = self.data.iloc[idx] # Process image img_path = os.path.join(self.image_folder, row['filename']) # Check file existence (safety check) if not os.path.exists(img_path): logger.error(f"Image file not found despite prior filtering: {img_path}") raise FileNotFoundError(f"Image file not found: {img_path}") # Load and convert to grayscale try: img = Image.open(img_path).convert('L') except Exception as e: logger.error(f"Error opening image {img_path}: {e}") raise ValueError(f"Cannot open image: {e}") # Apply preprocessing img = self._preprocess_image(img) # Process report text report = self.report_processor.preprocess_report( row['findings'], row['impression'] ) # Extract key medical concepts for metadata medical_concepts = self.report_processor.extract_medical_concepts(report) # Create return dictionary item = { 'image': img, 'report': report, 'uid': row['uid'], 'medical_concepts': medical_concepts, 'filename': row['filename'] } # Add tokenized text if tokenizer is available if self.tokenizer: encoding = self._tokenize_text(report) item.update(encoding) return item except Exception as e: logger.error(f"Error loading item {idx}: {e}") # For debugging only - in production we would handle this more gracefully raise e def _preprocess_image(self, img): """Preprocess image with standardized steps for medical imaging.""" # Resize with proper interpolation for medical images if img.size != self.target_size: img = img.resize(self.target_size, Image.BICUBIC) # Convert to tensor [0, 1] img_tensor = TF.to_tensor(img) # Apply CLAHE preprocessing if enabled if self.use_clahe: img_np = img_tensor.numpy().squeeze() # Normalize to 0-255 range img_np = (img_np * 255).astype(np.uint8) # Apply CLAHE clahe = cv2.createCLAHE(clipLimit=2.0, tileGridSize=(8, 8)) img_np = clahe.apply(img_np) # Convert back to tensor [0, 1] img_tensor = torch.from_numpy(img_np).float() / 255.0 img_tensor = img_tensor.unsqueeze(0) # Apply additional transforms if provided if self.transform: img_tensor = self.transform(img_tensor) return img_tensor def _tokenize_text(self, text): """Tokenize text with proper padding and truncation.""" encoding = self.tokenizer( text, padding="max_length", truncation=True, max_length=self.max_length, return_tensors="pt" ) # Remove batch dimension return { 'input_ids': encoding['input_ids'].squeeze(0), 'attention_mask': encoding['attention_mask'].squeeze(0) }