Pathology vision-language models (VLMs) have recently progressed rapidly and are commonly evaluated by answer accuracy on pathology VQA benchmarks. However, we dig into current evaluations and identify three overlooked issues: 1) Visual evidence is not always necessary.
Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image.
arXiv:2607. 23794v1 Announce Type: cross Abstract: Pathological diagnosis is inherently multi-scale, requiring the integration of global tissue architecture at low magnification with cellular morphology at higher magnification.
arXiv:2606. 06696v1 Announce Type: cross Abstract: Vision and language models (VLMs) hold immense promise to transform biomedical imaging workflows, from detecting lesions in chest X-rays to profiling cellular features in microscopy.
arXiv:2606. 12169v1 Announce Type: cross Abstract: High-stakes clinical use of large vision-language models (LVLMs) requires reasoning that is grounded in visual evidence and clinical knowledge, not just correct final answers.
Pathological diagnosis is inherently multi-scale, requiring the integration of global tissue architecture at low magnification with cellular morphology at higher magnification. However, existing pathology benchmarks and vision-language models (VLMs) are still largely developed under single-scale settings, limiting their ability to learn clinically meaningful multi-magnification reasoning.
arXiv:2608. 15580v1 Announce Type: new Abstract: Reliable endoscopic polyp reporting requires integrating quantitative lesion sizing, standardized Paris classification, and clinically meaningful morphological description within a single record.
To address this gap, we introduce TomaMMU, a large-scale Tomato leaf disease MultiModal Understanding dataset, alongside TomaBench, a benchmark for evaluating VLMs on tomato disease understanding. TomaMMU comprises 28,808 high-quality images spanning 15 categories and 213,119 human-annotated visual question-answer pairs, generated through a three-stage pipeline comprising Data Collection, Human Annotation, and Question-Answer Generation.
arXiv:2606. 17412v1 Announce Type: cross Abstract: Pathological images are inherently multi-scale, requiring pathologists to integrate evidence from global tissue architecture at low magnification to cellular morphology at higher magnification for accurate diagnosis.
arXiv:2606. 23763v1 Announce Type: cross Abstract: Recent work typically assesses vision--language consistency using attention distributions of answer-side tokens.
arXiv:2608. 08727v1 Announce Type: cross Abstract: To address this gap, we introduce TomaMMU, a large-scale Tomato leaf disease MultiModal Understanding dataset, alongside TomaBench, a benchmark for evaluating VLMs on tomato disease understanding.
Knowledge-Intensive Visual Question Answering (KI-VQA) benchmarks evaluate Vision-Language Models (VLMs) as multimodal knowledge assistants by requiring external information beyond a provided image to answer questions. KI-VQA involves multiple sub-problems -referring expression understanding, visual grounding, object recognition, knowledge retrieval, and reasoning-yet existing benchmarks typically report only end-task accuracy, obscuring where failures arise.
arXiv:2607. 24743v1 Announce Type: cross Abstract: Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment.