MedFG-VQA is a lightweight medical visual question answering framework that uses a memory bank to enhance low‑frequency DCT features and graph‑enhanced cross‑attention for visual‑textual alignment. It introduces Frequency‑Memory Fusion to retrieve and fuse low‑frequency information from a learnable memory bank, and Graph‑Aware Cross‑Attention to refine cross‑modal features via graph convolution. The authors also create SynMed‑VQA, a synthetic dataset of over 2 million QA pairs across nine imaging modalities, and show that MedFG‑VQA matches or outperforms larger models on several biomedical VQA benchmarks while keeping computational costs low.
By Haowen Gu, Gensheng Pei, Zeren Sun, Mingwu Ren, Xiangbo Shu, Yazhou Yao, Fumin Shen
arXiv:2606. 06534v1 Announce Type: cross Abstract: Longitudinal medical visual question answering (VQA) requires reasoning about anatomical differences between an image of a current time point and an image of a referred time point.
By Jialin Wu, Qianru Zhang, Georges El Fakhri, Xiaofeng Liu
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. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations.
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.
By Hangjie Yuan, Yichen Qian, Zhiwei Tang, Xianzhe Xu, Lirong Wu, Sicheng Yang, Jinwang Wang, Pengju Wang, Zhitao Zeng, Yizeng Han, Yan Xing, Shengxuan Luo, Tao Feng, Qing Xie, Weigen Yao, Yi Yang, Zuozhu Liu, Jiasheng Tang, Shaocheng Wang, Jitao Wang, Jiahong Dong, Weihua Chen, Feng Xu, Fan Wang
Volumetric medical VQA requires reasoning over long and redundant 3D visual token sequences, especially in multi-sequence MRI where complementary modalities provide diverse diagnostic cues but expose...
arXiv:2606. 28329v1 Announce Type: cross Abstract: The growing adoption of AI in healthcare, particularly in preventive care, highlights the critical need for accessibility and precision in Medical Question Answering (MedQA).
By Anisha Saha, Vaibhav Rathore, Abhisek Tiwari, Akash Ghosh, Sai Ruthvik Edara, Sriparna Saha
arXiv:2606. 05535v1 Announce Type: cross Abstract: Medical visual question answering (Med-VQA) has strong potential for clinical decision support by enabling AI models to interpret medical images and answer clinically relevant queries.
By I Putu Adi Pratama, Bahadorreza Ofoghi, Atul Sajjanhar, Shang Gao
SeVeR is a selective visual exposure framework designed for volumetric medical visual question answering, particularly in multi-sequence MRI where redundant anatomical regions can overwhelm decoders. The authors introduce BreMRIs-VQA, a new breast MRI benchmark with 1.19 million QA pairs from 71 k sequences and 12.9 k patients, covering free-text and multiple-choice questions. SeVeR compresses dense volumes into modality-wise prototypes, retrieves complementary multi-level evidence using change-aware gated attention, and is trained with a marginal-utility self-consistency objective to suppress unhelpful retrieval, leading to improved discriminative and generative performance while exposing far fewer visual tokens.
By Yaojun Hu, Danyang Tu, Yang Liu, Jiajin Zhang, Wei Fang, Zhiqiang Liu, Chunlai Dong, Yingda Xia, Haochao Ying, Jian Wu, Ling Zhang
arXiv:2604. 09757v2 Announce Type: replace-cross Abstract: Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is dominated by language.
By Suyang Xi, Songtao Hu, Yuxiang Lai, Wangyun Dan, Yaqi Liu, Shansong Wang, Xiaofeng Yang
arXiv:2607. 04344v1 Announce Type: cross Abstract: While Large Vision-Language Models (VLMs) demonstrate remarkable generic capabilities, their clinical reasoning in specialized domains like ocular surface diseases (OSDs) is severely hindered by a paucity of high-fidelity, multimodal instruction-tuning data.
By Hao Wei, Wenjin Qi, Dasen Dai, Minqing Zhang, Wu Yuan
LiteMedCoT-VL is a parameter‑efficient pipeline that transfers chain‑of‑thought reasoning from a 235B teacher model to a 2B student model using LoRA fine‑tuning on explanation‑enriched data. The approach enables a compact vision‑language model to perform medical visual question answering without relying on image captions, achieving 64.9% accuracy on the PMC‑VQA benchmark—an 11‑point improvement over the zero‑shot Qwen3‑VL‑4B baseline. Visual grounding analysis confirms that the model bases its predictions on image content rather than textual priors.
By Runze Ma, Shunbo Jia, Haonan Lyu, Guo Liu, Caizhi Liao
MedProb is a lightweight probing framework that predicts multiple-choice medical visual question answering (Med‑VQA) answers directly from frozen vision‑language model (VLM) representations, avoiding free‑text generation. On datasets such as PATH‑VQA, SLAKE, and VQA‑RAD, MedProb extracts more answer‑relevant signal than prompting and outperforms both medical VLMs and agentic systems. The approach also narrows the performance gap between small and large models, shows that medical adaptation does not consistently improve linear decodability, and reveals positional biases in both prompting and generation.
By Erfan Nourbakhsh, Ke Yang, Anthony Rios