arXiv:2607. 23368v1 Announce Type: cross Abstract: Vision-Language Models (VLMs) are demonstrating significant capabilities in medical tasks like radiology analysis, yet providing faithful and interpretable explanations remains a key consideration for their responsible deployment in clinical settings.
arXiv:2607. 14116v1 Announce Type: cross Abstract: Free-form radiology reports contain rich clinical descriptions, yet converting them for reliable segmentation remains challenging due to the inherent variability of natural language.
The paper introduces a comparative explainability framework for auditing DeBERTa‑v3 in zero‑shot medical abstract classification. It evaluates five explanation methods—SHAP, LIME, occlusion, Input × Gradient, and Attention × Gradient—using a natural language inference engine on a balanced corpus of 1,000 abstracts per diagnostic category. The study finds that explanatory stability aligns with predictive certainty, identifies three systemic failure mechanisms, and recommends combining multiple explanation methods and quantitative agreement metrics for transformer‑based medical text classifiers.
arXiv:2607. 24730v1 Announce Type: cross Abstract: Computer vision models have become highly effective for medical applications, yet their black-box nature continues to undermine clinician trust.
arXiv:2608. 02803v1 Announce Type: cross Abstract: Attention-based multiple instance learning (ABMIL) is the predominant approach for slide-level prediction in computational pathology, yet its attention maps provide only local explanations: they indicate where a model focuses but not which histological features drive its predictions or how the model behaves across a patient cohort.
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.
arXiv:2508.08966v2 Announce Type: replace Abstract: The attention mechanism lies at the core of the transformer architecture, providing an interpretable model-internal signal that has motivated a gro...
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.
The paper introduces MedREAL, a unified framework that aligns linguistic reasoning with spatial grounding for medical visual question answering and segmentation. MedREAL employs Seg Anchored Reasoning Pooling (SARP) to extract semantic evidence from segmentation tokens and a Reasoning-to-Visual (R2V) fusion mechanism to integrate these features into a segmentation pipeline. Using the newly created MedRAVS-13K dataset, MedREAL achieves superior performance, reporting 68.49% gIoU and 70.47% cIoU, and generates evidence masks that consistently match textual diagnoses.
arXiv:2601.06847v2 Announce Type: replace-cross Abstract: Vision-Language Models (VLMs) can generate convincing clinical narratives, yet frequently struggle to visually ground their statements. We po...
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:2606. 08497v1 Announce Type: new Abstract: As deep language models (DLMs) are increasingly deployed in high-stakes domains such as healthcare, understanding their decision rationale becomes paramount for ensuring trust, safety, and accountability.
arXiv:2608. 00076v2 Announce Type: replace-cross Abstract: Multimodal large language models (MLLMs) increasingly support high-stakes decision making by combining complementary information from images and text.