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:2603. 07131v4 Announce Type: replace-cross Abstract: Large Vision Language Models (LVLMs) show immense potential for automated ophthalmic diagnosis.
By Shuai Lu, Meng Wang, Jia Guo, Jiawei Du, Bo Liu, Shengzhu Yang, Weihang Zhang, Huazhu Fu, Huiqi Li
arXiv:2608. 08307v1 Announce Type: cross Abstract: Medical Visual Question Answering (VQA) requires aligning subtle visual evidence, including lesion texture, boundary sharpness, and diffuse density changes, with clinical language.
By Yusra Tariq, Rakesh Chandra Joshi
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
arXiv:2607. 12048v1 Announce Type: cross Abstract: Deploying medical visual question answering (MedVQA) systems in real-world clinical settings requires models that adapt to new clinical tasks without forgetting previously acquired knowledge.
By Mai A. Shaaban, Tausifa Jan Saleem, Alaa Mohamed, Dilnaz Utemissova, Ufaq Khan, Mohammad Yaqub
arXiv:2605. 08245v4 Announce Type: replace-cross Abstract: Vision-Language Models (VLMs) increasingly power high-stakes applications, from medical imaging to autonomous systems, yet they routinely hallucinate, confidently describing content not present in the input.
By Harshvardhan Saini, Samyak Jha, Yiming Tang, Dianbo Liu
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.
By Chi Phan, Tianyi Zhang, Qiaochu Xue, Yufeng Wu, Dan Hu, Zeyu Liu, Sudong Wang, Yueming Jin
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
Vision-language models commonly project all tokens produced by a pretrained vision encoder into a large language model. However, final-layer features can discard text, local attributes, and spatial relationships, while high-resolution inputs substantially increase context length and inference latency.
Vision-language pre-training (VLP) holds great promise for general-purpose medical AI by leveraging radiology reports as rich textual supervision, yet existing methods struggle with 3D CT imaging due to inefficient visual backbones and coarse semantic alignment. To address these issues, we propose a tailored VLP framework featuring three key components: (1) a CNN-ViT hybrid encoder that replaces ViT's patch embedding with a 3D CNN backbone to efficiently capture local anatomical details while preserving global attention and compatibility with pre-trained cross-modal priors; (2) a disease-level contrastive learning mechanism using learnable query tokens to dynamically extract disease-specific semantics from full reports and align them with corresponding visual features, thereby disentangling distinct diseases within the same anatomical region; and (3) a diagnosis-aware prompt strategy that employs real clinical phrases and aggregated disease prototypes to bridge the pre-training-inference gap and enhance zero-shot diagnostic reliability.
arXiv:2602. 00462v4 Announce Type: replace-cross Abstract: Transforming a large language model (LLM) into a vision-language model (VLM) can be achieved by mapping the visual tokens from a vision encoder into the embedding space of an LLM.
By Benno Krojer, Shravan Nayak, Oscar Ma\~nas, Vaibhav Adlakha, Desmond Elliott, Siva Reddy, Marius Mosbach
arXiv:2607. 00434v1 Announce Type: cross Abstract: Vision-language models (VLMs) have become a paradigm for multimodal learning, yet remain unstable due to object hallucination, weak visual grounding, and catastrophic forgetting after full-parameter instruction tuning.
By Guohao Sun, Xiaofang Wang, Yash Patel, Mengchen Liu, Zhiqiang Tao, Praveen Krishnan