arXiv AI

Attention Consistent Longitudinal Medical Visual Question Answering Guided by Vision Foundation Models

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.

arXiv Computer Vision
Sep 11

MedGEN-Bench: A Contextually Entangled Benchmark for Open-ended Multimodal Medical Generation

MedGEN-Bench is a new benchmark for open‑ended multimodal medical generation that addresses limitations in current medical visual benchmarks, such as query‑image misalignment, closed‑ended answer spaces, and text‑centric outputs. The dataset contains 6,422 image‑text pairs across six imaging modalities, 15 clinical tasks, and 27 subtasks, including VQA, image editing, and contextual multimodal generation pairs. Evaluation combines reference‑based fidelity metrics with a structured, checklist‑guided assessment by a medical VLM judge, and preliminary results show that image‑output tasks remain unsaturated while contextual augmentation improves image‑instruction similarity.

By Junjie Yang, Yuhao Yan, Gang Wu, Rui Qian, Zhisheng Chen, Haijiang Li, Yuhe Wu, Qichao Zhao, Dawen Tian, Xiang Wan, Fenglei Fan, Wenjian Qin, Yongquan Zhang, Feiwei Qin, Changmiao Wang
arXiv AI
Jul 21

MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answering

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 AI
Jun 11

OpenMedReason: Scientific Reasoning Supervision for Medical Vision-Language Models

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.

By Negin Baghbanzadeh, Pritam Sarkar, Michael Colacci, Abeer Badawi, Adibvafa Fallahpour, Arash Afkanpour, Leonid Sigal, Ali Etemad, Elham Dolatabadi
arXiv Computer Vision
Aug 27

SeVeR: Selective Visual Exposure and Retrieval for 3D Medical Image Question Answering

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 Machine Learning
Sep 25

Multimodal Routing and Region Refinement for Language-Guided Medical Image Segmentation

Multimodal Routing and Region Refinement for Language-Guided Medical Image Segmentation (MRSeg) is a parameter‑efficient framework that uses frozen ConvNeXt‑Tiny and PubMedBERT encoders to extract multiscale visual features and clinical text tokens. A joint router predicts a sparse mixture over low‑rank adapter bases, enabling separate adaptation for two visual scales and text while keeping feature‑specific parameters distinct. Region Bridge aggregates dense visual tokens into latent regions using text‑derived queries, refines them via self‑attention and text cross‑attention, and redistributes the refined information back to the feature maps, culminating in a multiscale decoder that combines refined semantic features with shallow image evidence. MRSeg achieves state‑of‑the‑art Dice/mIoU scores on QaTa‑COV19 and MosMedData+ with only 7.11 M trainable parameters and 7.60 GFLOPs.

By Md Maklachur Rahman, Md Hasan Al Banna, Saraf Anjum, Assame Arnob, Tracy Hammond
arXiv AI
Jul 28

ClinFusion: A Vision-Centric Multimodal LLM System for Holistic Medical Understanding

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