arXiv AI

A Unified Vision-Language Model for PSMA PET/CT Report Generation, Visual Question Answering, and Lesion Segmentation

arXiv AI
Aug 14

Mr3D-VL: A generalist vision language foundation model for Multiparametric 3D Magnetic Resonance Imaging

arXiv:2608. 12689v1 Announce Type: cross Abstract: Multi-parametric magnetic resonance imaging (mpMRI) is a cornerstone for brain tumor diagnosis and treatment, yet current AI models face critical limitations: their lack of natural language interaction and interpretability impedes spatial information integration and cross-modal reasoning required clinically.

By Zhi Qiao, Xintong Wu, Yichu He, Feng Shi
arXiv AI
Aug 28

From Reasoning to Pixels: Grounded Medical Multimodal LLMs for VQA and Segmentation

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.

By Haowen Gu, Gensheng Pei, Junzhu Mao, Qiong Wang, Mingwu Ren, Yazhou Yao
arXiv Machine Learning
Aug 18

Comprehensive language-image pre-training for 3D medical image understanding

arXiv:2510. 15042v3 Announce Type: replace-cross Abstract: In the 3D medical image domain, vision-language pre-training is used to create vision-language encoders (VLEs) that can support radiologists by retrieving patients with similar abnormalities, predicting likelihoods of abnormality, or, with downstream adaptation, generating radiological reports.

By Tassilo Wald, Ibrahim Ethem Hamamci, Yuan Gao, Sam Bond-Taylor, Harshita Sharma, Maximilian Ilse, Cynthia Lo, Olesya Melnichenko, Anton Schwaighofer, Noel C. F. Codella, Maria Teodora Wetscherek, Klaus H. Maier-Hein, Panagiotis Korfiatis, Valentina Salvatelli, Javier Alvarez-Valle, Fernando P\'erez-Garc\'ia
arXiv Computer Vision
Sep 2

Instance-Guided Report Anchoring for Text-Free 3D Abnormality Segmentation in Chest CT

Instance-Guided Report Anchoring (IGRA) is a model-agnostic module that links each abnormality instance in a chest CT to the corresponding finding in a radiology report during training, while discarding text components at inference. By reformulating free-text grounding as multi-label volumetric segmentation, IGRA allows all abnormality categories to be predicted in a single image-only forward pass. The method improves Dice scores by 22.5% over the strongest image-only baseline and matches state‑of‑the‑art performance on single-finding subsets, with consistent gains across multiple 3D segmentation backbones and datasets.

By Zhenyu Bu, Haoyan Ding, Chushu Shen, Xinyuan Zheng, Peiyu Duan, Xueqi Guo, Sepehr Farhand, Yoshihisa Shinagawa, Gerardo Hermosillo, Chaowei Wu
arXiv Computer Vision
Sep 4

MetaStructAtlas: A Grounded 3D Vision-Language Dataset and Benchmark for Functional and Structural Reasoning in Whole-Body PET/CT

MetaStructAtlas is a large-scale dataset for whole-body PET/CT interpretation that combines multimodal imaging with integrated anatomical, metabolic, and semantic annotations. It includes 490 co-registered 3D PET and CT volumes, 50,470 organ-level segmentation masks, and grounded radiology reports. The accompanying MetaStructVQA benchmark offers 100,565 QA pairs that link diagnostic queries to visual evidence across modalities, enabling interactive 3D grounded visual question-answering.

By Chenguang Zheng, Le Xue, Yichi Zhang, Wenbo Zhang, Zehui Ling, Gang Feng, Xin Gao, Yuan Qi, Yuan Cheng, Zixin Hu, Mei Tian
arXiv Machine Learning
Jun 19

Scalable Training of Spatially Grounded 2D Vision-Language Models for Radiology

arXiv:2606. 20477v1 Announce Type: cross Abstract: We study how to train visually grounded vision-language models (VLMs) for radiology without manual spatial annotations.

By Yusuf Salcan (Computer Vision Group, University of Freiburg, Germany, CRIION-AI Lab, Freiburg, Germany), Simon Ging (Computer Vision Group, University of Freiburg, Germany, Adaptive & Agentic AI), Robin Schirrmeister (Department of Radiology, Medical Center -- University of Freiburg, Germany), Philipp Arnold (Department of Radiology, Medical Center -- University of Freiburg, Germany), Elmar Kotter (Department of Radiology, Medical Center -- University of Freiburg, Germany), Behzad Bozorgtabar (Adaptive & Agentic AI), Thomas Brox (Computer Vision Group, University of Freiburg, Germany)
arXiv AI
Aug 5

CARE-X: Towards Clinically Useful Radiology VLMs with Auxiliary Supervision, Reward-Aligned Learning, and Tool-Augmented Measurement

arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.

By Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel, Niharika Vadlamudi, Nikhilesh Chowdary Eathamukkala, Prasanth V V, Abhyuday Kumara Swamy, Pranay Narhari Umredkar, Pradeep Narayan, Vivek Rajagopal, Tanuja Ganu