arXiv AI

RefineRank: Joint Box Refinement and Ranking for Surgical Spatio-Temporal Grounding

RefineRank introduces a lightweight module, RefineNet, that jointly refines bounding boxes and ranks them for surgical spatio‑temporal grounding. By combining frozen medical vision‑language features with proposals from a frozen open‑set detector, it predicts coordinate corrections and quality scores for each candidate box, selecting the best refined or original box. On MedVidBench, RefineRank achieves the highest reported STG mIoU of 0.421 and improves oracle bounds and overall mIoU in controlled evaluations.

arXiv AI
Jul 29

Why Does Grounding Hurt Medical VQA? Benchmarking, Diagnosis, and Fine-Tuning of Vision-Language Models

arXiv:2604. 27720v2 Announce Type: replace Abstract: Vision-language models (VLMs) are increasingly applied to medical visual question answering (Med-VQA), yet whether they can \emph{localize} the evidence behind their answers---a prerequisite for clinical auditability---is poorly characterized.

By Xupeng Chen, Binbin Shi, Chenqian Le, Qifu Yin, Lang Lin, Haowei Ni, Ran Gong, Panfeng Li
arXiv AI
Aug 17

MedClaw: Heuristic Agent Harness for Long-Horizon Surgical Video Reasoning

arXiv:2608. 14015v1 Announce Type: cross Abstract: Understanding tens-of-minutes surgical videos requires long-horizon temporal reasoning, answering what happens before, after, or across stages of a procedure by grounding the question in visual evidence spread across time.

By Yingying Fan, Penghui Du, Leyan Zhu, Runze He, Zimeng Wu, Yuxuan Zhang, Liang Chen, Jiahao Xie, Jiangtang Wang, Shuai Shao, Anchao Yang, Yutong Bai, Yan Wang
arXiv Computer Vision
Aug 25

SurgTEMP: Temporal-Aware Surgical Video Question Answering with Text-guided Visual Memory for Laparoscopic Cholecystectomy

arXiv:2603.29962v4 Announce Type: replace Abstract: Surgical procedures are inherently complex and risky, requiring extensive expertise and constant focus to navigate evolving intraoperative scenes....

By Shi Li, Vinkle Srivastav, Nicolas Chanel, Saurav Sharma, Nabani Banik, Lorenzo Arboit, Kun Yuan, Pietro Mascagni, Nicolas Padoy
arXiv Computer Vision
Sep 17

Lumen: Parameter-Efficient Alignment of Pretrained Vision and Language Encoders for Zero-Shot Computational Pathology

Lumen is a pathology vision‑language model that aligns frozen unimodal foundation models (Virchow2 and BioMedBERT) using rank‑4 adapters and projection heads, training only 0.40% of the total parameters on the QUILT‑1M corpus. It achieves the highest mean chance‑corrected balanced accuracy (0.546) across nine zero‑shot patch benchmarks and demonstrates strong performance on lymph‑node metastasis detection, with AUROC scores of 0.964 internally and 0.955 externally. While it ranks third in cross‑modal retrieval, Lumen’s low‑parameter training yields competitive results at both patch and slide levels.

By Kiarash Tajbakhsh, Abdelrahman Faqieh, Michael Jopiti, Javier Garcia-Baroja, Philipp Zens, Branislav Zagrapan, Yuri Tolkach, Martin D. Berger, Aurel Perren, Bastian Dislich, Inti Zlobec, Amjad Khan
arXiv Computer Vision
Sep 4

SurgAtlas: A Large-Scale Surgical Video-Language Dataset with 2,391 Hours of Open and Minimally Invasive Surgery

SurgAtlas is the largest surgical video‑language dataset, containing 15,291 videos (2,391 hours) across 18 specialties and over 5,000 procedure types, all sourced from public YouTube. It uniquely includes open‑surgery videos at scale (6,182) alongside more than 9,000 minimally invasive recordings, and introduces standardized benchmarks for open‑surgery video understanding. The dataset offers a rich, multi‑tier annotation schema—segment‑level captions, step/phase descriptions, video‑level surgical narratives, and reasoning‑oriented VQA pairs—validated by experts and built through an automated LLM‑enriched pipeline. "whyItMatters":"SurgAtlas provides an unprecedentedly large, diverse, and clinically validated resource that can train and benchmark multimodal surgical AI models, advancing the development of next‑generation foundation models for surgery."

By Filippos Bellos, Andre S. Gala-Garza, Miaowei Wang, Alyssa M. Hardin, Ahmad M. Hider, Li Yayuan, Jing Bi, Susan Liang, Chenliang Xu, Donald S. Likosky, Jason J. Corso
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 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