The paper introduces the Boot-and-Feedback (BooF) framework, which facilitates collaboration between multimodal large language models (MLLMs) and expert vision models for breast ultrasound (BUS) diagnosis. In the Boot Stage, the MLLM is guided by the BI-RADS lexicon and preliminary expert predictions to generate reliable textual descriptions, while the Feedback Stage fuses these descriptions with visual features using an Attention-Gated Cross-Modality Fusion Module, allowing the expert model to incorporate textual insights and filter out noise. Experiments on multiple BUS datasets show that BooF improves both diagnostic accuracy and interpretability compared to existing methods.
By Ming Cheng, Hongyu Sun, Zhaolin Chen, Jun Liu, Hossein Rahmani, Qiuhong Ke
Breast cancer remains a leading cause of cancer-related mortality among women. Its clinical management requires multimodal reasoning across a clinical workflow that spans \textit{screening}, \textit{diagnosis} and \textit{treatment planning}, where each stage involves distinct imaging modalities, task objectives, and reasoning patterns.
The paper introduces CORAL, a multimodal framework that combines spatial grounding and concept-level supervision for medical report generation. CORAL uses a prompt-driven segmentation model to localize lesions and a Concept Bottleneck module to predict multi-class clinical attributes, feeding these textual concept tokens and mask-modulated visual features into a multimodal large language model. Experiments on BUS-CoT and IU X-ray datasets show that CORAL improves diagnostic accuracy, concept consistency, and report quality compared to existing general-purpose and medical MLLMs.
By Xinyue Xu, Hongbin Lin, Juangui Xu, Hualiang Wang, Lehan Wang, Lijie Hu, Weiyang Liu, Adrian Weller, Xiaomeng Li
arXiv:2511. 20956v2 Announce Type: replace-cross Abstract: Breast ultrasound (BUS) reporting relies on clinically meaningful lesion descriptors, including BI-RADS category, lesion shape, margin, echogenicity, posterior features, pathology, and histology.
By Rawa Mohammed, Mina Attin, Laxmi Gewali, Bryar Shareef
arXiv:2607. 25933v1 Announce Type: cross Abstract: Clinical diagnostic evaluation should not only assess whether models can provide correct diagnoses, but also reflect the realities of clinical practice, including progressive disclosure of multimodal information, dynamic updating of diagnostic hypotheses, and continuous refinement of clinical reasoning.
By Rui Yang, Weihao Xuan, Yi Lin, Zhuhan Bao, Jonathan Chong Kai Liew, Matthew Yu Heng Wong, Nicol\'as Lescano, Nikita R. Paripati, Emily Ling-Lin Pai, Jiarui Liu, Heli Qi, Heng-Jui Chang, Benny Kai Guo Loo, Huitao Li, Kunyu Yu, Yufan Wang, Chuan Hong, Shijian Lu, Douglas Teodoro, Naoto Yokoya, Ross Koppel, Mona Diab, Hua Xu, David W. Bates, Nan Liu, Yifan Peng
arXiv:2606. 29928v1 Announce Type: cross Abstract: Multimodal Large Models have significantly advanced automated breast ultrasound diagnosis.
By Weiyi Zhao, Xiaoyu Tan, Lu Gan, Liang Liu, Xihe Qiu
The paper introduces the FAPT-M Dataset, a pathology‑confirmed multimodal collection of 910 breast patients that includes ultrasound images, structured clinical attributes, and diagnostic descriptions. It proposes a clinically guided multimodal framework that fuses DenseNet visual encoding, CLIP‑inspired text encoding, and lightweight clinical encoding, enhanced by clinical‑conditioned adaptive modulation, cross‑modal Transformer fusion, and dual‑path representation learning. The method achieves 77.64% accuracy, 73.38% F1‑score, and 89.74% AUC, outperforming CNN, Transformer, and vision‑language baselines, and demonstrates the value of three‑modality fusion through ablation and class‑balanced studies.
By Chuxi Nan, Di Wu, Hongming Guo, Ning Cao, Xiaohui Zhu, Zhaoting Shi, Jiawei Li
arXiv:2608.22323v1 Announce Type: new
Abstract: The application of Large Language Models (LLMs) to diagnostic decision-making has garnered growing interest. However, existing benchmarks largely focus...
By Lai Wei, Yuchao Chen, Zhenbiao Cao, Xiaojin Zhang, Zhongyu Wei, Bangting Wang, Wei Chen, Xiang Bai
arXiv:2606. 28556v1 Announce Type: new Abstract: Recent advances in large language models and vision-language models have enabled reasoning over multimodal data, offering opportunities for clinical applications such as decision support and triaging.
By Maria Xenochristou, Ashutosh Joshi, Korosh Vatanparvar, Mohammad Abuzar Hashemi, Prasad Kasu, Deepak Bansal, Anchal Nema, Nivedita Wadhwa, Prashams S Jain, Rebecca Abraham, Will Kimbrough, Dilek Hakkani-Tur, Wilko Schulz-Mahlendorf
The paper introduces SMILE, a self‑explainable multimodal information bottleneck framework for medical diagnosis. It jointly optimizes predictive accuracy and modality‑specific explainability by selecting the most informative elements within each data modality. Experiments on diverse medical datasets show strong diagnostic performance, including a 9.1‑percentage‑point accuracy gain on the iCTCF dataset, and provide transparent, modality‑aware explanations that enhance both explainability and generalization.
By Yuqing Yang, Alexander Schmatz, Zhaozhao Ma, Changkyu Choi, Robert Jenssen, Shujian Yu
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
ProtoCAM is an explainable few‑shot learning framework for classifying breast lesions in ultrasound images. It combines mask‑guided feature encoding, prototypical metric learning, and gradient‑based visual explanations to leverage limited annotated data. Evaluated on the BUSI dataset, ProtoCAM achieved a macro F1‑score of 0.910 in a 3‑way 5‑shot setting, outperforming standard supervised CNNs, with ResNet18 reaching 91.65% under 15‑shot conditions.
By Ashkan Ebadi