NV-Reason-CT is a generative vision‑language model designed for chest and abdominal CT analysis that preserves native 3D visual encoding and incorporates radiologist‑guided reasoning. The system couples a 3D vision transformer with a language model, feeding all visual tokens and their 3D coordinates directly into language decoding to maintain volumetric spatial information. Trained on a curated corpus of about 550,000 multimodal instruction examples, the model supports abnormality classification, report generation, and interactive reasoning, achieving strong performance on CT benchmarks and reducing expert interpretation time by 50%.
By Andriy Myronenko, Dong Yang, Yucheng Tang, Baris Turkbey, Benjamin Simon, Stephanie Harmon, Rikhil Makwana, Mariam Aboian, Sena Azamat, Ibrahim Ethem Hamamci, Sezgin Er, Bjoern Menze, Marc Edgar, Yufan He, Pengfei Guo, Daguang Xu
The paper introduces ReasonCVS, a structured reasoning framework for assessing the Critical View of Safety in laparoscopic cholecystectomy. It uses a Vision‑Language Model to build an Anatomical Scene Graph Abstraction and a Large Language Model–based Rationale‑Aware Reasoning Agent to verify sub‑criteria, producing a final verdict with traceable clinical rationale. Experiments on the Endoscapes‑CVS201 benchmark show ReasonCVS outperforms existing methods with a 68.1% mAP while offering interpretable, criterion‑level explanations.
By Qing Xu, Yuxiang Luo, Zhen Chen
The paper introduces SPAR‑Bench, a set of eight probes designed to test whether medical vision models can reason about anatomy in abdominal CT scans. Experiments across five architectures and three foundation models—both frozen and fine‑tuned—show that while models can recall canonical organ locations, they fail to perform relational reasoning or spatial comparisons within a patient, even under zero‑shot transfer. The study also demonstrates that pooled probing underestimates a model’s relational capabilities and that open‑weight multimodal large language models perform poorly on these tasks.
By Naren Akash, Neeraja Ramanan
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:2604.16729v2 Announce Type: replace-cross
Abstract: State-of-the-art large language models (LLMs) show high performance in general visual question answering. However, a fundamental limitation r...
By Ayhan Can Erdur, Daniel Scholz, Jiazhen Pan, Benedikt Wiestler, Daniel Rueckert, Jan C. Peeken
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
arXiv:2606. 28392v1 Announce Type: cross Abstract: Accurate lesion segmentation in PET/CT is critical for oncology, yet remains challenging because physiologic tracer uptake and artifacts can mimic malignant signal.
By Jiasheng Wang, Tanun Jitwatcharakomol, Piyawadee Jongpradubgiat, Simeng Zhu
arXiv:2509.22404v2 Announce Type: replace
Abstract: Anatomical understanding, which is the ability to identify, localize, or segment anatomical structures, is critical in medical image analysis; howe...
By Yiwei Li, Yikang Liu, Jiaqi Guo, Lin Zhao, Zheyuan Zhang, Xiao Chen, Boris Mailhe, Ankush Mukherjee, Terrence Chen, Shanhui Sun
arXiv:2603. 14579v3 Announce Type: replace-cross Abstract: Vision language models (VLMs) have shown significant promise in visual grounding for images as well as videos.
By Andrew Seohwan Yu, Mohsen Hariri, Kunio Nakamura, Mingrui Yang, Xiaojuan Li, Vipin Chaudhary
arXiv:2606.27264v3 Announce Type: replace
Abstract: Reasoning in multimodal large language models (MLLMs) has shown strong promise in medical imaging. However, this reasoning is usually free-form tex...
By Hashmat Shadab Malik, Anees Ur Rehman Hashmi, Numan Saeed, Muzammal Naseer, Salman Khan, Christoph Lippert
arXiv:2610.34210v1 Announce Type: cross
Abstract: Modern surgical AI increasingly requires multimodal understanding rather than isolated perception, yet existing datasets remain largely limited to si...
By Mohamed Hamdy, Iheb Zouari, Fatmaelzahraa Ahmed, Muraam Abdel-Ghani, Muhammed Arsalan, Ponnuthurai Suganthan, Khalid Al-Jalham, Abdulaziz Al-Ali, Shidin Balakrishnan
arXiv:2605.12413v4 Announce Type: replace
Abstract: Multimodal Large Language Models (MLLMs) show strong visual perception, yet remain limited in reasoning about space under changing viewpoints. We s...
By Yuangong Chen, Wai Keung Wong, Jiaxing Li, Ioannis Patras, Xu Zheng