arXiv AI

MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Data

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 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 Computation and Language
2d ago

MIS-VQA: An Annotation-Driven Surgical Vision-Language Dataset for Complex Surgical Understanding

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 Computer Vision
Oct 8

HeiCo-FOCUS: A Clinically Grounded Dataset for Long-Context Video Understanding

arXiv:2610.10156v1 Announce Type: new Abstract: Recent advances in Vision-Language Models (VLMs) have led to rapid progress in video understanding across a wide range of benchmark tasks. However, exi...

By Leon Mayer, Lucas Luttner, Patrick Godau, Kai Fritzsche, Annika Reinke, Leonie Boland, Jule Brandt, Janne Heinecke, Chloe K. Nobuhara, Niklas Holzwarth, Evangelia Christodoulou, Marcel Knopp, Dominik Michael, Pascale Piermarco, Saliq Neyaz, Korhan Derin \"Ozarslan, Jakob Hennighausen, Carlos Aumente-Maestro, Tim R\"adsch, Dheeraj Baji, Peter Maximilian Full, Finn Aichholz, Justus Veit Erpenbeck, Linus Finn Schott, Bastian Winkelhausen, Claas de Boer, Bianca G\"uttner, Anneli Hummel, Gregor Just, Max Kirchner, Chenyang Li, Rozenn Raffaut, Ariel Rodriguez, Danush Kumar Venkatesh, Kevin Wang, Jinjing Xu, Mona Sheikh Zeinoddin, Salman Khan, Thomas M. Pausch, Stefanie Speidel, Danail Stoyanov, Daniel A. Hashimoto, Fiona R. Kolbinger, Thomas G. Weiser, Lena Maier-Hein
arXiv AI
Sep 15

Concept-Grounded Reasoning with Prompt-Driven Localization for Interpretable Structured Report Generation

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 Computer Vision
Sep 10

Synergistic Vision-Language Reinforcement Enables Scalable On-Demand Analysis across Diverse Clinical Tasks

arXiv:2505.03380v2 Announce Type: replace Abstract: Accurate delineation of tumors and surrounding organs-at-risk is essential for radiotherapy, surgery and treatment response assessment, yet remains...

By Haonan Wang, Jiaji Mao, Lehan Wang, Qixiang Zhang, Marawan Elbatel, Yi Qin, Huijun Hu, Baoxun Li, Wenhui Deng, Weifeng Qin, Hongrui Li, Jialin Liang, Jun Shen, Xiaomeng Li
arXiv Computer Vision
Aug 25

Localization-Infused Vision-Language Semantic Fusion for Text-Guided Medical Image Segmentation

The paper introduces LoG, a localization‑infused vision‑language fusion framework for text‑guided medical image segmentation. LoG jointly performs multi‑scale target localization to explicitly capture target‑oriented semantics and employs three levels of localization‑infused fusion—feature, attention, and loss—to integrate spatial information into segmentation. Experiments on three benchmark datasets across three imaging modalities show that LoG consistently outperforms state‑of‑the‑art methods.

By Songyue Han, Mingye Zou, Shuchang Ye, Lei Bi, Mingyuan Meng