Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image.
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:2608. 08046v1 Announce Type: new Abstract: Text-conditioned chest X-ray generation aims to synthesize realistic radiographs that faithfully depict specified findings.
By Pengxiang Cai, Xiaohan Li, Anglin Liu, Qingyuan Zeng, Zexun Li, Jintai Chen
arXiv:2610.08813v1 Announce Type: new
Abstract: X-ray image-based Radiology Report Generation (RRG) constitutes a critical research direction within medical artificial intelligence, with great potent...
By Xiao Wang, Yuxiang Zhang, Dan Xu, Yuehang Li, Shiao Wang, Bo Jiang, Yaowei Wang, Yonghong Tian, Jin Tang
VisionQ is a new benchmark for qualitative analysis in computer vision that evaluates vision‑language models (VLMs) on criterion‑conditioned visual discrimination. It is built from over 1,800 peer‑reviewed comparison figures in CVPR and ICCV papers, linking each image crop to author‑stated visual claims through 3,911 hand‑annotated data points. The benchmark includes a 51‑leaf taxonomy of visual criteria, a protocol that hides method identities and reports accuracy per criterion, and a DPO‑tuned Gemma‑4‑E4B judge that improves accuracy on a held‑out test set.
By Vu Dinh Xuan, Duc-Hai Nguyen, Minh-Dung Dao, Vu Quynh Giao, Quang Hong Nguyen, Binh-Son Hua, Barry O'Sullivan, David Murphy, Hoang D. Nguyen
The paper introduces a neurosymbolic verification framework that audits the internal consistency of vision-language models (VLMs) when generating radiology reports. By autoformalizing free‑text findings into structured propositional evidence and using an SMT solver (Z3) alongside a clinical knowledge base, the system determines whether each diagnostic claim is entailed, hallucinated, or omitted. Evaluation on seven VLMs across five chest X‑ray benchmarks reveals distinct reasoning failure modes—such as conservative observation and stochastic hallucination—that traditional metrics miss, and shows that enforcing solver‑backed entailment can eliminate unsupported hallucinations and improve diagnostic soundness and precision.
By Vikash Singh, Debargha Ganguly, Haotian Yu, Chengwei Zhou, Prerna Singh, Brandon Lee, Vipin Chaudhary, Gourav Datta