arXiv Computation and Language By Kegeng Tang, Jingbo Wang, Shaogang Ren, Zihao Wang

CT-$\Delta$Bench: A Benchmark for Longitudinal 3D Medical Imaging Difference Reporting with Vision-Language Models

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CT‑ΔBench is a new benchmark designed to evaluate vision‑language models on longitudinal 3D medical imaging difference reporting. It provides patient‑level split data, change‑aware metrics, and physician‑validated references to assess clinically meaningful interval changes between two CT scans. The paper also introduces DeltaMed, a baseline model that directly reasons over paired CT scans, and compares it to an indirect two‑stage approach that first generates single‑timepoint reports before differencing.

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