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The paper introduces PureVision, a geometry‑supervised framework for medical vision‑language models that tackles the challenge of interpreting multi‑phenotype lesions. It comprises PureEyes, which imposes geometric constraints to preserve anatomical hierarchies and phenotypic subclass relationships, and PureNeurons, which aggregates lesion‑specific anatomical and phenotypic evidence in a learned latent space. Experiments on LIDC‑IDRI, CBIS‑DDSM, and 3DReasonKnee show that PureVision enhances lesion grounding and phenotype characterization in visual question answering and radiology report generation.
Medical vision-language models (VLMs) have shown increasing potential for clinical image interpretation. However, these models still struggle to interpret multi-phenotype lesions whose diagnosis requi...
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...
arXiv:2605. 18419v2 Announce Type: replace-cross Abstract: Vision-language models (VLMs) can couple visual perception with open-ended clinical reasoning, making them attractive for computational histopathology.
arXiv:2606. 06379v1 Announce Type: cross Abstract: Medical vision-language models (VLMs) have shown increasing potential for clinical image interpretation, including lesion detection and report generation.
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.