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The evaluation and improvement of medical large language models (LLMs) are critical for their real-world deployment, particularly in ensuring accuracy, safety, and ethical alignment. Existing frameworks inadequately dissect domain-specific…

Computation and Language · Computer Science 2025-03-11 Luyi Jiang , Jiayuan Chen , Lu Lu , Xinwei Peng , Lihao Liu , Junjun He , Jie Xu

Medical image analysis is essential in modern healthcare. Deep learning has redirected research focus toward complex medical multimodal tasks, including report generation and visual question answering. Traditional task-specific models often…

Computer Vision and Pattern Recognition · Computer Science 2025-09-15 Yiming Shi , Shaoshuai Yang , Xun Zhu , Haoyu Wang , Xiangling Fu , Miao Li , Ji Wu

Integrating language models (LMs) in healthcare systems holds great promise for improving medical workflows and decision-making. However, a critical barrier to their real-world adoption is the lack of reliable evaluation of their…

Computation and Language · Computer Science 2025-12-15 Akash Ghosh , Srivarshinee Sridhar , Raghav Kaushik Ravi , Muhsin Muhsin , Sriparna Saha , Chirag Agarwal

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic…

Computation and Language · Computer Science 2026-01-08 Lecheng Gong , Weimin Fang , Ting Yang , Dongjie Tao , Chunxiao Guo , Peng Wei , Bo Xie , Jinqun Guan , Zixiao Chen , Fang Shi , Jinjie Gu , Junwei Liu

Generalist multimodal large language models (MLLMs) have achieved impressive performance across a wide range of vision-language tasks. However, their performance on medical tasks, particularly in zero-shot settings where generalization is…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Guimeng Liu , Tianze Yu , Somayeh Ebrahimkhani , Lin Zhi Zheng Shawn , Kok Pin Ng , Ngai-Man Cheung

Multimodal Large Language Models (MLLMs) have advanced VQA and now support Vision-DeepResearch systems that use search engines for complex visual-textual fact-finding. However, evaluating these visual and textual search abilities is still…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Yu Zeng , Wenxuan Huang , Zhen Fang , Shuang Chen , Yufan Shen , Yishuo Cai , Xiaoman Wang , Zhenfei Yin , Lin Chen , Zehui Chen , Shiting Huang , Yiming Zhao , Xu Tang , Yao Hu , Philip Torr , Wanli Ouyang , Shaosheng Cao

The reliable evaluation of large language models (LLMs) in medical applications remains an open challenge, particularly in capturing the complexity of multi-turn doctor-patient interactions that unfold in real clinical environments.…

Artificial Intelligence · Computer Science 2025-10-15 Yuechun Yu , Han Ying , Haoan Jin , Wenjian Jiang , Dong Xian , Binghao Wang , Zhou Yang , Mengyue Wu

The robustness of Vision Language Models (VLMs) is commonly assessed through output-level invariance, implicitly assuming that stable predictions reflect stable multimodal processing. In this work, we argue that this assumption is…

Trustworthiness in healthcare question-answering (QA) systems is important for ensuring patient safety, clinical effectiveness, and user confidence. As large language models (LLMs) become increasingly integrated into medical settings, the…

Computation and Language · Computer Science 2025-11-04 Yinuo Wang , Baiyang Wang , Robert E. Mercer , Frank Rudzicz , Sudipta Singha Roy , Pengjie Ren , Zhumin Chen , Xindi Wang

Generative AI models, including large language models (LLMs) and vision-language models (VLMs), are increasingly used to interpret medical images and answer clinical questions. Their responses often include inaccuracies; therefore, safety…

Computation and Language · Computer Science 2025-07-14 Sonali Sharma , Ahmed M. Alaa , Roxana Daneshjou

Uncertainty quantification is essential for assessing the reliability and trustworthiness of modern AI systems. Among existing approaches, verbalized uncertainty, where models express their confidence through natural language, has emerged…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Weihao Xuan , Qingcheng Zeng , Heli Qi , Junjue Wang , Naoto Yokoya

Vision Language Models (VLMs) extend remarkable capabilities of text-only large language models and vision-only models, and are able to learn from and process multi-modal vision-text input. While modern VLMs perform well on a number of…

Computation and Language · Computer Science 2025-07-22 Hannah Sterz , Jonas Pfeiffer , Ivan Vulić

Surgical planning integrates visual perception, long-horizon reasoning, and procedural knowledge, yet it remains unclear whether current evaluation protocols reliably assess vision-language models (VLMs) in safety-critical settings.…

Computation and Language · Computer Science 2026-01-16 Ruochen Li , Kun Yuan , Yufei Xia , Yue Zhou , Qingyu Lu , Weihang Li , Youxiang Zhu , Nassir Navab

Recent advancements in Vision-Language Models (VLMs) have sparked interest in their use for autonomous driving, particularly in generating interpretable driving decisions through natural language. However, the assumption that VLMs…

Computer Vision and Pattern Recognition · Computer Science 2025-01-08 Shaoyuan Xie , Lingdong Kong , Yuhao Dong , Chonghao Sima , Wenwei Zhang , Qi Alfred Chen , Ziwei Liu , Liang Pan

Vision Large Language Models (VLLMs) represent a significant advancement in artificial intelligence by integrating image-processing capabilities with textual understanding, thereby enhancing user interactions and expanding application…

Computation and Language · Computer Science 2025-05-09 Madhur Jindal , Saurabh Deshpande

Despite impressive performance on standard benchmarks, multimodal large language models (MLLMs) face critical challenges in real-world clinical environments where medical images inevitably suffer various quality degradations. Existing…

Computer Vision and Pattern Recognition · Computer Science 2026-03-10 Jiyao Liu , Junzhi Ning , Chenglong Ma , Wanying Qu , Jianghan Shen , Siqi Luo , Jinjie Wei , Jin Ye , Pengze Li , Tianbin Li , Jiashi Lin , Hongming Shan , Xinzhe Luo , Xiaohong Liu , Lihao Liu , Junjun He , Ningsheng Xu

Vision-Language Models (VLMs) are increasingly used in clinical diagnostics, yet their robustness to adversarial attacks remains largely unexplored, posing serious risks. Existing medical attacks focus on secondary objectives such as model…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Akash Ghosh , Subhadip Baidya , Sriparna Saha , Xiuying Chen

Document retrieval is an important task for search and Retrieval-Augmented Generation (RAG) applications. Large Language Models (LLMs) have contributed to improving the accuracy of text-based document retrieval. However, documents with…

Information Retrieval · Computer Science 2025-05-22 Radek Osmulski , Gabriel de Souza P. Moreira , Ronay Ak , Mengyao Xu , Benedikt Schifferer , Even Oldridge

Automatically generated radiology reports often receive high scores from existing evaluation metrics but fail to earn clinicians' trust. This gap reveals fundamental flaws in how current metrics assess the quality of generated reports. We…

Computation and Language · Computer Science 2025-10-02 Ruochen Li , Jun Li , Bailiang Jian , Kun Yuan , Youxiang Zhu

When VLMs answer correctly, do they genuinely rely on visual information? We introduce a Tri-Layer Diagnostic Framework with three per-sample metrics: Latent Anomaly Detection, Visual Necessity Score, and Competition Score, which…

Computer Vision and Pattern Recognition · Computer Science 2026-05-27 Rui Hong , Shuxue Quan