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Medical vision-language models (VLMs) and AI agents have made significant progress in learning to analyze and reason about clinical images. However, existing medical visual question answering (VQA) benchmarks collapse model capabilities…

Computer Vision and Pattern Recognition · Computer Science 2026-05-12 Yixiong Chen , Wenjie Xiao , Pedro R. A. S. Bassi , Boyan Wang , Liang He , Xinze Zhou , Sezgin Er , Ibrahim Ethem Hamamci , Zongwei Zhou , Alan Yuille

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical…

Computer Vision and Pattern Recognition · Computer Science 2024-10-08 Xiaotang Gai , Chenyi Zhou , Jiaxiang Liu , Yang Feng , Jian Wu , Zuozhu Liu

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT)…

In this work, we introduce RadImageNet-VQA, a large-scale dataset designed to advance radiologic visual question answering (VQA) on CT and MRI exams. Existing medical VQA datasets are limited in scale, dominated by X-ray imaging or…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Léo Butsanets , Charles Corbière , Julien Khlaut , Pierre Manceron , Corentin Dancette

Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Lin Fan , Yafei Ou , Zhipeng Deng , Pengyu Dai , Hou Chongxian , Jiale Yan , Yaqian Li , Kaiwen Long , Xun Gong , Masayuki Ikebe , Yefeng Zheng

Vision-Language Models (VLMs) have shown promise in various 2D visual tasks, yet their readiness for 3D clinical diagnosis remains unclear due to stringent demands for recognition precision, reasoning ability, and domain knowledge. To…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Yixiong Chen , Wenjie Xiao , Pedro R. A. S. Bassi , Xinze Zhou , Sezgin Er , Ibrahim Ethem Hamamci , Zongwei Zhou , Alan Yuille

Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

Clinical decision-making in radiology increasingly benefits from artificial intelligence (AI), particularly through large language models (LLMs). However, traditional retrieval-augmented generation (RAG) systems for radiology question…

Visual reasoning is critical for a wide range of computer vision tasks that go beyond surface-level object detection and classification. Despite notable advances in relational, symbolic, temporal, causal, and commonsense reasoning, existing…

Computer Vision and Pattern Recognition · Computer Science 2025-08-15 Ayushman Sarkar , Mohd Yamani Idna Idris , Zhenyu Yu

Test-time compute is central to large reasoning models, yet analysing their reasoning behaviour through generated text is increasingly impractical and unreliable. Response length is often used as a brute proxy for reasoning effort, but this…

Computation and Language · Computer Science 2026-02-09 Quoc Tuan Pham , Mehdi Jafari , Flora Salim

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Xiaotang Gai , Jiaxiang Liu , Yichen Li , Zijie Meng , Jian Wu , Zuozhu Liu

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in…

Artificial Intelligence · Computer Science 2025-05-22 Ziqing Fan , Cheng Liang , Chaoyi Wu , Ya Zhang , Yanfeng Wang , Weidi Xie

Evaluating automatically generated radiology reports remains a fundamental challenge due to the lack of clinically grounded, interpretable, and fine-grained metrics. Existing methods either produce coarse overall scores or rely on opaque…

Computation and Language · Computer Science 2025-08-22 Yingshu Li , Yunyi Liu , Lingqiao Liu , Lei Wang , Luping Zhou

Medical Visual Question Answering (MedVQA) presents a significant opportunity to enhance diagnostic accuracy and healthcare delivery by leveraging artificial intelligence to interpret and answer questions based on medical images. In this…

Computer Vision and Pattern Recognition · Computer Science 2024-09-10 Xiaoman Zhang , Chaoyi Wu , Ziheng Zhao , Weixiong Lin , Ya Zhang , Yanfeng Wang , Weidi Xie

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Zonghai Yao , Benlu Wang , Yifan Zhang , Junda Wang , Iris Xia , Zhipeng Tang , Shuo Han , Feiyun Ouyang , Zhichao Yang , Arman Cohan , Hong Yu

Reasoning capabilities are crucial for reliable medical visual question answering (VQA); however, existing datasets rarely include reasoning explanations. We address this by generating reasoning trajectories for six medical VQA benchmarks…

Machine Learning · Computer Science 2026-05-07 Halil Ibrahim Gulluk , Olivier Gevaert

Explainability is critical for the clinical adoption of medical visual question answering (VQA) systems, as physicians require transparent reasoning to trust AI-generated diagnoses. We present MedXplain-VQA, a comprehensive framework…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Hai-Dang Nguyen , Minh-Anh Dang , Minh-Tan Le , Minh-Tuan Le

Vision evaluations are typically done through multi-step processes. In most contemporary fields, experts analyze images using structured, evidence-based adaptive questioning. In plant pathology, botanists inspect leaf images, identify…

Computer Vision and Pattern Recognition · Computer Science 2026-04-24 Syed Nazmus Sakib , Nafiul Haque , Shahrear Bin Amin , Hasan Muhammad Abdullah , Md. Mehedi Hasan , Mohammad Zabed Hossain , Shifat E. Arman

Chest X-ray interpretation is one of the most frequently performed diagnostic tasks in medicine and a primary target for AI development, yet current vision-language models are primarily trained on datasets of paired images and reports, not…

Doctors and patients alike increasingly use Large Language Models (LLMs) to diagnose clinical cases. However, unlike domains such as math or coding, where correctness can be objectively defined by the final answer, medical diagnosis…

Computation and Language · Computer Science 2025-05-21 Kevin Wu , Eric Wu , Rahul Thapa , Kevin Wei , Angela Zhang , Arvind Suresh , Jacqueline J. Tao , Min Woo Sun , Alejandro Lozano , James Zou
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