FunBench: Benchmarking Fundus Reading Skills of MLLMs

Fuente: arXiv
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Auteurs principaux: Wei, Qijie, Qian, Kaiheng, Li, Xirong
Format: Preprint
Publié: 2025
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author Wei, Qijie
Qian, Kaiheng
Li, Xirong
author_facet Wei, Qijie
Qian, Kaiheng
Li, Xirong
contents Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.
format Preprint
id arxiv_https___arxiv_org_abs_2503_00901
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle FunBench: Benchmarking Fundus Reading Skills of MLLMs
Wei, Qijie
Qian, Kaiheng
Li, Xirong
Computer Vision and Pattern Recognition
Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.
title FunBench: Benchmarking Fundus Reading Skills of MLLMs
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2503.00901