Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering

Fuente: arXiv
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Autori principali: Chen, Yixiong, Xiao, Wenjie, Bassi, Pedro R. A. S., Zhou, Xinze, Er, Sezgin, Hamamci, Ibrahim Ethem, Zhou, Zongwei, Yuille, Alan
Natura: Preprint
Pubblicazione: 2025
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author Chen, Yixiong
Xiao, Wenjie
Bassi, Pedro R. A. S.
Zhou, Xinze
Er, Sezgin
Hamamci, Ibrahim Ethem
Zhou, Zongwei
Yuille, Alan
author_facet Chen, Yixiong
Xiao, Wenjie
Bassi, Pedro R. A. S.
Zhou, Xinze
Er, Sezgin
Hamamci, Ibrahim Ethem
Zhou, Zongwei
Yuille, Alan
contents 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 systematically evaluate these dimensions, we present DeepTumorVQA, a diagnostic visual question answering (VQA) benchmark targeting abdominal tumors in CT scans. It comprises 9,262 CT volumes (3.7M slices) from 17 public datasets, with 395K expert-level questions spanning four categories: Recognition, Measurement, Visual Reasoning, and Medical Reasoning. DeepTumorVQA introduces unique challenges, including small tumor detection and clinical reasoning across 3D anatomy. Benchmarking four advanced VLMs (RadFM, M3D, Merlin, CT-CHAT), we find current models perform adequately on measurement tasks but struggle with lesion recognition and reasoning, and are still not meeting clinical needs. Two key insights emerge: (1) large-scale multimodal pretraining plays a crucial role in DeepTumorVQA testing performance, making RadFM stand out among all VLMs. (2) Our dataset exposes critical differences in VLM components, where proper image preprocessing and design of vision modules significantly affect 3D perception. To facilitate medical multimodal research, we have released DeepTumorVQA as a rigorous benchmark: https://github.com/Schuture/DeepTumorVQA.
format Preprint
id arxiv_https___arxiv_org_abs_2505_18915
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering
Chen, Yixiong
Xiao, Wenjie
Bassi, Pedro R. A. S.
Zhou, Xinze
Er, Sezgin
Hamamci, Ibrahim Ethem
Zhou, Zongwei
Yuille, Alan
Computer Vision and Pattern Recognition
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 systematically evaluate these dimensions, we present DeepTumorVQA, a diagnostic visual question answering (VQA) benchmark targeting abdominal tumors in CT scans. It comprises 9,262 CT volumes (3.7M slices) from 17 public datasets, with 395K expert-level questions spanning four categories: Recognition, Measurement, Visual Reasoning, and Medical Reasoning. DeepTumorVQA introduces unique challenges, including small tumor detection and clinical reasoning across 3D anatomy. Benchmarking four advanced VLMs (RadFM, M3D, Merlin, CT-CHAT), we find current models perform adequately on measurement tasks but struggle with lesion recognition and reasoning, and are still not meeting clinical needs. Two key insights emerge: (1) large-scale multimodal pretraining plays a crucial role in DeepTumorVQA testing performance, making RadFM stand out among all VLMs. (2) Our dataset exposes critical differences in VLM components, where proper image preprocessing and design of vision modules significantly affect 3D perception. To facilitate medical multimodal research, we have released DeepTumorVQA as a rigorous benchmark: https://github.com/Schuture/DeepTumorVQA.
title Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.18915