PathMR: Multimodal Visual Reasoning for Interpretable Pathology Diagnosis

Fuente: arXiv
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Autores principales: Zhang, Ye, Zhou, Yu, Qi, Jingwen, Zhang, Yongbing, Puettmann, Simon, Wichmann, Finn, Ferreira, Larissa Pereira, Sichward, Lara, Keyl, Julius, Hartmann, Sylvia, Zhao, Shuo, Wang, Hongxiao, Xu, Xiaowei, Chen, Jianxu
Formato: Preprint
Publicado: 2025
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author Zhang, Ye
Zhou, Yu
Qi, Jingwen
Zhang, Yongbing
Puettmann, Simon
Wichmann, Finn
Ferreira, Larissa Pereira
Sichward, Lara
Keyl, Julius
Hartmann, Sylvia
Zhao, Shuo
Wang, Hongxiao
Xu, Xiaowei
Chen, Jianxu
author_facet Zhang, Ye
Zhou, Yu
Qi, Jingwen
Zhang, Yongbing
Puettmann, Simon
Wichmann, Finn
Ferreira, Larissa Pereira
Sichward, Lara
Keyl, Julius
Hartmann, Sylvia
Zhao, Shuo
Wang, Hongxiao
Xu, Xiaowei
Chen, Jianxu
contents Deep learning based automated pathological diagnosis has markedly improved diagnostic efficiency and reduced variability between observers, yet its clinical adoption remains limited by opaque model decisions and a lack of traceable rationale. To address this, recent multimodal visual reasoning architectures provide a unified framework that generates segmentation masks at the pixel level alongside semantically aligned textual explanations. By localizing lesion regions and producing expert style diagnostic narratives, these models deliver the transparent and interpretable insights necessary for dependable AI assisted pathology. Building on these advancements, we propose PathMR, a cell-level Multimodal visual Reasoning framework for Pathological image analysis. Given a pathological image and a textual query, PathMR generates expert-level diagnostic explanations while simultaneously predicting cell distribution patterns. To benchmark its performance, we evaluated our approach on the publicly available PathGen dataset as well as on our newly developed GADVR dataset. Extensive experiments on these two datasets demonstrate that PathMR consistently outperforms state-of-the-art visual reasoning methods in text generation quality, segmentation accuracy, and cross-modal alignment. These results highlight the potential of PathMR for improving interpretability in AI-driven pathological diagnosis. The code will be publicly available in https://github.com/zhangye-zoe/PathMR.
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institution arXiv
publishDate 2025
record_format arxiv
spellingShingle PathMR: Multimodal Visual Reasoning for Interpretable Pathology Diagnosis
Zhang, Ye
Zhou, Yu
Qi, Jingwen
Zhang, Yongbing
Puettmann, Simon
Wichmann, Finn
Ferreira, Larissa Pereira
Sichward, Lara
Keyl, Julius
Hartmann, Sylvia
Zhao, Shuo
Wang, Hongxiao
Xu, Xiaowei
Chen, Jianxu
Computer Vision and Pattern Recognition
Deep learning based automated pathological diagnosis has markedly improved diagnostic efficiency and reduced variability between observers, yet its clinical adoption remains limited by opaque model decisions and a lack of traceable rationale. To address this, recent multimodal visual reasoning architectures provide a unified framework that generates segmentation masks at the pixel level alongside semantically aligned textual explanations. By localizing lesion regions and producing expert style diagnostic narratives, these models deliver the transparent and interpretable insights necessary for dependable AI assisted pathology. Building on these advancements, we propose PathMR, a cell-level Multimodal visual Reasoning framework for Pathological image analysis. Given a pathological image and a textual query, PathMR generates expert-level diagnostic explanations while simultaneously predicting cell distribution patterns. To benchmark its performance, we evaluated our approach on the publicly available PathGen dataset as well as on our newly developed GADVR dataset. Extensive experiments on these two datasets demonstrate that PathMR consistently outperforms state-of-the-art visual reasoning methods in text generation quality, segmentation accuracy, and cross-modal alignment. These results highlight the potential of PathMR for improving interpretability in AI-driven pathological diagnosis. The code will be publicly available in https://github.com/zhangye-zoe/PathMR.
title PathMR: Multimodal Visual Reasoning for Interpretable Pathology Diagnosis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2508.20851