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Main Authors: Song, Ziyang, Zang, Zelin, Ye, Xiaofan, Xu, Boqiang, Bai, Long, Wu, Jinlin, Ren, Hongliang, Liu, Hongbin, Luo, Jiebo, Lei, Zhen
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2512.06921
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author Song, Ziyang
Zang, Zelin
Ye, Xiaofan
Xu, Boqiang
Bai, Long
Wu, Jinlin
Ren, Hongliang
Liu, Hongbin
Luo, Jiebo
Lei, Zhen
author_facet Song, Ziyang
Zang, Zelin
Ye, Xiaofan
Xu, Boqiang
Bai, Long
Wu, Jinlin
Ren, Hongliang
Liu, Hongbin
Luo, Jiebo
Lei, Zhen
contents Multimodal Large Language Models (MLLMs) have shown significant potential in surgical video understanding. With improved zero-shot performance and more effective human-machine interaction, they provide a strong foundation for advancing surgical education and assistance. However, existing research and datasets primarily focus on understanding surgical procedures and workflows, while paying limited attention to the critical role of anatomical comprehension. In clinical practice, surgeons rely heavily on precise anatomical understanding to interpret, review, and learn from surgical videos. To fill this gap, we introduce the Neurosurgical Anatomy Benchmark (NeuroABench), the first multimodal benchmark explicitly created to evaluate anatomical understanding in the neurosurgical domain. NeuroABench consists of 9 hours of annotated neurosurgical videos covering 89 distinct procedures and is developed using a novel multimodal annotation pipeline with multiple review cycles. The benchmark evaluates the identification of 68 clinical anatomical structures, providing a rigorous and standardized framework for assessing model performance. Experiments on over 10 state-of-the-art MLLMs reveal significant limitations, with the best-performing model achieving only 40.87% accuracy in anatomical identification tasks. To further evaluate the benchmark, we extract a subset of the dataset and conduct an informative test with four neurosurgical trainees. The results show that the best-performing student achieves 56% accuracy, with the lowest scores of 28% and an average score of 46.5%. While the best MLLM performs comparably to the lowest-scoring student, it still lags significantly behind the group's average performance. This comparison underscores both the progress of MLLMs in anatomical understanding and the substantial gap that remains in achieving human-level performance.
format Preprint
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publishDate 2025
record_format arxiv
spellingShingle NeuroABench: A Multimodal Evaluation Benchmark for Neurosurgical Anatomy Identification
Song, Ziyang
Zang, Zelin
Ye, Xiaofan
Xu, Boqiang
Bai, Long
Wu, Jinlin
Ren, Hongliang
Liu, Hongbin
Luo, Jiebo
Lei, Zhen
Computer Vision and Pattern Recognition
Artificial Intelligence
Computation and Language
Multimodal Large Language Models (MLLMs) have shown significant potential in surgical video understanding. With improved zero-shot performance and more effective human-machine interaction, they provide a strong foundation for advancing surgical education and assistance. However, existing research and datasets primarily focus on understanding surgical procedures and workflows, while paying limited attention to the critical role of anatomical comprehension. In clinical practice, surgeons rely heavily on precise anatomical understanding to interpret, review, and learn from surgical videos. To fill this gap, we introduce the Neurosurgical Anatomy Benchmark (NeuroABench), the first multimodal benchmark explicitly created to evaluate anatomical understanding in the neurosurgical domain. NeuroABench consists of 9 hours of annotated neurosurgical videos covering 89 distinct procedures and is developed using a novel multimodal annotation pipeline with multiple review cycles. The benchmark evaluates the identification of 68 clinical anatomical structures, providing a rigorous and standardized framework for assessing model performance. Experiments on over 10 state-of-the-art MLLMs reveal significant limitations, with the best-performing model achieving only 40.87% accuracy in anatomical identification tasks. To further evaluate the benchmark, we extract a subset of the dataset and conduct an informative test with four neurosurgical trainees. The results show that the best-performing student achieves 56% accuracy, with the lowest scores of 28% and an average score of 46.5%. While the best MLLM performs comparably to the lowest-scoring student, it still lags significantly behind the group's average performance. This comparison underscores both the progress of MLLMs in anatomical understanding and the substantial gap that remains in achieving human-level performance.
title NeuroABench: A Multimodal Evaluation Benchmark for Neurosurgical Anatomy Identification
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Computation and Language
url https://arxiv.org/abs/2512.06921