aiqbench analysis
MedVision addresses a critical gap in medical AI by shifting focus from simple qualitative classification to precise quantitative reasoning, such as measuring tumor dimensions and joint angles. The study demonstrates that current vision-language models struggle with these tasks but can be significantly improved through supervised and reinforcement fine-tuning using the new large-scale benchmark. This work provides an essential open baseline for developing more clinically accurate AI systems capable of supporting nuanced diagnostic decisions.
MedVision: Benchmarking Quantitative Medical Image Analysis
arXiv:2511.18676v3 Announce Type: replace-cross Abstract: Current vision-language models (VLMs) in medicine are primarily designed for categorical question answering (e.g., "Is this normal or abnormal?") or qualitative descriptive tasks. However, clinical decision-making often relies on quantitative assessments, such as measuring the size of a tumor or the angle of a joint, from which clinicians draw their own diagnostic conclusions. This quantitative reasoning capability remains underexplored and poorly supported in existing VLMs. In this work, we introduce MedVision, a large-scale dataset and benchmark specifically designed to evaluate and improve VLMs on quantitative medical image analysis. MedVision spans 22 public datasets covering diverse anatomies and modalities, with 29.0K 3D images, 11.2M annotated 2D slices, and 24.3M single-instance annotations. We focus on three representative quantitative tasks: (1) detection of anatomical structures and abnormalities, (2) tumor/lesion (T/L) size estimation, and (3) angle/distance (A/D) measurement. We show that current off-the-shelf VLMs perform poorly on these tasks. However, supervised and reinforcement fine-tuning (RFT) on MedVision significantly enhances performance across detection, T/L size estimation, and A/D measurement, yielding MedVision-V0 as a strong open baseline. In the RFT stage, we design and evaluate the efficacy of process rewards, multiplicative reward composition, and multi-task RFT with curriculum learning. MedVision provides a foundation for developing VLMs with robust quantitative reasoning capabilities in medical imaging.
Abstract:Current vision-language models (VLMs) in medicine are primarily designed for categorical question answering (e.g., "Is this normal or abnormal?") or qualitative descriptive tasks. However, clinical decision-making often relies on quantitative assessments, such as measuring the size of a tumor or the angle of a joint, from which clinicians draw their own diagnostic conclusions. This quantitative reasoning capability remains underexplored and poorly supported in existing VLMs. In this work, we introduce MedVision, a large-scale dataset and benchmark specifically designed to evaluate and improve VLMs on quantitative medical image analysis. MedVision spans 22 public datasets covering diverse anatomies and modalities, with 29.0K 3D images, 11.2M annotated 2D slices, and 24.3M single-instance annotations. We focus on three representative quantitative tasks: (1) detection of anatomical structures and abnormalities, (2) tumor/lesion (T/L) size estimation, and (3) angle/distance (A/D) measurement. We show that current off-the-shelf VLMs perform poorly on these tasks. However, supervised and reinforcement fine-tuning (RFT) on MedVision significantly enhances performance across detection, T/L size estimation, and A/D measurement, yielding MedVision-V0 as a strong open baseline. In the RFT stage, we design and evaluate the efficacy of process rewards, multiplicative reward composition, and multi-task RFT with curriculum learning. MedVision provides a foundation for developing VLMs with robust quantitative reasoning capabilities in medical imaging.
Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)
arXiv:2511.18676 [cs.CV]
(or arXiv:2511.18676v3 [cs.CV] for this version)
https://doi.org/10.48550/arXiv.2511.18676 Focus to learn more arXiv-issued DOI via DataCite
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