Shoujun Zhou

Hongyu Ge, Longkun Hao, Zihui Xu et al.

Medical Visual Question Answering (Med-VQA) represents a critical and challenging subtask within the general VQA domain. Despite significant advancements in general VQA, multimodal large language models (MLLMs) still exhibit substantial limitations when handling multi-task VQA scenarios. These limitations manifest through erroneous spatial localization and misinterpretation of medical images, which primarily arise from two fundamental issues: inadequate image-text alignment and insufficient domain-specified knowledge for medical applications. To address these issues, we introduce the Cross-Modal Clinical Knowledge Distiller (ClinKD), an innovative framework designed to enhance image-text alignment and establish more effective medical knowledge transformation mechanisms, which enables MLLMs to perform better even when lacking prior medical knowledge. Our extensive experimental evaluations demonstrate that the ClinKD achieves state-of-the-art performance on several datasets which are challenging for Med-VQA task. The results indicate that our approach not only significantly improves image-text alignment but also effectively enables MLLMs to adapt to the medical knowledge. The source code for ClinKD is available at: https://github.com/overloadedHenry/ClinKD.

Shenxi Liu, Kan Li, Mingyang Zhao et al.

The scarcity of high-quality, logically annotated video datasets remains a primary bottleneck in advancing Multi-Modal Large Language Models (MLLMs) for the medical domain. Traditional manual annotation is prohibitively expensive and non-scalable, while existing synthetic methods often suffer from stochastic hallucinations and a lack of logical interpretability. To address these challenges, we introduce \textbf{\PipelineName}, a novel neuro-symbolic data engineering framework that formalizes benchmark synthesis as a deterministic graph traversal process. Unlike black-box generative approaches, Med-CRAFT extracts structured visual primitives (e.g., surgical instruments, anatomical boundaries) from raw video streams and instantiates them into a dynamic Spatiotemporal Knowledge Graph. By anchoring query generation to valid paths within this graph, we enforce a rigorous Chain-of-Thought (CoT) provenance for every synthesized benchmark item. We instantiate this pipeline to produce M3-Med-Auto, a large-scale medical video reasoning benchmark exhibiting fine-grained temporal selectivity and multi-hop logical complexity. Comprehensive evaluations demonstrate that our automated pipeline generates query workloads with complexity comparable to expert-curated datasets. Furthermore, a logic alignment analysis reveals a high correlation between the prescribed graph topology and the reasoning steps of state-of-the-art MLLMs, validating the system's capability to encode verifiable logic into visual-linguistic benchmarks. This work paves the way for scalable, low-cost construction of robust evaluation protocols in critical domains.

Bin Li, Shenxi Liu, Yixuan Weng et al.

Following the successful hosts of the 1-st (NLPCC 2023 Foshan) CMIVQA and the 2-rd (NLPCC 2024 Hangzhou) MMIVQA challenges, this year, a new task has been introduced to further advance research in multi-modal, multilingual, and multi-hop medical instructional question answering (M4IVQA) systems, with a specific focus on medical instructional videos. The M4IVQA challenge focuses on evaluating models that integrate information from medical instructional videos, understand multiple languages, and answer multi-hop questions requiring reasoning over various modalities. This task consists of three tracks: multi-modal, multilingual, and multi-hop Temporal Answer Grounding in Single Video (M4TAGSV), multi-modal, multilingual, and multi-hop Video Corpus Retrieval (M4VCR) and multi-modal, multilingual, and multi-hop Temporal Answer Grounding in Video Corpus (M4TAGVC). Participants in M4IVQA are expected to develop algorithms capable of processing both video and text data, understanding multilingual queries, and providing relevant answers to multi-hop medical questions. We believe the newly introduced M4IVQA challenge will drive innovations in multimodal reasoning systems for healthcare scenarios, ultimately contributing to smarter emergency response systems and more effective medical education platforms in multilingual communities. Our official website is https://cmivqa.github.io/

Shenxi Liu, Kan Li, Mingyang Zhao et al.

With the rapid progress of artificial intelligence (AI) in multi-modal understanding, there is increasing potential for video comprehension technologies to support professional domains such as medical education. However, existing benchmarks suffer from two primary limitations: (1) Linguistic Singularity: they are largely confined to English, neglecting the need for multilingual resources; and (2) Shallow Reasoning: their questions are often designed for surface-level information retrieval, failing to properly assess deep multi-modal integration. To address these limitations, we present M3-Med, the first benchmark for Multi-lingual, Multi-modal, and Multi-hop reasoning in Medical instructional video understanding. M3-Med consists of medical questions paired with corresponding video segments, annotated by a team of medical experts. A key innovation of M3-Med is its multi-hop reasoning task, which requires a model to first locate a key entity in the text, then find corresponding visual evidence in the video, and finally synthesize information across both modalities to derive the answer. This design moves beyond simple text matching and poses a substantial challenge to a model's deep cross-modal understanding capabilities. We define two tasks: Temporal Answer Grounding in Single Video (TAGSV) and Temporal Answer Grounding in Video Corpus (TAGVC). We evaluated several state-of-the-art models and Large Language Models (LLMs) on M3-Med. The results reveal a significant performance gap between all models and human experts, especially on the complex multi-hop questions where model performance drops sharply. M3-Med effectively highlights the current limitations of AI models in deep cross-modal reasoning within specialized domains and provides a new direction for future research.

Junkai Zhang, Bin Li, Shoujun Zhou et al.

Medical Visual Question Answering (Med-VQA) answers clinical questions using medical images, aiding diagnosis. Designing the MedVQA system holds profound importance in assisting clinical diagnosis and enhancing diagnostic accuracy. Building upon this foundation, Hierarchical Medical VQA extends Medical VQA by organizing medical questions into a hierarchical structure and making level-specific predictions to handle fine-grained distinctions. Recently, many studies have proposed hierarchical MedVQA tasks and established datasets, However, several issues still remain: (1) imperfect hierarchical modeling leads to poor differentiation between question levels causing semantic fragmentation across hierarchies. (2) Excessive reliance on implicit learning in Transformer-based cross-modal self-attention fusion methods, which obscures crucial local semantic correlations in medical scenarios. To address these issues, this study proposes a HiCA-VQA method, including two modules: Hierarchical Prompting for fine-grained medical questions and Hierarchical Answer Decoders. The hierarchical prompting module pre-aligns hierarchical text prompts with image features to guide the model in focusing on specific image regions according to question types, while the hierarchical decoder performs separate predictions for questions at different levels to improve accuracy across granularities. The framework also incorporates a cross-attention fusion module where images serve as queries and text as key-value pairs. Experiments on the Rad-Restruct benchmark demonstrate that the HiCA-VQA framework better outperforms existing state-of-the-art methods in answering hierarchical fine-grained questions. This study provides an effective pathway for hierarchical visual question answering systems, advancing medical image understanding.

Haofu Liao, Wei-An Lin, Jiarui Zhang et al.

We propose to tackle the problem of multiview 2D/3D rigid registration for intervention via a Point-Of-Interest Network for Tracking and Triangulation ($\text{POINT}^2$). $\text{POINT}^2$ learns to establish 2D point-to-point correspondences between the pre- and intra-intervention images by tracking a set of random POIs. The 3D pose of the pre-intervention volume is then estimated through a triangulation layer. In $\text{POINT}^2$, the unified framework of the POI tracker and the triangulation layer enables learning informative 2D features and estimating 3D pose jointly. In contrast to existing approaches, $\text{POINT}^2$ only requires a single forward-pass to achieve a reliable 2D/3D registration. As the POI tracker is shift-invariant, $\text{POINT}^2$ is more robust to the initial pose of the 3D pre-intervention image. Extensive experiments on a large-scale clinical cone-beam CT (CBCT) dataset show that the proposed $\text{POINT}^2$ method outperforms the existing learning-based method in terms of accuracy, robustness and running time. Furthermore, when used as an initial pose estimator, our method also improves the robustness and speed of the state-of-the-art optimization-based approaches by ten folds.