CVAIOct 21, 2025

RadDiagSeg-M: A Vision Language Model for Joint Diagnosis and Multi-Target Segmentation in Radiology

arXiv:2510.18188v1h-index: 69
Originality Incremental advance
AI Analysis

This addresses a limitation in clinical assistive systems for medical practitioners by enabling simultaneous diagnostic and segmentation outputs, though it appears incremental as it builds on existing vision-language model approaches.

The paper tackled the problem of medical vision language models struggling to jointly generate diagnostic text and segmentation masks, by introducing a dataset and model that achieve strong performance in multi-target text-and-mask generation, with benchmarks showing competitive results.

Most current medical vision language models struggle to jointly generate diagnostic text and pixel-level segmentation masks in response to complex visual questions. This represents a major limitation towards clinical application, as assistive systems that fail to provide both modalities simultaneously offer limited value to medical practitioners. To alleviate this limitation, we first introduce RadDiagSeg-D, a dataset combining abnormality detection, diagnosis, and multi-target segmentation into a unified and hierarchical task. RadDiagSeg-D covers multiple imaging modalities and is precisely designed to support the development of models that produce descriptive text and corresponding segmentation masks in tandem. Subsequently, we leverage the dataset to propose a novel vision-language model, RadDiagSeg-M, capable of joint abnormality detection, diagnosis, and flexible segmentation. RadDiagSeg-M provides highly informative and clinically useful outputs, effectively addressing the need to enrich contextual information for assistive diagnosis. Finally, we benchmark RadDiagSeg-M and showcase its strong performance across all components involved in the task of multi-target text-and-mask generation, establishing a robust and competitive baseline.

Foundations

The foundational work for this paper's niche, ranked by how specifically the neighbourhood builds on it — not by global fame.

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