搜索医学 AI 论文与资源

ICLR 2026 Poster accepted paper at ICLR 2026. Current methods for detecting spurious correlations rely on data splits or error patterns, leaving many harmful shortcuts invisible when counterexamples are absent. We introduce BEE (Bridging Explainability and Embeddings), a framework that shifts the focus from model predictions to the weight space and embedding geometry underlying decisions. By analyzing how fine-tuning perturbs pretrained representations, BEE uncovers spurious correlations that remain hidden from conventional evaluation pipelines. We use linear probing as a transparent diagnostic lens, revealing spurious features that not only persist after full fine-tuning but also transfer across diverse state-of-the-art models. Code/project link: https://github.com/bit-ml/bee

ICLR 2026 Poster accepted paper at ICLR 2026. The ability to distinguish subtle differences between visually similar images is essential for diverse domains such as industrial anomaly detection, medical imaging, and aerial surveillance. While comparative reasoning benchmarks for vision-language models (VLMs) have recently emerged, they primarily focus on images with large, salient differences and fail to capture the nuanced reasoning required for real-world applications. In this work, we introduce **VLM-SubtleBench**, a benchmark designed to evaluate VLMs on *subtle comparative reasoning*. Our benchmark covers ten difference types—Attribute, State, Emotion, Temporal, Spatial, Existence, Quantity, Quality, Viewpoint, and Action—and curate paired question–image sets reflecting these fine-grained variations.

ICLR 2026 Poster accepted paper at ICLR 2026. DNA methylation (DNAm) is a key epigenetic modification that regulates gene expression and is pivotal in development and disease. However, profiling DNAm at genome scale is challenging: of $\textasciitilde$28 million CpG sites in the human genome, only about 1–3\% are typically assayed in common datasets due to technological limitations and cost. Recent deep learning approaches, including masking-based generative Transformer models, have shown promise in capturing DNAm–gene expression relationships, but they rely on partially observed DNAm values for unmeasured CpGs and cannot be applied to completely unmeasured samples. To overcome this barrier, we introduce MethylProphet, a gene-guided, context-aware Transformer model for whole-genome DNAm inference without any measured DNAm input.

ICLR 2026 Poster accepted paper at ICLR 2026. This paper aims to develop a lower prediction bound (LPB) for survival time across different treatments in the general right-censored setting. Although previous methods have utilized conformal prediction to construct the LPB, their resulting prediction sets provide only probably approximately correct (PAC)–type miscoverage guarantees rather than exact ones. To address this problem, we propose a new calibration procedure under the potential outcome framework. Under the strong ignorability assumption, we propose a reweighting scheme that can transform the problem into a weighted conformal inference problem, allowing an LPB to be obtained via quantile regression with an exact miscoverage guarantee.

ICLR 2026 Poster accepted paper at ICLR 2026. We study logical reasoning in language models by asking whether their errors follow established human fallacy patterns. Using the Erotetic Theory of Reasoning (ETR) and its open‑source implementation, PyETR, we programmatically generate 383 formally specified reasoning problems and evaluate 38 models. For each response, we judge logical correctness and, when incorrect, whether it matches an ETR‑predicted fallacy. Two results stand out: (i) as a capability proxy (Chatbot Arena Elo) increases, a larger share of a model’s incorrect answers are ETR‑predicted fallacies ($\rho=0.360, p=0.0265$), while overall correctness on this dataset shows no correlation with capability; (ii) reversing premise order significantly reduces fallacy production for many models, mirroring human order effects.

ICLR 2026 Poster accepted paper at ICLR 2026. Estimating heterogeneous treatment effects (HTEs) from right-censored survival data is critical in high-stakes applications such as precision medicine and individualized policy-making. Yet, the survival analysis setting poses unique challenges for HTE estimation due to censoring, unobserved counterfactuals, and complex identification assumptions. Despite recent advances, from causal survival forests to survival meta-learners and outcome imputation approaches, evaluation practices remain fragmented and inconsistent. We introduce SurvHTE‐Bench, the first comprehensive benchmark for HTE estimation with censored outcomes. The benchmark spans (i) a modular suite of synthetic datasets with known ground truth, systematically varying causal assumptions and survival dynamics, (ii) semi-synthetic datasets that pair real-world covariates with simulated treatments and outcomes, and (iii) real-world datasets from a twin study (with known ground truth) and from an HIV clinical trial.

ICLR 2026 Poster accepted paper at ICLR 2026. Correcting motion artifacts in scientific and medical imaging is important, as they significantly impact image quality. However, evaluating deep learning-based and classical motion correction methods remains fundamentally difficult due to the lack of accessible ground-truth target data. To address this challenge, we study three evaluation approaches: real-world evaluation based on reference scans, simulated motion, and reference-free evaluation, each with its merits and shortcomings. To enable evaluation with real-world motion artifacts, we release PMoC3D, a dataset consisting of unprocessed $\textbf{P}$aired $\textbf{Mo}$tion-$\textbf{C}$orrupted $\textbf{3D}$ brain MRI data.

ICLR 2026 Poster accepted paper at ICLR 2026. Surgical triplet detection is a critical task in surgical video analysis, with significant implications for performance assessment and training novice surgeons. However, existing datasets like CholecT50 lack precise spatial bounding box annotations, rendering triplet classification at the image level insufficient for practical applications. The inclusion of bounding box annotations is essential to make this task meaningful, as they provide the spatial context necessary for accurate analysis and improved model generalizability. To address these shortcomings, we introduce ProstaTD, a large-scale, multi-institutional dataset for surgical triplet detection, developed from the technically demanding domain of robot-assisted prostatectomy.

ICLR 2026 Poster accepted paper at ICLR 2026. Arabic remains one of the most underrepresented languages in natural language processing research, particularly in medical applications, due to the limited availability of open-source data and benchmarks. The lack of resources hinders efforts to evaluate and advance the multilingual capabilities of Large Language Models (LLMs). In this paper, we introduce MedAraBench, a large-scale dataset consisting of Arabic multiple-choice question-answer pairs across various medical specialties. We constructed the dataset by manually digitizing a large repository of academic materials created by medical professionals in the Arabic-speaking region.

ICLR 2026 Poster accepted paper at ICLR 2026. Predicting spatial gene expression from H\&E histology offers a scalable and clinically accessible alternative to sequencing, but realizing clinical impact requires models that generalize across cancer types and capture biologically coherent signals. Prior work is often limited to per-cancer settings and variance-based evaluation, leaving functional relevance underexplored. We introduce HistoPrism, an efficient transformer-based architecture for pan-cancer prediction of gene expression from histology. To evaluate biological meaning, we introduce a pathway-level benchmark, shifting assessment from isolated gene-level variance to coherent functional pathways.

ICLR 2026 Poster accepted paper at ICLR 2026. Systematic reviews (SR), in which experts summarize and analyze evidence across individual studies to provide insights on a specialized topic, are a cornerstone for evidence-based clinical decision-making, research, and policy. Given the exponential growth of scientific articles, there is growing interest in using large language models (LLMs) to automate SR generation. However, the ability of LLMs to critically assess evidence and reason across multiple documents to provide recommendations at the same proficiency as domain experts remains poorly characterized. We therefore ask: **Can LLMs match the conclusions of systematic reviews written by clinical experts when given access to the same studies?** To explore this question, we present MedEvidence, a benchmark pairing findings from 100 medical SRs with the studies they are based on.

ICLR 2026 Poster accepted paper at ICLR 2026. Generalist multimodal large language models (MLLMs) have achieved impressive performance across a wide range of vision-language tasks. However, their performance on medical tasks—particularly in zero-shot settings where generalization is critical—remains suboptimal. A key research gap is the limited understanding of why medical MLLMs underperform in medical image interpretation. **In this work**, we present a pioneering systematic investigation into the visual grounding capabilities of state-of-the-art medical MLLMs. To disentangle *visual grounding* from *semantic grounding*, we design VGMED, a novel evaluation dataset developed with expert clinical guidance, explicitly assessing the visual grounding capability of medical MLLMs. Code/project link: https://guimeng-leo-liu.github.io/Medical-MLLMs-Fail/

ICLR 2026 Poster accepted paper at ICLR 2026. In precision medicine, quantitative multi-omic features, topological context, and textual biological knowledge play vital roles in identifying disease-critical signaling pathways and targets, guiding the discovery of novel therapeutics and effective treatment strategies. Existing pipelines capture only one or two of these—numerical omics ignore topological context, text-centric LLMs lack quantitative grounded reasoning, and graph-only models underuse rich node semantics and the generalization power of LLMs—thereby limiting mechanistic interpretability. Although Process Reward Models (PRMs) aim to guide reasoning in LLMs, they remain limited by coarse step definitions, unreliable intermediate evaluation, and vulnerability to reward hacking with added computational cost. These gaps motivate jointly integrating quantitative multi-omic signals, topological structure with node annotations, and literature-scale text via LLMs, using subgraph reasoning as the principle bridge linking numeric evidence, topological knowledge and language context.

ICLR 2026 Poster accepted paper at ICLR 2026. The professionalism of a human doctor in outpatient service depends on two core abilities: the ability to make accurate medical decisions and the medical consultation skill to conduct strategic, empathetic patient inquiry. Existing Large Language Models (LLMs) have achieved remarkable accuracy on medical decision-making benchmarks. However, they often lack the ability to conduct the strategic and empathetic consultation, which is essential for real-world clinical scenarios. To address this gap, we propose Doctor-R1, an AI doctor agent trained to master both of the capabilities by ask high-yield questions and conduct strategic multi-turn inquiry to guide decision-making.

ICLR 2026 Poster accepted paper at ICLR 2026. Generative models of 3D cardiovascular anatomy can synthesize informative structures for clinical research and medical device evaluation, but face a trade-off between geometric controllability and realism. We propose CardioComposer: a programmable, inference time framework for generating multi-class anatomical label maps from interpretable ellipsoidal primitives. These primitives represent geometric attributes such as the size, shape, and position of discrete substructures. We specifically develop differentiable measurement functions based on voxel-wise geometric moments, enabling loss-based gradient guidance during diffusion model sampling. Code/project link: https://github.com/kkadry/CardioComposer

ICLR 2026 Poster accepted paper at ICLR 2026. Segmentation in pathology image requires handling out-of-domain tissue morphologies and new pathologies beyond training distributions, where traditional closed-set segmentation approaches fail to generalize. Reasoning segmentation enables zero-shot generalization via prompting with text queries. However, existing reasoning segmentation models face three barriers when applied to pathology: (1) the vision encoder lack pathology-specific knowledge and robustness to staining variations, (2) the large language model (LLM) backbone for reasoning fails to identify whether it has gathered sufficient semantic context to trigger the segmentation output, and (3) no reasoning segmentation benchmarks and datasets exist for pathology analysis. Consequently, we introduce PathChat-SegR1, a reasoning segmentation model built upon pathology-specific vision encoders trained with a novel stain-invariant self-distillation for robust pathology image representations.

ICLR 2026 Oral accepted paper at ICLR 2026. Medical question answering (QA) benchmarks often focus on multiple-choice or fact-based tasks, leaving open-ended answers to real patient questions underexplored. This gap is particularly critical in mental health, where patient questions often mix symptoms, treatment concerns, and emotional needs, requiring answers that balance clinical caution with contextual sensitivity. We present CounselBench, a large-scale benchmark developed with 100 mental health professionals to evaluate and stress-test large language models (LLMs) in realistic help-seeking scenarios. The first component, CounselBench-EVAL, contains 2,000 expert evaluations of answers from GPT-4, LLaMA 3, Gemini, and online human therapists on patient questions from the public forum CounselChat.

ICLR 2026 Poster accepted paper at ICLR 2026. Forecasting how 3D medical scans evolve along time is important for disease progression, treatment planning, and developmental assessment. Yet existing models either rely on a single prior scan, fixed grid times, or target global labels, which limits voxel-level forecasting under irregular sampling. We present CRONOS, a unified framework for many-to-one prediction from multiple past scans that supports both discrete (grid-based) and continuous (real-valued) timestamps in one model, to the best of our knowledge the first to achieve continuous sequence-to-image forecasting for 3D medical data. CRONOS learns a spatio-temporal velocity field that transports context volumes toward a target volume at an arbitrary time, while operating directly in 3D voxel space.

ICLR 2026 Poster accepted paper at ICLR 2026. The application of large language models (LLMs) in the medical field has garnered significant attention, yet their reasoning capabilities in more specialized domains like anesthesiology remain underexplored. To bridge this gap, we introduce AnesSuite, the first comprehensive dataset suite specifically designed for anesthesiology reasoning in LLMs. The suite features AnesBench, an evaluation benchmark tailored to assess anesthesiology-related reasoning across three levels: factual retrieval (System 1), hybrid reasoning (System 1.x), and complex decision-making (System 2). Alongside this benchmark, the suite includes three training datasets that provide an infrastructure for continued pre-training (CPT), supervised fine-tuning (SFT), and reinforcement learning with verifiable rewards (RLVR). Code/project link: https://github.com/MiliLab/AnesSuite

ICLR 2026 Poster accepted paper at ICLR 2026. Deep learning-based respiratory auscultation is currently hindered by two fundamental challenges: (i) inherent information loss, as converting signals into spectrograms discards transient acoustic events and clinical context; (ii) limited data availability, exacerbated by severe class imbalance. To bridge these gaps, we present **_Resp-Agent_**, an autonomous multimodal system orchestrated by a novel Active Adversarial Curriculum Agent (Thinker-A²CA). Unlike static pipelines, Thinker-A²CA serves as a central controller that actively identifies diagnostic weaknesses and schedules targeted synthesis in a closed loop. To address the representation gap, we introduce a modality-weaving Diagnoser that weaves clinical text with audio tokens via strategic global attention and sparse audio anchors, capturing both long-range clinical context and millisecond-level transients. Code/project link: https://github.com/zpforlove/Resp-Agent

ICLR 2026 Poster accepted paper at ICLR 2026. The reliability of medical LLM evaluation is critically undermined by data contamination and knowledge obsolescence, leading to inflated scores on static benchmarks. To address these challenges, we introduce LiveClin, a live benchmark designed for the approximating real-world clinical practice. Built from contemporary, peer-reviewed case reports and updated biannually, LiveClin ensures clinical currency and resists data contamination. Using a verified AI–human workflow involving 239 physicians, we transform authentic patient cases into complex, multimodal evaluation scenarios that span the entire clinical pathway. Code/project link: https://github.com/AQ-MedAI/LiveClin

ICLR 2026 Poster accepted paper at ICLR 2026. We propose a frequency-oriented perspective on retinal representation learning by analyzing masked autoencoders (MAE) through the lens of spatial frequency. Our analysis shows that MAE favors low-frequency content while under-encoding diagnostically critical high-frequency structures in retinal images. Because retinal pathology often manifests in high-frequency detail, this bias limits diagnostic performance and motivates frequency-balanced representations. Within a mutual-information (MI) formulation of MAE, we introduce the Frequency-Balanced Retinal Masked Autoencoder (RetMAE), which augments the reconstruction objective with a MI regularizer that suppresses low-frequency redundancy and accentuates clinically salient high-frequency information.

ICLR 2026 Poster accepted paper at ICLR 2026. Large Multimodal Models (LMMs) are increasingly capable of answering medical questions that require joint reasoning over images and text, yet training general medical VQA systems is impeded by the lack of large, openly usable, high-quality corpora. We present MedVLSynther, a rubric-guided generator-verifier framework that synthesizes high-quality multiple-choice VQA items directly from open biomedical literature by conditioning on figures, captions, and in-text references. The generator produces self-contained stems and parallel, mutually exclusive options under a machine-checkable JSON schema; a multi-stage verifier enforces essential gates (self-containment, single correct answer, clinical validity, image-text consistency), awards fine-grained positive points, and penalizes common failure modes before acceptance. Applying this pipeline to PubMed Central yields MedSynVQA: 13,087 audited questions over 14,803 images spanning 13 imaging modalities and 28 anatomical regions.

ICLR 2026 Poster accepted paper at ICLR 2026. Chain-of-Thought (CoT) reasoning has proven effective in enhancing large language models by encouraging step-by-step intermediate reasoning, and recent advances have extended this paradigm to Multimodal Large Language Models (MLLMs). In the medical domain, where diagnostic decisions depend on nuanced visual cues and sequential reasoning, CoT aligns naturally with clinical thinking processes. However, current benchmarks for medical image understanding generally focus on the final answer while ignoring the reasoning path. An opaque process lacks reliable bases for judgment, making it difficult to assist doctors in diagnosis.

ICLR 2026 Poster accepted paper at ICLR 2026. In clinical practice, physicians refrain from making decisions when patient information is insufficient. This behavior, known as abstention, is a critical safety mechanism preventing potentially harmful misdiagnoses. Recent investigations have reported the application of large language models (LLMs) in medical scenarios. However, existing LLMs struggle with the abstentions, frequently providing overconfident responses despite incomplete information. This limitation stems from conventional abstention methods relying solely on model self-assessments, which lack systematic strategies to identify knowledge boundaries with external medical evidences.

ICLR 2026 Poster accepted paper at ICLR 2026. While LLMs have demonstrated medical knowledge and conversational ability, their deployment in clinical practice raises new risks: patients may place greater trust in LLM-generated responses than in nurses' professional judgments, potentially intensifying nurse–patient conflicts. Such risks highlight the urgent need of evaluating whether LLMs align with the core nursing values upheld by human nurses. This work introduces the first benchmark for nursing value alignment, consisting of five core value dimensions distilled from international nursing codes: _Altruism_, _Human Dignity_, _Integrity_, _Justice_, and _Professionalism_. We define two-level tasks on the benchmark, considering the two characteristics of emerging nurse–patient conflicts.

ICLR 2026 Poster accepted paper at ICLR 2026. Large language models perform well on many medical QA benchmarks, but real clinical reasoning is harder because diagnosis often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated benchmark for thinking with multiple images, in which models must interpret each image, combine cross-view evidence, and solve diagnostic questions under intermediate supervision and step-level evaluation. The dataset contains 10,067 cases, including 720 test cases, with an average of 6.68 images per case, substantially denser than prior work (earlier maxima $\leq$ 1.43). On the test set, the best closed-source models, Claude-4.6-opus, Gemini-3-pro, and GPT-5.2-xhigh, achieve only 54.9%--57.2% accuracy, while smaller proprietary variants, GPT-5-mini/nano, drop to 39.7% and 30.8%.

ICLR 2026 Poster accepted paper at ICLR 2026. Cancer patients are increasingly turning to large language models (LLMs) for medical information, making it critical to assess how well these models handle complex, personalized questions. However, current medical benchmarks focus on medical exams or consumer-searched questions and do not evaluate LLMs on real patient questions with patient details. In this paper, we first have three hematology-oncology physicians evaluate cancer-related questions drawn from real patients. While LLM responses are generally accurate, the models frequently fail to recognize or address false presuppositions} in the questions, posing risks to safe medical decision-making.

ICLR 2026 Poster accepted paper at ICLR 2026. Recent advances in vision-language models (VLMs) have achieved remarkable performance on standard medical benchmarks, yet their true clinical reasoning ability remains unclear. Existing datasets predominantly emphasize classification accuracy, creating an evaluation illusion in which models appear proficient while still failing at high-stakes diagnostic reasoning. We introduce Neural-MedBench, a compact yet reasoning-intensive benchmark specifically designed to probe the limits of multimodal clinical reasoning in neurology. Neural-MedBench integrates multi-sequence MRI scans, structured electronic health records, and clinical notes, and encompasses three core task families: differential diagnosis, lesion recognition, and rationale generation. Code/project link: https://neuromedbench.github.io/

ICLR 2026 Poster accepted paper at ICLR 2026. Epilepsy affects over 50 million people worldwide, and one-third of patients suffer drug-resistant seizures where surgery offers the best chance of seizure freedom. Accurate localization of the epileptogenic zone (EZ) relies on intracranial EEG (iEEG). Clinical workflows, however, remain constrained by labor-intensive manual review. At the same time, existing data-driven approaches are typically developed on single-center datasets that are inconsistent in format and metadata, lack standardized benchmarks, and rarely release pathological event annotations, creating barriers to reproducibility, cross-center validation, and clinical relevance. Code/project link: https://omni-ieeg.github.io/omni-ieeg/; https://github.com/Omni-iEEG/Omni-iEEG

ICLR 2026 Poster accepted paper at ICLR 2026. Modern clinical diagnosis relies on the comprehensive analysis of multi-modal patient data, drawing on medical expertise to ensure systematic and rigorous reasoning. Recent advances in Vision–Language Models (VLMs) and agent-based methods are reshaping medical diagnosis by effectively integrating multi-modal information. However, they often output direct answers and empirical-driven conclusions without clinical evidence supported by quantitative analysis, which compromises their reliability and hinders clinical usability. Here we propose MedAgent-Pro, an agentic reasoning paradigm that mirrors modern diagnosis principles via a hierarchical diagnostic workflow, consisting of disease-level standardized plan generation and patient-level personalized step-by-step reasoning.

ICLR 2026 Poster accepted paper at ICLR 2026. Current medical language model (LM) benchmarks often over-simplify the complexities of day-to-day clinical practice tasks and instead rely on evaluating LMs on multiple-choice board exam questions. In psychiatry especially, these challenges are worsened by fairness and bias issues, since models can be swayed by patient demographics even when those factors should not influence clinical decisions. Thus, we present an expert-created and annotated dataset spanning five critical domains of decision-making in mental healthcare: treatment, diagnosis, documentation, monitoring, and triage. This U.S. centric dataset — created without any LM assistance — is designed to capture the nuanced clinical reasoning and daily ambiguities mental health practitioners encounter, reflecting the inherent complexities of care delivery that are missing from existing datasets.

ICLR 2026 Poster accepted paper at ICLR 2026. Psychiatric comorbidity is clinically significant yet challenging due to the complexity of multiple co-occurring disorders. To address this, we develop a novel approach integrating synthetic patient electronic medical record (EMR) construction and multi-agent diagnostic dialogue generation. We create 502 synthetic EMRs for common comorbid conditions using a pipeline that ensures clinical relevance and diversity. Our multi-agent framework transfers the clinical interview protocol into a hierarchical state machine and context tree, supporting over 130 diagnostic states while maintaining clinical standards.

ICLR 2026 Poster accepted paper at ICLR 2026. Body composition analysis through CT and MRI imaging provides critical insights for cardio-metabolic health assessment but remains limited by accessibility barriers including radiation exposure, high costs, and infrastructure requirements. We present AbdCTBench, a large-scale dataset containing 23,506 CT-derived abdominal surface meshes from 18,719 patients, paired with 87 comorbidity labels, 31 specific diagnosis codes, and 16 CT-derived biomarkers. Our key insight is that external surface geometry is predictive of internal tissue composition, enabling accessible health screening through consumer devices. We establish comprehensive benchmarks across seven computer vision architectures (ResNet-18/34/50, DenseNet-121, EfficientNet-B0, ViT-Small, Swin Transformer-Base), demonstrating that models can learn robust surface-to-biomarker representations directly from 2D mesh projections. Code/project link: https://abdctbenchrepo.github.io/AbdCTBench/

MedSAM adapts the Segment Anything paradigm to medical image segmentation and reports broad evaluation across imaging modalities.