搜索医学 AI 论文与资源

ICLR 2026 Poster accepted paper at ICLR 2026. Vision-language models for medical image segmentation often produce masks that conflict with the accompanying text, especially under multi-site/multi-lesion descriptions. We trace this failure to two factors: (i) highly templated and repetitive clinical language causes one-to-one hard contrastive learning to yield numerous false negatives, weakening cross-modal alignment; and (ii) predominantly vision-driven, one-way cross-attention lacks a language-dominant, spatially aware pathway, hindering effective injection of textual semantics into the spatial visual domain. To this end, we propose Consistency-enhanced Two-stage Segmentation (C2Seg). In the pretraining stage, Cluster-aware Contrastive Learning uses a frozen strong baseline to construct an intra-batch text similarity matrix as soft labels, thereby alleviating false negative conflicts and producing more discriminative visual representations.

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%.