搜索医学 AI 论文与资源

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. Understanding the properties of neural populations (or voxels) in the human brain can advance our comprehension of human perceptual and cognitive processing capabilities and contribute to developing brain-inspired computer models. Recent encoding models using deep neural networks (DNNs) have successfully predicted voxel-wise activity. However, interpreting the properties that explain voxel responses remains challenging because of the black-box nature of DNNs. As a solution, we propose LLM-assisted Visual Cortex Captioning (LaVCa), a data-driven approach that leverages large language models (LLMs) to generate natural-language captions for images to which voxels are selective.

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. As large language models (LLMs) continue to revolutionize AI research, there is a growing interest in building large-scale brain foundation models to advance neuroscience. While most existing brain foundation models are pre-trained on time-series signals or connectome features, we propose a novel graph-based pre-training paradigm for constructing a brain graph foundation model. In this paper, we introduce the Brain Graph Foundation Model, termed BrainGFM, a unified framework that leverages graph contrastive learning and graph masked autoencoders for large-scale fMRI-based pre-training. BrainGFM is pre-trained on a diverse mixture of brain atlases with varying parcellations, significantly expanding the pre-training corpus and enhancing the model’s ability to generalize across heterogeneous fMRI-derived brain representations. Code/project link: https://github.com/weixinxu666/BrainGFM

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. 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. Effective information seeking in multi-turn medical dialogues is critical for accurate diagnosis, especially when dealing with incomplete information. Aligning Large Language Models (LLMs) for these interactive scenarios is challenging due to the uncertainty inherent in user-agent interactions, which we formulate as a Hierarchical Markov Decision Process (H-MDP). While conventional Reinforcement Learning (RL) methods like Group Relative Policy Optimization (GRPO) struggle with long-horizon credit assignment and Proximal Policy Optimization (PPO) suffers from unstable value estimation in this context, we propose a novel uncertainty-aware Adaptive Tree Policy Optimization (ATPO) algorithm. Our method adaptively allocates the rollout budget to states with high uncertainty, quantified by a composite metric of Bellman error and action-value variance.

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. 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. Clinical decision-making is a dynamic, interactive, and cyclic process where doctors have to repeatedly decide on which clinical action to perform and consider newly uncovered information for diagnosis and treatment. Large Language Models (LLMs) have the potential to support clinicians in this process, however, most applications of LLMs in clinical decision support suffer from one of two limitations: Either they assume the unrealistic scenario of immediate availability of all patient information and do not model the interactive and iterative investigation process, or they restrict themselves to the limited "out-of-the-box" capabilities of large pre-trained models without performing task-specific training. In contrast to this, we propose to model clinical decision-making for diagnosis with a hypothesis-driven uncertainty-aware language agent, LA-CDM, that converges towards a diagnosis via repeatedly requesting and interpreting relevant tests. Using a hybrid training paradigm combining supervised and reinforcement learning, we train LA-CDM with three objectives targeting critical aspects of clinical decision-making: accurate hypothesis generation, hypothesis uncertainty estimation, and efficient decision-making. Code/project link: https://github.com/dharouni/LA-CDM

ICLR 2026 Poster accepted paper at ICLR 2026. Recent advances in image-text pretraining have significantly enhanced visual understanding by aligning visual and textual representations. Contrastive Language-Image Pretraining (CLIP) has played a pivotal role in multimodal learning. However, its focus on single-label, single-granularity alignment limits its effectiveness in complex domains such as medical imaging, where images often correspond to multiple labels across different levels of granularity. To address this, we propose Multi-Granular Language Learning (MGLL), a contrastive learning framework designed to improve both multi-label and cross-granularity alignment. Code/project link: https://github.com/HUANGLIZI/MGLL

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. Interpreting clinical electroencephalography (EEG) is a laborious, subjective process, and existing computational models are limited to narrow classification tasks rather than holistic interpretation. A key bottleneck for applying powerful Large Vision-Language Models (LVLMs) to this domain is the scarcity of datasets pairing EEG visualizations with fine-grained, expert-level annotations. We address this by introducing CerebraGloss, an instruction-tuned LVLM for nuanced EEG interpretation. We first introduce a novel, automated data generation pipeline, featuring a bespoke YOLO-based waveform detector, to programmatically create a large-scale corpus of EEG-text instruction data. Code/project link: https://github.com/iewug/CerebraGloss

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. Medical Vision-Language Models (VLMs) hold immense promise for complex clinical tasks, but their reasoning capabilities are often constrained by text-only paradigms that fail to ground inferences in visual evidence. This limitation not only curtails performance on tasks requiring fine-grained visual analysis but also introduces risks of visual hallucination in safety-critical applications. Thus, we introduce MedVR, a novel reinforcement learning framework that enables annotation-free visual reasoning for medical VLMs. Its core innovation lies in two synergistic mechanisms: Entropy-guided Visual Regrounding (EVR) uses model uncertainty to direct exploration, while Consensus-based Credit Assignment (CCA) distills pseudo-supervision from rollout agreement.

ICLR 2026 Poster accepted paper at ICLR 2026. The goal of personalized medicine is to discover a treatment regimen that optimizes a patient's clinical outcome based on their personal genetic and environmental factors. However, candidate treatments cannot be arbitrarily administered to the patient to assess their efficacy; we often instead have access to an *in silico* surrogate model that approximates the true fitness of a proposed treatment. Unfortunately, such surrogate models have been shown to fail to generalize to previously unseen patient-treatment combinations. We hypothesize that domain-specific prior knowledge—such as medical textbooks and biomedical knowledge graphs—can provide a meaningful alternative signal of the fitness of proposed treatments.

ICLR 2026 Poster accepted paper at ICLR 2026. Vision-Language Models (VLMs) for radiology report generation are typically trained to mimic the narrative flow of human experts. However, we identify a potential limitation in this conventional paradigm. We hypothesize that optimizing for narrative coherence encourages models to rely on linguistic priors and inter-sentence correlations, which can weaken their grounding in direct visual evidence and lead to factual inaccuracies. To investigate this, we design a controlled experiment demonstrating that as textual context increases, a model's reliance on the input image systematically decays. We propose LLaVA-TA (Topic-guided and Anatomy-aware), a new fine-tuning framework that directly addresses this challenge by re-engineering the generation process.

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. Large visual language models (VLMs) have shown strong multi-modal medical reasoning ability, but most operate as end-to-end black boxes, diverging from clinicians’ evidence-based, staged workflows and hindering clinical accountability. Complementarily, expert visual grounding models can accurately localize regions of interest (ROIs), providing explicit, reliable evidence that improves both reasoning accuracy and trust. In this paper, we introduce **CARE**, advancing **C**linical **A**ccountability in multi-modal medical **R**easoning with an **E**vidence-grounded agentic framework. Unlike existing approaches that couple grounding and reasoning within a single generalist model, CARE decomposes the task into coordinated sub-modules to reduce shortcut learning and hallucination: a compact VLM proposes relevant medical entities; an expert entity-referring segmentation model produces pixel-level ROI evidence; and a grounded VLM reasons over the full image augmented by ROI hints.

ICLR 2026 Poster accepted paper at ICLR 2026. We present a systematic study of medical-domain interpretability in Large Language Models (LLMs). We study how the LLMs both represent and process medical knowledge through four different interpretability techniques: (1) UMAP projections of intermediate activations, (2) gradient-based saliency with respect to the model weights, (3) layer lesioning/removal and (4) activation patching. We present knowledge maps of five LLMs which show, at a coarse-resolution, where knowledge about patient's ages, medical symptoms, diseases and drugs is stored in the models. In particular for Llama3.3-70B, we find that most medical knowledge is processed in the first half of the model's layers.

ICLR 2026 Poster accepted paper at ICLR 2026. Multimodal large language models are promising for clinical visual question answering tasks, but scaling to 3D imaging is hindered by high computational costs. Prior methods often rely on 2D slices or fixed-length token compression, disrupting volumetric continuity and obscuring subtle findings. We present Photon, a framework that represents 3D medical volumes with token sequences of variable length. Photon introduces instruction-conditioned token scheduling and surrogate gradient propagation to adaptively reduce tokens during both training and inference, which lowers computational cost while mitigating the attention dilution caused by redundant tokens.

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. The growing demand for prenatal ultrasound imaging has intensified a global shortage of trained sonographers, creating barriers to essential fetal health monitoring. Deep learning has the potential to enhance sonographers' efficiency and support the training of new practitioners. Vision-Language Models (VLMs) are particularly promising for ultrasound interpretation, as they can jointly process images and text to perform multiple clinical tasks within a single framework. However, despite the expansion of VLMs, no standardized benchmark exists to evaluate their performance in fetal ultrasound imaging. Code/project link: https://github.com/BioMedIA-MBZUAI/FETAL-GAUGE

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. Recent generative pre-trained vision–language (GPTv) models have achieved remarkable success in multi-modal understanding, inspiring their adaptation to medical imaging tasks such as disease diagnosis and visual question answering (VQA). However, current instruction-tuned GPTv models suffer from two key challenges: (1) medical attributes (e.g., disease names, severity grades) are encoded as plain text tokens, collapsing semantically distinct concepts into nearly identical textual sequences; and (2) inadequate textual supervision weakens visual representation learning, leading to severe inter-attribute confusion and misaligned vision–language embeddings. To address these limitations, we introduce attribute tokens (AttTok), a set of pre‑defined special tokens that uniquely encode clinical attributes (e.g., imaging modality, diagnosis, severity) within a structured token space. Complemented by attribute‑centric embedding books, AttTok serves as anchor points for aligning both visual and textual modalities into a shared, discriminative representation space.

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. Deploying clinical ML is slow and brittle: models that work at one hospital often degrade under distribution shifts at the next. In this work, we study a simple question -- can large language models (LLMs) create portable patient embeddings i.e. representations of patients enable a downstream predictor built on one hospital to be used elsewhere with minimal-to-no retraining and fine-tuning. To do so, we map from irregular ICU time series onto concise natural language summaries using a frozen LLM, then embed each summary with a frozen text embedding model to obtain a fixed length vector capable of serving as input to a variety of downstream predictors.

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. 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 introducing AttTok, a medical vision-language method that uses predefined attribute tokens and attribute-centric mechanisms to improve medical image understanding, including classification and visual question answering.

Nature Medicine paper on Med-PaLM 2 and expert-level medical question answering with large language models.

CMB is a comprehensive Chinese medical benchmark for evaluating medical large language models on medical exams, reasoning, and clinical knowledge questions. It is suited for Chinese medical QA, LLM evaluation, and instruction-following assessment.

CBLUE is a Chinese biomedical language understanding benchmark covering real-world biomedical NLP tasks such as named entity recognition, relation extraction, term normalization, clinical trial classification, sentence similarity, and medical question answering. It is useful for evaluating Chinese clinical NLP models and medical language models.

CCF-Deadlines lists EMNLP 2026 with papers due 2026-05-25 UTC-12 and conference dates 2026-10-24 to 2026-10-29 in Budapest. EMNLP is relevant to clinical NLP, biomedical language models, medical text mining, EHR note understanding, and safe medical LLM evaluation.