Daily Papers

Medical visual question answering (VQA) aims to answer clinically relevant questions regarding input medical images. This technique has the potential to improve the efficiency of medical professionals while relieving the burden on the public health system, particularly in resource-poor countries. Existing medical VQA methods tend to encode medical images and learn the correspondence between visual features and questions without exploiting the spatial, semantic, or medical knowledge behind them. This is partially because of the small size of the current medical VQA dataset, which often includes simple questions. Therefore, we first collected a comprehensive and large-scale medical VQA dataset, focusing on chest X-ray images. The questions involved detailed relationships, such as disease names, locations, levels, and types in our dataset. Based on this dataset, we also propose a novel baseline method by constructing three different relationship graphs: spatial relationship, semantic relationship, and implicit relationship graphs on the image regions, questions, and semantic labels. The answer and graph reasoning paths are learned for different questions.

Traditional approaches for Visual Question Answering (VQA) require large amount of labeled data for training. Unfortunately, such large scale data is usually not available for medical domain. In this paper, we propose a novel medical VQA framework that overcomes the labeled data limitation. The proposed framework explores the use of the unsupervised Denoising Auto-Encoder (DAE) and the supervised Meta-Learning. The advantage of DAE is to leverage the large amount of unlabeled images while the advantage of Meta-Learning is to learn meta-weights that quickly adapt to VQA problem with limited labeled data. By leveraging the advantages of these techniques, it allows the proposed framework to be efficiently trained using a small labeled training set. The experimental results show that our proposed method significantly outperforms the state-of-the-art medical VQA.

Is it possible to develop an "AI Pathologist" to pass the board-certified examination of the American Board of Pathology? To achieve this goal, the first step is to create a visual question answering (VQA) dataset where the AI agent is presented with a pathology image together with a question and is asked to give the correct answer. Our work makes the first attempt to build such a dataset. Different from creating general-domain VQA datasets where the images are widely accessible and there are many crowdsourcing workers available and capable of generating question-answer pairs, developing a medical VQA dataset is much more challenging. First, due to privacy concerns, pathology images are usually not publicly available. Second, only well-trained pathologists can understand pathology images, but they barely have time to help create datasets for AI research. To address these challenges, we resort to pathology textbooks and online digital libraries. We develop a semi-automated pipeline to extract pathology images and captions from textbooks and generate question-answer pairs from captions using natural language processing. We collect 32,799 open-ended questions from 4,998 pathology images where each question is manually checked to ensure correctness. To our best knowledge, this is the first dataset for pathology VQA. Our dataset will be released publicly to promote research in medical VQA.

Electronic Health Records (EHRs), which contain patients' medical histories in various multi-modal formats, often overlook the potential for joint reasoning across imaging and table modalities underexplored in current EHR Question Answering (QA) systems. In this paper, we introduce EHRXQA, a novel multi-modal question answering dataset combining structured EHRs and chest X-ray images. To develop our dataset, we first construct two uni-modal resources: 1) The MIMIC- CXR-VQA dataset, our newly created medical visual question answering (VQA) benchmark, specifically designed to augment the imaging modality in EHR QA, and 2) EHRSQL (MIMIC-IV), a refashioned version of a previously established table-based EHR QA dataset. By integrating these two uni-modal resources, we successfully construct a multi-modal EHR QA dataset that necessitates both uni-modal and cross-modal reasoning. To address the unique challenges of multi-modal questions within EHRs, we propose a NeuralSQL-based strategy equipped with an external VQA API. This pioneering endeavor enhances engagement with multi-modal EHR sources and we believe that our dataset can catalyze advances in real-world medical scenarios such as clinical decision-making and research. EHRXQA is available at https://github.com/baeseongsu/ehrxqa.

Medical visual question answering (VQA) is a challenging multimodal task, where Vision-Language Pre-training (VLP) models can effectively improve the generalization performance. However, most methods in the medical field treat VQA as an answer classification task which is difficult to transfer to practical application scenarios. Additionally, due to the privacy of medical images and the expensive annotation process, large-scale medical image-text pairs datasets for pretraining are severely lacking. In this paper, we propose a large-scale MultI-task Self-Supervised learning based framework (MISS) for medical VQA tasks. Unlike existing methods, we treat medical VQA as a generative task. We unify the text encoder and multimodal encoder and align image-text features through multi-task learning. Furthermore, we propose a Transfer-and-Caption method that extends the feature space of single-modal image datasets using large language models (LLMs), enabling those traditional medical vision field task data to be applied to VLP. Experiments show that our method achieves excellent results with fewer multimodal datasets and demonstrates the advantages of generative VQA models. The code and model weights will be released upon the paper's acceptance.

Medicine, by its nature, is a multifaceted domain that requires the synthesis of information across various modalities. Medical generative vision-language models (VLMs) make a first step in this direction and promise many exciting clinical applications. However, existing models typically have to be fine-tuned on sizeable down-stream datasets, which poses a significant limitation as in many medical applications data is scarce, necessitating models that are capable of learning from few examples in real-time. Here we propose Med-Flamingo, a multimodal few-shot learner adapted to the medical domain. Based on OpenFlamingo-9B, we continue pre-training on paired and interleaved medical image-text data from publications and textbooks. Med-Flamingo unlocks few-shot generative medical visual question answering (VQA) abilities, which we evaluate on several datasets including a novel challenging open-ended VQA dataset of visual USMLE-style problems. Furthermore, we conduct the first human evaluation for generative medical VQA where physicians review the problems and blinded generations in an interactive app. Med-Flamingo improves performance in generative medical VQA by up to 20\% in clinician's rating and firstly enables multimodal medical few-shot adaptations, such as rationale generation. We release our model, code, and evaluation app under https://github.com/snap-stanford/med-flamingo.

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

Large Vision-Language Models (LVLMs) have demonstrated remarkable capabilities in various multimodal tasks. However, their potential in the medical domain remains largely unexplored. A significant challenge arises from the scarcity of diverse medical images spanning various modalities and anatomical regions, which is essential in real-world medical applications. To solve this problem, in this paper, we introduce OmniMedVQA, a novel comprehensive medical Visual Question Answering (VQA) benchmark. This benchmark is collected from 75 different medical datasets, including 12 different modalities and covering more than 20 distinct anatomical regions. Importantly, all images in this benchmark are sourced from authentic medical scenarios, ensuring alignment with the requirements of the medical field and suitability for evaluating LVLMs. Through our extensive experiments, we have found that existing LVLMs struggle to address these medical VQA problems effectively. Moreover, what surprises us is that medical-specialized LVLMs even exhibit inferior performance to those general-domain models, calling for a more versatile and robust LVLM in the biomedical field. The evaluation results not only reveal the current limitations of LVLM in understanding real medical images but also highlight our dataset's significance. Our dataset will be made publicly available.

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

Medical visual question answering (Med-VQA) has tremendous potential in healthcare. However, the development of this technology is hindered by the lacking of publicly-available and high-quality labeled datasets for training and evaluation. In this paper, we present a large bilingual dataset, SLAKE, with comprehensive semantic labels annotated by experienced physicians and a new structural medical knowledge base for Med-VQA. Besides, SLAKE includes richer modalities and covers more human body parts than the currently available dataset. We show that SLAKE can be used to facilitate the development and evaluation of Med-VQA systems. The dataset can be downloaded from http://www.med-vqa.com/slake.

Multimodal large language models (MLLMs) represent an evolutionary expansion in the capabilities of traditional large language models, enabling them to tackle challenges that surpass the scope of purely text-based applications. It leverages the knowledge previously encoded within these language models, thereby enhancing their applicability and functionality in the reign of multimodal contexts. Recent works investigate the adaptation of MLLMs to predict free-form answers as a generative task to solve medical visual question answering (Med-VQA) tasks. In this paper, we propose a parameter efficient framework for fine-tuning MLLM specifically tailored to Med-VQA applications, and empirically validate it on a public benchmark dataset. To accurately measure the performance, we employ human evaluation and the results reveal that our model achieves an overall accuracy of 81.9%, and outperforms the GPT-4v model by a significant margin of 26% absolute accuracy on closed-ended questions. The code will be available here: https://github.com/jinlHe/PeFoMed.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

In recent advancements, multimodal large language models (MLLMs) have been fine-tuned on specific medical image datasets to address medical visual question answering (Med-VQA) tasks. However, this common approach of task-specific fine-tuning is costly and necessitates separate models for each downstream task, limiting the exploration of zero-shot capabilities. In this paper, we introduce MC-CoT, a modular cross-modal collaboration Chain-of-Thought (CoT) framework designed to enhance the zero-shot performance of MLLMs in Med-VQA by leveraging large language models (LLMs). MC-CoT improves reasoning and information extraction by integrating medical knowledge and task-specific guidance, where LLM provides various complex medical reasoning chains and MLLM provides various observations of medical images based on instructions of the LLM. Our experiments on datasets such as SLAKE, VQA-RAD, and PATH-VQA show that MC-CoT surpasses standalone MLLMs and various multimodality CoT frameworks in recall rate and accuracy. These findings highlight the importance of incorporating background information and detailed guidance in addressing complex zero-shot Med-VQA tasks.

Artificial intelligence has advanced in Medical Visual Question Answering (Med-VQA), but prevalent research tends to focus on the accuracy of the answers, often overlooking the reasoning paths and interpretability, which are crucial in clinical settings. Besides, current Med-VQA algorithms, typically reliant on singular models, lack the robustness needed for real-world medical diagnostics which usually require collaborative expert evaluation. To address these shortcomings, this paper presents MedCoT, a novel hierarchical expert verification reasoning chain method designed to enhance interpretability and accuracy in biomedical imaging inquiries. MedCoT is predicated on two principles: The necessity for explicit reasoning paths in Med-VQA and the requirement for multi-expert review to formulate accurate conclusions. The methodology involves an Initial Specialist proposing diagnostic rationales, followed by a Follow-up Specialist who validates these rationales, and finally, a consensus is reached through a vote among a sparse Mixture of Experts within the locally deployed Diagnostic Specialist, which then provides the definitive diagnosis. Experimental evaluations on four standard Med-VQA datasets demonstrate that MedCoT surpasses existing state-of-the-art approaches, providing significant improvements in performance and interpretability.

In this paper, we focus on the problem of Medical Visual Question Answering (MedVQA), which is crucial in efficiently interpreting medical images with vital clinic-relevant information. Firstly, we reframe the problem of MedVQA as a generation task that naturally follows the human-machine interaction, we propose a generative-based model for medical visual understanding by aligning visual information from a pre-trained vision encoder with a large language model. Secondly, we establish a scalable pipeline to construct a large-scale medical visual question-answering dataset, named PMC-VQA, which contains 227k VQA pairs of 149k images that cover various modalities or diseases. Thirdly, we pre-train our proposed model on PMC-VQA and then fine-tune it on multiple public benchmarks, e.g., VQA-RAD and SLAKE, outperforming existing work by a large margin. Additionally, we propose a test set that has undergone manual verification, which is significantly more challenging, even the best models struggle to solve.

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.

Biomedical visual question answering (VQA) has been widely studied and has demonstrated significant application value and potential in fields such as assistive medical diagnosis. Despite their success, current biomedical VQA models perform multimodal information interaction only at the model level within large language models (LLMs), leading to suboptimal multimodal semantic alignment when dealing with complex tasks. To address this issue, we propose BioD2C: a novel Dual-level Semantic Consistency Constraint Framework for Biomedical VQA, which achieves dual-level semantic interaction alignment at both the model and feature levels, enabling the model to adaptively learn visual features based on the question. Specifically, we firstly integrate textual features into visual features via an image-text fusion mechanism as feature-level semantic interaction, obtaining visual features conditioned on the given text; and then introduce a text-queue-based cross-modal soft semantic loss function to further align the image semantics with the question semantics. Specifically, in this work, we establish a new dataset, BioVGQ, to address inherent biases in prior datasets by filtering manually-altered images and aligning question-answer pairs with multimodal context, and train our model on this dataset. Extensive experimental results demonstrate that BioD2C achieves state-of-the-art (SOTA) performance across multiple downstream datasets, showcasing its robustness, generalizability, and potential to advance biomedical VQA research.

Many clinical tasks require an understanding of specialized data, such as medical images and genomics, which is not typically found in general-purpose large multimodal models. Building upon Gemini's multimodal models, we develop several models within the new Med-Gemini family that inherit core capabilities of Gemini and are optimized for medical use via fine-tuning with 2D and 3D radiology, histopathology, ophthalmology, dermatology and genomic data. Med-Gemini-2D sets a new standard for AI-based chest X-ray (CXR) report generation based on expert evaluation, exceeding previous best results across two separate datasets by an absolute margin of 1% and 12%, where 57% and 96% of AI reports on normal cases, and 43% and 65% on abnormal cases, are evaluated as "equivalent or better" than the original radiologists' reports. We demonstrate the first ever large multimodal model-based report generation for 3D computed tomography (CT) volumes using Med-Gemini-3D, with 53% of AI reports considered clinically acceptable, although additional research is needed to meet expert radiologist reporting quality. Beyond report generation, Med-Gemini-2D surpasses the previous best performance in CXR visual question answering (VQA) and performs well in CXR classification and radiology VQA, exceeding SoTA or baselines on 17 of 20 tasks. In histopathology, ophthalmology, and dermatology image classification, Med-Gemini-2D surpasses baselines across 18 out of 20 tasks and approaches task-specific model performance. Beyond imaging, Med-Gemini-Polygenic outperforms the standard linear polygenic risk score-based approach for disease risk prediction and generalizes to genetically correlated diseases for which it has never been trained. Although further development and evaluation are necessary in the safety-critical medical domain, our results highlight the potential of Med-Gemini across a wide range of medical tasks.

We introduce Kvasir-VQA, an extended dataset derived from the HyperKvasir and Kvasir-Instrument datasets, augmented with question-and-answer annotations to facilitate advanced machine learning tasks in Gastrointestinal (GI) diagnostics. This dataset comprises 6,500 annotated images spanning various GI tract conditions and surgical instruments, and it supports multiple question types including yes/no, choice, location, and numerical count. The dataset is intended for applications such as image captioning, Visual Question Answering (VQA), text-based generation of synthetic medical images, object detection, and classification. Our experiments demonstrate the dataset's effectiveness in training models for three selected tasks, showcasing significant applications in medical image analysis and diagnostics. We also present evaluation metrics for each task, highlighting the usability and versatility of our dataset. The dataset and supporting artifacts are available at https://datasets.simula.no/kvasir-vqa.

In this paper, we critically evaluate the capabilities of the state-of-the-art multimodal large language model, i.e., GPT-4 with Vision (GPT-4V), on Visual Question Answering (VQA) task. Our experiments thoroughly assess GPT-4V's proficiency in answering questions paired with images using both pathology and radiology datasets from 11 modalities (e.g. Microscopy, Dermoscopy, X-ray, CT, etc.) and fifteen objects of interests (brain, liver, lung, etc.). Our datasets encompass a comprehensive range of medical inquiries, including sixteen distinct question types. Throughout our evaluations, we devised textual prompts for GPT-4V, directing it to synergize visual and textual information. The experiments with accuracy score conclude that the current version of GPT-4V is not recommended for real-world diagnostics due to its unreliable and suboptimal accuracy in responding to diagnostic medical questions. In addition, we delineate seven unique facets of GPT-4V's behavior in medical VQA, highlighting its constraints within this complex arena. The complete details of our evaluation cases are accessible at https://github.com/ZhilingYan/GPT4V-Medical-Report.

Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities. Thus, they face specific challenges, including limited clinical relevance, incomplete evaluations, and insufficient guidance for interactive LVLMs. To address these limitations, we developed the GMAI-MMBench, the most comprehensive general medical AI benchmark with well-categorized data structure and multi-perceptual granularity to date. It is constructed from 285 datasets across 39 medical image modalities, 18 clinical-related tasks, 18 departments, and 4 perceptual granularities in a Visual Question Answering (VQA) format. Additionally, we implemented a lexical tree structure that allows users to customize evaluation tasks, accommodating various assessment needs and substantially supporting medical AI research and applications. We evaluated 50 LVLMs, and the results show that even the advanced GPT-4o only achieves an accuracy of 52%, indicating significant room for improvement. Moreover, we identified five key insufficiencies in current cutting-edge LVLMs that need to be addressed to advance the development of better medical applications. We believe that GMAI-MMBench will stimulate the community to build the next generation of LVLMs toward GMAI. Project Page: https://uni-medical.github.io/GMAI-MMBench.github.io/

Recent advancements in artificial intelligence (AI) have precipitated significant breakthroughs in healthcare, particularly in refining diagnostic procedures. However, previous studies have often been constrained to limited functionalities. This study introduces MiniGPT-Med, a vision-language model derived from large-scale language models and tailored for medical applications. MiniGPT-Med demonstrates remarkable versatility across various imaging modalities, including X-rays, CT scans, and MRIs, enhancing its utility. The model is capable of performing tasks such as medical report generation, visual question answering (VQA), and disease identification within medical imagery. Its integrated processing of both image and textual clinical data markedly improves diagnostic accuracy. Our empirical assessments confirm MiniGPT-Med's superior performance in disease grounding, medical report generation, and VQA benchmarks, representing a significant step towards reducing the gap in assisting radiology practice. Furthermore, it achieves state-of-the-art performance on medical report generation, higher than the previous best model by 19\% accuracy. MiniGPT-Med promises to become a general interface for radiology diagnoses, enhancing diagnostic efficiency across a wide range of medical imaging applications.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

The previous advancements in pathology image understanding primarily involved developing models tailored to specific tasks. Recent studies has demonstrated that the large vision-language model can enhance the performance of various downstream tasks in medical image understanding. In this study, we developed a domain-specific large language-vision assistant (PA-LLaVA) for pathology image understanding. Specifically, (1) we first construct a human pathology image-text dataset by cleaning the public medical image-text data for domain-specific alignment; (2) Using the proposed image-text data, we first train a pathology language-image pretraining (PLIP) model as the specialized visual encoder for pathology image, and then we developed scale-invariant connector to avoid the information loss caused by image scaling; (3) We adopt two-stage learning to train PA-LLaVA, first stage for domain alignment, and second stage for end to end visual question \& answering (VQA) task. In experiments, we evaluate our PA-LLaVA on both supervised and zero-shot VQA datasets, our model achieved the best overall performance among multimodal models of similar scale. The ablation experiments also confirmed the effectiveness of our design. We posit that our PA-LLaVA model and the datasets presented in this work can promote research in field of computational pathology. All codes are available at: https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA}{https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA

Contrastive Language--Image Pre-training (CLIP) has shown remarkable success in learning with cross-modal supervision from extensive amounts of image--text pairs collected online. Thus far, the effectiveness of CLIP has been investigated primarily in general-domain multimodal problems. This work evaluates the effectiveness of CLIP for the task of Medical Visual Question Answering (MedVQA). To this end, we present PubMedCLIP, a fine-tuned version of CLIP for the medical domain based on PubMed articles. Our experiments are conducted on two MedVQA benchmark datasets and investigate two MedVQA methods, MEVF (Mixture of Enhanced Visual Features) and QCR (Question answering via Conditional Reasoning). For each of these, we assess the merits of visual representation learning using PubMedCLIP, the original CLIP, and state-of-the-art MAML (Model-Agnostic Meta-Learning) networks pre-trained only on visual data. We open source the code for our MedVQA pipeline and pre-training PubMedCLIP. CLIP and PubMedCLIP achieve improvements in comparison to MAML's visual encoder. PubMedCLIP achieves the best results with gains in the overall accuracy of up to 3%. Individual examples illustrate the strengths of PubMedCLIP in comparison to the previously widely used MAML networks. Visual representation learning with language supervision in PubMedCLIP leads to noticeable improvements for MedVQA. Our experiments reveal distributional differences in the two MedVQA benchmark datasets that have not been imparted in previous work and cause different back-end visual encoders in PubMedCLIP to exhibit different behavior on these datasets. Moreover, we witness fundamental performance differences of VQA in general versus medical domains.

Visual Question Answering (VQA) is a challenging task of natural language processing (NLP) and computer vision (CV), attracting significant attention from researchers. English is a resource-rich language that has witnessed various developments in datasets and models for visual question answering. Visual question answering in other languages also would be developed for resources and models. In addition, there is no multilingual dataset targeting the visual content of a particular country with its own objects and cultural characteristics. To address the weakness, we provide the research community with a benchmark dataset named EVJVQA, including 33,000+ pairs of question-answer over three languages: Vietnamese, English, and Japanese, on approximately 5,000 images taken from Vietnam for evaluating multilingual VQA systems or models. EVJVQA is used as a benchmark dataset for the challenge of multilingual visual question answering at the 9th Workshop on Vietnamese Language and Speech Processing (VLSP 2022). This task attracted 62 participant teams from various universities and organizations. In this article, we present details of the organization of the challenge, an overview of the methods employed by shared-task participants, and the results. The highest performances are 0.4392 in F1-score and 0.4009 in BLUE on the private test set. The multilingual QA systems proposed by the top 2 teams use ViT for the pre-trained vision model and mT5 for the pre-trained language model, a powerful pre-trained language model based on the transformer architecture. EVJVQA is a challenging dataset that motivates NLP and CV researchers to further explore the multilingual models or systems for visual question answering systems. We released the challenge on the Codalab evaluation system for further research.

In recent years, visual question answering (VQA) has attracted attention from the research community because of its highly potential applications (such as virtual assistance on intelligent cars, assistant devices for blind people, or information retrieval from document images using natural language as queries) and challenge. The VQA task requires methods that have the ability to fuse the information from questions and images to produce appropriate answers. Neural visual question answering models have achieved tremendous growth on large-scale datasets which are mostly for resource-rich languages such as English. However, available datasets narrow the VQA task as the answers selection task or answer classification task. We argue that this form of VQA is far from human ability and eliminates the challenge of the answering aspect in the VQA task by just selecting answers rather than generating them. In this paper, we introduce the OpenViVQA (Open-domain Vietnamese Visual Question Answering) dataset, the first large-scale dataset for VQA with open-ended answers in Vietnamese, consists of 11,000+ images associated with 37,000+ question-answer pairs (QAs). Moreover, we proposed FST, QuMLAG, and MLPAG which fuse information from images and answers, then use these fused features to construct answers as humans iteratively. Our proposed methods achieve results that are competitive with SOTA models such as SAAA, MCAN, LORA, and M4C. The dataset is available to encourage the research community to develop more generalized algorithms including transformers for low-resource languages such as Vietnamese.

Visual question answering (VQA) is known as an AI-complete task as it requires understanding, reasoning, and inferring about the vision and the language content. Over the past few years, numerous neural architectures have been suggested for the VQA problem. However, achieving success in zero-shot VQA remains a challenge due to its requirement for advanced generalization and reasoning skills. This study explores the impact of incorporating image captioning as an intermediary process within the VQA pipeline. Specifically, we explore the efficacy of utilizing image captions instead of images and leveraging large language models (LLMs) to establish a zero-shot setting. Since image captioning is the most crucial step in this process, we compare the impact of state-of-the-art image captioning models on VQA performance across various question types in terms of structure and semantics. We propose a straightforward and efficient question-driven image captioning approach within this pipeline to transfer contextual information into the question-answering (QA) model. This method involves extracting keywords from the question, generating a caption for each image-question pair using the keywords, and incorporating the question-driven caption into the LLM prompt. We evaluate the efficacy of using general-purpose and question-driven image captions in the VQA pipeline. Our study highlights the potential of employing image captions and harnessing the capabilities of LLMs to achieve competitive performance on GQA under the zero-shot setting. Our code is available at https://github.com/ovguyo/captions-in-VQA.

Visual Question Answering (VQA) is a complicated task that requires the capability of simultaneously processing natural language and images. Initially, this task was researched, focusing on methods to help machines understand objects and scene contexts in images. However, some text appearing in the image that carries explicit information about the full content of the image is not mentioned. Along with the continuous development of the AI era, there have been many studies on the reading comprehension ability of VQA models in the world. As a developing country, conditions are still limited, and this task is still open in Vietnam. Therefore, we introduce the first large-scale dataset in Vietnamese specializing in the ability to understand text appearing in images, we call it ViTextVQA (Vietnamese Text-based Visual Question Answering dataset) which contains over 16,000 images and over 50,000 questions with answers. Through meticulous experiments with various state-of-the-art models, we uncover the significance of the order in which tokens in OCR text are processed and selected to formulate answers. This finding helped us significantly improve the performance of the baseline models on the ViTextVQA dataset. Our dataset is available at this https://github.com/minhquan6203/ViTextVQA-Dataset{link} for research purposes.

Visual Question Answering (VQA) in its ideal form lets us study reasoning in the joint space of vision and language and serves as a proxy for the AI task of scene understanding. However, most VQA benchmarks to date are focused on questions such as simple counting, visual attributes, and object detection that do not require reasoning or knowledge beyond what is in the image. In this paper, we address the task of knowledge-based visual question answering and provide a benchmark, called OK-VQA, where the image content is not sufficient to answer the questions, encouraging methods that rely on external knowledge resources. Our new dataset includes more than 14,000 questions that require external knowledge to answer. We show that the performance of the state-of-the-art VQA models degrades drastically in this new setting. Our analysis shows that our knowledge-based VQA task is diverse, difficult, and large compared to previous knowledge-based VQA datasets. We hope that this dataset enables researchers to open up new avenues for research in this domain. See http://okvqa.allenai.org to download and browse the dataset.

Visual Question-Answering (VQA) has become a key use-case in several applications to aid user experience, particularly after Vision-Language Models (VLMs) achieving good results in zero-shot inference. But evaluating different VLMs for an application requirement using a standardized framework in practical settings is still challenging. This paper introduces a comprehensive framework for evaluating VLMs tailored to VQA tasks in practical settings. We present a novel dataset derived from established VQA benchmarks, annotated with task types, application domains, and knowledge types, three key practical aspects on which tasks can vary. We also introduce GoEval, a multimodal evaluation metric developed using GPT-4o, achieving a correlation factor of 56.71% with human judgments. Our experiments with ten state-of-the-art VLMs reveals that no single model excelling universally, making appropriate selection a key design decision. Proprietary models such as Gemini-1.5-Pro and GPT-4o-mini generally outperform others, though open-source models like InternVL-2-8B and CogVLM-2-Llama-3-19B demonstrate competitive strengths in specific contexts, while providing additional advantages. This study guides the selection of VLMs based on specific task requirements and resource constraints, and can also be extended to other vision-language tasks.

The Visual Question Answering (VQA) task aspires to provide a meaningful testbed for the development of AI models that can jointly reason over visual and natural language inputs. Despite a proliferation of VQA datasets, this goal is hindered by a set of common limitations. These include a reliance on relatively simplistic questions that are repetitive in both concepts and linguistic structure, little world knowledge needed outside of the paired image, and limited reasoning required to arrive at the correct answer. We introduce A-OKVQA, a crowdsourced dataset composed of a diverse set of about 25K questions requiring a broad base of commonsense and world knowledge to answer. In contrast to the existing knowledge-based VQA datasets, the questions generally cannot be answered by simply querying a knowledge base, and instead require some form of commonsense reasoning about the scene depicted in the image. We demonstrate the potential of this new dataset through a detailed analysis of its contents and baseline performance measurements over a variety of state-of-the-art vision-language models. Project page: http://a-okvqa.allenai.org/

Visual Question Answering (VQA) is an important task in multimodal AI, and it is often used to test the ability of vision-language models to understand and reason on knowledge present in both visual and textual data. However, most of the current VQA models use datasets that are primarily focused on English and a few major world languages, with images that are typically Western-centric. While recent efforts have tried to increase the number of languages covered on VQA datasets, they still lack diversity in low-resource languages. More importantly, although these datasets often extend their linguistic range via translation or some other approaches, they usually keep images the same, resulting in narrow cultural representation. To address these limitations, we construct CVQA, a new Culturally-diverse multilingual Visual Question Answering benchmark, designed to cover a rich set of languages and cultures, where we engage native speakers and cultural experts in the data collection process. As a result, CVQA includes culturally-driven images and questions from across 28 countries on four continents, covering 26 languages with 11 scripts, providing a total of 9k questions. We then benchmark several Multimodal Large Language Models (MLLMs) on CVQA, and show that the dataset is challenging for the current state-of-the-art models. This benchmark can serve as a probing evaluation suite for assessing the cultural capability and bias of multimodal models and hopefully encourage more research efforts toward increasing cultural awareness and linguistic diversity in this field.

Vision and language understanding has emerged as a subject undergoing intense study in Artificial Intelligence. Among many tasks in this line of research, visual question answering (VQA) has been one of the most successful ones, where the goal is to learn a model that understands visual content at region-level details and finds their associations with pairs of questions and answers in the natural language form. Despite the rapid progress in the past few years, most existing work in VQA have focused primarily on images. In this paper, we focus on extending VQA to the video domain and contribute to the literature in three important ways. First, we propose three new tasks designed specifically for video VQA, which require spatio-temporal reasoning from videos to answer questions correctly. Next, we introduce a new large-scale dataset for video VQA named TGIF-QA that extends existing VQA work with our new tasks. Finally, we propose a dual-LSTM based approach with both spatial and temporal attention, and show its effectiveness over conventional VQA techniques through empirical evaluations.

Visual Question Answering (VQA) entails answering questions about images. We introduce the first VQA dataset in which all contents originate from an authentic use case. Sourced from online question answering community forums, we call it VQAonline. We then characterize our dataset and how it relates to eight other VQA datasets. Observing that answers in our dataset tend to be much longer (e.g., with a mean of 173 words) and thus incompatible with standard VQA evaluation metrics, we next analyze which of the six popular metrics for longer text evaluation align best with human judgments. We then use the best-suited metrics to evaluate six state-of-the-art vision and language foundation models on VQAonline and reveal where they struggle most. We will release the dataset soon to facilitate future extensions.

Visual Question Answering (VQA) research seeks to create AI systems to answer natural language questions in images, yet VQA methods often yield overly simplistic and short answers. This paper aims to advance the field by introducing Visual Question Explanation (VQE), which enhances the ability of VQA to provide detailed explanations rather than brief responses and address the need for more complex interaction with visual content. We first created an MLVQE dataset from a 14-week streamed video machine learning course, including 885 slide images, 110,407 words of transcripts, and 9,416 designed question-answer (QA) pairs. Next, we proposed a novel SparrowVQE, a small 3 billion parameters multimodal model. We trained our model with a three-stage training mechanism consisting of multimodal pre-training (slide images and transcripts feature alignment), instruction tuning (tuning the pre-trained model with transcripts and QA pairs), and domain fine-tuning (fine-tuning slide image and QA pairs). Eventually, our SparrowVQE can understand and connect visual information using the SigLIP model with transcripts using the Phi-2 language model with an MLP adapter. Experimental results demonstrate that our SparrowVQE achieves better performance in our developed MLVQE dataset and outperforms state-of-the-art methods in the other five benchmark VQA datasets. The source code is available at https://github.com/YoushanZhang/SparrowVQE.

Visual question answering (VQA) is a challenging task that requires the ability to comprehend and reason with visual information. While recent vision-language models have made strides, they continue to struggle with zero-shot VQA, particularly in handling complex compositional questions and adapting to new domains i.e. knowledge-based reasoning. This paper explores the use of various prompting strategies, focusing on the BLIP2 model, to enhance zero-shot VQA performance. We conduct a comprehensive investigation across several VQA datasets, examining the effectiveness of different question templates, the role of few-shot exemplars, the impact of chain-of-thought (CoT) reasoning, and the benefits of incorporating image captions as additional visual cues. Despite the varied outcomes, our findings demonstrate that carefully designed question templates and the integration of additional visual cues, like image captions, can contribute to improved VQA performance, especially when used in conjunction with few-shot examples. However, we also identify a limitation in the use of chain-of-thought rationalization, which negatively affects VQA accuracy. Our study thus provides critical insights into the potential of prompting for improving zero-shot VQA performance.

Visual question answering (VQA) is the task of providing accurate answers to natural language questions based on visual input. Programmatic VQA (PVQA) models have been gaining attention recently. These use large language models (LLMs) to formulate executable programs that address questions requiring complex visual reasoning. However, there are challenges in enabling LLMs to comprehend the usage of image processing modules and generate relevant code. To overcome these challenges, this paper introduces PyramidCoder, a novel prompting framework for PVQA models. PyramidCoder consists of three hierarchical levels, each serving a distinct purpose: query rephrasing, code generation, and answer aggregation. Notably, PyramidCoder utilizes a single frozen LLM and pre-defined prompts at each level, eliminating the need for additional training and ensuring flexibility across various LLM architectures. Compared to the state-of-the-art PVQA model, our approach improves accuracy by at least 0.5% on the GQA dataset, 1.4% on the VQAv2 dataset, and 2.9% on the NLVR2 dataset.

Current Visual Question Answering (VQA) systems can answer intelligent questions about `Known' visual content. However, their performance drops significantly when questions about visually and linguistically `Unknown' concepts are presented during inference (`Open-world' scenario). A practical VQA system should be able to deal with novel concepts in real world settings. To address this problem, we propose an exemplar-based approach that transfers learning (i.e., knowledge) from previously `Known' concepts to answer questions about the `Unknown'. We learn a highly discriminative joint embedding space, where visual and semantic features are fused to give a unified representation. Once novel concepts are presented to the model, it looks for the closest match from an exemplar set in the joint embedding space. This auxiliary information is used alongside the given Image-Question pair to refine visual attention in a hierarchical fashion. Since handling the high dimensional exemplars on large datasets can be a significant challenge, we introduce an efficient matching scheme that uses a compact feature description for search and retrieval. To evaluate our model, we propose a new split for VQA, separating Unknown visual and semantic concepts from the training set. Our approach shows significant improvements over state-of-the-art VQA models on the proposed Open-World VQA dataset and standard VQA datasets.

Vision-Language (VL) models have gained significant research focus, enabling remarkable advances in multimodal reasoning. These architectures typically comprise a vision encoder, a Large Language Model (LLM), and a projection module that aligns visual features with the LLM's representation space. Despite their success, a critical limitation persists: the vision encoding process remains decoupled from user queries, often in the form of image-related questions. Consequently, the resulting visual features may not be optimally attuned to the query-specific elements of the image. To address this, we introduce QA-ViT, a Question Aware Vision Transformer approach for multimodal reasoning, which embeds question awareness directly within the vision encoder. This integration results in dynamic visual features focusing on relevant image aspects to the posed question. QA-ViT is model-agnostic and can be incorporated efficiently into any VL architecture. Extensive experiments demonstrate the effectiveness of applying our method to various multimodal architectures, leading to consistent improvement across diverse tasks and showcasing its potential for enhancing visual and scene-text understanding.

Despite recent advances in Vision-Language Models (VLMs), many still over-rely on visual language priors present in their training data rather than true visual reasoning. To examine the situation, we introduce ViLP, a visual question answering (VQA) benchmark that pairs each question with three potential answers and three corresponding images: one image whose answer can be inferred from text alone, and two images that demand visual reasoning. By leveraging image generative models, we ensure significant variation in texture, shape, conceptual combinations, hallucinated elements, and proverb-based contexts, making our benchmark images distinctly out-of-distribution. While humans achieve near-perfect accuracy, modern VLMs falter; for instance, GPT-4 achieves only 66.17% on ViLP. To alleviate this, we propose a self-improving framework in which models generate new VQA pairs and images, then apply pixel-level and semantic corruptions to form "good-bad" image pairs for self-training. Our training objectives compel VLMs to focus more on actual visual inputs and have demonstrated their effectiveness in enhancing the performance of open-source VLMs, including LLaVA-v1.5 and Cambrian.

Recent advances in Large Vision-Language Models (LVLMs) have significantly improve performance in image comprehension tasks, such as formatted charts and rich-content images. Yet, Graphical User Interface (GUI) pose a greater challenge due to their structured format and detailed textual information. Existing LVLMs often overly depend on internal knowledge and neglect image content, resulting in hallucinations and incorrect responses in GUI comprehension. To address these issues, we introduce VGA, a fine-tuned model designed for comprehensive GUI understanding. Our model aims to enhance the interpretation of visual data of GUI and reduce hallucinations. We first construct a Vision Question Answering (VQA) dataset of 63.8k high-quality examples with our propose Referent Method, which ensures the model's responses are highly depend on visual content within the image. We then design a two-stage fine-tuning method called Foundation and Advanced Comprehension (FAC) to enhance both the model's ability to extract information from image content and alignment with human intent. Experiments show that our approach enhances the model's ability to extract information from images and achieves state-of-the-art results in GUI understanding tasks. Our dataset and fine-tuning script will be released soon.

The advent and proliferation of large multi-modal models (LMMs) have introduced new paradigms to computer vision, transforming various tasks into a unified visual question answering framework. Video Quality Assessment (VQA), a classic field in low-level visual perception, focused initially on quantitative video quality scoring. However, driven by advances in LMMs, it is now progressing toward more holistic visual quality understanding tasks. Recent studies in the image domain have demonstrated that Visual Question Answering (VQA) can markedly enhance low-level visual quality evaluation. Nevertheless, related work has not been explored in the video domain, leaving substantial room for improvement. To address this gap, we introduce the VQA2 Instruction Dataset - the first visual question answering instruction dataset that focuses on video quality assessment. This dataset consists of 3 subsets and covers various video types, containing 157,755 instruction question-answer pairs. Then, leveraging this foundation, we present the VQA2 series models. The VQA2 series models interleave visual and motion tokens to enhance the perception of spatial-temporal quality details in videos. We conduct extensive experiments on video quality scoring and understanding tasks, and results demonstrate that the VQA2series models achieve excellent performance in both tasks. Notably, our final model, the VQA2-Assistant, exceeds the renowned GPT-4o in visual quality understanding tasks while maintaining strong competitiveness in quality scoring tasks. Our work provides a foundation and feasible approach for integrating low-level video quality assessment and understanding with LMMs.

Visual question answering is a task of predicting the answer to a question about an image. Given that different people can provide different answers to a visual question, we aim to better understand why with answer groundings. We introduce the first dataset that visually grounds each unique answer to each visual question, which we call VQAAnswerTherapy. We then propose two novel problems of predicting whether a visual question has a single answer grounding and localizing all answer groundings. We benchmark modern algorithms for these novel problems to show where they succeed and struggle. The dataset and evaluation server can be found publicly at https://vizwiz.org/tasks-and-datasets/vqa-answer-therapy/.

Optical Character Recognition - Visual Question Answering (OCR-VQA) is the task of answering text information contained in images that have just been significantly developed in the English language in recent years. However, there are limited studies of this task in low-resource languages such as Vietnamese. To this end, we introduce a novel dataset, ViOCRVQA (Vietnamese Optical Character Recognition - Visual Question Answering dataset), consisting of 28,000+ images and 120,000+ question-answer pairs. In this dataset, all the images contain text and questions about the information relevant to the text in the images. We deploy ideas from state-of-the-art methods proposed for English to conduct experiments on our dataset, revealing the challenges and difficulties inherent in a Vietnamese dataset. Furthermore, we introduce a novel approach, called VisionReader, which achieved 0.4116 in EM and 0.6990 in the F1-score on the test set. Through the results, we found that the OCR system plays a very important role in VQA models on the ViOCRVQA dataset. In addition, the objects in the image also play a role in improving model performance. We open access to our dataset at link (https://github.com/qhnhynmm/ViOCRVQA.git) for further research in OCR-VQA task in Vietnamese.

Document Visual Question Answering (VQA) aims to understand visually-rich documents to answer questions in natural language, which is an emerging research topic for both Natural Language Processing and Computer Vision. In this work, we introduce a new Document VQA dataset, named TAT-DQA, which consists of 3,067 document pages comprising semi-structured table(s) and unstructured text as well as 16,558 question-answer pairs by extending the TAT-QA dataset. These documents are sampled from real-world financial reports and contain lots of numbers, which means discrete reasoning capability is demanded to answer questions on this dataset. Based on TAT-DQA, we further develop a novel model named MHST that takes into account the information in multi-modalities, including text, layout and visual image, to intelligently address different types of questions with corresponding strategies, i.e., extraction or reasoning. Extensive experiments show that the MHST model significantly outperforms the baseline methods, demonstrating its effectiveness. However, the performance still lags far behind that of expert humans. We expect that our new TAT-DQA dataset would facilitate the research on deep understanding of visually-rich documents combining vision and language, especially for scenarios that require discrete reasoning. Also, we hope the proposed model would inspire researchers to design more advanced Document VQA models in future. Our dataset will be publicly available for non-commercial use at https://nextplusplus.github.io/TAT-DQA/.

In question-answering scenarios, humans can assess whether the available information is sufficient and seek additional information if necessary, rather than providing a forced answer. In contrast, Vision Language Models (VLMs) typically generate direct, one-shot responses without evaluating the sufficiency of the information. To investigate this gap, we identify a critical and challenging task in the Visual Question Answering (VQA) scenario: can VLMs indicate how to adjust an image when the visual information is insufficient to answer a question? This capability is especially valuable for assisting visually impaired individuals who often need guidance to capture images correctly. To evaluate this capability of current VLMs, we introduce a human-labeled dataset as a benchmark for this task. Additionally, we present an automated framework that generates synthetic training data by simulating ``where to know'' scenarios. Our empirical results show significant performance improvements in mainstream VLMs when fine-tuned with this synthetic data. This study demonstrates the potential to narrow the gap between information assessment and acquisition in VLMs, bringing their performance closer to humans.

Infographics are documents designed to effectively communicate information using a combination of textual, graphical and visual elements. In this work, we explore the automatic understanding of infographic images by using Visual Question Answering technique.To this end, we present InfographicVQA, a new dataset that comprises a diverse collection of infographics along with natural language questions and answers annotations. The collected questions require methods to jointly reason over the document layout, textual content, graphical elements, and data visualizations. We curate the dataset with emphasis on questions that require elementary reasoning and basic arithmetic skills. Finally, we evaluate two strong baselines based on state of the art multi-modal VQA models, and establish baseline performance for the new task. The dataset, code and leaderboard will be made available at http://docvqa.org

Multimodal/vision language models (VLMs) are increasingly being deployed in healthcare settings worldwide, necessitating robust benchmarks to ensure their safety, efficacy, and fairness. Multiple-choice question and answer (QA) datasets derived from national medical examinations have long served as valuable evaluation tools, but existing datasets are largely text-only and available in a limited subset of languages and countries. To address these challenges, we present WorldMedQA-V, an updated multilingual, multimodal benchmarking dataset designed to evaluate VLMs in healthcare. WorldMedQA-V includes 568 labeled multiple-choice QAs paired with 568 medical images from four countries (Brazil, Israel, Japan, and Spain), covering original languages and validated English translations by native clinicians, respectively. Baseline performance for common open- and closed-source models are provided in the local language and English translations, and with and without images provided to the model. The WorldMedQA-V benchmark aims to better match AI systems to the diverse healthcare environments in which they are deployed, fostering more equitable, effective, and representative applications.

We present a new dataset for Visual Question Answering (VQA) on document images called DocVQA. The dataset consists of 50,000 questions defined on 12,000+ document images. Detailed analysis of the dataset in comparison with similar datasets for VQA and reading comprehension is presented. We report several baseline results by adopting existing VQA and reading comprehension models. Although the existing models perform reasonably well on certain types of questions, there is large performance gap compared to human performance (94.36% accuracy). The models need to improve specifically on questions where understanding structure of the document is crucial. The dataset, code and leaderboard are available at docvqa.org

The evaluation of text-generative vision-language models is a challenging yet crucial endeavor. By addressing the limitations of existing Visual Question Answering (VQA) benchmarks and proposing innovative evaluation methodologies, our research seeks to advance our understanding of these models' capabilities. We propose a novel VQA benchmark based on well-known visual classification datasets which allows a granular evaluation of text-generative vision-language models and their comparison with discriminative vision-language models. To improve the assessment of coarse answers on fine-grained classification tasks, we suggest using the semantic hierarchy of the label space to ask automatically generated follow-up questions about the ground-truth category. Finally, we compare traditional NLP and LLM-based metrics for the problem of evaluating model predictions given ground-truth answers. We perform a human evaluation study upon which we base our decision on the final metric. We apply our benchmark to a suite of vision-language models and show a detailed comparison of their abilities on object, action, and attribute classification. Our contributions aim to lay the foundation for more precise and meaningful assessments, facilitating targeted progress in the exciting field of vision-language modeling.

Current visual question answering datasets do not consider the rich semantic information conveyed by text within an image. In this work, we present a new dataset, ST-VQA, that aims to highlight the importance of exploiting high-level semantic information present in images as textual cues in the VQA process. We use this dataset to define a series of tasks of increasing difficulty for which reading the scene text in the context provided by the visual information is necessary to reason and generate an appropriate answer. We propose a new evaluation metric for these tasks to account both for reasoning errors as well as shortcomings of the text recognition module. In addition we put forward a series of baseline methods, which provide further insight to the newly released dataset, and set the scene for further research.

Knowledge-based visual question answering (VQA) involves questions that require world knowledge beyond the image to yield the correct answer. Large language models (LMs) like GPT-3 are particularly helpful for this task because of their strong knowledge retrieval and reasoning capabilities. To enable LM to understand images, prior work uses a captioning model to convert images into text. However, when summarizing an image in a single caption sentence, which visual entities to describe are often underspecified. Generic image captions often miss visual details essential for the LM to answer visual questions correctly. To address this challenge, we propose PromptCap (Prompt-guided image Captioning), a captioning model designed to serve as a better connector between images and black-box LMs. Different from generic captions, PromptCap takes a natural-language prompt to control the visual entities to describe in the generated caption. The prompt contains a question that the caption should aid in answering. To avoid extra annotation, PromptCap is trained by examples synthesized with GPT-3 and existing datasets. We demonstrate PromptCap's effectiveness on an existing pipeline in which GPT-3 is prompted with image captions to carry out VQA. PromptCap outperforms generic captions by a large margin and achieves state-of-the-art accuracy on knowledge-based VQA tasks (60.4% on OK-VQA and 59.6% on A-OKVQA). Zero-shot results on WebQA show that PromptCap generalizes well to unseen domains.

Incorporating external knowledge to Visual Question Answering (VQA) has become a vital practical need. Existing methods mostly adopt pipeline approaches with different components for knowledge matching and extraction, feature learning, etc.However, such pipeline approaches suffer when some component does not perform well, which leads to error propagation and poor overall performance. Furthermore, the majority of existing approaches ignore the answer bias issue -- many answers may have never appeared during training (i.e., unseen answers) in real-word application. To bridge these gaps, in this paper, we propose a Zero-shot VQA algorithm using knowledge graphs and a mask-based learning mechanism for better incorporating external knowledge, and present new answer-based Zero-shot VQA splits for the F-VQA dataset. Experiments show that our method can achieve state-of-the-art performance in Zero-shot VQA with unseen answers, meanwhile dramatically augment existing end-to-end models on the normal F-VQA task.

Knowledge-based visual question answering (VQA) involves answering questions that require external knowledge not present in the image. Existing methods first retrieve knowledge from external resources, then reason over the selected knowledge, the input image, and question for answer prediction. However, this two-step approach could lead to mismatches that potentially limit the VQA performance. For example, the retrieved knowledge might be noisy and irrelevant to the question, and the re-embedded knowledge features during reasoning might deviate from their original meanings in the knowledge base (KB). To address this challenge, we propose PICa, a simple yet effective method that Prompts GPT3 via the use of Image Captions, for knowledge-based VQA. Inspired by GPT-3's power in knowledge retrieval and question answering, instead of using structured KBs as in previous work, we treat GPT-3 as an implicit and unstructured KB that can jointly acquire and process relevant knowledge. Specifically, we first convert the image into captions (or tags) that GPT-3 can understand, then adapt GPT-3 to solve the VQA task in a few-shot manner by just providing a few in-context VQA examples. We further boost performance by carefully investigating: (i) what text formats best describe the image content, and (ii) how in-context examples can be better selected and used. PICa unlocks the first use of GPT-3 for multimodal tasks. By using only 16 examples, PICa surpasses the supervised state of the art by an absolute +8.6 points on the OK-VQA dataset. We also benchmark PICa on VQAv2, where PICa also shows a decent few-shot performance.

There has been a rapid progress in the task of Visual Question Answering with improved model architectures. Unfortunately, these models are usually computationally intensive due to their sheer size which poses a serious challenge for deployment. We aim to tackle this issue for the specific task of Visual Question Answering (VQA). A Convolutional Neural Network (CNN) is an integral part of the visual processing pipeline of a VQA model (assuming the CNN is trained along with entire VQA model). In this project, we propose an efficient and modular neural architecture for the VQA task with focus on the CNN module. Our experiments demonstrate that a sparsely activated CNN based VQA model achieves comparable performance to a standard CNN based VQA model architecture.

Teaching Visual Question Answering (VQA) models to abstain from unanswerable questions is indispensable for building a trustworthy AI system. Existing studies, though have explored various aspects of VQA, yet marginally ignored this particular attribute. This paper aims to bridge the research gap by contributing a comprehensive dataset, called UNK-VQA. The dataset is specifically designed to address the challenge of questions that can be unanswerable. To this end, we first augment the existing data via deliberate perturbations on either the image or question. In specific, we carefully ensure that the question-image semantics remain close to the original unperturbed distribution. By means of this, the identification of unanswerable questions becomes challenging, setting our dataset apart from others that involve mere image replacement. We then extensively evaluate the zero- and few-shot performance of several emerging multi-modal large models and discover significant limitations of them when applied to our dataset. Additionally, we also propose a straightforward method to tackle these unanswerable questions. This dataset, we believe, will serve as a valuable benchmark for enhancing the abstention capability of VQA models, thereby leading to increased trustworthiness of AI systems.

Choropleth maps are a common visual representation for region-specific tabular data and are used in a number of different venues (newspapers, articles, etc). These maps are human-readable but are often challenging to deal with when trying to extract data for screen readers, analyses, or other related tasks. Recent research into Visual-Question Answering (VQA) has studied question answering on human-generated charts (ChartQA), such as bar, line, and pie charts. However, little work has paid attention to understanding maps; general VQA models, and ChartQA models, suffer when asked to perform this task. To facilitate and encourage research in this area, we present MapQA, a large-scale dataset of ~800K question-answer pairs over ~60K map images. Our task tests various levels of map understanding, from surface questions about map styles to complex questions that require reasoning on the underlying data. We present the unique challenges of MapQA that frustrate most strong baseline algorithms designed for ChartQA and general VQA tasks. We also present a novel algorithm, Visual Multi-Output Data Extraction based QA (V-MODEQA) for MapQA. V-MODEQA extracts the underlying structured data from a map image with a multi-output model and then performs reasoning on the extracted data. Our experimental results show that V-MODEQA has better overall performance and robustness on MapQA than the state-of-the-art ChartQA and VQA algorithms by capturing the unique properties in map question answering.

Conversation agents powered by large language models are revolutionizing the way we interact with visual data. Recently, large vision-language models (LVLMs) have been extensively studied for both images and videos. However, these studies typically focus on common scenarios. In this work, we introduce an LVLM specifically designed for surgical scenarios. We integrate visual representations of surgical images and videos into the language feature space. Consequently, we establish a LVLM model, Surgical-LLaVA, fine-tuned on instruction following data of surgical scenarios. Our experiments demonstrate that Surgical-LLaVA exhibits impressive multi-modal chat abilities in surgical contexts, occasionally displaying multi-modal behaviors on unseen instructions. We conduct a quantitative evaluation of visual question-answering datasets for surgical scenarios. The results show superior performance compared to previous works, indicating the potential of our model to tackle more complex surgery scenarios.

Studies have shown that a dominant class of questions asked by visually impaired users on images of their surroundings involves reading text in the image. But today's VQA models can not read! Our paper takes a first step towards addressing this problem. First, we introduce a new "TextVQA" dataset to facilitate progress on this important problem. Existing datasets either have a small proportion of questions about text (e.g., the VQA dataset) or are too small (e.g., the VizWiz dataset). TextVQA contains 45,336 questions on 28,408 images that require reasoning about text to answer. Second, we introduce a novel model architecture that reads text in the image, reasons about it in the context of the image and the question, and predicts an answer which might be a deduction based on the text and the image or composed of the strings found in the image. Consequently, we call our approach Look, Read, Reason & Answer (LoRRA). We show that LoRRA outperforms existing state-of-the-art VQA models on our TextVQA dataset. We find that the gap between human performance and machine performance is significantly larger on TextVQA than on VQA 2.0, suggesting that TextVQA is well-suited to benchmark progress along directions complementary to VQA 2.0.

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise for radiological tasks, most existing VLMs merely produce final answers without revealing the underlying reasoning. To address this gap, we introduce MedVLM-R1, a medical VLM that explicitly generates natural language reasoning to enhance transparency and trustworthiness. Instead of relying on supervised fine-tuning (SFT), which often suffers from overfitting to training distributions and fails to foster genuine reasoning, MedVLM-R1 employs a reinforcement learning framework that incentivizes the model to discover human-interpretable reasoning paths without using any reasoning references. Despite limited training data (600 visual question answering samples) and model parameters (2B), MedVLM-R1 boosts accuracy from 55.11% to 78.22% across MRI, CT, and X-ray benchmarks, outperforming larger models trained on over a million samples. It also demonstrates robust domain generalization under out-of-distribution tasks. By unifying medical image analysis with explicit reasoning, MedVLM-R1 marks a pivotal step toward trustworthy and interpretable AI in clinical practice.

Contrastive pretraining on parallel image-text data has attained great success in vision-language processing (VLP), as exemplified by CLIP and related methods. However, prior explorations tend to focus on general domains in the web. Biomedical images and text are rather different, but publicly available datasets are small and skew toward chest X-ray, thus severely limiting progress. In this paper, we conducted by far the largest study on biomedical VLP, using 15 million figure-caption pairs extracted from biomedical research articles in PubMed Central. Our dataset (PMC-15M) is two orders of magnitude larger than existing biomedical image-text datasets such as MIMIC-CXR, and spans a diverse range of biomedical images. The standard CLIP method is suboptimal for the biomedical domain. We propose BiomedCLIP with domain-specific adaptations tailored to biomedical VLP. We conducted extensive experiments and ablation studies on standard biomedical imaging tasks from retrieval to classification to visual question-answering (VQA). BiomedCLIP established new state of the art in a wide range of standard datasets, substantially outperformed prior VLP approaches. Surprisingly, BiomedCLIP even outperformed radiology-specific state-of-the-art models such as BioViL on radiology-specific tasks such as RSNA pneumonia detection, thus highlighting the utility in large-scale pretraining across all biomedical image types. We will release our models at https://aka.ms/biomedclip to facilitate future research in biomedical VLP.

Problems at the intersection of vision and language are of significant importance both as challenging research questions and for the rich set of applications they enable. However, inherent structure in our world and bias in our language tend to be a simpler signal for learning than visual modalities, resulting in models that ignore visual information, leading to an inflated sense of their capability. We propose to counter these language priors for the task of Visual Question Answering (VQA) and make vision (the V in VQA) matter! Specifically, we balance the popular VQA dataset by collecting complementary images such that every question in our balanced dataset is associated with not just a single image, but rather a pair of similar images that result in two different answers to the question. Our dataset is by construction more balanced than the original VQA dataset and has approximately twice the number of image-question pairs. Our complete balanced dataset is publicly available at www.visualqa.org as part of the 2nd iteration of the Visual Question Answering Dataset and Challenge (VQA v2.0). We further benchmark a number of state-of-art VQA models on our balanced dataset. All models perform significantly worse on our balanced dataset, suggesting that these models have indeed learned to exploit language priors. This finding provides the first concrete empirical evidence for what seems to be a qualitative sense among practitioners. Finally, our data collection protocol for identifying complementary images enables us to develop a novel interpretable model, which in addition to providing an answer to the given (image, question) pair, also provides a counter-example based explanation. Specifically, it identifies an image that is similar to the original image, but it believes has a different answer to the same question. This can help in building trust for machines among their users.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

Document Visual Question Answering (DocVQA) refers to the task of answering questions from document images. Existing work on DocVQA only considers single-page documents. However, in real scenarios documents are mostly composed of multiple pages that should be processed altogether. In this work we extend DocVQA to the multi-page scenario. For that, we first create a new dataset, MP-DocVQA, where questions are posed over multi-page documents instead of single pages. Second, we propose a new hierarchical method, Hi-VT5, based on the T5 architecture, that overcomes the limitations of current methods to process long multi-page documents. The proposed method is based on a hierarchical transformer architecture where the encoder summarizes the most relevant information of every page and then, the decoder takes this summarized information to generate the final answer. Through extensive experimentation, we demonstrate that our method is able, in a single stage, to answer the questions and provide the page that contains the relevant information to find the answer, which can be used as a kind of explainability measure.

We introduce a novel visual question answering (VQA) task in the context of autonomous driving, aiming to answer natural language questions based on street-view clues. Compared to traditional VQA tasks, VQA in autonomous driving scenario presents more challenges. Firstly, the raw visual data are multi-modal, including images and point clouds captured by camera and LiDAR, respectively. Secondly, the data are multi-frame due to the continuous, real-time acquisition. Thirdly, the outdoor scenes exhibit both moving foreground and static background. Existing VQA benchmarks fail to adequately address these complexities. To bridge this gap, we propose NuScenes-QA, the first benchmark for VQA in the autonomous driving scenario, encompassing 34K visual scenes and 460K question-answer pairs. Specifically, we leverage existing 3D detection annotations to generate scene graphs and design question templates manually. Subsequently, the question-answer pairs are generated programmatically based on these templates. Comprehensive statistics prove that our NuScenes-QA is a balanced large-scale benchmark with diverse question formats. Built upon it, we develop a series of baselines that employ advanced 3D detection and VQA techniques. Our extensive experiments highlight the challenges posed by this new task. Codes and dataset are available at https://github.com/qiantianwen/NuScenes-QA.

We propose the VLR-Bench, a visual question answering (VQA) benchmark for evaluating vision language models (VLMs) based on retrieval augmented generation (RAG). Unlike existing evaluation datasets for external knowledge-based VQA, the proposed VLR-Bench includes five input passages. This allows testing of the ability to determine which passage is useful for answering a given query, a capability lacking in previous research. In this context, we constructed a dataset of 32,000 automatically generated instruction-following examples, which we denote as VLR-IF. This dataset is specifically designed to enhance the RAG capabilities of VLMs by enabling them to learn how to generate appropriate answers based on input passages. We evaluated the validity of the proposed benchmark and training data and verified its performance using the state-of-the-art Llama3-based VLM, the Llava-Llama-3 model. The proposed VLR-Bench and VLR-IF datasets are publicly available online.

Visual question answering on document images that contain textual, visual, and layout information, called document VQA, has received much attention recently. Although many datasets have been proposed for developing document VQA systems, most of the existing datasets focus on understanding the content relationships within a single image and not across multiple images. In this study, we propose a new multi-image document VQA dataset, SlideVQA, containing 2.6k+ slide decks composed of 52k+ slide images and 14.5k questions about a slide deck. SlideVQA requires complex reasoning, including single-hop, multi-hop, and numerical reasoning, and also provides annotated arithmetic expressions of numerical answers for enhancing the ability of numerical reasoning. Moreover, we developed a new end-to-end document VQA model that treats evidence selection and question answering in a unified sequence-to-sequence format. Experiments on SlideVQA show that our model outperformed existing state-of-the-art QA models, but that it still has a large gap behind human performance. We believe that our dataset will facilitate research on document VQA.

Recent advancements in Large Multimodal Models (LMMs) have made significant progress in the field of single-image visual question answering. However, these models face substantial challenges when tasked with queries that span extensive collections of images, similar to real-world scenarios like searching through large photo albums, finding specific information across the internet, or monitoring environmental changes through satellite imagery. This paper explores the task of Multi-Image Visual Question Answering (MIQA): given a large set of images and a natural language query, the task is to generate a relevant and grounded response. We propose a new public benchmark, dubbed "Visual Haystacks (VHs)," specifically designed to evaluate LMMs' capabilities in visual retrieval and reasoning over sets of unrelated images, where we perform comprehensive evaluations demonstrating that even robust closed-source models struggle significantly. Towards addressing these shortcomings, we introduce MIRAGE (Multi-Image Retrieval Augmented Generation), a novel retrieval/QA framework tailored for LMMs that confronts the challenges of MIQA with marked efficiency and accuracy improvements over baseline methods. Our evaluation shows that MIRAGE surpasses closed-source GPT-4o models by up to 11% on the VHs benchmark and offers up to 3.4x improvements in efficiency over text-focused multi-stage approaches.

In this paper, we propose QACE, a new metric based on Question Answering for Caption Evaluation. QACE generates questions on the evaluated caption and checks its content by asking the questions on either the reference caption or the source image. We first develop QACE-Ref that compares the answers of the evaluated caption to its reference, and report competitive results with the state-of-the-art metrics. To go further, we propose QACE-Img, which asks the questions directly on the image, instead of reference. A Visual-QA system is necessary for QACE-Img. Unfortunately, the standard VQA models are framed as a classification among only a few thousand categories. Instead, we propose Visual-T5, an abstractive VQA system. The resulting metric, QACE-Img is multi-modal, reference-less, and explainable. Our experiments show that QACE-Img compares favorably w.r.t. other reference-less metrics. We will release the pre-trained models to compute QACE.

Bar charts are an effective way to convey numeric information, but today's algorithms cannot parse them. Existing methods fail when faced with even minor variations in appearance. Here, we present DVQA, a dataset that tests many aspects of bar chart understanding in a question answering framework. Unlike visual question answering (VQA), DVQA requires processing words and answers that are unique to a particular bar chart. State-of-the-art VQA algorithms perform poorly on DVQA, and we propose two strong baselines that perform considerably better. Our work will enable algorithms to automatically extract numeric and semantic information from vast quantities of bar charts found in scientific publications, Internet articles, business reports, and many other areas.

8 years after the visual question answering (VQA) task was proposed, accuracy remains the primary metric for automatic evaluation. VQA Accuracy has been effective so far in the IID evaluation setting. However, our community is undergoing a shift towards open-ended generative models and OOD evaluation. In this new paradigm, the existing VQA Accuracy metric is overly stringent and underestimates the performance of VQA systems. Thus, there is a need to develop more robust automatic VQA metrics that serve as a proxy for human judgment. In this work, we propose to leverage the in-context learning capabilities of instruction-tuned large language models (LLMs) to build a better VQA metric. We formulate VQA evaluation as an answer-rating task where the LLM is instructed to score the accuracy of a candidate answer given a set of reference answers. We demonstrate the proposed metric better correlates with human judgment compared to existing metrics across several VQA models and benchmarks. We hope wide adoption of our metric will contribute to better estimating the research progress on the VQA task. We plan to release the evaluation code and collected human judgments.

The rapid development of vision language models (VLMs) demands rigorous and reliable evaluation. However, current visual question answering (VQA) benchmarks often depend on open-ended questions, making accurate evaluation difficult due to the variability in natural language responses. To address this, we introduce AutoConverter, an agentic framework that automatically converts these open-ended questions into multiple-choice format, enabling objective evaluation while reducing the costly question creation process. Our experiments demonstrate that AutoConverter can generate correct and challenging multiple-choice questions, with VLMs demonstrating consistently similar or lower accuracy on these questions compared to human-created ones. Using AutoConverter, we construct VMCBench, a benchmark created by transforming 20 existing VQA datasets into a unified multiple-choice format, totaling 9,018 questions. We comprehensively evaluate 33 state-of-the-art VLMs on VMCBench, setting a new standard for scalable, consistent, and reproducible VLM evaluation.

In the healthcare domain, summarizing medical questions posed by patients is critical for improving doctor-patient interactions and medical decision-making. Although medical data has grown in complexity and quantity, the current body of research in this domain has primarily concentrated on text-based methods, overlooking the integration of visual cues. Also prior works in the area of medical question summarisation have been limited to the English language. This work introduces the task of multimodal medical question summarization for codemixed input in a low-resource setting. To address this gap, we introduce the Multimodal Medical Codemixed Question Summarization MMCQS dataset, which combines Hindi-English codemixed medical queries with visual aids. This integration enriches the representation of a patient's medical condition, providing a more comprehensive perspective. We also propose a framework named MedSumm that leverages the power of LLMs and VLMs for this task. By utilizing our MMCQS dataset, we demonstrate the value of integrating visual information from images to improve the creation of medically detailed summaries. This multimodal strategy not only improves healthcare decision-making but also promotes a deeper comprehension of patient queries, paving the way for future exploration in personalized and responsive medical care. Our dataset, code, and pre-trained models will be made publicly available.

Vision Language Models (VLMs), which extend Large Language Models (LLM) by incorporating visual understanding capability, have demonstrated significant advancements in addressing open-ended visual question-answering (VQA) tasks. However, these models cannot accurately interpret images infused with text, a common occurrence in real-world scenarios. Standard procedures for extracting information from images often involve learning a fixed set of query embeddings. These embeddings are designed to encapsulate image contexts and are later used as soft prompt inputs in LLMs. Yet, this process is limited to the token count, potentially curtailing the recognition of scenes with text-rich context. To improve upon them, the present study introduces BLIVA: an augmented version of InstructBLIP with Visual Assistant. BLIVA incorporates the query embeddings from InstructBLIP and also directly projects encoded patch embeddings into the LLM, a technique inspired by LLaVA. This approach assists the model to capture intricate details potentially missed during the query decoding process. Empirical evidence demonstrates that our model, BLIVA, significantly enhances performance in processing text-rich VQA benchmarks (up to 17.76\% in OCR-VQA benchmark) and in undertaking typical VQA benchmarks (up to 7.9\% in Visual Spatial Reasoning benchmark), comparing to our baseline InstructBLIP. BLIVA demonstrates significant capability in decoding real-world images, irrespective of text presence. To demonstrate the broad industry applications enabled by BLIVA, we evaluate the model using a new dataset comprising YouTube thumbnails paired with question-answer sets across 13 diverse categories. For researchers interested in further exploration, our code and models are freely accessible at https://github.com/mlpc-ucsd/BLIVA.git

We present a framework that formulates visual question answering as modular code generation. In contrast to prior work on modular approaches to VQA, our approach requires no additional training and relies on pre-trained language models (LMs), visual models pre-trained on image-caption pairs, and fifty VQA examples used for in-context learning. The generated Python programs invoke and compose the outputs of the visual models using arithmetic and conditional logic. Our approach improves accuracy on the COVR dataset by at least 3% and on the GQA dataset by roughly 2% compared to the few-shot baseline that does not employ code generation.

Text-based VQA aims at answering questions by reading the text present in the images. It requires a large amount of scene-text relationship understanding compared to the VQA task. Recent studies have shown that the question-answer pairs in the dataset are more focused on the text present in the image but less importance is given to visual features and some questions do not require understanding the image. The models trained on this dataset predict biased answers due to the lack of understanding of visual context. For example, in questions like "What is written on the signboard?", the answer predicted by the model is always "STOP" which makes the model to ignore the image. To address these issues, we propose a method to learn visual features (making V matter in TextVQA) along with the OCR features and question features using VQA dataset as external knowledge for Text-based VQA. Specifically, we combine the TextVQA dataset and VQA dataset and train the model on this combined dataset. Such a simple, yet effective approach increases the understanding and correlation between the image features and text present in the image, which helps in the better answering of questions. We further test the model on different datasets and compare their qualitative and quantitative results.

We propose Encyclopedic-VQA, a large scale visual question answering (VQA) dataset featuring visual questions about detailed properties of fine-grained categories and instances. It contains 221k unique question+answer pairs each matched with (up to) 5 images, resulting in a total of 1M VQA samples. Moreover, our dataset comes with a controlled knowledge base derived from Wikipedia, marking the evidence to support each answer. Empirically, we show that our dataset poses a hard challenge for large vision+language models as they perform poorly on our dataset: PaLI [14] is state-of-the-art on OK-VQA [37], yet it only achieves 13.0% accuracy on our dataset. Moreover, we experimentally show that progress on answering our encyclopedic questions can be achieved by augmenting large models with a mechanism that retrieves relevant information from the knowledge base. An oracle experiment with perfect retrieval achieves 87.0% accuracy on the single-hop portion of our dataset, and an automatic retrieval-augmented prototype yields 48.8%. We believe that our dataset enables future research on retrieval-augmented vision+language models. It is available at https://github.com/google-research/google-research/tree/master/encyclopedic_vqa .

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

With the breakthrough of multi-modal large language models, answering complex visual questions that demand advanced reasoning abilities and world knowledge has become a much more important testbed for developing AI models than ever. However, equipping AI models with robust cross-modality reasoning ability remains challenging since the cognition scheme of humans has not been understood systematically. In this paper, we believe that if we can collect visual clues in the given image as much as possible, we will recognize the image more accurately, understand the question better, recall relevant knowledge more easily, and finally reason out the answer. We discover these rich visual clues by mining question-answer pairs in images and sending them into multi-modal large language models as prompts. We call the proposed method Q&A Prompts. Specifically, we first use the image-answer pairs and the corresponding questions in the training set as inputs and outputs to train a visual question generation model. Then, we use an image tagging model to identify various instances and send packaged image-tag pairs into the visual question generation model to generate relevant questions with the extracted image tags as answers. Finally, we encode these generated question-answer pairs as prompts with a visual-aware prompting module and send them into pre-trained multi-modal large language models to reason out the final answers. Experimental results show that, compared with state-of-the-art methods, our Q&A Prompts achieves substantial improvements on the challenging visual question answering datasets requiring reasoning over diverse world knowledge, such as OK-VQA and A-OKVQA.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

Recent years have witnessed an increasing interest in image-based question-answering (QA) tasks. However, due to data limitations, there has been much less work on video-based QA. In this paper, we present TVQA, a large-scale video QA dataset based on 6 popular TV shows. TVQA consists of 152,545 QA pairs from 21,793 clips, spanning over 460 hours of video. Questions are designed to be compositional in nature, requiring systems to jointly localize relevant moments within a clip, comprehend subtitle-based dialogue, and recognize relevant visual concepts. We provide analyses of this new dataset as well as several baselines and a multi-stream end-to-end trainable neural network framework for the TVQA task. The dataset is publicly available at http://tvqa.cs.unc.edu.

Knowledge-based visual question answering (VQA) requires external knowledge beyond the image to answer the question. Early studies retrieve required knowledge from explicit knowledge bases (KBs), which often introduces irrelevant information to the question, hence restricting the performance of their models. Recent works have sought to use a large language model (i.e., GPT-3) as an implicit knowledge engine to acquire the necessary knowledge for answering. Despite the encouraging results achieved by these methods, we argue that they have not fully activated the capacity of GPT-3 as the provided input information is insufficient. In this paper, we present Prophet -- a conceptually simple framework designed to prompt GPT-3 with answer heuristics for knowledge-based VQA. Specifically, we first train a vanilla VQA model on a specific knowledge-based VQA dataset without external knowledge. After that, we extract two types of complementary answer heuristics from the model: answer candidates and answer-aware examples. Finally, the two types of answer heuristics are encoded into the prompts to enable GPT-3 to better comprehend the task thus enhancing its capacity. Prophet significantly outperforms all existing state-of-the-art methods on two challenging knowledge-based VQA datasets, OK-VQA and A-OKVQA, delivering 61.1% and 55.7% accuracies on their testing sets, respectively.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

VQA is an ambitious task aiming to answer any image-related question. However, in reality, it is hard to build such a system once for all since the needs of users are continuously updated, and the system has to implement new functions. Thus, Continual Learning (CL) ability is a must in developing advanced VQA systems. Recently, a pioneer work split a VQA dataset into disjoint answer sets to study this topic. However, CL on VQA involves not only the expansion of label sets (new Answer sets). It is crucial to study how to answer questions when deploying VQA systems to new environments (new Visual scenes) and how to answer questions requiring new functions (new Question types). Thus, we propose CLOVE, a benchmark for Continual Learning On Visual quEstion answering, which contains scene- and function-incremental settings for the two aforementioned CL scenarios. In terms of methodology, the main difference between CL on VQA and classification is that the former additionally involves expanding and preventing forgetting of reasoning mechanisms, while the latter focusing on class representation. Thus, we propose a real-data-free replay-based method tailored for CL on VQA, named Scene Graph as Prompt for Symbolic Replay. Using a piece of scene graph as a prompt, it replays pseudo scene graphs to represent the past images, along with correlated QA pairs. A unified VQA model is also proposed to utilize the current and replayed data to enhance its QA ability. Finally, experimental results reveal challenges in CLOVE and demonstrate the effectiveness of our method. The dataset and code will be available at https://github.com/showlab/CLVQA.

Visual Question Answering (VQA) is one of the most important tasks in autonomous driving, which requires accurate recognition and complex situation evaluations. However, datasets annotated in a QA format, which guarantees precise language generation and scene recognition from driving scenes, have not been established yet. In this work, we introduce Markup-QA, a novel dataset annotation technique in which QAs are enclosed within markups. This approach facilitates the simultaneous evaluation of a model's capabilities in sentence generation and VQA. Moreover, using this annotation methodology, we designed the NuScenes-MQA dataset. This dataset empowers the development of vision language models, especially for autonomous driving tasks, by focusing on both descriptive capabilities and precise QA. The dataset is available at https://github.com/turingmotors/NuScenes-MQA.

Knowledge-Intensive Visual Question Answering (KI-VQA) refers to answering a question about an image whose answer does not lie in the image. This paper presents a new pipeline for KI-VQA tasks, consisting of a retriever and a reader. First, we introduce DEDR, a symmetric dual encoding dense retrieval framework in which documents and queries are encoded into a shared embedding space using uni-modal (textual) and multi-modal encoders. We introduce an iterative knowledge distillation approach that bridges the gap between the representation spaces in these two encoders. Extensive evaluation on two well-established KI-VQA datasets, i.e., OK-VQA and FVQA, suggests that DEDR outperforms state-of-the-art baselines by 11.6% and 30.9% on OK-VQA and FVQA, respectively. Utilizing the passages retrieved by DEDR, we further introduce MM-FiD, an encoder-decoder multi-modal fusion-in-decoder model, for generating a textual answer for KI-VQA tasks. MM-FiD encodes the question, the image, and each retrieved passage separately and uses all passages jointly in its decoder. Compared to competitive baselines in the literature, this approach leads to 5.5% and 8.5% improvements in terms of question answering accuracy on OK-VQA and FVQA, respectively.

While models for Visual Question Answering (VQA) have steadily improved over the years, interacting with one quickly reveals that these models lack consistency. For instance, if a model answers "red" to "What color is the balloon?", it might answer "no" if asked, "Is the balloon red?". These responses violate simple notions of entailment and raise questions about how effectively VQA models ground language. In this work, we introduce a dataset, ConVQA, and metrics that enable quantitative evaluation of consistency in VQA. For a given observable fact in an image (e.g. the balloon's color), we generate a set of logically consistent question-answer (QA) pairs (e.g. Is the balloon red?) and also collect a human-annotated set of common-sense based consistent QA pairs (e.g. Is the balloon the same color as tomato sauce?). Further, we propose a consistency-improving data augmentation module, a Consistency Teacher Module (CTM). CTM automatically generates entailed (or similar-intent) questions for a source QA pair and fine-tunes the VQA model if the VQA's answer to the entailed question is consistent with the source QA pair. We demonstrate that our CTM-based training improves the consistency of VQA models on the ConVQA datasets and is a strong baseline for further research.

We introduce EXAMS-V, a new challenging multi-discipline multimodal multilingual exam benchmark for evaluating vision language models. It consists of 20,932 multiple-choice questions across 20 school disciplines covering natural science, social science, and other miscellaneous studies, e.g., religion, fine arts, business, etc. EXAMS-V includes a variety of multimodal features such as text, images, tables, figures, diagrams, maps, scientific symbols, and equations. The questions come in 11 languages from 7 language families. Unlike existing benchmarks, EXAMS-V is uniquely curated by gathering school exam questions from various countries, with a variety of education systems. This distinctive approach calls for intricate reasoning across diverse languages and relies on region-specific knowledge. Solving the problems in the dataset requires advanced perception and joint reasoning over the text and the visual content of the image. Our evaluation results demonstrate that this is a challenging dataset, which is difficult even for advanced vision-text models such as GPT-4V and Gemini; this underscores the inherent complexity of the dataset and its significance as a future benchmark.

Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain three elements: uni-modal encoders (i.e., a vision encoder and a language encoder), a multi-modal fusion module, and pretext tasks, with few studies considering the importance of medical domain expert knowledge and explicitly exploiting such knowledge to facilitate Med-VLP. Although there exist knowledge-enhanced vision-and-language pre-training (VLP) methods in the general domain, most require off-the-shelf toolkits (e.g., object detectors and scene graph parsers), which are unavailable in the medical domain. In this paper, we propose a systematic and effective approach to enhance Med-VLP by structured medical knowledge from three perspectives. First, considering knowledge can be regarded as the intermediate medium between vision and language, we align the representations of the vision encoder and the language encoder through knowledge. Second, we inject knowledge into the multi-modal fusion model to enable the model to perform reasoning using knowledge as the supplementation of the input image and text. Third, we guide the model to put emphasis on the most critical information in images and texts by designing knowledge-induced pretext tasks. To perform a comprehensive evaluation and facilitate further research, we construct a medical vision-and-language benchmark including three tasks. Experimental results illustrate the effectiveness of our approach, where state-of-the-art performance is achieved on all downstream tasks. Further analyses explore the effects of different components of our approach and various settings of pre-training.

Text-Centric Visual Question Answering (TEC-VQA) in its proper format not only facilitates human-machine interaction in text-centric visual environments but also serves as a de facto gold proxy to evaluate AI models in the domain of text-centric scene understanding. However, most TEC-VQA benchmarks have focused on high-resource languages like English and Chinese. Despite pioneering works to expand multilingual QA pairs in non-text-centric VQA datasets using translation engines, the translation-based protocol encounters a substantial ``Visual-textual misalignment'' problem when applied to TEC-VQA. Specifically, it prioritizes the text in question-answer pairs while disregarding the visual text present in images. Furthermore, it does not adequately tackle challenges related to nuanced meaning, contextual distortion, language bias, and question-type diversity. In this work, we address the task of multilingual TEC-VQA and provide a benchmark with high-quality human expert annotations in 9 diverse languages, called MTVQA. To our knowledge, MTVQA is the first multilingual TEC-VQA benchmark to provide human expert annotations for text-centric scenarios. Further, by evaluating several state-of-the-art Multimodal Large Language Models (MLLMs), including GPT-4V, on our MTVQA dataset, it is evident that there is still room for performance improvement, underscoring the value of our dataset. We hope this dataset will provide researchers with fresh perspectives and inspiration within the community. The MTVQA dataset will be available at https://huggingface.co/datasets/ByteDance/MTVQA.

In recent years, Visual Question Answering (VQA) has made significant strides, particularly with the advent of multimodal models that integrate vision and language understanding. However, existing VQA datasets often overlook the complexities introduced by image illusions, which pose unique challenges for both human perception and model interpretation. In this study, we introduce a novel task called Illusory VQA, along with four specialized datasets: IllusionMNIST, IllusionFashionMNIST, IllusionAnimals, and IllusionChar. These datasets are designed to evaluate the performance of state-of-the-art multimodal models in recognizing and interpreting visual illusions. We assess the zero-shot performance of various models, fine-tune selected models on our datasets, and propose a simple yet effective solution for illusion detection using Gaussian and blur low-pass filters. We show that this method increases the performance of models significantly and in the case of BLIP-2 on IllusionAnimals without any fine-tuning, it outperforms humans. Our findings highlight the disparity between human and model perception of illusions and demonstrate that fine-tuning and specific preprocessing techniques can significantly enhance model robustness. This work contributes to the development of more human-like visual understanding in multimodal models and suggests future directions for adapting filters using learnable parameters.

The current research direction in generative models, such as the recently developed GPT4, aims to find relevant knowledge information for multimodal and multilingual inputs to provide answers. Under these research circumstances, the demand for multilingual evaluation of visual question answering (VQA) tasks, a representative task of multimodal systems, has increased. Accordingly, we propose a bilingual outside-knowledge VQA (BOK-VQA) dataset in this study that can be extended to multilingualism. The proposed data include 17K images, 17K question-answer pairs for both Korean and English and 280K instances of knowledge information related to question-answer content. We also present a framework that can effectively inject knowledge information into a VQA system by pretraining the knowledge information of BOK-VQA data in the form of graph embeddings. Finally, through in-depth analysis, we demonstrated the actual effect of the knowledge information contained in the constructed training data on VQA.

Conversational generative AI has demonstrated remarkable promise for empowering biomedical practitioners, but current investigations focus on unimodal text. Multimodal conversational AI has seen rapid progress by leveraging billions of image-text pairs from the public web, but such general-domain vision-language models still lack sophistication in understanding and conversing about biomedical images. In this paper, we propose a cost-efficient approach for training a vision-language conversational assistant that can answer open-ended research questions of biomedical images. The key idea is to leverage a large-scale, broad-coverage biomedical figure-caption dataset extracted from PubMed Central, use GPT-4 to self-instruct open-ended instruction-following data from the captions, and then fine-tune a large general-domain vision-language model using a novel curriculum learning method. Specifically, the model first learns to align biomedical vocabulary using the figure-caption pairs as is, then learns to master open-ended conversational semantics using GPT-4 generated instruction-following data, broadly mimicking how a layperson gradually acquires biomedical knowledge. This enables us to train a Large Language and Vision Assistant for BioMedicine (LLaVA-Med) in less than 15 hours (with eight A100s). LLaVA-Med exhibits excellent multimodal conversational capability and can follow open-ended instruction to assist with inquiries about a biomedical image. On three standard biomedical visual question answering datasets, LLaVA-Med outperforms previous supervised state-of-the-art on certain metrics. To facilitate biomedical multimodal research, we will release our instruction-following data and the LLaVA-Med model.

Multipanel images, commonly seen as web screenshots, posters, etc., pervade our daily lives. These images, characterized by their composition of multiple subfigures in distinct layouts, effectively convey information to people. Toward building advanced multimodal AI applications, such as agents that understand complex scenes and navigate through webpages, the skill of multipanel visual reasoning is essential, and a comprehensive evaluation of models in this regard is important. Therefore, our paper introduces Multipanel Visual Question Answering (MultipanelVQA), a novel benchmark that specifically challenges models in comprehending multipanel images. The benchmark comprises 6,600 questions and answers related to multipanel images. While these questions are straightforward for average humans, achieving nearly perfect correctness, they pose significant challenges to the state-of-the-art Large Vision Language Models (LVLMs) we tested. In our study, we utilized synthetically curated multipanel images specifically designed to isolate and evaluate the impact of diverse factors on model performance, revealing the sensitivity of LVLMs to various interferences in multipanel images, such as adjacent subfigures and layout complexity. As a result, MultipanelVQA highlights the need and direction for improving LVLMs' ability to understand complex visual-language contexts. Code and data are released at https://sites.google.com/view/multipanelvqa/home.

Aligning the recent large language models (LLMs) with computer vision models leads to large vision-language models (LVLMs), which have paved the way for zero-shot image reasoning tasks. However, LVLMs are usually trained on short high-level captions only referring to sparse focus regions in images. Such a ``tunnel vision'' limits LVLMs to exploring other relevant contexts in complex scenes. To address this challenge, we introduce Question-Driven Visual Exploration (QVix), a novel prompting strategy that enhances the exploratory capabilities of LVLMs in zero-shot reasoning tasks. QVix leverages LLMs' strong language prior to generate input-exploratory questions with more details than the original query, guiding LVLMs to explore visual content more comprehensively and uncover subtle or peripheral details. QVix enables a wider exploration of visual scenes, improving the LVLMs' reasoning accuracy and depth in tasks such as visual question answering and visual entailment. Our evaluations on various challenging zero-shot vision-language benchmarks, including ScienceQA and fine-grained visual classification, demonstrate that QVix significantly outperforms existing methods, highlighting its effectiveness in bridging the gap between complex visual data and LVLMs' exploratory abilities.

We present a simple method that achieves unexpectedly superior performance for Complex Reasoning involved Visual Question Answering. Our solution collects statistical features from high-frequency words of all the questions asked about an image and use them as accurate knowledge for answering further questions of the same image. We are fully aware that this setting is not ubiquitously applicable, and in a more common setting one should assume the questions are asked separately and they cannot be gathered to obtain a knowledge base. Nonetheless, we use this method as an evidence to demonstrate our observation that the bottleneck effect is more severe on the feature extraction part than it is on the knowledge reasoning part. We show significant gaps when using the same reasoning model with 1) ground-truth features; 2) statistical features; 3) detected features from completely learned detectors, and analyze what these gaps mean to researches on visual reasoning topics. Our model with the statistical features achieves the 2nd place in the GQA Challenge 2019.

In the era of modern healthcare, swiftly generating medical question summaries is crucial for informed and timely patient care. Despite the increasing complexity and volume of medical data, existing studies have focused solely on text-based summarization, neglecting the integration of visual information. Recognizing the untapped potential of combining textual queries with visual representations of medical conditions, we introduce the Multimodal Medical Question Summarization (MMQS) Dataset. This dataset, a major contribution to our work, pairs medical queries with visual aids, facilitating a richer and more nuanced understanding of patient needs. We also propose a framework, utilizing the power of Contrastive Language Image Pretraining(CLIP) and Large Language Models(LLMs), consisting of four modules that identify medical disorders, generate relevant context, filter medical concepts, and craft visually aware summaries. Our comprehensive framework harnesses the power of CLIP, a multimodal foundation model, and various general-purpose LLMs, comprising four main modules: the medical disorder identification module, the relevant context generation module, the context filtration module for distilling relevant medical concepts and knowledge, and finally, a general-purpose LLM to generate visually aware medical question summaries. Leveraging our MMQS dataset, we showcase how visual cues from images enhance the generation of medically nuanced summaries. This multimodal approach not only enhances the decision-making process in healthcare but also fosters a more nuanced understanding of patient queries, laying the groundwork for future research in personalized and responsive medical care

Recent studies on machine reading comprehension have focused on text-level understanding but have not yet reached the level of human understanding of the visual layout and content of real-world documents. In this study, we introduce a new visual machine reading comprehension dataset, named VisualMRC, wherein given a question and a document image, a machine reads and comprehends texts in the image to answer the question in natural language. Compared with existing visual question answering (VQA) datasets that contain texts in images, VisualMRC focuses more on developing natural language understanding and generation abilities. It contains 30,000+ pairs of a question and an abstractive answer for 10,000+ document images sourced from multiple domains of webpages. We also introduce a new model that extends existing sequence-to-sequence models, pre-trained with large-scale text corpora, to take into account the visual layout and content of documents. Experiments with VisualMRC show that this model outperformed the base sequence-to-sequence models and a state-of-the-art VQA model. However, its performance is still below that of humans on most automatic evaluation metrics. The dataset will facilitate research aimed at connecting vision and language understanding.

Despite significant progress in generative AI, comprehensive evaluation remains challenging because of the lack of effective metrics and standardized benchmarks. For instance, the widely-used CLIPScore measures the alignment between a (generated) image and text prompt, but it fails to produce reliable scores for complex prompts involving compositions of objects, attributes, and relations. One reason is that text encoders of CLIP can notoriously act as a "bag of words", conflating prompts such as "the horse is eating the grass" with "the grass is eating the horse". To address this, we introduce the VQAScore, which uses a visual-question-answering (VQA) model to produce an alignment score by computing the probability of a "Yes" answer to a simple "Does this figure show '{text}'?" question. Though simpler than prior art, VQAScore computed with off-the-shelf models produces state-of-the-art results across many (8) image-text alignment benchmarks. We also compute VQAScore with an in-house model that follows best practices in the literature. For example, we use a bidirectional image-question encoder that allows image embeddings to depend on the question being asked (and vice versa). Our in-house model, CLIP-FlanT5, outperforms even the strongest baselines that make use of the proprietary GPT-4V. Interestingly, although we train with only images, VQAScore can also align text with video and 3D models. VQAScore allows researchers to benchmark text-to-visual generation using complex texts that capture the compositional structure of real-world prompts. We introduce GenAI-Bench, a more challenging benchmark with 1,600 compositional text prompts that require parsing scenes, objects, attributes, relationships, and high-order reasoning like comparison and logic. GenAI-Bench also offers over 15,000 human ratings for leading image and video generation models such as Stable Diffusion, DALL-E 3, and Gen2.

We introduce GQA, a new dataset for real-world visual reasoning and compositional question answering, seeking to address key shortcomings of previous VQA datasets. We have developed a strong and robust question engine that leverages scene graph structures to create 22M diverse reasoning questions, all come with functional programs that represent their semantics. We use the programs to gain tight control over the answer distribution and present a new tunable smoothing technique to mitigate question biases. Accompanying the dataset is a suite of new metrics that evaluate essential qualities such as consistency, grounding and plausibility. An extensive analysis is performed for baselines as well as state-of-the-art models, providing fine-grained results for different question types and topologies. Whereas a blind LSTM obtains mere 42.1%, and strong VQA models achieve 54.1%, human performance tops at 89.3%, offering ample opportunity for new research to explore. We strongly hope GQA will provide an enabling resource for the next generation of models with enhanced robustness, improved consistency, and deeper semantic understanding for images and language.

Large vision-language models (LVLMs) have demonstrated remarkable achievements, yet the generation of non-factual responses remains prevalent in fact-seeking question answering (QA). Current multimodal fact-seeking benchmarks primarily focus on comparing model outputs to ground truth answers, providing limited insights into the performance of modality-specific modules. To bridge this gap, we introduce VisualSimpleQA, a multimodal fact-seeking benchmark with two key features. First, it enables streamlined and decoupled evaluation of LVLMs in visual and linguistic modalities. Second, it incorporates well-defined difficulty criteria to guide human annotation and facilitates the extraction of a challenging subset, VisualSimpleQA-hard. Experiments on 15 LVLMs show that even state-of-the-art models such as GPT-4o achieve merely 60%+ correctness in multimodal fact-seeking QA on VisualSimpleQA and 30%+ on VisualSimpleQA-hard. Furthermore, the decoupled evaluation across these models highlights substantial opportunities for improvement in both visual and linguistic modules. The dataset is available at https://huggingface.co/datasets/WYLing/VisualSimpleQA.

In this paper, we present a framework for Multilingual Scene Text Visual Question Answering that deals with new languages in a zero-shot fashion. Specifically, we consider the task of Scene Text Visual Question Answering (STVQA) in which the question can be asked in different languages and it is not necessarily aligned to the scene text language. Thus, we first introduce a natural step towards a more generalized version of STVQA: MUST-VQA. Accounting for this, we discuss two evaluation scenarios in the constrained setting, namely IID and zero-shot and we demonstrate that the models can perform on a par on a zero-shot setting. We further provide extensive experimentation and show the effectiveness of adapting multilingual language models into STVQA tasks.

Evaluating and Rethinking the current landscape of Large Multimodal Models (LMMs), we observe that widely-used visual-language projection approaches (e.g., Q-former or MLP) focus on the alignment of image-text descriptions yet ignore the visual knowledge-dimension alignment, i.e., connecting visuals to their relevant knowledge. Visual knowledge plays a significant role in analyzing, inferring, and interpreting information from visuals, helping improve the accuracy of answers to knowledge-based visual questions. In this paper, we mainly explore improving LMMs with visual-language knowledge alignment, especially aimed at challenging knowledge-based visual question answering (VQA). To this end, we present a Cognitive Visual-Language Mapper (CVLM), which contains a pretrained Visual Knowledge Aligner (VKA) and a Fine-grained Knowledge Adapter (FKA) used in the multimodal instruction tuning stage. Specifically, we design the VKA based on the interaction between a small language model and a visual encoder, training it on collected image-knowledge pairs to achieve visual knowledge acquisition and projection. FKA is employed to distill the fine-grained visual knowledge of an image and inject it into Large Language Models (LLMs). We conduct extensive experiments on knowledge-based VQA benchmarks and experimental results show that CVLM significantly improves the performance of LMMs on knowledge-based VQA (average gain by 5.0%). Ablation studies also verify the effectiveness of VKA and FKA, respectively.

In this paper, the LCVO modular method is proposed for the Visual Question Answering (VQA) Grounding task in the vision-language multimodal domain. This approach relies on a frozen large language model (LLM) as intermediate mediator between the off-the-shelf VQA model and the off-the-shelf Open-Vocabulary Object Detection (OVD) model, where the LLM transforms and conveys textual information between the two modules based on a designed prompt. LCVO establish an integrated plug-and-play framework without the need for any pre-training process. This framework can be deployed for VQA Grounding tasks under low computational resources. The modularized model within the framework allows application with various state-of-the-art pre-trained models, exhibiting significant potential to be advance with the times. Experimental implementations were conducted under constrained computational and memory resources, evaluating the proposed method's performance on benchmark datasets including GQA, CLEVR, and VizWiz-VQA-Grounding. Comparative analyses with baseline methods demonstrate the robust competitiveness of LCVO.

An increasing number of vision-language tasks can be handled with little to no training, i.e., in a zero and few-shot manner, by marrying large language models (LLMs) to vision encoders, resulting in large vision-language models (LVLMs). While this has huge upsides, such as not requiring training data or custom architectures, how an input is presented to a LVLM can have a major impact on zero-shot model performance. In particular, inputs phrased in an underspecified way can result in incorrect answers due to factors like missing visual information, complex implicit reasoning, or linguistic ambiguity. Therefore, adding visually grounded information to the input as a preemptive clarification should improve model performance by reducing underspecification, e.g., by localizing objects and disambiguating references. Similarly, in the VQA setting, changing the way questions are framed can make them easier for models to answer. To this end, we present Rephrase, Augment and Reason (RepARe), a gradient-free framework that extracts salient details about the image using the underlying LVLM as a captioner and reasoner, in order to propose modifications to the original question. We then use the LVLM's confidence over a generated answer as an unsupervised scoring function to select the rephrased question most likely to improve zero-shot performance. Focusing on two visual question answering tasks, we show that RepARe can result in a 3.85% (absolute) increase in zero-shot performance on VQAv2 and a 6.41% point increase on A-OKVQA. Additionally, we find that using gold answers for oracle question candidate selection achieves a substantial gain in VQA accuracy by up to 14.41%. Through extensive analysis, we demonstrate that outputs from RepARe increase syntactic complexity, and effectively utilize vision-language interaction and the frozen language model in LVLMs.

Recent methods for visual question answering rely on large-scale annotated datasets. Manual annotation of questions and answers for videos, however, is tedious, expensive and prevents scalability. In this work, we propose to avoid manual annotation and generate a large-scale training dataset for video question answering making use of automatic cross-modal supervision. We leverage a question generation transformer trained on text data and use it to generate question-answer pairs from transcribed video narrations. Given narrated videos, we then automatically generate the HowToVQA69M dataset with 69M video-question-answer triplets. To handle the open vocabulary of diverse answers in this dataset, we propose a training procedure based on a contrastive loss between a video-question multi-modal transformer and an answer transformer. We introduce the zero-shot VideoQA task and show excellent results, in particular for rare answers. Furthermore, we demonstrate our method to significantly outperform the state of the art on MSRVTT-QA, MSVD-QA, ActivityNet-QA and How2QA. Finally, for a detailed evaluation we introduce iVQA, a new VideoQA dataset with reduced language biases and high-quality redundant manual annotations. Our code, datasets and trained models are available at https://antoyang.github.io/just-ask.html.

This paper introduces the task of visual question answering for remote sensing data (RSVQA). Remote sensing images contain a wealth of information which can be useful for a wide range of tasks including land cover classification, object counting or detection. However, most of the available methodologies are task-specific, thus inhibiting generic and easy access to the information contained in remote sensing data. As a consequence, accurate remote sensing product generation still requires expert knowledge. With RSVQA, we propose a system to extract information from remote sensing data that is accessible to every user: we use questions formulated in natural language and use them to interact with the images. With the system, images can be queried to obtain high level information specific to the image content or relational dependencies between objects visible in the images. Using an automatic method introduced in this article, we built two datasets (using low and high resolution data) of image/question/answer triplets. The information required to build the questions and answers is queried from OpenStreetMap (OSM). The datasets can be used to train (when using supervised methods) and evaluate models to solve the RSVQA task. We report the results obtained by applying a model based on Convolutional Neural Networks (CNNs) for the visual part and on a Recurrent Neural Network (RNN) for the natural language part to this task. The model is trained on the two datasets, yielding promising results in both cases.

In Visual Question Answering (VQA), answers have a great correlation with question meaning and visual contents. Thus, to selectively utilize image, question and answer information, we propose a novel trilinear interaction model which simultaneously learns high level associations between these three inputs. In addition, to overcome the interaction complexity, we introduce a multimodal tensor-based PARALIND decomposition which efficiently parameterizes trilinear interaction between the three inputs. Moreover, knowledge distillation is first time applied in Free-form Opened-ended VQA. It is not only for reducing the computational cost and required memory but also for transferring knowledge from trilinear interaction model to bilinear interaction model. The extensive experiments on benchmarking datasets TDIUC, VQA-2.0, and Visual7W show that the proposed compact trilinear interaction model achieves state-of-the-art results when using a single model on all three datasets.

Visual Language Models (VLMs) have demonstrated impressive capabilities in visual grounding tasks. However, their effectiveness in the medical domain, particularly for abnormality detection and localization within medical images, remains underexplored. A major challenge is the complex and abstract nature of medical terminology, which makes it difficult to directly associate pathological anomaly terms with their corresponding visual features. In this work, we introduce a novel approach to enhance VLM performance in medical abnormality detection and localization by leveraging decomposed medical knowledge. Instead of directly prompting models to recognize specific abnormalities, we focus on breaking down medical concepts into fundamental attributes and common visual patterns. This strategy promotes a stronger alignment between textual descriptions and visual features, improving both the recognition and localization of abnormalities in medical images.We evaluate our method on the 0.23B Florence-2 base model and demonstrate that it achieves comparable performance in abnormality grounding to significantly larger 7B LLaVA-based medical VLMs, despite being trained on only 1.5% of the data used for such models. Experimental results also demonstrate the effectiveness of our approach in both known and previously unseen abnormalities, suggesting its strong generalization capabilities.

Current tasks and methods in Document Understanding aims to process documents as single elements. However, documents are usually organized in collections (historical records, purchase invoices), that provide context useful for their interpretation. To address this problem, we introduce Document Collection Visual Question Answering (DocCVQA) a new dataset and related task, where questions are posed over a whole collection of document images and the goal is not only to provide the answer to the given question, but also to retrieve the set of documents that contain the information needed to infer the answer. Along with the dataset we propose a new evaluation metric and baselines which provide further insights to the new dataset and task.

Document Question Answering (QA) presents a challenge in understanding visually-rich documents (VRD), particularly those dominated by lengthy textual content like research journal articles. Existing studies primarily focus on real-world documents with sparse text, while challenges persist in comprehending the hierarchical semantic relations among multiple pages to locate multimodal components. To address this gap, we propose PDF-MVQA, which is tailored for research journal articles, encompassing multiple pages and multimodal information retrieval. Unlike traditional machine reading comprehension (MRC) tasks, our approach aims to retrieve entire paragraphs containing answers or visually rich document entities like tables and figures. Our contributions include the introduction of a comprehensive PDF Document VQA dataset, allowing the examination of semantically hierarchical layout structures in text-dominant documents. We also present new VRD-QA frameworks designed to grasp textual contents and relations among document layouts simultaneously, extending page-level understanding to the entire multi-page document. Through this work, we aim to enhance the capabilities of existing vision-and-language models in handling challenges posed by text-dominant documents in VRD-QA.

The availability of clean and diverse labeled data is a major roadblock for training models on complex tasks such as visual question answering (VQA). The extensive work on large vision-and-language models has shown that self-supervised learning is effective for pretraining multimodal interactions. In this technical report, we focus on visual representations. We review and evaluate self-supervised methods to leverage unlabeled images and pretrain a model, which we then fine-tune on a custom VQA task that allows controlled evaluation and diagnosis. We compare energy-based models (EBMs) with contrastive learning (CL). While EBMs are growing in popularity, they lack an evaluation on downstream tasks. We find that both EBMs and CL can learn representations from unlabeled images that enable training a VQA model on very little annotated data. In a simple setting similar to CLEVR, we find that CL representations also improve systematic generalization, and even match the performance of representations from a larger, supervised, ImageNet-pretrained model. However, we find EBMs to be difficult to train because of instabilities and high variability in their results. Although EBMs prove useful for OOD detection, other results on supervised energy-based training and uncertainty calibration are largely negative. Overall, CL currently seems a preferable option over EBMs.

Many visual scenes contain text that carries crucial information, and it is thus essential to understand text in images for downstream reasoning tasks. For example, a deep water label on a warning sign warns people about the danger in the scene. Recent work has explored the TextVQA task that requires reading and understanding text in images to answer a question. However, existing approaches for TextVQA are mostly based on custom pairwise fusion mechanisms between a pair of two modalities and are restricted to a single prediction step by casting TextVQA as a classification task. In this work, we propose a novel model for the TextVQA task based on a multimodal transformer architecture accompanied by a rich representation for text in images. Our model naturally fuses different modalities homogeneously by embedding them into a common semantic space where self-attention is applied to model inter- and intra- modality context. Furthermore, it enables iterative answer decoding with a dynamic pointer network, allowing the model to form an answer through multi-step prediction instead of one-step classification. Our model outperforms existing approaches on three benchmark datasets for the TextVQA task by a large margin.

Recent methods for visual question answering rely on large-scale annotated datasets. Manual annotation of questions and answers for videos, however, is tedious, expensive and prevents scalability. In this work, we propose to avoid manual annotation and generate a large-scale training dataset for video question answering making use of automatic cross-modal supervision. We leverage a question generation transformer trained on text data and use it to generate question-answer pairs from transcribed video narrations. Given narrated videos, we then automatically generate the HowToVQA69M dataset with 69M video-question-answer triplets. To handle the open vocabulary of diverse answers in this dataset, we propose a training procedure based on a contrastive loss between a video-question multi-modal transformer and an answer transformer. We introduce the zero-shot VideoQA task and the VideoQA feature probe evaluation setting and show excellent results, in particular for rare answers. Furthermore, our method achieves competitive results on MSRVTT-QA, ActivityNet-QA, MSVD-QA and How2QA datasets. We also show that our VideoQA dataset generation approach generalizes to another source of web video and text data. We use our method to generate the WebVidVQA3M dataset from the WebVid dataset, i.e., videos with alt-text annotations, and show its benefits for training VideoQA models. Finally, for a detailed evaluation we introduce iVQA, a new VideoQA dataset with reduced language bias and high-quality manual annotations. Code, datasets and trained models are available at https://antoyang.github.io/just-ask.html

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

When building artificial intelligence systems that can reason and answer questions about visual data, we need diagnostic tests to analyze our progress and discover shortcomings. Existing benchmarks for visual question answering can help, but have strong biases that models can exploit to correctly answer questions without reasoning. They also conflate multiple sources of error, making it hard to pinpoint model weaknesses. We present a diagnostic dataset that tests a range of visual reasoning abilities. It contains minimal biases and has detailed annotations describing the kind of reasoning each question requires. We use this dataset to analyze a variety of modern visual reasoning systems, providing novel insights into their abilities and limitations.

Current architectures for multi-modality tasks such as visual question answering suffer from their high complexity. As a result, these architectures are difficult to train and require high computational resources. To address these problems we present a CLIP-based architecture that does not require any fine-tuning of the feature extractors. A simple linear classifier is used on the concatenated features of the image and text encoder. During training an auxiliary loss is added which operates on the answer types. The resulting classification is then used as an attention gate on the answer class selection. On the VizWiz 2022 Visual Question Answering Challenge we achieve 60.15 % accuracy on Task 1: Predict Answer to a Visual Question and AP score of 83.78 % on Task 2: Predict Answerability of a Visual Question.

Growing interest in conversational agents promote twoway human-computer communications involving asking and answering visual questions have become an active area of research in AI. Thus, generation of visual questionanswer pair(s) becomes an important and challenging task. To address this issue, we propose a weakly-supervised visual question answer generation method that generates a relevant question-answer pairs for a given input image and associated caption. Most of the prior works are supervised and depend on the annotated question-answer datasets. In our work, we present a weakly supervised method that synthetically generates question-answer pairs procedurally from visual information and captions. The proposed method initially extracts list of answer words, then does nearest question generation that uses the caption and answer word to generate synthetic question. Next, the relevant question generator converts the nearest question to relevant language question by dependency parsing and in-order tree traversal, finally, fine-tune a ViLBERT model with the question-answer pair(s) generated at end. We perform an exhaustive experimental analysis on VQA dataset and see that our model significantly outperform SOTA methods on BLEU scores. We also show the results wrt baseline models and ablation study.

Question answering (QA) systems have gained explosive attention in recent years. However, QA tasks in Vietnamese do not have many datasets. Significantly, there is mostly no dataset in the medical domain. Therefore, we built a Vietnamese Healthcare Question Answering dataset (ViHealthQA), including 10,015 question-answer passage pairs for this task, in which questions from health-interested users were asked on prestigious health websites and answers from highly qualified experts. This paper proposes a two-stage QA system based on Sentence-BERT (SBERT) using multiple negatives ranking (MNR) loss combined with BM25. Then, we conduct diverse experiments with many bag-of-words models to assess our system's performance. With the obtained results, this system achieves better performance than traditional methods.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

With the advent of multi-modal large language models (MLLMs), datasets used for visual question answering (VQA) and referring expression comprehension have seen a resurgence. However, the most popular datasets used to evaluate MLLMs are some of the earliest ones created, and they have many known problems, including extreme bias, spurious correlations, and an inability to permit fine-grained analysis. In this paper, we pioneer evaluating recent MLLMs (LLaVA 1.5, LLaVA-NeXT, BLIP2, InstructBLIP, GPT-4V, and GPT-4o) on datasets designed to address weaknesses in earlier ones. We assess three VQA datasets: 1) TDIUC, which permits fine-grained analysis on 12 question types; 2) TallyQA, which has simple and complex counting questions; and 3) DVQA, which requires optical character recognition for chart understanding. We also study VQDv1, a dataset that requires identifying all image regions that satisfy a given query. Our experiments reveal the weaknesses of many MLLMs that have not previously been reported. Our code is integrated into the widely used LAVIS framework for MLLM evaluation, enabling the rapid assessment of future MLLMs. Project webpage: https://kevinlujian.github.io/MLLM_Evaluations/

Bilinear pooling (BLP) refers to a family of operations recently developed for fusing features from different modalities predominantly developed for VQA models. A bilinear (outer-product) expansion is thought to encourage models to learn interactions between two feature spaces and has experimentally outperformed `simpler' vector operations (concatenation and element-wise-addition/multiplication) on VQA benchmarks. Successive BLP techniques have yielded higher performance with lower computational expense and are often implemented alongside attention mechanisms. However, despite significant progress in VQA, BLP methods have not been widely applied to more recently explored video question answering (video-QA) tasks. In this paper, we begin to bridge this research gap by applying BLP techniques to various video-QA benchmarks, namely: TVQA, TGIF-QA, Ego-VQA and MSVD-QA. We share our results on the TVQA baseline model, and the recently proposed heterogeneous-memory-enchanced multimodal attention (HME) model. Our experiments include both simply replacing feature concatenation in the existing models with BLP, and a modified version of the TVQA baseline to accommodate BLP we name the `dual-stream' model. We find that our relatively simple integration of BLP does not increase, and mostly harms, performance on these video-QA benchmarks. Using recently proposed theoretical multimodal fusion taxonomies, we offer insight into why BLP-driven performance gain for video-QA benchmarks may be more difficult to achieve than in earlier VQA models. We suggest a few additional `best-practices' to consider when applying BLP to video-QA. We stress that video-QA models should carefully consider where the complex representational potential from BLP is actually needed to avoid computational expense on `redundant' fusion.

Large Language Models (LLMs) have introduced a new era of proficiency in comprehending complex healthcare and biomedical topics. However, there is a noticeable lack of models in languages other than English and models that can interpret multi-modal input, which is crucial for global healthcare accessibility. In response, this study introduces Qilin-Med-VL, the first Chinese large vision-language model designed to integrate the analysis of textual and visual data. Qilin-Med-VL combines a pre-trained Vision Transformer (ViT) with a foundational LLM. It undergoes a thorough two-stage curriculum training process that includes feature alignment and instruction tuning. This method enhances the model's ability to generate medical captions and answer complex medical queries. We also release ChiMed-VL, a dataset consisting of more than 1M image-text pairs. This dataset has been carefully curated to enable detailed and comprehensive interpretation of medical data using various types of images.

Dramatic progress has been witnessed in basic vision tasks involving low-level perception, such as object recognition, detection, and tracking. Unfortunately, there is still an enormous performance gap between artificial vision systems and human intelligence in terms of higher-level vision problems, especially ones involving reasoning. Earlier attempts in equipping machines with high-level reasoning have hovered around Visual Question Answering (VQA), one typical task associating vision and language understanding. In this work, we propose a new dataset, built in the context of Raven's Progressive Matrices (RPM) and aimed at lifting machine intelligence by associating vision with structural, relational, and analogical reasoning in a hierarchical representation. Unlike previous works in measuring abstract reasoning using RPM, we establish a semantic link between vision and reasoning by providing structure representation. This addition enables a new type of abstract reasoning by jointly operating on the structure representation. Machine reasoning ability using modern computer vision is evaluated in this newly proposed dataset. Additionally, we also provide human performance as a reference. Finally, we show consistent improvement across all models by incorporating a simple neural module that combines visual understanding and structure reasoning.

Vision-Language Models (VLMs) have transformed tasks requiring visual and reasoning abilities, such as image retrieval and Visual Question Answering (VQA). Despite their success, VLMs face significant challenges with tasks involving geometric reasoning, algebraic problem-solving, and counting. These limitations stem from difficulties effectively integrating multiple modalities and accurately interpreting geometry-related tasks. Various works claim that introducing a captioning pipeline before VQA tasks enhances performance. We incorporated this pipeline for tasks involving geometry, algebra, and counting. We found that captioning results are not generalizable, specifically with larger VLMs primarily trained on downstream QnA tasks showing random performance on math-related challenges. However, we present a promising alternative: task-based prompting, enriching the prompt with task-specific guidance. This approach shows promise and proves more effective than direct captioning methods for math-heavy problems.

Medical image classification in radiology faces significant challenges, particularly in generalizing to unseen pathologies. In contrast, CLIP offers a promising solution by leveraging multimodal learning to improve zero-shot classification performance. However, in the medical domain, lesions can be small and might not be well represented in the embedding space. Therefore, in this paper, we explore the potential of visual prompt engineering to enhance the capabilities of Vision Language Models (VLMs) in radiology. Leveraging BiomedCLIP, trained on extensive biomedical image-text pairs, we investigate the impact of embedding visual markers directly within radiological images to guide the model's attention to critical regions. Our evaluation on the JSRT dataset, focusing on lung nodule malignancy classification, demonstrates that incorporating visual prompts x2013 such as arrows, circles, and contours x2013 significantly improves classification metrics including AUROC, AUPRC, F1 score, and accuracy. Moreover, the study provides attention maps, showcasing enhanced model interpretability and focus on clinically relevant areas. These findings underscore the efficacy of visual prompt engineering as a straightforward yet powerful approach to advance VLM performance in medical image analysis.

We introduce MedXpertQA, a highly challenging and comprehensive benchmark to evaluate expert-level medical knowledge and advanced reasoning. MedXpertQA includes 4,460 questions spanning 17 specialties and 11 body systems. It includes two subsets, Text for text evaluation and MM for multimodal evaluation. Notably, MM introduces expert-level exam questions with diverse images and rich clinical information, including patient records and examination results, setting it apart from traditional medical multimodal benchmarks with simple QA pairs generated from image captions. MedXpertQA applies rigorous filtering and augmentation to address the insufficient difficulty of existing benchmarks like MedQA, and incorporates specialty board questions to improve clinical relevance and comprehensiveness. We perform data synthesis to mitigate data leakage risk and conduct multiple rounds of expert reviews to ensure accuracy and reliability. We evaluate 16 leading models on MedXpertQA. Moreover, medicine is deeply connected to real-world decision-making, providing a rich and representative setting for assessing reasoning abilities beyond mathematics and code. To this end, we develop a reasoning-oriented subset to facilitate the assessment of o1-like models.

We propose V-Doc, a question-answering tool using document images and PDF, mainly for researchers and general non-deep learning experts looking to generate, process, and understand the document visual question answering tasks. The V-Doc supports generating and using both extractive and abstractive question-answer pairs using documents images. The extractive QA selects a subset of tokens or phrases from the document contents to predict the answers, while the abstractive QA recognises the language in the content and generates the answer based on the trained model. Both aspects are crucial to understanding the documents, especially in an image format. We include a detailed scenario of question generation for the abstractive QA task. V-Doc supports a wide range of datasets and models, and is highly extensible through a declarative, framework-agnostic platform.