# Vision-Language Models for Medical Report Generation and Visual Question Answering: A Review

arXiv: https://arxiv.org/abs/2403.02469 · HTML: https://mlsanity.com/paper/2403.02469/

## Key facts

- Cited by 125 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 134 of its 217 references that are in the map.
- First posted on arXiv 4 Mar 2024.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 30 of 134)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [Retrieval-Augmented Generation for Knowledge-Intensive NLP Tasks](https://mlsanity.com/paper/2005.11401/) (2020)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Representation Learning with Contrastive Predictive Coding](https://mlsanity.com/paper/1807.03748/) (2018)
- [End-to-End Object Detection with Transformers](https://mlsanity.com/paper/2005.12872/) (2020)
- [Mask R-CNN](https://mlsanity.com/paper/1703.06870/) (2017)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [PaLM: Scaling Language Modeling with Pathways](https://mlsanity.com/paper/2204.02311/) (2022)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [Training data-efficient image transformers & distillation through attention](https://mlsanity.com/paper/2012.12877/) (2020)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [Efficient Estimation of Word Representations in Vector Space](https://mlsanity.com/paper/1301.3781/) (2013)
- [Learning Phrase Representations using RNN Encoder-Decoder for Statistical Machine Translation](https://mlsanity.com/paper/1406.1078/) (2014)
- [On the Opportunities and Risks of Foundation Models](https://mlsanity.com/paper/2108.07258/) (2021)
- [Prefix-Tuning: Optimizing Continuous Prompts for Generation](https://mlsanity.com/paper/2101.00190/) (2021)

## Built on by (most cited first, 30 of 125)

- [MedVLM-R1: Incentivizing Medical Reasoning Capability of Vision-Language Models (VLMs) via Reinforcement Learning](https://mlsanity.com/paper/2502.19634/) (2025)
- [Unified Multimodal Understanding and Generation Models: Advances, Challenges, and Opportunities](https://mlsanity.com/paper/2505.02567/) (2025)
- [Foundation Model for Advancing Healthcare: Challenges, Opportunities, and Future Directions](https://mlsanity.com/paper/2404.03264/) (2024)
- [Sparse Autoencoders Learn Monosemantic Features in Vision-Language Models](https://mlsanity.com/paper/2504.02821/) (2025)
- [VILA-M3: Enhancing Vision-Language Models with Medical Expert Knowledge](https://mlsanity.com/paper/2411.12915/) (2024)
- [A Survey of State of the Art Large Vision Language Models: Alignment, Benchmark, Evaluations and Challenges](https://mlsanity.com/paper/2501.02189/) (2025)
- [CXPMRG-Bench: Pre-training and Benchmarking for X-ray Medical Report Generation on CheXpert Plus Dataset](https://mlsanity.com/paper/2410.00379/) (2024)
- [M2IV: Towards Efficient and Fine-grained Multimodal In-Context Learning via Representation Engineering](https://mlsanity.com/paper/2504.04633/) (2025)
- [A Survey on Medical Large Language Models: Technology, Application, Trustworthiness, and Future Directions](https://mlsanity.com/paper/2406.03712/) (2024)
- [Membership Inference Attacks Against Vision-Language Models](https://mlsanity.com/paper/2501.18624/) (2025)
- [A Survey of Multimodal Hallucination Evaluation and Detection](https://mlsanity.com/paper/2507.19024/) (2025)
- [A Survey on Efficient Vision-Language Models](https://mlsanity.com/paper/2504.09724/) (2025)
- [Vid-SME: Membership Inference Attacks against Large Video Understanding Models](https://mlsanity.com/paper/2506.03179/) (2025)
- [BadToken: Token-level Backdoor Attacks to Multi-modal Large Language Models](https://mlsanity.com/paper/2503.16023/) (2025)
- [Seeing Through Their Eyes: Evaluating Visual Perspective Taking in Vision Language Models](https://mlsanity.com/paper/2409.12969/) (2024)
- [Med-2E3: A 2D-Enhanced 3D Medical Multimodal Large Language Model](https://mlsanity.com/paper/2411.12783/) (2024)
- [Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering](https://mlsanity.com/paper/2505.18915/) (2025)
- [SCAM: A Real-World Typographic Robustness Evaluation for Multimodal Foundation Models](https://mlsanity.com/paper/2504.04893/) (2025)
- [Your other Left! Vision-Language Models Fail to Identify Relative Positions in Medical Images](https://mlsanity.com/paper/2508.00549/) (2025)
- [A Survey of Medical Vision-and-Language Applications and Their Techniques](https://mlsanity.com/paper/2411.12195/) (2024)
- [Mitigating Hallucination in Large Vision-Language Models via Adaptive Attention Calibration](https://mlsanity.com/paper/2505.21472/) (2025)
- [MORALISE: A Structured Benchmark for Moral Alignment in Visual Language Models](https://mlsanity.com/paper/2505.14728/) (2025)
- [DrVD-Bench: Do Vision-Language Models Reason Like Human Doctors in Medical Image Diagnosis?](https://mlsanity.com/paper/2505.24173/) (2025)
- [EchoBench: Benchmarking Sycophancy in Medical Large Vision-Language Models](https://mlsanity.com/paper/2509.20146/) (2025)
- [Boosting Vision-Language Models for Histopathology Classification: Predict all at once](https://mlsanity.com/paper/2409.01883/) (2024)
- [From Text to Multimodality: Exploring the Evolution and Impact of Large Language Models in Medical Practice](https://mlsanity.com/paper/2410.01812/) (2024)
- [ReEvalMed: Rethinking Medical Report Evaluation by Aligning Metrics with Real-World Clinical Judgment](https://mlsanity.com/paper/2510.00280/) (2025)
- [Uncertainty Quantification for Multimodal Large Language Models with Incoherence-adjusted Semantic Volume](https://mlsanity.com/paper/2602.24195/) (2026)
- [V3LMA: Visual 3D-enhanced Language Model for Autonomous Driving](https://mlsanity.com/paper/2505.00156/) (2025)
- [Mitigating Hallucinations via Inter-Layer Consistency Aggregation in Large Vision-Language Models](https://mlsanity.com/paper/2505.12343/) (2025)

## Abstract (arXiv)

Medical vision-language models (VLMs) combine computer vision (CV) and natural language processing (NLP) to analyze visual and textual medical data. Our paper reviews recent advancements in developing VLMs specialized for healthcare, focusing on models designed for medical report generation and visual question answering (VQA). We provide background on NLP and CV, explaining how techniques from both fields are integrated into VLMs to enable learning from multimodal data. Key areas we address include the exploration of medical vision-language datasets, in-depth analyses of architectures and pre-training strategies employed in recent noteworthy medical VLMs, and comprehensive discussion on evaluation metrics for assessing VLMs' performance in medical report generation and VQA. We also highlight current challenges and propose future directions, including enhancing clinical validity and addressing patient privacy concerns. Overall, our review summarizes recent progress in developing VLMs to harness multimodal medical data for improved healthcare applications.