MedVH: Towards Systematic Evaluation of Hallucination for Large Vision Language Models in the Medical Context
On the map: Multimodal LLMs / vision-language models → Hallucination mitigation in LVLMs
Abstract (arXiv)
Large Vision Language Models (LVLMs) have recently achieved superior performance in various tasks on natural image and text data, which inspires a large amount of studies for LVLMs fine-tuning and training. Despite their advancements, there has been scant research on the robustness of these models against hallucination when fine-tuned on smaller datasets. In this study, we introduce a new benchmark dataset, the Medical Visual Hallucination Test (MedVH), to evaluate the hallucination of domain-specific LVLMs. MedVH comprises five tasks to evaluate hallucinations in LVLMs within the medical context, which includes tasks for comprehensive understanding of textual and visual input, as well as long textual response generation. Our extensive experiments with both general and medical LVLMs reveal that, although medical LVLMs demonstrate promising performance on standard medical tasks, they are particularly susceptible to hallucinations, often more so than the general models, raising significant concerns about the reliability of these domain-specific models. For medical LVLMs to be truly valuable in real-world applications, they must not only accurately integrate medical knowledge but also maintain robust reasoning abilities to prevent hallucination. Our work paves the way for future evaluations of these studies.
Key facts. Cited by 19 papers in the map (data through 7 Oct 2026). Placed in Hallucination mitigation in LVLMs, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 11 of its 26 references that are in the map. First posted on arXiv 3 Jul 2024.
Builds on
11 of 26 references.
References · 11
- 2022Large Language Models Encode Clinical Knowledgecited by 1,807
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,410
- 2021Retrieval Augmentation Reduces Hallucination in Conversationcited by 691
- 2020PathVQA: 30000+ Questions for Medical Visual Question Answeringcited by 467
- 2021SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answeringcited by 444
- 2021Deep Learning for Chest X-ray Analysis: A Surveycited by 84
- 2024A Vision-Language Foundation Model to Enhance Efficiency of Chest X-ray Interpretationcited by 79
- 2023LLM-CXR: Instruction-Finetuned LLM for CXR Image Understanding and Generationcited by 57
- 2022CySecBERT: A Domain-Adapted Language Model for the Cybersecurity Domaincited by 31
- 2024How well do LLMs cite relevant medical references? An evaluation framework and analysescited by 20
- 2024Hardware Phi-1.5B: A Large Language Model Encodes Hardware Domain Specific Knowledgecited by 10
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Citing papers per year: 2025: 14; 2026: 5.
19 papers.
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- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Modelscited by 6
- 2025Trustworthy Medical Imaging with Large Language Models: A Study of Hallucinations Across Modalitiescited by 6
- 2025Med-VCD: Mitigating Hallucination for Medical Large Vision Language Models through Visual Contrastive Decodingcited by 6
- 2025CCD: Mitigating Hallucinations in Radiology MLLMs via Clinical Contrastive Decodingcited by 4
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectivescited by 3
- 2025Meeseeks: A Feedback-Driven, Iterative Self-Correction Benchmark evaluating LLMs' Instruction Following Capabilitycited by 3
- 2025Focus on What Matters: Enhancing Medical Vision-Language Models with Automatic Attention Alignment Tuningcited by 3
- 2025A Scoping Review of Natural Language Processing in Addressing Medically Inaccurate Information: Errors, Misinformation, and Hallucinationcited by 2
- 2025EH-Benchmark Ophthalmic Hallucination Benchmark and Agent-Driven Top-Down Traceable Reasoning Workflowcited by 2
- 2025MedErr-CT: A Visual Question Answering Benchmark for Identifying and Correcting Errors in CT Reportscited by 1
- 2025MAP: Mitigating Hallucinations in Large Vision-Language Models with Map-Level Attention Processingcited by 1
- 2025Enhancing Medical Large Vision-Language Models via Alignment Distillationcited by 1
7 more
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMscited by 1
- 2025Zero-shot Performance of Generative AI in Brazilian Portuguese Medical Examcited by 0
- 2025NEURO-GUARD: Neuro-Symbolic Generalization and Unbiased Adaptive Routing for Diagnostics -- Explainable Medical AIcited by 0
- 2026Region-Grounded Report Generation for 3D Medical Imaging: A Fine-Grained Dataset and Graph-Enhanced Frameworkcited by 0
- 2026MedVIGIL: Evaluating Trustworthy Medical VLMs Under Broken Visual Evidencecited by 0
- 2026HalluCXR: Benchmarking and Mitigating Hallucinations in Medical Vision-Language Models for Chest Radiograph Interpretationcited by 0
- 2026Candidate-Expanding Routing with Permutation-Stabilized Experts for Mixed-Format Medical VQAcited by 0
- 2026Candidate-Expanding Routing with Permutation-Stabilized Experts for Mixed-Format Medical VQA1 Sep 2026
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMs20 Jul 2026
- 2026HalluCXR: Benchmarking and Mitigating Hallucinations in Medical Vision-Language Models for Chest Radiograph Interpretation19 May 2026
- 2026MedVIGIL: Evaluating Trustworthy Medical VLMs Under Broken Visual Evidence8 May 2026
- 2026Region-Grounded Report Generation for 3D Medical Imaging: A Fine-Grained Dataset and Graph-Enhanced Framework20 Apr 2026
- 2025Enhancing Medical Large Vision-Language Models via Alignment Distillation21 Dec 2025
- 2025NEURO-GUARD: Neuro-Symbolic Generalization and Unbiased Adaptive Routing for Diagnostics -- Explainable Medical AI20 Dec 2025
- 2025Med-VCD: Mitigating Hallucination for Medical Large Vision Language Models through Visual Contrastive Decoding1 Dec 2025
- 2025CCD: Mitigating Hallucinations in Radiology MLLMs via Clinical Contrastive Decoding27 Sep 2025
- 2025Trustworthy Medical Imaging with Large Language Models: A Study of Hallucinations Across Modalities9 Aug 2025
- 2025MAP: Mitigating Hallucinations in Large Vision-Language Models with Map-Level Attention Processing3 Aug 2025
- 2025Zero-shot Performance of Generative AI in Brazilian Portuguese Medical Exam26 Jul 2025
7 more
- 2025EH-Benchmark Ophthalmic Hallucination Benchmark and Agent-Driven Top-Down Traceable Reasoning Workflow24 Jul 2025
- 2025MedErr-CT: A Visual Question Answering Benchmark for Identifying and Correcting Errors in CT Reports24 Jun 2025
- 2025Focus on What Matters: Enhancing Medical Vision-Language Models with Automatic Attention Alignment Tuning24 May 2025
- 2025Meeseeks: A Feedback-Driven, Iterative Self-Correction Benchmark evaluating LLMs' Instruction Following Capability30 Apr 2025
- 2025A Scoping Review of Natural Language Processing in Addressing Medically Inaccurate Information: Errors, Misinformation, and Hallucination16 Apr 2025
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Models28 Feb 2025
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectives24 Feb 2025
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Modelscited by 6
- 2025Med-VCD: Mitigating Hallucination for Medical Large Vision Language Models through Visual Contrastive Decodingcited by 6
- 2025CCD: Mitigating Hallucinations in Radiology MLLMs via Clinical Contrastive Decodingcited by 4
- 2025Focus on What Matters: Enhancing Medical Vision-Language Models with Automatic Attention Alignment Tuningcited by 3
- 2025MAP: Mitigating Hallucinations in Large Vision-Language Models with Map-Level Attention Processingcited by 1
- 2025Enhancing Medical Large Vision-Language Models via Alignment Distillationcited by 1
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMscited by 1
- 2026HalluCXR: Benchmarking and Mitigating Hallucinations in Medical Vision-Language Models for Chest Radiograph Interpretationcited by 0
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMs20 Jul 2026
- 2026HalluCXR: Benchmarking and Mitigating Hallucinations in Medical Vision-Language Models for Chest Radiograph Interpretation19 May 2026
- 2025Enhancing Medical Large Vision-Language Models via Alignment Distillation21 Dec 2025
- 2025Med-VCD: Mitigating Hallucination for Medical Large Vision Language Models through Visual Contrastive Decoding1 Dec 2025
- 2025CCD: Mitigating Hallucinations in Radiology MLLMs via Clinical Contrastive Decoding27 Sep 2025
- 2025MAP: Mitigating Hallucinations in Large Vision-Language Models with Map-Level Attention Processing3 Aug 2025
- 2025Focus on What Matters: Enhancing Medical Vision-Language Models with Automatic Attention Alignment Tuning24 May 2025
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Models28 Feb 2025
- 2025Trustworthy Medical Imaging with Large Language Models: A Study of Hallucinations Across Modalitiescited by 6
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectivescited by 3
- 2025Meeseeks: A Feedback-Driven, Iterative Self-Correction Benchmark evaluating LLMs' Instruction Following Capabilitycited by 3
- 2025A Scoping Review of Natural Language Processing in Addressing Medically Inaccurate Information: Errors, Misinformation, and Hallucinationcited by 2
- 2025MedErr-CT: A Visual Question Answering Benchmark for Identifying and Correcting Errors in CT Reportscited by 1
- 2025Zero-shot Performance of Generative AI in Brazilian Portuguese Medical Examcited by 0
- 2025NEURO-GUARD: Neuro-Symbolic Generalization and Unbiased Adaptive Routing for Diagnostics -- Explainable Medical AIcited by 0
- 2026Region-Grounded Report Generation for 3D Medical Imaging: A Fine-Grained Dataset and Graph-Enhanced Frameworkcited by 0
- 2026MedVIGIL: Evaluating Trustworthy Medical VLMs Under Broken Visual Evidencecited by 0
- 2026Candidate-Expanding Routing with Permutation-Stabilized Experts for Mixed-Format Medical VQAcited by 0
- 2026Candidate-Expanding Routing with Permutation-Stabilized Experts for Mixed-Format Medical VQA1 Sep 2026
- 2026MedVIGIL: Evaluating Trustworthy Medical VLMs Under Broken Visual Evidence8 May 2026
- 2026Region-Grounded Report Generation for 3D Medical Imaging: A Fine-Grained Dataset and Graph-Enhanced Framework20 Apr 2026
- 2025NEURO-GUARD: Neuro-Symbolic Generalization and Unbiased Adaptive Routing for Diagnostics -- Explainable Medical AI20 Dec 2025
- 2025Trustworthy Medical Imaging with Large Language Models: A Study of Hallucinations Across Modalities9 Aug 2025
- 2025Zero-shot Performance of Generative AI in Brazilian Portuguese Medical Exam26 Jul 2025
- 2025MedErr-CT: A Visual Question Answering Benchmark for Identifying and Correcting Errors in CT Reports24 Jun 2025
- 2025Meeseeks: A Feedback-Driven, Iterative Self-Correction Benchmark evaluating LLMs' Instruction Following Capability30 Apr 2025
- 2025A Scoping Review of Natural Language Processing in Addressing Medically Inaccurate Information: Errors, Misinformation, and Hallucination16 Apr 2025
- 2025Fair Foundation Models for Medical Image Analysis: Challenges and Perspectives24 Feb 2025
Similar, not cited
Close in wording, no citation either way
- 2025MedHEval: Benchmarking Hallucinations and Mitigation Strategies in Medical Large Vision-Language Models
- 2024Detecting and Evaluating Medical Hallucinations in Large Vision Language Models
- 2024MedHallBench: A New Benchmark for Assessing Hallucination in Medical Large Language Models
- 2024A Survey on Hallucination in Large Vision-Language Models
- 2024Hallucination in Multimodal Foundation Models: A Survey on Causes, Corrections, and Evaluations
- 2026Med-StepBench: A Hierarchical Reasoning Framework for Evaluating Hallucinations in Medical Vision-Language Models
- 2026HALP: Detecting Hallucinations in Vision-Language Models without Generating a Single Token
- 2026What Makes LVLMs Hallucinate Less? Unveiling the Architectural Factors Behind Hallucination Robustness