# MedicalNarratives: Connecting Medical Vision and Language with Localized Narratives

arXiv: https://arxiv.org/abs/2501.04184 · HTML: https://mlsanity.com/paper/2501.04184/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 71 of its 155 references that are in the map.
- First posted on arXiv 7 Jan 2025.

## Builds on (most cited first, 30 of 71)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [LAION-5B: An open large-scale dataset for training next generation image-text models](https://mlsanity.com/paper/2210.08402/) (2022)
- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [Scaling Up Visual and Vision-Language Representation Learning With Noisy Text Supervision](https://mlsanity.com/paper/2102.05918/) (2021)
- [Deep Learning Face Attributes in the Wild](https://mlsanity.com/paper/1411.7766/) (2014)
- [Grounding DINO: Marrying DINO with Grounded Pre-Training for Open-Set Object Detection](https://mlsanity.com/paper/2303.05499/) (2023)
- [FaceNet: A Unified Embedding for Face Recognition and Clustering](https://mlsanity.com/paper/1503.03832/) (2015)
- [Visual Genome: Connecting Language and Vision Using Crowdsourced Dense Image Annotations](https://mlsanity.com/paper/1602.07332/) (2016)
- [ViLBERT: Pretraining Task-Agnostic Visiolinguistic Representations for Vision-and-Language Tasks](https://mlsanity.com/paper/1908.02265/) (2019)
- [Towards VQA Models That Can Read](https://mlsanity.com/paper/1904.08920/) (2019)
- [Scaling Autoregressive Models for Content-Rich Text-to-Image Generation](https://mlsanity.com/paper/2206.10789/) (2022)
- [Oscar: Object-Semantics Aligned Pre-training for Vision-Language Tasks](https://mlsanity.com/paper/2004.06165/) (2020)
- [ImageBind: One Embedding Space To Bind Them All](https://mlsanity.com/paper/2305.05665/) (2023)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [A Diagram Is Worth A Dozen Images](https://mlsanity.com/paper/1603.07396/) (2016)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [Contrastive Learning of Medical Visual Representations from Paired Images and Text](https://mlsanity.com/paper/2010.00747/) (2020)
- [The Medical Segmentation Decathlon](https://mlsanity.com/paper/2106.05735/) (2021)
- [BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs](https://mlsanity.com/paper/2303.00915/) (2023)
- [Scaling Open-Vocabulary Image Segmentation with Image-Level Labels](https://mlsanity.com/paper/2112.12143/) (2021)
- [fastMRI: An Open Dataset and Benchmarks for Accelerated MRI](https://mlsanity.com/paper/1811.08839/) (2018)
- [Rotation Equivariant CNNs for Digital Pathology](https://mlsanity.com/paper/1806.03962/) (2018)
- [LanguageBind: Extending Video-Language Pretraining to N-modality by Language-based Semantic Alignment](https://mlsanity.com/paper/2310.01852/) (2023)
- [Towards Generalist Biomedical AI](https://mlsanity.com/paper/2307.14334/) (2023)
- [GLIPv2: Unifying Localization and Vision-Language Understanding](https://mlsanity.com/paper/2206.05836/) (2022)
- [VinDr-CXR: An open dataset of chest X-rays with radiologist's annotations](https://mlsanity.com/paper/2012.15029/) (2020)

## Built on by (most cited first, 2 of 2)

- [How Well Can General Vision-Language Models Learn Medicine By Watching Public Educational Videos?](https://mlsanity.com/paper/2504.14391/) (2025)
- [MedP-CLIP: Medical CLIP with Region-Aware Prompt Integration](https://mlsanity.com/paper/2604.11197/) (2026)

## Abstract (arXiv)

Multi-modal models are data hungry. While datasets with natural images are abundant, medical image datasets can not afford the same luxury. To enable representation learning for medical images at scale, we turn to YouTube, a platform with a large reservoir of open-source medical pedagogical videos. We curate MedicalNarratives, a dataset 4.7M medical image-text pairs, with 1M samples containing dense annotations in the form of spatial traces (and bounding boxes), and 118K videos centered on the trace event (with aligned text), enabling spatiotemporal grounding beyond single frames. Similar to textitthink-aloud studies where instructors speak while hovering their mouse cursor movements over relevant image regions, 1M images in MedicalNarratives contains localized mouse traces in image pixels, creating a spatial and temporal association between the text and pixels. To evaluate the utility of MedicalNarratives, we train GenMedClip with a CLIP-like objective using our dataset spanning 12 medical domains. GenMedClip outperforms previous state-of-the-art models on all 12 domains on a newly constructed medical imaging benchmark. hrefhttps://huggingface.co/datasets/wisdomik/MedicalNarratives[Data]
