# Computed Tomography Visual Question Answering with Cross-modal Feature Graphing

arXiv: https://arxiv.org/abs/2507.04333 · HTML: https://mlsanity.com/paper/2507.04333/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 39 of its 50 references that are in the map.
- First posted on arXiv 6 Jul 2025.

## Builds on (most cited first, 30 of 39)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Semi-Supervised Classification with Graph Convolutional Networks](https://mlsanity.com/paper/1609.02907/) (2016)
- [Graph Attention Networks](https://mlsanity.com/paper/1710.10903/) (2017)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Efficient Estimation of Word Representations in Vector Space](https://mlsanity.com/paper/1301.3781/) (2013)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [VQA: Visual Question Answering](https://mlsanity.com/paper/1505.00468/) (2015)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Oscar: Object-Semantics Aligned Pre-training for Vision-Language Tasks](https://mlsanity.com/paper/2004.06165/) (2020)
- [VL-BERT: Pre-training of Generic Visual-Linguistic Representations](https://mlsanity.com/paper/1908.08530/) (2019)
- [MedCLIP: Contrastive Learning from Unpaired Medical Images and Text](https://mlsanity.com/paper/2210.10163/) (2022)
- [SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answering](https://mlsanity.com/paper/2102.09542/) (2021)
- [PMC-VQA: Visual Instruction Tuning for Medical Visual Question Answering](https://mlsanity.com/paper/2305.10415/) (2023)
- [Towards Generalist Foundation Model for Radiology by Leveraging Web-scale 2D&3D Medical Data](https://mlsanity.com/paper/2308.02463/) (2023)
- [M3D: Advancing 3D Medical Image Analysis with Multi-Modal Large Language Models](https://mlsanity.com/paper/2404.00578/) (2024)
- [Counterfactual Samples Synthesizing for Robust Visual Question Answering](https://mlsanity.com/paper/2003.06576/) (2020)
- [When Radiology Report Generation Meets Knowledge Graph](https://mlsanity.com/paper/2002.08277/) (2020)
- [Dynamic Graph Enhanced Contrastive Learning for Chest X-ray Report Generation](https://mlsanity.com/paper/2303.10323/) (2023)
- [Medical Visual Question Answering: A Survey](https://mlsanity.com/paper/2111.10056/) (2021)
- [ViT-V-Net: Vision Transformer for Unsupervised Volumetric Medical Image Registration](https://mlsanity.com/paper/2104.06468/) (2021)
- [REVIVE: Regional Visual Representation Matters in Knowledge-Based Visual Question Answering](https://mlsanity.com/paper/2206.01201/) (2022)
- [Open-Ended Medical Visual Question Answering Through Prefix Tuning of Language Models](https://mlsanity.com/paper/2303.05977/) (2023)
- [ChiMed-GPT: A Chinese Medical Large Language Model with Full Training Regime and Better Alignment to Human Preferences](https://mlsanity.com/paper/2311.06025/) (2023)
- [Expert Knowledge-Aware Image Difference Graph Representation Learning for Difference-Aware Medical Visual Question Answering](https://mlsanity.com/paper/2307.11986/) (2023)
- [SwapMix: Diagnosing and Regularizing the Over-Reliance on Visual Context in Visual Question Answering](https://mlsanity.com/paper/2204.02285/) (2022)
- [MuKEA: Multimodal Knowledge Extraction and Accumulation for Knowledge-based Visual Question Answering](https://mlsanity.com/paper/2203.09138/) (2022)
- [Masked Vision and Language Pre-training with Unimodal and Multimodal Contrastive Losses for Medical Visual Question Answering](https://mlsanity.com/paper/2307.05314/) (2023)
- [Cross-Modal Self-Attention with Multi-Task Pre-Training for Medical Visual Question Answering](https://mlsanity.com/paper/2105.00136/) (2021)

## Built on by (most cited first, 1 of 1)

- [ChiMed 2.0: Advancing Chinese Medical Dataset in Facilitating Large Language Modeling](https://mlsanity.com/paper/2507.15275/) (2025)

## Abstract (arXiv)

Visual question answering (VQA) in medical imaging aims to support clinical diagnosis by automatically interpreting complex imaging data in response to natural language queries. Existing studies typically rely on distinct visual and textual encoders to independently extract features from medical images and clinical questions, which are subsequently combined to generate answers. Specifically, in computed tomography (CT), such approaches are similar to the conventional practices in medical image analysis. However, these approaches pay less attention to the spatial continuity and inter-slice correlations in the volumetric CT data, leading to fragmented and imprecise responses. In this paper, we propose a novel large language model (LLM)-based framework enhanced by a graph representation of salient features. Different from conventional multimodal encoding strategies, our approach constructs a cross-modal graph integrating both visual and textual features, treating individual CT slices and question tokens as nodes within the graph. We further leverage an attentive graph convolutional network to dynamically fuse information within this structure. The resulting aggregated graph features then serve as a soft prompt to guide a large language model in generating accurate answers. Extensive experiments on the M3D-VQA benchmark demonstrate that our approach consistently outperforms baselines across multiple evaluation metrics, offering more robust reasoning capabilities.