# MedMKEB: A Comprehensive Knowledge Editing Benchmark for Medical Multimodal Large Language Models

arXiv: https://arxiv.org/abs/2508.05083 · HTML: https://mlsanity.com/paper/2508.05083/

## Key facts

- Cited by 2 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 16 of its 31 references that are in the map.
- First posted on arXiv 7 Aug 2025.

## Placed in

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

## Builds on (most cited first, 16 of 16)

- [Locating and Editing Factual Associations in GPT](https://mlsanity.com/paper/2202.05262/) (2022)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Mass-Editing Memory in a Transformer](https://mlsanity.com/paper/2210.07229/) (2022)
- [Prompt Injection attack against LLM-integrated Applications](https://mlsanity.com/paper/2306.05499/) (2023)
- [Editing Factual Knowledge in Language Models](https://mlsanity.com/paper/2104.08164/) (2021)
- [Memory-Based Model Editing at Scale](https://mlsanity.com/paper/2206.06520/) (2022)
- [Can We Edit Factual Knowledge by In-Context Learning?](https://mlsanity.com/paper/2305.12740/) (2023)
- [Aging with GRACE: Lifelong Model Editing with Discrete Key-Value Adaptors](https://mlsanity.com/paper/2211.11031/) (2022)
- [HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scale](https://mlsanity.com/paper/2406.19280/) (2024)
- [OmniMedVQA: A New Large-Scale Comprehensive Evaluation Benchmark for Medical LVLM](https://mlsanity.com/paper/2402.09181/) (2024)
- [The Earth is Flat because...: Investigating LLMs' Belief towards Misinformation via Persuasive Conversation](https://mlsanity.com/paper/2312.09085/) (2023)
- [A Comprehensive Survey of Large Language Models and Multimodal Large Language Models in Medicine](https://mlsanity.com/paper/2405.08603/) (2024)
- [Few shot chain-of-thought driven reasoning to prompt LLMs for open ended medical question answering](https://mlsanity.com/paper/2403.04890/) (2024)
- [VLKEB: A Large Vision-Language Model Knowledge Editing Benchmark](https://mlsanity.com/paper/2403.07350/) (2024)
- [MMKE-Bench: A Multimodal Editing Benchmark for Diverse Visual Knowledge](https://mlsanity.com/paper/2502.19870/) (2025)
- [Beyond Memorization: A Rigorous Evaluation Framework for Medical Knowledge Editing](https://mlsanity.com/paper/2506.03490/) (2025)

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

- [Evaluating and Understanding Model Editing for Medical Vision Language Models](https://mlsanity.com/paper/2607.05310/) (2026)
- [MedKIT: Evaluating Knowledge Integration and Generalization in Large Language Models](https://mlsanity.com/paper/2609.38543/) (2026)

## Abstract (arXiv)

Recent advances in multimodal large language models (MLLMs) have significantly improved medical AI, enabling it to unify the understanding of visual and textual information. However, as medical knowledge continues to evolve, it is critical to allow these models to efficiently update outdated or incorrect information without retraining from scratch. Although textual knowledge editing has been widely studied, there is still a lack of systematic benchmarks for multimodal medical knowledge editing involving image and text modalities. To fill this gap, we present MedMKEB, the first comprehensive benchmark designed to evaluate the reliability, generality, locality, portability, and robustness of knowledge editing in medical multimodal large language models. MedMKEB is built on a high-quality medical visual question-answering dataset and enriched with carefully constructed editing tasks, including counterfactual correction, semantic generalization, knowledge transfer, and adversarial robustness. We incorporate human expert validation to ensure the accuracy and reliability of the benchmark. Extensive single editing and sequential editing experiments on state-of-the-art general and medical MLLMs demonstrate the limitations of existing knowledge-based editing approaches in medicine, highlighting the need to develop specialized editing strategies. MedMKEB will serve as a standard benchmark to promote the development of trustworthy and efficient medical knowledge editing algorithms.
