# MedQ-UNI: Toward Unified Medical Image Quality Assessment and Restoration via Vision-Language Modeling

arXiv: https://arxiv.org/abs/2603.18465 · HTML: https://mlsanity.com/paper/2603.18465/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 21 of its 31 references that are in the map.
- First posted on arXiv 19 Mar 2026.

## Placed in

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

## Builds on (most cited first, 21 of 21)

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- [Controlling Vision-Language Models for Multi-Task Image Restoration](https://mlsanity.com/paper/2310.01018/) (2023)
- [Depicting Beyond Scores: Advancing Image Quality Assessment through Multi-modal Language Models](https://mlsanity.com/paper/2312.08962/) (2023)
- [Multimodal Prompt Perceiver: Empower Adaptiveness, Generalizability and Fidelity for All-in-One Image Restoration](https://mlsanity.com/paper/2312.02918/) (2023)
- [Restore-RWKV: Efficient and Effective Medical Image Restoration with RWKV](https://mlsanity.com/paper/2407.11087/) (2024)
- [All-In-One Medical Image Restoration via Task-Adaptive Routing](https://mlsanity.com/paper/2405.19769/) (2024)
- [BiMediX2: Bio-Medical EXpert LMM for Diverse Medical Modalities](https://mlsanity.com/paper/2412.07769/) (2024)
- [IQAGPT: Image Quality Assessment with Vision-language and ChatGPT Models](https://mlsanity.com/paper/2312.15663/) (2023)
- [UniMedVL: Unifying Medical Multimodal Understanding and Generation through Observation-Knowledge-Analysis](https://mlsanity.com/paper/2510.15710/) (2025)
- [MedQ-Bench: Evaluating and Exploring Medical Image Quality Assessment Abilities in MLLMs](https://mlsanity.com/paper/2510.01691/) (2025)
- [Medical Image Quality Assessment based on Probability of Necessity and Sufficiency](https://mlsanity.com/paper/2410.08118/) (2024)

## Abstract (arXiv)

Existing medical image restoration (Med-IR) methods are typically modality-specific or degradation-specific, failing to generalize across the heterogeneous degradations encountered in clinical practice. We argue this limitation stems from the isolation of Med-IR from medical image quality assessment (Med-IQA), as restoration models without explicit quality understanding struggle to adapt to diverse degradation types across modalities. To address these challenges, we propose MedQ-UNI, a unified vision-language model that follows an assess-then-restore paradigm, explicitly leveraging Med-IQA to guide Med-IR across arbitrary modalities and degradation types. MedQ-UNI adopts a multimodal autoregressive dual-expert architecture with shared attention: a quality assessment expert first identifies degradation issues through structured natural language descriptions, and a restoration expert then conditions on these descriptions to perform targeted image restoration. To support this paradigm, we construct a large-scale dataset of approximately 50K paired samples spanning three imaging modalities and five restoration tasks, each annotated with structured quality descriptions for joint Med-IQA and Med-IR training, along with a 2K-sample benchmark for evaluation. Extensive experiments demonstrate that a single MedQ-UNI model, without any task-specific adaptation, achieves state-of-the-art restoration performance across all tasks while generating superior descriptions, confirming that explicit quality understanding meaningfully improves restoration fidelity and interpretability.