ReXSonoVQA: A Video QA Benchmark for Procedure-Centric Ultrasound Understanding
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Abstract (arXiv)
Ultrasound acquisition requires skilled probe manipulation and real-time adjustments. Vision-language models (VLMs) could enable autonomous ultrasound systems, but existing benchmarks evaluate only static images, not dynamic procedural understanding. We introduce ReXSonoVQA, a video QA benchmark with 514 video clips and 514 questions (249 MCQ, 265 free-response) targeting three competencies: Action-Goal Reasoning, Artifact Resolution & Optimization, and Procedure Context & Planning. Zero-shot evaluation of Gemini 3 Pro, Qwen3.5-397B, LLaVA-Video-72B, and Seed 2.0 Pro shows VLMs can extract some procedural information, but troubleshooting questions remain challenging with minimal gains over text-only baselines, exposing limitations in causal reasoning. ReXSonoVQA enables developing perception systems for ultrasound training, guidance, and robotic automation.
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References · 16
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- 2022MedMCQA : A Large-scale Multi-Subject Multi-Choice Dataset for Medical domain Question Answeringcited by 525
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- 2023BiomedGPT: A Generalist Vision-Language Foundation Model for Diverse Biomedical Taskscited by 201
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- 2023Robotic Ultrasound Imaging: State-of-the-Art and Future Perspectivescited by 29
- 2024ReXrank: A Public Leaderboard for AI-Powered Radiology Report Generationcited by 24
- 2025FetalCLIP: A Visual-Language Foundation Model for Fetal Ultrasound Image Analysiscited by 21
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- 2025ReXVQA: A Large-scale Visual Question Answering Benchmark for Generalist Chest X-ray Understandingcited by 20
- 2025Towards Embodied Agentic AI: Review and Classification of LLM- and VLM-Driven Robot Autonomy and Interactioncited by 18
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- 2025USPilot: An Embodied Robotic Assistant Ultrasound System with Large Language Model Enhanced Graph Plannercited by 3
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