# MedMosaic: A Challenging Large Scale Benchmark of Diverse Medical Audio

arXiv: https://arxiv.org/abs/2605.00969 · HTML: https://mlsanity.com/paper/2605.00969/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 46 of its 61 references that are in the map.
- First posted on arXiv 1 May 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 30 of 46)

- [Measuring Massive Multitask Language Understanding](https://mlsanity.com/paper/2009.03300/) (2020)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [Gemini 2.5: Pushing the Frontier with Advanced Reasoning, Multimodality, Long Context, and Next Generation Agentic Capabilities](https://mlsanity.com/paper/2507.06261/) (2025)
- [Gemma 3 Technical Report](https://mlsanity.com/paper/2503.19786/) (2025)
- [OpenAI GPT-5 System Card](https://mlsanity.com/paper/2601.03267/) (2025)
- [Qwen2.5-Omni Technical Report](https://mlsanity.com/paper/2503.20215/) (2025)
- [MELD: A Multimodal Multi-Party Dataset for Emotion Recognition in Conversations](https://mlsanity.com/paper/1810.02508/) (2018)
- [Qwen-Audio: Advancing Universal Audio Understanding via Unified Large-Scale Audio-Language Models](https://mlsanity.com/paper/2311.07919/) (2023)
- [SpeechGPT: Empowering Large Language Models with Intrinsic Cross-Modal Conversational Abilities](https://mlsanity.com/paper/2305.11000/) (2023)
- [Phi-4-Mini Technical Report: Compact yet Powerful Multimodal Language Models via Mixture-of-LoRAs](https://mlsanity.com/paper/2503.01743/) (2025)
- [SALMONN: Towards Generic Hearing Abilities for Large Language Models](https://mlsanity.com/paper/2310.13289/) (2023)
- [GigaSpeech: An Evolving, Multi-domain ASR Corpus with 10,000 Hours of Transcribed Audio](https://mlsanity.com/paper/2106.06909/) (2021)
- [AudioPaLM: A Large Language Model That Can Speak and Listen](https://mlsanity.com/paper/2306.12925/) (2023)
- [YouTube-8M: A Large-Scale Video Classification Benchmark](https://mlsanity.com/paper/1609.08675/) (2016)
- [MMAU: A Massive Multi-Task Audio Understanding and Reasoning Benchmark](https://mlsanity.com/paper/2410.19168/) (2024)
- [Pengi: An Audio Language Model for Audio Tasks](https://mlsanity.com/paper/2305.11834/) (2023)
- [Audio Flamingo 3: Advancing Audio Intelligence with Fully Open Large Audio Language Models](https://mlsanity.com/paper/2507.08128/) (2025)
- [Listen, Think, and Understand](https://mlsanity.com/paper/2305.10790/) (2023)
- [FMA: A Dataset For Music Analysis](https://mlsanity.com/paper/1612.01840/) (2016)
- [Audio Flamingo: A Novel Audio Language Model with Few-Shot Learning and Dialogue Abilities](https://mlsanity.com/paper/2402.01831/) (2024)
- [MERT: Acoustic Music Understanding Model with Large-Scale Self-supervised Training](https://mlsanity.com/paper/2306.00107/) (2023)
- [GAMA: A Large Audio-Language Model with Advanced Audio Understanding and Complex Reasoning Abilities](https://mlsanity.com/paper/2406.11768/) (2024)
- [MiraData: A Large-Scale Video Dataset with Long Durations and Structured Captions](https://mlsanity.com/paper/2407.06358/) (2024)
- [AudioBench: A Universal Benchmark for Audio Large Language Models](https://mlsanity.com/paper/2406.16020/) (2024)
- [MMAR: A Challenging Benchmark for Deep Reasoning in Speech, Audio, Music, and Their Mix](https://mlsanity.com/paper/2505.13032/) (2025)
- [Baichuan-Omni-1.5 Technical Report](https://mlsanity.com/paper/2501.15368/) (2025)
- [MMSU: A Massive Multi-task Spoken Language Understanding and Reasoning Benchmark](https://mlsanity.com/paper/2506.04779/) (2025)
- [Joint Audio and Speech Understanding](https://mlsanity.com/paper/2309.14405/) (2023)
- [Clotho-AQA: A Crowdsourced Dataset for Audio Question Answering](https://mlsanity.com/paper/2204.09634/) (2022)

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

- [Bridging the Modality Gap in Long-Form Clinical Audio: A Comparative Study of Lightweight and Heavyweight End-to-End SOAP Generation](https://mlsanity.com/paper/2609.14467/) (2026)
- [SEABED: SouthEast Asian Benchmark for Evaluating Audio Reasoning](https://mlsanity.com/paper/2609.22586/) (2026)

## Abstract (arXiv)

Medical audio data is difficult to collect due to privacy regulations and high annotation costs arising from domain expertise. Thus, existing benchmarks tend to underrepresent complex medical audio scenarios. To address this challenge, we present MedMosaic, a medical audio question-answering dataset designed to benchmark language and audio reasoning models under realistic clinical constraints. MedMosaic features a diverse range of medical audio types, including condition-related physiological sounds, carefully constructed synthetic voices to mimic speech with artifacts as well as real short and long length clinical conversations to model varying context lengths. The dataset also features a total of 46,701 question-answer pairs, spanning categories such as multiple-choice, sequential multi-turn, and open-ended question-answers, enabling systematic evaluation of multi-hop reasoning and answer generation capabilities. Benchmarking 13 audio and multimodal reasoning models reveals that reasoning remains challenging for all evaluated systems, with substantial performance variation across question types. In particular, even state-of-the-art model like Gemini-2.5-pro can only achieve 68.1% accuracy approximately. These findings underscore persistent limitations in medical reasoning and highlight the need for more robust, domain-specific multimodal reasoning models. A sample of benchmark data is available here: https://shorturl.at/Lyp33