# SeVeR: Selective Visual Exposure and Retrieval for 3D Medical Image Question Answering

arXiv: https://arxiv.org/abs/2608.25630 · HTML: https://mlsanity.com/paper/2608.25630/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 25 of its 32 references that are in the map.
- First posted on arXiv 26 Aug 2026.

## Builds on (most cited first, 25 of 25)

- [Qwen3 Technical Report](https://mlsanity.com/paper/2505.09388/) (2025)
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- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [Qwen3-VL Technical Report](https://mlsanity.com/paper/2511.21631/) (2025)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Token Merging: Your ViT But Faster](https://mlsanity.com/paper/2210.09461/) (2022)
- [An Image is Worth 1/2 Tokens After Layer 2: Plug-and-Play Inference Acceleration for Large Vision-Language Models](https://mlsanity.com/paper/2403.06764/) (2024)
- [VisionZip: Longer is Better but Not Necessary in Vision Language Models](https://mlsanity.com/paper/2412.04467/) (2024)
- [Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning](https://mlsanity.com/paper/2506.07044/) (2025)
- [Generalist Foundation Models from a Multimodal Dataset for 3D Computed Tomography](https://mlsanity.com/paper/2403.17834/) (2024)
- [OmniMedVQA: A New Large-Scale Comprehensive Evaluation Benchmark for Medical LVLM](https://mlsanity.com/paper/2402.09181/) (2024)
- [DivPrune: Diversity-based Visual Token Pruning for Large Multimodal Models](https://mlsanity.com/paper/2503.02175/) (2025)
- [M3D: Advancing 3D Medical Image Analysis with Multi-Modal Large Language Models](https://mlsanity.com/paper/2404.00578/) (2024)
- [HealthGPT: A Medical Large Vision-Language Model for Unifying Comprehension and Generation via Heterogeneous Knowledge Adaptation](https://mlsanity.com/paper/2502.09838/) (2025)
- [Merlin: A Computed Tomography Vision-Language Foundation Model and Dataset](https://mlsanity.com/paper/2406.06512/) (2024)
- [Hulu-Med: A Transparent Generalist Model towards Holistic Medical Vision-Language Understanding](https://mlsanity.com/paper/2510.08668/) (2025)
- [CT2Rep: Automated Radiology Report Generation for 3D Medical Imaging](https://mlsanity.com/paper/2403.06801/) (2024)
- [Token Pruning in Multimodal Large Language Models: Are We Solving the Right Problem?](https://mlsanity.com/paper/2502.11501/) (2025)
- [MMTok: Multimodal Coverage Maximization for Efficient Inference of VLMs](https://mlsanity.com/paper/2508.18264/) (2025)
- [3D-RAD: A Comprehensive 3D Radiology Med-VQA Dataset with Multi-Temporal Analysis and Diverse Diagnostic Tasks](https://mlsanity.com/paper/2506.11147/) (2025)
- [OmniV-Med: Scaling Medical Vision-Language Model for Universal Visual Understanding](https://mlsanity.com/paper/2504.14692/) (2025)
- [Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering](https://mlsanity.com/paper/2505.18915/) (2025)
- [OmniCT: Towards a Unified Slice-Volume LVLM for Comprehensive CT Analysis](https://mlsanity.com/paper/2602.16110/) (2026)
- [Photon: Speedup Volume Understanding with Efficient Multimodal Large Language Models](https://mlsanity.com/paper/2603.25155/) (2026)

## Abstract (arXiv)

Volumetric medical VQA requires reasoning over long and redundant 3D visual token sequences, especially in multi-sequence MRI where complementary modalities provide diverse diagnostic cues but expose the decoder to many repeated anatomical regions. To investigate reasoning under multi-sequence visual redundancy, we first introduce BreMRIs-VQA, a clinically curated breast MRI benchmark with 1.19M QA pairs from 71.0K sequences and 12.9K patients, covering both free-text and multiple-choice questions. We further propose SeVeR, a selective visual exposure framework that compresses dense volumes into modality-wise prototypes and retrieves complementary multi-level evidence with change-aware gated attention during decoding, trained with a marginal-utility self-consistency objective that suppresses unhelpful retrieval. Experiments on BreMRIs-VQA and public benchmarks show that SeVeR improves both discriminative and generative performance while exposing substantially fewer visual tokens.