arXiv:2511.01357cs.CVcs.AI2025-11中稿 · the 33rd Pacific C…

用跨模态交互提升医疗视觉问答的自由回答能力

CMI-MTL: Cross-Mamba interaction based multi-task learning for medical visual question answering

  • 引入跨Mamba交互模块,增强图像与文本细粒度对齐
  • 在三个医疗VQA数据集上超越现有最佳模型
  • 适合需要开放答案的临床辅助与远程诊疗场景

医疗视觉问答(Med-VQA)是临床决策支持和远程医疗中的关键多模态任务。现有基于自注意力的方法难以有效处理视觉与语言之间的跨模态语义对齐问题。分类方法依赖预定义答案集,无法适应自由形式答案的多样性,且忽略其详细语义信息。为此,我们提出基于跨Mamba交互的多任务学习框架(CMI-MTL),通过三个核心模块:细粒度视觉-文本特征对齐(FVTA)、跨模态交错特征表示(CIFR)和自由形式答案增强多任务学习(FFAE),从图像和文本中学习跨模态表征。FVTA通过细粒度对齐提取图像-文本对中最相关区域;CIFR通过跨模态交错表示捕捉序列级交互;FFAE利用开放式问题的辅助知识,增强模型对自由形式答案的建模能力。实验表明,CMI-MTL在三个主流医疗VQA数据集(VQA-RAD、SLAKE、OVQA)上均优于现有最优方法。此外,通过可解释性实验进一步验证了有效性。代码已公开于 https://github.com/BioMedIA-repo/CMI-MTL。

原文摘要 · Abstract (English)

Medical visual question answering (Med-VQA) is a crucial multimodal task in clinical decision support and telemedicine. Recent self-attention based methods struggle to effectively handle cross-modal semantic alignments between vision and language. Moreover, classification-based methods rely on predefined answer sets. Treating this task as a simple classification problem may make it unable to adapt to the diversity of free-form answers and overlook the detailed semantic information of free-form answers. In order to tackle these challenges, we introduce a Cross-Mamba Interaction based Multi-Task Learning (CMI-MTL) framework that learns cross-modal feature representations from images and texts. CMI-MTL comprises three key modules: fine-grained visual-text feature alignment (FVTA), cross-modal interleaved feature representation (CIFR), and free-form answer-enhanced multi-task learning (FFAE). FVTA extracts the most relevant regions in image-text pairs through fine-grained visual-text feature alignment. CIFR captures cross-modal sequential interactions via cross-modal interleaved feature representation. FFAE leverages auxiliary knowledge from open-ended questions through free-form answer-enhanced multi-task learning, improving the model's capability for open-ended Med-VQA. Experimental results show that CMI-MTL outperforms the existing state-of-the-art methods on three Med-VQA datasets: VQA-RAD, SLAKE, and OVQA. Furthermore, we conduct more interpretability experiments to prove the effectiveness. The code is publicly available at https://github.com/BioMedIA-repo/CMI-MTL.

医疗问答多模态自由回答Mamba

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