Describe Anything in Medical Images

TL;DR

This paper introduces MedDAM, a novel framework that applies large vision-language models to generate region-specific descriptions in medical images, addressing the gap in specialized domain understanding.

Contribution

MedDAM is the first comprehensive medical imaging framework leveraging large vision-language models with expert prompts and a new evaluation benchmark for clinical factuality.

Findings

MedDAM outperforms existing models on multiple medical datasets.

Region-level semantic alignment improves medical image understanding.

The benchmark effectively evaluates clinical factuality without ground-truth captions.

Abstract

Localized image captioning has made significant progress with models like the Describe Anything Model (DAM), which can generate detailed region-specific descriptions without explicit region-text supervision. However, such capabilities have yet to be widely applied to specialized domains like medical imaging, where diagnostic interpretation relies on subtle regional findings rather than global understanding. To mitigate this gap, we propose MedDAM, the first comprehensive framework leveraging large vision-language models for region-specific captioning in medical images. MedDAM employs medical expert-designed prompts tailored to specific imaging modalities and establishes a robust evaluation benchmark comprising a customized assessment protocol, data pre-processing pipeline, and specialized QA template library. This benchmark evaluates both MedDAM and other adaptable large vision-language models, focusing on clinical factuality through attribute-level verification tasks, thereby circumventing the absence of ground-truth region-caption pairs in medical datasets. Extensive experiments on the VinDr-CXR, LIDC-IDRI, and SkinCon datasets demonstrate MedDAM's superiority over leading peers (including GPT-4o, Claude 3.7 Sonnet, LLaMA-3.2 Vision, Qwen2.5-VL, GPT-4Rol, and OMG-LLaVA) in the task, revealing the importance of region-level semantic alignment in medical image understanding and establishing MedDAM as a promising foundation for clinical vision-language integration.