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A Comprehensive Study of GPT-4V's Multimodal Capabilities in Medical Imaging

Li, Y.; Liu, Y.; Wang, Z.; Liang, X.; Liu, L.; Wang, L.; Cui, L.; Tu, Z.; Wang, L.; Zhou, L.

2023-11-04 radiology and imaging
10.1101/2023.11.03.23298067 medRxiv
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AO_SCPLOWBSTRACTC_SCPLOWThis paper presents a comprehensive evaluation of GPT-4Vs capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4Vs performance in medical imaging, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4Vs potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. However, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of prevailing benchmarks in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU score, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

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