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Published on: August 12, 2025
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Hallucination-Aware Multimodal Benchmark for Gastrointestinal Image Analysis with Large Vision-Language Models
Bidur Khanal1, Sandesh Pokhrel2, Sanjay Bhandari2
1Rochester Institute of Technology, Rochester, NY, USA.
Summary
Vision-Language Models (VLMs) in medicine can hallucinate, generating inaccurate reports. A new dataset and hallucination-aware finetuning method improve VLM accuracy for gastrointestinal image analysis.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Natural Language Processing
Background:
- Vision-Language Models (VLMs) show promise in generating medical reports from images.
- Hallucination, or generating content inconsistent with visual data, is a critical issue in medical VLMs.
- Existing datasets lack specific annotations for hallucination detection and correction.
Purpose of the Study:
- To introduce Gut-VLM, a novel multimodal dataset for gastrointestinal (GI) image analysis.
- To develop and evaluate a hallucination-aware finetuning strategy for medical VLMs.
- To establish a benchmark for evaluating state-of-the-art VLMs in GI image analysis.
Main Methods:
- Curated the Gut-VLM dataset using a two-stage pipeline with AI-generated reports and expert corrections.
- Developed a hallucination-aware finetuning approach to train VLMs to detect and correct hallucinations.
- Conducted extensive evaluations of various VLMs on the Gut-VLM dataset.
Main Results:
- The Gut-VLM dataset includes annotations for hallucinated sentences and their corrections.
- Hallucination-aware finetuning demonstrated superior performance compared to standard finetuning for report generation.
- Established a comprehensive benchmark for VLM performance in GI image analysis.
Conclusions:
- The Gut-VLM dataset and hallucination-aware finetuning are effective in mitigating VLM hallucinations in medical imaging.
- This work provides a valuable resource and methodology for advancing reliable VLM applications in healthcare.
- Future research can leverage this dataset to further improve VLM robustness and clinical utility.
