RAU: Reference-based Anatomical Understanding with Vision Language Models
Quick summary
arXiv:2509.22404v2 Announce Type: replace-cross Abstract: Anatomical understanding, which is the ability to identify, localize, or segment anatomical structures, is critical in medical image analysis; however, its progress is constrained by the scarcity of expert-labeled data. A promising remedy is to leverage an annotated reference image to guide the interpretation of an unlabeled target. Although recent vision-language models (VLMs) exhibit non-trivial visual reasoning, their reference-based understanding and fine-grained localization remain limited. We introduce RAU, a framework for referen
Key takeaways
- arXiv:2509.22404v2 Announce Type: replace-cross Abstract: Anatomical understanding, which is the ability to identify, localize, or segment anatomical structures, is critical in medical image analysis; however, its progress is constrained by the scarcity of expert-labeled data.
- A promising remedy is to leverage an annotated reference image to guide the interpretation of an unlabeled target.
- Although recent vision-language models (VLMs) exhibit non-trivial visual reasoning, their reference-based understanding and fine-grained localization remain limited.
Why it matters
This model development creates a new option for users and a new testing obligation for developers. A fixed evaluation set comparing quality, cost and failure behavior is more useful than launch claims.

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