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Paper · arXiv

Look-Closer-Then-Diagnose: Confidence-Aware Ultrasound VQA via Active Zooming

Vision-Language Models (VLMs) have significantly advanced medical visual question answering, yet their performance in ultrasound remains suboptimal. In clinical practice, sonographers explicitly focus on lesion regions to formulate reports, though diagnostic interpretations sometimes vary due to inherent subjectivity. However, existing VLMs are not explicitly structured to interactively zoom into lesions prior to diagnosis; moreover, they typically treat annotations as unbiased ground truths, failing to account for their inherent subjectivity and ambiguity. In this paper, we propose a framework specifically designed to consider the sonographer's cognitive workflow. We first introduce a st...

AuthorsYue Zhou, Erxuan Wu, Yikang Sun et al.
Primary categorycs.CV
Published20 May 2026
Last updated at source23 May 2026
cs.CVcs.AI
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