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Towards Enhancing 3D Spatial Reasoning in Medical Multimodal Large Language Models

While Multimodal Large Language Models (MLLMs) have demonstrated remarkable success in 2D medical image understanding, their extension to 3D volumetric imaging remains hindered by prohibitive annotation costs and dataset opacity. Current data formats, predominantly consisting of rigid Visual Question Answering (VQA) pairs or unstructured final clinical reports, typically fail to capture explicit clinical reasoning. To address this limitation, we introduce a large-scale structured reasoning dataset constructed via a novel slice-wise data synthesis paradigm. Inspired by the genuine diagnostic workflow of radiologists, this paradigm models visual cognition by decomposing the complex 3D readi...

AuthorsZhuoyuan Fu, Zeshang Li, Yiqiong Zhang et al.
Primary categorycs.CV
Published15 July 2026
Last updated at source15 July 2026
cs.CV
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