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Paper · arXiv

Towards Clinically Faithful Medical Image Captioning via Enhanced Vision-Language Alignment

Medical image captioning is a technique that accelerates early-stage diagnostic workflows and enhances the interpretability of medical diagnostic AI systems. However, unlike general image captioning, clinically reliable captioning remains challenging due to grayscale-based modalities, subtle anatomical cues, specialized medical phrasing, and variations in data quality. Despite recent advances in large vision-language models, fluent outputs do not necessarily guarantee sufficient alignment with clinical concept spaces or evaluation criteria. To address this issue, we propose a framework that strengthens clinical alignment by separating and enhancing training-time alignment and inference-ti...

AuthorsYunseo Lee, Hyun Jun Kim, Heeseung Shin et al.
Primary categorycs.CV
Published20 August 2026
Last updated at source20 August 2026
cs.CVcs.CL
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