Optical coherence tomography (OCT) imaging is essential for the diagnosis and treatment of retinal diseases. Although multimodal large language models (MLLMs) have demonstrated considerable potential in medical image analysis, existing benchmarks largely reduce OCT understanding to coarse-grained disease classification or isolated visual question answering, leaving the complete cognitive process from visual perception to clinical reasoning insufficiently evaluated. To address this limitation, we introduce OCT-Bench, a comprehensive benchmark dedicated to OCT image understanding. OCT-Bench comprises 10,076 high-quality multiple-choice questions constructed from 4,137 OCT images across seven public datasets. Following the real-world clinical interpretation workflow, we establish a hierarchical capability taxonomy consisting of 20 fine-grained tasks across three dimensions: Perception, Cognition, and Reasoning. These tasks cover a broad range of capabilities, including imaging attributes, retinal anatomy, lesion characteristics, spatial relationships, disease assessment, therapeutic decision-making, and prognostic management. We systematically evaluate 20 representative MLLMs, including proprietary models, open-source general-purpose models, and medical-domain models. Experimental results demonstrate that current models remain substantially short of reliable OCT understanding. Moreover, neither medical-domain adaptation nor increased model scale consistently improves performance across capability levels. OCT-Bench enables comprehensive and fine-grained evaluation of MLLMs, providing a foundation for identifying capability bottlenecks and advancing clinically grounded OCT understanding.
Baochen Fu, Wenzhi Deng, Baihao Jin et al.· 2 citations
Vision-Language Models (VLMs), like Large Language Models (LLMs), may memorize sensitive, copyrighted, or harmful knowledge from their pretraining corpora. Removing such knowledge is essential for building trustworthy AI systems. However, existing studies primarily focus on forgetting within individual modalities. Although recent work has begun to explore cross-modal consistency in unlearning, the cross-modal transfer of real-world knowledge unlearning remains insufficiently studied. To address this gap, we introduce UNLINK-VL, a real-world benchmark for cross-modal knowledge unlearning in VLMs. Under a post-hoc unlearning setting in which the original forget and retain corpora are unavailable, UNLINK-VL selects visually identifiable real-world entities as unlearning targets and associates them with corresponding images and one-hop and multi-hop facts derived from Wikidata. The benchmark comprises four complementary subsets that evaluate direct forgetting of target knowledge, the propagation of forgetting through relational knowledge, the preservation of related non-target knowledge, and robustness to semantically equivalent queries. We train models under text-only and multimodal unlearning settings and evaluate forgetting effectiveness and retained utility across textual, visual, and cross-modal scenarios. Extensive experiments reveal a pronounced asymmetry in cross-modal transfer: multimodal unlearning remains effective under textual evaluation, whereas text-only unlearning transfers poorly to visual and cross-modal scenarios. Meanwhile, the evaluated methods largely preserve the models'general capabilities. These findings demonstrate that relying solely on intra-modal evaluation, particularly text-only evaluation, may substantially overestimate the effectiveness of knowledge unlearning in VLMs, underscoring the need for cross-modal unlearning and evaluation.
Chunlin Liu, Junnian Chen, Haitong Jiang et al.· 0 citations
By unifying four hallucination dimensions with paired question design, KnowHal addresses an important gap in existing evaluation frameworks and enables a more comprehensive assessment of hallucinations in MLLMs.
Ruihan Li, Jiyang Tan, Kailin Jiang et al.· 0 citations