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Do Accuracy Gains Reflect Genuine Visual Understanding? A Multi-Model Evaluation of Vision-Language Models in Thoracic Imaging.

Aug 2026 · Journal of imaging informatics in medicine · 0 citations · 18 references
Medicine

TL;DR

Even at the highest accuracy observed here, answer-level performance can overstate visual understanding, pointing to the need for more appropriate evaluation methods that assess whether a model's reasoning is faithful to the image, not only whether its answer is correct.

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