Worse than Random? An Embarrassingly Simple Probing Evaluation of Large Multimodal Models in Medical VQA

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

Muffin or Chihuahua? Challenging Large Vision-Language Models with Multipanel VQA

Multipanel images, commonly seen as web screenshots, posters, etc., pervade our daily lives. These images, characterized by their composition of multiple subfigures in distinct layouts, effectively convey information to people. Toward building advanced multimodal AI applications, such as agents that understand complex scenes and navigate through webpages, the skill of multipanel visual reasoning is essential, and a comprehensive evaluation of models in this regard is important. Therefore, our paper introduces Multipanel Visual Question Answering (MultipanelVQA), a novel benchmark that specifically challenges models in comprehending multipanel images. The benchmark comprises 6,600 questions and answers related to multipanel images. While these questions are straightforward for average humans, achieving nearly perfect correctness, they pose significant challenges to the state-of-the-art Large Vision Language Models (LVLMs) we tested. In our study, we utilized synthetically curated multipanel images specifically designed to isolate and evaluate the impact of diverse factors on model performance, revealing the sensitivity of LVLMs to various interferences in multipanel images, such as adjacent subfigures and layout complexity. As a result, MultipanelVQA highlights the need and direction for improving LVLMs' ability to understand complex visual-language contexts. Code and data are released at https://sites.google.com/view/multipanelvqa/home.