Towards Trustworthy Dermatology MLLMs: A Benchmark and Multimodal Evaluator for Diagnostic Narratives

arXiv — cs.CVThursday, November 13, 2025 at 5:00:00 AM
The introduction of a novel evaluation framework for dermatology diagnostic narratives marks a significant advancement in the use of multimodal large language models (LLMs) in clinical settings. This framework, which includes DermBench and DermEval, aims to address the pressing issue of reliable evaluation, a known bottleneck for responsible clinical deployment. DermBench pairs 4,000 real-world dermatology images with expert-certified narratives, while DermEval provides structured critiques and scores for generated narratives. Experiments conducted on a diverse dataset of 4,500 cases demonstrated that both DermBench and DermEval align closely with expert ratings, highlighting their potential for consistent and comprehensive evaluations. This development is crucial as it not only enhances the reliability of LLMs in dermatology but also sets a precedent for future applications in other medical fields, ensuring that AI technologies can be deployed safely and effectively in healthcare.
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