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This study benchmarks Vision-Language Models (VLMs) for Medical Image Quality Assessment (MIQA) using the MediMeta-C dataset, evaluating their performance across various corruption types and severity levels. The findings reveal that pixelation significantly reduces VLM performance by an average of 20.58%, while textual attributes such as institutional prestige and equipment age also influence quality scores. These results highlight the trade-off between patient privacy and the reliability of automated MIQA systems, revealing critical limitations in current VLMs for clinical applications.
Pixelation can degrade VLM performance by over 34%, exposing a tension between patient privacy and diagnostic reliability in medical imaging.
Vision-Language Models (VLMs) are increasingly applied in medical tasks such as pathology description, report generation, and visual question answering. Medical Image Quality Assessment (MIQA) supports diagnostic accuracy and patient safety by determining whether images meet the standards required for clinical decision-making. Automating MIQA with VLMs may reduce workload, but their behavior under real-world conditions, where images may be degraded or textual context may affect judgments, should be further explored before deployment. We benchmark VLMs on medical image quality using the MediMeta-C dataset zero-shot across seven corruption types and five severity levels. We evaluate sensitivity to degradation patterns, the effect of corruptions on embedding geometry, and whether textual attributes (demographics, expertise, infrastructure, institution) alter scores. Across 16 VLMs and seven modalities, pixelation produced the largest score reductions (mean -20.58%, up to -34.4% for OCT), whereas brightness had limited effect (-0.81%). Embedding displacement was associated with score changes. Same-family models showed correlations of 0.67-0.83; some produced increases up to +31% for corrupted mammography. Textual attributes affected scores: institutional prestige raised them +17.15%, and equipment age lowered them -14.7%. The largest changes were +95.62% (InternVL-8B) and -37.7% (MedGemma). Current VLMs show limitations for medical image quality assessment. Pixelation, a privacy-preserving transformation, reduces performance, indicating a trade-off between patient privacy and reliability. Sensitivity to contextual metadata indicates limited objectivity and marks metadata as a privacy and bias source. Privacy protection and objective quality assessment are related requirements for use.
