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Peer-Reviewed Publication
Pac Symp Biocomput2026;31251-264.January 1, 2026Journal Article

ReXVQA: A Large-scale Visual Question Answering Benchmark for Generalist Chest X-ray Understanding.

Ankit Pal1, Jung-Oh Lee2, Xiaoman Zhang3, Malaikannan Sankarasubbu4, Seunghyeon Roh5, Won Jung Kim6, Meesun Lee7, Pranav Rajpurkar8
1Saama AI Research, Saama Technologies, India3Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA, ankit.pal@saama.com.
2Seoul National University, Seoul, South Korea, pisceanoh@snu.ac.kr.
3Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA, xiaoman.zhang@hms.harvard.edu.
4Saama AI Research, Saama Technologies, India, malaikannan.sankarasubbu@saama.com.
5Seoul National University, Seoul, South Korea, seunghyeon.roh@snu.ac.kr.
6Seoul National University, Seoul, South Korea, wonjung.kim@snu.ac.kr.
7Seoul National University, Seoul, South Korea, meesun.lee@snu.ac.kr.
8Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA, pranav.rajpurkar@hms.harvard.edu.

Abstract

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising 694,841 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological re…

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