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medix-rl-data_14944
RadGenome/PMC-VQA
What was the size of the multicystic mass in the chest CT image?
<CT_SCAN> 28 x 27 mm
medix-rl-data_47271
RadGenome/PMC-VQA
What imaging modality is used in this diagnostic study?
<X_RAY> X-ray
medix-rl-data_16535
RadGenome/PMC-VQA
What is the name of the surface shown in the micrographs?
<MICROSCOPY> Endothelial surface
medix-rl-data_4834
BoKelvin/SLAKE
How many kidneys are depicted in the image?
<CT_SCAN> There are 2 kidneys in the image.
medix-rl-data_48416
BoKelvin/SLAKE
What color does the right lung appear in the picture?
<X_RAY> The right lung appears black in the picture.
medix-rl-data_4270
flaviagiammarino/path-vqa
What medical condition is currently present?
<CLINICAL_PHOTOGRAPHY> The currently present medical condition is petechiae.
medix-rl-data_25577
RadGenome/PMC-VQA
What is shown in the top panel of the image?
<MICROSCOPY> Healthy muscle
medix-rl-data_11124
flaviagiammarino/path-vqa
Does a subcapsular hematoma show up clearly under Wright's staining?
<MICROSCOPY> No, a subcapsular hematoma does not typically show up clearly under Wright's staining.
medix-rl-data_27367
flaviagiammarino/path-vqa
Does the space between the layers of the pericardium contain numerous inflammatory cells, chiefly polymorphonuclear leukocytes (PMNs)?
<MICROSCOPY> Yes, the space between the layers of the pericardium does contain numerous inflammatory cells, primarily polymorphonuclear leukocytes (PMNs).
medix-rl-data_32573
RadGenome/PMC-VQA
What body part did the angiography examination examine?
<ANGIOGRAPHY> The spleen.
medix-rl-data_33297
flaviagiammarino/path-vqa
What is present in the human body?
<MICROSCOPY> The appendix is present in the human body.
medix-rl-data_16911
BoKelvin/SLAKE
Is there a person named Brian in the picture?
<MRI_SCAN> Yes, the picture contains a person named Brian.
medix-rl-data_32959
flaviagiammarino/path-vqa
Is the image provided a good but not the best example of high new bone formation involving osteoblasts and osteoclasts?
<MICROSCOPY> Yes, the image is a good but not the best example of high new bone formation with osteoblasts and osteoclasts.
medix-rl-data_34068
RadGenome/PMC-VQA
Where is the irregular lesion located?
<ENDOSCOPY> Left vocal cord
medix-rl-data_39844
flaviagiammarino/path-vqa
Does the image provided depict mild acute rejection?
<MICROSCOPY> Yes, the image does show mild acute rejection.
medix-rl-data_27065
RadGenome/PMC-VQA
What is the name of the type of cancer shown in the image?
<MICROSCOPY> Breast Cancer
medix-rl-data_27240
flaviagiammarino/path-vqa
Is there metastatic carcinoma present?
<CLINICAL_PHOTOGRAPHY> Yes, metastatic carcinoma is present.
medix-rl-data_9526
RadGenome/PMC-VQA
What does the green stain represent?
<MICROSCOPY> Regeneration marker
medix-rl-data_42095
flaviagiammarino/path-vqa
What does this image show?
<MICROSCOPY> The image shows a typical cavernous lesion.
medix-rl-data_32872
flaviagiammarino/vqa-rad
Are there any fractures present?
<MRI_SCAN> No, there are no fractures present.
medix-rl-data_13080
RadGenome/PMC-VQA
What is the inset showing in panel D?
<GRAPHICS> The structural composition of the corpus lamellosum.
medix-rl-data_8016
RadGenome/PMC-VQA
What is the structure being examined in the image?
<MICROSCOPY> Appendix tissue
medix-rl-data_30895
flaviagiammarino/path-vqa
Is eosinophilic adenoma present in the sample?
<MICROSCOPY> Yes, eosinophilic adenoma is present.
medix-rl-data_47835
flaviagiammarino/path-vqa
Does this image show stomach or Cushing ulcers?
<CLINICAL_PHOTOGRAPHY> Yes, the image shows stomach or Cushing ulcers.
medix-rl-data_11255
RadGenome/PMC-VQA
Which area of the patient's body is being imaged?
<CT_SCAN> The head
medix-rl-data_23506
RadGenome/PMC-VQA
What is the herniated major structure in the computed tomography?
<CT_SCAN> Omentum
medix-rl-data_41992
RadGenome/PMC-VQA
What is the color of lin-3 mRNA shown in the FISH images?
<MICROSCOPY> Red
medix-rl-data_11946
RadGenome/PMC-VQA
Where was the mass found?
<CT_SCAN> Left leg
medix-rl-data_40319
flaviagiammarino/path-vqa
Does the image provided depict apoptosis in the prostate following an orchiectomy?
<MICROSCOPY> Yes, the image does show apoptosis in the prostate following an orchiectomy.
medix-rl-data_39180
RadGenome/PMC-VQA
What is the signet ring sign composed of on a CT scan of the thorax?
<CT_SCAN> Low attenuation circle of air that abuts a circle of soft tissue attenuation
medix-rl-data_26194
RadGenome/PMC-VQA
What does the CT image indicate?
<MRI_SCAN> Uncomplicated lumbar facet cyst
medix-rl-data_19831
RadGenome/PMC-VQA
What is the color of the RTX dye used in the experiment?
<MICROSCOPY> Green
medix-rl-data_11401
flaviagiammarino/path-vqa
What condition or symptom is currently present?
<MICROSCOPY> The current condition or symptom present is a gastrointestinal issue.
medix-rl-data_9947
flaviagiammarino/path-vqa
What is present in the sample?
<MICROSCOPY> Neutrophils with gram-positive diplococci are present.
medix-rl-data_27889
RadGenome/PMC-VQA
What part of the body is being imaged here?
<PET_SCAN> Brain
medix-rl-data_38983
flaviagiammarino/path-vqa
Are Crookes cells present?
<MICROSCOPY> Yes, Crookes cells are present.
medix-rl-data_7147
RadGenome/PMC-VQA
What is the shape of the mass demonstrated in images (C) and (D)?
<MRI_SCAN> hour-glass
medix-rl-data_13070
RadGenome/PMC-VQA
What can be concluded about the patient's heart from this X-ray image?
<X_RAY> The heart is enlarged
medix-rl-data_46062
RadGenome/PMC-VQA
What is the shape of the fracture?
<CT_SCAN> Irregular
medix-rl-data_20515
RadGenome/PMC-VQA
What does the image in (c) look like in relation to the other images?
<CT_SCAN> It appears the same as the fixed image
medix-rl-data_4118
flaviagiammarino/path-vqa
Where is this image or sample from?
<MICROSCOPY> The image or sample is from the vasculature.
medix-rl-data_1269
RadGenome/PMC-VQA
What is the abnormality observed within the atria?
<CT_SCAN> Intra-atrial hypodensity
medix-rl-data_49980
RadGenome/PMC-VQA
What is the main focus of the image shown in Figure B?
<MICROSCOPY> Neurites
medix-rl-data_34078
RadGenome/PMC-VQA
What was the condition of the stem at the time of the X-ray?
<X_RAY> Fractured
medix-rl-data_42980
RadGenome/PMC-VQA
Which panel(s) shows slice(s) through outer doublet microtubules?
<MICROSCOPY> Panel D
medix-rl-data_49083
RadGenome/PMC-VQA
What is depicted by the arrow in the virtual sections?
<OTHER> Sea urchin's habitat
medix-rl-data_10723
flaviagiammarino/path-vqa
Are plasma cells present in the tissue sample?
<MICROSCOPY> Yes, plasma cells are present in the tissue sample.
medix-rl-data_14083
RadGenome/PMC-VQA
What imaging feature is highlighted by the white arrow?
<CT_SCAN> Right Kidney
medix-rl-data_22208
RadGenome/PMC-VQA
What is the difference in the number of bacteriocytes in the worker shown in this image compared to the worker shown in Figure 9?
<MICROSCOPY> It is not mentioned.
medix-rl-data_44231
RadGenome/PMC-VQA
What type of MRI view is shown in the image?
<MRI_SCAN> Sagittal
medix-rl-data_17054
flaviagiammarino/path-vqa
What medical condition is present?
<MICROSCOPY> The medical condition present is hemochromatosis.
medix-rl-data_29103
BoKelvin/SLAKE
Does the picture contain a heart?
<CT_SCAN> No
medix-rl-data_13214
flaviagiammarino/path-vqa
What medical condition is currently present?
<CLINICAL_PHOTOGRAPHY> The currently present medical condition is chronic lymphocytic leukemia.
medix-rl-data_32620
flaviagiammarino/path-vqa
Does this image show the esophagus and Candida?
<MICROSCOPY> Yes, the image shows the esophagus and Candida.
medix-rl-data_33357
RadGenome/PMC-VQA
What was present in the center of the cystic mass?
<CT_SCAN> Calcifications
medix-rl-data_12968
RadGenome/PMC-VQA
What was shown in the CT scan surrounding the head of the pancreas?
<CT_SCAN> Nodules
medix-rl-data_3052
flaviagiammarino/path-vqa
Do cells in the M phase continue to remain in the cell cycle or can they exit into the resting G0 phase after completing cell division?
<GRAPHICS> No, cells do not remain in the M phase after completing cell division. Once mitosis (M phase) is finished, cells either re-enter the interphase stage of the cell cycle or exit into the resting G0 phase.
medix-rl-data_6351
RadGenome/PMC-VQA
What type of fracture is shown in the radiograph of patient E?
<X_RAY> Proximal pole fracture
medix-rl-data_28219
BoKelvin/SLAKE
Which part of the body does this image belong to?
<X_RAY> The image belongs to the chest.
medix-rl-data_15416
flaviagiammarino/path-vqa
What medical condition is currently present?
<MICROSCOPY> The medical condition currently present is medulloblastoma.
medix-rl-data_13045
flaviagiammarino/path-vqa
Does this image show a brain affected by herpes encephalitis with intranuclear inclusion bodies?
<MICROSCOPY> Yes, the image shows a brain affected by herpes encephalitis with intranuclear inclusion bodies.
medix-rl-data_30709
RadGenome/PMC-VQA
What medical test was used to diagnose the lesion?
<MRI_SCAN> MRI
medix-rl-data_7794
flaviagiammarino/path-vqa
Does the presence of pus in a test tube indicate brain involvement or cryptococcal meningitis?
<CLINICAL_PHOTOGRAPHY> No, the presence of pus in a test tube does not specifically indicate brain involvement or cryptococcal meningitis.
medix-rl-data_12667
flaviagiammarino/path-vqa
What does the term 'autopsy left' refer to?
<CLINICAL_PHOTOGRAPHY> The term refers to club foot.
medix-rl-data_45335
RadGenome/PMC-VQA
What is the indicated by the black arrows?
<CT_SCAN> Partial thrombosis
medix-rl-data_36364
flaviagiammarino/path-vqa
Is there a quite good liver present?
<MICROSCOPY> No, there is not a quite good liver present.
medix-rl-data_48937
RadGenome/PMC-VQA
What is the name of the submucosal lesion observed in the image?
<ENDOSCOPY> Lipoma
medix-rl-data_45371
RadGenome/PMC-VQA
What is the name of the affected vein in this image?
<ULTRASOUND> Axillary vein
medix-rl-data_16197
RadGenome/PMC-VQA
What is the name of the type of echocardiography shown in the image?
<ULTRASOUND> Transthoracic echocardiography
medix-rl-data_21466
flaviagiammarino/vqa-rad
How do you identify the small bowel?
<CT_SCAN> The small bowel can be identified by the presence of plicae circulares, which are the circular folds in its mucosal lining.
medix-rl-data_7558
flaviagiammarino/path-vqa
What does this image show?
<CLINICAL_PHOTOGRAPHY> The image shows a hemorrhage secondary to a ruptured aneurysm.
medix-rl-data_45131
flaviagiammarino/path-vqa
Where is this location?
<CLINICAL_PHOTOGRAPHY> The location is in Oral.
medix-rl-data_45218
RadGenome/PMC-VQA
What kind of cells does (a) show?
<MICROSCOPY> Monomorphic spindle cells
medix-rl-data_24116
RadGenome/PMC-VQA
What is shown in Figure E?
<CLINICAL_PHOTOGRAPHY> A tumor
medix-rl-data_40330
flaviagiammarino/path-vqa
Are there any joints present?
<CLINICAL_PHOTOGRAPHY> Yes, there are joints present.
medix-rl-data_30766
BoKelvin/SLAKE
Does the picture contain a kidney?
<CT_SCAN> No
medix-rl-data_47868
BoKelvin/SLAKE
Does the picture contain the organ responsible for adjusting water and osmotic pressure balance?
<CT_SCAN> No
medix-rl-data_10476
BoKelvin/SLAKE
Is the image provided a coronal section?
<X_RAY> Yes, the image provided is a coronal section.
medix-rl-data_13264
RadGenome/PMC-VQA
What type of imaging was used to capture the pseudotail?
<MRI_SCAN> Magnetic resonance imaging
medix-rl-data_25047
flaviagiammarino/path-vqa
Is an opened bladder with a median lobe protruding into the trigone area and increased bladder trabeculations considered a very good slide?
<CLINICAL_PHOTOGRAPHY> Yes, this is a very good slide.
medix-rl-data_26991
flaviagiammarino/path-vqa
Does the cortex exhibit tiny petechial hemorrhages that are visible through the capsule?
<CLINICAL_PHOTOGRAPHY> Yes, the cortex does exhibit tiny petechial hemorrhages that are visible through the capsule.
medix-rl-data_32277
flaviagiammarino/path-vqa
What specific features are observed when examining the tissue sample under microscopy?
<MICROSCOPY> Microscopy reveals two characteristic features: large tumour cells arranged in a syncytial pattern and stroma that is heavily infiltrated with lymphocytes.
medix-rl-data_6622
flaviagiammarino/path-vqa
From which part of the body is this?
<MICROSCOPY> This is from the gastrointestinal system.
medix-rl-data_41886
RadGenome/PMC-VQA
What type of imaging was used in the examination of the right eye?
<FUNDUS_PHOTOGRAPHY> MRI
medix-rl-data_36139
RadGenome/PMC-VQA
What is the medical imaging technique used in this case?
<CT_SCAN> X-ray
medix-rl-data_13133
flaviagiammarino/path-vqa
What does the provided image depict?
<MICROSCOPY> The image shows a brain.
medix-rl-data_13439
flaviagiammarino/path-vqa
What does the provided image depict?
<MICROSCOPY> The image shows a brain.
medix-rl-data_23478
RadGenome/PMC-VQA
Which part of the heart is enlarged on the X-ray?
<X_RAY> Right Atrium
medix-rl-data_47643
flaviagiammarino/path-vqa
Does the imaging show additional features such as some irregular depressions, which are the result of pyelonephritis, and an incidental cortical cyst located far right?
<CLINICAL_PHOTOGRAPHY> Yes, the imaging confirms the presence of irregular depressions caused by pyelonephritis and an incidental cortical cyst on the far right.
medix-rl-data_7710
RadGenome/PMC-VQA
What view is shown on the preoperative alignment-view radiograph?
<X_RAY> lateral
medix-rl-data_38038
flaviagiammarino/path-vqa
Is the peritoneum present in the human body?
<CLINICAL_PHOTOGRAPHY> Yes, the peritoneum is present in the human body.
medix-rl-data_45363
RadGenome/PMC-VQA
What is the conclusion of the FISH experiment shown in the images?
<MICROSCOPY> Prairie voles' chromosomal organization is partially similar to mice.
medix-rl-data_40244
RadGenome/PMC-VQA
What condition can be inferred from the imaging findings?
<MRI_SCAN> Cellulitis
medix-rl-data_5116
RadGenome/PMC-VQA
What is the type of infiltrate observed in the nodular lesions caused by E. histolytica in (a)?
<MICROSCOPY> Neutrophils.
medix-rl-data_27930
RadGenome/PMC-VQA
What type of images show the mass-like lesions?
<MRI_SCAN> T1-weighted images
medix-rl-data_25142
RadGenome/PMC-VQA
What area of the spine is affected by the mass observed in the MRI image?
<MRI_SCAN> Cervical spine
medix-rl-data_665
RadGenome/PMC-VQA
What kind of biopsy is shown in image (c)?
<ULTRASOUND> Core biopsy
medix-rl-data_18177
flaviagiammarino/path-vqa
What anatomical structures are present in the human body that connect bones together?
<CLINICAL_PHOTOGRAPHY> The anatomical structures present in the human body that connect bones together are joints.
medix-rl-data_10728
RadGenome/PMC-VQA
What was the initial diagnosis of the patient based on the first T1-weighted image?
<MRI_SCAN> Brain cancer
medix-rl-data_44904
RadGenome/PMC-VQA
What is shown in image B?
<MICROSCOPY> Differentiated mammary cells
End of preview. Expand in Data Studio

MediX-R1: Open-Ended Medical Reinforcement Learning

MediX-R1

MediX-R1

Mohamed Bin Zayed University of Artificial Intelligence (MBZUAI), UAE

Website Paper HuggingFace Leaderboard


Model Zoo

Model HuggingFace
MediX-R1-2B MBZUAI/MediX-R1-2B
MediX-R1-8B MBZUAI/MediX-R1-8B
MediX-R1-30B MBZUAI/MediX-R1-30B

Citation

If you use MediX-R1 in your research, please cite our work as follows:

@misc{mullappilly2026medixr1openendedmedical,
      title={MediX-R1: Open Ended Medical Reinforcement Learning}, 
      author={Sahal Shaji Mullappilly and Mohammed Irfan Kurpath and Omair Mohamed and Mohamed Zidan and Fahad Khan and Salman Khan and Rao Anwer and Hisham Cholakkal},
      year={2026},
      eprint={2602.23363},
      archivePrefix={arXiv},
      primaryClass={cs.CV},
      url={https://arxiv.org/abs/2602.23363}, 
}

License

This project is released for research purposes only under CC-BY-NC-SA 4.0 License. It is not intended for clinical or commercial use.

Users are urged to employ MediX-R1 responsibly, especially when applying its outputs in real-world medical scenarios. It is imperative to verify the model's advice with qualified healthcare professionals and not rely on it for medical diagnoses or treatment decisions.


Acknowledgements

We are thankful to EasyR1 (a fork of veRL) for their open-source RL training framework.

This work was partially supported with NVIDIA Academic Grant 2025 and MBZUAI-IITD Research Collaboration Seed Grant.

We are grateful to MBZUAI for compute and support.

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