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VIPER: An Expert-Curated Benchmark for Vision-Language Models in Veterinary Pathology

arXiv:2608.26382v1 Announce Type: new Abstract: Pathology vision-language models are advancing rapidly, yet existing benchmarks remain focused on human tissue, particularly oncology, leaving non-human pathology largely unaddressed. This gap is especially important in toxicologic pathology, where microscopic tissue examination of laboratory animals is a core component of preclinical drug safety assessment. To address it, we introduce VIPER, the first expert-curated benchmark for vision-language model evaluation in toxicologic pathology. VIPER contains 1,251 questions associated with 419 H&E-stained rat histology images across seven organ systems, covering multiple-choice, KPrim, and free-text formats. All questions were curated and validated by board-certified veterinary pathologists. In total, we benchmarked 16 models, including two newly introduced veterinary-pathology models, seven human pathology-specialized models, and seven general-purpose frontier models. The results identify a substantial domain gap between veterinary and human pathology, expose the risk of over-diagnosis of normal tissue in frontier models, and show that domain-specific training remains critical for visually grounded predictions. VIPER data and evaluation code are available at https://github.com/mahmoodlab/viper.

SourcearXiv Computer VisionAuthor: Luca L. Weishaupt, Simone de Brot, Javier Asin, Lloren\c{c} Grau-Roma, Nic G. Reitsam, Andrew H. Song, Dongmin Bang, Stefan T. Kaluziak, Long Phi Le, Jakob Nikolas Kather, Faisal Mahmood, Guillaume Jaume

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[Submitted on 26 Aug 2026]

Title:VIPER: An Expert-Curated Benchmark for Vision-Language Models in Veterinary Pathology

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Abstract:Pathology vision-language models are advancing rapidly, yet existing benchmarks remain focused on human tissue, particularly oncology, leaving non-human pathology largely unaddressed. This gap is especially important in toxicologic pathology, where microscopic tissue examination of laboratory animals is a core component of preclinical drug safety assessment. To address it, we introduce VIPER, the first expert-curated benchmark for vision-language model evaluation in toxicologic pathology. VIPER contains 1,251 questions associated with 419 H&E-stained rat histology images across seven organ systems, covering multiple-choice, KPrim, and free-text formats. All questions were curated and validated by board-certified veterinary pathologists. In total, we benchmarked 16 models, including two newly introduced veterinary-pathology models, seven human pathology-specialized models, and seven general-purpose frontier models. The results identify a substantial domain gap between veterinary and human pathology, expose the risk of over-diagnosis of normal tissue in frontier models, and show that domain-specific training remains critical for visually grounded predictions. VIPER data and evaluation code are available at this https URL.

Subjects:

Computer Vision and Pattern Recognition (cs.CV)

Cite as: arXiv:2608.26382 [cs.CV]

(or arXiv:2608.26382v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2608.26382

arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Luca Weishaupt [view email] [v1] Wed, 26 Aug 2026 20:12:27 UTC (8,756 KB)

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