PerMed-MM: A Multimodal, Multi-Specialty Persian Medical Benchmark for Evaluating Vision Language Models

Ali Khoramfar, Mohammad Javad Dousti, Heshaam Faili


Abstract
We present PerMed-MM, the first multimodal benchmark for Persian medical question answering. The dataset comprises 733 expert-authored multiple-choice questions from Iranian National Medical Board Exams, each paired with one to five clinically relevant images, spanning 46 medical specialties and diverse visual modalities. We evaluate five open-source and five proprietary vision language models, and find that reasoning supervision and domain-specific fine-tuning yield performance gains. Our cross-lingual analysis reveals significant unpredictability in translation-based pipelines, motivating the need for benchmarks that support direct, native-language evaluation. Additionally, domain- and modality-level analysis uncovers meaningful variation in model behavior often masked by aggregate metrics. PerMed-MM is publicly available on Hugging Face.
Anthology ID:
2025.ijcnlp-short.21
Volume:
Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics
Month:
December
Year:
2025
Address:
Mumbai, India
Editors:
Kentaro Inui, Sakriani Sakti, Haofen Wang, Derek F. Wong, Pushpak Bhattacharyya, Biplab Banerjee, Asif Ekbal, Tanmoy Chakraborty, Dhirendra Pratap Singh
Venues:
IJCNLP | AACL
SIG:
Publisher:
The Asian Federation of Natural Language Processing and The Association for Computational Linguistics
Note:
Pages:
232–241
Language:
URL:
https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.ijcnlp-short.21/
DOI:
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Cite (ACL):
Ali Khoramfar, Mohammad Javad Dousti, and Heshaam Faili. 2025. PerMed-MM: A Multimodal, Multi-Specialty Persian Medical Benchmark for Evaluating Vision Language Models. In Proceedings of the 14th International Joint Conference on Natural Language Processing and the 4th Conference of the Asia-Pacific Chapter of the Association for Computational Linguistics, pages 232–241, Mumbai, India. The Asian Federation of Natural Language Processing and The Association for Computational Linguistics.
Cite (Informal):
PerMed-MM: A Multimodal, Multi-Specialty Persian Medical Benchmark for Evaluating Vision Language Models (Khoramfar et al., IJCNLP-AACL 2025)
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https://preview.aclanthology.org/ingest-ijcnlp-aacl/2025.ijcnlp-short.21.pdf