EndoSCOP-V: A Multi-Turn Video Understanding Evaluation Framework for Multimodal Models in Endoscopy Reporting and Clinical Reasoning

arXiv:2611.10626v1 Announce Type: new Abstract: Endoscopic diagnosis unfolds over native video, where a single positive finding during traversal of the gastrointestinal tract sets off a multi-minute chain of reasoning over location, morphology, severity and intervention. Existing endoscopy multimodal benchmarks test only static images or single-disease videos, which miss the temporal and clinical reasoning that real-world reporting demands. We introduce EndoSCOP-V, a video-grounded multi-turn evaluation framework for structured endoscopy reporting and clinical reasoning. It contains 1,307 real-world endoscopy and colonoscopy videos (63.2 h; 97% 1080p) averaging about 174 s. Its 20,274 question-answer turns are instantiated deterministically from clinician-filled structured endoscopy-reporting EHRs, so no per-case annotation is synthetic or LLM-rephrased. They come from 1,033 clinician-reviewed templates, about 18 per disease, that span a clinically aligned 9-task x 30-sub-task reporting taxonomy over 54 World Endoscopy Organization (WEO) MST 3.0 diseases. 22% of procedures carry co-existing pathologies, up to six per case. A Markovian context-pruned oracle-forcing protocol evaluates the dialogue turn by turn, injecting the gold answer before each subsequent turn so that per-turn reasoning is isolated from cascading dialogue errors. A panel of 15 board-certified endoscopists sets a 78% strict-accuracy baseline on 1,500 questions. Across 14 open-weight LMMs, the best 27B-class model reaches 59.8% strict accuracy, falling to 53.4% once format-trivial disease-rejection items are excluded. On a between-subjects spot-check, the best of 3 frontier proprietary models trails the clinician panel by 23 pp on strict NDR accuracy. Sub-task analysis reveals consistent gaps in quantitative measurement, multi-variable grading and intervention reasoning on long-horizon video. Data: Hugging Face (EndoSCOP-V). Code: GitHub (abhi25t/EndoSCOP-V).