MedQ-Engine lifts an 8B medical image quality model past GPT-4o by over 13% and cuts the gap to human experts to 4.34% using 10K annotations
The work proposes MedQ-Engine, a closed-loop data engine that iterates through evaluate-explore-evolve phases: it clusters model failures on a development set into failure prototypes, uses the visual component of those prototypes as retrieval anchors over a roughly one-million-image pool spanning five modalities, and combines progressive human-in-the-loop annotation with entropy-guided routing and quality-assured fine-tuning, so that with only 10K annotations an 8B-parameter model surpasses GPT-4o by over 13% on medical image quality assessment and narrows the gap to human experts to 4.34%, with more than 4x sample efficiency over random sampling.