MedHEB: Benchmarking Medical Embeddings Across Heterogeneous Clinical Evidence

Yingshu Li, Shaoyang Zhou, Zhanyu Wang, Yunyi Liu, Xinyu Liang +4

Clinical evidence is inherently relational: medical images are interpreted with prior studies, cross-modal examinations, reports, and localized findings, and retrieving relevant evidence is therefore central to clinical interpretation. Recent foundation models increasingly encode these heterogeneous sources into shared embedding spaces, yet existing embedding evaluation often focuses on isolated matches, leaving unclear whether current models retrieve relevant evidence across changes in modality, appearance, and granularity. We introduce MedHEB, a unified benchmark with 107 retrieval tasks from 54 datasets, including both in-distribution and held-out-source evaluation, across three axes: evidence form (2D images, 3D volumes, text), pairing type (image--image, image--text, text--text, and modality-bridging visual matching), and relevance granularity (global, question-conditioned, region-level). Under a single ranking protocol, MedHEB varies clinically relevant evidence definitions to test whether embedding proximity remains meaningful across heterogeneous evidence, including modality-bridging visual retrieval and region-level text-to-region retrieval. Across representative models,…