Medical World Model

Paper Code

Yijun Yang1    Zhao-Yang Wang2    Qiuping Liu3    Shuwen Sun3    Kang Wang4
Rama Chellappa2    Zongwei Zhou2    Alan Yuille2    Lei Zhu1,5,†    Yu-Dong Zhang3    Jieneng Chen2,†

1 The Hong Kong University of Science and Technology (Guangzhou)    2 Johns Hopkins University
3 The First Affiliated Hospital of Nanjing Medical University 4 University of California, San Francisco
5 The Hong Kong University of Science and Technology
Corresponding Authors

Abstract

Medical World Model (MeWM) is a generative model that simulates future disease states conditioned on clinical decisions. It integrates vision-language policy models to generate treatment plans and tumor dynamics models to predict visual disease progression or regression. An inverse dynamics module enables survival-guided evaluation of treatment efficacy and selection of optimal interventions. MeWM synthesizes post-treatment tumors with high realism validated by radiologists and outperforms medical-specialized GPTs in personalized treatment planning. It enhances interventional decision-making, improving the F1-score for optimal TACE protocol selection by 13%, demonstrating its potential as a second reader in clinical workflows.

Main Visual

Tumor Generation

Tumor Generation

Survival Analysis

Figure 1
(a) Survival risk regression
Figure 2
(b) Kaplan-Meier survival curves

Intervention Planning

Intervention Planning

BibTeX Citation

    @article{yang2025mewm,
      title={Medical World Model: Generative Simulation of Tumor Evolution for Treatment Planning },
      author={Yijun Yang and Zhao-Yang Wang and Qiuping Liu and Shuwen Sun and Kang Wang and 
          Rama Chellappa and Zongwei Zhou and Alan Yuille and Lei Zhu and Yu-Dong Zhang and Jieneng Chen},
      journal={arXiv preprint arXiv:2506.02327},
      year={2025}
    }