EviPathBench - Diagnostic Reasoning: leaderboard

EviPathBench (2026) evaluates vision-language models on whole-slide pathology using diagnostic paths that pathologists annotated at three magnifications on TCGA slides; each question has four options. This board gives the findings along a diagnostic route and asks for the triage class, diagnosis or refinement; accuracy in percent, chance is 25 and higher is better.

Metric: Accuracy (%) pooled over all questions (the All part of each cell) on Task 4: choosing the triage class, integrated diagnosis or refinement from the organ and the pathologist's findings along a diagnostic route at three magnifications (text-only reference DeepSeek-V4-Flash included); EviPathBench: pathologist-authored diagnostic paths on 1,822 TCGA whole-slide images (16 organs), findings at 2.5x, 10x and 40x magnification; four options per question with distractors mined from the same organ and magnification; parsed choice scored by exact match; chance 25; higher is better. Source: arxiv.org. Saturation forecast: Estimated already saturated. 19 models tracked.

Top models

#ModelScoreOverall rank
1Gemini 3 Flash91.18#164
2Qwen 3.5 Flash90.98#435
3DeepSeek V4 Flash90.49#258
4GPT-5.289.2#176
5MedGemma-4B89.06#2444
6Qwen 2.5 VL 7B Instruct88.26#1833
7MedGemma 1.5 4B78.13#2562

No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.

Interactive version: theaggregate.ai/benchmark?slug=evipathbench-diagnostic-reasoning · How It Works · Data refreshed daily, snapshot 2026-11-13.