Text-guided image editing has seen significant progress in natural image domains, but its application in medical imaging remains limited and lacks standardized evaluation frameworks. Such editing could revolutionize clinical practices by enabling personalized surgical planning, enhancing medical education, and improving patient communication. To bridge this gap, we introduce MedEBench, a robust benchmark designed to diagnose reliability in text-guided medical image editing. MedEBench consists of 1,182 clinically curated image-prompt pairs covering 70 distinct editing tasks and 13 anatomical regions. It contributes in three key areas: (1) a clinically grounded evaluation framework that measures Editing Accuracy, Context Preservation, and Visual Quality, complemented by detailed descriptions of intended edits and corresponding Region-of-Interest (ROI) masks; (2) a comprehensive comparison of seven state-of-the-art models, revealing consistent patterns of failure; and (3) a diagnostic error analysis technique that leverages attention alignment, using Intersection-over-Union (IoU) between model attention maps and ROI masks to identify mislocalization issues, where models erroneously focus on incorrect anatomical regions. MedEBench sets the stage for developing more reliable and clinically effective text-guided medical image editing tools.

Enhancing Language Models’ (LMs) ability to understand purchase intentions in E-commerce scenarios is crucial for their effective assistance in various downstream tasks. However, previous approaches that distill intentions from LMs often fail to generate meaningful and human-centric intentions applicable in real-world E-commerce contexts. This raises concerns about the true comprehension and utilization of purchase intentions by LMs. In this paper, we present IntentionQA, a double-task multiple-choice question answering benchmark to evaluate LMs’ comprehension of purchase intentions in E-commerce. Specifically, LMs are tasked to infer intentions based on purchased products and utilize them to predict additional purchases. IntentionQA consists of 4,360 carefully curated problems across three difficulty levels, constructed using an automated pipeline to ensure scalability on large E-commerce platforms. Human evaluations demonstrate the high quality and low false-negative rate of our benchmark. Extensive experiments across 19 language models show that they still struggle with certain scenarios, such as understanding products and intentions accurately, jointly reasoning with products and intentions, and more, in which they fall far behind human performances.