MeniOmni: A Structured Multimodal Benchmark for Holistic Meniscus Injury Assessment

Clinical diagnosis of meniscus injuries requires radiologists to integrate volumetric MRI evidence with patient context (e.g., sex, age, BMI) and to produce structured diagnostic reports. Existing knee MRI benchmarks are typically unimodal and rely on coarse labels, limiting their ability to evaluate holistic clinical reasoning. We introduce MeniOmni, a structured multimodal benchmark for meniscus injury assessment, consisting of 746 multi-center MRI studies with tri-planar volumetric inputs, Clinical Priors, and expert-annotated clinical text. MeniOmni supports two tasks: (1) fine-grained Stoller severity grading and (2) diagnostic report generation. We further propose risk-aware ordinal evaluation and a semantic consistency metric (Meni-Score) to better reflect clinical relevance. Baseline experiments show that incorporating Clinical Priors improves grading performance and reduces severe errors, highlighting the value of multimodal context for safer assessment. Code and data are available at https://github.com/ShuruiXu/MeniOmni.

MeniMV: A Multi-view Benchmark for Meniscus Injury Severity Grading

Precise grading of meniscal horn tears is critical in knee injury diagnosis but remains underexplored in automated MRI analysis. Existing methods often rely on coarse study-level labels or binary classification, lacking localization and severity information. In this paper, we introduce MeniMV, a multi-view benchmark dataset specifically designed for horn-specific meniscus injury grading. MeniMV comprises 3,000 annotated knee MRI exams from 750 patients across three medical centers, providing 6,000 co-registered sagittal and coronal images. Each exam is meticulously annotated with four-tier (grade 0-3) severity labels for both anterior and posterior meniscal horns, verified by chief orthopedic physicians. Notably, MeniMV offers more than double the pathology-labeled data volume of prior datasets while uniquely capturing the dual-view diagnostic context essential in clinical practice. To demonstrate the utility of MeniMV, we benchmark multiple state-of-the-art CNN and Transformer-based models. Our extensive experiments establish strong baselines and highlight challenges in severity grading, providing a valuable foundation for future research in automated musculoskeletal imaging.