CerebraGloss: Instruction-Tuning a Large Vision-Language Model for Fine-Grained Clinical EEG Interpretation

Interpreting clinical electroencephalography (EEG) is a laborious, subjective process, and existing computational models are limited to narrow classification tasks rather than holistic interpretation. A key bottleneck for applying powerful Large Vision-Language Models (LVLMs) to this domain is the scarcity of datasets pairing EEG visualizations with fine-grained, expert-level annotations. We address this by introducing CerebraGloss, an instruction-tuned LVLM for nuanced EEG interpretation. We first introduce a novel, automated data generation pipeline, featuring a bespoke YOLO-based waveform detector, to programmatically create a large-scale corpus of EEG-text instruction data. Using this data, we develop CerebraGloss, the first model of its kind capable of unified, generative analysis—performing tasks from detailed waveform description to multi-turn, context-aware dialogue. To evaluate this new capability, we construct and release CerebraGloss-Bench, a comprehensive benchmark for open-ended EEG interpretation. CerebraGloss demonstrates strong performance, surpassing leading LVLMs, including proprietary models like GPT-5, on this benchmark and achieving a new state-of-the-art on the TUSZ seizure detection task. Models, benchmark and tools are available at https://github.com/iewug/CerebraGloss.