Medical visual question answering (Med-VQA) aims to accurately answer clinical questions about medical images. Despite its enormous potential for application in the medical domain, the current technology is still in its infancy. Compared with general visual question answering task, Med-VQA task involve more demanding challenges. First, clinical questions about medical images are usually diverse due to different clinicians and the complexity of diseases. Consequently, noise is inevitably introduced when extracting question features. Second, Med-VQA task have always been regarded as a classification problem for predefined answers, ignoring the relationships between candidate responses. Thus, the Med-VQA model pays equal attention to all candidate answers when predicting answers. In this paper, a novel Med-VQA framework is proposed to alleviate the abovementioned problems. Specifically, we employed a question-type reasoning module severally to closed-ended and open-ended questions, thereby extracting the important information contained in the questions through an attention mechanism and filtering the noise to extract more valuable question features. To take advantage of the relational information between answers, we designed a semantic constraint space to calculate the similarity between the answers and assign higher attention to answers with high correlation. To evaluate the effectiveness of the proposed method, extensive experiments were conducted on a public dataset, namely VQA-RAD. Experimental results showed that the proposed method achieved better performance compared to other the state-ofthe-art methods. The overall accuracy, closed-ended accuracy, and open-ended accuracy reached 74.1 %, 82.7 %, and 60.9 %, respectively. It is worth noting that the absolute accuracy of the proposed method improved by 5.5 % for closed-ended questions.
