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LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day
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Conversational generative AI has demonstrated remarkable promise for empowering biomedical practitioners, but current investigations focus on unimodal text. Multimodal conversational AI has seen rapid progress by leveraging billions of image-text pairs from the public web, but such general-domain vision-language models still lack sophistication in understanding and conversing about biomedical images. In this paper, we propose a cost-efficient approach for training a vision-language conversational assistant that can answer open-ended research questions of biomedical images. The key idea is to leverage a large-scale, broad-coverage biomedical figure-caption dataset extracted from PubMed Central, use GPT-4 to self-instruct open-ended instruction-following data from the captions, and then fine-tune a large general-domain vision-language model using a novel curriculum learning method. Specifically, the model first learns to align biomedical vocabulary using the figure-caption pairs as is, then learns to master open-ended conversational semantics using GPT-4 generated instruction-following data, broadly mimicking how a layperson gradually acquires biomedical knowledge. This enables us to train a Large Language and Vision Assistant for BioMedicine (LLaVA-Med) in less than 15 hours (with eight A100s). LLaVA-Med exhibits excellent multimodal conversational capability and can follow open-ended instruction to assist with inquiries about a biomedical image. On three standard biomedical visual question answering datasets, LLaVA-Med outperforms previous supervised state-of-the-art on certain metrics. To facilitate biomedical multimodal research, we will release our instruction-following data and the LLaVA-Med model.
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Modern multimodal LLMs can understand modalities beyond plain text, including medical images and structured EHR data, and can convert non-plain text data into text summaries.
“Modern multimodal LLMs can also understand modalities beyond plain text, including medical images23,34 and structured EHR data35,36, and can convert non-plain text data into text summaries.”
From MoMA: a mixture-of-multimodal-agents architecture for enhancing clinical prediction modelling (2025) · cites this paper as [23]
Multimodal LLMs such as LLaVA-Med and CXR-LLAVA can generate text summaries from medical images.
“For example, multimodal LLMs such as LLaVA-Med23 and CXR-LLAVA34 can generate text summaries from medical images”
From MoMA: a mixture-of-multimodal-agents architecture for enhancing clinical prediction modelling (2025) · cites this paper as [23]
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Cites
Learning Transferable Visual Models From Natural Language Supervision
Radford, A., Kim, J. W., Hallacy, C., Ramesh, A., Goh, G., Agarwal, S., Sastry, G., Askell, A., Mishkin, P., Clark, J., et al. (2021) · arXiv · doi:10.48550/arxiv.2103.00020 · Cited by 15,293
LLaMA: Open and Efficient Foundation Language Models
Touvron, H., Lavril, T., Izacard, G., Martinet, X., Lachaux, M.-A., Lacroix, T., Rozière, B., Goyal, N., Hambro, E., Azhar, F., et al. (2023) · arXiv · doi:10.48550/arxiv.2302.13971 · Cited by 4,602
Flagged first, then by citations
Research works printed but not linked: 32
- Amanda Askell, Yuntao Bai, Anna Chen, Dawn Drain, Deep Ganguli, Tom Henighan, Andy Jones, Nicholas Joseph, Ben Mann, Nova DasSarma, et al. A general language assistant as a laboratory for alignment. arXiv preprint arXiv:2112.00861, 2021. 1 · arXiv
- Malek Ayoub, Megan Quamme, Abdul-Rahman K Abdel-Reheem, Poe Lwin, and Megan K Quamme. Covid or not covid? a great mimicker behind the smoke screen. Cureus, 13(11), 2021.
- Bappy Basak, Alexander Haragan, Michael Shackcloth, and Joyce Thekkudan. Chondromyxoid fibroma of the rib: A rare benign tumor with potential for local recurrence. Cureus, 13(10), 2021.
- Benedikt Boecking, Naoto Usuyama, Shruthi Bannur, Daniel C Castro, Anton Schwaighofer, Stephanie Hyland, Maria Wetscherek, Tristan Naumann, Aditya Nori, Javier Alvarez-Valle, et al. Making the most of text semantics to improve biomedical vision-language processing. In ECCV. Springer, 2022. 2
- Sedigheh Eslami, Christoph Meinel, and Gerard De Melo. Pubmedclip: How much does clip benefit visual question answering in the medical domain? In Findings of the Association for Computational Linguistics: EACL 2023, pages 1151-1163, 2023. 2, 3, 9
- Yu Gu, Robert Tinn, Hao Cheng, Michael Lucas, Naoto Usuyama, Xiaodong Liu, Tristan Naumann, Jianfeng Gao, and Hoifung Poon. Domain-specific language model pretraining for biomedical natural language processing. ACM Transactions on Computing for Healthcare (HEALTH), 3(1):1-23, 2021. 2
- Suchin Gururangan, Ana Marasović, Swabha Swayamdipta, Kyle Lo, Iz Beltagy, Doug Downey, and Noah A Smith. Don't stop pretraining: Adapt language models to domains and tasks. arXiv preprint arXiv:2004.10964, 2020. 6 · arXiv
- Tianyu Han, Lisa C Adams, Jens-Michalis Papaioannou, Paul Grundmann, Tom Oberhauser, Alexander Löser, Daniel Truhn, and Keno K Bressem. Medalpaca-an open-source collection of medical conversational ai models and training data. arXiv preprint arXiv:2304.08247, 2023. 2 · arXiv
- Xuehai He, Yichen Zhang, Luntian Mou, Eric Xing, and Pengtao Xie. Pathvqa: 30000+ questions for medical visual question answering. arXiv preprint arXiv:2003.10286, 2020. 3, 8 · arXiv
- Kexin Huang, Jaan Altosaar, and Rajesh Ranganath. Clinicalbert: Modeling clinical notes and predicting hospital readmission. arXiv preprint arXiv:1904.05342, 2019. 2 · arXiv
- Jinhyuk Lee, Wonjin Yoon, Sungdong Kim, Donghyeon Kim, Sunkyu Kim, Chan Ho So, and Jaewoo Kang. Biobert: a pre-trained biomedical language representation model for biomedical text mining. Bioinformatics, 36(4):1234-1240, 2020. 2
- Peter Lee, Sebastien Bubeck, and Joseph Petro. Benefits, limits, and risks of gpt-4 as an ai chatbot for medicine. New England Journal of Medicine, 388(13):1233-1239, 2023. 2
- Patrick Lewis, Ethan Perez, Aleksandra Piktus, Fabio Petroni, Vladimir Karpukhin, Naman Goyal, Heinrich Küttler, Mike Lewis, Wen-tau Yih, Tim Rocktäschel, et al. Retrieval-augmented generation for knowledge-intensive NLP tasks. NeurIPS, 2020. 3
- Chunyuan Li, Haotian Liu, Liunian Harold Li, Pengchuan Zhang, Jyoti Aneja, Jianwei Yang, Ping Jin, Houdong Hu, Zicheng Liu, Yong Jae Lee, and Jianfeng Gao. ELEVATER: A bench- mark and toolkit for evaluating language-augmented visual models. In NeurIPS Track on Datasets and Benchmarks, 2022. 1
- Pengfei Li, Gang Liu, Lin Tan, Jinying Liao, and Shenjun Zhong. Self-supervised vision- language pretraining for medical visual question answering. arXiv preprint arXiv:2211.13594, 2022. 3, 9 · arXiv
- Bo Liu, Li-Ming Zhan, Li Xu, Lin Ma, Yan Yang, and Xiao-Ming Wu. Slake: A semantically- labeled knowledge-enhanced dataset for medical visual question answering. In International Symposium on Biomedical Imaging (ISBI). IEEE, 2021. 8, 10
- Haotian Liu, Chunyuan Li, Qingyang Wu, and Yong Jae Lee. Visual instruction tuning. arXiv preprint arXiv:2304.08485, 2023. 1, 2, 4, 6 · arXiv
- Haotian Liu, Kilho Son, Jianwei Yang, Ce Liu, Jianfeng Gao, Yong Jae Lee, and Chunyuan Li. Learning customized visual models with retrieval-augmented knowledge. arXiv preprint arXiv:2301.07094, 2023. 3 · arXiv
- Yunyi Liu, Zhanyu Wang, Dong Xu, and Luping Zhou. Q2atransformer: Improving medical vqa via an answer querying decoder. arXiv preprint arXiv:2304.01611, 2023. 3, 9 · arXiv
- Pan Lu, Swaroop Mishra, Tanglin Xia, Liang Qiu, Kai-Wei Chang, Song-Chun Zhu, Oyvind Tafjord, Peter Clark, and Ashwin Kalyan. Learn to explain: Multimodal reasoning via thought chains for science question answering. Advances in Neural Information Processing Systems, 2022. 5
- Hassan Mirmohammad Sadeghi, Abbas Karimi, Samira Derakhshan, Pouyan Aminishakib, and Kiarash Parchami. Conventional osteosarcoma of the mandible: Report of a rare case. Clinical Case Reports, 9(9):e04843, 2021. 5
- Harsha Nori, Nicholas King, Scott Mayer McKinney, Dean Carignan, and Eric Horvitz. Ca- pabilities of gpt-4 on medical challenge problems. arXiv preprint arXiv:2303.13375, 2023. 2 · arXiv
- OpenAI. GPT-4 technical report. https://arxiv.org/abs/2303.08774, 2023. 1, 2 · arXiv
- Kyriakos A Papavasiliou, Dimitrios Stamiris, Stavros Stamiris, Antonia Bintoudi, and Elefthe- rios Tsiridis. Quadratus femoris partial tear secondary to occult ischiofemoral impingement. Journal of Orthopaedic Case Reports, 11(9):7, 2021. 5
- Baolin Peng, Chunyuan Li, Pengcheng He, Michel Galley, and Jianfeng Gao. Instruction tuning with GPT-4. arXiv preprint arXiv:2304.03277, 2023. 2 · arXiv
- Roger Kevin Pringle and Lawrence H Wyatt. The appropriate use of radiography in clinical practice: a report of two cases of biomechanical versus malignant spine pain. Chiropractic & Osteopathy, 14(1):1-8, 2006. 4
- Tom van Sonsbeek, Mohammad Mahdi Derakhshani, Ivona Najdenkoska, Cees GM Snoek, and Marcel Worring. Open-ended medical visual question answering through prefix tuning of language models. arXiv preprint arXiv:2303.05977, 2023. 3, 9 · arXiv
- Chaoyi Wu, Xiaoman Zhang, Ya Zhang, Yanfeng Wang, and Weidi Xie. Pmc-llama: Further finetuning llama on medical papers. arXiv preprint arXiv:2304.14454, 2023. 2 · arXiv
- Honglin Xiong, Sheng Wang, Yitao Zhu, Zihao Zhao, Yuxiao Liu, Qian Wang, and Dinggang Shen. Doctorglm: Fine-tuning your chinese doctor is not a herculean task. arXiv preprint arXiv:2304.01097, 2023. 2 · arXiv
- Li Yunxiang, Li Zihan, Zhang Kai, Dan Ruilong, and Zhang You. Chatdoctor: A medical chat model fine-tuned on llama model using medical domain knowledge. arXiv preprint arXiv:2303.14070, 2023. 2 · arXiv
- Mansoor Zafar, Abdul Wahab Paracha, Muteeb Ashraf, Tila Muhammad, Mark Whitehead, Muhammad Toqeer, and Abdul Paracha. Delayed spontaneous regression of metastatic gastric cancer: A case report of a rare finding. Cureus, 13(12), 2021. 5
- Sheng Zhang, Yanbo Xu, Naoto Usuyama, Jaspreet Bagga, Robert Tinn, Sam Preston, Rajesh Rao, Mu Wei, Naveen Valluri, Cliff Wong, et al. Large-scale domain-specific pretraining for biomedical vision-language processing. arXiv preprint arXiv:2303.00915, 2023. 2, 3, 6, 9 · arXiv
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Metadata
- Authors
- Li, C., Wong, C., Zhang, S., Usuyama, N., Liu, H., Yang, J., Naumann, T., Poon, H., & Gao, J.
- Venue
- Advances in Neural Information Processing Systems 36
- Published
- 2023
- Pages
- 28541-28564
- ISSN
- 1049-5258 (ISSN-L)
- OpenAlex
- W7133197087
- Cited by
- 986
- References
- 2
- Citations by year
- 2026: 465 · 2025: 281 · 2024: 198 · 2023: 42
- FWCI
- 88.74
- Type
- conference paper
- Language
- en
- Open access
- green
- arxiv.org
- Locations
- neural information processing systems (publishedVersion)
- arXiv (Cornell University) (submittedVersion)
- arXiv (Cornell University)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Multimodal Machine Learning Applications
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Health Informatics › Biomedical Text Mining and Ontologies
- Keywords
- multimodal language models, medical question answering, biomedicine, vision-language models
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