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SubscribeMultimodal AI for Gastrointestinal Diagnostics: Tackling VQA in MEDVQA-GI 2025
This paper describes our approach to Subtask 1 of the ImageCLEFmed MEDVQA 2025 Challenge, which targets visual question answering (VQA) for gastrointestinal endoscopy. We adopt the Florence model-a large-scale multimodal foundation model-as the backbone of our VQA pipeline, pairing a powerful vision encoder with a text encoder to interpret endoscopic images and produce clinically relevant answers. To improve generalization, we apply domain-specific augmentations that preserve medical features while increasing training diversity. Experiments on the KASVIR dataset show that fine-tuning Florence yields accurate responses on the official challenge metrics. Our results highlight the potential of large multimodal models in medical VQA and provide a strong baseline for future work on explainability, robustness, and clinical integration. The code is publicly available at: https://github.com/TiwariLaxuu/VQA-Florence.git
Multi-Prompt Progressive Alignment for Multi-Source Unsupervised Domain Adaptation
Large Vision-Language Models like CLIP have become a powerful foundation for Unsupervised Domain Adaptation due to their strong zero-shot generalization. State-of-the-art methods typically leverage CLIP to generate pseudo-labels for the target domain, then fine-tune the model to learn domain-invariant features. However, these methods attempt to align source and target domains using all pseudo-labeled data simultaneously. This one-shot alignment struggles with noisy, hard-to-classify samples, leading to error propagation and suboptimal feature learning. The problem is even more amplified in the multi-source scenario, where diverse domain gaps and varying noise levels across multiple source domains further destabilize the alignment process. To address this issue, in this work, we propose a progressive alignment strategy for adapting CLIP to unlabeled downstream task. Our method begins by training the model on a high-confidence subset of target samples, allowing it to first learn a well-aligned representation from the most reliable data. As training progresses, it gradually incorporates more challenging samples, guiding the model to refine its understanding without being overwhelmed by initial label noise. This progressive approach effectively mitigates confirmation bias and promotes a more robust convergence, allowing for the learning of genuinely domain-invariant features. We name our approach MP^2A and test it on three popular UDA benchmarks, namely ImageCLEF, Office-Home, and the most challenging DomainNet. Experiments showcase that MP^2A achieves state-of-the-art performance when compared with most recent CLIP-based MS-UDA approaches, demonstrating the effectiveness of our approach.
InViC: Intent-aware Visual Cues for Medical Visual Question Answering
Medical visual question answering (Med-VQA) aims to answer clinically relevant questions grounded in medical images. However, existing multimodal large language models (MLLMs) often exhibit shortcut answering, producing plausible responses by exploiting language priors or dataset biases while insufficiently attending to visual evidence. This behavior undermines clinical reliability, especially when subtle imaging findings are decisive. We propose a lightweight plug-in framework, termed Intent-aware Visual Cues (InViC), to explicitly enhance image-based answer generation in medical VQA. InViC introduces a Cue Tokens Extraction (CTE) module that distills dense visual tokens into a compact set of K question-conditioned cue tokens, which serve as structured visual intermediaries injected into the LLM decoder to promote intent-aligned visual evidence. To discourage bypassing of visual information, we further design a two-stage fine-tuning strategy with a cue-bottleneck attention mask. In Stage I, we employ an attention mask to block the LLM's direct view of raw visual features, thereby funneling all visual evidence through the cue pathway. In Stage II, standard causal attention is restored to train the LLM to jointly exploit the visual and cue tokens. We evaluate InViC on three public Med-VQA benchmarks (VQA-RAD, SLAKE, and ImageCLEF VQA-Med 2019) across multiple representative MLLMs. InViC consistently improves over zero-shot inference and standard LoRA fine-tuning, demonstrating that intent-aware visual cues with bottlenecked training is a practical and effective strategy for improving trustworthy Med-VQA.
Open-PMC-18M: A High-Fidelity Large Scale Medical Dataset for Multimodal Representation Learning
Compound figures, which are multi-panel composites containing diverse subfigures, are ubiquitous in biomedical literature, yet large-scale subfigure extraction remains largely unaddressed. Prior work on subfigure extraction has been limited in both dataset size and generalizability, leaving a critical open question: How does high-fidelity image-text alignment via large-scale subfigure extraction impact representation learning in vision-language models? We address this gap by introducing a scalable subfigure extraction pipeline based on transformer-based object detection, trained on a synthetic corpus of 500,000 compound figures, and achieving state-of-the-art performance on both ImageCLEF 2016 and synthetic benchmarks. Using this pipeline, we release OPEN-PMC-18M, a large-scale high quality biomedical vision-language dataset comprising 18 million clinically relevant subfigure-caption pairs spanning radiology, microscopy, and visible light photography. We train and evaluate vision-language models on our curated datasets and show improved performance across retrieval, zero-shot classification, and robustness benchmarks, outperforming existing baselines. We release our dataset, models, and code to support reproducible benchmarks and further study into biomedical vision-language modeling and representation learning.
ROCOv2: Radiology Objects in COntext Version 2, an Updated Multimodal Image Dataset
Automated medical image analysis systems often require large amounts of training data with high quality labels, which are difficult and time consuming to generate. This paper introduces Radiology Object in COntext version 2 (ROCOv2), a multimodal dataset consisting of radiological images and associated medical concepts and captions extracted from the PMC Open Access subset. It is an updated version of the ROCO dataset published in 2018, and adds 35,705 new images added to PMC since 2018. It further provides manually curated concepts for imaging modalities with additional anatomical and directional concepts for X-rays. The dataset consists of 79,789 images and has been used, with minor modifications, in the concept detection and caption prediction tasks of ImageCLEFmedical Caption 2023. The dataset is suitable for training image annotation models based on image-caption pairs, or for multi-label image classification using Unified Medical Language System (UMLS) concepts provided with each image. In addition, it can serve for pre-training of medical domain models, and evaluation of deep learning models for multi-task learning.
