Image-Text-to-Text
Transformers
GGUF
English
text-generation-inference
llama-cpp
qwen3_5
medical
multimodal
grounding
visual-grounding
multi-image
reasoning
chain-of-thought
radiology
mri
ct
conversational
Instructions to use prithivMLmods/MedChain-R1-9B-GGUF with libraries, inference providers, notebooks, and local apps. Follow these links to get started.
- Libraries
- Transformers
How to use prithivMLmods/MedChain-R1-9B-GGUF with Transformers:
# Use a pipeline as a high-level helper from transformers import pipeline pipe = pipeline("image-text-to-text", model="prithivMLmods/MedChain-R1-9B-GGUF")# pip install -U transformers accelerate # Load model directly from transformers import AutoModel model = AutoModel.from_pretrained("prithivMLmods/MedChain-R1-9B-GGUF", device_map="auto") - Notebooks
- Google Colab
- Kaggle
- Local Apps Settings
- llama.cpp
How to use prithivMLmods/MedChain-R1-9B-GGUF with llama.cpp:
Install (macOS, Linux)
curl -LsSf https://llama.app/install.sh | sh # Start a local OpenAI-compatible server with a web UI: llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M # Run inference directly in the terminal: llama cli -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Install from WinGet (Windows)
winget install llama.cpp # Start a local OpenAI-compatible server with a web UI: llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M # Run inference directly in the terminal: llama cli -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Build from source code
git clone https://github.com/ggml-org/llama.cpp.git cd llama.cpp cmake -B build cmake --build build -j --target llama-app # Start a local OpenAI-compatible server with a web UI: ./build/bin/llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M # Run inference directly in the terminal: ./build/bin/llama cli -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Use Docker
docker model run hf.co/prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
- Llama new
- LM Studio
- Jan
- vLLM
How to use prithivMLmods/MedChain-R1-9B-GGUF with vLLM:
Install from pip and serve model
# Install vLLM from pip: pip install vllm # Start the vLLM server: vllm serve "prithivMLmods/MedChain-R1-9B-GGUF" # Call the server using curl (OpenAI-compatible API): curl -X POST "http://localhost:8000/v1/chat/completions" \ -H "Content-Type: application/json" \ --data '{ "model": "prithivMLmods/MedChain-R1-9B-GGUF", "messages": [ { "role": "user", "content": [ { "type": "text", "text": "Describe this image in one sentence." }, { "type": "image_url", "image_url": { "url": "https://cdn.britannica.com/61/93061-050-99147DCE/Statue-of-Liberty-Island-New-York-Bay.jpg" } } ] } ] }'Use Docker
docker model run hf.co/prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
- SGLang
How to use prithivMLmods/MedChain-R1-9B-GGUF with SGLang:
Install from pip and serve model
# Install SGLang from pip: pip install sglang # Start the SGLang server: python3 -m sglang.launch_server \ --model-path "prithivMLmods/MedChain-R1-9B-GGUF" \ --host 0.0.0.0 \ --port 30000 # Call the server using curl (OpenAI-compatible API): curl -X POST "http://localhost:30000/v1/chat/completions" \ -H "Content-Type: application/json" \ --data '{ "model": "prithivMLmods/MedChain-R1-9B-GGUF", "messages": [ { "role": "user", "content": [ { "type": "text", "text": "Describe this image in one sentence." }, { "type": "image_url", "image_url": { "url": "https://cdn.britannica.com/61/93061-050-99147DCE/Statue-of-Liberty-Island-New-York-Bay.jpg" } } ] } ] }'Use Docker images
docker run --gpus all \ --shm-size 32g \ -p 30000:30000 \ -v ~/.cache/huggingface:/root/.cache/huggingface \ --env "HF_TOKEN=<secret>" \ --ipc=host \ lmsysorg/sglang:latest \ python3 -m sglang.launch_server \ --model-path "prithivMLmods/MedChain-R1-9B-GGUF" \ --host 0.0.0.0 \ --port 30000 # Call the server using curl (OpenAI-compatible API): curl -X POST "http://localhost:30000/v1/chat/completions" \ -H "Content-Type: application/json" \ --data '{ "model": "prithivMLmods/MedChain-R1-9B-GGUF", "messages": [ { "role": "user", "content": [ { "type": "text", "text": "Describe this image in one sentence." }, { "type": "image_url", "image_url": { "url": "https://cdn.britannica.com/61/93061-050-99147DCE/Statue-of-Liberty-Island-New-York-Bay.jpg" } } ] } ] }' - Ollama
How to use prithivMLmods/MedChain-R1-9B-GGUF with Ollama:
ollama run hf.co/prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
- Unsloth Desktop
- Pi
How to use prithivMLmods/MedChain-R1-9B-GGUF with Pi:
Start the llama.cpp server
# Install llama.cpp: brew install llama.cpp # Start a local OpenAI-compatible server: llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Configure the model in Pi
# Install Pi: npm install -g @earendil-works/pi-coding-agent # Add to ~/.pi/agent/models.json: { "providers": { "llama-cpp": { "baseUrl": "http://localhost:8080/v1", "api": "openai-completions", "apiKey": "none", "models": [ { "id": "prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M" } ] } } }Run Pi
# Start Pi in your project directory: pi
- Docker Model Runner
How to use prithivMLmods/MedChain-R1-9B-GGUF with Docker Model Runner:
docker model run hf.co/prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
- Lemonade
How to use prithivMLmods/MedChain-R1-9B-GGUF with Lemonade:
Pull the model
# Download Lemonade from https://lemonade-server.ai/ lemonade pull prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Run and chat with the model
lemonade run user.MedChain-R1-9B-GGUF-Q4_K_M
List all available models
lemonade list
- Hermes Agent
How to use prithivMLmods/MedChain-R1-9B-GGUF with Hermes Agent:
Start the llama.cpp server
# Install llama.cpp: brew install llama.cpp # Start a local OpenAI-compatible server: llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Configure Hermes
# Install Hermes: curl -fsSL https://hermes-agent.nousresearch.com/install.sh | bash hermes setup # Point Hermes at the local server: hermes config set model.provider custom hermes config set model.base_url http://127.0.0.1:8080/v1 hermes config set model.default prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Run Hermes
hermes
- Atomic Chat
- OpenClaw
How to use prithivMLmods/MedChain-R1-9B-GGUF with OpenClaw:
Start the llama.cpp server
# Install llama.cpp: brew install llama.cpp # Start a local OpenAI-compatible server: llama serve -hf prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M
Configure OpenClaw
# Install OpenClaw: npm install -g openclaw@latest # Register the local server and set it as the default model: openclaw onboard --non-interactive --mode local \ --auth-choice custom-api-key \ --custom-base-url http://127.0.0.1:8080/v1 \ --custom-model-id "prithivMLmods/MedChain-R1-9B-GGUF:Q4_K_M" \ --custom-provider-id llama-cpp \ --custom-compatibility openai \ --custom-text-input \ --accept-risk \ --skip-health
Run OpenClaw
openclaw agent --local --agent main --message "Hello from Hugging Face"
Update README.md
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README.md
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library_name: transformers
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license: apache-2.0
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language:
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pipeline_tag: image-text-to-text
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tags:
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- text-generation-inference
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- llama-cpp
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- medical
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- multimodal
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- grounding
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- visual-grounding
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- multi-image
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- reasoning
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- chain-of-thought
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- radiology
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- mri
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- arxiv:2611.00041
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---
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# **MedChain-R1-9B-GGUF**
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> **MedChain-R1-9B** is a 9B vision-language model for sequential medical image grounding, built on Qwen3.5-9B and described in "Think Before You Locate: Clinical Chain-of-Thought Supervision for Sequential Medical Image Grounding" (arXiv:2611.00041). Given a sequence of medical images and a clinical question, it first writes an image-grounded rationale in `<think>` tags, then returns one pixel-coordinate bounding box. Training used deliberative chain-of-thought supervision (dCoT-SFT) on the MedChain corpus, followed by GRPO with an IoU plus format reward. MedChain has 182,573 filtered rationales over the 8 MedSG-Bench tasks and 10 imaging modalities. A medical VLM (FlemingVL-38B) drafts each rationale and a multimodal refiner (Qwen3.5-397B-A17B) rewrites it conditioned on the annotated box. This checkpoint scores 77.54 mIoU / 84.87 Acc@0.5 on all 9,630 MedSG-Bench test questions, above the paper's 9B GRPO row (76.90 / 83.82), which came from a different checkpoint. It also beats the supervised state-of-the-art MedSeq-Grounder 7B (72.55 / 79.71) and is far ahead of the zero-shot general and medical baselines, which mostly score below 21 mIoU. The paper notes that the gains vary by task. Against an answer-only 4B model, the reasoning supervision gains 14.7–16.1 mIoU on difference grounding but loses 2.2–3.2 on multi-view, patch and referring grounding. It adds that GRPO contributes little after dCoT-SFT (+0.37 mIoU at 4B). The card says to generate one example at a time, because batched generation gave degenerate outputs, and to use the bundled processor. The rationales were written knowing the answer, so they may be post-hoc rather than a faithful record of the model's reasoning. The model is a research artifact, not validated for diagnosis or clinical deployment, and evaluation is limited to MedSG-Bench. It is released under Apache 2.0.
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