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arXiv:2608. 10635v1 Announce Type: cross Abstract: Medical Vision-Language Models (Med-VLMs) excel at verbalizing visual content, yet precise visual perception, segmentation, and grounding remain challenging.
Textual descriptions can reduce ambiguity in medical image segmentation by specifying the finding and location to be delineated. Existing text-guided methods mainly improve where image and language fe...
Multimodal Routing and Region Refinement for Language-Guided Medical Image Segmentation (MRSeg) is a parameter‑efficient framework that uses frozen ConvNeXt‑Tiny and PubMedBERT encoders to extract multiscale visual features and clinical text tokens. A joint router predicts a sparse mixture over low‑rank adapter bases, enabling separate adaptation for two visual scales and text while keeping feature‑specific parameters distinct. Region Bridge aggregates dense visual tokens into latent regions using text‑derived queries, refines them via self‑attention and text cross‑attention, and redistributes the refined information back to the feature maps, culminating in a multiscale decoder that combines refined semantic features with shallow image evidence. MRSeg achieves state‑of‑the‑art Dice/mIoU scores on QaTa‑COV19 and MosMedData+ with only 7.11 M trainable parameters and 7.60 GFLOPs.
MedFG-VQA is a lightweight medical visual question answering framework that uses a memory bank to enhance low‑frequency DCT features and graph‑enhanced cross‑attention for visual‑textual alignment. It introduces Frequency‑Memory Fusion to retrieve and fuse low‑frequency information from a learnable memory bank, and Graph‑Aware Cross‑Attention to refine cross‑modal features via graph convolution. The authors also create SynMed‑VQA, a synthetic dataset of over 2 million QA pairs across nine imaging modalities, and show that MedFG‑VQA matches or outperforms larger models on several biomedical VQA benchmarks while keeping computational costs low.
BiCLIP is a bidirectional multimodal framework that enhances medical image segmentation by allowing visual features to iteratively refine textual representations, improving semantic alignment. It incorporates an augmentation consistency objective to stabilize learning against perturbed inputs. Experiments on QaTa-COV19 and MosMedData+ show that BiCLIP outperforms state‑of‑the‑art image‑only and multimodal baselines, achieving strong performance even with only 1% labeled data and resisting common clinical artifacts such as motion blur and low‑dose CT noise.
VIVAS is a new Vision‑Language Model pre‑training framework that addresses the lack of fine‑grained visual perception in existing VLMs. It introduces a unified token space and a dense‑structural‑semantic vision tokenizer that expands the textual vocabulary with visual tokens, enabling vision‑language unified autoregressive supervision over both visual details and linguistic content. Trained on 12.4 T tokens, VIVAS achieves state‑of‑the‑art results on 7 tasks and 39 multimodal benchmarks.