arXiv AI By Junyi Gao, Yu Shi, Pingzhao Hu, Ewen M Harrison

ViSTA: A Simple Bridge Extends Visual Alignment to Clinical Time-Series Understanding in Multimodal LLMs

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ViSTA is a lightweight adapter that adds irregular numerical measurements to a pretrained vision‑language model’s chart representations, enabling accurate clinical time‑series prediction without altering the base model’s parameters. On the MIMIC‑IV dataset, ViSTA outperforms other adaptations across four metrics for acute kidney injury and mortality prediction, achieving an AUC of 0.7376 with only 0.516 million trainable parameters. It also delivers strong temporal question‑answering performance, reaching 69.27% accuracy with significantly fewer trainable parameters than low‑rank adaptation methods.

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