Daily Papers

Open-source, multilingual medical large language models (LLMs) have the potential to serve linguistically diverse populations across different regions. Adapting generic LLMs for healthcare often requires continual pretraining, but this approach is computationally expensive and sometimes impractical. Instruction fine-tuning on a specific task may not always guarantee optimal performance due to the lack of broader domain knowledge that the model needs to understand and reason effectively in diverse scenarios. To address these challenges, we introduce two multilingual instruction fine-tuning datasets, MMed-IFT and MMed-IFT-MC, containing over 200k high-quality medical samples in six languages. We propose a two-stage training paradigm: the first stage injects general medical knowledge using MMed-IFT, while the second stage fine-tunes task-specific multiple-choice questions with MMed-IFT-MC. Our method achieves competitive results on both English and multilingual benchmarks, striking a balance between computational efficiency and performance. We plan to make our dataset and model weights public at https://github.com/SpassMed/Med-Llama3 in the future.

The Instruction Following (IF) ability measures how well Multi-modal Large Language Models (MLLMs) understand exactly what users are telling them and whether they are doing it right. Existing multimodal instruction following training data is scarce, the benchmarks are simple with atomic instructions, and the evaluation strategies are imprecise for tasks demanding exact output constraints. To address this, we present MM-IFEngine, an effective pipeline to generate high-quality image-instruction pairs. Our MM-IFEngine pipeline yields large-scale, diverse, and high-quality training data MM-IFInstruct-23k, which is suitable for Supervised Fine-Tuning (SFT) and extended as MM-IFDPO-23k for Direct Preference Optimization (DPO). We further introduce MM-IFEval, a challenging and diverse multi-modal instruction-following benchmark that includes (1) both compose-level constraints for output responses and perception-level constraints tied to the input images, and (2) a comprehensive evaluation pipeline incorporating both rule-based assessment and judge model. We conduct SFT and DPO experiments and demonstrate that fine-tuning MLLMs on MM-IFInstruct-23k and MM-IFDPO-23k achieves notable gains on various IF benchmarks, such as MM-IFEval (+10.2%), MIA (+7.6%), and IFEval (+12.3%). The full data and evaluation code will be released on https://github.com/SYuan03/MM-IFEngine.

Developing generative models for interleaved image-text data has both research and practical value. It requires models to understand the interleaved sequences and subsequently generate images and text. However, existing attempts are limited by the issue that the fixed number of visual tokens cannot efficiently capture image details, which is particularly problematic in the multi-image scenarios. To address this, this paper presents MM-Interleaved, an end-to-end generative model for interleaved image-text data. It introduces a multi-scale and multi-image feature synchronizer module, allowing direct access to fine-grained image features in the previous context during the generation process. MM-Interleaved is end-to-end pre-trained on both paired and interleaved image-text corpora. It is further enhanced through a supervised fine-tuning phase, wherein the model improves its ability to follow complex multi-modal instructions. Experiments demonstrate the versatility of MM-Interleaved in recognizing visual details following multi-modal instructions and generating consistent images following both textual and visual conditions. Code and models are available at https://github.com/OpenGVLab/MM-Interleaved.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.