mlsanityData to 7 Oct 2026

Enhancing Generalization in Medical Visual Question Answering Tasks via Gradient-Guided Model Perturbation

arXiv 2403.02707 ↗First posted 5 Mar 2024cs.CV cs.MMcited by 1

On the map: Multimodal LLMs / vision-language models → Medical vision-language models

Abstract (arXiv)

Leveraging pre-trained visual language models has become a widely adopted approach for improving performance in downstream visual question answering (VQA) applications. However, in the specialized field of medical VQA, the scarcity of available data poses a significant barrier to achieving reliable model generalization. Numerous methods have been proposed to enhance model generalization, addressing the issue from data-centric and model-centric perspectives. Data augmentation techniques are commonly employed to enrich the dataset, while various regularization approaches aim to prevent model overfitting, especially when training on limited data samples. In this paper, we introduce a method that incorporates gradient-guided parameter perturbations to the visual encoder of the multimodality model during both pre-training and fine-tuning phases, to improve model generalization for downstream medical VQA tasks. The small perturbation is adaptively generated by aligning with the direction of the moving average gradient in the optimization landscape, which is opposite to the directions of the optimizer's historical updates. It is subsequently injected into the model's visual encoder. The results show that, even with a significantly smaller pre-training image caption dataset, our approach achieves competitive outcomes on both VQA-RAD and SLAKE datasets.

Key facts. Cited by 1 paper in the map (data through 7 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 11 of its 19 references that are in the map. First posted on arXiv 5 Mar 2024.

Builds on

11 of 19 references.

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Same direction, newest first

  1. 2022Self-supervised vision-language pretraining for Medical visual question answering24 Nov

Other references · 10

  1. 2014Adam: A Method for Stochastic Optimizationcited by 36,960
  2. 2020An Image is Worth 16x16 Words: Transformers for Image Recognition at Scalecited by 29,915
  3. 2019Momentum Contrast for Unsupervised Visual Representation Learningcited by 7,482
  4. 2021Align before Fuse: Vision and Language Representation Learning with Momentum Distillationcited by 1,612
  5. 2021SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answeringcited by 444
  6. 2023PMC-VQA: Visual Instruction Tuning for Medical Visual Question Answeringcited by 333
  7. 2018Flipout: Efficient Pseudo-Independent Weight Perturbations on Mini-Batchescited by 133
  8. 2018Parametric Noise Injection: Trainable Randomness to Improve Deep Neural Network Robustness against Adversarial Attackcited by 123
  9. 2022Multi-Modal Masked Autoencoders for Medical Vision-and-Language Pre-Trainingcited by 104
  10. 2019Overcoming Data Limitation in Medical Visual Question Answeringcited by 71

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Citing papers per year: 2025: 1.

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  1. 2024Fusion of Domain-Adapted Vision and Language Models for Medical Visual Question Answering
  2. 2024MISS: A Generative Pretraining and Finetuning Approach for Med-VQA
  3. 2023Generative Visual Question Answering
  4. 2023Visual Question Answering in the Medical Domain
  5. 2024Targeted Visual Prompting for Medical Visual Question Answering
  6. 2025Med-GRIM: Enhanced Zero-Shot Medical VQA using prompt-embedded Multimodal Graph RAG
  7. 2026MedProb: Probing Internal Representations of Vision-Language Models for Medical Question Answering
  8. 2024The Limited Impact of Medical Adaptation of Large Language and Vision-Language Models