# Simplifying Multimodality: Unimodal Approach to Multimodal Challenges in Radiology with General-Domain Large Language Model

arXiv: https://arxiv.org/abs/2405.01591 · HTML: https://mlsanity.com/paper/2405.01591/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 38 of its 51 references that are in the map.
- First posted on arXiv 29 Apr 2024.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 30 of 38)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [Pre-train, Prompt, and Predict: A Systematic Survey of Prompting Methods in Natural Language Processing](https://mlsanity.com/paper/2107.13586/) (2021)
- [PaLM-E: An Embodied Multimodal Language Model](https://mlsanity.com/paper/2303.03378/) (2023)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [Multimodal Chain-of-Thought Reasoning in Language Models](https://mlsanity.com/paper/2302.00923/) (2023)
- [ViperGPT: Visual Inference via Python Execution for Reasoning](https://mlsanity.com/paper/2303.08128/) (2023)
- [OpenFlamingo: An Open-Source Framework for Training Large Autoregressive Vision-Language Models](https://mlsanity.com/paper/2308.01390/) (2023)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [Visual Classification via Description from Large Language Models](https://mlsanity.com/paper/2210.07183/) (2022)
- [Can Generalist Foundation Models Outcompete Special-Purpose Tuning? Case Study in Medicine](https://mlsanity.com/paper/2311.16452/) (2023)
- [RadGraph: Extracting Clinical Entities and Relations from Radiology Reports](https://mlsanity.com/paper/2106.14463/) (2021)
- [OBELICS: An Open Web-Scale Filtered Dataset of Interleaved Image-Text Documents](https://mlsanity.com/paper/2306.16527/) (2023)
- [An Empirical Study of GPT-3 for Few-Shot Knowledge-Based VQA](https://mlsanity.com/paper/2109.05014/) (2021)
- [Towards Generalist Biomedical AI](https://mlsanity.com/paper/2307.14334/) (2023)
- [MIMIC-IT: Multi-Modal In-Context Instruction Tuning](https://mlsanity.com/paper/2306.05425/) (2023)
- [Large Language Models are Few-Shot Clinical Information Extractors](https://mlsanity.com/paper/2205.12689/) (2022)
- [BiomedGPT: A Generalist Vision-Language Foundation Model for Diverse Biomedical Tasks](https://mlsanity.com/paper/2305.17100/) (2023)
- [LLaVA-UHD: an LMM Perceiving Any Aspect Ratio and High-Resolution Images](https://mlsanity.com/paper/2403.11703/) (2024)
- [Towards Generalist Foundation Model for Radiology by Leveraging Web-scale 2D&3D Medical Data](https://mlsanity.com/paper/2308.02463/) (2023)
- [The CoT Collection: Improving Zero-shot and Few-shot Learning of Language Models via Chain-of-Thought Fine-Tuning](https://mlsanity.com/paper/2305.14045/) (2023)

## Abstract (arXiv)

Recent advancements in Large Multimodal Models (LMMs) have attracted interest in their generalization capability with only a few samples in the prompt. This progress is particularly relevant to the medical domain, where the quality and sensitivity of data pose unique challenges for model training and application. However, the dependency on high-quality data for effective in-context learning raises questions about the feasibility of these models when encountering with the inevitable variations and errors inherent in real-world medical data. In this paper, we introduce MID-M, a novel framework that leverages the in-context learning capabilities of a general-domain Large Language Model (LLM) to process multimodal data via image descriptions. MID-M achieves a comparable or superior performance to task-specific fine-tuned LMMs and other general-domain ones, without the extensive domain-specific training or pre-training on multimodal data, with significantly fewer parameters. This highlights the potential of leveraging general-domain LLMs for domain-specific tasks and offers a sustainable and cost-effective alternative to traditional LMM developments. Moreover, the robustness of MID-M against data quality issues demonstrates its practical utility in real-world medical domain applications.