PA-LLaVA: A Large Language-Vision Assistant for Human Pathology Image Understanding
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Abstract (arXiv)
The previous advancements in pathology image understanding primarily involved developing models tailored to specific tasks. Recent studies has demonstrated that the large vision-language model can enhance the performance of various downstream tasks in medical image understanding. In this study, we developed a domain-specific large language-vision assistant (PA-LLaVA) for pathology image understanding. Specifically, (1) we first construct a human pathology image-text dataset by cleaning the public medical image-text data for domain-specific alignment; (2) Using the proposed image-text data, we first train a pathology language-image pretraining (PLIP) model as the specialized visual encoder for pathology image, and then we developed scale-invariant connector to avoid the information loss caused by image scaling; (3) We adopt two-stage learning to train PA-LLaVA, first stage for domain alignment, and second stage for end to end visual question & answering (VQA) task. In experiments, we evaluate our PA-LLaVA on both supervised and zero-shot VQA datasets, our model achieved the best overall performance among multimodal models of similar scale. The ablation experiments also confirmed the effectiveness of our design. We posit that our PA-LLaVA model and the datasets presented in this work can promote research in field of computational pathology. All codes are available at: https://github.com/ddw2AIGROUP2CQUPT/PA-LLaVAhttps://github.com/ddw2AIGROUP2CQUPT/PA-LLaVA
Key facts. Cited by 15 papers in the map (data through 7 Oct 2026). Builds on 21 of its 38 references that are in the map. First posted on arXiv 18 Aug 2024.
Builds on
21 of 38 references.
References · 21
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,456
- 2023Visual Instruction Tuningcited by 7,792
- 2022BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generationcited by 4,310
- 2024Qwen2 Technical Reportcited by 2,076
- 2023LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Daycited by 1,287
- 2024ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Toolscited by 1,096
- 2020Data Efficient and Weakly Supervised Computational Pathology on Whole Slide Imagescited by 738
- 2023BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairscited by 506
- 2023PMC-VQA: Visual Instruction Tuning for Medical Visual Question Answeringcited by 333
- 2023GeoChat: Grounded Large Vision-Language Model for Remote Sensingcited by 320
- 2023PMC-CLIP: Contrastive Language-Image Pre-training using Biomedical Documentscited by 212
- 2024HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scalecited by 194
9 more
- 2023Quilt-1M: One Million Image-Text Pairs for Histopathologycited by 192
- 2023ViP-LLaVA: Making Large Multimodal Models Understand Arbitrary Visual Promptscited by 160
- 2018BACH: Grand Challenge on Breast Cancer Histology Imagescited by 131
- 2020Deep Learning-based Computational Pathology Predicts Origins for Cancers of Unknown Primarycited by 89
- 2023Quilt-LLaVA: Visual Instruction Tuning by Extracting Localized Narratives from Open-Source Histopathology Videoscited by 84
- 2024Wiki-LLaVA: Hierarchical Retrieval-Augmented Generation for Multimodal LLMscited by 79
- 2023Open-Ended Medical Visual Question Answering Through Prefix Tuning of Language Modelscited by 58
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Citing papers per year: 2024: 4; 2025: 8; 2026: 3.
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- 2025Evidence-based diagnostic reasoning with multi-agent copilot for human pathologycited by 26
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Taskscited by 15
- 2024Is this Generated Person Existed in Real-world? Fine-grained Detecting and Calibrating Abnormal Human-bodycited by 12
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
- 2025Multi-Modal Foundation Models for Computational Pathology: A Surveycited by 9
- 2024HumanVLM: Foundation for Human-Scene Vision-Language Modelcited by 8
- 2025Foundation Models in Medical Imaging: A Review and Outlookcited by 7
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Modelscited by 6
- 2025Uncertainty-Driven Expert Control: Enhancing the Reliability of Medical Vision-Language Modelscited by 4
- 2025ChatEXAONEPath: An Expert-level Multimodal Large Language Model for Histopathology Using Whole Slide Imagescited by 3
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classificationcited by 2
- 2026CTIS-QA: Clinical Template-Informed Slide-level Question Answering for Pathologycited by 1
3 more
- 2026MedPMC: A Systematic Framework for Scaling High-Fidelity Medical Multimodal Data for Foundation Modelscited by 1
- 2024Efficient and Comprehensive Feature Extraction in Large Vision-Language Model for Pathology Analysiscited by 0
- 2026SLICEChat: Progressive In-Encoder Token Pruning for Whole-Slide Pathology Language Modelscited by 0
- 2026SLICEChat: Progressive In-Encoder Token Pruning for Whole-Slide Pathology Language Models21 Sep 2026
- 2026MedPMC: A Systematic Framework for Scaling High-Fidelity Medical Multimodal Data for Foundation Models8 Jul 2026
- 2026CTIS-QA: Clinical Template-Informed Slide-level Question Answering for Pathology5 Jan 2026
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classification21 Aug 2025
- 2025Uncertainty-Driven Expert Control: Enhancing the Reliability of Medical Vision-Language Models12 Jul 2025
- 2025Evidence-based diagnostic reasoning with multi-agent copilot for human pathology26 Jun 2025
- 2025Foundation Models in Medical Imaging: A Review and Outlook10 Jun 2025
- 2025ChatEXAONEPath: An Expert-level Multimodal Large Language Model for Histopathology Using Whole Slide Images17 Apr 2025
- 2025Multi-Modal Foundation Models for Computational Pathology: A Survey12 Mar 2025
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Models28 Feb 2025
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Tasks27 Jan 2025
- 2024Efficient and Comprehensive Feature Extraction in Large Vision-Language Model for Pathology Analysis12 Dec 2024
3 more
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Modelscited by 9
- 2024HumanVLM: Foundation for Human-Scene Vision-Language Modelcited by 8
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Modelscited by 6
- 2025Uncertainty-Driven Expert Control: Enhancing the Reliability of Medical Vision-Language Modelscited by 4
- 2025ChatEXAONEPath: An Expert-level Multimodal Large Language Model for Histopathology Using Whole Slide Imagescited by 3
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classificationcited by 2
- 2024Efficient and Comprehensive Feature Extraction in Large Vision-Language Model for Pathology Analysiscited by 0
- 2026SLICEChat: Progressive In-Encoder Token Pruning for Whole-Slide Pathology Language Modelscited by 0
- 2026SLICEChat: Progressive In-Encoder Token Pruning for Whole-Slide Pathology Language Models21 Sep 2026
- 2025Glo-VLMs: Leveraging Vision-Language Models for Fine-Grained Diseased Glomerulus Classification21 Aug 2025
- 2025Uncertainty-Driven Expert Control: Enhancing the Reliability of Medical Vision-Language Models12 Jul 2025
- 2025ChatEXAONEPath: An Expert-level Multimodal Large Language Model for Histopathology Using Whole Slide Images17 Apr 2025
- 2025MedHallTune: An Instruction-Tuning Benchmark for Mitigating Medical Hallucination in Vision-Language Models28 Feb 2025
- 2024Efficient and Comprehensive Feature Extraction in Large Vision-Language Model for Pathology Analysis12 Dec 2024
- 2024HumanVLM: Foundation for Human-Scene Vision-Language Model5 Nov 2024
- 2024A New Era in Computational Pathology: A Survey on Foundation and Vision-Language Models23 Aug 2024
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Taskscited by 15
- 2024Is this Generated Person Existed in Real-world? Fine-grained Detecting and Calibrating Abnormal Human-bodycited by 12
- 2025Multi-Modal Foundation Models for Computational Pathology: A Surveycited by 9
- 2025Foundation Models in Medical Imaging: A Review and Outlookcited by 7
- 2026CTIS-QA: Clinical Template-Informed Slide-level Question Answering for Pathologycited by 1
- 2026MedPMC: A Systematic Framework for Scaling High-Fidelity Medical Multimodal Data for Foundation Modelscited by 1
- 2026MedPMC: A Systematic Framework for Scaling High-Fidelity Medical Multimodal Data for Foundation Models8 Jul 2026
- 2026CTIS-QA: Clinical Template-Informed Slide-level Question Answering for Pathology5 Jan 2026
- 2025Foundation Models in Medical Imaging: A Review and Outlook10 Jun 2025
- 2025Multi-Modal Foundation Models for Computational Pathology: A Survey12 Mar 2025
- 2025A Survey on Computational Pathology Foundation Models: Datasets, Adaptation Strategies, and Evaluation Tasks27 Jan 2025
- 2024Is this Generated Person Existed in Real-world? Fine-grained Detecting and Calibrating Abnormal Human-body21 Nov 2024
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- 2026PathView-Bench: Can Multimodal Large Language Models Achieve Fine-grained Multiscale Understanding of Pathology Images?
- 2025Democratising Pathology Co-Pilots: An Open Pipeline and Dataset for Whole-Slide Vision-Language Modelling
- 2024SlideChat: A Large Vision-Language Assistant for Whole-Slide Pathology Image Understanding
- 2025PathoHR: Hierarchical Reasoning for Vision-Language Models in Pathology
- 2025A Versatile Pathology Co-pilot via Reasoning Enhanced Multimodal Large Language Model
- 2024Decomposing Disease Descriptions for Enhanced Pathology Detection: A Multi-Aspect Vision-Language Pre-training Framework
- 2025LLaDA-MedV: Exploring Large Language Diffusion Models for Biomedical Image Understanding
- 2024PathGen-1.6M: 1.6 Million Pathology Image-text Pairs Generation through Multi-agent Collaboration