Parameter-Efficient Fine-Tuning Medical Multimodal Large Language Models for Medical Visual Grounding
On the map: Multimodal LLMs / vision-language models → Medical vision-language models
Abstract (arXiv)
Multimodal Large Language Models (MLLMs) inherit the superior text understanding capabilities of LLMs and extend these capabilities to multimodal scenarios. These models achieve excellent results in the general domain of multimodal tasks. However, in the medical domain, the substantial training costs and the requirement for extensive medical data pose challenges to the development of medical MLLMs. Furthermore, due to the free-text form of answers, tasks such as visual grounding that need to produce output in a prescribed form become difficult for MLLMs. So far, there have been no medical MLLMs works in medical visual grounding area. For the medical vision grounding task, which involves identifying locations in medical images based on short text descriptions, we propose Parameter-efficient Fine-tuning medical multimodal large language models for Medcial Visual Grounding (PFMVG). To validate the performance of the model, we evaluate it on a public benchmark dataset for medical visual grounding, where it achieves competitive results, and significantly outperforming GPT-4v. Our code will be open sourced after peer review.
Key facts. Cited by 9 papers 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 14 of its 20 references that are in the map. First posted on arXiv 31 Oct 2024.
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14 of 20 references.
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Other references · 13
- 2023GPT-4 Technical Reportcited by 18,132
- 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
- 2023BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Modelscited by 6,069
- 2023MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Modelscited by 2,689
- 2022EVA: Exploring the Limits of Masked Visual Representation Learning at Scalecited by 685
- 2020Contrastive Learning of Medical Visual Representations from Paired Images and Textcited by 636
- 2023MiniGPT-v2: large language model as a unified interface for vision-language multi-task learningcited by 617
- 2019MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographscited by 590
- 2022Making the Most of Text Semantics to Improve Biomedical Vision--Language Processingcited by 336
- 2023MedKLIP: Medical Knowledge Enhanced Language-Image Pre-Training in Radiologycited by 149
- 2023A Systematic Evaluation of GPT-4V's Multimodal Capability for Medical Image Analysiscited by 37
- 2023Masked Vision and Language Pre-training with Unimodal and Multimodal Contrastive Losses for Medical Visual Question Answeringcited by 29
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Citing papers per year: 2024: 1; 2025: 4; 2026: 4.
9 papers.
- 2024Toward Visual Grounding: A Surveycited by 52
- 2025Distributed LLMs and Multimodal Large Language Models: A Survey on Advances, Challenges, and Future Directionscited by 10
- 2025Seeing the Trees for the Forest: Rethinking Weakly-Supervised Medical Visual Groundingcited by 3
- 2025ClinKD: Cross-Modal Clinical Knowledge Distiller For Multi-Task Medical Imagescited by 2
- 2026Multi-label Instance-level Generalised Visual Grounding in Agriculturecited by 1
- 2026Enhancing Medical Visual Grounding via Knowledge-guided Spatial Promptscited by 1
- 2026GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CTcited by 1
- 2025Is ChatGPT-5 Ready for Mammogram VQA?cited by 0
- 2026OneFocus: Enabling Real-World X-ray Security Screening with a Unified Vision-Language Modelcited by 0
- 2026OneFocus: Enabling Real-World X-ray Security Screening with a Unified Vision-Language Model14 Jun 2026
- 2026GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT21 May 2026
- 2026Enhancing Medical Visual Grounding via Knowledge-guided Spatial Prompts2 Apr 2026
- 2026Multi-label Instance-level Generalised Visual Grounding in Agriculture5 Mar 2026
- 2025Is ChatGPT-5 Ready for Mammogram VQA?15 Aug 2025
- 2025Seeing the Trees for the Forest: Rethinking Weakly-Supervised Medical Visual Grounding21 May 2025
- 2025Distributed LLMs and Multimodal Large Language Models: A Survey on Advances, Challenges, and Future Directions20 Mar 2025
- 2025ClinKD: Cross-Modal Clinical Knowledge Distiller For Multi-Task Medical Images9 Feb 2025
- 2024Toward Visual Grounding: A Survey28 Dec 2024
Similar, not cited
Close in wording, no citation either way
- 2026How Do Medical MLLMs Fail? A Study on Visual Grounding in Medical Images
- 2026MedMO: Grounding and Understanding Multimodal Large Language Model for Medical Images
- 2024PeFoMed: Parameter Efficient Fine-tuning of Multimodal Large Language Models for Medical Imaging
- 2025MIMO: A medical vision language model with visual referring multimodal input and pixel grounding multimodal output
- 2026From Reasoning to Pixels: Grounded Medical Multimodal LLMs for VQA and Segmentation
- 2026LocAnyMed: Vision-Language Grounding for Multimodal Medical Images
- 2024VividMed: Vision Language Model with Versatile Visual Grounding for Medicine
- 2025MedSG-Bench: A Benchmark for Medical Image Sequences Grounding