RadVLM: A Multitask Conversational Vision-Language Model for Radiology
On the map: Multimodal LLMs / vision-language models → Medical vision-language models
Abstract (arXiv)
The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks such as report generation or abnormality detection, they often lack support for interactive diagnostic capabilities. In this work we present RadVLM, a compact, multitask conversational foundation model designed for CXR interpretation. To this end, we curate a large-scale instruction dataset comprising over 1 million image-instruction pairs containing both single-turn tasks -- such as report generation, abnormality classification, and visual grounding -- and multi-turn, multi-task conversational interactions. After fine-tuning RadVLM on this instruction dataset, we evaluate it across different tasks along with re-implemented baseline VLMs. Our results show that RadVLM achieves state-of-the-art performance in conversational capabilities and visual grounding while remaining competitive in other radiology tasks. Ablation studies further highlight the benefit of joint training across multiple tasks, particularly for scenarios with limited annotated data. Together, these findings highlight the potential of RadVLM as a clinically relevant AI assistant, providing structured CXR interpretation and conversational capabilities to support more effective and accessible diagnostic workflows.
Key facts. Cited by 24 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 61 of its 92 references that are in the map. First posted on arXiv 5 Feb 2025.
Builds on
61 of 92 references.
Closest ancestors · 4
Same direction, newest first
- 2024MAIRA-Seg: Enhancing Radiology Report Generation with Segmentation-Aware Multimodal Large Language Models18 Nov
- 2024M4CXR: Exploring Multi-task Potentials of Multi-modal Large Language Models for Chest X-ray Interpretation29 Aug
- 2023MAIRA-1: A specialised large multimodal model for radiology report generation22 Nov
- 2023LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day1 Jun
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50 most cited of 57 All 57 (JSON)
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Citing papers per year: 2025: 8; 2026: 16.
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- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rayscited by 5
- 2025Agentic Systems in Radiology: Design, Applications, Evaluation, and Challengescited by 5
- 2025Enhancing Radiology Report Generation and Visual Grounding using Reinforcement Learningcited by 4
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- 2026ProtoMedAgent: Multimodal Clinical Interpretability via Privacy-Aware Agentic Workflows13 May 2026
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- 2026MedRoute: RL-Based Dynamic Specialist Routing in Multi-Agent Medical Diagnosis5 Feb 2026
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretation6 Jan 2026
- 2025Enhancing Radiology Report Generation and Visual Grounding using Reinforcement Learning11 Dec 2025
- 2025Structure is Supervision: Multiview Masked Autoencoders for Radiology27 Nov 2025
- 2025Agentic Systems in Radiology: Design, Applications, Evaluation, and Challenges10 Oct 2025
- 2025Analysis of Blood Report Images Using General Purpose Vision-Language Models7 Sep 2025
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding6 Aug 2025
- 2025Interpreting Chest X-rays Like a Radiologist: A Benchmark with Clinical Reasoning29 May 2025
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rays23 May 2025
- 2025Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptions5 Mar 2025
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- 2025Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptionscited by 1
- 2026The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomycited by 1
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- 2026Universal Boosts, Specific Suppressors: Sparse Autoencoder Steering of Medical Vision-Language Modelscited by 0
- 2026SHOVIR: A Benchmark for Evaluating Vision Shortcut Learning in Radiology Report Generationcited by 0
- 2026Generalize LMMs to Versatile Visual Modalities via Fabricated Modality Synthesiscited by 0
- 2026The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy13 Jul 2026
- 2026Generalize LMMs to Versatile Visual Modalities via Fabricated Modality Synthesis11 Jul 2026
- 2026SHOVIR: A Benchmark for Evaluating Vision Shortcut Learning in Radiology Report Generation29 Jun 2026
- 2026Universal Boosts, Specific Suppressors: Sparse Autoencoder Steering of Medical Vision-Language Models24 May 2026
- 2025Enhancing Radiology Report Generation and Visual Grounding using Reinforcement Learning11 Dec 2025
- 2025Analysis of Blood Report Images Using General Purpose Vision-Language Models7 Sep 2025
- 2025Enhancing Abnormality Grounding for Vision Language Models with Knowledge Descriptions5 Mar 2025
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rayscited by 5
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Groundingcited by 1
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretationcited by 1
- 2026CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretationcited by 0
- 2026CheXGround: Anatomical Region Tokens for Grounded Longitudinal Chest X-ray Interpretation31 Aug 2026
- 2026AnatomiX, an Anatomy-Aware Grounded Multimodal Large Language Model for Chest X-Ray Interpretation6 Jan 2026
- 2025Knowledge to Sight: Reasoning over Visual Attributes via Knowledge Decomposition for Abnormality Grounding6 Aug 2025
- 2025CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rays23 May 2025
- 2025Structure is Supervision: Multiview Masked Autoencoders for Radiologycited by 2
- 2026SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learningcited by 1
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- 2026Hard Vision, Easy Vision: What GPT-6 Astra Reveals Across Computer Visioncited by 1
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- 2026MedRoute: RL-Based Dynamic Specialist Routing in Multi-Agent Medical Diagnosiscited by 0
- 2026KANEx: Translating Kolmogorov-Arnold Networks' Interpretability to Medical Explainabilitycited by 0
- 2026Location-Aware Fine-Grained Representation Learning for Medical Vision Foundation Modelscited by 0
- 2026BrainDiff: Longitudinal Report Generation for Multimodal Brain MRIcited by 0
- 2026Reading the Whole Heart: Latent-Attention Masked Autoencoders for Multimodal Cardiac Representation Learningcited by 0
- 2026Hard Vision, Easy Vision: What GPT-6 Astra Reveals Across Computer Vision28 Sep 2026
- 2026Reading the Whole Heart: Latent-Attention Masked Autoencoders for Multimodal Cardiac Representation Learning10 Sep 2026
- 2026BrainDiff: Longitudinal Report Generation for Multimodal Brain MRI1 Sep 2026
- 2026Location-Aware Fine-Grained Representation Learning for Medical Vision Foundation Models2 Aug 2026
- 2026KANEx: Translating Kolmogorov-Arnold Networks' Interpretability to Medical Explainability27 Jul 2026
- 2026Mind the Tool Failures: Achieving Synergistic Tool Gains for Medical Agents26 May 2026
- 2026SemEnrich: Self-Supervised Semantic Enrichment of Radiology Reports for Vision-Language Learning10 Apr 2026
- 2026LoFi: Location-Aware Fine-Grained Representation Learning for Chest X-ray19 Mar 2026
- 2026MedRoute: RL-Based Dynamic Specialist Routing in Multi-Agent Medical Diagnosis5 Feb 2026
- 2025Structure is Supervision: Multiview Masked Autoencoders for Radiology27 Nov 2025
- 2025Interpreting Chest X-rays Like a Radiologist: A Benchmark with Clinical Reasoning29 May 2025
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- 2023XrayGPT: Chest Radiographs Summarization using Medical Vision-Language Models
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