# MedBLIP: Fine-tuning BLIP for Medical Image Captioning

arXiv: https://arxiv.org/abs/2505.14726 · HTML: https://mlsanity.com/paper/2505.14726/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 8 of its 16 references that are in the map.
- First posted on arXiv 20 May 2025.

## Builds on (most cited first, 8 of 8)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [Show, Attend and Tell: Neural Image Caption Generation with Visual Attention](https://mlsanity.com/paper/1502.03044/) (2015)
- [Show and Tell: A Neural Image Caption Generator](https://mlsanity.com/paper/1411.4555/) (2014)
- [ROCOv2: Radiology Objects in COntext Version 2, an Updated Multimodal Image Dataset](https://mlsanity.com/paper/2405.10004/) (2024)
- [MedBLIP: Bootstrapping Language-Image Pre-training from 3D Medical Images and Texts](https://mlsanity.com/paper/2305.10799/) (2023)
- [A Systematic Review of Deep Learning-based Research on Radiology Report Generation](https://mlsanity.com/paper/2311.14199/) (2023)

## Built on by (most cited first, 1 of 1)

- [Towards Clinically Faithful Medical Image Captioning via Enhanced Vision-Language Alignment](https://mlsanity.com/paper/2608.19825/) (2026)

## Abstract (arXiv)

Medical image captioning is a challenging task that requires generating clinically accurate and semantically meaningful descriptions of radiology images. While recent vision-language models (VLMs) such as BLIP, BLIP2, Gemini and ViT-GPT2 show strong performance on natural image datasets, they often produce generic or imprecise captions when applied to specialized medical domains. In this project, we explore the effectiveness of fine-tuning the BLIP model on the ROCO dataset for improved radiology captioning. We compare the fine-tuned BLIP against its zero-shot version, BLIP-2 base, BLIP-2 Instruct and a ViT-GPT2 transformer baseline. Our results demonstrate that domain-specific fine-tuning on BLIP significantly improves performance across both quantitative and qualitative evaluation metrics. We also visualize decoder cross-attention maps to assess interpretability and conduct an ablation study to evaluate the contributions of encoder-only and decoder-only fine-tuning. Our findings highlight the importance of targeted adaptation for medical applications and suggest that decoder-only fine-tuning (encoder-frozen) offers a strong performance baseline with 5% lower training time than full fine-tuning, while full model fine-tuning still yields the best results overall.