MIMO: A medical vision language model with visual referring multimodal input and pixel grounding multimodal output
On the map: Multimodal LLMs / vision-language models → Medical vision-language models
Abstract (arXiv)
Currently, medical vision language models are widely used in medical vision question answering tasks. However, existing models are confronted with two issues: for input, the model only relies on text instructions and lacks direct understanding of visual clues in the image; for output, the model only gives text answers and lacks connection with key areas in the image. To address these issues, we propose a unified medical vision language model MIMO, with visual referring Multimodal Input and pixel grounding Multimodal Output. MIMO can not only combine visual clues and textual instructions to understand complex medical images and semantics, but can also ground medical terminologies in textual output within the image. To overcome the scarcity of relevant data in the medical field, we propose MIMOSeg, a comprehensive medical multimodal dataset including 895K samples. MIMOSeg is constructed from four different perspectives, covering basic instruction following and complex question answering with multimodal input and multimodal output. We conduct experiments on several downstream medical multimodal tasks. Extensive experimental results verify that MIMO can uniquely combine visual referring and pixel grounding capabilities, which are not available in previous models.
Key facts. Cited by 15 papers in the map (data through 14 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 66 of its 99 references that are in the map. First posted on arXiv 11 Oct 2025.
Builds on
66 of 99 references.
Closest ancestors · 3
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- 2024HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scale27 Jun
- 2023LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day1 Jun
Other references · 63
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- 2023BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Modelscited by 6,137
- 2022Flamingo: a Visual Language Model for Few-Shot Learningcited by 4,386
- 2023InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuningcited by 2,876
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- 2023ShareGPT4V: Improving Large Multi-Modal Models with Better Captionscited by 1,005
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- 2023OpenFlamingo: An Open-Source Framework for Training Large Autoregressive Vision-Language Modelscited by 565
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- 2021The RSNA-ASNR-MICCAI BraTS 2021 Benchmark on Brain Tumor Segmentation and Radiogenomic Classificationcited by 518
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- 2020PathVQA: 30000+ Questions for Medical Visual Question Answeringcited by 475
- 2023GLaMM: Pixel Grounding Large Multimodal Modelcited by 455
- 2021SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answeringcited by 449
- 2023Med-Flamingo: a Multimodal Medical Few-shot Learnercited by 392
- 2019A large annotated medical image dataset for the development and evaluation of segmentation algorithmscited by 373
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- 2020AbdomenCT-1K: Is Abdominal Organ Segmentation A Solved Problem?cited by 224
- 2016Validation, comparison, and combination of algorithms for automatic detection of pulmonary nodules in computed tomography images: the LUNA16 challengecited by 201
- 2016Skin Lesion Analysis toward Melanoma Detection: A Challenge at the International Symposium on Biomedical Imaging (ISBI) 2016, hosted by the International Skin Imaging Collaboration (ISIC)cited by 198
- 2019The state of the art in kidney and kidney tumor segmentation in contrast-enhanced CT imaging: Results of the KiTS19 Challengecited by 190
- 2023Towards Generalist Foundation Model for Radiology by Leveraging Web-scale 2D&3D Medical Datacited by 179
- 2023ViP-LLaVA: Making Large Multimodal Models Understand Arbitrary Visual Promptscited by 161
- 2023Osprey: Pixel Understanding with Visual Instruction Tuningcited by 159
- 2023GSVA: Generalized Segmentation via Multimodal Large Language Modelscited by 154
- 2020Shape-aware Meta-learning for Generalizing Prostate MRI Segmentation to Unseen Domainscited by 124
- 2023SAM-Med2Dcited by 124
- 2020VerSe: A Vertebrae Labelling and Segmentation Benchmark for Multi-detector CT Imagescited by 111
- 2022ISLES 2022: A multi-center magnetic resonance imaging stroke lesion segmentation datasetcited by 106
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- 2024The All-Seeing Project V2: Towards General Relation Comprehension of the Open Worldcited by 90
- 2023NExT-Chat: An LMM for Chat, Detection and Segmentationcited by 80
- 2018Grounded Video Descriptioncited by 78
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Citing papers per year: 2025: 3; 2026: 12.
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- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Datacited by 5
- 2025vMFCoOp: Towards Equilibrium on a Unified Hyperspherical Manifold for Prompting Biomedical VLMscited by 3
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- 2026MedSIGHT: Towards Grounded Visual Comprehension in Medical Large Vision-Language Models4 Jun 2026
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- 2026WalkGPT: Grounded Vision-Language Conversation with Depth-Aware Segmentation for Pedestrian Navigation11 Mar 2026
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Data11 Jan 2026
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Datacited by 5
- 2025vMFCoOp: Towards Equilibrium on a Unified Hyperspherical Manifold for Prompting Biomedical VLMscited by 3
- 2026WalkGPT: Grounded Vision-Language Conversation with Depth-Aware Segmentation for Pedestrian Navigationcited by 2
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMscited by 1
- 2026MedFG-VQA: Low-Frequency Memory and Graph Attention for Lightweight Medical VQAcited by 1
- 2026EasyLens: A Training-Free Plug-and-Play Subtle-Lesion Representation Amplifier for Medical Vision-Language Modelscited by 0
- 2026MedSIGHT: Towards Grounded Visual Comprehension in Medical Large Vision-Language Modelscited by 0
- 2026MedFG-VQA: Low-Frequency Memory and Graph Attention for Lightweight Medical VQA27 Aug 2026
- 2026Attention Without Grounding: Causal Evaluation of Visual Explanations in Medical VLMs20 Jul 2026
- 2026MedSIGHT: Towards Grounded Visual Comprehension in Medical Large Vision-Language Models4 Jun 2026
- 2026EasyLens: A Training-Free Plug-and-Play Subtle-Lesion Representation Amplifier for Medical Vision-Language Models4 Jun 2026
- 2026WalkGPT: Grounded Vision-Language Conversation with Depth-Aware Segmentation for Pedestrian Navigation11 Mar 2026
- 2026MedGround: Bridging the Evidence Gap in Medical Vision-Language Models with Verified Grounding Data11 Jan 2026
- 2025vMFCoOp: Towards Equilibrium on a Unified Hyperspherical Manifold for Prompting Biomedical VLMs12 Nov 2025
- 2025Foundation Models in Biomedical Imaging: Turning Hype into Realitycited by 2
- 2026Towards Clinically Interpretable Ophthalmic VQA via Spatially-Grounded Lesion Evidencecited by 1
- 2026CoFiDA-M: Concept-Aware Feature Modulation for Cross-Domain Adaptation with Image-Only Inferencecited by 0
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- 2026Scaling 3D Visual Grounding in Abdominal CTcited by 0
- 2026Scaling 3D Visual Grounding in Abdominal CT2 Oct 2026
- 2026LocAnyMed: Vision-Language Grounding for Multimodal Medical Images4 Aug 2026
- 2026Multi-FRuGaL: Multimodal Flexible Redundancy-aware Decomposed Gated Learning for Cancer Diagnosis and Prognosis5 Jun 2026
- 2026CoFiDA-M: Concept-Aware Feature Modulation for Cross-Domain Adaptation with Image-Only Inference29 May 2026
- 2026Towards Clinically Interpretable Ophthalmic VQA via Spatially-Grounded Lesion Evidence21 May 2026
- 2025Foundation Models in Biomedical Imaging: Turning Hype into Reality17 Dec 2025
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