# Model Merging for Medical LVLMs: A Benchmark and a Winner-Take-All Approach

arXiv: https://arxiv.org/abs/2607.15661 · HTML: https://mlsanity.com/paper/2607.15661/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 25 of its 27 references that are in the map.
- First posted on arXiv 17 Jul 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 25 of 25)

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Qwen3-VL Technical Report](https://mlsanity.com/paper/2511.21631/) (2025)
- [InternVL: Scaling up Vision Foundation Models and Aligning for Generic Visual-Linguistic Tasks](https://mlsanity.com/paper/2312.14238/) (2023)
- [Editing Models with Task Arithmetic](https://mlsanity.com/paper/2212.04089/) (2022)
- [TIES-Merging: Resolving Interference When Merging Models](https://mlsanity.com/paper/2306.01708/) (2023)
- [Language Models are Super Mario: Absorbing Abilities from Homologous Models as a Free Lunch](https://mlsanity.com/paper/2311.03099/) (2023)
- [Merging Models with Fisher-Weighted Averaging](https://mlsanity.com/paper/2111.09832/) (2021)
- [Dataless Knowledge Fusion by Merging Weights of Language Models](https://mlsanity.com/paper/2212.09849/) (2022)
- [LoraHub: Efficient Cross-Task Generalization via Dynamic LoRA Composition](https://mlsanity.com/paper/2307.13269/) (2023)
- [AdaMerging: Adaptive Model Merging for Multi-Task Learning](https://mlsanity.com/paper/2310.02575/) (2023)
- [ZipLoRA: Any Subject in Any Style by Effectively Merging LoRAs](https://mlsanity.com/paper/2311.13600/) (2023)
- [OmniMedVQA: A New Large-Scale Comprehensive Evaluation Benchmark for Medical LVLM](https://mlsanity.com/paper/2402.09181/) (2024)
- [MedVLM-R1: Incentivizing Medical Reasoning Capability of Vision-Language Models (VLMs) via Reinforcement Learning](https://mlsanity.com/paper/2502.19634/) (2025)
- [Composing Parameter-Efficient Modules with Arithmetic Operations](https://mlsanity.com/paper/2306.14870/) (2023)
- [Model merging with SVD to tie the Knots](https://mlsanity.com/paper/2410.19735/) (2024)
- [No Task Left Behind: Isotropic Model Merging with Common and Task-Specific Subspaces](https://mlsanity.com/paper/2502.04959/) (2025)
- [Parameter Competition Balancing for Model Merging](https://mlsanity.com/paper/2410.02396/) (2024)
- [Merging LoRAs like Playing LEGO: Pushing the Modularity of LoRA to Extremes Through Rank-Wise Clustering](https://mlsanity.com/paper/2409.16167/) (2024)
- [LoRA Soups: Merging LoRAs for Practical Skill Composition Tasks](https://mlsanity.com/paper/2410.13025/) (2024)
- [Accurate and Efficient Low-Rank Model Merging in Core Space](https://mlsanity.com/paper/2509.17786/) (2025)
- [RobustMerge: Parameter-Efficient Model Merging for MLLMs with Direction Robustness](https://mlsanity.com/paper/2502.17159/) (2025)
- [LoRA.rar: Learning to Merge LoRAs via Hypernetworks for Subject-Style Conditioned Image Generation](https://mlsanity.com/paper/2412.05148/) (2024)
- [IterIS: Iterative Inference-Solving Alignment for LoRA Merging](https://mlsanity.com/paper/2411.15231/) (2024)
- [Expert Merging: Model Merging with Unsupervised Expert Alignment and Importance-Guided Layer Chunking](https://mlsanity.com/paper/2509.25712/) (2025)
- [Superpose Task-specific Features for Model Merging](https://mlsanity.com/paper/2502.10698/) (2025)

## Abstract (arXiv)

Large vision-language models (LVLMs) can be adapted to specialized medical imaging tasks via parameter-efficient fine-tuning approaches such as low-rank adaptation (LoRA), leading to a growing ecosystem of expert models tailored to specific imaging modalities and clinical scenarios. However, deploying multiple expert LVLMs in practice incurs substantial computational and operational overhead. Model merging provides a promising solution by consolidating multiple experts into a single model without retraining, yet it remains largely unexplored in the medical domain. In this work, we present the first systematic study of model merging for medical LVLMs. We introduce MergeMedBench, a comprehensive benchmark spanning eight imaging modalities and diverse clinical task types, comprising 16 LoRA fine-tuned models built upon two mainstream architectures. We conduct an extensive evaluation of existing merging methods and further propose winner-take-all, a simple and hyperparameter-free approach that retains only the most dominant parameters across expert models. By preserving the critical parameters that govern model behavior and discarding weaker ones, our method avoids the information dilution inherent in averaging- or alignment-based strategies. Despite its simplicity, winner-take-all consistently outperforms existing approaches, offering both a new perspective on LoRA merging and a strong practical baseline for future research.