# Multimodal Medical Image Parsing with Task-Specific Low-Rank Adapters

arXiv: https://arxiv.org/abs/2610.19901 · HTML: https://mlsanity.com/paper/2610.19901/

## 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 15 of its 23 references that are in the map.
- First posted on arXiv 14 Oct 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, 15 of 15)

- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [LlamaFactory: Unified Efficient Fine-Tuning of 100+ Language Models](https://mlsanity.com/paper/2403.13372/) (2024)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [DeBERTaV3: Improving DeBERTa using ELECTRA-Style Pre-Training with Gradient-Disentangled Embedding Sharing](https://mlsanity.com/paper/2111.09543/) (2021)
- [MedGemma Technical Report](https://mlsanity.com/paper/2507.05201/) (2025)
- [Codabench: Flexible, Easy-to-Use and Reproducible Benchmarking Platform](https://mlsanity.com/paper/2110.05802/) (2021)
- [Med-MoE: Mixture of Domain-Specific Experts for Lightweight Medical Vision-Language Models](https://mlsanity.com/paper/2404.10237/) (2024)
- [GLiClass: Generalist Lightweight Model for Sequence Classification Tasks](https://mlsanity.com/paper/2508.07662/) (2025)
- [CRIMSON: A Clinically-Grounded LLM-Based Metric for Generative Radiology Report Evaluation](https://mlsanity.com/paper/2603.06183/) (2026)
- [Can Generalist Vision Language Models (VLMs) Rival Specialist Medical VLMs? Benchmarking and Strategic Insights](https://mlsanity.com/paper/2506.17337/) (2025)
- [Understanding Task Transfer in Vision-Language Models](https://mlsanity.com/paper/2511.18787/) (2025)
- [QwenVLConnector: A Fast, Unified Medical VLM Chatbot for Fine-Grained Clinical Perception and Text Generation](https://mlsanity.com/paper/2609.23139/) (2026)

## Abstract (arXiv)

Adapting a single vision-language model to medical image parsing requires training choices that reflect the demands of each task. We study task-specific adaptation with Qwen3.5-9B for FLARE 2026 Task 3, covering six task families and seven imaging modalities. Our system couples a shared, frozen 4-bit backbone with LoRA adapters selected from the input question. We customize adapter ranks and prompts, rebalance rare classification targets, and supplement regression training with dermatology classification examples. On the fixed internal holdout, the task-specific adapters achieve a dataset-macro balanced accuracy of 0.7791 for classification, a dataset-macro micro-F1 of 0.6286 for multi-label classification, a counting mean absolute error (MAE) of 11.73, a dataset-macro detection F1 of 0.8914, a dataset-macro regression MAE of 9.78, and a report-generation CRIMSON score of 0.8204. On the organizer's 1,703-example hidden-validation set, the submitted system achieves 0.8496 classification balanced accuracy, 0.5338 sample-averaged multi-label F1, and 14.5950 regression MAE. The final 30.1 GB container averages 3.1 seconds per case, including model loading, and produces identical outputs across repeated verification runs. The benefits vary across tasks, supporting the use of task-specific adapter configurations and image budgets within a shared medical vision-language model. Code is available at https://github.com/TahaSabir0/FLARE26-Hexapus.