Med-LEGO: Editing and Adapting toward Generalist Medical Image Diagnosis

Fuente: arXiv
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Main Authors: Zhu, Yitao, Yin, Yuan, Li, Jiaming, Xu, Mengjie, Zhao, Zihao, Xiong, Honglin, Wang, Sheng, Wang, Qian
Format: Preprint
Published: 2025
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author Zhu, Yitao
Yin, Yuan
Li, Jiaming
Xu, Mengjie
Zhao, Zihao
Xiong, Honglin
Wang, Sheng
Wang, Qian
author_facet Zhu, Yitao
Yin, Yuan
Li, Jiaming
Xu, Mengjie
Zhao, Zihao
Xiong, Honglin
Wang, Sheng
Wang, Qian
contents The adoption of visual foundation models has become a common practice in computer-aided diagnosis (CAD). While these foundation models provide a viable solution for creating generalist medical AI, privacy concerns make it difficult to pre-train or continuously update such models across multiple domains and datasets, leading many studies to focus on specialist models. To address this challenge, we propose Med-LEGO, a training-free framework that enables the seamless integration or updating of a generalist CAD model by combining multiple specialist models, similar to assembling LEGO bricks. Med-LEGO enhances LoRA (low-rank adaptation) by incorporating singular value decomposition (SVD) to efficiently capture the domain expertise of each specialist model with minimal additional parameters. By combining these adapted weights through simple operations, Med-LEGO allows for the easy integration or modification of specific diagnostic capabilities without the need for original data or retraining. Finally, the combined model can be further adapted to new diagnostic tasks, making it a versatile generalist model. Our extensive experiments demonstrate that Med-LEGO outperforms existing methods in both cross-domain and in-domain medical tasks while using only 0.18% of full model parameters. These merged models show better convergence and generalization to new tasks, providing an effective path toward generalist medical AI.
format Preprint
id arxiv_https___arxiv_org_abs_2503_01164
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Med-LEGO: Editing and Adapting toward Generalist Medical Image Diagnosis
Zhu, Yitao
Yin, Yuan
Li, Jiaming
Xu, Mengjie
Zhao, Zihao
Xiong, Honglin
Wang, Sheng
Wang, Qian
Computer Vision and Pattern Recognition
The adoption of visual foundation models has become a common practice in computer-aided diagnosis (CAD). While these foundation models provide a viable solution for creating generalist medical AI, privacy concerns make it difficult to pre-train or continuously update such models across multiple domains and datasets, leading many studies to focus on specialist models. To address this challenge, we propose Med-LEGO, a training-free framework that enables the seamless integration or updating of a generalist CAD model by combining multiple specialist models, similar to assembling LEGO bricks. Med-LEGO enhances LoRA (low-rank adaptation) by incorporating singular value decomposition (SVD) to efficiently capture the domain expertise of each specialist model with minimal additional parameters. By combining these adapted weights through simple operations, Med-LEGO allows for the easy integration or modification of specific diagnostic capabilities without the need for original data or retraining. Finally, the combined model can be further adapted to new diagnostic tasks, making it a versatile generalist model. Our extensive experiments demonstrate that Med-LEGO outperforms existing methods in both cross-domain and in-domain medical tasks while using only 0.18% of full model parameters. These merged models show better convergence and generalization to new tasks, providing an effective path toward generalist medical AI.
title Med-LEGO: Editing and Adapting toward Generalist Medical Image Diagnosis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2503.01164