Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridging
Fuente:
arXiv
Guardado en:
| Autores principales: | , , |
|---|---|
| Formato: | Preprint |
| Publicado: |
2025
|
| Materias: | |
| Acceso en línea: | |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1866916014429569024 |
|---|---|
| author | Li, Yitong Ghahremani, Morteza Wachinger, Christian |
| author_facet | Li, Yitong Ghahremani, Morteza Wachinger, Christian |
| contents | Vision-language foundation models achieve promising performance in natural image classification, yet their direct application to medical imaging is limited by severe domain shifts, resolution mismatches, and the multi-label nature of clinical diagnosis. Training dedicated medical foundation models from scratch, however, is costly and data-intensive. Here, we propose MedBridge, a lightweight adaptation framework that opens a new direction in domain-gap mitigation by jointly combining domain alignment, resolution preservation, and multi-label reasoning via complementary VLM experts for medical image diagnosis. Specifically, MedBridge transforms pretrained VLMs into multi-view query encoders that inject a compact set of learnable query tokens into intermediate layers, enabling non-destructive domain alignment while preserving fine-grained pathological cues via multi-view high-resolution sampling. These query tokens further act as routing signals for a mixture-of-experts, dynamically integrating heterogeneous foundation models for multi-label reasoning without requiring a shared representation space. We evaluated MedBridge on five chest radiograph benchmarks in three key adaptation tasks. MedBridge demonstrates superior performance in both cross-domain generalization (out-of-distribution transfer) and in-domain specialization (same-distribution tuning) settings, yielding a significant 6-15% AUC improvement over state-of-the-art adaptation methods for multi-label thoracic disease diagnosis. Furthermore, MedBridge is model-agnostic and demonstrates broad extensibility across eight diverse VLMs (e.g., CLIP, LLaVA, Qwen-VL, MedGemma), highlighting its ability to flexibly adapt arbitrary foundation models into a powerful medical diagnostic tool. Our code will be released upon acceptance. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2505_21698 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridging Li, Yitong Ghahremani, Morteza Wachinger, Christian Computer Vision and Pattern Recognition Vision-language foundation models achieve promising performance in natural image classification, yet their direct application to medical imaging is limited by severe domain shifts, resolution mismatches, and the multi-label nature of clinical diagnosis. Training dedicated medical foundation models from scratch, however, is costly and data-intensive. Here, we propose MedBridge, a lightweight adaptation framework that opens a new direction in domain-gap mitigation by jointly combining domain alignment, resolution preservation, and multi-label reasoning via complementary VLM experts for medical image diagnosis. Specifically, MedBridge transforms pretrained VLMs into multi-view query encoders that inject a compact set of learnable query tokens into intermediate layers, enabling non-destructive domain alignment while preserving fine-grained pathological cues via multi-view high-resolution sampling. These query tokens further act as routing signals for a mixture-of-experts, dynamically integrating heterogeneous foundation models for multi-label reasoning without requiring a shared representation space. We evaluated MedBridge on five chest radiograph benchmarks in three key adaptation tasks. MedBridge demonstrates superior performance in both cross-domain generalization (out-of-distribution transfer) and in-domain specialization (same-distribution tuning) settings, yielding a significant 6-15% AUC improvement over state-of-the-art adaptation methods for multi-label thoracic disease diagnosis. Furthermore, MedBridge is model-agnostic and demonstrates broad extensibility across eight diverse VLMs (e.g., CLIP, LLaVA, Qwen-VL, MedGemma), highlighting its ability to flexibly adapt arbitrary foundation models into a powerful medical diagnostic tool. Our code will be released upon acceptance. |
| title | Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridging |
| topic | Computer Vision and Pattern Recognition |
| url | https://arxiv.org/abs/2505.21698 |