MedPrompt: LLM-CNN Fusion with Weight Routing for Medical Image Segmentation and Classification

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Hauptverfasser: Sobhan, Shadman, Mahmud, Kazi Abrar, Zami, Abduz
Format: Preprint
Veröffentlicht: 2025
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author Sobhan, Shadman
Mahmud, Kazi Abrar
Zami, Abduz
author_facet Sobhan, Shadman
Mahmud, Kazi Abrar
Zami, Abduz
contents Current medical image analysis systems are typically task-specific, requiring separate models for classification and segmentation, and lack the flexibility to support user-defined workflows. To address these challenges, we introduce MedPrompt, a unified framework that combines a few-shot prompted Large Language Model (Llama-4-17B) for high-level task planning with a modular Convolutional Neural Network (DeepFusionLab) for low-level image processing. The LLM interprets user instructions and generates structured output to dynamically route task-specific pretrained weights. This weight routing approach avoids retraining the entire framework when adding new tasks-only task-specific weights are required, enhancing scalability and deployment. We evaluated MedPrompt across 19 public datasets, covering 12 tasks spanning 5 imaging modalities. The system achieves a 97% end-to-end correctness in interpreting and executing prompt-driven instructions, with an average inference latency of 2.5 seconds, making it suitable for near real-time applications. DeepFusionLab achieves competitive segmentation accuracy (e.g., Dice 0.9856 on lungs) and strong classification performance (F1 0.9744 on tuberculosis). Overall, MedPrompt enables scalable, prompt-driven medical imaging by combining the interpretability of LLMs with the efficiency of modular CNNs.
format Preprint
id arxiv_https___arxiv_org_abs_2506_21199
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedPrompt: LLM-CNN Fusion with Weight Routing for Medical Image Segmentation and Classification
Sobhan, Shadman
Mahmud, Kazi Abrar
Zami, Abduz
Computer Vision and Pattern Recognition
Signal Processing
Current medical image analysis systems are typically task-specific, requiring separate models for classification and segmentation, and lack the flexibility to support user-defined workflows. To address these challenges, we introduce MedPrompt, a unified framework that combines a few-shot prompted Large Language Model (Llama-4-17B) for high-level task planning with a modular Convolutional Neural Network (DeepFusionLab) for low-level image processing. The LLM interprets user instructions and generates structured output to dynamically route task-specific pretrained weights. This weight routing approach avoids retraining the entire framework when adding new tasks-only task-specific weights are required, enhancing scalability and deployment. We evaluated MedPrompt across 19 public datasets, covering 12 tasks spanning 5 imaging modalities. The system achieves a 97% end-to-end correctness in interpreting and executing prompt-driven instructions, with an average inference latency of 2.5 seconds, making it suitable for near real-time applications. DeepFusionLab achieves competitive segmentation accuracy (e.g., Dice 0.9856 on lungs) and strong classification performance (F1 0.9744 on tuberculosis). Overall, MedPrompt enables scalable, prompt-driven medical imaging by combining the interpretability of LLMs with the efficiency of modular CNNs.
title MedPrompt: LLM-CNN Fusion with Weight Routing for Medical Image Segmentation and Classification
topic Computer Vision and Pattern Recognition
Signal Processing
url https://arxiv.org/abs/2506.21199