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Main Authors: Swapnil, Ismam Nur, Saha, Aranya, Khan, Tanvir Ahmed, Haque, Mohammad Ariful
Format: Preprint
Published: 2025
Subjects:
Online Access:https://arxiv.org/abs/2510.01236
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author Swapnil, Ismam Nur
Saha, Aranya
Khan, Tanvir Ahmed
Haque, Mohammad Ariful
author_facet Swapnil, Ismam Nur
Saha, Aranya
Khan, Tanvir Ahmed
Haque, Mohammad Ariful
contents Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training techniques. To address these challenges, we introduce DermIQ-VLM, a VLM developed through a multi-stage, resource-efficient methodology designed to emulate a dermatologist's diagnostic process. Our primary contribution is a modified version of Grouped Relative Policy Optimization (GRPO), called GRPO++, which stabilizes the powerful but data-intensive GRPO framework. Our proposed training pipeline first employs GRPO++ for reasoning-oriented disease recognition, followed by supervised fine-tuning for conversational ability. To mitigate factual errors introduced during this step, we then align the model using Direct Preference Optimization (DPO), leveraging a Knowledge Graph-based system as a scalable proxy for expert preference. A preliminary evaluation on a curated dermatological dataset demonstrates that our proposed methodology yields notable performance gains over standard fine-tuning approaches. These findings validate the potential of our pipeline as a feasible pathway for developing specialized, reliable VLMs in resource-constrained environments.
format Preprint
id arxiv_https___arxiv_org_abs_2510_01236
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle GRPO++: Enhancing Dermatological Reasoning under Low Resource Settings
Swapnil, Ismam Nur
Saha, Aranya
Khan, Tanvir Ahmed
Haque, Mohammad Ariful
Computation and Language
Machine Learning
Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training techniques. To address these challenges, we introduce DermIQ-VLM, a VLM developed through a multi-stage, resource-efficient methodology designed to emulate a dermatologist's diagnostic process. Our primary contribution is a modified version of Grouped Relative Policy Optimization (GRPO), called GRPO++, which stabilizes the powerful but data-intensive GRPO framework. Our proposed training pipeline first employs GRPO++ for reasoning-oriented disease recognition, followed by supervised fine-tuning for conversational ability. To mitigate factual errors introduced during this step, we then align the model using Direct Preference Optimization (DPO), leveraging a Knowledge Graph-based system as a scalable proxy for expert preference. A preliminary evaluation on a curated dermatological dataset demonstrates that our proposed methodology yields notable performance gains over standard fine-tuning approaches. These findings validate the potential of our pipeline as a feasible pathway for developing specialized, reliable VLMs in resource-constrained environments.
title GRPO++: Enhancing Dermatological Reasoning under Low Resource Settings
topic Computation and Language
Machine Learning
url https://arxiv.org/abs/2510.01236