On the Cone Effect and Modality Gap in Medical Vision-Language Embeddings

Fuente: arXiv
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Auteurs principaux: Restrepo, David, Martins, Miguel L, Wu, Chenwei, Nakayama, Luis Filipe, Lopez, Diego M, Christodoulidis, Stergios, Vakalopoulou, Maria, Ferrante, Enzo
Format: Preprint
Publié: 2026
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_version_ 1866914410924081152
author Restrepo, David
Martins, Miguel L
Wu, Chenwei
Nakayama, Luis Filipe
Lopez, Diego M
Christodoulidis, Stergios
Vakalopoulou, Maria
Ferrante, Enzo
author_facet Restrepo, David
Martins, Miguel L
Wu, Chenwei
Nakayama, Luis Filipe
Lopez, Diego M
Christodoulidis, Stergios
Vakalopoulou, Maria
Ferrante, Enzo
contents Vision-Language Models (VLMs) exhibit a characteristic "cone effect" in which nonlinear encoders map embeddings into highly concentrated regions of the representation space, contributing to cross-modal separation known as the modality gap. While this phenomenon has been widely observed, its practical impact on supervised multimodal learning -- particularly in medical domains -- remains unclear. In this work, we introduce a lightweight post-hoc mechanism that keeps pretrained VLM encoders frozen while continuously controlling cross-modal separation through a single hyperparameter {λ}. This enables systematic analysis of how the modality gap affects downstream multimodal performance without expensive retraining. We evaluate generalist (CLIP, SigLIP) and medically specialized (BioMedCLIP, MedSigLIP) models across diverse medical and natural datasets in a supervised multimodal settings. Results consistently show that reducing excessive modality gap improves downstream performance, with medical datasets exhibiting stronger sensitivity to gap modulation; however, fully collapsing the gap is not always optimal, and intermediate, task-dependent separation yields the best results. These findings position the modality gap as a tunable property of multimodal representations rather than a quantity that should be universally minimized.
format Preprint
id arxiv_https___arxiv_org_abs_2603_17246
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle On the Cone Effect and Modality Gap in Medical Vision-Language Embeddings
Restrepo, David
Martins, Miguel L
Wu, Chenwei
Nakayama, Luis Filipe
Lopez, Diego M
Christodoulidis, Stergios
Vakalopoulou, Maria
Ferrante, Enzo
Machine Learning
Vision-Language Models (VLMs) exhibit a characteristic "cone effect" in which nonlinear encoders map embeddings into highly concentrated regions of the representation space, contributing to cross-modal separation known as the modality gap. While this phenomenon has been widely observed, its practical impact on supervised multimodal learning -- particularly in medical domains -- remains unclear. In this work, we introduce a lightweight post-hoc mechanism that keeps pretrained VLM encoders frozen while continuously controlling cross-modal separation through a single hyperparameter {λ}. This enables systematic analysis of how the modality gap affects downstream multimodal performance without expensive retraining. We evaluate generalist (CLIP, SigLIP) and medically specialized (BioMedCLIP, MedSigLIP) models across diverse medical and natural datasets in a supervised multimodal settings. Results consistently show that reducing excessive modality gap improves downstream performance, with medical datasets exhibiting stronger sensitivity to gap modulation; however, fully collapsing the gap is not always optimal, and intermediate, task-dependent separation yields the best results. These findings position the modality gap as a tunable property of multimodal representations rather than a quantity that should be universally minimized.
title On the Cone Effect and Modality Gap in Medical Vision-Language Embeddings
topic Machine Learning
url https://arxiv.org/abs/2603.17246