BioVLM: Routing Prompts, Not Parameters, for Cross-Modality Generalization in Biomedical VLMs

Fuente: arXiv
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Autori principali: Singha, Mainak, Gupta, Tanisha, Jha, Ankit, Khan, Muhammad Haris, Ghosh, Sayantani, Banerjee, Biplab
Natura: Preprint
Pubblicazione: 2026
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author Singha, Mainak
Gupta, Tanisha
Jha, Ankit
Khan, Muhammad Haris
Ghosh, Sayantani
Banerjee, Biplab
author_facet Singha, Mainak
Gupta, Tanisha
Jha, Ankit
Khan, Muhammad Haris
Ghosh, Sayantani
Banerjee, Biplab
contents Pretrained biomedical vision-language models (VLMs) such as BioMedCLIP perform well on average but often degrade on challenging modalities where inter-class margins are small and acquisition-specific variations are pronounced, especially under few-shot supervision and when modality priors differ from pretraining corpora substantially. We propose BioVLM, a prompt-learning framework that improves cross-domain generalization without extensive backbone fine-tuning. BioVLM learns a diverse prompt bank and introduces dynamic prompt selection: for each input, it selects the most discriminative prompts via a low-entropy criterion on the predictive distribution, effectively coupling sparse few-shot evidence with rich LLM semantic priors. To strengthen this coupling, we distill high-confidence LLM-derived attributes and enforce robust knowledge transfer through strong/weak augmentation consistency. At test time, BioVLM adapts by choosing modality-appropriate prompts, enabling transfer to unseen categories and domains, while keeping training lightweight and inference efficient. On 11 MedMNIST+ 2D datasets, BioVLM achieves new state of the art across three distinct generalization settings. Codes are available at https://github.com/mainaksingha01/BioVLM.
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publishDate 2026
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spellingShingle BioVLM: Routing Prompts, Not Parameters, for Cross-Modality Generalization in Biomedical VLMs
Singha, Mainak
Gupta, Tanisha
Jha, Ankit
Khan, Muhammad Haris
Ghosh, Sayantani
Banerjee, Biplab
Computer Vision and Pattern Recognition
Pretrained biomedical vision-language models (VLMs) such as BioMedCLIP perform well on average but often degrade on challenging modalities where inter-class margins are small and acquisition-specific variations are pronounced, especially under few-shot supervision and when modality priors differ from pretraining corpora substantially. We propose BioVLM, a prompt-learning framework that improves cross-domain generalization without extensive backbone fine-tuning. BioVLM learns a diverse prompt bank and introduces dynamic prompt selection: for each input, it selects the most discriminative prompts via a low-entropy criterion on the predictive distribution, effectively coupling sparse few-shot evidence with rich LLM semantic priors. To strengthen this coupling, we distill high-confidence LLM-derived attributes and enforce robust knowledge transfer through strong/weak augmentation consistency. At test time, BioVLM adapts by choosing modality-appropriate prompts, enabling transfer to unseen categories and domains, while keeping training lightweight and inference efficient. On 11 MedMNIST+ 2D datasets, BioVLM achieves new state of the art across three distinct generalization settings. Codes are available at https://github.com/mainaksingha01/BioVLM.
title BioVLM: Routing Prompts, Not Parameters, for Cross-Modality Generalization in Biomedical VLMs
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2604.17629