Chenyi Zhou

Songtao Jiang, Yuan Wang, Sibo Song et al.

Real-world clinical decision-making requires integrating heterogeneous data, including medical text, 2D images, 3D volumes, and videos, while existing AI systems fail to unify all these signals, limiting their utility. In this paper, we introduce Hulu-Med, a transparent, generalist medical Vision-Language Model (VLM) designed to unify language-only, 2D/3D vision-language, and video understanding within a single architecture. Hulu-Med is trained on a curated corpus of 16.7 million samples, comprising exclusively public or synthetic data, spanning 12 major anatomical systems and 14 medical imaging modalities. Hulu-Med employs a medical-aware token-reduction strategy that prunes redundant visual tokens, achieving up to a 55% reduction for 3D and video inputs, improving cross-modal efficiency, and enabling training at 7B-32B parameter scales in approximately 4,000-40,000 GPU hours. Across 30 public in-domain and out-of-domain medical benchmarks-covering text reasoning, visual question answering, report generation, multilingual dialogue, video understanding, and rare disease diagnosis-Hulu-Med surpasses existing open-source models on 27 of 30 benchmarks and outperforms proprietary systems such as GPT-4o on 16 benchmarks. Despite being a VLM, Hulu-Med outperforms GPT-4o and matches GPT-o1 on the text-only HealthBench. For the first time in the community, we provide a fully transparent, reproducible and cost-effective pipeline for holistic medical vision-language understanding by releasing our end-to-end data curation, training procedures, and model parameters. Code and models are available at https://github.com/ZJUI-AI4H/Hulu-Med.

Songtao Jiang, Chenyi Zhou, Yan Zhang et al.

Multimodal large language models (MLLMs) still struggle with complex reasoning tasks in Visual Question Answering (VQA). While current methods have advanced by incorporating visual prompts, our study uncovers critical limitations: these approaches indiscriminately annotate all detected objects for every visual question, generating excessive visual markers that degrade task performance. This issue stems primarily from a lack of focus on key visual elements, raising two important questions: Are all objects equally important, and do all questions require visual prompts? Motivated by Dual Process Theory, which distinguishes between instinctive and deliberate cognitive modes in human reasoning, we propose FOCUS, a plug-and-play approach that dynamically adapts to the complexity of questions, combining fast intuitive judgments with deliberate analytical reasoning to enhance the vision-language reasoning capability of the MLLM. For straightforward questions, FOCUS supports efficient zero-shot reasoning. For more complex tasks, it employs the conceptualizing before observation strategy to highlight critical elements. Extensive experiments on four benchmarks, ScienceQA, TextQA, VizWiz, and MME, demonstrate that FOCUS consistently improves the performance of both open-source and black-box MLLMs, achieving significant gains across all datasets. Ablation studies further validate the importance of combining diverse cognitive strategies with refined visual information for superior performance. Code will be released.

Xiaotang Gai, Chenyi Zhou, Jiaxiang Liu et al.

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.