Komal Kumar

Ankan Deria, Komal Kumar, Adinath Madhavrao Dukre et al.

Multimodal large language models (MLLMs) have rapidly advanced, yet their adoption in medicine remains limited by gaps in domain coverage, modality alignment, and grounded reasoning. In this work, we introduce MedMO, a medical foundation model built upon a generalized MLLM architecture and trained exclusively on large-scale, domain-specific data. MedMO follows a multi-stage training recipe: (i) cross-modal pretraining to align heterogeneous visual encoders with a medical language backbone; (ii) instruction tuning on multi-task supervision that spans captioning, VQA, report generation, retrieval, and grounded disease localization with bounding boxes; and (iii) reinforcement learning with verifiable rewards that combine factuality checks with a box-level GIoU reward to strengthen spatial grounding and step-by-step reasoning in complex clinical scenarios. MedMO consistently outperforms strong open-source medical MLLMs across multiple modalities and tasks. On VQA benchmarks, MedMO achieves an average accuracy improvement of +13.7% over the baseline and performs within 1.9% of the SOTA Fleming-VL. For text-based QA, it attains +6.9% over the baseline and +14.5% over Fleming-VL. In medical report generation, MedMO delivers significant gains in both semantic and clinical accuracy. Moreover, it exhibits strong grounding capability, achieving an IoU improvement of +40.4 over the baseline and +37.0% over Fleming-VL, underscoring its robust spatial reasoning and localization performance. Evaluations across radiology, ophthalmology, and pathology-microscopy confirm MedMO's broad cross-modality generalization. We release two versions of MedMO: 4B and 8B. Project is available at https://genmilab.github.io/MedMO-Page

Ankan Deria, Komal Kumar, Xilin He et al.

Recent vision-language models (VLMs) typically rely on a single vision encoder trained with contrastive image-text objectives, such as CLIP-style pretraining. While contrastive encoders are effective for cross-modal alignment and retrieval, self-supervised visual encoders often capture richer dense semantics and exhibit stronger robustness on recognition and understanding tasks. In this work, we investigate how to scale the fusion of these complementary visual representations for vision-language modeling. We propose CoME-VL: Complementary Multi-Encoder Vision-Language, a modular fusion framework that integrates a contrastively trained vision encoder with a self-supervised DINO encoder. Our approach performs representation-level fusion by (i) entropy-guided multi-layer aggregation with orthogonality-constrained projections to reduce redundancy, and (ii) RoPE-enhanced cross-attention to align heterogeneous token grids and produce compact fused visual tokens. The fused tokens can be injected into a decoder-only LLM with minimal changes to standard VLM pipelines. Extensive experiments across diverse vision-language benchmarks demonstrate that CoME-VL consistently outperforms single-encoder baselines. In particular, we observe an average improvement of 4.9% on visual understanding tasks and 5.4% on grounding tasks. Our method achieves state-of-the-art performance on RefCOCO for detection while improving over the baseline by a large margin. Finally, we conduct ablation studies on layer merging, non-redundant feature mixing, and fusion capacity to evaluate how complementary contrastive and self-supervised signals affect VLM performance.