Lichao Sun

Kai Zhang, Zhengqing Yuan, Cheng Peng et al.

Biomedical multimodal assistants have the potential to unify radiology, pathology, and clinical-text reasoning, yet a critical deployment gap remains: top-performing systems are either closed-source or computationally prohibitive, precluding the on-premises deployment required for patient privacy and PHI compliance. We introduce MEDGPT-OSS, an open-weight, 20B-parameter generalist vision-language model designed to facilitate open research in clinical AI. Rather than relying on architectural complexity, MEDGPT-OSS pairs the GPT-oss language backbone with a visual front-end via a optimized, three-stage training curriculum. By progressively domain-adapting these modules through rigorous data curation and long-context multimodal alignment, we demonstrate that a 20B model can bridge the capacity gap. It successfully outperforms larger open medical models on out-of-distribution (OOD) multimodal reasoning and complex text-only clinical tasks. By unifying diverse modalities under a single instruction-following interface, MEDGPT-OSS maintains a parameter-efficient footprint fully compatible with commodity GPUs. We release the complete training recipe, open-weight checkpoints, and a rigorous evaluation harness to serve as a verifiable foundation for privacy-preserving, institution-specific clinical AI research.

Zhanwang Liu, Yuting Li, Haoyuan Gao et al.

Catastrophic forgetting, the tendency of neural networks to forget previously learned knowledge when learning new tasks, has been a major challenge in continual learning (CL). To tackle this challenge, CL methods have been proposed and shown to reduce forgetting. Furthermore, CL models deployed in mission-critical settings can benefit from uncertainty awareness by calibrating their predictions to reliably assess their confidences. However, existing uncertainty-aware continual learning methods suffer from high computational overhead and incompatibility with mainstream replay methods. To address this, we propose idempotent experience replay (IDER), a novel approach based on the idempotent property where repeated function applications yield the same output. Specifically, we first adapt the training loss to make model idempotent on current data streams. In addition, we introduce an idempotence distillation loss. We feed the output of the current model back into the old checkpoint and then minimize the distance between this reprocessed output and the original output of the current model. This yields a simple and effective new baseline for building reliable continual learners, which can be seamlessly integrated with other CL approaches. Extensive experiments on different CL benchmarks demonstrate that IDER consistently improves prediction reliability while simultaneously boosting accuracy and reducing forgetting. Our results suggest the potential of idempotence as a promising principle for deploying efficient and trustworthy continual learning systems in real-world applications.Our code is available at https://github.com/YutingLi0606/Idempotent-Continual-Learning.