Daily Papers

Medical Visual Language Models have shown great potential in various healthcare applications, including medical image captioning and diagnostic assistance. However, most existing models rely on text-based instructions, limiting their usability in real-world clinical environments especially in scenarios such as surgery, text-based interaction is often impractical for physicians. In addition, current medical image analysis models typically lack comprehensive reasoning behind their predictions, which reduces their reliability for clinical decision-making. Given that medical diagnosis errors can have life-changing consequences, there is a critical need for interpretable and rational medical assistance. To address these challenges, we introduce an end-to-end speech-driven medical VLM, SilVar-Med, a multimodal medical image assistant that integrates speech interaction with VLMs, pioneering the task of voice-based communication for medical image analysis. In addition, we focus on the interpretation of the reasoning behind each prediction of medical abnormalities with a proposed reasoning dataset. Through extensive experiments, we demonstrate a proof-of-concept study for reasoning-driven medical image interpretation with end-to-end speech interaction. We believe this work will advance the field of medical AI by fostering more transparent, interactive, and clinically viable diagnostic support systems. Our code and dataset are publicly available at SiVar-Med.

Visual Language Models have demonstrated remarkable capabilities across tasks, including visual question answering and image captioning. However, most models rely on text-based instructions, limiting their effectiveness in human-machine interactions. Moreover, the quality of language models depends on reasoning and prompting techniques, such as COT, which remain underexplored when using speech instructions. To address these challenges, we propose SilVar, a novel end-to-end multimodal model that uses speech instructions for reasoning in visual question answering. In addition, we investigate reasoning techniques with levels including conversational, simple, and complex speech instruction. SilVar is built upon CLIP, Whisper, and LLaMA 3.1-8B, enabling intuitive interactions by allowing users to provide verbal or text instructions. To this end, we introduce a dataset designed to challenge models with speech-based reasoning tasks for object localization. This dataset enhances the model ability to process and explain visual scenes from spoken input, moving beyond object recognition to reasoning-based interactions. The experiments show that SilVar achieves SOTA performance on the MMMU and ScienceQA benchmarks despite the challenge of speech-based instructions. We believe SilVar will inspire next-generation multimodal reasoning models, toward expert artificial general intelligence. Our code and dataset are available here.