Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...

MEDOE: A Multi-Expert Decoder and Output Ensemble Framework for Long-tailed Semantic Segmentation

Long-tailed distribution of semantic categories, which has been often ignored in conventional methods, causes unsatisfactory performance in semantic segmentation on tail categories. In this paper, we focus on the problem of long-tailed semantic segmentation. Although some long-tailed recognition methods (e.g., re-sampling/re-weighting) have been proposed in other problems, they can probably compromise crucial contextual information and are thus hardly adaptable to the problem of long-tailed semantic segmentation. To address this issue, we propose MEDOE, a novel framework for long-tailed semantic segmentation via contextual information ensemble-and-grouping. The proposed two-sage framework comprises a multi-expert decoder (MED) and a multi-expert output ensemble (MOE). Specifically, the MED includes several "experts". Based on the pixel frequency distribution, each expert takes the dataset masked according to the specific categories as input and generates contextual information self-adaptively for classification; The MOE adopts learnable decision weights for the ensemble of the experts' outputs. As a model-agnostic framework, our MEDOE can be flexibly and efficiently coupled with various popular deep neural networks (e.g., DeepLabv3+, OCRNet, and PSPNet) to improve their performance in long-tailed semantic segmentation. Experimental results show that the proposed framework outperforms the current methods on both Cityscapes and ADE20K datasets by up to 1.78% in mIoU and 5.89% in mAcc.