MedCLM: Learning to Localize and Reason via a CoT-Curriculum in Medical Vision-Language Models

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with Chain-of-Thought (CoT) reasoning by linking lesion boxes to organ segmentation and structured rationales. These contextual signals enable medical vision-language models to generate question-answer pairs with step-by-step reasoning. To utilize this data effectively, we propose an Integrated CoT-Curriculum Strategy composed of an Easy stage with explicit lesion boxes for visual grounding, a Medium stage that encourages implicit localization, and a Hard stage for weakly supervised reasoning. Experimental results demonstrate that MedCLM attains state-of-the-art performance on several medical VQA benchmarks, providing a scalable framework for developing clinically aligned medical vision-language models.

ZNorm: Z-Score Gradient Normalization for Accelerating Neural Network Training

The rapid advancements in deep learning necessitate efficient training methods for deep neural networks (DNNs). As models grow in complexity, vanishing and exploding gradients impede convergence and performance. We propose Z-Score Normalization for Gradient Descent (ZNorm), an innovative technique that adjusts only the gradients to enhance training efficiency and improve model performance. ZNorm normalizes the overall gradients, providing consistent gradient scaling across layers, thereby reducing the risks of vanishing and exploding gradients. Our extensive experiments on CIFAR-10 and medical datasets demonstrate that ZNorm not only accelerates convergence but also enhances performance metrics. ZNorm consistently outperforms existing methods, achieving superior results using the same computational settings. In medical imaging applications, ZNorm improves tumor prediction and segmentation performances, underscoring its practical utility. These findings highlight ZNorm's potential as a robust and versatile tool for improving the efficiency and effectiveness of deep neural network training across a wide range of architectures and applications.