Preprint
Large Language Models

The application of multimodal large language models in medicine

January 1, 2024

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2024

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Abstract

In September 2023, OpenAI released GPT-4V, 1 a multimodal foundation model 2, 3 connecting large language models (LLMs) with vision input. Foundation models, defined as large AI …

Analysis

Why This Paper Matters

This paper marks a significant step in applying multimodal large language models to medicine, particularly with the release of GPT-4V in September 2023. By connecting LLMs with vision input, it opens new avenues for AI-assisted diagnosis, medical imaging analysis, and clinical decision support. The paper is timely as healthcare increasingly adopts AI, and multimodal models offer a more holistic understanding of patient data.

The significance lies in bridging the gap between text-based LLMs and visual medical data, such as X-rays, MRIs, and pathology slides. This integration could lead to more accurate and efficient diagnostic tools, reducing clinician workload and improving patient outcomes. The paper serves as a foundational reference for researchers and practitioners exploring multimodal AI in healthcare.

Technical Contributions

The paper's main technical contribution is the introduction of GPT-4V as a multimodal foundation model for medicine. Key innovations include:

  • Multimodal Integration: Combining vision and language in a single model, enabling tasks like image captioning and visual question answering in medical contexts.
  • Foundation Model Paradigm: Leveraging large-scale pre-training on diverse data to create a versatile model that can be fine-tuned for specific medical applications.
  • Zero-Shot Capabilities: GPT-4V's ability to perform medical tasks without task-specific training, demonstrating generalization from broad data.

Results

The paper does not present quantitative results or benchmarks. Instead, it provides a conceptual framework and discusses potential use cases. No concrete metrics, accuracy rates, or comparisons with existing models are reported. The lack of empirical data limits the assessment of GPT-4V's performance in real medical scenarios.

Significance

The broader impact of this work is substantial, as it sets the stage for multimodal AI in medicine. It encourages further research into integrating vision and language for clinical applications, potentially leading to more comprehensive AI systems that can interpret medical images, generate reports, and assist in diagnosis. However, the absence of experimental validation means that practical benefits remain speculative. Future work should focus on rigorous testing, addressing data privacy, and ensuring model reliability in clinical settings.