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Toward Effective Reinforcement Learning Fine-Tuning for Medical VQA in Vision-Language Models

2025-05-20 · Wenhui Zhu, Xuanzhao Dong, Xin Li, Peijie Qiu, Xiwen Chen, Abolfazl Razi, Aris Sotiras, Yi Su, Yalin Wang

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it to medical tasks remains challenging for achieving clinically grounded model behavior. Motivated by the need to align model response with clinical expectations, we investigate four critical dimensions that affect the effectiveness of RL-based tuning in medical visual question answering (VQA): base model initialization strategy, the role of medical semantic alignment, the impact of length-based rewards on long-chain reasoning, and the influence of bias. We conduct extensive experiments to analyze these factors for medical MLLMs, providing new insights into how models are domain-specifically fine-tuned. Additionally, our results also demonstrate that GRPO-based RL tuning consistently outperforms standard supervised fine-tuning (SFT) in both accuracy and reasoning quality.

📄 PDF Abstract BibTeX arXiv:2505.13973

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Tasks

Medical Visual Question AnsweringQuestion AnsweringReinforcement Learning (RL)Visual Question AnsweringVisual Question Answering (VQA)

Methods 이 논문이 사용한 방법론

BASE 설명 없음
ALIGN In the ALIGN method, visual and language representations are jointly trained from noisy image alt-text data. The image and text encoders are learned via contrastive loss…

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