Online-trained
Difference Visual Question Answering
head for chest X-rays
(MIMIC-CXR / Medical-Diff-VQA). A frozen ViT-L/14 vision encoder produces patch
tokens for a current + reference image pair; a
Qwen3-0.6B
decoder,
conditioned on those tokens as a visual prefix, generates the answer describing
what changed.
This is a
slimmed inference checkpoint
: decoder weights + the frozen vision
encoder weights + architecture metadata (optimizer/scheduler state stripped).
Data: Medical-Diff-VQA
difference
questions over MIMIC-CXR image pairs
(~100k train / ~16k val / ~16k test).
Objective: next-token cross-entropy over the answer span (question tokens masked).
Vision encoder is
frozen
; only the decoder (LLM + visual adapter) is trained.
Notes
The bundled
encoder_state
is the exact frozen encoder this decoder was trained
against — load both together so the visual features match the space
vis_proj
expects (a mismatched encoder produces degenerate output).
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