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Jun 18

MMRareBench: A Rare-Disease Multimodal and Multi-Image Medical Benchmark

Multimodal large language models (MLLMs) have advanced clinical tasks for common conditions, but their performance on rare diseases remains largely untested. In rare-disease scenarios, clinicians often lack prior clinical knowledge, forcing them to rely strictly on case-level evidence for clinical judgments. Existing benchmarks predominantly evaluate common-condition, single-image settings, leaving multimodal and multi-image evidence integration under rare-disease data scarcity systematically unevaluated. We introduce MMRareBench, to our knowledge the first rare-disease benchmark jointly evaluating multimodal and multi-image clinical capability across four workflow-aligned tracks: diagnosis, treatment planning, cross-image evidence alignment, and examination suggestion. The benchmark comprises 1,756 question-answer pairs with 7,958 associated medical images curated from PMC case reports, with Orphanet-anchored ontology alignment, track-specific leakage control, evidence-grounded annotations, and a two-level evaluation protocol. A systematic evaluation of 23 MLLMs reveals fragmented capability profiles and universally low treatment-planning performance, with medical-domain models trailing general-purpose MLLMs substantially on multi-image tracks despite competitive diagnostic scores. These patterns are consistent with a capacity dilution effect: medical fine-tuning can narrow the diagnostic gap but may erode the compositional multi-image capability that rare-disease evidence integration demands.

  • 12 authors
·
Apr 11

NoLoCo: No-all-reduce Low Communication Training Method for Large Models

Training large language models is generally done via optimization methods on clusters containing tens of thousands of accelerators, communicating over a high-bandwidth interconnect. Scaling up these clusters is expensive and can become impractical, imposing limits on the size of models that can be trained. Several recent studies have proposed training methods that are less communication intensive, avoiding the need for a highly connected compute cluster. These state-of-the-art low communication training methods still employ a synchronization step for model parameters, which, when performed over all model replicas, can become costly on a low-bandwidth network. In this work, we propose a novel optimization method, NoLoCo, that does not explicitly synchronize all model parameters during training and, as a result, does not require any collective communication. NoLoCo implicitly synchronizes model weights via a novel variant of the Nesterov momentum optimizer by partially averaging model weights with a randomly selected other one. We provide both a theoretical convergence analysis for our proposed optimizer as well as empirical results from language model training. We benchmark NoLoCo on a wide range of accelerator counts and model sizes, between 125M to 6.8B parameters. Our method requires significantly less communication overhead than fully sharded data parallel training or even widely used low communication training method, DiLoCo. The synchronization step itself is estimated to be one magnitude faster than the all-reduce used in DiLoCo for few hundred accelerators training over the internet. We also do not have any global blocking communication that reduces accelerator idling time. Compared to DiLoCo, we also observe up to 4% faster convergence rate with wide range of model sizes and accelerator counts.

Gensyn Gensyn
·
Jun 12, 2025 2