Visual Language Models have demonstrated remarkable capabilities across various tasks, including visual question answering and image captioning. However, most models rely on text-based instructions, limiting their effectiveness in natural human-machine interactions. Moreover, the quality of language models primarily depends on reasoning and prompting techniques, such as chain-of-thought, which remain underexplored when using speech instructions. To address these challenges, we propose SilVar, an end-to-end multimodal model that leverages speech instructions for reasoning-based visual question answering. Additionally, we investigate reasoning techniques at different levels, including conversational, simple, and complex speech instructions. SilVar is built upon CLIP, Whisper, and LLaMA 3.1-8B, enabling more intuitive interactions by allowing users to provide verbal or text-based instructions. To this end, we introduce a new dataset designed to challenge models with speech-based reasoning tasks for object localization. This dataset enhances the model’s ability to process and explain visual scenes from spoken input, moving beyond simple object recognition to reasoning-based interactions. To our knowledge, SilVar is the first open-source, speech-driven VLM. We believe SilVar will inspire the next generation of multimodal reasoning models, advancing toward expert artificial general intelligence.

Multilingual speech translation (ST) and machine translation (MT) in the medical domain enhances patient care by enabling efficient communication across language barriers, alleviating specialized workforce shortages, and facilitating improved diagnosis and treatment, particularly during pandemics. In this work, we present the first systematic study on medical ST, to our best knowledge, by releasing MultiMedST, a large-scale ST dataset for the medical domain, spanning all translation directions in five languages: Vietnamese, English, German, French, and Simplified/Traditional Chinese, together with the models. With 290,000 samples, this is the largest medical MT dataset and the largest many-to-many multilingual ST among all domains. Secondly, we present the most comprehensive ST analysis in the field’s history, to our best knowledge, including: empirical baselines, bilingual-multilingual comparative study, end-to-end vs. cascaded comparative study, task-specific vs. multi-task sequence-to-sequence comparative study, code-switch analysis, and quantitative-qualitative error analysis. All code, data, and models are available online: https://github.com/leduckhai/MultiMed-ST.