Existing Medical Large Vision-Language Models (Med-LVLMs), encapsulating extensive medical knowledge, demonstrate excellent capabilities in understanding medical images. However, there remain challenges in visual localization in medical images, which is crucial for abnormality detection and interpretation. To address these issues, we propose a novel UMed-LVLM designed to unveil medical abnormalities. Specifically, we collect a Medical Abnormalities Unveiling (MAU) dataset and propose a two-stage training method for UMed-LVLM training. To collect MAU dataset, we propose a prompt method utilizing the GPT-4V to generate diagnoses based on identified abnormal areas in medical images. Moreover, the two-stage training method includes Abnormal-Aware Instruction Tuning and Abnormal-Aware Rewarding, comprising Relevance Reward, Abnormal Localization Reward and Vision Relevance Reward. Experimental results demonstrate that our UMed-LVLM significantly outperforms existing Med-LVLMs in identifying and understanding medical abnormalities, achieving a 58% improvement over the baseline. In addition, this work shows that enhancing the abnormality detection capabilities of Med-LVLMs significantly improves their understanding of medical images and generalization capability. Our code and data release at URL.

Recent advancements in medical Large Language Models (LLMs) have showcased their powerful reasoning and diagnostic capabilities. Despite their success, current unified multimodal medical LLMs face limitations in knowledge update costs, comprehensiveness, and flexibility. To address these challenges, we introduce the Modular Multi-Agent Framework for Multi-Modal Medical Diagnosis (MAM). Inspired by our empirical findings highlighting the benefits of role assignment and diagnostic discernment in LLMs, MAM decomposes the medical diagnostic process into specialized roles: a General Practitioner, Specialist Team, Radiologist, Medical Assistant, and Director, each embodied by an LLM-based agent. This modular and collaborative framework enables efficient knowledge updates and leverages existing medical LLMs and knowledge bases. Extensive experimental evaluations conducted on a wide range of publicly accessible multimodal medical datasets, incorporating text, image, audio, and video modalities, demonstrate that MAM consistently surpasses the performance of modality-specific LLMs. Notably, MAM achieves significant performance improvements ranging from 18% to 365% compared to baseline models. Our code, data, and prompts are released at URL.