In a strategic decision to advance open source development in medical AI, Google Deepmind and Google Research introduced two new models under the aegis of Medgemma: Medgemma 27b Multimodala large -scale visual language foundation model, and MedallionA light medical image text encoder. These additions represent the most competent open models published to date as part of the foundations of the developers of IA Health (Hai-def).
Medgemma architecture
Medgemma is based on the skeleton of the Gemma 3 transformer, extending its capacity to the field of health care by integrating multimodal treatment and specific adjustment to the field. The Medgemma family is designed to meet the basic challenges of the clinical AI – namely the heterogeneity of the data, the limited supervision specific to the task and the need for effective deployment in parameters of the real world. The models deal with both medical images and clinical texts, which makes them particularly useful for tasks such as diagnosis, generation of reports, recovery and aging reasoning.

Medgemma 27b Multimodal: Multimodal reasoning scale in health care
THE Medgemma 27b Multimodal The model is a significant evolution compared to its predecessor in text only. It incorporates an improved visual language architecture optimized for complex medical reasoning, including the longitudinal understanding of electronic health records (DSE) and decision -making decision -making.
Key characteristics::
- Entry modality: Accepts both medical images and text in a unified interface.
- Architecture: Uses a 27B parameter transformer decoder with an interlivation of arbitrary image text, fueled by a high -resolution image encoder (896 × 896).
- Vision encoder: Reuse the skeleton Siglip-400m set to pairs of medical image text 33m +, including large-scale data of radiology, histopathology, ophthalmology and dermatology.
Performance::
- Realize 87.7% precision on Medqa (Text variant only), outperforming all models open under 50b settings.
- Demonstrates robust capacities in agency environments such as AgentclinicTreat decision -making in several stages on simulated diagnostic flows.
- Provides end -to -end reasoning in the patient's history, clinical images and genomics – criticism for planning personalized treatment.
Clinical use case::
- Response from multimodal questions (VQA-RAD, SLAKE)
- Generation of radiology reports (Mimic-CXR)
- Transverse recovery (search for text and text image)
- Simulated clinical agents (Agentclinic-Imic-IV)

The first evaluations indicate that the multimodal rivals of Medgemma 27B are larger closed models like GPT-4O and Gemini 2.5 Pro in specific tasks in the domain, while being fully open and more effective in calculation.
MedSIGLIP: light image of light image and set in the field
Medallion is a visual language encoder suitable for Siglip-400m and optimized specifically for health care applications. Although smaller, it plays a fundamental role in the spread of vision capacities of the multimodal Medgemma 4B and 27b.
Basic capacities::
- Light: With only 400 m of parameters and a reduced resolution (448 × 448), it supports the deployment of the edges and the mobile inference.
- Shot-shot and linear: Competitively performs medical classification tasks without the task specific.
- Generalization between the transversal domain: Surpasses the models dedicated to the image only in dermatology, ophthalmology, histopathology and radiology.
Evaluation benchmarks::
- Thoracic X -rays (CXR14, Chexpert): Surpasses the CXR foundation model based on Hai-def Elixr by 2% in the AUC.
- Dermatology (US-Derm MCQA): Reached 0.881 ACUC with linear survey on 79 skin conditions.
- Ophthalmology (eye): Delivers 0.857 ASC on the classification of diabetic retinopathy to 5 classes.
- Histopathology: Corresponds or exceeds the state of the art on the classification of cancer subtypes (for example, colorectal, prostate, breast).
The model uses the medium cosine similarity between the image and the textual incorporations for the classification and the recovery of zero blows. In addition, a linear probe configuration (logistics regression) allows an effective element of finetun with a minimum of labeled data.
Deployment and integration of the ecosystem
Both models are 100% open sourcewith weights, training scripts and tutorials available via the Medgemma standard. They are entirely compatible with the Gemma infrastructure and can be integrated into pipelines from tools or agents based on LLM using less than 10 lines of Python code. The management of the quantification and the distillation of the model allows deployment on mobile equipment without significant loss of performance.
Above all, all the above models can be deployed on a single GPU, and more important models such as the 27B variant remain accessible for academic laboratories and institutions with moderate calculation budgets.

Conclusion
The release of Medgemma 27b Multimodal And Medallion reports an open source maturation strategy for the development of health AI. These models demonstrate that with an appropriate domain adaptation and effective architectures, high performance medical AI does not need to be owner or prohibitive. By combining a solid ready -to -use reasoning with modular adaptability, these models reduce the entry barrier to create clinical quality applications – sorting systems and diagnostic agents with multimodal recovery tools.
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