Excellence in a wide variety of medical applications poses considerable challenges for AI, requiring advanced reasoning, access to up-to-date medical knowledge and understanding of complex multimodal data. Gemini models, with strong general capabilities in multimodal and long-context reasoning, offer exciting possibilities in medicine. Building on these core strengths of Gemini, we introduce Med-Gemini, a family of highly capable multimodal models that are specialized in medicine with the ability to seamlessly use web search, and that can be efficiently tailored to novel modalities using custom encoders. We evaluate Med-Gemini on 14 medical benchmarks, establishing new state-of-the-art (SoTA) performance on 10 of them, and surpass the GPT-4 model family on every benchmark where a direct comparison is viable, often by a wide margin. On the popular MedQA (USMLE) benchmark, our best-performing Med-Gemini model achieves SoTA performance of 91.1% accuracy, using a novel uncertainty-guided search strategy. On 7 multimodal benchmarks including NEJM Image Challenges and MMMU (health & medicine), Med-Gemini improves over GPT-4V by an average relative margin of 44.5%. We demonstrate the effectiveness of Med-Gemini's long-context capabilities through SoTA performance on a needle-in-a-haystack retrieval task from long de-identified health records and medical video question answering, surpassing prior bespoke methods using only in-context learning. Finally, Med-Gemini's performance suggests real-world utility by surpassing human experts on tasks such as medical text summarization, alongside demonstrations of promising potential for multimodal medical dialogue, medical research and education. Taken together, our results offer compelling evidence for Med-Gemini's potential, although further rigorous evaluation will be crucial before real-world deployment in this safety-critical domain.

Early detection of inflammatory arthritis (IA) is critical to efficient and accurate hospital referral triage for timely treatment and preventing the deterioration of the IA disease course, especially under limited healthcare resources. The manual assessment process is the most common approach in practice for the early detection of IA, but it is extremely labor-intensive and inefficient. A large amount of clinical information needs to be assessed for every referral from General Practice (GP) to the hospitals. Machine learning shows great potential in automating repetitive assessment tasks and providing decision support for the early detection of IA. However, most machine learning-based methods for IA detection rely on blood testing results. But in practice, blood testing data is not always available at the point of referrals, so we need methods to leverage multimodal data such as semi-structured and unstructured data for early detection of IA. In this research, we present fusion and ensemble learning-based methods using multimodal data to assist decision-making in the early detection of IA, and a conformal prediction-based method to quantify the uncertainty of the prediction and detect any unreliable predictions. To the best of our knowledge, our study is the first attempt to utilize multimodal data to support the early detection of IA from GP referrals.