Inspired by the success of large language models (LLMs), there is growing research interest in developing LLMs in the medical domain to assist clinicians. However, for hospitals, using closed-source commercial LLMs involves privacy issues, and developing open-source public LLMs requires large-scale computational resources, which are usually limited, especially in resource-efficient regions and low-income countries. We propose an open-source Small Language and Vision Assistant (SLaVA-CXR) that can be used for Chest X-Ray report automation. To efficiently train a small assistant, we first propose the Re$^3$Training method, which simulates the cognitive development of radiologists and optimizes the model in the Recognition, Reasoning, and Reporting training manner. Then, we introduce a data synthesis method, RADEX, which can generate a high-quality and diverse training corpus with privacy regulation compliance. The extensive experiments show that our SLaVA-CXR built on a 2.7B backbone not only outperforms but also achieves 6 times faster inference efficiency than previous state-of-the-art larger models.

In the era of advanced multimodel learning, multimodal large language models (MLLMs) such as GPT-4V have made remarkable strides towards bridging language and visual elements. However, the closed-source nature and considerable computational demand present notable challenges for universal usage and modifications. This is where open-source MLLMs like LLaVA and MiniGPT-4 come in, presenting groundbreaking achievements across tasks. Despite these accomplishments, computational efficiency remains an unresolved issue, as these models, like LLaVA-v1.5-13B, require substantial resources. Addressing these issues, we introduce TinyGPT-V, a new-wave model marrying impressive performance with commonplace computational capacity. It stands out by requiring merely a 24G GPU for training and an 8G GPU or CPU for inference. Built upon Phi-2, TinyGPT-V couples an effective language backbone with pre-trained vision modules from BLIP-2 or CLIP. TinyGPT-V's 2.8B parameters can undergo a unique quantisation process, suitable for local deployment and inference tasks on 8G various devices. Our work fosters further developments for designing cost-effective, efficient, and high-performing MLLMs, expanding their applicability in a broad array of real-world scenarios. Furthermore this paper proposed a new paradigm of Multimodal Large Language Model via small backbones. Our code and training weights are placed at: https://github.com/DLYuanGod/TinyGPT-V and https://huggingface.co/Tyrannosaurus/TinyGPT-V respectively.