MedicalAI-Light-Weight

MedicalAI — Light Weight

Chest X-ray analysis that runs on consumer hardware — a laptop CPU, no GPU, no cloud.

⚠️ Not a medical device. This is a research and educational project. It is not FDA/CE cleared, has not been clinically validated, and must not be used to diagnose, treat, or make any decision about a real patient. Outputs are frequently wrong. See Limitations — they are substantial and you should read them before using anything here.

What's in this repo

The X-ray and the symptoms go into one model, not two. The fusion model is a single network that consumes the radiograph and the symptom text together and emits one set of logits — fusion_full.onnx is one graph with three inputs (pixel_values, input_ids, attention_mask). There is no separate image classifier and text classifier whose outputs get merged afterwards; the two modalities are fused inside the model, before the classifier head. The BLIP captioner below is a separate, optional model that only writes a text description of the image — it takes no symptom input and plays no part in the diagnosis path.

The training dataset is not included — see Data.

Architecture

Fusion (Symptom Check) — one multimodal classifier over both inputs. Both encoders feed a single shared head, so the prediction is a joint function of the image and the symptoms; neither modality is scored on its own:

image ──► CLIP ViT-B/32 vision tower ──► visual_projection ──► L2-normalize ──┐
                                                                              ├─► concat ──► MLP classifier ──► logits
symptom text ──► Bio_ClinicalBERT ──► mean-pool last_hidden_state ────────────┘

Encoders are frozen; only the MLP head is trained. fusion_full.onnx bakes the whole graph — encoders included — into one file, which is why it is 787 MB.

ONNX signature (opset 14, dynamic batch and sequence length):

Preprocess with CLIPProcessor (openai/clip-vit-base-patch32) for the image and AutoTokenizer (emilyalsentzer/Bio_ClinicalBERT) for the text. Class names are in checkpoints/onnx_full/labels.json, index-aligned to the logits.

Vision (captioning) — a separate BLIP model, image-only, loadable with BlipForConditionalGeneration.from_pretrained. It does not see the symptoms and does not feed the fusion model; it exists to write a human-readable description alongside the diagnosis.

Usage

ONNX, no PyTorch

import json
import numpy as np
import onnxruntime as ort
from PIL import Image
from transformers import CLIPProcessor, AutoTokenizer
from huggingface_hub import hf_hub_download

repo = "GAD-Research-Lab/MedicalAI-Light-Weight"
onnx_path = hf_hub_download(repo, "checkpoints/onnx_full/fusion_full.onnx")
labels = json.load(open(hf_hub_download(repo, "checkpoints/onnx_full/labels.json")))

clip = CLIPProcessor.from_pretrained("openai/clip-vit-base-patch32")
tok = AutoTokenizer.from_pretrained("emilyalsentzer/Bio_ClinicalBERT")

image = Image.open("xray.jpg").convert("RGB")
pixel_values = clip(images=image, return_tensors="np")["pixel_values"]
text = tok("cough and fever", return_tensors="np", padding="max_length",
           truncation=True, max_length=64)

sess = ort.InferenceSession(onnx_path, providers=["CPUExecutionProvider"])
logits = sess.run(["logits"], {
    "pixel_values": pixel_values.astype(np.float32),
    "input_ids": text["input_ids"].astype(np.int64),
    "attention_mask": text["attention_mask"].astype(np.int64),
})[0]

probs = np.exp(logits - logits.max()) / np.exp(logits - logits.max()).sum()
top = probs[0].argmax()
print(labels[top], float(probs[0][top]))

BLIP captioning

from transformers import BlipProcessor, BlipForConditionalGeneration
from PIL import Image

repo = "GAD-Research-Lab/MedicalAI-Light-Weight"
processor = BlipProcessor.from_pretrained(repo, subfolder="blip-xray-finetuned")
model = BlipForConditionalGeneration.from_pretrained(repo, subfolder="blip-xray-finetuned")

inputs = processor(Image.open("xray.jpg").convert("RGB"), return_tensors="pt")
print(processor.decode(model.generate(**inputs, max_new_tokens=64)[0],
                       skip_special_tokens=True))

Full application

git clone https://huggingface.co/GAD-Research-Lab/MedicalAI-Light-Weight
cd MedicalAI-Light-Weight
pip install -r requirements.txt gradio
python web_ui.py          # http://127.0.0.1:7860

Or launch.ps1 (Windows) / launch.sh (Linux/macOS) to set up a venv and start the UI in one step. python run.py for the interactive CLI, python batch_predict.py <dir> -o out.csv for batch.

Training

• Fusion head — cross-entropy over the label set, 85/15 random train/val split, AdamW, frozen encoders. python training.py --mode train --epochs 10 --batch_size 8.
• BLIP — fine-tuned on IU-Xray image/report pairs. python xray_training.py --mode train --epochs 3 --batch_size 4 --max_samples 500.

Sources: IU-Xray (~6,687 rows), NIH Chest X-ray (~3,000 rows), plus 160 synthetic rare-finding rows from expand_dataset.py — ~9,847 total.

Limitations

Read these. They are not boilerplate.

• The label space is degenerate. labels.json has 3,018 classes, and most are not diagnoses — they are raw, deduplicated report strings scraped from IU-Xray, e.g. "findings: . impression: 1. all lines and tubes in stable , xxxx position...". Only a handful (atelectasis, cardiomegaly, consolidation, edema, effusion, emphysema, fibrosis, …) are clean condition names. With ~9.8k training rows across 3,018 classes there are roughly 3 examples per class, and the reported "confidence" is a softmax over that space — it is not calibrated and should not be read as a probability of disease. Treat the classifier as a demonstration of the architecture, not as a working diagnostic.
• No held-out evaluation is published. Training reports validation loss only. There is no accuracy, AUROC, sensitivity/specificity, or per-class breakdown in this repo, and no evaluation on an external site or scanner. Nothing here supports a claim about real-world performance.
• Encoders are frozen and general-purpose. CLIP ViT-B/32 was pretrained on web images, not radiographs. Only a small MLP adapts it to this domain.
• Narrow data. Two US datasets, adult chest radiographs, frontal views, English free-text reports. Expect degradation on pediatric films, lateral views, other modalities, other populations, and other equipment. Known demographic and label-noise problems in IU-Xray and NIH ChestX-ray14 are inherited wholesale — NIH labels were themselves NLP-mined from reports and are noisy.
• BLIP captions are fluent, not faithful. The captioner will produce confident, plausible, well-formed radiology prose for an image it has no ability to read correctly, including for non-X-ray inputs. Fluency here carries no signal about correctness.
• models/default/ is random weights by construction, so the app can start before training. Its predictions are noise.
• Automation bias is the main risk. The most likely harm from this repo is a person believing a confident-looking output. Do not put it in front of patients or in any workflow where a wrong answer reaches one.

Data

The training data is not redistributed here — download it yourself with python training.py --mode prepare-data.

• IU-Xray (Indiana University / Open-i, NLM) — de-identified, public.
• NIH ChestX-ray14 (NIH Clinical Center) — de-identified, public.

Both are de-identified at source; no PHI is contained in this repo. The BLIP model was fine-tuned on IU-Xray report text and can emit dataset artifacts such as xxxx anonymization tokens. Check each dataset's own terms before redistributing derivatives.

License

Apache-2.0 for the code and the trained weights in this repo. Upstream components carry their own licenses — CLIP (MIT), BLIP (BSD-3-Clause), Bio_ClinicalBERT (MIT) — and the source datasets carry their own terms. The license permits use; it does not make the model safe or fit for clinical use.

Citation

@software{medicalai_light_weight,
  title  = {MedicalAI — Light Weight: CPU-friendly chest X-ray analysis},
  author = {GAD Research Lab},
  year   = {2026},
  url    = {https://huggingface.co/GAD-Research-Lab/MedicalAI-Light-Weight}
}