# EVLF-FM

Medical imaging foundation models have traded generality against pixel-level precision, and most return a label without evidence. EVLF-FM feeds both disease-level and pixel-level visual features into a language model, first with supervised fine-tuning and then with reinforcement learning on verifiable rewards, spanning six specialties and 10 imaging modalities. On internal diagnostic validation it reached the highest mean accuracy among evaluated models, 0.895, and averaged 0.842 Acc@0.5 for medical visual grounding across nine modalities.

Medical imaging foundation models have traded generality against pixel-level precision, and most return a label without evidence. EVLF-FM feeds both disease-level and pixel-level visual features into a language model, first with supervised fine-tuning and then with reinforcement learning on verifiable rewards, spanning six specialties and 10 imaging modalities. On internal diagnostic validation it reached the highest mean accuracy among evaluated models, 0.895, and averaged 0.842 Acc@0.5 for medical visual grounding across nine modalities.