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- transformers
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### Model Description
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- **Funded by [optional]:** [More Information Needed]
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- **Shared by [optional]:** [More Information Needed]
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- **Model type:** [More Information Needed]
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- **Language(s) (NLP):** [More Information Needed]
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- **License:** [More Information Needed]
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- **Finetuned from model [optional]:** [More Information Needed]
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### Model Sources [optional]
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- **Repository:** [More Information Needed]
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- **Paper [optional]:** [More Information Needed]
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- **Demo [optional]:** [More Information Needed]
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## Uses
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### Direct Use
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### Downstream Use [optional]
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<!-- This section is for the model use when fine-tuned for a task, or when plugged into a larger ecosystem/app -->
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[More Information Needed]
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### Out-of-Scope Use
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[More Information Needed]
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## Bias, Risks, and Limitations
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Users (both direct and downstream) should be made aware of the risks, biases and limitations of the model. More information needed for further recommendations.
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Use the code below to get started with the model.
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### Training Data
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[More Information Needed]
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#### Training Hyperparameters
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- **Training regime:** [More Information Needed] <!--fp32, fp16 mixed precision, bf16 mixed precision, bf16 non-mixed precision, fp16 non-mixed precision, fp8 mixed precision -->
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#### Speeds, Sizes, Times [optional]
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## Evaluation
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<!-- This section describes the evaluation protocols and provides the results. -->
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### Testing Data, Factors & Metrics
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#### Testing Data
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[More Information Needed]
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#### Factors
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<!-- These are the things the evaluation is disaggregating by, e.g., subpopulations or domains. -->
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[More Information Needed]
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#### Metrics
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### Results
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#### Summary
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## Model Examination [optional]
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[More Information Needed]
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## Environmental Impact
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<!-- Total emissions (in grams of CO2eq) and additional considerations, such as electricity usage, go here. Edit the suggested text below accordingly -->
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Carbon emissions can be estimated using the [Machine Learning Impact calculator](https://mlco2.github.io/impact#compute) presented in [Lacoste et al. (2019)](https://arxiv.org/abs/1910.09700).
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- **Hardware Type:** [More Information Needed]
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- **Hours used:** [More Information Needed]
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- **Cloud Provider:** [More Information Needed]
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- **Carbon Emitted:** [More Information Needed]
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## Technical Specifications [optional]
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### Model Architecture and Objective
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### Compute Infrastructure
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#### Hardware
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#### Software
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## Citation [optional]
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<!-- If there is a paper or blog post introducing the model, the APA and Bibtex information for that should go in this section. -->
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**BibTeX:**
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## Model Card Contact
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### Framework versions
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- PEFT 0.18.1
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# MedGemma Temporal Change Detection (LoRA Adapter)
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This repository provides **LoRA adapters** fine-tuned on top of **google/medgemma-1.5-4b-it** for exploring **temporal change detection in dermatoscopic image pairs**.
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The project investigates whether lightweight parameter-efficient fine-tuning can adapt a multimodal medical foundation model to a **novel temporal reasoning task**.
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### Model Description
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This repository contains LoRA adapters only, not a full model checkpoint.
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- **Developed and shared by:** Dung Claire Tran ([@dunktra](https://huggingface.co/dunktra))
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- **Base Model:** [google/medgemma-1.5-4b-it](https://huggingface.co/google/medgemma-1.5-4b-it)
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- **Fine-Tuning Method:** LoRA (Low-Rank Adaptation, PEFT)
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- **Model type:** Vision–Language Model (VLM) adapter
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- **Task:** Binary classification of temporal change in skin lesion image pairs
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- **Dataset:** dunktra/dermacheck-temporal-pairs (synthetic temporal pairs)
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- **Language(s) (NLP):** English
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- **License:** Inherits license from google/medgemma-1.5-4b-it
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### Model Sources
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- **Repository:** [Kaggle notebook (training & evaluation)](https://www.kaggle.com/code/dungclairetran/dermacheck-medgemma-lora-fine-tuning)
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## Uses
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### Direct Use
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- Research and experimentation with **temporal reasoning in medical imaging**
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- Evaluation of **LoRA fine-tuning feasibility** on multimodal medical foundation models
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- Educational and benchmarking purposes
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### Out-of-Scope Use
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- Clinical diagnosis or medical decision-making
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- Deployment in real-world healthcare settings without clinical validation
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This model is **not a medical device**.
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## Limitations
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- Fine-tuning effects may not surface when using **keyword-based label extraction**
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- Binary classification may mask improvements in:
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- reasoning structure
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- explanatory language
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- uncertainty expression
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- Synthetic temporal data limits real-world generalization
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- Inherits all limitations of the base MedGemma model
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Users (both direct and downstream) should be made aware of the risks, biases and limitations of the model. More information needed for further recommendations.
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Use the code below to get started with the model.
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```
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from transformers import AutoModelForVision2Seq, AutoProcessor
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from peft import PeftModel
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import torch
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base_model = AutoModelForVision2Seq.from_pretrained(
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"google/medgemma-1.5-4b-it",
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torch_dtype=torch.bfloat16,
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device_map="auto"
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model = PeftModel.from_pretrained(
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base_model,
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"dunktra/medgemma-temporal-lora"
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processor = AutoProcessor.from_pretrained(
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"dunktra/medgemma-temporal-lora"
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```
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## Training Details
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### Training Data
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- **Source:** [dunktra/dermacheck-temporal-pairs](https://huggingface.co/datasets/dunktra/dermacheck-temporal-pairs)
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- **Description:** Synthetic before/after dermatoscopic image pairs labeled for temporal change
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- **Splits:**
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- **Training:** ~630 pairs
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- **Validation:** ~135 pairs
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- **Test:** 135 pairs
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**Note:** *The dataset consists of **synthetic temporal pairs**, not real longitudinal patient data.*
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### Training Configuration
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- **LoRA Rank (r):** 8
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- **LoRA Alpha:** 16
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- **Target Modules:** q_proj, k_proj, v_proj, o_proj
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- **LoRA Dropout:** 0.05
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- **Epochs:** 3
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- **Effective Batch Size:** 16
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- **Learning Rate:** 2e-4
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- **Precision:** bfloat16
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- **Frameworks:** Transformers + PEFT
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## Evaluation
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#### Metrics
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- Precision
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- Recall
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- F1 score (binary classification)
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### Results (Test Set: 135 temporal pairs)
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| Metric | Base MedGemma | Fine-Tuned (LoRA) | Change |
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|------------|---------------|-------------------|--------|
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| F1 Score | 0.8797 | 0.8797 | +0.00% |
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| Precision | 0.7852 | 0.7852 | +0.00% |
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| Recall | 1.0000 | 1.0000 | +0.00% |
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LoRA fine-tuning **did not** yield measurable improvements under the current evaluation protocol.
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### Qualitative Analysis
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- No test cases were found where the fine-tuned model corrected errors made by the base model.
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- Fine-tuning did not alter binary decision outcomes given the current response-parsing heuristic.
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## License
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- This adapter inherits the license and usage restrictions of:
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- **google/medgemma-1.5-4b-it**
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- Underlying datasets used by the base model
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- Non-commercial research use only.
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## Acknowledgements
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- Google MedGemma team
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- PEFT / Hugging Face ecosystem
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*Created for the **MedGemma Impact Challenge 2026 – Novel Task Exploration**.*
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## Model Card Contact
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[dunktra](https://huggingface.co/dunktra)
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### Framework versions
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- PEFT 0.18.1
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