ResearchResearch paperLarge Language Models · Computer Vision · Multimodal Models1 source · Oct 15, 2026

MedSTP: Preserving Subspace and Transition Evidence for Medical VQA Token Pruning

Medical vision-language models (VLMs) for visual question answering (VQA) often pass long visual-token sequences to the language model, making visual-token pruning attractive but risky for medical images, where answers may depend on localized boundary and texture evidence.

Key points

  • We study training free pre-decoding pruning and treat pruning as a subspace stable evidence preservation problem.
  • To this end, we propose Subspace-Transition Token Pruning (\method{}), which estimates each token's spectral support from principal component space and constructs a compact representation subspace.
  • To better reflect medical image structure, \method{} further uses a bounded token-grid transition prior to promote boundary and texture sensitive tokens.
  • These results show that \method{} is an effective training free pruning framework for medical domain VQA.

Sources (1)

  • [1]MedSTP: Preserving Subspace and Transition Evidence for Medical VQA Token Pruning
    arXiv (AI, ML, NLP, CV, robotics, multi-agent) · Oct 15, 11:38 PM
    Medical vision-language models (VLMs) for visual question answering (VQA) often pass long visual-token sequences to the language model, making visual-token pruning attractive but risky for medical images, where answers may depend on localized boundary and texture evidence.
    We study training free pre-decoding pruning and treat pruning as a subspace stable evidence preservation problem.

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