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Dec 19

MedGemma Technical Report

Artificial intelligence (AI) has significant potential in healthcare applications, but its training and deployment faces challenges due to healthcare's diverse data, complex tasks, and the need to preserve privacy. Foundation models that perform well on medical tasks and require less task-specific tuning data are critical to accelerate the development of healthcare AI applications. We introduce MedGemma, a collection of medical vision-language foundation models based on Gemma 3 4B and 27B. MedGemma demonstrates advanced medical understanding and reasoning on images and text, significantly exceeding the performance of similar-sized generative models and approaching the performance of task-specific models, while maintaining the general capabilities of the Gemma 3 base models. For out-of-distribution tasks, MedGemma achieves 2.6-10% improvement on medical multimodal question answering, 15.5-18.1% improvement on chest X-ray finding classification, and 10.8% improvement on agentic evaluations compared to the base models. Fine-tuning MedGemma further improves performance in subdomains, reducing errors in electronic health record information retrieval by 50% and reaching comparable performance to existing specialized state-of-the-art methods for pneumothorax classification and histopathology patch classification. We additionally introduce MedSigLIP, a medically-tuned vision encoder derived from SigLIP. MedSigLIP powers the visual understanding capabilities of MedGemma and as an encoder achieves comparable or better performance than specialized medical image encoders. Taken together, the MedGemma collection provides a strong foundation of medical image and text capabilities, with potential to significantly accelerate medical research and development of downstream applications. The MedGemma collection, including tutorials and model weights, can be found at https://goo.gle/medgemma.

SWEnergy: An Empirical Study on Energy Efficiency in Agentic Issue Resolution Frameworks with SLMs

Context. LLM-based autonomous agents in software engineering rely on large, proprietary models, limiting local deployment. This has spurred interest in Small Language Models (SLMs), but their practical effectiveness and efficiency within complex agentic frameworks for automated issue resolution remain poorly understood. Goal. We investigate the performance, energy efficiency, and resource consumption of four leading agentic issue resolution frameworks when deliberately constrained to using SLMs. We aim to assess the viability of these systems for this task in resource-limited settings and characterize the resulting trade-offs. Method. We conduct a controlled evaluation of four leading agentic frameworks (SWE-Agent, OpenHands, Mini SWE Agent, AutoCodeRover) using two SLMs (Gemma-3 4B, Qwen-3 1.7B) on the SWE-bench Verified Mini benchmark. On fixed hardware, we measure energy, duration, token usage, and memory over 150 runs per configuration. Results. We find that framework architecture is the primary driver of energy consumption. The most energy-intensive framework, AutoCodeRover (Gemma), consumed 9.4x more energy on average than the least energy-intensive, OpenHands (Gemma). However, this energy is largely wasted. Task resolution rates were near-zero, demonstrating that current frameworks, when paired with SLMs, consume significant energy on unproductive reasoning loops. The SLM's limited reasoning was the bottleneck for success, but the framework's design was the bottleneck for efficiency. Conclusions. Current agentic frameworks, designed for powerful LLMs, fail to operate efficiently with SLMs. We find that framework architecture is the primary driver of energy consumption, but this energy is largely wasted due to the SLMs' limited reasoning. Viable low-energy solutions require shifting from passive orchestration to architectures that actively manage SLM weaknesses.

  • 3 authors
·
Dec 10

Pushing on Multilingual Reasoning Models with Language-Mixed Chain-of-Thought

Recent frontier models employ long chain-of-thought reasoning to explore solution spaces in context and achieve stonger performance. While many works study distillation to build smaller yet capable models, most focus on English and little is known about language-specific reasoning. To bridge this gap, we first introduct **Language-Mixed CoT**, a reasoning schema that switches between English and a target language, using English as an anchor to excel in reasoning while minimizing translation artificats. As a Korean case study, we curate **Yi-Sang**: 5.79M native-Korean prompts from web Q&A, exams, STEM, and code; 3.7M long reasoning traces generated from Qwen3-32B; and a targeted 260k high-yield subset. We train ninve models (4B-35B) across six families (Qwen2.5, Llama-3.1, Gemma-3, etc). Our best model, **KO-REAson-35B**, achieves state-of-the-art performance, with the highest overall average score (64.0 \pm 25), ranking first on 5/9 benchmarks and second on the remainder. Samller and mid-sized models also benefit substantially, with an average improvement of +18.6 points across teh evaluated nine benchmarks. Ablations show **Language-Mixed CoT** is more effective than monolingual CoT, also resulting in cross-lingual and mult-modal performance gains. We release our data-curation pipeline, evaluation system, datasets, and models to advance research on language-specific reasoning. Data and model collection: https://huggingface.co/KOREAson.

KOREAson KO-REAson
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Oct 5 2

Training Foundation Models on a Full-Stack AMD Platform: Compute, Networking, and System Design

We report on the first large-scale mixture-of-experts (MoE) pretraining study on pure AMD hardware, utilizing both MI300X GPUs with Pollara interconnect. We distill practical guidance for both systems and model design. On the systems side, we deliver a comprehensive cluster and networking characterization: microbenchmarks for all core collectives (all-reduce, reduce-scatter, all-gather, broadcast) across message sizes and GPU counts on Pollara. To our knowledge, this is the first at this scale. We further provide MI300X microbenchmarks on kernel sizing and memory bandwidth to inform model design. On the modeling side, we introduce and apply MI300X-aware transformer sizing rules for attention and MLP blocks and justify MoE widths that jointly optimize training throughput and inference latency. We describe our training stack in depth, including often-ignored utilities such as fault-tolerance and checkpoint-reshaping, as well as detailed information on our training recipe. We also provide a preview of our model architecture and base model - ZAYA1 (760M active, 8.3B total parameters MoE) - which will be further improved upon in forthcoming papers. ZAYA1-base achieves performance comparable to leading base models such as Qwen3-4B and Gemma3-12B at its scale and larger, and outperforms models including Llama-3-8B and OLMoE across reasoning, mathematics, and coding benchmarks. Together, these results demonstrate that the AMD hardware, network, and software stack are mature and optimized enough for competitive large-scale pretraining.

Zyphra Zyphra
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Nov 21 1