Enhancing RAG-based Medical VQA with Gated Multimodal Representations

Daniela Jimenez-Pano, Hugo Jair Escalante, Delia Irazú Hernández-Farías

Medical Vision-Language Models (Med-LVLMs) have shown strong performance in Medical Visual Question Answering (MVQA), yet they may still produce factually inconsistent responses. Retrieval-Augmented Generation (RAG) can mitigate this issue by incorporating external clinical evidence; however, retrieval is often guided by a single modality, potentially overlooking the joint semantics of medical images and clinical questions. We introduce a multimodal RAG framework that learns a joint query representation through a Gated Multimodal Unit, enabling evidence retrieval to leverage information from both modalities while keeping the underlying Med-LVLM frozen. We evaluate the proposed approach on benchmark datasets. Results show that the multimodal query representation consistently outperforms a reference Med-LVLM and remains competitive with state-of-the-art methods. Our findings demonstrate the potential of multimodal query representations for more effective evidence retrieval in Medical VQA.