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Healthcare is increasingly embracing AI to improve workflow management, patient communication, and diagnostic and treatment support. It’s critical that these AI-based systems are not only high-performing, but also efficient and privacy-preserving. It’s with these considerations in mind that we built and recently released Health AI Developer Foundations (HAI-DEF). HAI-DEF is a collection of lightweight open models designed to offer developers robust starting points for their own health research and application development. Because HAI-DEF models are open, developers retain full control over privacy, infrastructure and modifications to the models. In May of this year, we expanded the HAI-DEF collection with MedGemma, a collection of generative models based on Gemma 3 that are designed to accelerate healthcare and lifesciences AI development.

Today, we’re proud to announce two new models in this collection. The first is MedGemma 27B Multimodal, which complements the previously-released 4B Multimodal and 27B text-only models by adding support for complex multimodal and longitudinal electronic health record interpretation. The second new model is MedSigLIP, a lightweight image and text encoder for classification, search, and related tasks. MedSigLIP is based on the same image encoder that powers the 4B and 27B MedGemma models.

MedGemma and MedSigLIP are strong starting points for medical research and product development. MedGemma is useful for medical text or imaging tasks that require generating free text, like report generation or visual question answering. MedSigLIP is recommended for imaging tasks that involve structured outputs like classification or retrieval. All of the above models can be run on a single GPU, and MedGemma 4B and MedSigLIP can even be adapted to run on mobile hardware.

Full details of MedGemma and MedSigLIP development and evaluation can be found in the MedGemma technical report.

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