Project AURIONAI Use-Cases Research & Innovation
Google
multimodal LLM

MedGemma 1.5 4B

Update of MedGemma 4B (arXiv 2604.05081, 6 Apr 2026) adding 3D CT and MRI, whole-slide pathology, anatomical localization, longitudinal chest X-ray and document understanding. Reported gains over MedGemma 1 4B: MedQA +5%, EHRQA +22%, WSI macro F1 +47%, 3D MRI +11% (absolute or relative not stated).

Figure from the MedGemma 1.5 4B paper: Overview of MedGemma 1.5 capabilities.
Levelmodel
Classmultimodal LLM
Parameters4B
Contextnot in the notes
Released6 Apr 2026
Opennessopen weights restricted
Runs onnot in the notes
Statusnot in the notes

Lineage

finetunesuccessor
Gemma 3 4B to MedGemma 4B: finetune, high confidenceMedGemma 4B to MedGemma 1.5 4B: successor, high confidenceGemma 3 4BGemma 3 4BGoogle, Mar 2025MedGemma 4BMedGemma 4BGoogleMedGemma 1.5 4BMedGemma 1.5 4BGoogle, Apr 2026
GoogleMedGemma 4B is the parent (successor)high confidencenotes
Where this comes from
Parent and child relations from model cards, Hugging Face base_model fields and the genealogy tables of the research notes. The tree shows two generations each way, 3 models. Confidence and evidence are the notes' own.

Industry Use Cases

R&D Topics

Identity

Developer
Google
Family
MedGemma
Released
6 Apr 2026 sourcesnotes
Weights published
–
Record checked
10 Oct 2026
Where this comes from
Developer and dates from the research notes. Release date is the vendor's public announcement; weights date is when open weights were published.

Architecture and Size

Architecture
not in the notes
Total parameters
4B sources
Active parameters
–
Checkpoint parameters
–
Context length
not in the notes
Input
text, image, 3D
Output
text
Where this comes from
Parameter counts as the developer states them. Where the checkpoint holds a different total, both are shown (register A16).

Openness and Access

Openness
open weights restricted
Licence
Health AI Developer Foundations terms of use sources
Access routes
open weights download
Where this comes from
The licence file governs over registry tags and aggregator labels.

Deployment

Runs on
not in the notes
Footprint
On premises or in the cloud (open weights).
Runtimes
not in the notes
Where this comes from
Deployment tiers and runtimes as named in the notes. Footprint is the notes' figure, not a measurement by AURION.

Indonesia

Indonesian support
not stated
Regional languages
not in the notes
Jakarta hosting
unknown
Languages
not in the notes
Where this comes from
Indonesia fields are carried on every model; unknown is an allowed value.

Benchmark Results

The notes record no benchmark result for this model.

Sources

  1. MedGemma 1.5 Technical Report arxiv.org https://arxiv.org/abs/2604.05081

To cite this page: Project AURION, AI Use-Cases Research & Innovation, "MedGemma 1.5 4B", https://aurion.semai.id/models/google-medgemma-1-5-4b/, records of October 2026.