Research #Google#Open models Oct 26, 2026 · Originally published Oct 23

Google details TB screening in the field: a partner device has read 25,000 chest X-rays, and open MedGemma has passed 10 million downloads

A full path from paper to clinic: certification, deployment, then open models that countries build on themselves. This looks at how open foundation models get used in a regulated field.

Primary source Google Research Blog · research.google Read the original ↗

// Key points

  • Partner Nexus AI turned Google's chest X-ray algorithms into a certified diagnostic tool with EU MDR Class IIb and ISO 13485. It runs in about 40 facilities across six countries, where over 90 clinicians have evaluated more than 25,000 chest X-rays, with results in as little as 45 seconds.
  • Through HAI-DEF Google open-sourced chest X-ray embeddings and the medical vision-language model MedSigLIP, and released MedGemma, open-weight multimodal models in 4B and 27B sizes that run on-device offline; MedGemma has passed 10 million downloads.
  • Indonesia's Ministry of Health, aiming to screen 50 million people a year, is fine-tuning MedGemma and MedSigLIP on domestic chest X-rays, running on local infrastructure so patient data stays in the country.
  • HeAR, trained on over 300 million audio segments, screens from cough sounds recorded on a standard smartphone microphone.

Builder's takeFor anyone selling to enterprises or regulated industries this is more useful than a model launch: open weights plus local deployment solve the rule that data can't leave the country, not just cost. Selling to hospitals or governments, I'd put runs offline and fine-tunes on the customer's own machines on page one of the proposal.

// Background · from #Google

Full timeline →
  1. Oct 23 Claude Models on Google Cloud (Anthropic managed) launches: the Claude API run by Anthropic, reached through a Google Cloud project, with IAM for access and Marketplace for billing
  2. Oct 22 OpenAI's frontier models and Codex workflows are coming to Google Cloud through Model Garden and Google Cloud Marketplace
  3. Oct 20 Gemini Notebook lets users review an outline before Slide Decks and Video Overviews render, rolling out globally over the next week

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