Vision-Language System using Open-Source LLMs for Gestures in Medical Interpreter Robots
Organizations: Technological University Dublin Dublin, Ireland
Abstract
Effective communication is vital in healthcare, especially across language barriers, where non-verbal cues and gestures are critical. This paper presents a privacy-preserving vision-language framework for medical interpreter robots that detects specific speech acts (consent and instruction) and generates corresponding robotic gestures. Built on locally deployed open-source models, the system utilizes a Large Language Model (LLM) with few-shot prompting for intent detection. We also introduce a novel dataset of clinical conversations annotated for speech acts and paired with gesture clips. Our identification module achieved 0.90 accuracy, 0.93 weighted precision, and a 0.91 weighted F1-Score. Our approach significantly improves computational efficiency and, in user studies, outperforms the speech-gesture generation baseline in human-likeness while maintaining comparable appropriateness.
Figures & tables
| Model | Accuracy | Precision | F1-Score | Memory (GB) |
|---|---|---|---|---|
| qwen3:8b | 0.90 | 0.93 | 0.91 | 7.2 |
| deepseek-r1:8b | 0.83 | 0.87 | 0.84 | 7.2 |
| llama3.1:8b | 0.67 | 0.83 | 0.69 | 6.8 |
| mistral:7b | 0.70 | 0.83 | 0.72 | 6.5 |
| gemma3:4b | 0.63 | 0.81 | 0.69 | 5.2 |
| llama3.2:3b | 0.56 | 0.83 | 0.60 | 4.0 |
| Approach | Human-likeness | Appropriateness | GPU RAM (MB) |
|---|---|---|---|
| SG ( Zhang et al., 2024 ) | 5.24 | 4.76 | 2260 |
| Ours | 5.78 | 5.20 | 3 |