Abstract:Medical Visual Question Answering (MedVQA) has gained increasing attention at the intersection of computer vision and natural language processing. Its capability to interpret radiological images and deliver precise answers to clinical inquiries positions MedVQA as a valuable tool for supporting diagnostic decision-making for physicians and alleviating the workload on radiologists. While recent approaches focus on using unified pre-trained large models for multi-modal fusion like cross-modal Transformers, research on more efficient fusion methods remains relatively scarce within this discipline. In this paper, we introduce a novel fusion model that integrates Orthogonality loss, Multi-head attention and Bilinear Attention Network (OMniBAN) to achieve high computational efficiency and strong performance without the need for pre-training. We conduct comprehensive experiments and clarify aspects of how to enhance bilinear attention fusion to achieve performance comparable to that of large models. Experimental results show that OMniBAN outperforms traditional models on key MedVQA benchmarks while maintaining a lower computational cost, which indicates its potential for efficient clinical application in radiology and pathology image question answering.