Dimitrios I. Zaridis, Traianos Tsiokris, Vasileios C. Pezoulas +6cs.CV cs.AI
Image based dietary assessment offers a scalable alternative to self reported food diaries, yet fine-grained food recognition remains challenging due to high intra-class variability and visually similar dishes. This study presents OliveGemma, a vision language model for recognising and reasoning about Mediterranean and European cuisine. Built on the open-weight PaliGemma-2-3B architecture, OliveGemma is fine-tuned with LoRA on a unified corpus of 17,340 images from three European research project datasets (MedGR, ODIN, and VIPPSTAR), reconciled into a vocabulary of 216 composed dish categories and paired with 102,642 instruction style question-answer items covering dish recognition, likely and visible ingredients, class boundary discrimination, visual evidence and overall visual food understanding. Under a 3-fold cross-validation scheme, OliveGemma achieves a top-1 accuracy of 92.96% +/- 0.91%, exceeding the strongest CNN baseline (DenseNet-121) by 7.31% and outperforming zero-shot frontier models with exact instructions and bounded classes including Gemini Flash 3 and 3.5, GPT-5.4 Mini, and Claude Haiku 4.6 by 8%, 46%, and 64% respectively. Furthermore, OliveGemma demonstrates competitive performance on Top-3 and Top-5 accuracy, being second best across CNNs and frontier models, surpassed only by DenseNet-121. In addition, OliveGemma achieves 90.79% +/- 1.3% Exact-Set on the likely ingredients of the food categories. These results demonstrate that PEFT adaptation of a small VLM can surpass substantially larger proprietary models on specialised food recognition. The model is publicly available at https://huggingface.co/JamesZar/OliveGemma-3B and the experiments and results can be found at https://github.com/tsiokris/OliveGemma.
Multimodal Large Language Models (MLLMs) are increasingly used for dietary assessment from meal images, where retrieval-augmented grounding was shown to sharpen nutrition estimates. However, we find this premise no longer holds for current MLLMs. A modern MLLM's direct estimate now matches or surpasses the full retrieval pipeline. This raises a question: if retrieval no longer improves the overall estimate, can it still deliver the two things clinicians value, accurate portions and a traceable, item-by-item record? We pursue this while preserving what matters for clinical adoption: minimal user burden (a single, unannotated meal image), explainability (an auditable record), and privacy (locally hosted inference). We introduce Open-KNEAD, a knowledge-grounded agentic framework for meal nutrition estimation that is training-free and locally deployable. Each decomposed food item is grounded to a Food and Nutrient Database for Dietary Studies (FNDDS) code via selective, nutrient-aware retrieval, composing an auditable per-item record. Across two open MLLM families and three cuisines, Open-KNEAD improves portion estimates over both prior grounding methods and direct estimation in most backbone-dataset settings. An agent-internal recipe-prior step further recovers the invisible cooking-added energy that biases estimates on non-US cuisine. The advantage is largest on the dietitian-verified ACETADA dataset, where the local open agent surpasses the direct portion estimates of two frontier closed models by roughly $30\%$ and $53\%$, all while keeping every meal image on local hardware. We release the Open-KNEAD framework and its agent-ready FNDDS knowledge base.