Abstract
Magnetic Resonance Imaging (MRI) is indispensable in clinical practice but remains constrained by fragmented, multi-stage workflows encompassing acquisition, reconstruction, segmentation, detection, diagnosis, and reporting. While deep learning has achieved progress in individual tasks, existing approaches are often anatomy- or application-specific and lack generalizability across diverse clinical settings. Moreover, current pipelines rarely integrate imaging data with complementary language information that radiologists rely on in routine practice. Here, we introduce OmniMRI, a unified vision-language foundation model designed to generalize across the entire MRI workflow. OmniMRI is trained on a large-scale, heterogeneous corpus curated from 60 public datasets, over 220,000 MRI volumes and 19 million MRI slices, incorporating image-only data, paired vision-text data, and instruction-response data. Its multi-stage training paradigm, comprising self-supervised vision pretraining, vision