This report synthesises findings from 8 peer-reviewed papers addressing the following research question: How do different alignment strategies in multimodal models impact inference throughput in low-resource settings when evaluated on BRATS with simulated versus real MR scans. 7 claims were extracted from source literature; 7 were independently verified against retrieved documents. An automated multi-reviewer quality assessment produced a score of 8.5/10. This report is a machine-generated literature synthesis and does not constitute original research.Research goal: How do different alignment strategies in multimodal models impact inference throughput in low-resource settings when evaluated on BRATS with simulated versus real MR scans?Autonomous literature synthesis. Automated review score: 8.5/10. Full text and citation available at Assignee Research.