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Nov 5

NitroFusion2: Bringing Adversarial Loss to the Text Stream of Multimodal Diffusion Transformers

Adversarial diffusion distillation has conventionally relied on image features for discrimination. We revisit this choice for multimodal diffusion transformers (MMDiTs), whose text stream becomes image-dependent through joint attention. We introduce Text-Stream Adversarial Distillation (TSAD), which exploits intermediate text-token states as a new adversarial representation. Because the text stream has already read the image while remaining tied to the text condition, changing that condition changes what information it extracts from the image. Building on this property, we introduce Aspect-Cued Discrimination (ACD), which conditions the discriminator on different aspects of the sample, such as typography, objects, or style, to steer which properties are emphasized during adversarial training. Building on the expert-discriminator design of NitroFusion, we integrate TSAD and ACD in NitroFusion2. NitroFusion2 brings few-step distillation from the conventional 4-8-step regime down to just 1-2 steps at comparable quality. At one step, it produces sharp rendered text and rich fine-grained details, making one-step generation practical rather than merely a stress test for distillation. At two steps, it remains competitive across the evaluated benchmarks. These results establish the MMDiT text stream as a powerful and steerable representation for adversarial diffusion distillation.

SketchX SketchX
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Nov 3 1

Dual RL: Unification and New Methods for Reinforcement and Imitation Learning

The goal of reinforcement learning (RL) is to find a policy that maximizes the expected cumulative return. It has been shown that this objective can be represented as an optimization problem of state-action visitation distribution under linear constraints. The dual problem of this formulation, which we refer to as dual RL, is unconstrained and easier to optimize. In this work, we first cast several state-of-the-art offline RL and offline imitation learning (IL) algorithms as instances of dual RL approaches with shared structures. Such unification allows us to identify the root cause of the shortcomings of prior methods. For offline IL, our analysis shows that prior methods are based on a restrictive coverage assumption that greatly limits their performance in practice. To fix this limitation, we propose a new discriminator-free method ReCOIL that learns to imitate from arbitrary off-policy data to obtain near-expert performance. For offline RL, our analysis frames a recent offline RL method XQL in the dual framework, and we further propose a new method f-DVL that provides alternative choices to the Gumbel regression loss that fixes the known training instability issue of XQL. The performance improvements by both of our proposed methods, ReCOIL and f-DVL, in IL and RL are validated on an extensive suite of simulated robot locomotion and manipulation tasks. Project code and details can be found at this https://hari-sikchi.github.io/dual-rl.

  • 4 authors
·
Feb 16, 2023

Adversarial Imitation Learning via Boosting

Adversarial imitation learning (AIL) has stood out as a dominant framework across various imitation learning (IL) applications, with Discriminator Actor Critic (DAC) (Kostrikov et al.,, 2019) demonstrating the effectiveness of off-policy learning algorithms in improving sample efficiency and scalability to higher-dimensional observations. Despite DAC's empirical success, the original AIL objective is on-policy and DAC's ad-hoc application of off-policy training does not guarantee successful imitation (Kostrikov et al., 2019; 2020). Follow-up work such as ValueDICE (Kostrikov et al., 2020) tackles this issue by deriving a fully off-policy AIL objective. Instead in this work, we develop a novel and principled AIL algorithm via the framework of boosting. Like boosting, our new algorithm, AILBoost, maintains an ensemble of properly weighted weak learners (i.e., policies) and trains a discriminator that witnesses the maximum discrepancy between the distributions of the ensemble and the expert policy. We maintain a weighted replay buffer to represent the state-action distribution induced by the ensemble, allowing us to train discriminators using the entire data collected so far. In the weighted replay buffer, the contribution of the data from older policies are properly discounted with the weight computed based on the boosting framework. Empirically, we evaluate our algorithm on both controller state-based and pixel-based environments from the DeepMind Control Suite. AILBoost outperforms DAC on both types of environments, demonstrating the benefit of properly weighting replay buffer data for off-policy training. On state-based environments, DAC outperforms ValueDICE and IQ-Learn (Gary et al., 2021), achieving competitive performance with as little as one expert trajectory.

  • 5 authors
·
Apr 12, 2024

Beyond SFT-to-RL: Pre-alignment via Black-Box On-Policy Distillation for Multimodal RL

The standard post-training recipe for large multimodal models (LMMs) applies supervised fine-tuning (SFT) on curated demonstrations followed by reinforcement learning with verifiable rewards (RLVR). However, SFT introduces distributional drift that neither preserves the model's original capabilities nor faithfully matches the supervision distribution. This problem is further amplified in multimodal reasoning, where perception errors and reasoning failures follow distinct drift patterns that compound during subsequent RL. We introduce PRISM, a three-stage pipeline that mitigates this drift by inserting an explicit distribution-alignment stage between SFT and RLVR. Building on the principle of on-policy distillation (OPD), PRISM casts alignment as a black-box, response-level adversarial game between the policy and a Mixture-of-Experts (MoE) discriminator with dedicated perception and reasoning experts, providing disentangled corrective signals that steer the policy toward the supervision distribution without requiring access to teacher logits. While 1.26M public demonstrations suffice for broad SFT initialization, distribution alignment demands higher-fidelity supervision; we therefore curate 113K additional demonstrations from Gemini 3 Flash, featuring dense visual grounding and step-by-step reasoning on the hardest unsolved problems. Experiments on Qwen3-VL show that PRISM consistently improves downstream RLVR performance across multiple RL algorithms (GRPO, DAPO, GSPO) and diverse multimodal benchmarks, improving average accuracy by +4.4 and +6.0 points over the SFT-to-RLVR baseline on 4B and 8B, respectively. Our code, data, and model checkpoints are publicly available at https://github.com/XIAO4579/PRISM.

HKUSTGZ HKUSTGZ
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Apr 30 4

Expert Personas Improve LLM Alignment but Damage Accuracy: Bootstrapping Intent-Based Persona Routing with PRISM

Persona prompting can steer LLM generation towards a domain-specific tone and pattern. This behavior enables use cases in multi-agent systems where diverse interactions are crucial and human-centered tasks require high-level human alignment. Prior works provide mixed opinions on their utility: some report performance gains when using expert personas for certain domains and their contribution to data diversity in synthetic data creation, while others find near-zero or negative impact on general utility. To fully leverage the benefits of the LLM persona and avoid its harmfulness, a more comprehensive investigation of the mechanism is crucial. In this work, we study how model optimization, task type, prompt length, and placement can impact expert persona effectiveness across instruction-tuned and reasoning LLMs, and provide insight into conditions under which expert personas fail and succeed. Based on our findings, we developed a pipeline to fully leverage the benefits of an expert persona, named PRISM (Persona Routing via Intent-based Self-Modeling), which self-distills an intent-conditioned expert persona into a gated LoRA adapter through a bootstrapping process that requires no external data, models, or knowledge. PRISM enhances human preference and safety alignment on generative tasks while maintaining accuracy on discriminative tasks across all models, with minimal memory and computing overhead.

  • 3 authors
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Mar 18

Most discriminative stimuli for functional cell type clustering

Identifying cell types and understanding their functional properties is crucial for unraveling the mechanisms underlying perception and cognition. In the retina, functional types can be identified by carefully selected stimuli, but this requires expert domain knowledge and biases the procedure towards previously known cell types. In the visual cortex, it is still unknown what functional types exist and how to identify them. Thus, for unbiased identification of the functional cell types in retina and visual cortex, new approaches are needed. Here we propose an optimization-based clustering approach using deep predictive models to obtain functional clusters of neurons using Most Discriminative Stimuli (MDS). Our approach alternates between stimulus optimization with cluster reassignment akin to an expectation-maximization algorithm. The algorithm recovers functional clusters in mouse retina, marmoset retina and macaque visual area V4. This demonstrates that our approach can successfully find discriminative stimuli across species, stages of the visual system and recording techniques. The resulting most discriminative stimuli can be used to assign functional cell types fast and on the fly, without the need to train complex predictive models or show a large natural scene dataset, paving the way for experiments that were previously limited by experimental time. Crucially, MDS are interpretable: they visualize the distinctive stimulus patterns that most unambiguously identify a specific type of neuron.

  • 18 authors
·
Nov 29, 2023

Bridging Expert Knowledge and Automated Feature Engineering via Self-Evolution

In high-stakes settings such as brand compliance, clinical care, and content moderation, machine learning cannot be deployed as opaque oracles: practitioners inspect the features driving model decisions, and models must leverage the expert documentation governing these domains. In practice, the data arrives as unstructured content, and features extracted from it must be interpretable, discriminative, and aligned with what experts consider important. Existing methods fall short: they target tabular inputs, lack demonstrated expert alignment, and cannot operationalize qualitative criteria such as 'maintain professional tone' into precise features. We present FEST (Feature Engineering with Self-evolving Trees), combining dual-stream feature generation (semantic and deterministic), semantic deduplication, and tree-guided iterative evolution to discover auditable features from raw text and images. FEST leads in 17 of 20 classifier-task combinations across brand classification, content authenticity detection, and stress detection, with a mean gain of 4.2 pp over the strongest baseline across five classifiers. An LLM-as-judge evaluation shows FEST achieves 60-80% coverage of expert-designed brand features at strict semantic-alignment thresholds, corroborated by a human expert study rating features highly on relevance, clarity, and actionability. When seeded with expert guidelines, FEST refines qualitative criteria into operational features, improving accuracy by 6-12 pp on average across brands. To enable systematic evaluation of expert alignment in automated feature engineering, we release BrandGuide, the first dataset pairing expert-designed features with 1M+ assets across 2,683 brands. By grounding feature engineering in expert knowledge, FEST opens a practical pathway for interpretable ML in domains demanding human oversight.

  • 6 authors
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Jun 6

RouteScan: A Non-Intrusive Approach to Auditing MoE LLMs Safety via Expert Routing Telemetry

As Mixture-of-Experts (MoE) architectures are increasingly adopted for scaling Large Language Models (LLMs), safety auditing becomes necessary to verify whether these models produce or facilitate harmful behaviors during operation. However, existing content-based auditing methods typically require access to user prompts, model internals, or outputs, potentially exposing sensitive user information and creating a tension between LLM safety and user privacy. On the other hand, we observe that, in MoE models, different inputs induce different sparse expert-routing patterns, which produce measurable footprints in low-level GPU execution telemetry. We refer to these hardware-observable signals induced by expert-routing decisions as expert routing telemetry; they are derived from GPU execution rather than from router logits or token-level routing assignments. Inspired by this observation, we propose RouteScan, a non-intrusive auditing framework for detecting harmful behaviors through such routing-induced GPU telemetry. Specifically, RouteScan utilizes the number of active GPU threads allocated to expert modules during the prefilling phase as a discriminative micro-architectural fingerprint, and builds a lightweight detection pipeline that isolates cross-domain invariant risk indicators for the precise identification of malicious prompts. Comprehensive evaluations on four open-source MoE LLMs with distinct routing designs demonstrate that RouteScan achieves strong generalization, with an AUROC exceeding 0.91 on unseen harmful domains. Moreover, privacy stress tests show that, although aggregated execution telemetry retains input-related attribute information, full prompts and exact sensitive fields cannot be reliably recovered under the evaluated attacks.

  • 7 authors
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Aug 20

Unified Multi-Domain Graph Pre-training for Homogeneous and Heterogeneous Graphs via Domain-Specific Expert Encoding

Graph pre-training has achieved remarkable success in recent years, delivering transferable representations for downstream adaptation. However, most existing methods are designed for either homogeneous or heterogeneous graphs, thereby hindering unified graph modeling across diverse graph types. This separation contradicts real-world applications, where mixed homogeneous and heterogeneous graphs are ubiquitous, and distribution shifts between upstream pre-training and downstream deployment are common. In this paper, we empirically demonstrate that a balanced mixture of homogeneous and heterogeneous graph pre-training benefits downstream tasks and propose a unified multi-domain Graph Pre-training method across Homogeneous and Heterogeneous graphs (GPH^{2}). To address the lack of a unified encoder for homogeneous and heterogeneous graphs, we propose a Unified Multi-View Graph Construction that simultaneously encodes both without explicit graph-type-specific designs. To cope with the increased cross-domain distribution discrepancies arising from mixed graphs, we introduce domain-specific expert encoding. Each expert is independently pre-trained on a single graph to capture domain-specific knowledge, thereby shielding the pre-training encoder from the adverse effects of cross-domain discrepancies. For downstream tasks, we further design a Task-oriented Expert Fusion Strategy that adaptively integrates multiple experts based on their discriminative strengths. Extensive experiments on mixed graphs demonstrate that GPH^{2} enables stable transfer across graph types and domains, significantly outperforming existing graph pre-training methods.

  • 7 authors
·
Feb 13

GeoRC: A Benchmark for Geolocation Reasoning Chains

Vision Language Models (VLMs) are good at recognizing the global location of a photograph -- their geolocation prediction accuracy rivals the best human experts. But many VLMs are startlingly bad at explaining which image evidence led to their prediction, even when their location prediction is correct. The reasoning chains produced by VLMs frequently hallucinate scene attributes to support their location prediction (e.g. phantom writing, imagined infrastructure, misidentified flora). In this paper, we introduce the first benchmark for geolocation reasoning chains. We focus on the global location prediction task in the popular GeoGuessr game which draws from Google Street View spanning more than 100 countries. We collaborate with expert GeoGuessr players, including the reigning world champion, to produce 800 ground truth reasoning chains for 500 query scenes. These expert reasoning chains address hundreds of different discriminative visual attributes such as license plate shape, architecture, and soil properties to name just a few. We evaluate LLM-as-a-judge and VLM-as-a-judge strategies for scoring VLM-generated reasoning chains against our expert reasoning chains and find that Qwen 3 LLM-as-a-judge correlates best with human scoring. Our benchmark reveals that while large, closed-source VLMs such as Gemini and GPT 5 rival human experts at prediction locations, they still lag behind human experts when it comes to producing auditable reasoning chains. Open weights VLMs such as Llama and Qwen catastrophically fail on our benchmark -- they perform only slightly better than a baseline in which an LLM hallucinates a reasoning chain with oracle knowledge of the photo location but no visual information at all. We believe the gap between human experts and VLMs on this task points to VLM limitations at extracting fine-grained visual attributes from high resolution images.

  • 9 authors
·
Jan 29

EvoRubric: Self-Evolving Rubric-Driven RL for Open-Ended Generation

Reinforcement Learning (RL) has significantly advanced Large Language Models (LLMs) in verifiable domains, but aligning models for open-ended generation remains profoundly challenging due to the lack of definitive rewards. Current rubric-based RL methods mitigate this by employing explicit criteria; however, they rely heavily on static, human-annotated rubrics that inevitably cause policy lag, or expensive external proprietary models for dynamic updates. In this paper, we propose EvoRubric, a novel single-policy co-evolutionary RL framework that eliminates the reliance on static criteria and on external rubric generators. By unifying response generation and rubric generation under a single parameterized policy, EvoRubric dynamically alternates between a Reasoner and a Rubric Generator. To prevent reward hacking and ensure the reliability of generated signals, we introduce a multi-level verification pipeline featuring a meta-verifier, zero-variance pruning, and a Leave-One-Out peer consensus mechanism. Validated criteria are dynamically archived into a memory pool, yielding dense, multi-objective rewards to continuously co-optimize both roles. Extensive experiments across Medical, Writing, and Science domains demonstrate that EvoRubric consistently outperforms traditional static and external-LLM-driven alignment methods. Notably, our framework is compatible with human-expert priors. When initialized with expert-annotated rubrics, EvoRubric can further uncover novel, discriminative dimensions, achieving better performance than relying solely on static expert annotations.

  • 9 authors
·
May 27

AuthGuard: Generalizable Deepfake Detection via Language Guidance

Existing deepfake detection techniques struggle to keep-up with the ever-evolving novel, unseen forgeries methods. This limitation stems from their reliance on statistical artifacts learned during training, which are often tied to specific generation processes that may not be representative of samples from new, unseen deepfake generation methods encountered at test time. We propose that incorporating language guidance can improve deepfake detection generalization by integrating human-like commonsense reasoning -- such as recognizing logical inconsistencies and perceptual anomalies -- alongside statistical cues. To achieve this, we train an expert deepfake vision encoder by combining discriminative classification with image-text contrastive learning, where the text is generated by generalist MLLMs using few-shot prompting. This allows the encoder to extract both language-describable, commonsense deepfake artifacts and statistical forgery artifacts from pixel-level distributions. To further enhance robustness, we integrate data uncertainty learning into vision-language contrastive learning, mitigating noise in image-text supervision. Our expert vision encoder seamlessly interfaces with an LLM, further enabling more generalized and interpretable deepfake detection while also boosting accuracy. The resulting framework, AuthGuard, achieves state-of-the-art deepfake detection accuracy in both in-distribution and out-of-distribution settings, achieving AUC gains of 6.15% on the DFDC dataset and 16.68% on the DF40 dataset. Additionally, AuthGuard significantly enhances deepfake reasoning, improving performance by 24.69% on the DDVQA dataset.

  • 9 authors
·
Jun 3, 2025

HCSU: A Dataset and Benchmark for Fine-Grained Historical Calligraphy Style Understanding

Automated fine-grained perception of calligraphy styles--a task vital to cultural heritage preservation--remains a critical challenge for Large Vision-Language Models (LVLMs), largely constrained by existing datasets that suffer from modal mixture and flattened labels. To bridge this gap, we introduce HCSU, the first comprehensive dataset tailored for fine-grained Historical Calligraphy Style Understanding. HCSU comprises 39,307 meticulously curated character images from 49 historically prominent calligraphers across 10 dynasties, systematically decoupling authentic ink manuscripts (Tie) from stone rubbings (Bei) to resolve the long-standing modal mixture problem. Moving beyond conventional flattened labels, HCSU provides hierarchical expert-written aesthetic descriptions, enabling two rigorous evaluation protocols: fine-grained style discrimination and interpretable aesthetic reasoning. Extensive evaluations reveal a persistent gap between calligraphy-related knowledge and visually grounded style perception: state-of-the-art LVLMs show non-trivial performance but remain sensitive to script-level, textual, and source-specific cues, and often struggle to ground aesthetic judgments in fine-grained brushwork evidence. Ultimately, the HCSU benchmark exposes fundamental limitations in current multimodal architectures, aiming to inspire the evolution of expert-level visual reasoning for cultural heritage preservation. The dataset is available at https://huggingface.co/datasets/Tongji209/HCSU.

  • 3 authors
·
Jul 4

FaithCoT-Bench: Benchmarking Instance-Level Faithfulness of Chain-of-Thought Reasoning

Large language models (LLMs) increasingly rely on Chain-of-Thought (CoT) prompting to improve problem-solving and provide seemingly transparent explanations. However, growing evidence shows that CoT often fail to faithfully represent the underlying reasoning process, raising concerns about their reliability in high-risk applications. Although prior studies have focused on mechanism-level analyses showing that CoTs can be unfaithful, they leave open the practical challenge of deciding whether a specific trajectory is faithful to the internal reasoning of the model. To address this gap, we introduce FaithCoT-Bench, a unified benchmark for instance-level CoT unfaithfulness detection. Our framework establishes a rigorous task formulation that formulates unfaithfulness detection as a discriminative decision problem, and provides FINE-CoT (Faithfulness instance evaluation for Chain-of-Thought), an expert-annotated collection of over 1,000 trajectories generated by four representative LLMs across four domains, including more than 300 unfaithful instances with fine-grained causes and step-level evidence. We further conduct a systematic evaluation of eleven representative detection methods spanning counterfactual, logit-based, and LLM-as-judge paradigms, deriving empirical insights that clarify the strengths and weaknesses of existing approaches and reveal the increased challenges of detection in knowledge-intensive domains and with more advanced models. To the best of our knowledge, FaithCoT-Bench establishes the first comprehensive benchmark for instance-level CoT faithfulness, setting a solid basis for future research toward more interpretable and trustworthy reasoning in LLMs.

  • 8 authors
·
Feb 27

EchoLVFM: One-Step Video Generation via Latent Flow Matching for Echocardiogram Synthesis

Echocardiography is widely used for assessing cardiac function, where clinically meaningful parameters such as left-ventricular ejection fraction (EF) play a central role in diagnosis and management. Generative models capable of synthesising realistic echocardiogram videos with explicit control over such parameters are valuable for data augmentation, counterfactual analysis, and specialist training. However, existing approaches typically rely on computationally expensive multi-step sampling and aggressive temporal normalisation, limiting efficiency and applicability to heterogeneous real-world data. We introduce EchoLVFM, a one-step latent video flow-matching framework for controllable echocardiogram generation. Operating in the latent space, EchoLVFM synthesises temporally coherent videos in a single inference step, achieving a sim 50times improvement in sampling efficiency compared to multi-step flow baselines while maintaining visual fidelity. The model supports global conditioning on clinical variables, demonstrated through precise control of EF, and enables reconstruction and counterfactual generation from partially observed sequences. A masked conditioning strategy further removes fixed-length constraints, allowing shorter sequences to be retained rather than discarded. We evaluate EchoLVFM on the CAMUS dataset under challenging single-frame conditioning. Quantitative and qualitative results demonstrate competitive video quality, strong EF adherence, and 57.9% discrimination accuracy by expert clinicians which is close to chance. These findings indicate that efficient, one-step flow matching can enable practical, controllable echocardiogram video synthesis without sacrificing fidelity. Code available at: https://github.com/EngEmmanuel/EchoLVFM

Scaling Continual Learning to 300+ Tasks with Bi-Level Routing Mixture-of-Experts

Continual learning, especially class-incremental learning (CIL), on the basis of a pre-trained model (PTM) has garnered substantial research interest in recent years. However, how to effectively learn both discriminative and comprehensive feature representations while maintaining stability and plasticity over very long task sequences remains an open problem. We propose CaRE, a scalable {C}ontinual Le{a}rner with efficient Bi-Level {R}outing Mixture-of-{E}xperts (BR-MoE). The core idea of BR-MoE is a bi-level routing mechanism: a router selection stage that dynamically activates relevant task-specific routers, followed by an expert routing phase that dynamically activates and aggregates experts, aiming to inject discriminative and comprehensive representations into every intermediate network layer. On the other hand, we introduce a challenging dataset, OmniBenchmark-1K, for CIL performance evaluation on very long task sequences with hundreds of tasks. Extensive experiments show that CaRE demonstrates leading performance across a variety of datasets and task settings, including commonly used CIL datasets with classical CIL settings (e.g., 5-20 tasks). To the best of our knowledge, CaRE is the first continual learner that scales to very long task sequences (ranging from 100 to over 300 non-overlapping tasks), while outperforming all baselines by a large margin on such task sequences. We hope that this work will inspire further research into continual learning over extremely long task sequences. Code and dataset are publicly released at https://github.com/LMMMEng/CaRE.

Co-ReAct: Rubrics as Step-Level Collaborators for ReAct Agents

ReAct-style agents for search-intensive, multi-step reasoning tasks rely largely on their own internal judgment to decide what evidence to seek, which reasoning or action step to take next, and when to stop, often producing shallow, redundant, or poorly targeted trajectories. Prior work has explored rubrics as external quality signals, but existing uses are mostly evaluative rather than action-guiding: rubrics typically serve as training-time rewards or post-hoc evaluators of completed outputs, and in deep-research settings they are often coarse-grained and report-level rather than step-level. We introduce Co-ReAct, a rubric-guided action-selection framework that uses rubrics as step-level guidance during inference. At each decision step, Co-ReAct injects a rubric into the agent's context to guide the next Reason-or-Act decision, specifying what the agent should target in evidence seeking, search, reasoning, or self-evaluation. To make this guidance reliable, we train a dedicated rubric generator with GRPO. Unlike prior pairwise or binary preference formulations, our objective optimizes a list-wise Spearman rank-correlation reward against multi-judge expert consensus rankings, encouraging rubrics that are discriminative rather than merely plausible. On DeepResearchBench and SQA-CS-V2, Co-ReAct consistently improves over ReAct and representative test-time compute baselines across search agents built on both 8B/14B open-source and frontier closed-source base models. The trained rubric generator can also serve as a drop-in component that improves these baselines without changing their underlying decision mechanisms. Our code is publicly available at https://github.com/ZBWpro/Co-ReAct.

  • 7 authors
·
May 21

Med-CMR: A Fine-Grained Benchmark Integrating Visual Evidence and Clinical Logic for Medical Complex Multimodal Reasoning

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.

  • 12 authors
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Mar 30