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Oct 16

Intern-Decision: Efficient Multimodal Decision Making with Autoregressive Masked Language Modeling

Interactive agents repeatedly choose among a finite set of actions, labels, or ordinal outcomes. Generating a free-form response for each choice adds latency and complicates the interface between a model and its environment. We present Intern-Decision, a family of 0.8B, 2B, and 4B multimodal decision models that return structured choices and candidate probabilities from text and optional images. Our autoregressive masked language modeling objective places one decision placeholder per field in a complete assistant JSON skeleton. Ground-truth symbols appear only in supervision, while all fields are evaluated in a single causal forward pass using the backbone's native language-model head. The 4B model achieves a 90.02% unweighted average accuracy across seven evaluation suites, compared with 88.74% for Jev v1.13.0. For a fixed 289-token request with three fields on one RTX 4090, mean latency is 44.16 ms for the 4B model and approximately 33--34 ms for the smaller models. On a separate 96-case known-distribution pilot, temperature scaling reduces expected multiclass Brier from 0.628 to 0.550 and expected calibration error from 0.213 to 0.089. A confidence-based handoff study on 111 public Jevbench-Hard items improves accuracy from 82/111 (73.87%) to 97/111 (87.39%) by routing 42 items to Atria-Dawn-Preview. We also describe qualitative game, visual interface, and browser demonstrations. These results support compact decision models as a practical component of larger agent systems.

MJev-Spatial: System One Spatial Intelligence via Native Attention Matching

Spatial intelligence lets an agent perceive and act in the physical world, and many of its judgments must be made at interaction rates: which spatial relation holds, how far an object is, or where to place it. Vision-language models (VLMs) produce these answers by free-form text generation, paying for autoregressive decoding and answer parsing even though the output space is compact: one of a few options, a scalar, or a 2D point. In light of this, we introduce MJev-Spatial, a System 1 multimodal decision model that tackles all three types of spatial understanding tasks within a unified classification framework. Specifically, MJev-Spatial treats each candidate as a class and scores it using the backbone's pretrained query and key projections, without adding parameters. The candidates are the given options for choice tasks, or value bins and image regions refined through coarse-to-fine classification for numerical and point prediction, respectively. At inference, each classification decision takes a single forward pass and generates no answer tokens. To train on heterogeneous spatial data efficiently, we supervise all coarse-to-fine stages jointly with teacher forcing in one forward pass, and combine this with length-aware global batching and cross-GPU load balancing, raising training throughput by 30.8% over the original batching strategy. Built on Qwen3.5-4B and trained on 12.3M question-answer pairs converted from existing spatial datasets, MJev-Spatial achieves the highest overall score (65.64%) among eight tested models, ranks first on seven of twelve benchmarks, and outperforms its unmodified autoregressive base model on all twelve, while running 2.5 times faster than the fastest autoregressive baseline and 5.6 times faster than the base model.

mindlab-research Mind Lab
·
Oct 14 1

MedThink: Explaining Medical Visual Question Answering via Multimodal Decision-Making Rationale

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.

  • 6 authors
·
Apr 18, 2024

PCA-Bench: Evaluating Multimodal Large Language Models in Perception-Cognition-Action Chain

We present PCA-Bench, a multimodal decision-making benchmark for evaluating the integrated capabilities of Multimodal Large Language Models (MLLMs). Departing from previous benchmarks focusing on simplistic tasks and individual model capability, PCA-Bench introduces three complex scenarios: autonomous driving, domestic robotics, and open-world games. Given task instructions and diverse contexts, the model is required to seamlessly integrate multiple capabilities of Perception, Cognition, and Action in a reasoning chain to make accurate decisions. Moreover, PCA-Bench features error localization capabilities, scrutinizing model inaccuracies in areas such as perception, knowledge, or reasoning. This enhances the reliability of deploying MLLMs. To balance accuracy and efficiency in evaluation, we propose PCA-Eval, an automatic evaluation protocol, and assess 10 prevalent MLLMs. The results reveal significant performance disparities between open-source models and powerful proprietary models like GPT-4 Vision. To address this, we introduce Embodied-Instruction-Evolution (EIE), an automatic framework for synthesizing instruction tuning examples in multimodal embodied environments. EIE generates 7,510 training examples in PCA-Bench and enhances the performance of open-source MLLMs, occasionally surpassing GPT-4 Vision (+3\% in decision accuracy), thereby validating the effectiveness of EIE. Our findings suggest that robust MLLMs like GPT4-Vision show promise for decision-making in embodied agents, opening new avenues for MLLM research.

  • 10 authors
·
Feb 21, 2024 1

RSJEV: Discriminative Remote Sensing Scene Classification with Multimodal Large Language Models

Remote sensing scene classification is a fundamental task in Earth observation and geospatial analysis. Existing approaches mainly follow three paradigms: task-specific visual classification, vision-language similarity matching, and autoregressive multimodal generation. However, visual classifiers rely on predefined label spaces, CLIP-based methods perform recognition through static image-text alignment, and multimodal large language models (MLLMs) introduce unnecessary token-level generation for classification tasks with explicit candidate categories. To address these limitations, we propose RSJEV, a one-pass multimodal decision framework for remote sensing scene classification. Unlike conventional MLLMs that formulate classification as autoregressive text generation, RSJEV reformulates scene classification as a candidate-conditioned multimodal discriminative decision process, where visual representations, task instructions, and candidate category semantics are jointly modeled. Specifically, we introduce a OnePass Decider that extracts multimodal decision states and directly estimates category probabilities within the candidate category space, eliminating autoregressive decoding while preserving vision-language interactions. Extensive experiments on three widely used remote sensing scene classification benchmarks, including UC Merced, AID, and NWPU-RESISC45, demonstrate that RSJEV achieves superior classification performance compared with representative CNN-, Transformer-, Mamba-, CLIP-, and MLLM-based methods. Moreover, RSJEV significantly reduces inference costs and achieves a better accuracy-efficiency trade-off with only a compact 0.8B-parameter model. These results demonstrate the effectiveness of state-conditioned multimodal decision making for efficient remote sensing image understanding. The code will be available at https://github.com/Dongtcs/RSJEV.

  • 6 authors
·
Oct 5

LLM-as-Jev: LLMs Are Already Jev-Style Decision Models -- When and How to Fine-Tune Them

Jev-style decision models return categorical probability distributions over predefined options without generating free-form text, enabling software systems to act on their outputs directly. In this work, we investigate the extent to which general-purpose LLMs already possess this capability out of the box, and when fine-tuning is actually necessary. We present LLM-as-Jev, an architecture-preserving framework that extracts calibrated decisions directly from next-token probabilities over bracketed numeric identifiers. LLM-as-Jev provides both a training-free inference recipe and a fine-tuning objective that optimizes candidate selection via a tree-factorized listwise loss while anchoring auxiliary predictions to the base model using KL divergence penalties. Evaluating on Qwen3.5-4B and Qwen3-0.6B, we find that modern LLMs are inherently effective decision models: without training, the 4B model matches community Jev-style models built on the same backbone, outperforms letter-logit readouts, supports arbitrary option counts, and natively handles multimodal decisions over images. Fine-tuning provides targeted rather than universal benefits -- substantially improving weaker models and specific tasks (such as many-option intent routing), but offering diminishing returns for strong backbones. Crucially, our KL anchors prevent behavioral degradation in conversational text generation, with LoRA delivering the strongest performance on capable models.

microsoft Microsoft
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Oct 3 2

OmniMed-Jev: Calibrating LVLM Confidence for Trustworthy Medical Multimodal Decisions via System One

Medical models are judged not only on correctness, but on whether reported confidence matches actual accuracy. Generalist multimodal medical models have expanded what a single model can perceive, yet they still express bounded decisions such as diagnoses, findings or cell counts as generated text, so the reported probability reflects the next token rather than the decision itself. Motivated by decision-native interfaces such as Jev, we introduce OmniMed-Jev, which represents each medical decision as a Choice, Noul or Score decision over a runtime-supplied candidate set and returns a full distribution over that set: mutually exclusive classes, binary presence of a finding, or a bounded ordered value. The design is omni in three respects: it accepts diverse imaging modalities, covers different prediction tasks, and expresses them through one candidate-conditioned probability model, so heterogeneous outputs become comparable probabilities rather than task-specific strings. In an interface-controlled comparison against a generative baseline trained on the same backbone, data and schedule, OmniMed-Jev's reported probabilities track observed correctness far more closely, reducing calibration error by up to an order of magnitude and reliability error by up to two, while point-prediction performance remains comparable; counting is the one family where the generative baseline stays ahead. Making the decision distribution the model's output is not a format change but what turns reported numbers into probabilities that mean what they say. These results support explicit decision modeling as a way to make reported confidence meaningful within the evaluated tasks, and they are not evidence of clinical readiness: the comparison cannot separate the interface from associated training differences, which we state alongside the results. Code is available at github.com/lytang63/OmniMed-Jev.

  • 2 authors
·
Sep 29

CEED-VLA: Consistency Vision-Language-Action Model with Early-Exit Decoding

In recent years, Vision-Language-Action (VLA) models have become a vital research direction in robotics due to their impressive multimodal understanding and generalization capabilities. Despite the progress, their practical deployment is severely constrained by inference speed bottlenecks, particularly in high-frequency and dexterous manipulation tasks. While recent studies have explored Jacobi decoding as a more efficient alternative to traditional autoregressive decoding, its practical benefits are marginal due to the lengthy iterations. To address it, we introduce consistency distillation training to predict multiple correct action tokens in each iteration, thereby achieving acceleration. Besides, we design mixed-label supervision to mitigate the error accumulation during distillation. Although distillation brings acceptable speedup, we identify that certain inefficient iterations remain a critical bottleneck. To tackle this, we propose an early-exit decoding strategy that moderately relaxes convergence conditions, which further improves average inference efficiency. Experimental results show that the proposed method achieves more than 4 times inference acceleration across different baselines while maintaining high task success rates in both simulated and real-world robot tasks. These experiments validate that our approach provides an efficient and general paradigm for accelerating multimodal decision-making in robotics. Our project page is available at https://irpn-eai.github.io/CEED-VLA/.

  • 7 authors
·
Jun 16, 2025

Enhancing clinical decision support with physiological waveforms -- a multimodal benchmark in emergency care

Background: AI-driven prediction algorithms have the potential to enhance emergency medicine by enabling rapid and accurate decision-making regarding patient status and potential deterioration. However, the integration of multimodal data, including raw waveform signals, remains underexplored in clinical decision support. Methods: We present a dataset and benchmarking protocol designed to advance multimodal decision support in emergency care. Our models utilize demographics, biometrics, vital signs, laboratory values, and electrocardiogram (ECG) waveforms as inputs to predict both discharge diagnoses and patient deterioration. Results: The diagnostic model achieves area under the receiver operating curve (AUROC) scores above 0.8 for 609 out of 1,428 conditions, covering both cardiac (e.g., myocardial infarction) and non-cardiac (e.g., renal disease, diabetes) diagnoses. The deterioration model attains AUROC scores above 0.8 for 14 out of 15 targets, accurately predicting critical events such as cardiac arrest, mechanical ventilation, ICU admission, and mortality. Conclusions: Our study highlights the positive impact of incorporating raw waveform data into decision support models, improving predictive performance. By introducing a unique, publicly available dataset and baseline models, we provide a foundation for measurable progress in AI-driven decision support for emergency care.

  • 3 authors
·
Apr 29, 2025

Rethinking Reinforcement Fine-Tuning in LVLM: Convergence, Reward Decomposition, and Generalization

Reinforcement fine-tuning with verifiable rewards (RLVR) has emerged as a powerful paradigm for equipping large vision-language models (LVLMs) with agentic capabilities such as tool use and multi-step reasoning. Despite striking empirical successes, most notably Visual Agentic Reinforcement Fine-Tuning (Visual-ARFT), the theoretical underpinnings of this paradigm remain poorly understood. In particular, two critical questions lack rigorous answers: (i)~how does the composite structure of verifiable rewards (format compliance, answer accuracy, tool executability) affect the convergence of Group Relative Policy Optimization (GRPO), and (ii)~why does training on a small set of tool-augmented tasks transfer to out-of-distribution domains? We address these gaps by introducing the Tool-Augmented Markov Decision Process (TA-MDP), a formal framework that models multimodal agentic decision-making with bounded-depth tool calls. Within this framework, we establish three main results. First, we prove that GRPO under composite verifiable rewards converges to a first-order stationary point at rate O(1/T) with explicit dependence on the number of reward components and group size (Theorem~1). Second, we derive a Reward Decomposition Theorem that bounds the sub-optimality gap between decomposed per-component optimization and joint optimization, providing a precise characterization of when reward decomposition is beneficial (Theorem~2). Third, we establish a PAC-Bayes generalization bound for tool-augmented policies that explains the strong out-of-distribution transfer observed in Visual-ARFT (Theorem~3).

  • 4 authors
·
Apr 20

Artificial Intelligence Virtual Cells: From Measurements to Decisions across Modality, Scale, Dynamics, and Evaluation

Artificial Intelligence Virtual Cells (AIVCs) aim to learn executable, decision-relevant models of cell state from multimodal, multiscale measurements. Recent studies have introduced single-cell and spatial foundation models, improved cross-modality alignment, scaled perturbation atlases, and explored pathway-level readouts. Nevertheless, although held-out validation is standard practice, evaluations remain predominantly within single datasets and settings; evidence indicates that transport across laboratories and platforms is often limited, that some data splits are vulnerable to leakage and coverage bias, and that dose, time and combination effects are not yet systematically handled. Cross-scale coupling also remains constrained, as anchors linking molecular, cellular and tissue levels are sparse, and alignment to scientific or clinical readouts varies across studies. We propose a model-agnostic Cell-State Latent (CSL) perspective that organizes learning via an operator grammar: measurement, lift/project for cross-scale coupling, and intervention for dosing and scheduling. This view motivates a decision-aligned evaluation blueprint across modality, scale, context and intervention, and emphasizes function-space readouts such as pathway activity, spatial neighborhoods and clinically relevant endpoints. We recommend operator-aware data design, leakage-resistant partitions, and transparent calibration and reporting to enable reproducible, like-for-like comparisons.

  • 2 authors
·
Dec 1, 2025

Foundation Models for Decision Making: Problems, Methods, and Opportunities

Foundation models pretrained on diverse data at scale have demonstrated extraordinary capabilities in a wide range of vision and language tasks. When such models are deployed in real world environments, they inevitably interface with other entities and agents. For example, language models are often used to interact with human beings through dialogue, and visual perception models are used to autonomously navigate neighborhood streets. In response to these developments, new paradigms are emerging for training foundation models to interact with other agents and perform long-term reasoning. These paradigms leverage the existence of ever-larger datasets curated for multimodal, multitask, and generalist interaction. Research at the intersection of foundation models and decision making holds tremendous promise for creating powerful new systems that can interact effectively across a diverse range of applications such as dialogue, autonomous driving, healthcare, education, and robotics. In this manuscript, we examine the scope of foundation models for decision making, and provide conceptual tools and technical background for understanding the problem space and exploring new research directions. We review recent approaches that ground foundation models in practical decision making applications through a variety of methods such as prompting, conditional generative modeling, planning, optimal control, and reinforcement learning, and discuss common challenges and open problems in the field.

  • 6 authors
·
Mar 7, 2023

HyCodePolicy: Hybrid Language Controllers for Multimodal Monitoring and Decision in Embodied Agents

Recent advances in multimodal large language models (MLLMs) have enabled richer perceptual grounding for code policy generation in embodied agents. However, most existing systems lack effective mechanisms to adaptively monitor policy execution and repair codes during task completion. In this work, we introduce HyCodePolicy, a hybrid language-based control framework that systematically integrates code synthesis, geometric grounding, perceptual monitoring, and iterative repair into a closed-loop programming cycle for embodied agents. Technically, given a natural language instruction, our system first decomposes it into subgoals and generates an initial executable program grounded in object-centric geometric primitives. The program is then executed in simulation, while a vision-language model (VLM) observes selected checkpoints to detect and localize execution failures and infer failure reasons. By fusing structured execution traces capturing program-level events with VLM-based perceptual feedback, HyCodePolicy infers failure causes and repairs programs. This hybrid dual feedback mechanism enables self-correcting program synthesis with minimal human supervision. Our results demonstrate that HyCodePolicy significantly improves the robustness and sample efficiency of robot manipulation policies, offering a scalable strategy for integrating multimodal reasoning into autonomous decision-making pipelines.

  • 10 authors
·
Aug 4, 2025 2

ReactHuman: A Physics-Grounded Benchmark for Human-Like Reactive Decision-Making in Embodied Multimodal LLMs

Reacting to sudden physical hazards (catching a slipping plate, dodging a falling knife) is both a meaningful test of embodied intelligence and a hard requirement for deploying multimodal large language models (MLLMs) as the decision coreof household robots. Existing evaluations, however, probe intuitive physics passively through question answering over videos, or target deliberate, long-horizon tasks such as navigation and rearrangement; none measure whether a model can turn physical understanding into immediate, safety-critical action. We introduce ReactHuman, the first physics-grounded benchmark for human-like reactive decision-making, in which the evaluated MLLM acts as the brain of a simulated humanoid facing sudden household hazards; it spans 17 event families and over 1,000 bit-for-bit reproducible scenes with exact, annotation-free ground truth derived from 240 Hz rigid-body simulation, including adversarial objects whose appearance contradicts their physics (a foam anvil, a steel apple). We further design a five-metric suite that scores each reaction along three axes: reasonable, safe, and physically grounded. We physically execute every committed plan so that decisions have observable consequences. With this harness we evaluate seven representative MLLMs. Results show that reactive safety is far from solved: models mishandle roughly one hazard in three, act from fixed dispositions rather than the observed scene, trust appearance over motion, and miss interception points at meter scale even when the chosen action is correct; none of these failures shrink with model scale. ReactHuman thus offers both a fine-grained diagnosis and a scalable training signal toward physically grounded, safety-aware embodied agents. The benchmark can be found here: https://huggingface.co/datasets/Alan123/reacthuman-benchmark-scaled

  • 8 authors
·
Sep 8 3

City Navigation in the Wild: Exploring Emergent Navigation from Web-Scale Knowledge in MLLMs

Leveraging multimodal large language models (MLLMs) to develop embodied agents offers significant promise for addressing complex real-world tasks. However, current evaluation benchmarks remain predominantly language-centric or heavily reliant on simulated environments, rarely probing the nuanced, knowledge-intensive reasoning essential for practical, real-world scenarios. To bridge this critical gap, we introduce the task of Sparsely Grounded Visual Navigation, explicitly designed to evaluate the sequential decision-making abilities of MLLMs in challenging, knowledge-intensive real-world environment. We operationalize this task with CityNav, a comprehensive benchmark encompassing four diverse global cities, specifically constructed to assess raw MLLM-driven agents in city navigation. Agents are required to rely solely on visual inputs and internal multimodal reasoning to sequentially navigate 50+ decision points without additional environmental annotations or specialized architectural modifications. Crucially, agents must autonomously achieve localization through interpreting city-specific cues and recognizing landmarks, perform spatial reasoning, and strategically plan and execute routes to their destinations. Through extensive evaluations, we demonstrate that current state-of-the-art MLLMs, reasoning techniques (e.g., GEPA, chain-of-thought, reflection) and competitive baseline PReP significantly underperform in this challenging setting. To address this, we propose Verbalization of Path(VoP), which explicitly grounds the agent's internal reasoning by probing city-scale cognitive maps (key landmarks and directions toward the destination) from the MLLM, substantially enhancing navigation success. Project Webpage: https://dwipddalal.github.io/AgentNav/

  • 4 authors
·
Dec 17, 2025

How to Build a Pre-trained Multimodal model for Simultaneously Chatting and Decision-making?

Existing large pre-trained models typically map text input to text output in an end-to-end manner, such as ChatGPT, or map a segment of text input to a hierarchy of action decisions, such as OpenVLA. However, humans can simultaneously generate text and actions when receiving specific input signals. For example, a driver can make precise driving decisions while conversing with a friend in the passenger seat. Motivated by this observation, we consider the following question in this work: is it possible to construct a pre-trained model that can provide both language interaction and precise decision-making capabilities in dynamic open scenarios. We provide a definitive answer to this question by developing a new model architecture termed Visual Language Action model for Chatting and Decision Making (VLA4CD), and further demonstrating its performance in challenging autonomous driving tasks. Specifically, we leverage LoRA to fine-tune a pre-trained LLM with data of multiple modalities covering language, visual, and action. Unlike the existing LoRA operations used for LLM fine-tuning, we have designed new computational modules and training cost functions for VLA4CD. These designs enable VLA4CD to provide continuous-valued action decisions while outputting text responses. In contrast, existing LLMs can only output text responses, and current VLA models can only output action decisions. Moreover, these VLA models handle action data by discretizing and then tokenizing the discretized actions, a method unsuitable for complex decision-making tasks involving high-dimensional continuous-valued action vectors, such as autonomous driving. The experimental results on CARLA validate that: (1) our proposed model construction method is effective; (2) compared to the SOTA VLA model, VLA4CD can provide more accurate real-time decision-making while retaining the text interaction capability inherent to LLMs.

  • 6 authors
·
Oct 21, 2024

PReD: An LLM-based Foundation Multimodal Model for Electromagnetic Perception, Recognition, and Decision

Multimodal Large Language Models have demonstrated powerful cross-modal understanding and reasoning capabilities in general domains. However, in the electromagnetic (EM) domain, they still face challenges such as data scarcity and insufficient integration of domain knowledge. This paper proposes PReD, the first foundation model for the EM domain that covers the intelligent closed-loop of "perception, recognition, decision-making." We constructed a high-quality multitask EM dataset, PReD-1.3M, and an evaluation benchmark, PReD-Bench. The dataset encompasses multi-perspective representations such as raw time-domain waveform, frequency-domain spectrograms, and constellation diagrams, covering typical features of communication and radar signals. It supports a range of core tasks, including signal detection, modulation recognition, parameter estimation, protocol recognition, radio frequency fingerprint recognition, and anti-jamming decision-making. PReD adopts a multi-stage training strategy that unifies multiple tasks for EM signals. It achieves closed-loop optimization from end-to-end signal understanding to language-driven reasoning and decision-making, significantly enhancing EM domain expertise while maintaining general multimodal capabilities. Experimental results show that PReD achieves state-of-the-art performance on PReD-Bench constructed from both open-source and self-collected signal datasets. These results collectively validate the feasibility and potential of vision-aligned foundation models in advancing the understanding and reasoning of EM signals.

  • 16 authors
·
Mar 31

Towards End-to-End Embodied Decision Making via Multi-modal Large Language Model: Explorations with GPT4-Vision and Beyond

In this study, we explore the potential of Multimodal Large Language Models (MLLMs) in improving embodied decision-making processes for agents. While Large Language Models (LLMs) have been widely used due to their advanced reasoning skills and vast world knowledge, MLLMs like GPT4-Vision offer enhanced visual understanding and reasoning capabilities. We investigate whether state-of-the-art MLLMs can handle embodied decision-making in an end-to-end manner and whether collaborations between LLMs and MLLMs can enhance decision-making. To address these questions, we introduce a new benchmark called PCA-EVAL, which evaluates embodied decision-making from the perspectives of Perception, Cognition, and Action. Additionally, we propose HOLMES, a multi-agent cooperation framework that allows LLMs to leverage MLLMs and APIs to gather multimodal information for informed decision-making. We compare end-to-end embodied decision-making and HOLMES on our benchmark and find that the GPT4-Vision model demonstrates strong end-to-end embodied decision-making abilities, outperforming GPT4-HOLMES in terms of average decision accuracy (+3%). However, this performance is exclusive to the latest GPT4-Vision model, surpassing the open-source state-of-the-art MLLM by 26%. Our results indicate that powerful MLLMs like GPT4-Vision hold promise for decision-making in embodied agents, offering new avenues for MLLM research.

  • 8 authors
·
Oct 3, 2023 1

Leveraging Generic Foundation Models for Multimodal Surgical Data Analysis

We investigate how both the adaptation of a generic foundation model via transfer learning and the integration of complementary modalities from the operating room (OR) can support surgical data science. To this end, we use V-JEPA as the single-modality foundation of a multimodal model for minimally invasive surgery support. We analyze how the model's downstream performance can benefit (a) from finetuning on unlabeled surgical video data and (b) from providing additional time-resolved data streams from the OR in a multimodal setup. In an in-house dataset of liver surgery videos, we analyze the tasks of predicting hospital length of stay and postoperative complications. In videos of the public HeiCo dataset, we analyze the task of surgical phase recognition. As a baseline, we apply pretrained V-JEPA to all tasks. We then finetune it on unlabeled, held-out videos to investigate its change in performance after domain adaptation. Following the idea of modular decision support networks, we integrate additional data streams from the OR by training a separate encoder to form a shared representation space with V-JEPA's embeddings. Our experiments show that finetuning on domain-specific data increases model performance. On the in-house data, integrating additional time-resolved data likewise benefits the model. On the HeiCo data, accuracy of the pretrained video-only, single-modality baseline setup is on par with the top-performing submissions of the EndoVis2017 challenge, while finetuning on domain-specific data increases accuracy further. Our results thus demonstrate how surgical data science can leverage public, generic foundation models. Likewise, they indicate the potential of domain adaptation and of integrating suitable complementary data streams from the OR. To support further research, we release our code and model weights at https://github.com/DigitalSurgeryLab-Basel/ML-CDS-2025.

  • 5 authors
·
Sep 8, 2025

A Multimodal Benchmark Dataset and Model for Crop Disease Diagnosis

While conversational generative AI has shown considerable potential in enhancing decision-making for agricultural professionals, its exploration has predominantly been anchored in text-based interactions. The evolution of multimodal conversational AI, leveraging vast amounts of image-text data from diverse sources, marks a significant stride forward. However, the application of such advanced vision-language models in the agricultural domain, particularly for crop disease diagnosis, remains underexplored. In this work, we present the crop disease domain multimodal (CDDM) dataset, a pioneering resource designed to advance the field of agricultural research through the application of multimodal learning techniques. The dataset comprises 137,000 images of various crop diseases, accompanied by 1 million question-answer pairs that span a broad spectrum of agricultural knowledge, from disease identification to management practices. By integrating visual and textual data, CDDM facilitates the development of sophisticated question-answering systems capable of providing precise, useful advice to farmers and agricultural professionals. We demonstrate the utility of the dataset by finetuning state-of-the-art multimodal models, showcasing significant improvements in crop disease diagnosis. Specifically, we employed a novel finetuning strategy that utilizes low-rank adaptation (LoRA) to finetune the visual encoder, adapter and language model simultaneously. Our contributions include not only the dataset but also a finetuning strategy and a benchmark to stimulate further research in agricultural technology, aiming to bridge the gap between advanced AI techniques and practical agricultural applications. The dataset is available at https: //github.com/UnicomAI/UnicomBenchmark/tree/main/CDDMBench.

  • 7 authors
·
Mar 10, 2025

UniGame: Turning a Unified Multimodal Model Into Its Own Adversary

Unified Multimodal Models (UMMs) have shown impressive performance in both understanding and generation with a single architecture. However, UMMs still exhibit a fundamental inconsistency: understanding favors compact embeddings, whereas generation favors reconstruction-rich representations. This structural trade-off produces misaligned decision boundaries, degraded cross-modal coherence, and heightened vulnerability under distributional and adversarial shifts. In this paper, we present UniGame, a self-adversarial post-training framework that directly targets the inconsistencies. By applying a lightweight perturber at the shared token interface, UniGame enables the generation branch to actively seek and challenge fragile understanding, turning the model itself into its own adversary. Experiments demonstrate that UniGame significantly improves the consistency (+4.6%). Moreover, it also achieves substantial improvements in understanding (+3.6%), generation (+0.02), out-of-distribution and adversarial robustness (+4.8% and +6.2% on NaturalBench and AdVQA). The framework is architecture-agnostic, introduces less than 1% additional parameters, and is complementary to existing post-training methods. These results position adversarial self-play as a general and effective principle for enhancing the coherence, stability, and unified competence of future multimodal foundation models. The official code is available at: https://github.com/AIFrontierLab/UniGame

  • 5 authors
·
Nov 24, 2025 2

DentVLM: A Multimodal Vision-Language Model for Comprehensive Dental Diagnosis and Enhanced Clinical Practice

Diagnosing and managing oral diseases necessitate advanced visual interpretation across diverse imaging modalities and integrated information synthesis. While current AI models excel at isolated tasks, they often fall short in addressing the complex, multimodal requirements of comprehensive clinical dental practice. Here we introduce DentVLM, a multimodal vision-language model engineered for expert-level oral disease diagnosis. DentVLM was developed using a comprehensive, large-scale, bilingual dataset of 110,447 images and 2.46 million visual question-answering (VQA) pairs. The model is capable of interpreting seven 2D oral imaging modalities across 36 diagnostic tasks, significantly outperforming leading proprietary and open-source models by 19.6% higher accuracy for oral diseases and 27.9% for malocclusions. In a clinical study involving 25 dentists, evaluating 1,946 patients and encompassing 3,105 QA pairs, DentVLM surpassed the diagnostic performance of 13 junior dentists on 21 of 36 tasks and exceeded that of 12 senior dentists on 12 of 36 tasks. When integrated into a collaborative workflow, DentVLM elevated junior dentists' performance to senior levels and reduced diagnostic time for all practitioners by 15-22%. Furthermore, DentVLM exhibited promising performance across three practical utility scenarios, including home-based dental health management, hospital-based intelligent diagnosis and multi-agent collaborative interaction. These findings establish DentVLM as a robust clinical decision support tool, poised to enhance primary dental care, mitigate provider-patient imbalances, and democratize access to specialized medical expertise within the field of dentistry.

  • 23 authors
·
Sep 26, 2025

Generating Images with Multimodal Language Models

We propose a method to fuse frozen text-only large language models (LLMs) with pre-trained image encoder and decoder models, by mapping between their embedding spaces. Our model demonstrates a wide suite of multimodal capabilities: image retrieval, novel image generation, and multimodal dialogue. Ours is the first approach capable of conditioning on arbitrarily interleaved image and text inputs to generate coherent image (and text) outputs. To achieve strong performance on image generation, we propose an efficient mapping network to ground the LLM to an off-the-shelf text-to-image generation model. This mapping network translates hidden representations of text into the embedding space of the visual models, enabling us to leverage the strong text representations of the LLM for visual outputs. Our approach outperforms baseline generation models on tasks with longer and more complex language. In addition to novel image generation, our model is also capable of image retrieval from a prespecified dataset, and decides whether to retrieve or generate at inference time. This is done with a learnt decision module which conditions on the hidden representations of the LLM. Our model exhibits a wider range of capabilities compared to prior multimodal language models. It can process image-and-text inputs, and produce retrieved images, generated images, and generated text -- outperforming non-LLM based generation models across several text-to-image tasks that measure context dependence.

  • 3 authors
·
May 26, 2023 2

BioReason: Incentivizing Multimodal Biological Reasoning within a DNA-LLM Model

Unlocking deep, interpretable biological reasoning from complex genomic data is a major AI challenge hindering scientific discovery. Current DNA foundation models, despite strong sequence representation, struggle with multi-step reasoning and lack inherent transparent, biologically intuitive explanations. We introduce BioReason, a pioneering architecture that, for the first time, deeply integrates a DNA foundation model with a Large Language Model (LLM). This novel connection enables the LLM to directly process and reason with genomic information as a fundamental input, fostering a new form of multimodal biological understanding. BioReason's sophisticated multi-step reasoning is developed through supervised fine-tuning and targeted reinforcement learning, guiding the system to generate logical, biologically coherent deductions. On biological reasoning benchmarks including KEGG-based disease pathway prediction - where accuracy improves from 88% to 97% - and variant effect prediction, BioReason demonstrates an average 15% performance gain over strong single-modality baselines. BioReason reasons over unseen biological entities and articulates decision-making through interpretable, step-by-step biological traces, offering a transformative approach for AI in biology that enables deeper mechanistic insights and accelerates testable hypothesis generation from genomic data. Data, code, and checkpoints are publicly available at https://github.com/bowang-lab/BioReason

  • 11 authors
·
May 29, 2025

Active-O3: Empowering Multimodal Large Language Models with Active Perception via GRPO

Active vision, also known as active perception, refers to the process of actively selecting where and how to look in order to gather task-relevant information. It is a critical component of efficient perception and decision-making in humans and advanced embodied agents. Recently, the use of Multimodal Large Language Models (MLLMs) as central planning and decision-making modules in robotic systems has gained extensive attention. However, despite the importance of active perception in embodied intelligence, there is little to no exploration of how MLLMs can be equipped with or learn active perception capabilities. In this paper, we first provide a systematic definition of MLLM-based active perception tasks. We point out that the recently proposed GPT-o3 model's zoom-in search strategy can be regarded as a special case of active perception; however, it still suffers from low search efficiency and inaccurate region selection. To address these issues, we propose ACTIVE-O3, a purely reinforcement learning based training framework built on top of GRPO, designed to equip MLLMs with active perception capabilities. We further establish a comprehensive benchmark suite to evaluate ACTIVE-O3 across both general open-world tasks, such as small-object and dense object grounding, and domain-specific scenarios, including small object detection in remote sensing and autonomous driving, as well as fine-grained interactive segmentation. In addition, ACTIVE-O3 also demonstrates strong zero-shot reasoning abilities on the V* Benchmark, without relying on any explicit reasoning data. We hope that our work can provide a simple codebase and evaluation protocol to facilitate future research on active perception in MLLMs.

  • 11 authors
·
May 27, 2025 2

SAP-Bench: Benchmarking Multimodal Large Language Models in Surgical Action Planning

Effective evaluation is critical for driving advancements in MLLM research. The surgical action planning (SAP) task, which aims to generate future action sequences from visual inputs, demands precise and sophisticated analytical capabilities. Unlike mathematical reasoning, surgical decision-making operates in life-critical domains and requires meticulous, verifiable processes to ensure reliability and patient safety. This task demands the ability to distinguish between atomic visual actions and coordinate complex, long-horizon procedures, capabilities that are inadequately evaluated by current benchmarks. To address this gap, we introduce SAP-Bench, a large-scale, high-quality dataset designed to enable multimodal large language models (MLLMs) to perform interpretable surgical action planning. Our SAP-Bench benchmark, derived from the cholecystectomy procedures context with the mean duration of 1137.5s, and introduces temporally-grounded surgical action annotations, comprising the 1,226 clinically validated action clips (mean duration: 68.7s) capturing five fundamental surgical actions across 74 procedures. The dataset provides 1,152 strategically sampled current frames, each paired with the corresponding next action as multimodal analysis anchors. We propose the MLLM-SAP framework that leverages MLLMs to generate next action recommendations from the current surgical scene and natural language instructions, enhanced with injected surgical domain knowledge. To assess our dataset's effectiveness and the broader capabilities of current models, we evaluate seven state-of-the-art MLLMs (e.g., OpenAI-o1, GPT-4o, QwenVL2.5-72B, Claude-3.5-Sonnet, GeminiPro2.5, Step-1o, and GLM-4v) and reveal critical gaps in next action prediction performance.

  • 6 authors
·
Jun 12, 2025

AnesTRACE: Benchmarking Intraoperative Anesthesia from Multimodal Perception to Multi-step Decision-Making

Intraoperative anesthesia requires systems to interpret evolving multimodal evidence, recommend timely management, and revise decisions as patient states change, yet existing benchmarks usually isolate perception or single-point reasoning. We introduce AnesTRACE, an evaluation suite comprising AnesTRACE-Bench and AnesTRACE-Eval. Built from public perioperative datasets with anesthesiologist annotation, AnesTRACE-Bench evaluates Intraoperative Perception, Single-point Anesthesia Decision-Making, and Multi-step Anesthesia Decision-Making. AnesTRACE-Eval assesses open-ended responses through anesthesiologist-defined criteria for Clinical Correctness, Evidence Grounding, Task Completeness, and Safety, with Temporal Consistency for multi-step decisions; its domain-specific evaluator is trained by supervised fine-tuning and preference alignment on expert-reviewed judgments. Across more than 30 models, fine-grained visual grounding and intervention selection remain difficult: the leading model reaches only 32.2 mIoU for TEE visual grounding and retains a 17.5\% Major/Critical Safety Error Rate in multi-step management. Evaluator alignment with anesthesiologists improves across both training stages, while the best decision quality is accompanied by a 74.3-second P95 Latency. These results show that aggregate performance alone does not establish safe, timely longitudinal decision-making. We release our code at https://zjudbxai.github.io/AnesTRACE/.

  • 8 authors
·
Sep 29

MDK12-Bench: A Multi-Discipline Benchmark for Evaluating Reasoning in Multimodal Large Language Models

Multimodal reasoning, which integrates language and visual cues into problem solving and decision making, is a fundamental aspect of human intelligence and a crucial step toward artificial general intelligence. However, the evaluation of multimodal reasoning capabilities in Multimodal Large Language Models (MLLMs) remains inadequate. Most existing reasoning benchmarks are constrained by limited data size, narrow domain coverage, and unstructured knowledge distribution. To close these gaps, we introduce MDK12-Bench, a multi-disciplinary benchmark assessing the reasoning capabilities of MLLMs via real-world K-12 examinations. Spanning six disciplines (math, physics, chemistry, biology, geography, and information science), our benchmark comprises 140K reasoning instances across diverse difficulty levels from primary school to 12th grade. It features 6,827 instance-level knowledge point annotations based on a well-organized knowledge structure, detailed answer explanations, difficulty labels and cross-year partitions, providing a robust platform for comprehensive evaluation. Additionally, we present a novel dynamic evaluation framework to mitigate data contamination issues by bootstrapping question forms, question types, and image styles during evaluation. Extensive experiment on MDK12-Bench reveals the significant limitation of current MLLMs in multimodal reasoning. The findings on our benchmark provide insights into the development of the next-generation models. Our data and codes are available at https://github.com/LanceZPF/MDK12.

  • 20 authors
·
Apr 8, 2025 2

Can Multimodal Large Language Models Understand OCT?

Optical coherence tomography (OCT) imaging is essential for the diagnosis and treatment of retinal diseases. Although multimodal large language models (MLLMs) have demonstrated considerable potential in medical image analysis, existing benchmarks largely reduce OCT understanding to coarse-grained disease classification or isolated visual question answering, leaving the complete cognitive process from visual perception to clinical reasoning insufficiently evaluated. To address this limitation, we introduce OCT-Bench, a comprehensive benchmark dedicated to OCT image understanding. OCT-Bench comprises 10,076 high-quality multiple-choice questions constructed from 4,137 OCT images across seven public datasets. Following the real-world clinical interpretation workflow, we establish a hierarchical capability taxonomy consisting of 20 fine-grained tasks across three dimensions: Perception, Cognition, and Reasoning. These tasks cover a broad range of capabilities, including imaging attributes, retinal anatomy, lesion characteristics, spatial relationships, disease assessment, therapeutic decision-making, and prognostic management. We systematically evaluate 20 representative MLLMs, including proprietary models, open-source general-purpose models, and medical-domain models. Experimental results demonstrate that current models remain substantially short of reliable OCT understanding. Moreover, neither medical-domain adaptation nor increased model scale consistently improves performance across capability levels. OCT-Bench enables comprehensive and fine-grained evaluation of MLLMs, providing a foundation for identifying capability bottlenecks and advancing clinically grounded OCT understanding.

  • 8 authors
·
Jul 17 2

Measuring Epistemic Humility in Multimodal Large Language Models

Hallucinations in multimodal large language models (MLLMs) -- where the model generates content inconsistent with the input image -- pose significant risks in real-world applications, from misinformation in visual question answering to unsafe errors in decision-making. Existing benchmarks primarily test recognition accuracy, i.e., evaluating whether models can select the correct answer among distractors. This overlooks an equally critical capability for trustworthy AI: recognizing when none of the provided options are correct, a behavior reflecting epistemic humility. We present HumbleBench, a new hallucination benchmark designed to evaluate MLLMs' ability to reject plausible but incorrect answers across three hallucination types: object, relation, and attribute. Built from a panoptic scene graph dataset, we leverage fine-grained scene graph annotations to extract ground-truth entities and relations, and prompt GPT-4-Turbo to generate multiple-choice questions, followed by a rigorous manual filtering process. Each question includes a "None of the above" option, requiring models not only to recognize correct visual information but also to identify when no provided answer is valid. We evaluate a variety of state-of-the-art MLLMs -- including both general-purpose and specialized reasoning models -- on HumbleBench and share valuable findings and insights with the community. By incorporating explicit false-option rejection, HumbleBench fills a key gap in current evaluation suites, providing a more realistic measure of MLLM reliability in safety-critical settings. Our code and dataset are released publicly and can be accessed at https://github.com/maifoundations/HumbleBench.

  • 4 authors
·
Sep 11, 2025 3

Spatial-ORMLLM: Improve Spatial Relation Understanding in the Operating Room with Multimodal Large Language Model

Precise spatial modeling in the operating room (OR) is foundational to many clinical tasks, supporting intraoperative awareness, hazard avoidance, and surgical decision-making. While existing approaches leverage large-scale multimodal datasets for latent-space alignment to implicitly learn spatial relationships, they overlook the 3D capabilities of MLLMs. However, this approach raises two issues: (1) Operating rooms typically lack multiple video and audio sensors, making multimodal 3D data difficult to obtain; (2) Training solely on readily available 2D data fails to capture fine-grained details in complex scenes. To address this gap, we introduce Spatial-ORMLLM, the first large vision-language model for 3D spatial reasoning in operating rooms using only RGB modality to infer volumetric and semantic cues, enabling downstream medical tasks with detailed and holistic spatial context. Spatial-ORMLLM incorporates a Spatial-Enhanced Feature Fusion Block, which integrates 2D modality inputs with rich 3D spatial knowledge extracted by the estimation algorithm and then feeds the combined features into the visual tower. By employing a unified end-to-end MLLM framework, it combines powerful spatial features with textual features to deliver robust 3D scene reasoning without any additional expert annotations or sensor inputs. Experiments on multiple benchmark clinical datasets demonstrate that Spatial-ORMLLM achieves state-of-the-art performance and generalizes robustly to previously unseen surgical scenarios and downstream tasks.

  • 5 authors
·
Aug 11, 2025

Potential of Multimodal Large Language Models for Data Mining of Medical Images and Free-text Reports

Medical images and radiology reports are crucial for diagnosing medical conditions, highlighting the importance of quantitative analysis for clinical decision-making. However, the diversity and cross-source heterogeneity of these data challenge the generalizability of current data-mining methods. Multimodal large language models (MLLMs) have recently transformed many domains, significantly affecting the medical field. Notably, Gemini-Vision-series (Gemini) and GPT-4-series (GPT-4) models have epitomized a paradigm shift in Artificial General Intelligence (AGI) for computer vision, showcasing their potential in the biomedical domain. In this study, we evaluated the performance of the Gemini, GPT-4, and 4 popular large models for an exhaustive evaluation across 14 medical imaging datasets, including 5 medical imaging categories (dermatology, radiology, dentistry, ophthalmology, and endoscopy), and 3 radiology report datasets. The investigated tasks encompass disease classification, lesion segmentation, anatomical localization, disease diagnosis, report generation, and lesion detection. Our experimental results demonstrated that Gemini-series models excelled in report generation and lesion detection but faces challenges in disease classification and anatomical localization. Conversely, GPT-series models exhibited proficiency in lesion segmentation and anatomical localization but encountered difficulties in disease diagnosis and lesion detection. Additionally, both the Gemini series and GPT series contain models that have demonstrated commendable generation efficiency. While both models hold promise in reducing physician workload, alleviating pressure on limited healthcare resources, and fostering collaboration between clinical practitioners and artificial intelligence technologies, substantial enhancements and comprehensive validations remain imperative before clinical deployment.

  • 14 authors
·
Jul 8, 2024

Corvid: Improving Multimodal Large Language Models Towards Chain-of-Thought Reasoning

Recent advancements in multimodal large language models (MLLMs) have demonstrated exceptional performance in multimodal perception and understanding. However, leading open-source MLLMs exhibit significant limitations in complex and structured reasoning, particularly in tasks requiring deep reasoning for decision-making and problem-solving. In this work, we present Corvid, an MLLM with enhanced chain-of-thought (CoT) reasoning capabilities. Architecturally, Corvid incorporates a hybrid vision encoder for informative visual representation and a meticulously designed connector (GateMixer) to facilitate cross-modal alignment. To enhance Corvid's CoT reasoning capabilities, we introduce MCoT-Instruct-287K, a high-quality multimodal CoT instruction-following dataset, refined and standardized from diverse public reasoning sources. Leveraging this dataset, we fine-tune Corvid with a two-stage CoT-formatted training approach to progressively enhance its step-by-step reasoning abilities. Furthermore, we propose an effective inference-time scaling strategy that enables Corvid to mitigate over-reasoning and under-reasoning through self-verification. Extensive experiments demonstrate that Corvid outperforms existing o1-like MLLMs and state-of-the-art MLLMs with similar parameter scales, with notable strengths in mathematical reasoning and science problem-solving. Project page: https://mm-vl.github.io/corvid.

  • 5 authors
·
Jul 10, 2025

Modeling and Measuring Redundancy in Multisource Multimodal Data for Autonomous Driving

Next-generation autonomous vehicles (AVs) rely on large volumes of multisource and multimodal (M^2) data to support real-time decision-making. In practice, data quality (DQ) varies across sources and modalities due to environmental conditions and sensor limitations, yet AV research has largely prioritized algorithm design over DQ analysis. This work focuses on redundancy as a fundamental but underexplored DQ issue in AV datasets. Using the nuScenes and Argoverse 2 (AV2) datasets, we model and measure redundancy in multisource camera data and multimodal image-LiDAR data, and evaluate how removing redundant labels affects the YOLOv8 object detection task. Experimental results show that selectively removing redundant multisource image object labels from cameras with shared fields of view improves detection. In nuScenes, mAP{50} gains from 0.66 to 0.70, 0.64 to 0.67, and from 0.53 to 0.55, on three representative overlap regions, while detection on other overlapping camera pairs remains at the baseline even under stronger pruning. In AV2, 4.1-8.6% of labels are removed, and mAP{50} stays near the 0.64 baseline. Multimodal analysis also reveals substantial redundancy between image and LiDAR data. These findings demonstrate that redundancy is a measurable and actionable DQ factor with direct implications for AV performance. This work highlights the role of redundancy as a data quality factor in AV perception and motivates a data-centric perspective for evaluating and improving AV datasets. Code, data, and implementation details are publicly available at: https://github.com/yhZHOU515/RedundancyAD

  • 4 authors
·
Mar 5

VALE: A Multimodal Visual and Language Explanation Framework for Image Classifiers using eXplainable AI and Language Models

Deep Neural Networks (DNNs) have revolutionized various fields by enabling task automation and reducing human error. However, their internal workings and decision-making processes remain obscure due to their black box nature. Consequently, the lack of interpretability limits the application of these models in high-risk scenarios. To address this issue, the emerging field of eXplainable Artificial Intelligence (XAI) aims to explain and interpret the inner workings of DNNs. Despite advancements, XAI faces challenges such as the semantic gap between machine and human understanding, the trade-off between interpretability and performance, and the need for context-specific explanations. To overcome these limitations, we propose a novel multimodal framework named VALE Visual and Language Explanation. VALE integrates explainable AI techniques with advanced language models to provide comprehensive explanations. This framework utilizes visual explanations from XAI tools, an advanced zero-shot image segmentation model, and a visual language model to generate corresponding textual explanations. By combining visual and textual explanations, VALE bridges the semantic gap between machine outputs and human interpretation, delivering results that are more comprehensible to users. In this paper, we conduct a pilot study of the VALE framework for image classification tasks. Specifically, Shapley Additive Explanations (SHAP) are used to identify the most influential regions in classified images. The object of interest is then extracted using the Segment Anything Model (SAM), and explanations are generated using state-of-the-art pre-trained Vision-Language Models (VLMs). Extensive experimental studies are performed on two datasets: the ImageNet dataset and a custom underwater SONAR image dataset, demonstrating VALEs real-world applicability in underwater image classification.

  • 2 authors
·
Aug 22, 2024

When Alignment Fails: Multimodal Adversarial Attacks on Vision-Language-Action Models

Vision-Language-Action models (VLAs) have recently demonstrated remarkable progress in embodied environments, enabling robots to perceive, reason, and act through unified multimodal understanding. Despite their impressive capabilities, the adversarial robustness of these systems remains largely unexplored, especially under realistic multimodal and black-box conditions. Existing studies mainly focus on single-modality perturbations and overlook the cross-modal misalignment that fundamentally affects embodied reasoning and decision-making. In this paper, we introduce VLA-Fool, a comprehensive study of multimodal adversarial robustness in embodied VLA models under both white-box and black-box settings. VLA-Fool unifies three levels of multimodal adversarial attacks: (1) textual perturbations through gradient-based and prompt-based manipulations, (2) visual perturbations via patch and noise distortions, and (3) cross-modal misalignment attacks that intentionally disrupt the semantic correspondence between perception and instruction. We further incorporate a VLA-aware semantic space into linguistic prompts, developing the first automatically crafted and semantically guided prompting framework. Experiments on the LIBERO benchmark using a fine-tuned OpenVLA model reveal that even minor multimodal perturbations can cause significant behavioral deviations, demonstrating the fragility of embodied multimodal alignment.

  • 6 authors
·
Nov 20, 2025

Learning to Decode Against Compositional Hallucination in Video Multimodal Large Language Models

Current research on video hallucination mitigation primarily focuses on isolated error types, leaving compositional hallucinations, arising from incorrect reasoning over multiple interacting spatial and temporal factors largely underexplored. We introduce OmniVCHall, a benchmark designed to systematically evaluate both isolated and compositional hallucinations in video multimodal large language models (VLLMs). OmniVCHall spans diverse video domains, introduces a novel camera-based hallucination type, and defines a fine-grained taxonomy, together with adversarial answer options (e.g., "All are correct" and "None of the above") to prevent shortcut reasoning. The evaluations of 39 representative VLLMs reveal that even advanced models (e.g., Qwen3-VL and GPT-5) exhibit substantial performance degradation. We propose TriCD, a contrastive decoding framework with a triple-pathway calibration mechanism. An adaptive perturbation controller dynamically selects distracting operations to construct negative video variants, while a saliency-guided enhancement module adaptively reinforces grounded token-wise visual evidences. These components are optimized via reinforcement learning to encourage precise decision-making under compositional hallucination settings. Experimental results show that TriCD consistently improves performance across two representative backbones, achieving an average accuracy improvement of over 10%. The data and code can be find at https://github.com/BMRETURN/OmniVCHall.

  • 6 authors
·
Jan 30

Beyond the Current Observation: Evaluating Multimodal Large Language Models in Controllable Non-Markov Games

Deploying multimodal foundation models as closed-loop policies increasingly requires conditioning actions on observations that are no longer visible. However, existing benchmarks either expose the full state, conflate hidden-state reconstruction with other agent skills, or test recall only after an episode has ended. We introduce RNG-Bench (Reconstructive Non-Markov Games), a benchmark suite designed to isolate a base model's ability to reconstruct past observations and act on them during multi-step interaction. RNG-Bench includes two complementary games: Matching Pairs, where card identities briefly revealed at specific locations must later be recalled, and 3D Maze, where egocentric views must be integrated into a spatial map. Both games are evaluated under a unified harness with three controlled difficulty axes: grid size, visual pattern, and observation modality. The benchmark further introduces a head-to-head duel protocol to control for instance-level variance and a Memory Gap metric that disentangles forgetting from poor action selection. The hardest configurations require contexts of roughly 128K tokens and 350 image inputs per episode, and remain far from saturated by frontier MLLMs. Memory Gap analysis shows that most residual errors stem from forgetting earlier observations rather than from suboptimal decision making. Finally, fine-tuning Qwen3.5-9B on optimal-policy rollouts and filtered model demonstrations improves performance on RNG-Bench and transfers to existing benchmarks without degrading general multimodal capability.

ENC-Bench: A Benchmark for Evaluating Multimodal Large Language Models in Electronic Navigational Chart Understanding

Electronic Navigational Charts (ENCs) are the safety-critical backbone of modern maritime navigation, yet it remains unclear whether multimodal large language models (MLLMs) can reliably interpret them. Unlike natural images or conventional charts, ENCs encode regulations, bathymetry, and route constraints via standardized vector symbols, scale-dependent rendering, and precise geometric structure -- requiring specialized maritime expertise for interpretation. We introduce ENC-Bench, the first benchmark dedicated to professional ENC understanding. ENC-Bench contains 20,490 expert-validated samples from 840 authentic National Oceanic and Atmospheric Administration (NOAA) ENCs, organized into a three-level hierarchy: Perception (symbol and feature recognition), Spatial Reasoning (coordinate localization, bearing, distance), and Maritime Decision-Making (route legality, safety assessment, emergency planning under multiple constraints). All samples are generated from raw S-57 data through a calibrated vector-to-image pipeline with automated consistency checks and expert review. We evaluate 10 state-of-the-art MLLMs such as GPT-4o, Gemini 2.5, Qwen3-VL, InternVL-3, and GLM-4.5V, under a unified zero-shot protocol. The best model achieves only 47.88% accuracy, with systematic challenges in symbolic grounding, spatial computation, multi-constraint reasoning, and robustness to lighting and scale variations. By establishing the first rigorous ENC benchmark, we open a new research frontier at the intersection of specialized symbolic reasoning and safety-critical AI, providing essential infrastructure for advancing MLLMs toward professional maritime applications.

  • 8 authors
·
Mar 23

OralGPT-Omni: A Versatile Dental Multimodal Large Language Model

Multimodal Large Language Models (MLLMs) have exhibited immense potential across numerous medical specialties; yet, dentistry remains underexplored, in part due to limited domain-specific data, scarce dental expert annotations, insufficient modality-specific modeling, and challenges in reliability. In this paper, we present OralGPT-Omni, the first dental-specialized MLLM designed for comprehensive and trustworthy analysis across diverse dental imaging modalities and clinical tasks. To explicitly capture dentists' diagnostic reasoning, we construct TRACE-CoT, a clinically grounded chain-of-thought dataset that mirrors dental radiologists' decision-making processes. This reasoning supervision, combined with our proposed four-stage training paradigm, substantially strengthens the model's capacity for dental image understanding and analysis. In parallel, we introduce MMOral-Uni, the first unified multimodal benchmark for dental image analysis. It comprises 2,809 open-ended question-answer pairs spanning five modalities and five tasks, offering a comprehensive evaluation suite to date for MLLMs in digital dentistry. OralGPT-Omni achieves an overall score of 51.84 on the MMOral-Uni benchmark and 45.31 on the MMOral-OPG benchmark, dramatically outperforming the scores of GPT-5. Our work promotes intelligent dentistry and paves the way for future advances in dental image analysis. All code, benchmark, and models will be made publicly available.

OralGPT OralGPT-Family
·
Nov 26, 2025 2

Robobench: A Comprehensive Evaluation Benchmark for Multimodal Large Language Models as Embodied Brain

Building robots that can perceive, reason, and act in dynamic, unstructured environments remains a core challenge. Recent embodied systems often adopt a dual-system paradigm, where System 2 handles high-level reasoning while System 1 executes low-level control. In this work, we refer to System 2 as the embodied brain, emphasizing its role as the cognitive core for reasoning and decision-making in manipulation tasks. Given this role, systematic evaluation of the embodied brain is essential. Yet existing benchmarks emphasize execution success, or when targeting high-level reasoning, suffer from incomplete dimensions and limited task realism, offering only a partial picture of cognitive capability. To bridge this gap, we introduce RoboBench, a benchmark that systematically evaluates multimodal large language models (MLLMs) as embodied brains. Motivated by the critical roles across the full manipulation pipeline, RoboBench defines five dimensions-instruction comprehension, perception reasoning, generalized planning, affordance prediction, and failure analysis-spanning 14 capabilities, 25 tasks, and 6092 QA pairs. To ensure realism, we curate datasets across diverse embodiments, attribute-rich objects, and multi-view scenes, drawing from large-scale real robotic data. For planning, RoboBench introduces an evaluation framework, MLLM-as-world-simulator. It evaluate embodied feasibility by simulating whether predicted plans can achieve critical object-state changes. Experiments on 14 MLLMs reveal fundamental limitations: difficulties with implicit instruction comprehension, spatiotemporal reasoning, cross-scenario planning, fine-grained affordance understanding, and execution failure diagnosis. RoboBench provides a comprehensive scaffold to quantify high-level cognition, and guide the development of next-generation embodied MLLMs. The project page is in https://robo-bench.github.io.

  • 21 authors
·
Oct 20, 2025

PhysVLM-AVR: Active Visual Reasoning for Multimodal Large Language Models in Physical Environments

Visual reasoning in multimodal large language models (MLLMs) has primarily been studied in static, fully observable settings, limiting their effectiveness in real-world environments where information is often incomplete due to occlusion or limited field of view. Humans, in contrast, actively explore and interact with their environment-moving, examining, and manipulating objects-to gather information through a closed-loop process integrating perception, reasoning, and action. Inspired by this human capability, we introduce the Active Visual Reasoning (AVR) task, extending visual reasoning to partially observable, interactive environments. AVR necessitates agents to: (1) actively acquire information via sequential physical actions, (2) integrate observations across multiple steps for coherent reasoning, and (3) dynamically adjust decisions based on evolving visual feedback. To rigorously evaluate AVR, we introduce CLEVR-AVR, a simulation benchmark featuring multi-round interactive environments designed to assess both reasoning correctness and information-gathering efficiency. We present AVR-152k, a large-scale dataset that offers rich Chain-of-Thought (CoT) annotations detailing iterative reasoning for uncertainty identification, action-conditioned information gain prediction, and information-maximizing action selection, crucial for training agents in a higher-order Markov Decision Process. Building on this, we develop PhysVLM-AVR, an MLLM achieving state-of-the-art performance on CLEVR-AVR, embodied reasoning (OpenEQA, RoboVQA), and passive visual reasoning (GeoMath, Geometry30K). Our analysis also reveals that current embodied MLLMs, despite detecting information incompleteness, struggle to actively acquire and integrate new information through interaction, highlighting a fundamental gap in active reasoning capabilities.

  • 8 authors
·
Oct 23, 2025 1

Enhancing Adverse Drug Event Detection with Multimodal Dataset: Corpus Creation and Model Development

The mining of adverse drug events (ADEs) is pivotal in pharmacovigilance, enhancing patient safety by identifying potential risks associated with medications, facilitating early detection of adverse events, and guiding regulatory decision-making. Traditional ADE detection methods are reliable but slow, not easily adaptable to large-scale operations, and offer limited information. With the exponential increase in data sources like social media content, biomedical literature, and Electronic Medical Records (EMR), extracting relevant ADE-related information from these unstructured texts is imperative. Previous ADE mining studies have focused on text-based methodologies, overlooking visual cues, limiting contextual comprehension, and hindering accurate interpretation. To address this gap, we present a MultiModal Adverse Drug Event (MMADE) detection dataset, merging ADE-related textual information with visual aids. Additionally, we introduce a framework that leverages the capabilities of LLMs and VLMs for ADE detection by generating detailed descriptions of medical images depicting ADEs, aiding healthcare professionals in visually identifying adverse events. Using our MMADE dataset, we showcase the significance of integrating visual cues from images to enhance overall performance. This approach holds promise for patient safety, ADE awareness, and healthcare accessibility, paving the way for further exploration in personalized healthcare.

  • 5 authors
·
May 24, 2024

GMAI-VL & GMAI-VL-5.5M: A Large Vision-Language Model and A Comprehensive Multimodal Dataset Towards General Medical AI

Despite significant advancements in general artificial intelligence, such as GPT-4, their effectiveness in the medical domain (general medical AI, GMAI) remains constrained due to the absence of specialized medical knowledge. To address this challenge, we present GMAI-VL-5.5M, a comprehensive multimodal medical dataset created by converting hundreds of specialized medical datasets into meticulously constructed image-text pairs. This dataset features comprehensive task coverage, diverse modalities, and high-quality image-text data. Building upon this multimodal dataset, we propose GMAI-VL, a general medical vision-language model with a progressively three-stage training strategy. This approach significantly enhances the model's ability by integrating visual and textual information, thereby improving its ability to process multimodal data and support accurate diagnosis and clinical decision-making. Experimental evaluations demonstrate that GMAI-VL achieves state-of-the-art results across a wide range of multimodal medical tasks, such as visual question answering and medical image diagnosis. Our contributions include the development of the GMAI-VL-5.5M dataset, the introduction of the GMAI-VL model, and the establishment of new benchmarks in multiple medical domains. Code and dataset will be released at https://github.com/uni-medical/GMAI-VL.

  • 18 authors
·
Nov 21, 2024 2

TennisVAR: A Stroke-Evidence-Grounded Multimodal Large Language Model for Tactical Reasoning in Tennis Videos

Sports-video understanding is moving beyond event recognition toward explaining how actions collectively shape match progression, however, existing tennis-video methods either perceive individual strokes without modeling their tactical dependencies or generate high-level analyses without grounding them in the underlying events. To bridge this perception-to-understanding gap, we formulate stroke-evidence-grounded tactical reasoning, a new rally-level task that requires models to jointly predict an open-ended answer, a hierarchical tactic label, an ordered sequence of supporting strokes, and decisive key actions, with each evidence stroke anchored to its racket-ball contact frame. We further introduce TRACE (Tactical Reasoning with Action-Chain Evidence in Tennis), a large-scale expert-annotated benchmark containing 11,189 rally videos, 41,485 stroke events, 25,429 tactical units, and 11,189 question-answer pairs, which unifies fine-grained stroke attributes, cross-stroke tactical relations, hierarchical tactic annotations, and evidence-grounded questions across factual perception, tactical understanding, and decision reasoning. Building on TRACE, we propose TennisVAR (Tennis Video Action-chain Reasoner), an evidence-grounded multimodal large language model that follows an "event-relation-evidence-tactic" reasoning paradigm, where an Event Parsing Module converts continuous rallies into explicit stroke-event sequences while a Tactical Graph-Guided Temporal Reasoner jointly models rally progression and same-player decision dependencies to identify question-relevant evidence and decisive actions.

  • 6 authors
·
Aug 12

ViCrop: Perceiving Small Visual Details in Zero-shot Visual Question Answering with Multimodal Large Language Models

Multimodal Large Language Models (MLLMs) have recently achieved promising zero-shot accuracy on visual question answering (VQA) -- a fundamental task affecting various downstream applications and domains. Given the great potential for the broad use of these models, it is important to investigate their limitations in dealing with different image and question properties. In this work, we investigate whether MLLMs can perceive details as well as larger components in images. In particular, we show that their zero-shot accuracy in answering visual questions is very sensitive to the size of the visual subject related to the question, declining up to 45.91% with size. Furthermore, we show that this effect is causal by observing that human visual cropping can significantly mitigate their sensitivity to size. To scale up the usefulness of human cropping, we propose ViCrop, a general framework that utilizes automatic visual cropping to enhance zero-shot VQA of MLLMs. We construct five variants of ViCrop leveraging either external localization models or the decision process of the given MLLM itself. Our results show that ViCrop improves MLLMs' zero-shot accuracy across different VQA datasets, for example, enhances BLIP2-T5's performance by 32.23% on the TextVQA test set. To facilitate further investigation of MLLMs' behaviors, our code is publicly released.

  • 4 authors
·
Oct 24, 2023

GLACIA: Instance-Aware Positional Reasoning for Glacial Lake Segmentation via Multimodal Large Language Model

Glacial lake monitoring bears great significance in mitigating the anticipated risk of Glacial Lake Outburst Floods. However, existing segmentation methods based on convolutional neural networks (CNNs) and Vision Transformers (ViTs), remain constrained to pixel-level predictions, lacking high-level global scene semantics and human-interpretable reasoning. To address this, we introduce GLACIA (Glacial LAke segmentation with Contextual Instance Awareness), the first framework that integrates large language models with segmentation capabilities to produce both accurate segmentation masks and corresponding spatial reasoning outputs. We construct the Glacial Lake Position Reasoning (GLake-Pos) dataset pipeline, which provides diverse, spatially grounded question-answer pairs designed to overcome the lack of instance-aware positional reasoning data in remote sensing. Comparative evaluation demonstrate that GLACIA (mIoU: 87.30) surpasses state-of-the-art method based on CNNs (mIoU: 78.55 - 79.01), ViTs (mIoU: 69.27 - 81.75), Geo-foundation models (mIoU: 76.37 - 87.10), and reasoning based segmentation methods (mIoU: 60.12 - 75.66). Our approach enables intuitive disaster preparedness and informed policy-making in the context of rapidly changing glacial environments by facilitating natural language interaction, thereby supporting more efficient and interpretable decision-making. The code is released on https://github.com/lalitmaurya47/GLACIA

  • 3 authors
·
Dec 9, 2025

Towards Agentic Recommender Systems in the Era of Multimodal Large Language Models

Recent breakthroughs in Large Language Models (LLMs) have led to the emergence of agentic AI systems that extend beyond the capabilities of standalone models. By empowering LLMs to perceive external environments, integrate multimodal information, and interact with various tools, these agentic systems exhibit greater autonomy and adaptability across complex tasks. This evolution brings new opportunities to recommender systems (RS): LLM-based Agentic RS (LLM-ARS) can offer more interactive, context-aware, and proactive recommendations, potentially reshaping the user experience and broadening the application scope of RS. Despite promising early results, fundamental challenges remain, including how to effectively incorporate external knowledge, balance autonomy with controllability, and evaluate performance in dynamic, multimodal settings. In this perspective paper, we first present a systematic analysis of LLM-ARS: (1) clarifying core concepts and architectures; (2) highlighting how agentic capabilities -- such as planning, memory, and multimodal reasoning -- can enhance recommendation quality; and (3) outlining key research questions in areas such as safety, efficiency, and lifelong personalization. We also discuss open problems and future directions, arguing that LLM-ARS will drive the next wave of RS innovation. Ultimately, we foresee a paradigm shift toward intelligent, autonomous, and collaborative recommendation experiences that more closely align with users' evolving needs and complex decision-making processes.

  • 12 authors
·
Mar 20, 2025

V-MAGE: A Game Evaluation Framework for Assessing Visual-Centric Capabilities in Multimodal Large Language Models

Recent advancements in Multimodal Large Language Models (MLLMs) have led to significant improvements across various multimodal benchmarks. However, as evaluations shift from static datasets to open-world, dynamic environments, current game-based benchmarks remain inadequate because they lack visual-centric tasks and fail to assess the diverse reasoning skills required for real-world decision-making. To address this, we introduce Visual-centric Multiple Abilities Game Evaluation (V-MAGE), a game-based evaluation framework designed to assess visual reasoning capabilities of MLLMs. V-MAGE features five diverse games with 30+ handcrafted levels, testing models on core visual skills such as positioning, trajectory tracking, timing, and visual memory, alongside higher-level reasoning like long-term planning and deliberation. We use V-MAGE to evaluate leading MLLMs, revealing significant challenges in their visual perception and reasoning. In all game environments, the top-performing MLLMs, as determined by Elo rating comparisons, exhibit a substantial performance gap compared to humans. Our findings highlight critical limitations, including various types of perceptual errors made by the models, and suggest potential avenues for improvement from an agent-centric perspective, such as refining agent strategies and addressing perceptual inaccuracies. Code is available at https://github.com/CSU-JPG/V-MAGE.

  • 8 authors
·
Apr 8, 2025 2

Prompt4Trust: A Reinforcement Learning Prompt Augmentation Framework for Clinically-Aligned Confidence Calibration in Multimodal Large Language Models

Multimodal large language models (MLLMs) hold considerable promise for applications in healthcare. However, their deployment in safety-critical settings is hindered by two key limitations: (i) sensitivity to prompt design, and (ii) a tendency to generate incorrect responses with high confidence. As clinicians may rely on a model's stated confidence to gauge the reliability of its predictions, it is especially important that when a model expresses high confidence, it is also highly accurate. We introduce Prompt4Trust, the first reinforcement learning (RL) framework for prompt augmentation targeting confidence calibration in MLLMs. A lightweight LLM is trained to produce context-aware auxiliary prompts that guide a downstream task MLLM to generate responses in which the expressed confidence more accurately reflects predictive accuracy. Unlike conventional calibration techniques, Prompt4Trust specifically prioritizes aspects of calibration most critical for safe and trustworthy clinical decision-making. Beyond improvements driven by this clinically motivated calibration objective, our proposed method also improves task accuracy, achieving state-of-the-art medical visual question answering (VQA) performance on the PMC-VQA benchmark, which is composed of multiple-choice questions spanning diverse medical imaging modalities. Moreover, our framework trained with a small downstream task MLLM showed promising zero-shot generalization to larger MLLMs in our experiments, suggesting the potential for scalable calibration without the associated computational costs. This work demonstrates the potential of automated yet human-aligned prompt engineering for improving the the trustworthiness of MLLMs in safety critical settings. Our codebase can be found at https://github.com/xingbpshen/prompt4trust.

  • 4 authors
·
Jul 12, 2025

Visual Backdoor Attacks on MLLM Embodied Decision Making via Contrastive Trigger Learning

Multimodal large language models (MLLMs) have advanced embodied agents by enabling direct perception, reasoning, and planning task-oriented actions from visual inputs. However, such vision driven embodied agents open a new attack surface: visual backdoor attacks, where the agent behaves normally until a visual trigger appears in the scene, then persistently executes an attacker-specified multi-step policy. We introduce BEAT, the first framework to inject such visual backdoors into MLLM-based embodied agents using objects in the environments as triggers. Unlike textual triggers, object triggers exhibit wide variation across viewpoints and lighting, making them difficult to implant reliably. BEAT addresses this challenge by (1) constructing a training set that spans diverse scenes, tasks, and trigger placements to expose agents to trigger variability, and (2) introducing a two-stage training scheme that first applies supervised fine-tuning (SFT) and then our novel Contrastive Trigger Learning (CTL). CTL formulates trigger discrimination as preference learning between trigger-present and trigger-free inputs, explicitly sharpening the decision boundaries to ensure precise backdoor activation. Across various embodied agent benchmarks and MLLMs, BEAT achieves attack success rates up to 80%, while maintaining strong benign task performance, and generalizes reliably to out-of-distribution trigger placements. Notably, compared to naive SFT, CTL boosts backdoor activation accuracy up to 39% under limited backdoor data. These findings expose a critical yet unexplored security risk in MLLM-based embodied agents, underscoring the need for robust defenses before real-world deployment.

  • 10 authors
·
Oct 31, 2025 1

ClinSeekAgent: Automating Multimodal Evidence Seeking for Agentic Clinical Reasoning

Large language models (LLMs) and agentic systems have shown promise for clinical decision support, but existing works largely assume that evidence has already been curated and handed to the model. Real-world clinical workflows instead require agents to actively seek, iteratively plan, and synthesize multimodal evidence from heterogeneous sources. In this paper, we introduce ClinSeekAgent, an automated agentic framework for dynamic multimodal evidence seeking that shifts the paradigm from passive evidence consumption to active evidence acquisition. Given only a clinical query and access to raw data sources, ClinSeekAgent gathers evidence by querying medical knowledge bases, navigating raw EHRs, and invoking medical imaging tools; refines its hypotheses as new information emerges; and integrates the collected evidence into grounded clinical decisions. ClinSeekAgent serves both as an inference-time agent for frontier LLMs and as a training-time pipeline for distilling high-quality agent trajectories into compact open-source models. To validate its inference-time effectiveness, we construct ClinSeek-Bench, which pairs Curated Input reasoning from fixed pre-selected evidence with Automated Evidence-Seeking over raw clinical data. On text-only EHR tasks, ClinSeekAgent improves Claude Opus 4.6 from 60.0 to 63.2 overall F1 and MiniMax M2.5 from 43.1 to 47.3, with positive risk-prediction gains in 7 out of 9 evaluated host models. On multimodal tasks, ClinSeekAgent improves Claude Opus 4.6 from 47.5 to 62.6 (+15.1); all evaluated models improve across the three CXR-related task groups. We further validate ClinSeekAgent as a training pipeline by distilling agentic evidence-seeking trajectories into ClinSeek-35B-A3B, which achieves 34.0 average F1 on existing AgentEHR-Bench, improving over its Qwen3.5-35B-A3B baseline by +11.9 points and approaching Claude Opus 4.6.

UCSC-VLAA UCSC-VLAA
·
May 18 2

Explaining multimodal LLMs via intra-modal token interactions

Multimodal Large Language Models (MLLMs) have achieved remarkable success across diverse vision-language tasks, yet their internal decision-making mechanisms remain insufficiently understood. Existing interpretability research has primarily focused on cross-modal attribution, identifying which image regions the model attends to during output generation. However, these approaches often overlook intra-modal dependencies. In the visual modality, attributing importance to isolated image patches ignores spatial context due to limited receptive fields, resulting in fragmented and noisy explanations. In the textual modality, reliance on preceding tokens introduces spurious activations. Failing to effectively mitigate these interference compromises attribution fidelity. To address these limitations, we propose enhancing interpretability by leveraging intra-modal interaction. For the visual branch, we introduce Multi-Scale Explanation Aggregation (MSEA), which aggregates attributions over multi-scale inputs to dynamically adjust receptive fields, producing more holistic and spatially coherent visual explanations. For the textual branch, we propose Activation Ranking Correlation (ARC), which measures the relevance of contextual tokens to the current token via alignment of their top-k prediction rankings. ARC leverages this relevance to suppress spurious activations from irrelevant contexts while preserving semantically coherent ones. Extensive experiments across state-of-the-art MLLMs and benchmark datasets demonstrate that our approach consistently outperforms existing interpretability methods, yielding more faithful and fine-grained explanations of model behavior.

  • 8 authors
·
Sep 26, 2025

WorldMemArena: Evaluating Multimodal Agent Memory Through Action-World Interaction

Multimodal large language models are increasingly deployed as long-horizon agents, where memory must do more than recall: it must track an evolving world, revise what has gone stale, and surface the right evidence at decision time. Existing benchmarks measure recall over static dialogue, collapse memory into a single end-of-task accuracy, and reduce visual observations to captions, leaving us unable to localize failures to writing, maintenance, retrieval, or use. The rise of agent harnesses that author their own memory sharpens this gap, since we have no principled way to compare hand-designed pipelines with self-managing alternatives. To close these gaps, we formulate multimodal agent memory as an Action-World Interaction Loop with an observable four-stage lifecycle, and instantiate it in WorldMemArena: 400 multi-session multimodal tasks spanning Lifelong Evolution (evolving personal and task states) and Agentic Execution (memory from real observations, actions, and feedback), annotated with gold memory points, updates, distractors, and evidence chains for stage-level diagnosis. This enables the first head-to-head comparison of long-context, manually designed (RAG and external memory systems), and harness-based memory agents. Results show that: (1) better memory writing and storage do not guarantee better performance; (2) multimodal memory still struggles to fully use visual evidence; (3) systems are unstable across domains and degrade on realistic agentic trajectories; and (4) harness memory is more flexible but remains costly and less reliable.

  • 17 authors
·
May 27 2

DynFrame: Adaptive Reasoning-Driven Multimodal Framework with Dynamic Frame Augmentation for Complex Video Understanding

Recent video multimodal large language models (MLLMs) increasingly couple step-by-step reasoning with on-demand visual evidence retrieval, allowing models to revisit relevant video segments during inference. However, two structural gaps remain in existing thinking-with-video systems. (i) Sampling density is not a learnable decision: existing methods may let the model decide where to look, but the per-window frame rate is largely fixed. As a result, fine-grained evidence is often recovered through repeated retrieval calls, which increases inference context length and training difficulty. (ii) Retrieval and answer generation are usually optimized with a single trajectory-level advantage, so the "where to look" tokens and the "how to answer" tokens receive the same credit even when one is correct and the other is not. To address these gaps, we present DynFrame, a framework that emits the temporal window and the sampling density as native tokens within a single autoregressive pass. This learnable span-density retrieval enables acquiring multi-granularity evidence with a single retrieval step. Based on the above tokenized retrieval interface, we further introduce Segment-Decoupled GRPO (SD-GRPO), which splits each rollout at the retrieval boundary and assigns role-specific token-level advantages, separately crediting the sampling decision and the answer. Trained on the curated DM-CoT-74k and DM-RL-45k, DynFrame-4B is competitive with strong 7B-8B baselines across six benchmarks (NExT-GQA, Charades-STA, ActivityNet-MR, Video-MME, MLVU, LVBench), and DynFrame-8B sets new state-of-the-art on most metrics. Code is available at https://github.com/zhangguanghao523/DynFrame.

  • 13 authors
·
May 25

NeuroVLM-Bench: Evaluation of Vision-Enabled Large Language Models for Clinical Reasoning in Neurological Disorders

Recent advances in multimodal large language models enable new possibilities for image-based decision support. However, their reliability and operational trade-offs in neuroimaging remain insufficiently understood. We present a comprehensive benchmarking study of vision-enabled large language models for 2D neuroimaging using curated MRI and CT datasets covering multiple sclerosis, stroke, brain tumors, other abnormalities, and normal controls. Models are required to generate multiple outputs simultaneously, including diagnosis, diagnosis subtype, imaging modality, specialized sequence, and anatomical plane. Performance is evaluated across four directions: discriminative classification with abstention, calibration, structured-output validity, and computational efficiency. A multi-phase framework ensures fair comparison while controlling for selection bias. Across twenty frontier multimodal models, the results show that technical imaging attributes such as modality and plane are nearly solved, whereas diagnostic reasoning, especially subtype prediction, remains challenging. Tumor classification emerges as the most reliable task, stroke is moderately solvable, while multiple sclerosis and rare abnormalities remain difficult. Few-shot prompting improves performance for several models but increases token usage, latency, and cost. Gemini-2.5-Pro and GPT-5-Chat achieve the strongest overall diagnostic performance, while Gemini-2.5-Flash offers the best efficiency-performance trade-off. Among open-weight architectures, MedGemma-1.5-4B demonstrates the most promising results, as under few-shot prompting, it approaches the zero-shot performance of several proprietary models, while maintaining perfect structured output. These findings provide practical insights into performance, reliability, and efficiency trade-offs, supporting standardized evaluation of multimodal LLMs in neuroimaging.

  • 8 authors
·
Mar 24

From Sparse Decisions to Dense Reasoning: A Multi-attribute Trajectory Paradigm for Multimodal Moderation

Safety moderation is pivotal for identifying harmful content. Despite the success of textual safety moderation, its multimodal counterparts remain hindered by a dual sparsity of data and supervision. Conventional reliance on binary labels lead to shortcut learning, which obscures the intrinsic classification boundaries necessary for effective multimodal discrimination. Hence, we propose a novel learning paradigm (UniMod) that transitions from sparse decision-making to dense reasoning traces. By constructing structured trajectories encompassing evidence grounding, modality assessment, risk mapping, policy decision, and response generation, we reformulate monolithic decision tasks into a multi-dimensional boundary learning process. This approach forces the model to ground its decision in explicit safety semantics, preventing the model from converging on superficial shortcuts. To facilitate this paradigm, we develop a multi-head scalar reward model (UniRM). UniRM provides multi-dimensional supervision by assigning attribute-level scores to the response generation stage. Furthermore, we introduce specialized optimization strategies to decouple task-specific parameters and rebalance training dynamics, effectively resolving interference between diverse objectives in multi-task learning. Empirical results show UniMod achieves competitive textual moderation performance and sets a new multimodal benchmark using less than 40\% of the training data used by leading baselines. Ablations further validate our multi-attribute trajectory reasoning, offering an effective and efficient framework for multimodal moderation. Supplementary materials are available at https://trustworthylab.github.io/UniMod/{project website}.

  • 9 authors
·
Jan 28

Evaluating Multimodal LLMs as Generalist Vision-Language-Action Agents for Drone Control: Commanding, Approaching, Tracking and Searching

Multimodal Large Language Models (MLLMs) are strong perceivers of images and video. We ask how far that reach extends into acting: dropping an MLLM directly into a drone's control loop, with its entire action space declared solely in the prompt. Recent systems approach this setting but increasingly narrow the model's decision-making. We widen it back. We introduce DroneCATS-Agent, an architecture where the MLLM is a swappable component, and DroneCATS, a benchmark treating the model as the independent variable. Beyond merely flying toward a pixel, our agent entrusts the model to yaw and search, deliberate when unsure, and self-declare arrival---all without fine-tuning or function-calling schemas. Evaluating frontier and open models across four core capabilities---approaching a visible target, tracking a moving one, searching outside the initial view, and commanding a multi-drone fleet---reveals that even the simplest embodied settings are far from solved. Crucially, to identify what breaks first at the edge, our roster scales down to 2B parameters. The findings expose a stark paradox: it is not the flying that fails. Small open models often navigate into the success radius more reliably than frontier models, yet lose the episode by declaring arrival prematurely or not at all. Multi-drone commanding amplifies this divide, with small models failing by blindly copying a single coordinate across distinct views. Viewed as vision-language-action agents, the models' spatial perception holds up, but their action protocol does not. What separates a deployable edge model from a frontier model is not navigation, but the discipline to sustain a declared protocol and emit the correct terminating action. The open problem is closing this gap at onboard compute costs---yielding a fast model that plans persistently and knows exactly when it is done---and DroneCATS is built to measure that distance.

naver-hyperclovax HyperCLOVA X
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Aug 31 3

ICAL: Continual Learning of Multimodal Agents by Transforming Trajectories into Actionable Insights

Large-scale generative language and vision-language models (LLMs and VLMs) excel in few-shot in-context learning for decision making and instruction following. However, they require high-quality exemplar demonstrations to be included in their context window. In this work, we ask: Can LLMs and VLMs generate their own prompt examples from generic, sub-optimal demonstrations? We propose In-Context Abstraction Learning (ICAL), a method that builds a memory of multimodal experience insights from sub-optimal demonstrations and human feedback. Given a noisy demonstration in a new domain, VLMs abstract the trajectory into a general program by fixing inefficient actions and annotating cognitive abstractions: task relationships, object state changes, temporal subgoals, and task construals. These abstractions are refined and adapted interactively through human feedback while the agent attempts to execute the trajectory in a similar environment. The resulting abstractions, when used as exemplars in the prompt, significantly improve decision-making in retrieval-augmented LLM and VLM agents. Our ICAL agent surpasses the state-of-the-art in dialogue-based instruction following in TEACh, multimodal web agents in VisualWebArena, and action anticipation in Ego4D. In TEACh, we achieve a 12.6% improvement in goal-condition success. In VisualWebArena, our task success rate improves over the SOTA from 14.3% to 22.7%. In Ego4D action forecasting, we improve over few-shot GPT-4V and remain competitive with supervised models. We show finetuning our retrieval-augmented in-context agent yields additional improvements. Our approach significantly reduces reliance on expert-crafted examples and consistently outperforms in-context learning from action plans that lack such insights.

  • 6 authors
·
Jun 20, 2024 2

How Good are Foundation Models in Step-by-Step Embodied Reasoning?

Embodied agents operating in the physical world must make decisions that are not only effective but also safe, spatially coherent, and grounded in context. While recent advances in large multimodal models (LMMs) have shown promising capabilities in visual understanding and language generation, their ability to perform structured reasoning for real-world embodied tasks remains underexplored. In this work, we aim to understand how well foundation models can perform step-by-step reasoning in embodied environments. To this end, we propose the Foundation Model Embodied Reasoning (FoMER) benchmark, designed to evaluate the reasoning capabilities of LMMs in complex embodied decision-making scenarios. Our benchmark spans a diverse set of tasks that require agents to interpret multimodal observations, reason about physical constraints and safety, and generate valid next actions in natural language. We present (i) a large-scale, curated suite of embodied reasoning tasks, (ii) a novel evaluation framework that disentangles perceptual grounding from action reasoning, and (iii) empirical analysis of several leading LMMs under this setting. Our benchmark includes over 1.1k samples with detailed step-by-step reasoning across 10 tasks and 8 embodiments, covering three different robot types. Our results highlight both the potential and current limitations of LMMs in embodied reasoning, pointing towards key challenges and opportunities for future research in robot intelligence. Our data and code will be made publicly available.

Vision-Language Models for Egocentric Video: From Hand-Object Interaction to Embodied AI

Egocentric video captures activities from the wearer's perspective, providing a direct view of human attention, hand--object interaction, and goal-directed behavior. This perspective is increasingly important for wearable intelligence, assistive systems, human--robot interaction, and embodied AI, yet it introduces challenges including ego-motion, occlusion, small active objects, viewpoint-dependent appearance, and long-range temporal dependencies. Vision--language models (VLMs) offer a promising foundation for addressing these challenges by linking visual observations with semantic knowledge and natural-language supervision. This survey presents a critical review of VLMs for egocentric video understanding, tracing the progression from conventional recognition architectures to multimodal foundation models and embodied systems. We organize the literature around tasks, datasets, hand--object interaction understanding, temporal reasoning, frame and clip selection, multimodal representation learning, prompting, semantic alignment, and model adaptation. Particular attention is given to graph-based and object-centric reasoning as mechanisms for modeling relations among hands, objects, actions, and scene context over time. We further examine how first-person perception and multimodal foundation models support wearable assistance, robot skill learning, human-to-robot transfer, and embodied decision making. Across the reviewed literature, a consistent limitation emerges: current models recognize visible objects more reliably than evolving interactions, actions, and user intent, especially over long activities. We therefore identify temporally grounded reasoning, interaction-aware supervision, efficient long-video processing, multimodal fusion, graph-enhanced representations, cross-domain generalization, privacy, and trustworthy evaluation as key priorities for deployable embodied intelligence.

  • 2 authors
·
Aug 19

Look Before You Leap: A GUI-Critic-R1 Model for Pre-Operative Error Diagnosis in GUI Automation

In recent years, Multimodal Large Language Models (MLLMs) have been extensively utilized for multimodal reasoning tasks, including Graphical User Interface (GUI) automation. Unlike general offline multimodal tasks, GUI automation is executed in online interactive environments, necessitating step-by-step decision-making based on real-time status of the environment. This task has a lower tolerance for decision-making errors at each step, as any mistakes may cumulatively disrupt the process and potentially lead to irreversible outcomes like deletions or payments. To address these issues, we introduce a pre-operative critic mechanism that provides effective feedback prior to the actual execution, by reasoning about the potential outcome and correctness of actions. Specifically, we propose a Suggestion-aware Gradient Relative Policy Optimization (S-GRPO) strategy to construct our pre-operative critic model GUI-Critic-R1, incorporating a novel suggestion reward to enhance the reliability of the model's feedback. Furthermore, we develop a reasoning-bootstrapping based data collection pipeline to create a GUI-Critic-Train and a GUI-Critic-Test, filling existing gaps in GUI critic data. Static experiments on the GUI-Critic-Test across both mobile and web domains reveal that our GUI-Critic-R1 offers significant advantages in critic accuracy compared to current MLLMs. Dynamic evaluation on GUI automation benchmark further highlights the effectiveness and superiority of our model, as evidenced by improved success rates and operational efficiency.

  • 12 authors
·
Jun 5, 2025 2

Vision-Language-Action Models for Autonomous Driving: Past, Present, and Future

Autonomous driving has long relied on modular "Perception-Decision-Action" pipelines, where hand-crafted interfaces and rule-based components often break down in complex or long-tailed scenarios. Their cascaded design further propagates perception errors, degrading downstream planning and control. Vision-Action (VA) models address some limitations by learning direct mappings from visual inputs to actions, but they remain opaque, sensitive to distribution shifts, and lack structured reasoning or instruction-following capabilities. Recent progress in Large Language Models (LLMs) and multimodal learning has motivated the emergence of Vision-Language-Action (VLA) frameworks, which integrate perception with language-grounded decision making. By unifying visual understanding, linguistic reasoning, and actionable outputs, VLAs offer a pathway toward more interpretable, generalizable, and human-aligned driving policies. This work provides a structured characterization of the emerging VLA landscape for autonomous driving. We trace the evolution from early VA approaches to modern VLA frameworks and organize existing methods into two principal paradigms: End-to-End VLA, which integrates perception, reasoning, and planning within a single model, and Dual-System VLA, which separates slow deliberation (via VLMs) from fast, safety-critical execution (via planners). Within these paradigms, we further distinguish subclasses such as textual vs. numerical action generators and explicit vs. implicit guidance mechanisms. We also summarize representative datasets and benchmarks for evaluating VLA-based driving systems and highlight key challenges and open directions, including robustness, interpretability, and instruction fidelity. Overall, this work aims to establish a coherent foundation for advancing human-compatible autonomous driving systems.

  • 20 authors
·
Dec 18, 2025 1

Explore with Long-term Memory: A Benchmark and Multimodal LLM-based Reinforcement Learning Framework for Embodied Exploration

An ideal embodied agent should possess lifelong learning capabilities to handle long-horizon and complex tasks, enabling continuous operation in general environments. This not only requires the agent to accurately accomplish given tasks but also to leverage long-term episodic memory to optimize decision-making. However, existing mainstream one-shot embodied tasks primarily focus on task completion results, neglecting the crucial process of exploration and memory utilization. To address this, we propose Long-term Memory Embodied Exploration (LMEE), which aims to unify the agent's exploratory cognition and decision-making behaviors to promote lifelong learning.We further construct a corresponding dataset and benchmark, LMEE-Bench, incorporating multi-goal navigation and memory-based question answering to comprehensively evaluate both the process and outcome of embodied exploration. To enhance the agent's memory recall and proactive exploration capabilities, we propose MemoryExplorer, a novel method that fine-tunes a multimodal large language model through reinforcement learning to encourage active memory querying. By incorporating a multi-task reward function that includes action prediction, frontier selection, and question answering, our model achieves proactive exploration. Extensive experiments against state-of-the-art embodied exploration models demonstrate that our approach achieves significant advantages in long-horizon embodied tasks.

  • 7 authors
·
Jan 11

MobileFlow: A Multimodal LLM For Mobile GUI Agent

Currently, the integration of mobile Graphical User Interfaces (GUIs) is ubiquitous in most people's daily lives. And the ongoing evolution of multimodal large-scale models, such as GPT-4v, Qwen-VL-Max, has significantly bolstered the capabilities of GUI comprehension and user action analysis, showcasing the potentiality of intelligent GUI assistants. However, current GUI Agents often need to access page layout information through calling system APIs, which may pose privacy risks. Fixing GUI (such as mobile interfaces) to a certain low resolution might result in the loss of fine-grained image details. At the same time, the multimodal large models built for GUI Agents currently have poor understanding and decision-making abilities for Chinese GUI interfaces, making them difficult to apply to a large number of Chinese apps. This paper introduces MobileFlow, a multimodal large language model meticulously crafted for mobile GUI agents. Transforming from the open-source model Qwen-VL-Chat into GUI domain, MobileFlow contains approximately 21 billion parameters and is equipped with novel hybrid visual encoders, making it possible for variable resolutions of image inputs and good support for multilingual GUI. By incorporating Mixture of Experts (MoE) expansions and pioneering alignment training strategies, MobileFlow has the capacity to fully interpret image data and comprehend user instructions for GUI interaction tasks. Finally, MobileFlow outperforms Qwen-VL-Max and GPT-4v in terms of task execution by GUI agents on both public and our proposed evaluation metrics, and has been successfully deployed in real-world business contexts, proving its effectiveness for practical applications.

  • 7 authors
·
Jul 5, 2024

Interpreting Object-level Foundation Models via Visual Precision Search

Advances in multimodal pre-training have propelled object-level foundation models, such as Grounding DINO and Florence-2, in tasks like visual grounding and object detection. However, interpreting these models\' decisions has grown increasingly challenging. Existing interpretable attribution methods for object-level task interpretation have notable limitations: (1) gradient-based methods lack precise localization due to visual-textual fusion in foundation models, and (2) perturbation-based methods produce noisy saliency maps, limiting fine-grained interpretability. To address these, we propose a Visual Precision Search method that generates accurate attribution maps with fewer regions. Our method bypasses internal model parameters to overcome attribution issues from multimodal fusion, dividing inputs into sparse sub-regions and using consistency and collaboration scores to accurately identify critical decision-making regions. We also conducted a theoretical analysis of the boundary guarantees and scope of applicability of our method. Experiments on RefCOCO, MS COCO, and LVIS show our approach enhances object-level task interpretability over SOTA for Grounding DINO and Florence-2 across various evaluation metrics, with faithfulness gains of 23.7\%, 31.6\%, and 20.1\% on MS COCO, LVIS, and RefCOCO for Grounding DINO, and 102.9\% and 66.9\% on MS COCO and RefCOCO for Florence-2. Additionally, our method can interpret failures in visual grounding and object detection tasks, surpassing existing methods across multiple evaluation metrics. The code will be released at https://github.com/RuoyuChen10/VPS.

  • 8 authors
·
Nov 25, 2024

It's Never Too Late: Fusing Acoustic Information into Large Language Models for Automatic Speech Recognition

Recent studies have successfully shown that large language models (LLMs) can be successfully used for generative error correction (GER) on top of the automatic speech recognition (ASR) output. Specifically, an LLM is utilized to carry out a direct mapping from the N-best hypotheses list generated by an ASR system to the predicted output transcription. However, despite its effectiveness, GER introduces extra data uncertainty since the LLM is trained without taking into account acoustic information available in the speech signal. In this work, we aim to overcome such a limitation by infusing acoustic information before generating the predicted transcription through a novel late fusion solution termed Uncertainty-Aware Dynamic Fusion (UADF). UADF is a multimodal fusion approach implemented into an auto-regressive decoding process and works in two stages: (i) It first analyzes and calibrates the token-level LLM decision, and (ii) it then dynamically assimilates the information from the acoustic modality. Experimental evidence collected from various ASR tasks shows that UADF surpasses existing fusion mechanisms in several ways. It yields significant improvements in word error rate (WER) while mitigating data uncertainty issues in LLM and addressing the poor generalization relied with sole modality during fusion. We also demonstrate that UADF seamlessly adapts to audio-visual speech recognition.

  • 7 authors
·
Feb 8, 2024

BadVLA: Towards Backdoor Attacks on Vision-Language-Action Models via Objective-Decoupled Optimization

Vision-Language-Action (VLA) models have advanced robotic control by enabling end-to-end decision-making directly from multimodal inputs. However, their tightly coupled architectures expose novel security vulnerabilities. Unlike traditional adversarial perturbations, backdoor attacks represent a stealthier, persistent, and practically significant threat-particularly under the emerging Training-as-a-Service paradigm-but remain largely unexplored in the context of VLA models. To address this gap, we propose BadVLA, a backdoor attack method based on Objective-Decoupled Optimization, which for the first time exposes the backdoor vulnerabilities of VLA models. Specifically, it consists of a two-stage process: (1) explicit feature-space separation to isolate trigger representations from benign inputs, and (2) conditional control deviations that activate only in the presence of the trigger, while preserving clean-task performance. Empirical results on multiple VLA benchmarks demonstrate that BadVLA consistently achieves near-100% attack success rates with minimal impact on clean task accuracy. Further analyses confirm its robustness against common input perturbations, task transfers, and model fine-tuning, underscoring critical security vulnerabilities in current VLA deployments. Our work offers the first systematic investigation of backdoor vulnerabilities in VLA models, highlighting an urgent need for secure and trustworthy embodied model design practices. We have released the project page at https://badvla-project.github.io/.

  • 6 authors
·
May 22, 2025 1

Maestro: Reinforcement Learning to Orchestrate Hierarchical Model-Skill Ensembles

The proliferation of large language models (LLMs) and modular skills has endowed autonomous agents with increasingly powerful capabilities. Existing frameworks typically rely on monolithic LLMs and fixed logic to interface with these skills. This gives rise to a critical bottleneck: different LLMs offer distinct advantages across diverse domains, yet current frameworks fail to exploit the complementary strengths of models and skills, thereby limiting their performance on downstream tasks. In this paper, we present Maestro (Multimodal Agent for Expert-Skill Targeted Reinforced Orchestration), a Reinforcement Learning (RL)-driven orchestration framework that reframes heterogeneous multimodal tasks as a sequential decision-making process over a hierarchical model-skill registry. Rather than consolidating all knowledge into a single model, Maestro trains a lightweight policy to dynamically compose ensembles of frozen expert models and a two-tier skill library, deciding at each step whether to invoke an external expert, which model-skill pair to select, and when to terminate. The policy is optimized via outcome-based RL, requiring no step-level supervision. We evaluate Maestro across ten representative multimodal benchmarks spanning mathematical reasoning, chart understanding, high-resolution perception, and domain-specific analysis. With only a 4B orchestrator, Maestro achieves an average accuracy of 70.1%, surpassing both GPT-5 (69.3%) and Gemini-2.5-Pro (68.7%). Crucially, the learned coordination policy generalizes to unseen models and skills without retraining: augmenting the registry with out-of-domain experts yields a 59.5% average on four challenging benchmarks, outperforming all closed-source baselines. Maestro further maintains high computational efficiency with low latency. The source code is available at https://github.com/jinyangwu/Maestro.

  • 10 authors
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May 20 1

VS-Bench: Evaluating VLMs for Strategic Reasoning and Decision-Making in Multi-Agent Environments

Recent advancements in Vision Language Models (VLMs) have expanded their capabilities to interactive agent tasks, yet existing benchmarks remain limited to single-agent or text-only environments. In contrast, real-world scenarios often involve multiple agents interacting within rich visual and linguistic contexts, posing challenges with both multimodal observations and strategic interactions. To bridge this gap, we introduce Visual Strategic Bench (VS-Bench), a multimodal benchmark that evaluates VLMs for strategic reasoning and decision-making in multi-agent environments. VS-Bench comprises eight vision-grounded environments spanning cooperative, competitive, and mixed-motive interactions, designed to assess agents' ability to predict others' future moves and optimize for long-term objectives. We consider two complementary evaluation dimensions, including offline evaluation of strategic reasoning by next-action prediction accuracy and online evaluation of decision-making by normalized episode return. Extensive experiments of fourteen leading VLMs reveal a significant gap between current models and optimal performance, with the best models attaining 47.8% prediction accuracy and 24.3% normalized return. We further conduct in-depth analyses on multimodal observations, test-time scaling, social behaviors, and failure cases of VLM agents. By standardizing the evaluation and highlighting the limitations of existing models, we envision VS-Bench as a foundation for future research on strategic multimodal agents. Code and data are available at https://vs-bench.github.io.

  • 8 authors
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Jun 2, 2025 3

Audio-Visual World Models: Towards Multisensory Imagination in Sight and Sound

World models simulate environmental dynamics to enable agents to plan and reason about future states. While existing approaches have primarily focused on visual observations, real-world perception inherently involves multiple sensory modalities. Audio provides crucial spatial and temporal cues such as sound source localization and acoustic scene properties, yet its integration into world models remains largely unexplored. No prior work has formally defined what constitutes an audio-visual world model or how to jointly capture binaural spatial audio and visual dynamics under precise action control with task reward prediction. This work presents the first formal framework for Audio-Visual World Models (AVWM), formulating multimodal environment simulation as a partially observable Markov decision process with synchronized audio-visual observations, fine-grained actions, and task rewards. To address the lack of suitable training data, we construct AVW-4k, a dataset comprising 30 hours of binaural audio-visual trajectories with action annotations and reward signals across 76 indoor environments. We propose AV-CDiT, an Audio-Visual Conditional Diffusion Transformer with a novel modality expert architecture that balances visual and auditory learning, optimized through a three-stage training strategy for effective multimodal integration. Extensive experiments demonstrate that AV-CDiT achieves high-fidelity multimodal prediction across visual and auditory modalities with reward. Furthermore, we validate its practical utility in continuous audio-visual navigation tasks, where AVWM significantly enhances the agent's performance.

  • 5 authors
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Nov 30, 2025

MM-DREX: Multimodal-Driven Dynamic Routing of LLM Experts for Financial Trading

The inherent non-stationarity of financial markets and the complexity of multi-modal information pose significant challenges to existing quantitative trading models. Traditional methods relying on fixed structures and unimodal data struggle to adapt to market regime shifts, while large language model (LLM)-driven solutions - despite their multi-modal comprehension - suffer from static strategies and homogeneous expert designs, lacking dynamic adjustment and fine-grained decision mechanisms. To address these limitations, we propose MM-DREX: a Multimodal-driven, Dynamically-Routed EXpert framework based on large language models. MM-DREX explicitly decouples market state perception from strategy execution to enable adaptive sequential decision-making in non-stationary environments. Specifically, it (1) introduces a vision-language model (VLM)-powered dynamic router that jointly analyzes candlestick chart patterns and long-term temporal features to allocate real-time expert weights; (2) designs four heterogeneous trading experts (trend, reversal, breakout, positioning) generating specialized fine-grained sub-strategies; and (3) proposes an SFT-RL hybrid training paradigm to synergistically optimize the router's market classification capability and experts' risk-adjusted decision-making. Extensive experiments on multi-modal datasets spanning stocks, futures, and cryptocurrencies demonstrate that MM-DREX significantly outperforms 15 baselines (including state-of-the-art financial LLMs and deep reinforcement learning models) across key metrics: total return, Sharpe ratio, and maximum drawdown, validating its robustness and generalization. Additionally, an interpretability module traces routing logic and expert behavior in real time, providing an audit trail for strategy transparency.

  • 9 authors
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Sep 5, 2025

Loud or Silent? A Reusable Framework for Per-Modality Failure Analysis in Multimodal Clinical AI

Multimodal clinical models are usually judged on accuracy with every modality present, but deployment removes modalities; an echocardiogram is often unavailable where an ECG is routine. Two questions then matter beyond the size of the accuracy loss: which modality was responsible, and whether the model fails loudly or silently once that modality is dropped. The distinction is per-example and modality-level, and is separate from post-hoc feature attribution (e.g. SHAP). Models are replaced often; the evaluation that answers these questions is reused. We present a model-agnostic modality-failure framework: given N modality embeddings, any mask-aware probe, and labels, it returns a per-example failure taxonomy, a per-modality complementarity matrix that attributes error to modalities, and a loud-vs-silent dropout profile separating monitorable failures from those that pass unflagged far from the decision boundary, using only deployment-observable signals. We release it as a small, unit-tested harness and validate it against planted ground truth. Across seeds it recovers that planted modality dominance and complementary subset, reports per-modality loud-vs-silent rates, and scales to a three-modality complementarity matrix; because the planted structure is known by construction, this validates recovery of per-example attribution rather than clinical performance. We then instantiate the framework on frozen EchoJEPA and HuBERT-ECG embeddings for LVEF and the EF <= 40% HFrEF gate over a paired MIMIC-IV cohort, where on the held-out test split (n = 245) dropping echo nearly doubles error. The narrow echo-to-ECG overlap that bounds cohort size is itself a deployment finding for cardiac foundation models. All of our work can be found at https://github.com/criticaldata/PRIMED-AI.

Evaluating Large Language Models on the Spanish Medical Intern Resident (MIR) Examination 2024/2025:A Comparative Analysis of Clinical Reasoning and Knowledge Application

This study presents a comparative evaluation of 22 large language models LLMs on the Spanish Medical Intern Resident MIR examinations for 2024 and 2025 with a focus on clinical reasoning domain specific expertise and multimodal processing capabilities The MIR exam consisting of 210 multiple choice questions some requiring image interpretation serves as a stringent benchmark for assessing both factual recall and complex clinical problem solving skills Our investigation encompasses general purpose models such as GPT4 Claude LLaMA and Gemini as well as specialized fine tuned systems like Miri Pro which leverages proprietary Spanish healthcare data to excel in medical contexts Recent market entries Deepseek and Grok have further enriched the evaluation landscape particularly for tasks that demand advanced visual and semantic analysis The findings indicate that while general purpose LLMs perform robustly overall fine tuned models consistently achieve superior accuracy especially in addressing nuanced domain specific challenges A modest performance decline observed between the two exam cycles appears attributable to the implementation of modified questions designed to mitigate reliance on memorization The results underscore the transformative potential of domain specific fine tuning and multimodal integration in advancing medical AI applications They also highlight critical implications for the future integration of LLMs into medical education training and clinical decision making emphasizing the importance of balancing automated reasoning with ethical and context aware judgment

  • 7 authors
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Mar 15, 2025

3DReasonKnee: Advancing Grounded Reasoning in Medical Vision Language Models

Current Vision-Language Models (VLMs) struggle to ground anatomical regions in 3D medical images and reason about them in a step-by-step manner, a key requirement of real-world diagnostic assessment. This ability is essential for aligning model outputs with the diagnostic workflows clinicians use in practice, enabling trustworthy clinician-AI collaboration. Existing 3D datasets provide localization labels, but none support this "grounded reasoning" ability. To address this gap, we introduce 3DReasonKnee, the first 3D grounded reasoning dataset for medical images, which provides 494k high-quality quintuples derived from 7,970 3D knee MRI volumes. Each quintuple includes: (1) the 3D MRI volume, (2) a diagnostic question targeting a specific anatomical region (3) a 3D bounding box localizing the relevant anatomical structures, (4) clinician-generated diagnostic reasoning steps that explicitly detail the 3D reasoning process, and (5) structured severity assessments for the relevant anatomical region. The creation and validation of 3DReasonKnee, involving over 450 hours of expert clinician time for manually segmenting MRIs and generating reasoning chains, ensures its superior quality and clinical relevance. We establish ReasonKnee-Bench to evaluate localization and diagnostic accuracy, providing insight into VLM ability to perform grounding and severity assessment across anatomical regions and diagnostic inquiries. We benchmark five state-of-the-art VLMs, providing baseline performance for ReasonKnee-Bench. By providing this unique resource of expert-annotated 3D reasoning pathways, 3DReasonKnee serves as a repository of orthopedic surgeons' diagnostic expertise and offers a vital testbed for advancing multimodal medical AI systems towards 3D, clinically aligned, localized decision-making capabilities. The dataset can be found in: https://huggingface.co/datasets/rajpurkarlab/3DReasonKnee

  • 8 authors
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Oct 23, 2025