Daily Papers

Medical Visual Question Answering (MedVQA) is a promising field for developing clinical decision support systems, yet progress is often limited by the available datasets, which can lack clinical complexity and visual diversity. To address these gaps, we introduce Kvasir-VQA-x1, a new, large-scale dataset for gastrointestinal (GI) endoscopy. Our work significantly expands upon the original Kvasir-VQA by incorporating 159,549 new question-answer pairs that are designed to test deeper clinical reasoning. We developed a systematic method using large language models to generate these questions, which are stratified by complexity to better assess a model's inference capabilities. To ensure our dataset prepares models for real-world clinical scenarios, we have also introduced a variety of visual augmentations that mimic common imaging artifacts. The dataset is structured to support two main evaluation tracks: one for standard VQA performance and another to test model robustness against these visual perturbations. By providing a more challenging and clinically relevant benchmark, Kvasir-VQA-x1 aims to accelerate the development of more reliable and effective multimodal AI systems for use in clinical settings. The dataset is fully accessible and adheres to FAIR data principles, making it a valuable resource for the wider research community. Code and data: https://github.com/Simula/Kvasir-VQA-x1 and https://huggingface.co/datasets/SimulaMet/Kvasir-VQA-x1

Answer grounding is the task of locating relevant visual evidence for the Visual Question Answering task. While a wide variety of attention methods have been introduced for this task, they suffer from the following three problems: designs that do not allow the usage of pre-trained networks and do not benefit from large data pre-training, custom designs that are not based on well-grounded previous designs, therefore limiting the learning power of the network, or complicated designs that make it challenging to re-implement or improve them. In this paper, we propose a novel architectural block, which we term Sentence Attention Block, to solve these problems. The proposed block re-calibrates channel-wise image feature-maps by explicitly modeling inter-dependencies between the image feature-maps and sentence embedding. We visually demonstrate how this block filters out irrelevant feature-maps channels based on sentence embedding. We start our design with a well-known attention method, and by making minor modifications, we improve the results to achieve state-of-the-art accuracy. The flexibility of our method makes it easy to use different pre-trained backbone networks, and its simplicity makes it easy to understand and be re-implemented. We demonstrate the effectiveness of our method on the TextVQA-X, VQS, VQA-X, and VizWiz-VQA-Grounding datasets. We perform multiple ablation studies to show the effectiveness of our design choices.

Deep models that are both effective and explainable are desirable in many settings; prior explainable models have been unimodal, offering either image-based visualization of attention weights or text-based generation of post-hoc justifications. We propose a multimodal approach to explanation, and argue that the two modalities provide complementary explanatory strengths. We collect two new datasets to define and evaluate this task, and propose a novel model which can provide joint textual rationale generation and attention visualization. Our datasets define visual and textual justifications of a classification decision for activity recognition tasks (ACT-X) and for visual question answering tasks (VQA-X). We quantitatively show that training with the textual explanations not only yields better textual justification models, but also better localizes the evidence that supports the decision. We also qualitatively show cases where visual explanation is more insightful than textual explanation, and vice versa, supporting our thesis that multimodal explanation models offer significant benefits over unimodal approaches.

Combining Large Language Models (LLMs) with external specialized tools (LLMs+tools) is a recent paradigm to solve multimodal tasks such as Visual Question Answering (VQA). While this approach was demonstrated to work well when optimized and evaluated for each individual benchmark, in practice it is crucial for the next generation of real-world AI systems to handle a broad range of multimodal problems. Therefore we pose the VQA problem from a unified perspective and evaluate a single system on a varied suite of VQA tasks including counting, spatial reasoning, OCR-based reasoning, visual pointing, external knowledge, and more. In this setting, we demonstrate that naively applying the LLM+tools approach using the combined set of all tools leads to poor results. This motivates us to introduce HAMMR: HierArchical MultiModal React. We start from a multimodal ReAct-based system and make it hierarchical by enabling our HAMMR agents to call upon other specialized agents. This enhances the compositionality of the LLM+tools approach, which we show to be critical for obtaining high accuracy on generic VQA. Concretely, on our generic VQA suite, HAMMR outperforms the naive LLM+tools approach by 19.5%. Additionally, HAMMR achieves state-of-the-art results on this task, outperforming the generic standalone PaLI-X VQA model by 5.0%.

Medical Visual Question Answering (Med-VQA) combines computer vision and natural language processing to automatically answer clinical inquiries about medical images. However, current Med-VQA datasets exhibit two significant limitations: (1) they often lack visual and textual explanations for answers, hindering comprehension for patients and junior doctors; (2) they typically offer a narrow range of question formats, inadequately reflecting the diverse requirements in practical scenarios. These limitations pose significant challenges to the development of a reliable and user-friendly Med-VQA system. To address these challenges, we introduce a large-scale, Groundable, and Explainable Medical VQA benchmark for chest X-ray diagnosis (GEMeX), featuring several innovative components: (1) a multi-modal explainability mechanism that offers detailed visual and textual explanations for each question-answer pair, thereby enhancing answer comprehensibility; (2) four question types, open-ended, closed-ended, single-choice, and multiple-choice, to better reflect practical needs. With 151,025 images and 1,605,575 questions, GEMeX is the currently largest chest X-ray VQA dataset. Evaluation of 12 representative large vision language models (LVLMs) on GEMeX reveals suboptimal performance, underscoring the dataset's complexity. Meanwhile, we propose a strong model by fine-tuning an existing LVLM on the GEMeX training set. The substantial performance improvement showcases the dataset's effectiveness. The benchmark is available at https://www.med-vqa.com/GEMeX.

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's tau_b=0.670), moderate alignment for fidelity (tau_b=0.387), and weak alignment for confidence tone (tau_b=0.091), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality are decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

With the rapid growth of User-Generated Content (UGC) exchanged between users and sharing platforms, the need for video quality assessment in the wild is increasingly evident. UGC is typically acquired using consumer devices and undergoes multiple rounds of compression (transcoding) before reaching the end user. Therefore, traditional quality metrics that employ the original content as a reference are not suitable. In this paper, we propose ReLaX-VQA, a novel No-Reference Video Quality Assessment (NR-VQA) model that aims to address the challenges of evaluating the quality of diverse video content without reference to the original uncompressed videos. ReLaX-VQA uses frame differences to select spatio-temporal fragments intelligently together with different expressions of spatial features associated with the sampled frames. These are then used to better capture spatial and temporal variabilities in the quality of neighbouring frames. Furthermore, the model enhances abstraction by employing layer-stacking techniques in deep neural network features from Residual Networks and Vision Transformers. Extensive testing across four UGC datasets demonstrates that ReLaX-VQA consistently outperforms existing NR-VQA methods, achieving an average SRCC of 0.8658 and PLCC of 0.8873. Open-source code and trained models that will facilitate further research and applications of NR-VQA can be found at https://github.com/xinyiW915/ReLaX-VQA.

The prevalence of user-generated content (UGC) on platforms such as YouTube and TikTok has rendered no-reference (NR) perceptual video quality assessment (VQA) vital for optimizing video delivery. Nonetheless, the characteristics of non-professional acquisition and the subsequent transcoding of UGC video on sharing platforms present significant challenges for NR-VQA. Although NR-VQA models attempt to infer mean opinion scores (MOS), their modeling of subjective scores for compressed content remains limited due to the absence of fine-grained perceptual annotations of artifact types. To address these challenges, we propose CAMP-VQA, a novel NR-VQA framework that exploits the semantic understanding capabilities of large vision-language models. Our approach introduces a quality-aware prompting mechanism that integrates video metadata (e.g., resolution, frame rate, bitrate) with key fragments extracted from inter-frame variations to guide the BLIP-2 pretraining approach in generating fine-grained quality captions. A unified architecture has been designed to model perceptual quality across three dimensions: semantic alignment, temporal characteristics, and spatial characteristics. These multimodal features are extracted and fused, then regressed to video quality scores. Extensive experiments on a wide variety of UGC datasets demonstrate that our model consistently outperforms existing NR-VQA methods, achieving improved accuracy without the need for costly manual fine-grained annotations. Our method achieves the best performance in terms of average rank and linear correlation (SRCC: 0.928, PLCC: 0.938) compared to state-of-the-art methods. The source code and trained models, along with a user-friendly demo, are available at: https://github.com/xinyiW915/CAMP-VQA.

The rapid growth of user-generated (video) content (UGC) has driven increased demand for research on no-reference (NR) perceptual video quality assessment (VQA). NR-VQA is a key component for large-scale video quality monitoring in social media and streaming applications where a pristine reference is not available. This paper proposes a novel NR-VQA model based on spatio-temporal fragmentation driven by inter-frame variations. By leveraging these inter-frame differences, the model progressively analyses quality-sensitive regions at multiple levels: frames, patches, and fragmented frames. It integrates frames, fragmented residuals, and fragmented frames aligned with residuals to effectively capture global and local information. The model extracts both 2D and 3D features in order to characterize these spatio-temporal variations. Experiments conducted on five UGC datasets and against state-of-the-art models ranked our proposed method among the top 2 in terms of average rank correlation (DIVA-VQA-L: 0.898 and DIVA-VQA-B: 0.886). The improved performance is offered at a low runtime complexity, with DIVA-VQA-B ranked top and DIVA-VQA-L third on average compared to the fastest existing NR-VQA method. Code and models are publicly available at: https://github.com/xinyiW915/DIVA-VQA.

Synthetic data generation has gained significant attention recently for its utility in training large vision and language models. However, the application of synthetic data to the training of multimodal context-augmented generation systems has been relatively unexplored. This gap in existing work is important because existing vision and language models (VLMs) are not trained specifically for context-augmented generation. Resources for adapting such models are therefore crucial for enabling their use in retrieval-augmented generation (RAG) settings, where a retriever is used to gather relevant information that is then subsequently provided to a generative model via context augmentation. To address this challenging problem, we generate SK-VQA: a large synthetic multimodal dataset containing over 2 million question-answer pairs which require external knowledge to determine the final answer. Our dataset is both larger and significantly more diverse than existing resources of its kind, possessing over 11x more unique questions and containing images from a greater variety of sources than previously-proposed datasets. Through extensive experiments, we demonstrate that our synthetic dataset can not only serve as a challenging benchmark, but is also highly effective for adapting existing generative multimodal models for context-augmented generation.

In this paper, we focus on the problem of Medical Visual Question Answering (MedVQA), which is crucial in efficiently interpreting medical images with vital clinic-relevant information. Firstly, we reframe the problem of MedVQA as a generation task that naturally follows the human-machine interaction, we propose a generative-based model for medical visual understanding by aligning visual information from a pre-trained vision encoder with a large language model. Secondly, we establish a scalable pipeline to construct a large-scale medical visual question-answering dataset, named PMC-VQA, which contains 227k VQA pairs of 149k images that cover various modalities or diseases. Thirdly, we pre-train our proposed model on PMC-VQA and then fine-tune it on multiple public benchmarks, e.g., VQA-RAD and SLAKE, outperforming existing work by a large margin. Additionally, we propose a test set that has undergone manual verification, which is significantly more challenging, even the best models struggle to solve.

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset designed to advance 3D Med-VQA using radiology CT scans. The 3D-RAD dataset encompasses six diverse VQA tasks: anomaly detection, image observation, medical computation, existence detection, static temporal diagnosis, and longitudinal temporal diagnosis. It supports both open- and closed-ended questions while introducing complex reasoning challenges, including computational tasks and multi-stage temporal analysis, to enable comprehensive benchmarking. Extensive evaluations demonstrate that existing vision-language models (VLMs), especially medical VLMs exhibit limited generalization, particularly in multi-temporal tasks, underscoring the challenges of real-world 3D diagnostic reasoning. To drive future advancements, we release a high-quality training set 3D-RAD-T of 136,195 expert-aligned samples, showing that fine-tuning on this dataset could significantly enhance model performance. Our dataset and code, aiming to catalyze multimodal medical AI research and establish a robust foundation for 3D medical visual understanding, are publicly available at https://github.com/Tang-xiaoxiao/3D-RAD.

Medical visual question answering aims to support clinical decision-making by enabling models to answer natural language questions based on medical images. While recent advances in multi-modal learning have significantly improved performance, current methods still suffer from limited answer reliability and poor interpretability, impairing the ability of clinicians and patients to understand and trust model-generated answers. To address this, this work first proposes a Thinking with Visual Grounding (ThinkVG) dataset wherein the answer generation is decomposed into intermediate reasoning steps that explicitly ground relevant visual regions of the medical image, thereby providing fine-grained explainability. Furthermore, we introduce a novel verifiable reward mechanism for reinforcement learning to guide post-training, improving the alignment between the model's reasoning process and its final answer. Remarkably, our method achieves comparable performance using only one-eighth of the training data, demonstrating the efficiency and effectiveness of the proposal. The dataset is available at https://huggingface.co/datasets/BoKelvin/GEMeX-ThinkVG.

Multimodal Retrieval Augmented Generation (mRAG) plays an important role in mitigating the "hallucination" issue inherent in multimodal large language models (MLLMs). Although promising, existing heuristic mRAGs typically predefined fixed retrieval processes, which causes two issues: (1) Non-adaptive Retrieval Queries. (2) Overloaded Retrieval Queries. However, these flaws cannot be adequately reflected by current knowledge-seeking visual question answering (VQA) datasets, since the most required knowledge can be readily obtained with a standard two-step retrieval. To bridge the dataset gap, we first construct Dyn-VQA dataset, consisting of three types of "dynamic" questions, which require complex knowledge retrieval strategies variable in query, tool, and time: (1) Questions with rapidly changing answers. (2) Questions requiring multi-modal knowledge. (3) Multi-hop questions. Experiments on Dyn-VQA reveal that existing heuristic mRAGs struggle to provide sufficient and precisely relevant knowledge for dynamic questions due to their rigid retrieval processes. Hence, we further propose the first self-adaptive planning agent for multimodal retrieval, OmniSearch. The underlying idea is to emulate the human behavior in question solution which dynamically decomposes complex multimodal questions into sub-question chains with retrieval action. Extensive experiments prove the effectiveness of our OmniSearch, also provide direction for advancing mRAG. The code and dataset will be open-sourced at https://github.com/Alibaba-NLP/OmniSearch.

Recent advances in Multi-modal Large Language Models (MLLMs) have shown significant progress in open-world Visual Question Answering (VQA). However, integrating visual information increases the number of processed tokens, leading to higher GPU memory usage and computational overhead. Images often contain more redundant information than text, and not all visual details are pertinent to specific questions. To address these challenges, we propose QG-VTC, a novel question-guided visual token compression method for MLLM-based VQA tasks. QG-VTC employs a pretrained text encoder and a learnable feed-forward layer to embed user questions into the vision encoder's feature space then computes correlation scores between the question embeddings and visual tokens. By selecting the most relevant tokens and softly compressing others, QG-VTC ensures fine-tuned relevance to user needs. Additionally, a progressive strategy applies this compression across different vision encoder layers, gradually reducing token numbers. This approach maximizes retention of question-relevant information while discarding irrelevant details. Experimental results show that our method achieves performance on par with uncompressed models using just 1/8 of the visual tokens. The code and model will be publicly available on GitHub.

The explosive growth of videos on streaming media platforms has underscored the urgent need for effective video quality assessment (VQA) algorithms to monitor and perceptually optimize the quality of streaming videos. However, VQA remains an extremely challenging task due to the diverse video content and the complex spatial and temporal distortions, thus necessitating more advanced methods to address these issues. Nowadays, large multimodal models (LMMs), such as GPT-4V, have exhibited strong capabilities for various visual understanding tasks, motivating us to leverage the powerful multimodal representation ability of LMMs to solve the VQA task. Therefore, we propose the first Large Multi-Modal Video Quality Assessment (LMM-VQA) model, which introduces a novel spatiotemporal visual modeling strategy for quality-aware feature extraction. Specifically, we first reformulate the quality regression problem into a question and answering (Q&A) task and construct Q&A prompts for VQA instruction tuning. Then, we design a spatiotemporal vision encoder to extract spatial and temporal features to represent the quality characteristics of videos, which are subsequently mapped into the language space by the spatiotemporal projector for modality alignment. Finally, the aligned visual tokens and the quality-inquired text tokens are aggregated as inputs for the large language model (LLM) to generate the quality score and level. Extensive experiments demonstrate that LMM-VQA achieves state-of-the-art performance across five VQA benchmarks, exhibiting an average improvement of 5% in generalization ability over existing methods. Furthermore, due to the advanced design of the spatiotemporal encoder and projector, LMM-VQA also performs exceptionally well on general video understanding tasks, further validating its effectiveness. Our code will be released at https://github.com/Sueqk/LMM-VQA.

Explainability is one of the key elements for building trust in AI systems. Among numerous attempts to make AI explainable, quantifying the effect of explanations remains a challenge in conducting human-AI collaborative tasks. Aside from the ability to predict the overall behavior of AI, in many applications, users need to understand an AI agent's competency in different aspects of the task domain. In this paper, we evaluate the impact of explanations on the user's mental model of AI agent competency within the task of visual question answering (VQA). We quantify users' understanding of competency, based on the correlation between the actual system performance and user rankings. We introduce an explainable VQA system that uses spatial and object features and is powered by the BERT language model. Each group of users sees only one kind of explanation to rank the competencies of the VQA model. The proposed model is evaluated through between-subject experiments to probe explanations' impact on the user's perception of competency. The comparison between two VQA models shows BERT based explanations and the use of object features improve the user's prediction of the model's competencies.

Studies have shown that a dominant class of questions asked by visually impaired users on images of their surroundings involves reading text in the image. But today's VQA models can not read! Our paper takes a first step towards addressing this problem. First, we introduce a new "TextVQA" dataset to facilitate progress on this important problem. Existing datasets either have a small proportion of questions about text (e.g., the VQA dataset) or are too small (e.g., the VizWiz dataset). TextVQA contains 45,336 questions on 28,408 images that require reasoning about text to answer. Second, we introduce a novel model architecture that reads text in the image, reasons about it in the context of the image and the question, and predicts an answer which might be a deduction based on the text and the image or composed of the strings found in the image. Consequently, we call our approach Look, Read, Reason & Answer (LoRRA). We show that LoRRA outperforms existing state-of-the-art VQA models on our TextVQA dataset. We find that the gap between human performance and machine performance is significantly larger on TextVQA than on VQA 2.0, suggesting that TextVQA is well-suited to benchmark progress along directions complementary to VQA 2.0.

Existing medical VQA benchmarks mostly focus on single-image analysis, yet clinicians almost always compare a series of images before reaching a diagnosis. To better approximate this workflow, we introduce MedFrameQA -- the first benchmark that explicitly evaluates multi-image reasoning in medical VQA. To build MedFrameQA both at scale and in high-quality, we develop 1) an automated pipeline that extracts temporally coherent frames from medical videos and constructs VQA items whose content evolves logically across images, and 2) a multiple-stage filtering strategy, including model-based and manual review, to preserve data clarity, difficulty, and medical relevance. The resulting dataset comprises 2,851 VQA pairs (gathered from 9,237 high-quality frames in 3,420 videos), covering nine human body systems and 43 organs; every question is accompanied by two to five images. We comprehensively benchmark ten advanced Multimodal LLMs -- both proprietary and open source, with and without explicit reasoning modules -- on MedFrameQA. The evaluation challengingly reveals that all models perform poorly, with most accuracies below 50%, and accuracy fluctuates as the number of images per question increases. Error analysis further shows that models frequently ignore salient findings, mis-aggregate evidence across images, and propagate early mistakes through their reasoning chains; results also vary substantially across body systems, organs, and modalities. We hope this work can catalyze research on clinically grounded, multi-image reasoning and accelerate progress toward more capable diagnostic AI systems.

We propose a novel multimodal architecture for Scene Text Visual Question Answering (STVQA), named Layout-Aware Transformer (LaTr). The task of STVQA requires models to reason over different modalities. Thus, we first investigate the impact of each modality, and reveal the importance of the language module, especially when enriched with layout information. Accounting for this, we propose a single objective pre-training scheme that requires only text and spatial cues. We show that applying this pre-training scheme on scanned documents has certain advantages over using natural images, despite the domain gap. Scanned documents are easy to procure, text-dense and have a variety of layouts, helping the model learn various spatial cues (e.g. left-of, below etc.) by tying together language and layout information. Compared to existing approaches, our method performs vocabulary-free decoding and, as shown, generalizes well beyond the training vocabulary. We further demonstrate that LaTr improves robustness towards OCR errors, a common reason for failure cases in STVQA. In addition, by leveraging a vision transformer, we eliminate the need for an external object detector. LaTr outperforms state-of-the-art STVQA methods on multiple datasets. In particular, +7.6% on TextVQA, +10.8% on ST-VQA and +4.0% on OCR-VQA (all absolute accuracy numbers).

Knowledge-based visual question answering (VQA) involves answering questions that require external knowledge not present in the image. Existing methods first retrieve knowledge from external resources, then reason over the selected knowledge, the input image, and question for answer prediction. However, this two-step approach could lead to mismatches that potentially limit the VQA performance. For example, the retrieved knowledge might be noisy and irrelevant to the question, and the re-embedded knowledge features during reasoning might deviate from their original meanings in the knowledge base (KB). To address this challenge, we propose PICa, a simple yet effective method that Prompts GPT3 via the use of Image Captions, for knowledge-based VQA. Inspired by GPT-3's power in knowledge retrieval and question answering, instead of using structured KBs as in previous work, we treat GPT-3 as an implicit and unstructured KB that can jointly acquire and process relevant knowledge. Specifically, we first convert the image into captions (or tags) that GPT-3 can understand, then adapt GPT-3 to solve the VQA task in a few-shot manner by just providing a few in-context VQA examples. We further boost performance by carefully investigating: (i) what text formats best describe the image content, and (ii) how in-context examples can be better selected and used. PICa unlocks the first use of GPT-3 for multimodal tasks. By using only 16 examples, PICa surpasses the supervised state of the art by an absolute +8.6 points on the OK-VQA dataset. We also benchmark PICa on VQAv2, where PICa also shows a decent few-shot performance.

In recent advancements, multimodal large language models (MLLMs) have been fine-tuned on specific medical image datasets to address medical visual question answering (Med-VQA) tasks. However, this common approach of task-specific fine-tuning is costly and necessitates separate models for each downstream task, limiting the exploration of zero-shot capabilities. In this paper, we introduce MC-CoT, a modular cross-modal collaboration Chain-of-Thought (CoT) framework designed to enhance the zero-shot performance of MLLMs in Med-VQA by leveraging large language models (LLMs). MC-CoT improves reasoning and information extraction by integrating medical knowledge and task-specific guidance, where LLM provides various complex medical reasoning chains and MLLM provides various observations of medical images based on instructions of the LLM. Our experiments on datasets such as SLAKE, VQA-RAD, and PATH-VQA show that MC-CoT surpasses standalone MLLMs and various multimodality CoT frameworks in recall rate and accuracy. These findings highlight the importance of incorporating background information and detailed guidance in addressing complex zero-shot Med-VQA tasks.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

Advanced Multimodal Large Language Models (MLLMs) struggle with recent Knowledge-based VQA tasks, such as INFOSEEK and Encyclopedic-VQA, due to their limited and frozen knowledge scope, often leading to ambiguous and inaccurate responses. Thus, multimodal Retrieval-Augmented Generation (mRAG) is naturally introduced to provide MLLMs with comprehensive and up-to-date knowledge, effectively expanding the knowledge scope. However, current mRAG methods have inherent drawbacks, including: 1) Performing retrieval even when external knowledge is not needed. 2) Lacking of identification of evidence that supports the query. 3) Increasing model complexity due to additional information filtering modules or rules. To address these shortcomings, we propose a novel generalized framework called multimodal Retrieval-Reflection-Augmented Generation (mR^2AG), which achieves adaptive retrieval and useful information localization to enable answers through two easy-to-implement reflection operations, preventing high model complexity. In mR^2AG, Retrieval-Reflection is designed to distinguish different user queries and avoids redundant retrieval calls, and Relevance-Reflection is introduced to guide the MLLM in locating beneficial evidence of the retrieved content and generating answers accordingly. In addition, mR^2AG can be integrated into any well-trained MLLM with efficient fine-tuning on the proposed mR^2AG Instruction-Tuning dataset (mR^2AG-IT). mR^2AG significantly outperforms state-of-the-art MLLMs (e.g., GPT-4v/o) and RAG-based MLLMs on INFOSEEK and Encyclopedic-VQA, while maintaining the exceptional capabilities of base MLLMs across a wide range of Visual-dependent tasks.

In this paper, we propose a novel multi-modal framework for Scene Text Visual Question Answering (STVQA), which requires models to read scene text in images for question answering. Apart from text or visual objects, which could exist independently, scene text naturally links text and visual modalities together by conveying linguistic semantics while being a visual object in an image simultaneously. Different to conventional STVQA models which take the linguistic semantics and visual semantics in scene text as two separate features, in this paper, we propose a paradigm of "Locate Then Generate" (LTG), which explicitly unifies this two semantics with the spatial bounding box as a bridge connecting them. Specifically, at first, LTG locates the region in an image that may contain the answer words with an answer location module (ALM) consisting of a region proposal network and a language refinement network, both of which can transform to each other with one-to-one mapping via the scene text bounding box. Next, given the answer words selected by ALM, LTG generates a readable answer sequence with an answer generation module (AGM) based on a pre-trained language model. As a benefit of the explicit alignment of the visual and linguistic semantics, even without any scene text based pre-training tasks, LTG can boost the absolute accuracy by +6.06% and +6.92% on the TextVQA dataset and the ST-VQA dataset respectively, compared with a non-pre-training baseline. We further demonstrate that LTG effectively unifies visual and text modalities through the spatial bounding box connection, which is underappreciated in previous methods.

Multipanel images, commonly seen as web screenshots, posters, etc., pervade our daily lives. These images, characterized by their composition of multiple subfigures in distinct layouts, effectively convey information to people. Toward building advanced multimodal AI applications, such as agents that understand complex scenes and navigate through webpages, the skill of multipanel visual reasoning is essential, and a comprehensive evaluation of models in this regard is important. Therefore, our paper introduces Multipanel Visual Question Answering (MultipanelVQA), a novel benchmark that specifically challenges models in comprehending multipanel images. The benchmark comprises 6,600 questions and answers related to multipanel images. While these questions are straightforward for average humans, achieving nearly perfect correctness, they pose significant challenges to the state-of-the-art Large Vision Language Models (LVLMs) we tested. In our study, we utilized synthetically curated multipanel images specifically designed to isolate and evaluate the impact of diverse factors on model performance, revealing the sensitivity of LVLMs to various interferences in multipanel images, such as adjacent subfigures and layout complexity. As a result, MultipanelVQA highlights the need and direction for improving LVLMs' ability to understand complex visual-language contexts. Code and data are released at https://sites.google.com/view/multipanelvqa/home.

While many BERT-based cross-modal pre-trained models produce excellent results on downstream understanding tasks like image-text retrieval and VQA, they cannot be applied to generation tasks directly. In this paper, we propose XGPT, a new method of Cross-modal Generative Pre-Training for Image Captioning that is designed to pre-train text-to-image caption generators through three novel generation tasks, including Image-conditioned Masked Language Modeling (IMLM), Image-conditioned Denoising Autoencoding (IDA), and Text-conditioned Image Feature Generation (TIFG). As a result, the pre-trained XGPT can be fine-tuned without any task-specific architecture modifications to create state-of-the-art models for image captioning. Experiments show that XGPT obtains new state-of-the-art results on the benchmark datasets, including COCO Captions and Flickr30k Captions. We also use XGPT to generate new image captions as data augmentation for the image retrieval task and achieve significant improvement on all recall metrics.

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising approximately 696,000 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological reasoning skills: presence assessment, location analysis, negation detection, differential diagnosis, and geometric reasoning. We evaluate eight state-of-the-art multimodal large language models, including MedGemma-4B-it, Qwen2.5-VL, Janus-Pro-7B, and Eagle2-9B. The best-performing model (MedGemma) achieves 83.24% overall accuracy. To bridge the gap between AI performance and clinical expertise, we conducted a comprehensive human reader study involving 3 radiology residents on 200 randomly sampled cases. Our evaluation demonstrates that MedGemma achieved superior performance (83.84% accuracy) compared to human readers (best radiology resident: 77.27%), representing a significant milestone where AI performance exceeds expert human evaluation on chest X-ray interpretation. The reader study reveals distinct performance patterns between AI models and human experts, with strong inter-reader agreement among radiologists while showing more variable agreement patterns between human readers and AI models. ReXVQA establishes a new standard for evaluating generalist radiological AI systems, offering public leaderboards, fine-grained evaluation splits, structured explanations, and category-level breakdowns. This benchmark lays the foundation for next-generation AI systems capable of mimicking expert-level clinical reasoning beyond narrow pathology classification. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXVQA

Electronic Health Records (EHRs), which contain patients' medical histories in various multi-modal formats, often overlook the potential for joint reasoning across imaging and table modalities underexplored in current EHR Question Answering (QA) systems. In this paper, we introduce EHRXQA, a novel multi-modal question answering dataset combining structured EHRs and chest X-ray images. To develop our dataset, we first construct two uni-modal resources: 1) The MIMIC- CXR-VQA dataset, our newly created medical visual question answering (VQA) benchmark, specifically designed to augment the imaging modality in EHR QA, and 2) EHRSQL (MIMIC-IV), a refashioned version of a previously established table-based EHR QA dataset. By integrating these two uni-modal resources, we successfully construct a multi-modal EHR QA dataset that necessitates both uni-modal and cross-modal reasoning. To address the unique challenges of multi-modal questions within EHRs, we propose a NeuralSQL-based strategy equipped with an external VQA API. This pioneering endeavor enhances engagement with multi-modal EHR sources and we believe that our dataset can catalyze advances in real-world medical scenarios such as clinical decision-making and research. EHRXQA is available at https://github.com/baeseongsu/ehrxqa.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy that progressively teaches the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL not only outperforms both open-source and proprietary Med-LVLMs, but also exhibits human-like reasoning patterns. Notably, it achieves an average performance gain of 20.7% over supervised fine-tuning baselines.

Medical visual question answering (VQA) aims to answer clinically relevant questions regarding input medical images. This technique has the potential to improve the efficiency of medical professionals while relieving the burden on the public health system, particularly in resource-poor countries. Existing medical VQA methods tend to encode medical images and learn the correspondence between visual features and questions without exploiting the spatial, semantic, or medical knowledge behind them. This is partially because of the small size of the current medical VQA dataset, which often includes simple questions. Therefore, we first collected a comprehensive and large-scale medical VQA dataset, focusing on chest X-ray images. The questions involved detailed relationships, such as disease names, locations, levels, and types in our dataset. Based on this dataset, we also propose a novel baseline method by constructing three different relationship graphs: spatial relationship, semantic relationship, and implicit relationship graphs on the image regions, questions, and semantic labels. The answer and graph reasoning paths are learned for different questions.

This paper demonstrates that a progressively aligned language model can effectively bridge frozen vision encoders and large language models (LLMs). While the fundamental architecture and pre-training methods of vision encoders and LLMs have been extensively studied, the architecture and training strategy of vision-language adapters vary significantly across recent works. Our research undertakes a thorough exploration of the state-of-the-art perceiver resampler architecture and builds a strong baseline. However, we observe that the vision-language alignment with perceiver resampler exhibits slow convergence and limited scalability with a lack of direct supervision. To address this issue, we propose PaLM2-VAdapter, employing a progressively aligned language model as the vision-language adapter. Compared to the strong baseline with perceiver resampler, our method empirically shows faster convergence, higher performance, and stronger scalability. Extensive experiments across various Visual Question Answering (VQA) and captioning tasks on both images and videos demonstrate that our model exhibits state-of-the-art visual understanding and multi-modal reasoning capabilities. Notably, our method achieves these advancements with 30~70% fewer parameters than the state-of-the-art large vision-language models, marking a significant efficiency improvement.

Visual Question Answering (VQA) in remote sensing (RS) is pivotal for interpreting Earth observation data. However, existing RS VQA datasets are constrained by limitations in annotation richness, question diversity, and the assessment of specific reasoning capabilities. This paper introduces RSVLM-QA dataset, a new large-scale, content-rich VQA dataset for the RS domain. RSVLM-QA is constructed by integrating data from several prominent RS segmentation and detection datasets: WHU, LoveDA, INRIA, and iSAID. We employ an innovative dual-track annotation generation pipeline. Firstly, we leverage Large Language Models (LLMs), specifically GPT-4.1, with meticulously designed prompts to automatically generate a suite of detailed annotations including image captions, spatial relations, and semantic tags, alongside complex caption-based VQA pairs. Secondly, to address the challenging task of object counting in RS imagery, we have developed a specialized automated process that extracts object counts directly from the original segmentation data; GPT-4.1 then formulates natural language answers from these counts, which are paired with preset question templates to create counting QA pairs. RSVLM-QA comprises 13,820 images and 162,373 VQA pairs, featuring extensive annotations and diverse question types. We provide a detailed statistical analysis of the dataset and a comparison with existing RS VQA benchmarks, highlighting the superior depth and breadth of RSVLM-QA's annotations. Furthermore, we conduct benchmark experiments on Six mainstream Vision Language Models (VLMs), demonstrating that RSVLM-QA effectively evaluates and challenges the understanding and reasoning abilities of current VLMs in the RS domain. We believe RSVLM-QA will serve as a pivotal resource for the RS VQA and VLM research communities, poised to catalyze advancements in the field.

Hallucinations in large vision-language models (LVLMs) pose significant challenges for real-world applications, as LVLMs may generate responses that appear plausible yet remain inconsistent with the associated visual content. This issue rarely occurs in human cognition. We argue that this discrepancy arises from humans' ability to effectively leverage multimodal interaction information in data samples. Specifically, humans typically first gather multimodal information, analyze the interactions across modalities for understanding, and then express their understanding through language. Motivated by this observation, we conduct extensive experiments on popular LVLMs and obtained insights that surprisingly reveal human-like, though less pronounced, cognitive behavior of LVLMs on multimodal samples. Building on these findings, we further propose INTER: Interaction Guidance Sampling, a novel training-free algorithm that mitigate hallucinations without requiring additional data. Specifically, INTER explicitly guides LVLMs to effectively reapply their understanding of multimodal interaction information when generating responses, thereby reducing potential hallucinations. On six benchmarks including VQA and image captioning tasks, INTER achieves an average improvement of up to 3.4\% on five LVLMs compared to the state-of-the-art decoding strategy. The code will be released when the paper is accepted.

Developing generalist foundation model has recently attracted tremendous attention among researchers in the field of AI for Medicine (AI4Medicine). A pivotal insight in developing these models is their reliance on dataset scaling, which emphasizes the requirements on developing open-source medical image datasets that incorporate diverse supervision signals across various imaging modalities. In this paper, we introduce RadGenome-Chest CT, a comprehensive, large-scale, region-guided 3D chest CT interpretation dataset based on CT-RATE. Specifically, we leverage the latest powerful universal segmentation and large language models, to extend the original datasets (over 25,692 non-contrast 3D chest CT volume and reports from 20,000 patients) from the following aspects: (i) organ-level segmentation masks covering 197 categories, which provide intermediate reasoning visual clues for interpretation; (ii) 665 K multi-granularity grounded reports, where each sentence of the report is linked to the corresponding anatomical region of CT volume in the form of a segmentation mask; (iii) 1.3 M grounded VQA pairs, where questions and answers are all linked with reference segmentation masks, enabling models to associate visual evidence with textual explanations. All grounded reports and VQA pairs in the validation set have gone through manual verification to ensure dataset quality. We believe that RadGenome-Chest CT can significantly advance the development of multimodal medical foundation models, by training to generate texts based on given segmentation regions, which is unattainable with previous relevant datasets. We will release all segmentation masks, grounded reports, and VQA pairs to facilitate further research and development in this field.

Despite rapid progress in Visual question answering (VQA), existing datasets and models mainly focus on testing reasoning in 2D. However, it is important that VQA models also understand the 3D structure of visual scenes, for example to support tasks like navigation or manipulation. This includes an understanding of the 3D object pose, their parts and occlusions. In this work, we introduce the task of 3D-aware VQA, which focuses on challenging questions that require a compositional reasoning over the 3D structure of visual scenes. We address 3D-aware VQA from both the dataset and the model perspective. First, we introduce Super-CLEVR-3D, a compositional reasoning dataset that contains questions about object parts, their 3D poses, and occlusions. Second, we propose PO3D-VQA, a 3D-aware VQA model that marries two powerful ideas: probabilistic neural symbolic program execution for reasoning and deep neural networks with 3D generative representations of objects for robust visual recognition. Our experimental results show our model PO3D-VQA outperforms existing methods significantly, but we still observe a significant performance gap compared to 2D VQA benchmarks, indicating that 3D-aware VQA remains an important open research area.

Visual Question Answering (VQA) methods have made incredible progress, but suffer from a failure to generalize. This is visible in the fact that they are vulnerable to learning coincidental correlations in the data rather than deeper relations between image content and ideas expressed in language. We present a dataset that takes a step towards addressing this problem in that it contains questions expressed in two languages, and an evaluation process that co-opts a well understood image-based metric to reflect the method's ability to reason. Measuring reasoning directly encourages generalization by penalizing answers that are coincidentally correct. The dataset reflects the scene-text version of the VQA problem, and the reasoning evaluation can be seen as a text-based version of a referring expression challenge. Experiments and analysis are provided that show the value of the dataset.

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model's generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RULE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy. We publicly release our benchmark and code in https://github.com/richard-peng-xia/RULE.

Large Multimodal Models (LMMs) are increasingly capable of answering medical questions that require joint reasoning over images and text, yet training general medical VQA systems is impeded by the lack of large, openly usable, high-quality corpora. We present MedVLSynther, a rubric-guided generator-verifier framework that synthesizes high-quality multiple-choice VQA items directly from open biomedical literature by conditioning on figures, captions, and in-text references. The generator produces self-contained stems and parallel, mutually exclusive options under a machine-checkable JSON schema; a multi-stage verifier enforces essential gates (self-containment, single correct answer, clinical validity, image-text consistency), awards fine-grained positive points, and penalizes common failure modes before acceptance. Applying this pipeline to PubMed Central yields MedSynVQA: 13,087 audited questions over 14,803 images spanning 13 imaging modalities and 28 anatomical regions. Training open-weight LMMs with reinforcement learning using verifiable rewards improves accuracy across six medical VQA benchmarks, achieving averages of 55.85 (3B) and 58.15 (7B), with up to 77.57 on VQA-RAD and 67.76 on PathVQA, outperforming strong medical LMMs. A Ablations verify that both generation and verification are necessary and that more verified data consistently helps, and a targeted contamination analysis detects no leakage from evaluation suites. By operating entirely on open literature and open-weight models, MedVLSynther offers an auditable, reproducible, and privacy-preserving path to scalable medical VQA training data.

Multimodal large language models (MLLMs), such as GPT-4o, Gemini, LLaVA, and Flamingo, have made significant progress in integrating visual and textual modalities, excelling in tasks like visual question answering (VQA), image captioning, and content retrieval. They can generate coherent and contextually relevant descriptions of images. However, they still face challenges in accurately identifying and counting objects and determining their spatial locations, particularly in complex scenes with overlapping or small objects. To address these limitations, we propose a novel framework based on multimodal retrieval-augmented generation (RAG), which introduces structured scene graphs to enhance object recognition, relationship identification, and spatial understanding within images. Our framework improves the MLLM's capacity to handle tasks requiring precise visual descriptions, especially in scenarios with challenging perspectives, such as aerial views or scenes with dense object arrangements. Finally, we conduct extensive experiments on the VG-150 dataset that focuses on first-person visual understanding and the AUG dataset that involves aerial imagery. The results show that our approach consistently outperforms existing MLLMs in VQA tasks, which stands out in recognizing, localizing, and quantifying objects in different spatial contexts and provides more accurate visual descriptions.

Is it possible to develop an "AI Pathologist" to pass the board-certified examination of the American Board of Pathology? To achieve this goal, the first step is to create a visual question answering (VQA) dataset where the AI agent is presented with a pathology image together with a question and is asked to give the correct answer. Our work makes the first attempt to build such a dataset. Different from creating general-domain VQA datasets where the images are widely accessible and there are many crowdsourcing workers available and capable of generating question-answer pairs, developing a medical VQA dataset is much more challenging. First, due to privacy concerns, pathology images are usually not publicly available. Second, only well-trained pathologists can understand pathology images, but they barely have time to help create datasets for AI research. To address these challenges, we resort to pathology textbooks and online digital libraries. We develop a semi-automated pipeline to extract pathology images and captions from textbooks and generate question-answer pairs from captions using natural language processing. We collect 32,799 open-ended questions from 4,998 pathology images where each question is manually checked to ensure correctness. To our best knowledge, this is the first dataset for pathology VQA. Our dataset will be released publicly to promote research in medical VQA.

Vision-Language Models (VLMs) based on Mixture-of-Experts (MoE) architectures have emerged as a pivotal paradigm in multimodal understanding, offering a powerful framework for integrating visual and linguistic information. However, the increasing complexity and diversity of tasks present significant challenges in coordinating load balancing across heterogeneous visual experts, where optimizing one specialist's performance often compromises others' capabilities. To address task heterogeneity and expert load imbalance, we propose Astrea, a novel multi-expert collaborative VLM architecture based on progressive pre-alignment. Astrea introduces three key innovations: 1) A heterogeneous expert coordination mechanism that integrates four specialized models (detection, segmentation, classification, captioning) into a comprehensive expert matrix covering essential visual comprehension elements; 2) A dynamic knowledge fusion strategy featuring progressive pre-alignment to harmonize experts within the VLM latent space through contrastive learning, complemented by probabilistically activated stochastic residual connections to preserve knowledge continuity; 3) An enhanced optimization framework utilizing momentum contrastive learning for long-range dependency modeling and adaptive weight allocators for real-time expert contribution calibration. Extensive evaluations across 12 benchmark tasks spanning VQA, image captioning, and cross-modal retrieval demonstrate Astrea's superiority over state-of-the-art models, achieving an average performance gain of +4.7\%. This study provides the first empirical demonstration that progressive pre-alignment strategies enable VLMs to overcome task heterogeneity limitations, establishing new methodological foundations for developing general-purpose multimodal agents.

Despite impressive advances in recent multimodal large language models (MLLMs), state-of-the-art models such as from the GPT-4 suite still struggle with knowledge-intensive tasks. To address this, we consider Reverse Image Retrieval (RIR) augmented generation, a simple yet effective strategy to augment MLLMs with web-scale reverse image search results. RIR robustly improves knowledge-intensive visual question answering (VQA) of GPT-4V by 37-43%, GPT-4 Turbo by 25-27%, and GPT-4o by 18-20% in terms of open-ended VQA evaluation metrics. To our surprise, we discover that RIR helps the model to better access its own world knowledge. Concretely, our experiments suggest that RIR augmentation helps by providing further visual and textual cues without necessarily containing the direct answer to a query. In addition, we elucidate cases in which RIR can hurt performance and conduct a human evaluation. Finally, we find that the overall advantage of using RIR makes it difficult for an agent that can choose to use RIR to perform better than an approach where RIR is the default setting.

Vision-language models (VLMs) could power real-time assistants and autonomous agents, but they face a critical challenge: understanding near-infinite video streams without escalating latency and memory usage. Processing entire videos with full attention leads to quadratic computational costs and poor performance on long videos. Meanwhile, simple sliding window methods are also flawed, as they either break coherence or suffer from high latency due to redundant recomputation. In this paper, we introduce StreamingVLM, a model designed for real-time, stable understanding of infinite visual input. Our approach is a unified framework that aligns training with streaming inference. During inference, we maintain a compact KV cache by reusing states of attention sinks, a short window of recent vision tokens, and a long window of recent text tokens. This streaming ability is instilled via a simple supervised fine-tuning (SFT) strategy that applies full attention on short, overlapped video chunks, which effectively mimics the inference-time attention pattern without training on prohibitively long contexts. For evaluation, we build Inf-Streams-Eval, a new benchmark with videos averaging over two hours that requires dense, per-second alignment between frames and text. On Inf-Streams-Eval, StreamingVLM achieves a 66.18% win rate against GPT-4O mini and maintains stable, real-time performance at up to 8 FPS on a single NVIDIA H100. Notably, our SFT strategy also enhances general VQA abilities without any VQA-specific fine-tuning, improving performance on LongVideoBench by +4.30 and OVOBench Realtime by +5.96. Code is available at https://github.com/mit-han-lab/streaming-vlm.

The advent of next-generation video generation models like Sora poses challenges for AI-generated content (AIGC) video quality assessment (VQA). These models substantially mitigate flickering artifacts prevalent in prior models, enable longer and complex text prompts and generate longer videos with intricate, diverse motion patterns. Conventional VQA methods designed for simple text and basic motion patterns struggle to evaluate these content-rich videos. To this end, we propose CRAVE (Content-Rich AIGC Video Evaluator), specifically for the evaluation of Sora-era AIGC videos. CRAVE proposes the multi-granularity text-temporal fusion that aligns long-form complex textual semantics with video dynamics. Additionally, CRAVE leverages the hybrid motion-fidelity modeling to assess temporal artifacts. Furthermore, given the straightforward prompts and content in current AIGC VQA datasets, we introduce CRAVE-DB, a benchmark featuring content-rich videos from next-generation models paired with elaborate prompts. Extensive experiments have shown that the proposed CRAVE achieves excellent results on multiple AIGC VQA benchmarks, demonstrating a high degree of alignment with human perception. All data and code will be publicly available at https://github.com/littlespray/CRAVE.

Humans tend to decompose a sentence into different parts like sth do sth at someplace and then fill each part with certain content. Inspired by this, we follow the principle of modular design to propose a novel image captioner: learning to Collocate Visual-Linguistic Neural Modules (CVLNM). Unlike the widely used neural module networks in VQA, where the language (\ie, question) is fully observable, the task of collocating visual-linguistic modules is more challenging. This is because the language is only partially observable, for which we need to dynamically collocate the modules during the process of image captioning. To sum up, we make the following technical contributions to design and train our CVLNM: 1) distinguishable module design -- four modules in the encoder including one linguistic module for function words and three visual modules for different content words (\ie, noun, adjective, and verb) and another linguistic one in the decoder for commonsense reasoning, 2) a self-attention based module controller for robustifying the visual reasoning, 3) a part-of-speech based syntax loss imposed on the module controller for further regularizing the training of our CVLNM. Extensive experiments on the MS-COCO dataset show that our CVLNM is more effective, \eg, achieving a new state-of-the-art 129.5 CIDEr-D, and more robust, \eg, being less likely to overfit to dataset bias and suffering less when fewer training samples are available. Codes are available at https://github.com/GCYZSL/CVLMN

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

Multi-modal Large Language Models (MLLMs) are increasingly prominent in the field of artificial intelligence. Visual instruction fine-tuning (IFT) is a vital process for aligning MLLMs' output with user's intentions. High-quality and diversified instruction following data is the key to this fine-tuning process. Recent studies propose to construct visual IFT datasets through a multifaceted approach: transforming existing datasets with rule-based templates, employing GPT-4 for rewriting annotations, and utilizing GPT-4V for visual dataset pseudo-labeling. LLaVA-1.5 adopted similar approach and construct LLaVA-mix-665k, which is one of the simplest, most widely used, yet most effective IFT datasets today. Notably, when properly fine-tuned with this dataset, MLLMs can achieve state-of-the-art performance on several benchmarks. However, we noticed that models trained with this dataset often struggle to follow user instructions properly in multi-round dialog. In addition, tradition caption and VQA evaluation benchmarks, with their closed-form evaluation structure, are not fully equipped to assess the capabilities of modern open-ended generative MLLMs. This problem is not unique to the LLaVA-mix-665k dataset, but may be a potential issue in all IFT datasets constructed from image captioning or VQA sources, though the extent of this issue may vary. We argue that datasets with diverse and high-quality detailed instruction following annotations are essential and adequate for MLLMs IFT. In this work, we establish a new IFT dataset, with images sourced from the COCO dataset along with more diverse instructions. Our experiments show that when fine-tuned with out proposed dataset, MLLMs achieve better performance on open-ended evaluation benchmarks in both single-round and multi-round dialog setting.

Computed Tomography (CT) scan, which produces 3D volumetric medical data that can be viewed as hundreds of cross-sectional images (a.k.a. slices), provides detailed anatomical information for diagnosis. For radiologists, creating CT radiology reports is time-consuming and error-prone. A visual question answering (VQA) system that can answer radiologists' questions about some anatomical regions on the CT scan and even automatically generate a radiology report is urgently needed. However, existing VQA systems cannot adequately handle the CT radiology question answering (CTQA) task for: (1) anatomic complexity makes CT images difficult to understand; (2) spatial relationship across hundreds slices is difficult to capture. To address these issues, this paper proposes CT-Agent, a multimodal agentic framework for CTQA. CT-Agent adopts anatomically independent tools to break down the anatomic complexity; furthermore, it efficiently captures the across-slice spatial relationship with a global-local token compression strategy. Experimental results on two 3D chest CT datasets, CT-RATE and RadGenome-ChestCT, verify the superior performance of CT-Agent.

Recent medical vision-language models have shown promise on tasks such as VQA, report generation, and anomaly detection. However, most are adapted to structured adult imaging and underperform in fetal ultrasound, which poses challenges of multi-view image reasoning, numerous diseases, and image diversity. To bridge this gap, we introduce FetalMind, a medical AI system tailored to fetal ultrasound for both report generation and diagnosis. Guided by clinical workflow, we propose Salient Epistemic Disentanglement (SED), which injects an expert-curated bipartite graph into the model to decouple view-disease associations and to steer preference selection along clinically faithful steps via reinforcement learning. This design mitigates variability across diseases and heterogeneity across views, reducing learning bottlenecks while aligning the model's inference with obstetric practice. To train FetalMind at scale, we curate FetalSigma-1M dataset, the first large-scale fetal ultrasound report corpus, comprising 20K reports from twelve medical centers, addressing the scarcity of domain data. Extensive experiments show that FetalMind outperforms open- and closed-source baselines across all gestational stages, achieving +14% average gains and +61.2% higher accuracy on critical conditions while remaining efficient, stable, and scalable. Project Page: https://hexiao0275.github.io/FetalMind.

Video Question Answering (VQA) inherently relies on multimodal reasoning, integrating visual, temporal, and linguistic cues to achieve a deeper understanding of video content. However, many existing methods rely on feeding frame-level captions into a single model, making it difficult to adequately capture temporal and interactive contexts. To address this limitation, we introduce VideoMultiAgents, a framework that integrates specialized agents for vision, scene graph analysis, and text processing. It enhances video understanding leveraging complementary multimodal reasoning from independently operating agents. Our approach is also supplemented with a question-guided caption generation, which produces captions that highlight objects, actions, and temporal transitions directly relevant to a given query, thus improving the answer accuracy. Experimental results demonstrate that our method achieves state-of-the-art performance on Intent-QA (79.0%, +6.2% over previous SOTA), EgoSchema subset (75.4%, +3.4%), and NExT-QA (79.6%, +0.4%). The source code is available at https://github.com/PanasonicConnect/VideoMultiAgents.

Previous research in human gesture recognition has largely overlooked multi-person interactions, which are crucial for understanding the social context of naturally occurring gestures. This limitation in existing datasets presents a significant challenge in aligning human gestures with other modalities like language and speech. To address this issue, we introduce SocialGesture, the first large-scale dataset specifically designed for multi-person gesture analysis. SocialGesture features a diverse range of natural scenarios and supports multiple gesture analysis tasks, including video-based recognition and temporal localization, providing a valuable resource for advancing the study of gesture during complex social interactions. Furthermore, we propose a novel visual question answering (VQA) task to benchmark vision language models'(VLMs) performance on social gesture understanding. Our findings highlight several limitations of current gesture recognition models, offering insights into future directions for improvement in this field. SocialGesture is available at huggingface.co/datasets/IrohXu/SocialGesture.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

In recent years, artificial intelligence (AI) driven video generation has garnered significant attention due to advancements in stable diffusion and large language model techniques. Thus, there is a great demand for accurate video quality assessment (VQA) models to measure the perceptual quality of AI-generated content (AIGC) videos as well as optimize video generation techniques. However, assessing the quality of AIGC videos is quite challenging due to the highly complex distortions they exhibit (e.g., unnatural action, irrational objects, etc.). Therefore, in this paper, we try to systemically investigate the AIGC-VQA problem from both subjective and objective quality assessment perspectives. For the subjective perspective, we construct a Large-scale Generated Vdeo Quality assessment (LGVQ) dataset, consisting of 2,808 AIGC videos generated by 6 video generation models using 468 carefully selected text prompts. Unlike previous subjective VQA experiments, we evaluate the perceptual quality of AIGC videos from three dimensions: spatial quality, temporal quality, and text-to-video alignment, which hold utmost importance for current video generation techniques. For the objective perspective, we establish a benchmark for evaluating existing quality assessment metrics on the LGVQ dataset, which reveals that current metrics perform poorly on the LGVQ dataset. Thus, we propose a Unify Generated Video Quality assessment (UGVQ) model to comprehensively and accurately evaluate the quality of AIGC videos across three aspects using a unified model, which uses visual, textual and motion features of video and corresponding prompt, and integrates key features to enhance feature expression. We hope that our benchmark can promote the development of quality evaluation metrics for AIGC videos. The LGVQ dataset and the UGVQ metric will be publicly released.

Multi-modal large language models (MLLMs) have demonstrated remarkable vision-language capabilities, primarily due to the exceptional in-context understanding and multi-task learning strengths of large language models (LLMs). The advent of visual instruction tuning has further enhanced MLLMs' performance in vision-language understanding. However, while existing MLLMs adeptly recognize what objects are in an image, they still face challenges in effectively discerning where these objects are, particularly along the distance (scene depth) axis. To overcome this limitation in MLLMs, we introduce Proximity Question Answering (Proximity QA), a novel framework designed to enable MLLMs to infer the proximity relationship between objects in images. The framework operates in two phases: the first phase focuses on guiding the models to understand the relative depth of objects, and the second phase further encourages the models to infer the proximity relationships between objects based on their depth perceptions. We also propose a VQA dataset called Proximity-110K, containing additional instructions that incorporate depth information and the proximity relationships of objects. We have conducted extensive experiments to validate Proximity QA's superior ability in depth perception and proximity analysis, outperforming other state-of-the-art MLLMs. Code and dataset will be released at magenta{https://github.com/NorthSummer/ProximityQA.git}.

We study visually grounded VideoQA in response to the emerging trends of utilizing pretraining techniques for video-language understanding. Specifically, by forcing vision-language models (VLMs) to answer questions and simultaneously provide visual evidence, we seek to ascertain the extent to which the predictions of such techniques are genuinely anchored in relevant video content, versus spurious correlations from language or irrelevant visual context. Towards this, we construct NExT-GQA -- an extension of NExT-QA with 10.5K temporal grounding (or location) labels tied to the original QA pairs. With NExT-GQA, we scrutinize a series of state-of-the-art VLMs. Through post-hoc attention analysis, we find that these models are extremely weak in substantiating the answers despite their strong QA performance. This exposes the limitation of current VLMs in making reliable predictions. As a remedy, we further explore and propose a grounded-QA method via Gaussian mask optimization and cross-modal learning. Experiments with different backbones demonstrate that this grounding mechanism improves both grounding and QA. With these efforts, we aim to push towards trustworthy VLMs in VQA systems. Our dataset and code are available at https://github.com/doc-doc/NExT-GQA.

Visual Question Answering (VQA) models often perform poorly on out-of-distribution data and struggle on domain generalization. Due to the multi-modal nature of this task, multiple factors of variation are intertwined, making generalization difficult to analyze. This motivates us to introduce a virtual benchmark, Super-CLEVR, where different factors in VQA domain shifts can be isolated in order that their effects can be studied independently. Four factors are considered: visual complexity, question redundancy, concept distribution and concept compositionality. With controllably generated data, Super-CLEVR enables us to test VQA methods in situations where the test data differs from the training data along each of these axes. We study four existing methods, including two neural symbolic methods NSCL and NSVQA, and two non-symbolic methods FiLM and mDETR; and our proposed method, probabilistic NSVQA (P-NSVQA), which extends NSVQA with uncertainty reasoning. P-NSVQA outperforms other methods on three of the four domain shift factors. Our results suggest that disentangling reasoning and perception, combined with probabilistic uncertainty, form a strong VQA model that is more robust to domain shifts. The dataset and code are released at https://github.com/Lizw14/Super-CLEVR.

This paper revisits visual representation in knowledge-based visual question answering (VQA) and demonstrates that using regional information in a better way can significantly improve the performance. While visual representation is extensively studied in traditional VQA, it is under-explored in knowledge-based VQA even though these two tasks share the common spirit, i.e., rely on visual input to answer the question. Specifically, we observe that in most state-of-the-art knowledge-based VQA methods: 1) visual features are extracted either from the whole image or in a sliding window manner for retrieving knowledge, and the important relationship within/among object regions is neglected; 2) visual features are not well utilized in the final answering model, which is counter-intuitive to some extent. Based on these observations, we propose a new knowledge-based VQA method REVIVE, which tries to utilize the explicit information of object regions not only in the knowledge retrieval stage but also in the answering model. The key motivation is that object regions and inherent relationship are important for knowledge-based VQA. We perform extensive experiments on the standard OK-VQA dataset and achieve new state-of-the-art performance, i.e., 58.0% accuracy, surpassing previous state-of-the-art method by a large margin (+3.6%). We also conduct detailed analysis and show the necessity of regional information in different framework components for knowledge-based VQA. Code is publicly available at https://github.com/yzleroy/REVIVE.

Recent advancements in open-source multi-modal large language models (MLLMs) have primarily focused on enhancing foundational capabilities, leaving a significant gap in human preference alignment. This paper introduces OmniAlign-V, a comprehensive dataset of 200K high-quality training samples featuring diverse images, complex questions, and varied response formats to improve MLLMs' alignment with human preferences. We also present MM-AlignBench, a human-annotated benchmark specifically designed to evaluate MLLMs' alignment with human values. Experimental results show that finetuning MLLMs with OmniAlign-V, using Supervised Fine-Tuning (SFT) or Direct Preference Optimization (DPO), significantly enhances human preference alignment while maintaining or enhancing performance on standard VQA benchmarks, preserving their fundamental capabilities. Our datasets, benchmark, code and checkpoints have been released at https://github.com/PhoenixZ810/OmniAlign-V.

Understanding and reasoning about spatial relationships is a fundamental capability for Visual Question Answering (VQA) and robotics. While Vision Language Models (VLM) have demonstrated remarkable performance in certain VQA benchmarks, they still lack capabilities in 3D spatial reasoning, such as recognizing quantitative relationships of physical objects like distances or size differences. We hypothesize that VLMs' limited spatial reasoning capability is due to the lack of 3D spatial knowledge in training data and aim to solve this problem by training VLMs with Internet-scale spatial reasoning data. To this end, we present a system to facilitate this approach. We first develop an automatic 3D spatial VQA data generation framework that scales up to 2 billion VQA examples on 10 million real-world images. We then investigate various factors in the training recipe, including data quality, training pipeline, and VLM architecture. Our work features the first internet-scale 3D spatial reasoning dataset in metric space. By training a VLM on such data, we significantly enhance its ability on both qualitative and quantitative spatial VQA. Finally, we demonstrate that this VLM unlocks novel downstream applications in chain-of-thought spatial reasoning and robotics due to its quantitative estimation capability. Project website: https://spatial-vlm.github.io/

This paper presents ScaleCap, an inference-time scalable image captioning strategy that generates comprehensive and detailed image captions. The key challenges of high-quality image captioning lie in the inherent biases of LVLMs: multimodal bias resulting in imbalanced descriptive granularity, offering detailed accounts of some elements while merely skimming over others; linguistic bias leading to hallucinated descriptions of non-existent objects. To address these issues, we propose a scalable debiased captioning strategy, which continuously enriches and calibrates the caption with increased inference budget. Specifically, we propose two novel components: heuristic question answering and contrastive sentence rating. The former generates content-specific questions based on the image and answers them to progressively inject relevant information into the caption. The latter employs sentence-level offline contrastive decoding to effectively identify and eliminate hallucinations caused by linguistic biases. With increased inference cost, more heuristic questions are raised by ScaleCap to progressively capture additional visual details, generating captions that are more accurate, balanced, and informative. Extensive modality alignment experiments demonstrate the effectiveness of ScaleCap. Annotating 450K images with ScaleCap and using them for LVLM pretraining leads to consistent performance gains across 11 widely used benchmarks. Furthermore, ScaleCap showcases superb richness and fidelity of generated captions with two additional tasks: replacing images with captions in VQA task, and reconstructing images from captions to assess semantic coverage. Code is available at https://github.com/Cooperx521/ScaleCap.

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

This paper reviews the MARS2 2025 Challenge on Multimodal Reasoning. We aim to bring together different approaches in multimodal machine learning and LLMs via a large benchmark. We hope it better allows researchers to follow the state-of-the-art in this very dynamic area. Meanwhile, a growing number of testbeds have boosted the evolution of general-purpose large language models. Thus, this year's MARS2 focuses on real-world and specialized scenarios to broaden the multimodal reasoning applications of MLLMs. Our organizing team released two tailored datasets Lens and AdsQA as test sets, which support general reasoning in 12 daily scenarios and domain-specific reasoning in advertisement videos, respectively. We evaluated 40+ baselines that include both generalist MLLMs and task-specific models, and opened up three competition tracks, i.e., Visual Grounding in Real-world Scenarios (VG-RS), Visual Question Answering with Spatial Awareness (VQA-SA), and Visual Reasoning in Creative Advertisement Videos (VR-Ads). Finally, 76 teams from the renowned academic and industrial institutions have registered and 40+ valid submissions (out of 1200+) have been included in our ranking lists. Our datasets, code sets (40+ baselines and 15+ participants' methods), and rankings are publicly available on the MARS2 workshop website and our GitHub organization page https://github.com/mars2workshop/, where our updates and announcements of upcoming events will be continuously provided.

While recent vision-language models (VLMs) demonstrate strong image understanding, their ability to "think with images", i.e., to reason through multi-step visual interactions, remains limited. We introduce VISTA-Gym, a scalable training environment for incentivizing tool-integrated visual reasoning capabilities in VLMs. VISTA-Gym unifies diverse real-world multimodal reasoning tasks (7 tasks from 13 datasets in total) with a standardized interface for visual tools (e.g., grounding, parsing), executable interaction loops, verifiable feedback signals, and efficient trajectory logging, enabling visual agentic reinforcement learning at scale. While recent VLMs exhibit strong text-only reasoning, both proprietary and open-source models still struggle with tool selection, invocation, and coordination. With VISTA-Gym, we train VISTA-R1 to interleave tool-use with agentic reasoning via multi-turn trajectory sampling and end-to-end reinforcement learning. Extensive experiments across 11 public reasoning-intensive VQA benchmarks show that VISTA-R1-8B outperforms state-of-the-art baselines with similar sizes by 9.51%-18.72%, demonstrating VISTA-Gym as an effective training ground to unlock the tool-integrated reasoning capabilities for VLMs.

Vision-Language Models (VLMs) acquire real-world knowledge and general reasoning ability through Internet-scale image-text corpora. They can augment robotic systems with scene understanding and task planning, and assist visuomotor policies that are trained on robot trajectory data. We explore the reverse paradigm - using rich, real, multi-modal robot trajectory data to enhance and evaluate VLMs. In this paper, we present Robo2VLM, a Visual Question Answering (VQA) dataset generation framework for VLMs. Given a human tele-operated robot trajectory, Robo2VLM derives ground-truth from non-visual and non-descriptive sensory modalities, such as end-effector pose, gripper aperture, and force sensing. Based on these modalities, it segments the robot trajectory into a sequence of manipulation phases. At each phase, Robo2VLM uses scene and interaction understanding to identify 3D properties of the robot, task goal, and the target object. The properties are used to generate representative VQA queries - images with textural multiple-choice questions - based on spatial, goal-conditioned, and interaction reasoning question templates. We curate Robo2VLM-1, a large-scale in-the-wild dataset with 684,710 questions covering 463 distinct scenes and 3,396 robotic manipulation tasks from 176k real robot trajectories. Results suggest that Robo2VLM-1 can benchmark and improve VLM capabilities in spatial and interaction reasoning.

Spatial intelligence is essential for multimodal large language models (MLLMs) operating in the complex physical world. Existing benchmarks, however, probe only single-image relations and thus fail to assess the multi-image spatial reasoning that real-world deployments demand. We introduce MMSI-Bench, a VQA benchmark dedicated to multi-image spatial intelligence. Six 3D-vision researchers spent more than 300 hours meticulously crafting 1,000 challenging, unambiguous multiple-choice questions from over 120,000 images, each paired with carefully designed distractors and a step-by-step reasoning process. We conduct extensive experiments and thoroughly evaluate 34 open-source and proprietary MLLMs, observing a wide gap: the strongest open-source model attains roughly 30% accuracy and OpenAI's o3 reasoning model reaches 40%, while humans score 97%. These results underscore the challenging nature of MMSI-Bench and the substantial headroom for future research. Leveraging the annotated reasoning processes, we also provide an automated error analysis pipeline that diagnoses four dominant failure modes, including (1) grounding errors, (2) overlap-matching and scene-reconstruction errors, (3) situation-transformation reasoning errors, and (4) spatial-logic errors, offering valuable insights for advancing multi-image spatial intelligence. Project page: https://runsenxu.com/projects/MMSI_Bench .

Despite the impressive progress on understanding and generating images shown by the recent unified architectures, the integration of 3D tasks remains challenging and largely unexplored. In this paper, we introduce UniUGG, the first unified understanding and generation framework for 3D modalities. Our unified framework employs an LLM to comprehend and decode sentences and 3D representations. At its core, we propose a spatial decoder leveraging a latent diffusion model to generate high-quality 3D representations. This allows for the generation and imagination of 3D scenes based on a reference image and an arbitrary view transformation, while remaining supports for spatial visual question answering (VQA) tasks. Additionally, we propose a geometric-semantic learning strategy to pretrain the vision encoder. This design jointly captures the input's semantic and geometric cues, enhancing both spatial understanding and generation. Extensive experimental results demonstrate the superiority of our method in visual representation, spatial understanding, and 3D generation. The source code will be released upon paper acceptance.

The emergence of large Vision Language Models (VLMs) has broadened the scope and capabilities of single-modal Large Language Models (LLMs) by integrating visual modalities, thereby unlocking transformative cross-modal applications in a variety of real-world scenarios. Despite their impressive performance, VLMs are prone to significant hallucinations, particularly in the form of cross-modal inconsistencies. Building on the success of Reinforcement Learning from Human Feedback (RLHF) in aligning LLMs, recent advancements have focused on applying direct preference optimization (DPO) on carefully curated datasets to mitigate these issues. Yet, such approaches typically introduce preference signals in a brute-force manner, neglecting the crucial role of visual information in the alignment process. In this paper, we introduce Re-Align, a novel alignment framework that leverages image retrieval to construct a dual-preference dataset, effectively incorporating both textual and visual preference signals. We further introduce rDPO, an extension of the standard direct preference optimization that incorporates an additional visual preference objective during fine-tuning. Our experimental results demonstrate that Re-Align not only mitigates hallucinations more effectively than previous methods but also yields significant performance gains in general visual question-answering (VQA) tasks. Moreover, we show that Re-Align maintains robustness and scalability across a wide range of VLM sizes and architectures. This work represents a significant step forward in aligning multimodal LLMs, paving the way for more reliable and effective cross-modal applications. We release all the code in https://github.com/taco-group/Re-Align.

Evaluating and Rethinking the current landscape of Large Multimodal Models (LMMs), we observe that widely-used visual-language projection approaches (e.g., Q-former or MLP) focus on the alignment of image-text descriptions yet ignore the visual knowledge-dimension alignment, i.e., connecting visuals to their relevant knowledge. Visual knowledge plays a significant role in analyzing, inferring, and interpreting information from visuals, helping improve the accuracy of answers to knowledge-based visual questions. In this paper, we mainly explore improving LMMs with visual-language knowledge alignment, especially aimed at challenging knowledge-based visual question answering (VQA). To this end, we present a Cognitive Visual-Language Mapper (CVLM), which contains a pretrained Visual Knowledge Aligner (VKA) and a Fine-grained Knowledge Adapter (FKA) used in the multimodal instruction tuning stage. Specifically, we design the VKA based on the interaction between a small language model and a visual encoder, training it on collected image-knowledge pairs to achieve visual knowledge acquisition and projection. FKA is employed to distill the fine-grained visual knowledge of an image and inject it into Large Language Models (LLMs). We conduct extensive experiments on knowledge-based VQA benchmarks and experimental results show that CVLM significantly improves the performance of LMMs on knowledge-based VQA (average gain by 5.0%). Ablation studies also verify the effectiveness of VKA and FKA, respectively.

Surgical site infection (SSI) is one of the most common and costly healthcare-associated infections and and surgical wound care remains a significant clinical challenge in preventing SSIs and improving patient outcomes. While recent studies have explored the use of deep learning for preliminary surgical wound screening, progress has been hindered by concerns over data privacy and the high costs associated with expert annotation. Currently, no publicly available dataset or benchmark encompasses various types of surgical wounds, resulting in the absence of an open-source Surgical-Wound screening tool. To address this gap: (1) we present SurgWound, the first open-source dataset featuring a diverse array of surgical wound types. It contains 697 surgical wound images annotated by 3 professional surgeons with eight fine-grained clinical attributes. (2) Based on SurgWound, we introduce the first benchmark for surgical wound diagnosis, which includes visual question answering (VQA) and report generation tasks to comprehensively evaluate model performance. (3) Furthermore, we propose a three-stage learning framework, WoundQwen, for surgical wound diagnosis. In the first stage, we employ five independent MLLMs to accurately predict specific surgical wound characteristics. In the second stage, these predictions serve as additional knowledge inputs to two MLLMs responsible for diagnosing outcomes, which assess infection risk and guide subsequent interventions. In the third stage, we train a MLLM that integrates the diagnostic results from the previous two stages to produce a comprehensive report. This three-stage framework can analyze detailed surgical wound characteristics and provide subsequent instructions to patients based on surgical images, paving the way for personalized wound care, timely intervention, and improved patient outcomes.

Autonomous driving visual question answering (AD-VQA) aims to answer questions related to perception, prediction, and planning based on given driving scene images, heavily relying on the model's spatial understanding capabilities. Prior works typically express spatial information through textual representations of coordinates, resulting in semantic gaps between visual coordinate representations and textual descriptions. This oversight hinders the accurate transmission of spatial information and increases the expressive burden. To address this, we propose a novel Marker-based Prompt learning framework (MPDrive), which represents spatial coordinates by concise visual markers, ensuring linguistic expressive consistency and enhancing the accuracy of both visual perception and spatial expression in AD-VQA. Specifically, we create marker images by employing a detection expert to overlay object regions with numerical labels, converting complex textual coordinate generation into straightforward text-based visual marker predictions. Moreover, we fuse original and marker images as scene-level features and integrate them with detection priors to derive instance-level features. By combining these features, we construct dual-granularity visual prompts that stimulate the LLM's spatial perception capabilities. Extensive experiments on the DriveLM and CODA-LM datasets show that MPDrive achieves state-of-the-art performance, particularly in cases requiring sophisticated spatial understanding.

Recently, Multimodal Large Language Models (MLLMs) have shown great promise in language-guided perceptual tasks such as recognition, segmentation, and object detection. However, their effectiveness in addressing visual cognition problems that require high-level reasoning is not well-established. One such challenge is abstract visual reasoning (AVR) -- the cognitive ability to discern relationships among patterns in a set of images and extrapolate to predict subsequent patterns. This skill is crucial during the early neurodevelopmental stages of children. Inspired by the AVR tasks in Raven's Progressive Matrices (RPM) and Wechsler Intelligence Scale for Children (WISC), we propose a new dataset MaRs-VQA and a new benchmark VCog-Bench containing three datasets to evaluate the zero-shot AVR capability of MLLMs and compare their performance with existing human intelligent investigation. Our comparative experiments with different open-source and closed-source MLLMs on the VCog-Bench revealed a gap between MLLMs and human intelligence, highlighting the visual cognitive limitations of current MLLMs. We believe that the public release of VCog-Bench, consisting of MaRs-VQA, and the inference pipeline will drive progress toward the next generation of MLLMs with human-like visual cognition abilities.

We introduce NExT-QA, a rigorously designed video question answering (VideoQA) benchmark to advance video understanding from describing to explaining the temporal actions. Based on the dataset, we set up multi-choice and open-ended QA tasks targeting causal action reasoning, temporal action reasoning, and common scene comprehension. Through extensive analysis of baselines and established VideoQA techniques, we find that top-performing methods excel at shallow scene descriptions but are weak in causal and temporal action reasoning. Furthermore, the models that are effective on multi-choice QA, when adapted to open-ended QA, still struggle in generalizing the answers. This raises doubt on the ability of these models to reason and highlights possibilities for improvement. With detailed results for different question types and heuristic observations for future works, we hope NExT-QA will guide the next generation of VQA research to go beyond superficial scene description towards a deeper understanding of videos. (The dataset and related resources are available at https://github.com/doc-doc/NExT-QA.git)

Web agents such as Deep Research have demonstrated superhuman cognitive abilities, capable of solving highly challenging information-seeking problems. However, most research remains primarily text-centric, overlooking visual information in the real world. This makes multimodal Deep Research highly challenging, as such agents require much stronger reasoning abilities in perception, logic, knowledge, and the use of more sophisticated tools compared to text-based agents. To address this limitation, we introduce WebWatcher, a multi-modal Agent for Deep Research equipped with enhanced visual-language reasoning capabilities. It leverages high-quality synthetic multimodal trajectories for efficient cold start training, utilizes various tools for deep reasoning, and further enhances generalization through reinforcement learning. To better evaluate the capabilities of multimodal agents, we propose BrowseComp-VL, a benchmark with BrowseComp-style that requires complex information retrieval involving both visual and textual information. Experimental results show that WebWatcher significantly outperforms proprietary baseline, RAG workflow and open-source agents in four challenging VQA benchmarks, which paves the way for solving complex multimodal information-seeking tasks.

Structured image understanding, such as interpreting tables and charts, requires strategically refocusing across various structures and texts within an image, forming a reasoning sequence to arrive at the final answer. However, current multimodal large language models (LLMs) lack this multihop selective attention capability. In this work, we introduce ReFocus, a simple yet effective framework that equips multimodal LLMs with the ability to generate "visual thoughts" by performing visual editing on the input image through code, shifting and refining their visual focuses. Specifically, ReFocus enables multimodal LLMs to generate Python codes to call tools and modify the input image, sequentially drawing boxes, highlighting sections, and masking out areas, thereby enhancing the visual reasoning process. We experiment upon a wide range of structured image understanding tasks involving tables and charts. ReFocus largely improves performance on all tasks over GPT-4o without visual editing, yielding an average gain of 11.0% on table tasks and 6.8% on chart tasks. We present an in-depth analysis of the effects of different visual edits, and reasons why ReFocus can improve the performance without introducing additional information. Further, we collect a 14k training set using ReFocus, and prove that such visual chain-of-thought with intermediate information offers a better supervision than standard VQA data, reaching a 8.0% average gain over the same model trained with QA pairs and 2.6% over CoT.

We study how vision-language models (VLMs) trained on web-scale data can be integrated into end-to-end driving systems to boost generalization and enable interactivity with human users. While recent approaches adapt VLMs to driving via single-round visual question answering (VQA), human drivers reason about decisions in multiple steps. Starting from the localization of key objects, humans estimate object interactions before taking actions. The key insight is that with our proposed task, Graph VQA, where we model graph-structured reasoning through perception, prediction and planning question-answer pairs, we obtain a suitable proxy task to mimic the human reasoning process. We instantiate datasets (DriveLM-Data) built upon nuScenes and CARLA, and propose a VLM-based baseline approach (DriveLM-Agent) for jointly performing Graph VQA and end-to-end driving. The experiments demonstrate that Graph VQA provides a simple, principled framework for reasoning about a driving scene, and DriveLM-Data provides a challenging benchmark for this task. Our DriveLM-Agent baseline performs end-to-end autonomous driving competitively in comparison to state-of-the-art driving-specific architectures. Notably, its benefits are pronounced when it is evaluated zero-shot on unseen objects or sensor configurations. We hope this work can be the starting point to shed new light on how to apply VLMs for autonomous driving. To facilitate future research, all code, data, and models are available to the public.

Existing vision-language models (VLMs), whether generalists or specialists, remain constrained by their parameter scale, lack robust self-correction capabilities, and underperform in tasks involving long visual contexts and complex reasoning, resulting in suboptimal performance on document-based tasks. To address this, we propose MACT, a Multi-Agent Collaboration framework with Test-Time scaling, tailored for visual document understanding and visual question answering (VQA). It comprises four distinct small-scale agents, i.e., planning, execution, judgment, and answer agents, with clearly defined roles and effective collaboration. Notably, the judgment agent exclusively verifies correctness and redirects to prior agents for revisions, outperforming conventional correction strategies. To further expand the capability boundaries of the framework, we propose mixed reward modeling that balances agent-specific abilities and global collaboration, as well as agent-wise hybrid test-time scaling, which customizes different scaling strategies for each agent based on their functions. Evaluated on benchmarks spanning both document-based and non-document-based settings, our MACT shows superior performance with a smaller parameter scale without sacrificing the ability of general and mathematical tasks. Especially, it stands out in benchmarks involving long visual contexts and complicated reasoning. The three variants of MACT consistently hold the top three positions in average scores, leading in 13 of the 15 benchmarks. Code will be available at: https://github.com/YU-deep/MACT.git.

Most existing benchmarks for egocentric vision understanding focus primarily on daytime scenarios, overlooking the low-light conditions that are inevitable in real-world applications. To investigate this gap, we present EgoNight, the first comprehensive benchmark for nighttime egocentric vision, with visual question answering (VQA) as the core task. A key feature of EgoNight is the introduction of day-night aligned videos, which enhance night annotation quality using the daytime data and reveal clear performance gaps between lighting conditions. To achieve this, we collect both synthetic videos rendered by Blender and real-world recordings, ensuring that scenes and actions are visually and temporally aligned. Leveraging these paired videos, we construct EgoNight-VQA, supported by a novel day-augmented night auto-labeling engine and refinement through extensive human verification. Each QA pair is double-checked by annotators for reliability. In total, EgoNight-VQA contains 3658 QA pairs across 90 videos, spanning 12 diverse QA types, with more than 300 hours of human work. Evaluations of state-of-the-art multimodal large language models (MLLMs) reveal substantial performance drops when transferring from day to night, underscoring the challenges of reasoning under low-light conditions. Beyond VQA, EgoNight also introduces two auxiliary tasks, day-night correspondence retrieval and egocentric depth estimation at night, that further explore the boundaries of existing models. We believe EgoNight-VQA provides a strong foundation for advancing application-driven egocentric vision research and for developing models that generalize across illumination domains. All the data and code will be made available upon acceptance.

Recent advancements in Multimodal Large Language Models (LLMs) have focused primarily on scaling by increasing text-image pair data and enhancing LLMs to improve performance on multimodal tasks. However, these scaling approaches are computationally expensive and overlook the significance of improving model capabilities from the vision side. Inspired by the successful applications of Mixture-of-Experts (MoE) in LLMs, which improves model scalability during training while keeping inference costs similar to those of smaller models, we propose CuMo. CuMo incorporates Co-upcycled Top-K sparsely-gated Mixture-of-experts blocks into both the vision encoder and the MLP connector, thereby enhancing the multimodal LLMs with minimal additional activated parameters during inference. CuMo first pre-trains the MLP blocks and then initializes each expert in the MoE block from the pre-trained MLP block during the visual instruction tuning stage. Auxiliary losses are used to ensure a balanced loading of experts. CuMo outperforms state-of-the-art multimodal LLMs across various VQA and visual-instruction-following benchmarks using models within each model size group, all while training exclusively on open-sourced datasets. The code and model weights for CuMo are open-sourced at https://github.com/SHI-Labs/CuMo.

Large-scale vision and language representation learning has shown promising improvements on various vision-language tasks. Most existing methods employ a transformer-based multimodal encoder to jointly model visual tokens (region-based image features) and word tokens. Because the visual tokens and word tokens are unaligned, it is challenging for the multimodal encoder to learn image-text interactions. In this paper, we introduce a contrastive loss to ALign the image and text representations BEfore Fusing (ALBEF) them through cross-modal attention, which enables more grounded vision and language representation learning. Unlike most existing methods, our method does not require bounding box annotations nor high-resolution images. In order to improve learning from noisy web data, we propose momentum distillation, a self-training method which learns from pseudo-targets produced by a momentum model. We provide a theoretical analysis of ALBEF from a mutual information maximization perspective, showing that different training tasks can be interpreted as different ways to generate views for an image-text pair. ALBEF achieves state-of-the-art performance on multiple downstream vision-language tasks. On image-text retrieval, ALBEF outperforms methods that are pre-trained on orders of magnitude larger datasets. On VQA and NLVR^2, ALBEF achieves absolute improvements of 2.37% and 3.84% compared to the state-of-the-art, while enjoying faster inference speed. Code and pre-trained models are available at https://github.com/salesforce/ALBEF/.

Inspired by recent advancements in LLM reasoning, the field of multimodal reasoning has seen remarkable progress, achieving significant performance gains on intricate tasks such as mathematical problem-solving. Despite this progress, current multimodal large reasoning models exhibit two key limitations. They tend to employ computationally expensive reasoning even for simple queries, leading to inefficiency. Furthermore, this focus on specialized reasoning often impairs their broader, more general understanding capabilities. In this paper, we propose Metis-HOME: a Hybrid Optimized Mixture-of-Experts framework designed to address this trade-off. Metis-HOME enables a ''Hybrid Thinking'' paradigm by structuring the original dense model into two distinct expert branches: a thinking branch tailored for complex, multi-step reasoning, and a non-thinking branch optimized for rapid, direct inference on tasks like general VQA and OCR. A lightweight, trainable router dynamically allocates queries to the most suitable expert. We instantiate Metis-HOME by adapting the Qwen2.5-VL-7B into an MoE architecture. Comprehensive evaluations reveal that our approach not only substantially enhances complex reasoning abilities but also improves the model's general capabilities, reversing the degradation trend observed in other reasoning-specialized models. Our work establishes a new paradigm for building powerful and versatile MLLMs, effectively resolving the prevalent reasoning-vs-generalization dilemma.

Spatial reasoning ability is crucial for Vision Language Models (VLMs) to support real-world applications in diverse domains including robotics, augmented reality, and autonomous navigation. Unfortunately, existing benchmarks are inadequate in assessing spatial reasoning ability, especially the intrinsic-dynamic spatial reasoning which is a fundamental aspect of human spatial cognition. In this paper, we propose a unified benchmark, Spatial-DISE, based on a cognitively grounded taxonomy that categorizes tasks into four fundamental quadrants: Intrinsic-Static, Intrinsic-Dynamic, Extrinsic-Static, and Extrinsic-Dynamic spatial reasoning. Moreover, to address the issue of data scarcity, we develop a scalable and automated pipeline to generate diverse and verifiable spatial reasoning questions, resulting in a new Spatial-DISE dataset that includes Spatial-DISE Bench (559 evaluation VQA pairs) and Spatial-DISE-12K (12K+ training VQA pairs). Our comprehensive evaluation across 28 state-of-the-art VLMs reveals that, current VLMs have a large and consistent gap to human competence, especially on multi-step multi-view spatial reasoning. Spatial-DISE offers a robust framework, valuable dataset, and clear direction for future research toward human-like spatial intelligence. Benchmark, dataset, and code will be publicly released.

Construction safety inspections typically involve a human inspector identifying safety concerns on-site. With the rise of powerful Vision Language Models (VLMs), researchers are exploring their use for tasks such as detecting safety rule violations from on-site images. However, there is a lack of open datasets to comprehensively evaluate and further fine-tune VLMs in construction safety inspection. Current applications of VLMs use small, supervised datasets, limiting their applicability in tasks they are not directly trained for. In this paper, we propose the ConstructionSite 10k, featuring 10,000 construction site images with annotations for three inter-connected tasks, including image captioning, safety rule violation visual question answering (VQA), and construction element visual grounding. Our subsequent evaluation of current state-of-the-art large pre-trained VLMs shows notable generalization abilities in zero-shot and few-shot settings, while additional training is needed to make them applicable to actual construction sites. This dataset allows researchers to train and evaluate their own VLMs with new architectures and techniques, providing a valuable benchmark for construction safety inspection.

Large Reasoning Models (LRMs) have introduced a new paradigm in AI by enabling models to ``think before responding" via chain-of-thought reasoning. However, the absence of open and reproducible recipes for building reasoning-centric medical LMMs hinders community-wide research, analysis, and comparison. In this paper, we present MedVLThinker, a suite of simple yet strong baselines. Our fully open recipe consists of: (1) systematic data curation for both text-only and image-text medical data, filtered according to varying levels of reasoning difficulty, and (2) two training paradigms: Supervised Fine-Tuning (SFT) on distilled reasoning traces and Reinforcement Learning with Verifiable Rewards (RLVR) based on final answer correctness. Across extensive experiments on the Qwen2.5-VL model family (3B, 7B) and six medical QA benchmarks, we find that RLVR consistently and significantly outperforms SFT. Additionally, under the RLVR framework, a key, counter-intuitive finding is that training on our curated text-only reasoning data provides a more substantial performance boost than training on multimodal image-text data. Our best open 7B model, trained using the RLVR recipe on text-only data, establishes a new state-of-the-art on existing public VQA benchmarks, surpassing all previous open-source medical LMMs. Furthermore, scaling our model to 32B achieves performance on par with the proprietary GPT-4o. We release all curated data, models, and code to provide the community with a strong, open foundation for future research in multimodal medical reasoning.

Autoregressive models (ARMs) have long dominated the landscape of biomedical vision-language models (VLMs). Recently, masked diffusion models such as LLaDA have emerged as promising alternatives, yet their application in the biomedical domain remains largely underexplored. To bridge this gap, we introduce LLaDA-MedV, the first large language diffusion model tailored for biomedical image understanding through vision instruction tuning. LLaDA-MedV achieves relative performance gains of 7.855\% over LLaVA-Med and 1.867\% over LLaDA-V in the open-ended biomedical visual conversation task, and sets new state-of-the-art accuracy on the closed-form subset of three VQA benchmarks: 84.93\% on VQA-RAD, 92.31\% on SLAKE, and 95.15\% on PathVQA. Furthermore, a detailed comparison with LLaVA-Med suggests that LLaDA-MedV is capable of generating reasonably longer responses by explicitly controlling response length, which can lead to more informative outputs. We also conduct an in-depth analysis of both the training and inference stages, highlighting the critical roles of initialization weight selection, fine-tuning strategies, and the interplay between sampling steps and response repetition. The code and model weight is released at https://github.com/LLM-VLM-GSL/LLaDA-MedV.

Video Quality Assessment (VQA), which intends to predict the perceptual quality of videos, has attracted increasing attention. Due to factors like motion blur or specific distortions, the quality of different regions in a video varies. Recognizing the region-wise local quality within a video is beneficial for assessing global quality and can guide us in adopting fine-grained enhancement or transcoding strategies. Due to the heavy cost of annotating region-wise quality, the lack of ground truth constraints from relevant datasets further complicates the utilization of local perception. Inspired by the Human Visual System (HVS) that links global quality to the local texture of different regions and their visual saliency, we propose a Kaleidoscope Video Quality Assessment (KVQ) framework, which aims to effectively assess both saliency and local texture, thereby facilitating the assessment of global quality. Our framework extracts visual saliency and allocates attention using Fusion-Window Attention (FWA) while incorporating a Local Perception Constraint (LPC) to mitigate the reliance of regional texture perception on neighboring areas. KVQ obtains significant improvements across multiple scenarios on five VQA benchmarks compared to SOTA methods. Furthermore, to assess local perception, we establish a new Local Perception Visual Quality (LPVQ) dataset with region-wise annotations. Experimental results demonstrate the capability of KVQ in perceiving local distortions. KVQ models and the LPVQ dataset will be available at https://github.com/qyp2000/KVQ.

Despite the impressive text-to-image (T2I) synthesis capabilities of diffusion models, they often struggle to understand compositional relationships between objects and attributes, especially in complex settings. Existing solutions have tackled these challenges by optimizing the cross-attention mechanism or learning from the caption pairs with minimal semantic changes. However, can we generate high-quality complex contrastive images that diffusion models can directly discriminate based on visual representations? In this work, we leverage large-language models (LLMs) to compose realistic, complex scenarios and harness Visual-Question Answering (VQA) systems alongside diffusion models to automatically curate a contrastive dataset, ConPair, consisting of 15k pairs of high-quality contrastive images. These pairs feature minimal visual discrepancies and cover a wide range of attribute categories, especially complex and natural scenarios. To learn effectively from these error cases, i.e., hard negative images, we propose EvoGen, a new multi-stage curriculum for contrastive learning of diffusion models. Through extensive experiments across a wide range of compositional scenarios, we showcase the effectiveness of our proposed framework on compositional T2I benchmarks.

Multimodal Large Language Models (MLLMs) demonstrate a strong understanding of the real world and can even handle complex tasks. However, they still fail on some straightforward visual question-answering (VQA) problems. This paper dives deeper into this issue, revealing that models tend to err when answering easy questions (e.g. Yes/No questions) about an image, even though they can correctly describe it. We refer to this model behavior discrepancy between difficult and simple questions as model laziness. To systematically investigate model laziness, we manually construct LazyBench, a benchmark that includes Yes/No, multiple choice, short answer questions, and image description tasks that are related to the same subjects in the images. Based on LazyBench, we observe that laziness widely exists in current advanced MLLMs (e.g. GPT-4o, Gemini-1.5-pro, Claude 3 and LLaVA-v1.5-13B), and it is more pronounced on stronger models. We also analyze the VQA v2 (LLaVA-v1.5-13B) benchmark and find that about half of its failure cases are caused by model laziness, which further highlights the importance of ensuring that the model fully utilizes its capability. To this end, we conduct preliminary exploration on how to mitigate laziness and find that chain of thought (CoT) can effectively address this issue.

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.

Traditional approaches for Visual Question Answering (VQA) require large amount of labeled data for training. Unfortunately, such large scale data is usually not available for medical domain. In this paper, we propose a novel medical VQA framework that overcomes the labeled data limitation. The proposed framework explores the use of the unsupervised Denoising Auto-Encoder (DAE) and the supervised Meta-Learning. The advantage of DAE is to leverage the large amount of unlabeled images while the advantage of Meta-Learning is to learn meta-weights that quickly adapt to VQA problem with limited labeled data. By leveraging the advantages of these techniques, it allows the proposed framework to be efficiently trained using a small labeled training set. The experimental results show that our proposed method significantly outperforms the state-of-the-art medical VQA.

Multi-step spatial reasoning entails understanding and reasoning about spatial relationships across multiple sequential steps, which is crucial for tackling complex real-world applications, such as robotic manipulation, autonomous navigation, and automated assembly. To assess how well current Multimodal Large Language Models (MLLMs) have acquired this fundamental capability, we introduce LEGO-Puzzles, a scalable benchmark designed to evaluate both spatial understanding and sequential reasoning in MLLMs through LEGO-based tasks. LEGO-Puzzles consists of 1,100 carefully curated visual question-answering (VQA) samples spanning 11 distinct tasks, ranging from basic spatial understanding to complex multi-step reasoning. Based on LEGO-Puzzles, we conduct a comprehensive evaluation of state-of-the-art MLLMs and uncover significant limitations in their spatial reasoning capabilities: even the most powerful MLLMs can answer only about half of the test cases, whereas human participants achieve over 90\% accuracy. In addition to VQA tasks, we evaluate MLLMs' abilities to generate LEGO images following assembly illustrations. Our experiments show that only Gemini-2.0-Flash and GPT-4o exhibit a limited ability to follow these instructions, while other MLLMs either replicate the input image or generate completely irrelevant outputs. Overall, LEGO-Puzzles exposes critical deficiencies in existing MLLMs' spatial understanding and sequential reasoning capabilities, and underscores the need for further advancements in multimodal spatial reasoning.

We present Jina-VLM, a 2.4B parameter vision-language model that achieves state-of-the-art multilingual visual question answering among open 2B-scale VLMs. The model couples a SigLIP2 vision encoder with a Qwen3 language backbone through an attention-pooling connector that enables token-efficient processing of arbitrary-resolution images. Across standard VQA benchmarks and multilingual evaluations, Jina-VLM outperforms comparable models while preserving competitive text-only performance.

Efficient vision-language understanding of large Remote Sensing Images (RSIs) is meaningful but challenging. Current Large Vision-Language Models (LVLMs) typically employ limited pre-defined grids to process images, leading to information loss when handling gigapixel RSIs. Conversely, using unlimited grids significantly increases computational costs. To preserve image details while reducing computational complexity, we propose a text-guided token pruning method with Dynamic Image Pyramid (DIP) integration. Our method introduces: (i) a Region Focus Module (RFM) that leverages text-aware region localization capability to identify critical vision tokens, and (ii) a coarse-to-fine image tile selection and vision token pruning strategy based on DIP, which is guided by RFM outputs and avoids directly processing the entire large imagery. Additionally, existing benchmarks for evaluating LVLMs' perception ability on large RSI suffer from limited question diversity and constrained image sizes. We construct a new benchmark named LRS-VQA, which contains 7,333 QA pairs across 8 categories, with image length up to 27,328 pixels. Our method outperforms existing high-resolution strategies on four datasets using the same data. Moreover, compared to existing token reduction methods, our approach demonstrates higher efficiency under high-resolution settings. Dataset and code are in https://github.com/VisionXLab/LRS-VQA.

The rapid development of vision language models (VLMs) demands rigorous and reliable evaluation. However, current visual question answering (VQA) benchmarks often depend on open-ended questions, making accurate evaluation difficult due to the variability in natural language responses. To address this, we introduce AutoConverter, an agentic framework that automatically converts these open-ended questions into multiple-choice format, enabling objective evaluation while reducing the costly question creation process. Our experiments demonstrate that AutoConverter can generate correct and challenging multiple-choice questions, with VLMs demonstrating consistently similar or lower accuracy on these questions compared to human-created ones. Using AutoConverter, we construct VMCBench, a benchmark created by transforming 20 existing VQA datasets into a unified multiple-choice format, totaling 9,018 questions. We comprehensively evaluate 33 state-of-the-art VLMs on VMCBench, setting a new standard for scalable, consistent, and reproducible VLM evaluation.

Recent progress has been made in region-aware vision-language modeling, particularly with the emergence of the Describe Anything Model (DAM). DAM is capable of generating detailed descriptions of any specific image areas or objects without the need for additional localized image-text alignment supervision. We hypothesize that such region-level descriptive capability is beneficial for the task of Visual Question Answering (VQA), especially in challenging scenarios involving images with dense text. In such settings, the fine-grained extraction of textual information is crucial to producing correct answers. Motivated by this, we introduce DAM-QA, a framework with a tailored evaluation protocol, developed to investigate and harness the region-aware capabilities from DAM for the text-rich VQA problem that requires reasoning over text-based information within images. DAM-QA incorporates a mechanism that aggregates answers from multiple regional views of image content, enabling more effective identification of evidence that may be tied to text-related elements. Experiments on six VQA benchmarks show that our approach consistently outperforms the baseline DAM, with a notable 7+ point gain on DocVQA. DAM-QA also achieves the best overall performance among region-aware models with fewer parameters, significantly narrowing the gap with strong generalist VLMs. These results highlight the potential of DAM-like models for text-rich and broader VQA tasks when paired with efficient usage and integration strategies. Our code is publicly available at https://github.com/Linvyl/DAM-QA.git.

DeepSeek-R1 has demonstrated powerful reasoning capabilities in the text domain through stable reinforcement learning (RL). Recently, in the multimodal domain, works have begun to directly apply RL to generate R1-like free-form reasoning for Visual Question Answering (VQA) tasks. However, multimodal tasks share an intrinsically different nature from textual tasks, which heavily rely on the understanding of the input image to solve the problem. Therefore, such free-form reasoning faces two critical limitations in the VQA task: (1) Extended reasoning chains diffuse visual focus away from task-critical regions, degrading answer accuracy. (2) Unverifiable intermediate steps amplify policy-gradient variance and computational costs overhead. To address these issues, in this paper, we introduce SATORI (Spatially Anchored Task Optimization with ReInforcement Learning), which decomposes VQA into three verifiable stages, including global image captioning, region localization, and answer prediction, each supplying explicit reward signals. Furthermore, we also introduce VQA-Verify, a 12k dataset annotated with answer-aligned captions and bounding-boxes to facilitate training. Experiments demonstrate consistent performance improvements across seven VQA benchmarks, achieving up to 15.7% improvement in accuracy in accuracy compared to the R1-like baseline. Our analysis of the attention map confirms enhanced focus on critical regions, which brings improvements in accuracy. Our code is available at https://github.com/justairr/SATORI-R1.

Model fusing has always been an important topic, especially in an era where large language models (LLM) and multi-modal language models (MLM) with different architectures, parameter sizes and training pipelines, are being created all the time. In this work, we propose a post-hoc framework, aiming at fusing heterogeneous models off-the-shell, which we call likelihood composition, and the basic idea is to compose multiple models' likelihood distribution when doing a multi-choice visual-question-answering task. Here the core concept, likelihood, is actually the log-probability of the candidate answer. In likelihood composition, we introduce some basic operations: debias, highlight, majority-vote and ensemble. By combining (composing) these basic elements, we get the mixed composition methods: mix-composition. Through conducting comprehensive experiments on 9 VQA datasets and 10 MLMs, we prove the effectiveness of mix-composition compared with simple ensemble or majority-vote methods. In this framework, people can propose new basic composition methods and combine them to get the new mixed composition methods. We hope our proposed likelihood composition can provide a new perspective of fusing heterogeneous models and inspire the exploration under this framework.

Image captioning aims at generating descriptive and meaningful textual descriptions of images, enabling a broad range of vision-language applications. Prior works have demonstrated that harnessing the power of Contrastive Image Language Pre-training (CLIP) offers a promising approach to achieving zero-shot captioning, eliminating the need for expensive caption annotations. However, the widely observed modality gap in the latent space of CLIP harms the performance of zero-shot captioning by breaking the alignment between paired image-text features. To address this issue, we conduct an analysis on the CLIP latent space which leads to two findings. Firstly, we observe that the CLIP's visual feature of image subregions can achieve closer proximity to the paired caption due to the inherent information loss in text descriptions. In addition, we show that the modality gap between a paired image-text can be empirically modeled as a zero-mean Gaussian distribution. Motivated by the findings, we propose a novel zero-shot image captioning framework with text-only training to reduce the modality gap. In particular, we introduce a subregion feature aggregation to leverage local region information, which produces a compact visual representation for matching text representation. Moreover, we incorporate a noise injection and CLIP reranking strategy to boost captioning performance. We also extend our framework to build a zero-shot VQA pipeline, demonstrating its generality. Through extensive experiments on common captioning and VQA datasets such as MSCOCO, Flickr30k and VQAV2, we show that our method achieves remarkable performance improvements. Code is available at https://github.com/Artanic30/MacCap.

Large Language Models (LLMs) with multimodal capabilities have revolutionized vision-language tasks, but their deployment often requires huge memory and computational resources. While post-training quantization (PTQ) has successfully compressed language models to as low as 1-bit precision without significant performance loss, its effectiveness for multimodal LLMs (MLLMs) remains relatively unexplored. In this paper, we present the first study on ultra-low bit (<4-bit) quantization for multimodal LLMs. Our analysis reveals that multimodal tokens and intermediate layer activations produced by them exhibit significantly higher statistical variance and entropy compared to text tokens, making them less tolerant to ultra-low bit quantization. However, the activation distributions of multimodal tokens varies significantly over different layers, with some layers having lower entropy activation distributions. We empirically show that such layers in these models can better tolerate ultra-low bit quantization. Building on these insights, we propose a novel strategy for MLLM quantization, LUQ: Layerwise Ultra-Low Bit Quantization, which selectively applies ultra-low bit quantization to layers that are more resilient to it. Additionally, we also show that using a mix of multimodal tokens (image and text) for PTQ boosts VQA performance in the ultra-low bit regime. We evaluate our method on LLaVA-1.5 and Qwen-2.5-VL across 9 popular VQA benchmarks. The resulting LUQ models use 40% and 31% less memory than their 4-bit counterparts, respectively, while exhibiting a performance degradation of less than 10% on the MME benchmark.

Visual grounding is essential for precise perception and reasoning in multimodal large language models (MLLMs), especially in medical imaging domains. While existing medical visual grounding benchmarks primarily focus on single-image scenarios, real-world clinical applications often involve sequential images, where accurate lesion localization across different modalities and temporal tracking of disease progression (e.g., pre- vs. post-treatment comparison) require fine-grained cross-image semantic alignment and context-aware reasoning. To remedy the underrepresentation of image sequences in existing medical visual grounding benchmarks, we propose MedSG-Bench, the first benchmark tailored for Medical Image Sequences Grounding. It comprises eight VQA-style tasks, formulated into two paradigms of the grounding tasks, including 1) Image Difference Grounding, which focuses on detecting change regions across images, and 2) Image Consistency Grounding, which emphasizes detection of consistent or shared semantics across sequential images. MedSG-Bench covers 76 public datasets, 10 medical imaging modalities, and a wide spectrum of anatomical structures and diseases, totaling 9,630 question-answer pairs. We benchmark both general-purpose MLLMs (e.g., Qwen2.5-VL) and medical-domain specialized MLLMs (e.g., HuatuoGPT-vision), observing that even the advanced models exhibit substantial limitations in medical sequential grounding tasks. To advance this field, we construct MedSG-188K, a large-scale instruction-tuning dataset tailored for sequential visual grounding, and further develop MedSeq-Grounder, an MLLM designed to facilitate future research on fine-grained understanding across medical sequential images. The benchmark, dataset, and model are available at https://huggingface.co/MedSG-Bench

Spatial reasoning is a fundamental capability of embodied agents and has garnered widespread attention in the field of multimodal large language models (MLLMs). In this work, we propose a novel benchmark, Open3DVQA, to comprehensively evaluate the spatial reasoning capacities of current state-of-the-art (SOTA) foundation models in open 3D space. Open3DVQA consists of 9k VQA samples, collected using an efficient semi-automated tool in a high-fidelity urban simulator. We evaluate several SOTA MLLMs across various aspects of spatial reasoning, such as relative and absolute spatial relationships, situational reasoning, and object-centric spatial attributes. Our results reveal that: 1) MLLMs perform better at answering questions regarding relative spatial relationships than absolute spatial relationships, 2) MLLMs demonstrate similar spatial reasoning abilities for both egocentric and allocentric perspectives, and 3) Fine-tuning large models significantly improves their performance across different spatial reasoning tasks. We believe that our open-source data collection tools and in-depth analyses will inspire further research on MLLM spatial reasoning capabilities. The benchmark is available at https://github.com/WeichenZh/Open3DVQA.

Multimodal large language models (MLLMs) have shown impressive capabilities in document understanding, a rapidly growing research area with significant industrial demand in recent years. As a multimodal task, document understanding requires models to possess both perceptual and cognitive abilities. However, current MLLMs often face conflicts between perception and cognition. Taking a document VQA task (cognition) as an example, an MLLM might generate answers that do not match the corresponding visual content identified by its OCR (perception). This conflict suggests that the MLLM might struggle to establish an intrinsic connection between the information it "sees" and what it "understands." Such conflicts challenge the intuitive notion that cognition is consistent with perception, hindering the performance and explainability of MLLMs. In this paper, we define the conflicts between cognition and perception as Cognition and Perception (C&P) knowledge conflicts, a form of multimodal knowledge conflicts, and systematically assess them with a focus on document understanding. Our analysis reveals that even GPT-4o, a leading MLLM, achieves only 68.6% C&P consistency. To mitigate the C&P knowledge conflicts, we propose a novel method called Multimodal Knowledge Consistency Fine-tuning. This method first ensures task-specific consistency and then connects the cognitive and perceptual knowledge. Our method significantly reduces C&P knowledge conflicts across all tested MLLMs and enhances their performance in both cognitive and perceptual tasks in most scenarios.

Large Multimodal Models (LMMs) have achieved strong performance across a range of vision and language tasks. However, their spatial reasoning capabilities are under-investigated. In this paper, we construct a novel VQA dataset, Spatial-MM, to comprehensively study LMMs' spatial understanding and reasoning capabilities. Our analyses on object-relationship and multi-hop reasoning reveal several important findings. Firstly, bounding boxes and scene graphs, even synthetic ones, can significantly enhance LMMs' spatial reasoning. Secondly, LMMs struggle more with questions posed from the human perspective than the camera perspective about the image. Thirdly, chain of thought (CoT) prompting does not improve model performance on complex multi-hop questions involving spatial relations. % Moreover, spatial reasoning steps are much less accurate than non-spatial ones across MLLMs. Lastly, our perturbation analysis on GQA-spatial reveals that LMMs are much stronger at basic object detection than complex spatial reasoning. We believe our benchmark dataset and in-depth analyses can spark further research on LMMs spatial reasoning. Spatial-MM benchmark is available at: https://github.com/FatemehShiri/Spatial-MM

The advent and proliferation of large multi-modal models (LMMs) have introduced new paradigms to computer vision, transforming various tasks into a unified visual question answering framework. Video Quality Assessment (VQA), a classic field in low-level visual perception, focused initially on quantitative video quality scoring. However, driven by advances in LMMs, it is now progressing toward more holistic visual quality understanding tasks. Recent studies in the image domain have demonstrated that Visual Question Answering (VQA) can markedly enhance low-level visual quality evaluation. Nevertheless, related work has not been explored in the video domain, leaving substantial room for improvement. To address this gap, we introduce the VQA2 Instruction Dataset - the first visual question answering instruction dataset that focuses on video quality assessment. This dataset consists of 3 subsets and covers various video types, containing 157,755 instruction question-answer pairs. Then, leveraging this foundation, we present the VQA2 series models. The VQA2 series models interleave visual and motion tokens to enhance the perception of spatial-temporal quality details in videos. We conduct extensive experiments on video quality scoring and understanding tasks, and results demonstrate that the VQA2series models achieve excellent performance in both tasks. Notably, our final model, the VQA2-Assistant, exceeds the renowned GPT-4o in visual quality understanding tasks while maintaining strong competitiveness in quality scoring tasks. Our work provides a foundation and feasible approach for integrating low-level video quality assessment and understanding with LMMs.

Short-form UGC video platforms, like Kwai and TikTok, have been an emerging and irreplaceable mainstream media form, thriving on user-friendly engagement, and kaleidoscope creation, etc. However, the advancing content-generation modes, e.g., special effects, and sophisticated processing workflows, e.g., de-artifacts, have introduced significant challenges to recent UGC video quality assessment: (i) the ambiguous contents hinder the identification of quality-determined regions. (ii) the diverse and complicated hybrid distortions are hard to distinguish. To tackle the above challenges and assist in the development of short-form videos, we establish the first large-scale Kaleidoscope short Video database for Quality assessment, termed KVQ, which comprises 600 user-uploaded short videos and 3600 processed videos through the diverse practical processing workflows, including pre-processing, transcoding, and enhancement. Among them, the absolute quality score of each video and partial ranking score among indistinguishable samples are provided by a team of professional researchers specializing in image processing. Based on this database, we propose the first short-form video quality evaluator, i.e., KSVQE, which enables the quality evaluator to identify the quality-determined semantics with the content understanding of large vision language models (i.e., CLIP) and distinguish the distortions with the distortion understanding module. Experimental results have shown the effectiveness of KSVQE on our KVQ database and popular VQA databases.

The remarkable potential of multi-modal large language models (MLLMs) in comprehending both vision and language information has been widely acknowledged. However, the scarcity of 3D scenes-language pairs in comparison to their 2D counterparts, coupled with the inadequacy of existing approaches in understanding of 3D scenes by LLMs, poses a significant challenge. In response, we collect and construct an extensive dataset comprising 75K instruction-response pairs tailored for 3D scenes. This dataset addresses tasks related to 3D VQA, 3D grounding, and 3D conversation. To further enhance the integration of 3D spatial information into LLMs, we introduce a novel and efficient prompt tuning paradigm, 3DMIT. This paradigm eliminates the alignment stage between 3D scenes and language and extends the instruction prompt with the 3D modality information including the entire scene and segmented objects. We evaluate the effectiveness of our method across diverse tasks in the 3D scene domain and find that our approach serves as a strategic means to enrich LLMs' comprehension of the 3D world. Our code is available at https://github.com/staymylove/3DMIT.

Medical visual question answering (Med-VQA) has tremendous potential in healthcare. However, the development of this technology is hindered by the lacking of publicly-available and high-quality labeled datasets for training and evaluation. In this paper, we present a large bilingual dataset, SLAKE, with comprehensive semantic labels annotated by experienced physicians and a new structural medical knowledge base for Med-VQA. Besides, SLAKE includes richer modalities and covers more human body parts than the currently available dataset. We show that SLAKE can be used to facilitate the development and evaluation of Med-VQA systems. The dataset can be downloaded from http://www.med-vqa.com/slake.

Bilinear pooling (BLP) refers to a family of operations recently developed for fusing features from different modalities predominantly developed for VQA models. A bilinear (outer-product) expansion is thought to encourage models to learn interactions between two feature spaces and has experimentally outperformed `simpler' vector operations (concatenation and element-wise-addition/multiplication) on VQA benchmarks. Successive BLP techniques have yielded higher performance with lower computational expense and are often implemented alongside attention mechanisms. However, despite significant progress in VQA, BLP methods have not been widely applied to more recently explored video question answering (video-QA) tasks. In this paper, we begin to bridge this research gap by applying BLP techniques to various video-QA benchmarks, namely: TVQA, TGIF-QA, Ego-VQA and MSVD-QA. We share our results on the TVQA baseline model, and the recently proposed heterogeneous-memory-enchanced multimodal attention (HME) model. Our experiments include both simply replacing feature concatenation in the existing models with BLP, and a modified version of the TVQA baseline to accommodate BLP we name the `dual-stream' model. We find that our relatively simple integration of BLP does not increase, and mostly harms, performance on these video-QA benchmarks. Using recently proposed theoretical multimodal fusion taxonomies, we offer insight into why BLP-driven performance gain for video-QA benchmarks may be more difficult to achieve than in earlier VQA models. We suggest a few additional `best-practices' to consider when applying BLP to video-QA. We stress that video-QA models should carefully consider where the complex representational potential from BLP is actually needed to avoid computational expense on `redundant' fusion.

Text-centric visual question answering (VQA) has made great strides with the development of Multimodal Large Language Models (MLLMs), yet open-source models still fall short of leading models like GPT4V and Gemini, partly due to a lack of extensive, high-quality instruction tuning data. To this end, we introduce a new approach for creating a massive, high-quality instruction-tuning dataset, Square-10M, which is generated using closed-source MLLMs. The data construction process, termed Square, consists of four steps: Self-Questioning, Answering, Reasoning, and Evaluation. Our experiments with Square-10M led to three key findings: 1) Our model, TextSquare, considerably surpasses open-source previous state-of-the-art Text-centric MLLMs and sets a new standard on OCRBench(62.2%). It even outperforms top-tier models like GPT4V and Gemini in 6 of 10 text-centric benchmarks. 2) Additionally, we demonstrate the critical role of VQA reasoning data in offering comprehensive contextual insights for specific questions. This not only improves accuracy but also significantly mitigates hallucinations. Specifically, TextSquare scores an average of 75.1% across four general VQA and hallucination evaluation datasets, outperforming previous state-of-the-art models. 3) Notably, the phenomenon observed in scaling text-centric VQA datasets reveals a vivid pattern: the exponential increase of instruction tuning data volume is directly proportional to the improvement in model performance, thereby validating the necessity of the dataset scale and the high quality of Square-10M.

In this paper, we critically evaluate the capabilities of the state-of-the-art multimodal large language model, i.e., GPT-4 with Vision (GPT-4V), on Visual Question Answering (VQA) task. Our experiments thoroughly assess GPT-4V's proficiency in answering questions paired with images using both pathology and radiology datasets from 11 modalities (e.g. Microscopy, Dermoscopy, X-ray, CT, etc.) and fifteen objects of interests (brain, liver, lung, etc.). Our datasets encompass a comprehensive range of medical inquiries, including sixteen distinct question types. Throughout our evaluations, we devised textual prompts for GPT-4V, directing it to synergize visual and textual information. The experiments with accuracy score conclude that the current version of GPT-4V is not recommended for real-world diagnostics due to its unreliable and suboptimal accuracy in responding to diagnostic medical questions. In addition, we delineate seven unique facets of GPT-4V's behavior in medical VQA, highlighting its constraints within this complex arena. The complete details of our evaluation cases are accessible at https://github.com/ZhilingYan/GPT4V-Medical-Report.

Contrastive pretraining on parallel image-text data has attained great success in vision-language processing (VLP), as exemplified by CLIP and related methods. However, prior explorations tend to focus on general domains in the web. Biomedical images and text are rather different, but publicly available datasets are small and skew toward chest X-ray, thus severely limiting progress. In this paper, we conducted by far the largest study on biomedical VLP, using 15 million figure-caption pairs extracted from biomedical research articles in PubMed Central. Our dataset (PMC-15M) is two orders of magnitude larger than existing biomedical image-text datasets such as MIMIC-CXR, and spans a diverse range of biomedical images. The standard CLIP method is suboptimal for the biomedical domain. We propose BiomedCLIP with domain-specific adaptations tailored to biomedical VLP. We conducted extensive experiments and ablation studies on standard biomedical imaging tasks from retrieval to classification to visual question-answering (VQA). BiomedCLIP established new state of the art in a wide range of standard datasets, substantially outperformed prior VLP approaches. Surprisingly, BiomedCLIP even outperformed radiology-specific state-of-the-art models such as BioViL on radiology-specific tasks such as RSNA pneumonia detection, thus highlighting the utility in large-scale pretraining across all biomedical image types. We will release our models at https://aka.ms/biomedclip to facilitate future research in biomedical VLP.

Many clinical tasks require an understanding of specialized data, such as medical images and genomics, which is not typically found in general-purpose large multimodal models. Building upon Gemini's multimodal models, we develop several models within the new Med-Gemini family that inherit core capabilities of Gemini and are optimized for medical use via fine-tuning with 2D and 3D radiology, histopathology, ophthalmology, dermatology and genomic data. Med-Gemini-2D sets a new standard for AI-based chest X-ray (CXR) report generation based on expert evaluation, exceeding previous best results across two separate datasets by an absolute margin of 1% and 12%, where 57% and 96% of AI reports on normal cases, and 43% and 65% on abnormal cases, are evaluated as "equivalent or better" than the original radiologists' reports. We demonstrate the first ever large multimodal model-based report generation for 3D computed tomography (CT) volumes using Med-Gemini-3D, with 53% of AI reports considered clinically acceptable, although additional research is needed to meet expert radiologist reporting quality. Beyond report generation, Med-Gemini-2D surpasses the previous best performance in CXR visual question answering (VQA) and performs well in CXR classification and radiology VQA, exceeding SoTA or baselines on 17 of 20 tasks. In histopathology, ophthalmology, and dermatology image classification, Med-Gemini-2D surpasses baselines across 18 out of 20 tasks and approaches task-specific model performance. Beyond imaging, Med-Gemini-Polygenic outperforms the standard linear polygenic risk score-based approach for disease risk prediction and generalizes to genetically correlated diseases for which it has never been trained. Although further development and evaluation are necessary in the safety-critical medical domain, our results highlight the potential of Med-Gemini across a wide range of medical tasks.

This paper presents a comprehensive evaluation of GPT-4V's capabilities across diverse medical imaging tasks, including Radiology Report Generation, Medical Visual Question Answering (VQA), and Visual Grounding. While prior efforts have explored GPT-4V's performance in medical image analysis, to the best of our knowledge, our study represents the first quantitative evaluation on publicly available benchmarks. Our findings highlight GPT-4V's potential in generating descriptive reports for chest X-ray images, particularly when guided by well-structured prompts. Meanwhile, its performance on the MIMIC-CXR dataset benchmark reveals areas for improvement in certain evaluation metrics, such as CIDEr. In the domain of Medical VQA, GPT-4V demonstrates proficiency in distinguishing between question types but falls short of the VQA-RAD benchmark in terms of accuracy. Furthermore, our analysis finds the limitations of conventional evaluation metrics like the BLEU scores, advocating for the development of more semantically robust assessment methods. In the field of Visual Grounding, GPT-4V exhibits preliminary promise in recognizing bounding boxes, but its precision is lacking, especially in identifying specific medical organs and signs. Our evaluation underscores the significant potential of GPT-4V in the medical imaging domain, while also emphasizing the need for targeted refinements to fully unlock its capabilities.

Text-driven video editing has recently experienced rapid development. Despite this, evaluating edited videos remains a considerable challenge. Current metrics tend to fail to align with human perceptions, and effective quantitative metrics for video editing are still notably absent. To address this, we introduce E-Bench, a benchmark suite tailored to the assessment of text-driven video editing. This suite includes E-Bench DB, a video quality assessment (VQA) database for video editing. E-Bench DB encompasses a diverse set of source videos featuring various motions and subjects, along with multiple distinct editing prompts, editing results from 8 different models, and the corresponding Mean Opinion Scores (MOS) from 24 human annotators. Based on E-Bench DB, we further propose E-Bench QA, a quantitative human-aligned measurement for the text-driven video editing task. In addition to the aesthetic, distortion, and other visual quality indicators that traditional VQA methods emphasize, E-Bench QA focuses on the text-video alignment and the relevance modeling between source and edited videos. It proposes a new assessment network for video editing that attains superior performance in alignment with human preferences. To the best of our knowledge, E-Bench introduces the first quality assessment dataset for video editing and an effective subjective-aligned quantitative metric for this domain. All data and code will be publicly available at https://github.com/littlespray/E-Bench.

Choropleth maps are a common visual representation for region-specific tabular data and are used in a number of different venues (newspapers, articles, etc). These maps are human-readable but are often challenging to deal with when trying to extract data for screen readers, analyses, or other related tasks. Recent research into Visual-Question Answering (VQA) has studied question answering on human-generated charts (ChartQA), such as bar, line, and pie charts. However, little work has paid attention to understanding maps; general VQA models, and ChartQA models, suffer when asked to perform this task. To facilitate and encourage research in this area, we present MapQA, a large-scale dataset of ~800K question-answer pairs over ~60K map images. Our task tests various levels of map understanding, from surface questions about map styles to complex questions that require reasoning on the underlying data. We present the unique challenges of MapQA that frustrate most strong baseline algorithms designed for ChartQA and general VQA tasks. We also present a novel algorithm, Visual Multi-Output Data Extraction based QA (V-MODEQA) for MapQA. V-MODEQA extracts the underlying structured data from a map image with a multi-output model and then performs reasoning on the extracted data. Our experimental results show that V-MODEQA has better overall performance and robustness on MapQA than the state-of-the-art ChartQA and VQA algorithms by capturing the unique properties in map question answering.

The development of multimodal large language models (MLLMs) enables the evaluation of image quality through natural language descriptions. This advancement allows for more detailed assessments. However, these MLLM-based IQA methods primarily rely on general contextual descriptions, sometimes limiting fine-grained quality assessment. To address this limitation, we introduce a new image quality assessment (IQA) task paradigm, grounding-IQA. This paradigm integrates multimodal referring and grounding with IQA to realize more fine-grained quality perception. Specifically, grounding-IQA comprises two subtasks: grounding-IQA-description (GIQA-DES) and visual question answering (GIQA-VQA). GIQA-DES involves detailed descriptions with precise locations (e.g., bounding boxes), while GIQA-VQA focuses on quality QA for local regions. To realize grounding-IQA, we construct a corresponding dataset, GIQA-160K, through our proposed automated annotation pipeline. Furthermore, we develop a well-designed benchmark, GIQA-Bench. The benchmark comprehensively evaluates the model grounding-IQA performance from three perspectives: description quality, VQA accuracy, and grounding precision. Experiments demonstrate that our proposed task paradigm, dataset, and benchmark facilitate the more fine-grained IQA application. Code: https://github.com/zhengchen1999/Grounding-IQA.

Large Language Models (LLMs) have strong instruction-following capability to interpret and execute tasks as directed by human commands. Multimodal Large Language Models (MLLMs) have inferior instruction-following ability compared to LLMs. However, there is a significant gap in the instruction-following capabilities between the MLLMs and LLMs. In this study, we conduct a pilot experiment, which demonstrates that spatially down-sampling visual tokens significantly enhances the instruction-following capability of MLLMs. This is attributed to the substantial redundancy in visual modality. However, this intuitive method severely impairs the MLLM's multimodal understanding capability. In this paper, we propose Visual-Modality Token Compression (VMTC) and Cross-Modality Attention Inhibition (CMAI) strategies to alleviate this gap between MLLMs and LLMs by inhibiting the influence of irrelevant visual tokens during content generation, increasing the instruction-following ability of the MLLMs while retaining their multimodal understanding capacity. In VMTC module, the primary tokens are retained and the redundant tokens are condensed by token clustering and merging. In CMAI process, we aggregate text-to-image attentions by text-to-text attentions to obtain a text-to-image focus score. Attention inhibition is performed on the text-image token pairs with low scores. Our comprehensive experiments over instruction-following capabilities and VQA-V2, GQA, TextVQA, MME and MMBench five benchmarks, demonstrate that proposed strategy significantly enhances the instruction following capability of MLLMs while preserving the ability to understand and process multimodal inputs.

We present VisionLLM v2, an end-to-end generalist multimodal large model (MLLM) that unifies visual perception, understanding, and generation within a single framework. Unlike traditional MLLMs limited to text output, VisionLLM v2 significantly broadens its application scope. It excels not only in conventional visual question answering (VQA) but also in open-ended, cross-domain vision tasks such as object localization, pose estimation, and image generation and editing. To this end, we propose a new information transmission mechanism termed "super link", as a medium to connect MLLM with task-specific decoders. It not only allows flexible transmission of task information and gradient feedback between the MLLM and multiple downstream decoders but also effectively resolves training conflicts in multi-tasking scenarios. In addition, to support the diverse range of tasks, we carefully collected and combed training data from hundreds of public vision and vision-language tasks. In this way, our model can be joint-trained end-to-end on hundreds of vision language tasks and generalize to these tasks using a set of shared parameters through different user prompts, achieving performance comparable to task-specific models. We believe VisionLLM v2 will offer a new perspective on the generalization of MLLMs.

Top-down visual attention mechanisms have been used extensively in image captioning and visual question answering (VQA) to enable deeper image understanding through fine-grained analysis and even multiple steps of reasoning. In this work, we propose a combined bottom-up and top-down attention mechanism that enables attention to be calculated at the level of objects and other salient image regions. This is the natural basis for attention to be considered. Within our approach, the bottom-up mechanism (based on Faster R-CNN) proposes image regions, each with an associated feature vector, while the top-down mechanism determines feature weightings. Applying this approach to image captioning, our results on the MSCOCO test server establish a new state-of-the-art for the task, achieving CIDEr / SPICE / BLEU-4 scores of 117.9, 21.5 and 36.9, respectively. Demonstrating the broad applicability of the method, applying the same approach to VQA we obtain first place in the 2017 VQA Challenge.