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Aug 26

GenAI-Bench: Evaluating and Improving Compositional Text-to-Visual Generation

While text-to-visual models now produce photo-realistic images and videos, they struggle with compositional text prompts involving attributes, relationships, and higher-order reasoning such as logic and comparison. In this work, we conduct an extensive human study on GenAI-Bench to evaluate the performance of leading image and video generation models in various aspects of compositional text-to-visual generation. We also compare automated evaluation metrics against our collected human ratings and find that VQAScore -- a metric measuring the likelihood that a VQA model views an image as accurately depicting the prompt -- significantly outperforms previous metrics such as CLIPScore. In addition, VQAScore can improve generation in a black-box manner (without finetuning) via simply ranking a few (3 to 9) candidate images. Ranking by VQAScore is 2x to 3x more effective than other scoring methods like PickScore, HPSv2, and ImageReward at improving human alignment ratings for DALL-E 3 and Stable Diffusion, especially on compositional prompts that require advanced visio-linguistic reasoning. We will release a new GenAI-Rank benchmark with over 40,000 human ratings to evaluate scoring metrics on ranking images generated from the same prompt. Lastly, we discuss promising areas for improvement in VQAScore, such as addressing fine-grained visual details. We will release all human ratings (over 80,000) to facilitate scientific benchmarking of both generative models and automated metrics.

  • 11 authors
·
Jun 19, 2024

Batch Predictive Inference

Constructing prediction sets with coverage guarantees for unobserved outcomes is a core problem in modern statistics. Methods for predictive inference have been developed for a wide range of settings, but usually only consider test data points one at a time. Here we study the problem of distribution-free predictive inference for a batch of multiple test points, aiming to construct prediction sets for functions -- such as the mean or median -- of any number of unobserved test datapoints. This setting includes constructing simultaneous prediction sets with a high probability of coverage, and selecting datapoints satisfying a specified condition while controlling the number of false claims. For the general task of predictive inference on a function of a batch of test points, we introduce a methodology called batch predictive inference (batch PI), and provide a distribution-free coverage guarantee under exchangeability of the calibration and test data. Batch PI requires the quantiles of a rank ordering function defined on certain subsets of ranks. While computing these quantiles is NP-hard in general, we show that it can be done efficiently in many cases of interest, most notably for batch score functions with a compositional structure -- which includes examples of interest such as the mean -- via a dynamic programming algorithm that we develop. Batch PI has advantages over naive approaches (such as partitioning the calibration data or directly extending conformal prediction) in many settings, as it can deliver informative prediction sets even using small calibration sample sizes. We illustrate that our procedures provide informative inference across the use cases mentioned above, through experiments on both simulated data and a drug-target interaction dataset.

  • 3 authors
·
Sep 20, 2024

MedVLSynther: Synthesizing High-Quality Visual Question Answering from Medical Documents with Generator-Verifier LMMs

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.

UCSC-VLAA UCSC-VLAA
·
Oct 29, 2025 1

LiteMedCoT-VL: Parameter-Efficient Adaptation for Medical Visual Question Answering

The reasoning gap between large and compact vision-language models (VLMs) limits the deployment of medical AI on portable clinical devices. Compact VLMs of 2--4B parameters can run on resource-constrained hardware but lack the multi-step reasoning capacity needed for interpretable clinical decision support. Existing knowledge distillation methods transfer answers without the reasoning process behind them. Medical visual question answering (VQA) serves as a testbed for this problem, as it requires models to integrate visual evidence with clinical knowledge through structured reasoning chains. We introduce LiteMedCoT-VL, a pipeline that transfers chain-of-thought reasoning from a 235B teacher model to 2B student models through LoRA-based fine-tuning on explanation-enriched training data. All inference is conducted without image captions by default, simulating the clinical scenario in which a physician interprets a medical image directly without an accompanying radiology report. On the PMC-VQA benchmark, LiteMedCoT-VL achieves 64.9% accuracy, exceeding the zero-shot Qwen3-VL-4B baseline of 53.9% by 11.0 percentage points and outperforming all published baselines. This result indicates that a 2B model with reasoning distillation can match or exceed models with twice the parameters. Visual grounding analysis shows that the model relies on image content rather than exploiting textual priors. Our code is publicly available at https://anonymous.4open.science/r/LiteMedCoT-VL.

  • 5 authors
·
May 9

LVSA: Training-Free Sparse Attention for Long Video Diffusion

Dense self-attention is the compute and quality bottleneck of long-video diffusion inference: cost grows quadratically with the sequence length, and beyond the training horizon the model converges to near-static output, that is, "frozen" repetitive video. State of the art approaches are either too costly, e.g., they require retraining, or fail to satisfy both performance and quality objectives in a scalable manner. To this end, we introduce Long Video Sparse Attention (LVSA), a training-free model-agnostic block-sparse attention for video diffusion transformers that combines a structured window pattern with rotating global anchors, thus removing the fixed-grid bias which causes long-range temporal artifacts. LVSA, combined with a FlashInfer kernel, reduces compute up to 3.17x on Wan 2.1 1.3B at a 6x horizon, 2.98x on Wan 2.1 14B at a 6x horizon, and 3.33x on HunyuanVideo 1.5 at a 1.5x horizon, compared to dense attention. Beyond reducing compute, LVSA enables HunyuanVideo 1.5 generation at a 2x horizon, which is otherwise out-of-memory on a single GPU. Moreover, LVSA provides speedups up to 2.41x compared to RIFLEx and 3.27x compared to UltraViCo on Wan 2.1 1.3B. To demonstrate applicability across diverse platforms, we apply LVSA on NPUs and achieve speedups up to 2.71x on Wan 2.2 A14B and 3.24x on Wan 2.1 1.3B compared to dense attention. To evaluate quality in a fair way, we introduce VQeval, a tool properly scoring loopy video failures, which instead are rewarded in state of the art evaluators like VBench-Long. LVSA is quality-neutral for generation at training horizon length and quality-positive at extended lengths.

  • 5 authors
·
May 28 2

MMR1: Enhancing Multimodal Reasoning with Variance-Aware Sampling and Open Resources

Large multimodal reasoning models have achieved rapid progress, but their advancement is constrained by two major limitations: the absence of open, large-scale, high-quality long chain-of-thought (CoT) data, and the instability of reinforcement learning (RL) algorithms in post-training. Group Relative Policy Optimization (GRPO), the standard framework for RL fine-tuning, is prone to gradient vanishing when reward variance is low, which weakens optimization signals and impairs convergence. This work makes three contributions: (1) We propose Variance-Aware Sampling (VAS), a data selection strategy guided by Variance Promotion Score (VPS) that combines outcome variance and trajectory diversity to promote reward variance and stabilize policy optimization. (2) We release large-scale, carefully curated resources containing ~1.6M long CoT cold-start data and ~15k RL QA pairs, designed to ensure quality, difficulty, and diversity, along with a fully reproducible end-to-end training codebase. (3) We open-source a family of multimodal reasoning models in multiple scales, establishing standardized baselines for the community. Experiments across mathematical reasoning benchmarks demonstrate the effectiveness of both the curated data and the proposed VAS. Comprehensive ablation studies and analyses provide further insight into the contributions of each component. In addition, we theoretically establish that reward variance lower-bounds the expected policy gradient magnitude, with VAS serving as a practical mechanism to realize this guarantee. Our code, data, and checkpoints are available at https://github.com/LengSicong/MMR1.

MMR1 MMR1
·
Sep 25, 2025 3

A Comprehensive Study of GPT-4V's Multimodal Capabilities in Medical Imaging

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.

  • 10 authors
·
Oct 31, 2023

Medical thinking with multiple images

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated benchmark for thinking with multiple images, where models must interpret each image, combine cross-view evidence, and answer diagnostic questions with intermediate supervision and step-level evaluation. The dataset contains 8,067 cases, including 720 test cases, with an average of 6.62 images per case, substantially denser than prior work, whose expert-level benchmarks use at most 1.43 images per case. On the test set, the best closed-source models, Claude-4.6-Opus, Gemini-3-Pro, and GPT-5.2-xhigh, reach only 57.2%, 55.3%, and 54.9% accuracy, while GPT-5-mini and GPT-5-nano reach 39.7% and 30.8%. Strong open-source models lag behind, led by Qwen3.5-397B-A17B at 52.2% and Qwen3.5-27B at 50.6%. Further analysis identifies grounded multi-image reasoning as the main bottleneck: models often fail to extract, align, and compose evidence across views before higher-level inference can help. Providing expert single-image cues and cross-image summaries improves performance, whereas replacing them with self-generated intermediates reduces accuracy. Step-level analysis shows that over 70% of errors arise from image reading and cross-view integration. Scaling results further show that additional inference-time computation helps only when visual grounding is already reliable; when early evidence extraction is weak, longer reasoning yields limited or unstable gains and can amplify misread cues. These results suggest that the key challenge is not reasoning length alone, but reliable mechanisms for grounding, aligning, and composing distributed evidence across real-world multimodal clinical inputs.

  • 11 authors
·
May 3

Improving Medical Reasoning with Curriculum-Aware Reinforcement Learning

Recent advances in reinforcement learning with verifiable, rule-based rewards have greatly enhanced the reasoning capabilities and out-of-distribution generalization of VLMs/LLMs, obviating the need for manually crafted reasoning chains. Despite these promising developments in the general domain, their translation to medical imaging remains limited. Current medical reinforcement fine-tuning (RFT) methods predominantly focus on close-ended VQA, thereby restricting the model's ability to engage in world knowledge retrieval and flexible task adaptation. More critically, these methods fall short of addressing the critical clinical demand for open-ended, reasoning-intensive decision-making. To bridge this gap, we introduce MedCCO, the first multimodal reinforcement learning framework tailored for medical VQA that unifies close-ended and open-ended data within a curriculum-driven RFT paradigm. Specifically, MedCCO is initially fine-tuned on a diverse set of close-ended medical VQA tasks to establish domain-grounded reasoning capabilities, and is then progressively adapted to open-ended tasks to foster deeper knowledge enhancement and clinical interpretability. We validate MedCCO across eight challenging medical VQA benchmarks, spanning both close-ended and open-ended settings. Experimental results show that MedCCO consistently enhances performance and generalization, achieving a 11.4\% accuracy gain across three in-domain tasks, and a 5.7\% improvement on five out-of-domain benchmarks. These findings highlight the promise of curriculum-guided RL in advancing robust, clinically-relevant reasoning in medical multimodal language models.

  • 4 authors
·
May 25, 2025

Beyond Variance: Prompt-Efficient RLVR via Rare-Event Amplification and Bidirectional Pairing

Reinforcement learning with verifiable rewards (RLVR) is effective for training large language models on deterministic outcome reasoning tasks. Prior work shows RLVR works with few prompts, but prompt selection is often based only on training-accuracy variance, leading to unstable optimization directions and weaker transfer. We revisit prompt selection from a mechanism-level view and argue that an effective minibatch should provide both (i) a reliable positive anchor and (ii) explicit negative learning signals from rare failures. Based on this principle, we propose positive--negative pairing: at each update, we sample a hard-but-solvable q^{+} and an easy-but-brittle prompt q^{-}(high success rate but not perfect), characterized by low and high empirical success rates under multiple rollouts. We further introduce Weighted GRPO, which reweights binary outcomes at the pair level and uses group-normalized advantages to amplify rare successes on q^{+} into sharp positive guidance while turning rare failures on q^{-} into strong negative penalties. This bidirectional signal provides informative learning feedback for both successes and failures, improving sample efficiency without suppressing exploration. On Qwen2.5-Math-7B, a single paired minibatch per update consistently outperforms a GRPO baseline that selects two prompts via commonly used variance-based selection heuristics: AIME~2025 Pass@8 improves from 16.8 to 22.2, and AMC23 Pass@64 from 94.0 to 97.0, while remaining competitive with large-scale RLVR trained from a pool of 1209 training prompts. Similar gains are observed on Qwen2.5-Math-7B-Instruct.

  • 5 authors
·
Feb 3

MedVLThinker: Simple Baselines for Multimodal Medical Reasoning

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.

  • 5 authors
·
Aug 4, 2025

BatchPrompt: Accomplish more with less

As the ever-increasing token limits of large language models (LLMs) have enabled long context as input, prompting with single data samples might no longer an efficient way. A straightforward strategy improving efficiency is to batch data within the token limit (e.g., 8k for gpt-3.5-turbo; 32k for GPT-4), which we call BatchPrompt. We have two initial observations for prompting with batched data. First, we find that prompting with batched data in longer contexts will inevitably lead to worse performance, compared to single-data prompting. Second, the performance of the language model is significantly correlated with the positions and order of the batched data, due to the corresponding change in decoder context. To retain efficiency and overcome performance loss, we propose Batch Permutation and Ensembling (BPE), and a novel Self-reflection-guided EArly Stopping (SEAS) technique. Our comprehensive experimental evaluation demonstrates that BPE can boost the performance of BatchPrompt with a striking margin on a range of popular NLP tasks, including question answering (Boolq), textual entailment (RTE), and duplicate questions identification (QQP). These performances are even competitive with/higher than single-data prompting(SinglePrompt), while BatchPrompt requires much fewer LLM calls and input tokens (For SinglePrompt v.s. BatchPrompt with batch size 32, using just 9%-16% the number of LLM calls, Boolq accuracy 90.6% to 90.9% with 27.4% tokens, QQP accuracy 87.2% to 88.4% with 18.6% tokens, RTE accuracy 91.5% to 91.1% with 30.8% tokens). To the best of our knowledge, this is the first work to technically improve prompting efficiency of large language models. We hope our simple yet effective approach will shed light on the future research of large language models. The code will be released.

  • 4 authors
·
Sep 1, 2023

Descriptive Image Quality Assessment in the Wild

With the rapid advancement of Vision Language Models (VLMs), VLM-based Image Quality Assessment (IQA) seeks to describe image quality linguistically to align with human expression and capture the multifaceted nature of IQA tasks. However, current methods are still far from practical usage. First, prior works focus narrowly on specific sub-tasks or settings, which do not align with diverse real-world applications. Second, their performance is sub-optimal due to limitations in dataset coverage, scale, and quality. To overcome these challenges, we introduce Depicted image Quality Assessment in the Wild (DepictQA-Wild). Our method includes a multi-functional IQA task paradigm that encompasses both assessment and comparison tasks, brief and detailed responses, full-reference and non-reference scenarios. We introduce a ground-truth-informed dataset construction approach to enhance data quality, and scale up the dataset to 495K under the brief-detail joint framework. Consequently, we construct a comprehensive, large-scale, and high-quality dataset, named DQ-495K. We also retain image resolution during training to better handle resolution-related quality issues, and estimate a confidence score that is helpful to filter out low-quality responses. Experimental results demonstrate that DepictQA-Wild significantly outperforms traditional score-based methods, prior VLM-based IQA models, and proprietary GPT-4V in distortion identification, instant rating, and reasoning tasks. Our advantages are further confirmed by real-world applications including assessing the web-downloaded images and ranking model-processed images. Datasets and codes will be released in https://depictqa.github.io/depictqa-wild/.

  • 7 authors
·
May 29, 2024

Adaptive Image Quality Assessment via Teaching Large Multimodal Model to Compare

While recent advancements in large multimodal models (LMMs) have significantly improved their abilities in image quality assessment (IQA) relying on absolute quality rating, how to transfer reliable relative quality comparison outputs to continuous perceptual quality scores remains largely unexplored. To address this gap, we introduce Compare2Score-an all-around LMM-based no-reference IQA (NR-IQA) model, which is capable of producing qualitatively comparative responses and effectively translating these discrete comparative levels into a continuous quality score. Specifically, during training, we present to generate scaled-up comparative instructions by comparing images from the same IQA dataset, allowing for more flexible integration of diverse IQA datasets. Utilizing the established large-scale training corpus, we develop a human-like visual quality comparator. During inference, moving beyond binary choices, we propose a soft comparison method that calculates the likelihood of the test image being preferred over multiple predefined anchor images. The quality score is further optimized by maximum a posteriori estimation with the resulting probability matrix. Extensive experiments on nine IQA datasets validate that the Compare2Score effectively bridges text-defined comparative levels during training with converted single image quality score for inference, surpassing state-of-the-art IQA models across diverse scenarios. Moreover, we verify that the probability-matrix-based inference conversion not only improves the rating accuracy of Compare2Score but also zero-shot general-purpose LMMs, suggesting its intrinsic effectiveness.

  • 10 authors
·
May 29, 2024

Visual Reasoning Evaluation of Grok, Deepseek Janus, Gemini, Qwen, Mistral, and ChatGPT

Traditional evaluations of multimodal large language models (LLMs) have been limited by their focus on single-image reasoning, failing to assess crucial aspects like contextual understanding, reasoning stability, and uncertainty calibration. This study addresses these limitations by introducing a novel benchmark that integrates multi-image reasoning tasks with rejection-based evaluation and positional bias detection. To evaluate these dimensions, we further introduce entropy as a novel metric for quantifying reasoning consistency across reordered answer variants. We applied this benchmark to assess Grok 3, ChatGPT-4o, ChatGPT-o1, Gemini 2.0 Flash Experimental, DeepSeek Janus models, Qwen2.5-VL-72B-Instruct, QVQ-72B-Preview, and Pixtral 12B across eight visual reasoning tasks, including difference spotting and diagram interpretation. Our findings reveal ChatGPT-o1 leading in overall accuracy (82.5\%) and rejection accuracy (70.0\%), closely followed by Gemini 2.0 Flash Experimental (70.8\%). QVQ-72B-Preview demonstrated superior rejection accuracy (85.5\%). Notably, Pixtral 12B (51.7\%) showed promise in specific domains, while Janus models exhibited challenges in bias and uncertainty calibration, reflected in low rejection accuracies and high entropy scores. High entropy scores in Janus models (Janus 7B: 0.8392, Janus 1B: 0.787) underscore their susceptibility to positional bias and unstable reasoning, contrasting with the low entropy and robust reasoning of ChatGPT models. The study further demonstrates that model size is not the sole determinant of performance, as evidenced by Grok 3 underperformance despite its substantial parameter count. By employing multi-image contexts, rejection mechanisms, and entropy-based consistency metrics, this benchmark sets a new standard for evaluating multimodal LLMs, enabling a more robust and reliable assessment of next-generation AI systems.

  • 3 authors
·
Feb 22, 2025

Do Medical Vision Language Models Actually See? A Counterfactual Grounding Framework and Hard-Negative Contrastive Training for Visually-Reliant Medical VLMs

Large vision language models (VLMs) report strong accuracy on medical question-answering, yet it remains unclear whether they reason from visual evidence or exploit textual shortcuts. We introduce a counterfactual evaluation framework that decouples visual and textual contributions by substituting input images with controlled surrogates blank, pixel-shuffled, image-absent, and CLIP-retrieved hard negatives and derive a suite of grounding metrics including the Visual Reliance Score (VRS) and Visual Hallucination Rate (VHR). We further introduce CORAL (COntrastive Retrieval-Augmented Learning), a 7B-parameter LoRA fine-tune of Qwen2.5-VL-7B trained with a Contrastive Grounding Objective (CGO) that penalises answer invariance under hard-negative image swaps. On a paired controlled evaluation across four closed-form medical VQA benchmarks (PathVQA, PMC-VQA, SLAKE, VQA-RAD; n=400 total), CORAL improves macro accuracy by +6.7 pp (P(Delta>0)=0.988) and reduces VHR by 8.0 pp (P<0.001) over the matched Qwen2.5-VL-7B base; neither MedVLThinker RL variant achieves a significant gain on either metric. Cross-domain diagnostics further reveal that image substitution costs only <=6.5 pp on medical benchmarks versus 48-61 pp on general-domain tasks, situating the grounding gap that CGO targets. We discuss evaluation limitations openly including train/eval benchmark overlap and underpowered secondary metrics and release our framework, training code, and model weights to support reproducible grounding audits of medical VLMs.

  • 5 authors
·
Jul 3

EchoVLM: Dynamic Mixture-of-Experts Vision-Language Model for Universal Ultrasound Intelligence

Ultrasound imaging has become the preferred imaging modality for early cancer screening due to its advantages of non-ionizing radiation, low cost, and real-time imaging capabilities. However, conventional ultrasound diagnosis heavily relies on physician expertise, presenting challenges of high subjectivity and low diagnostic efficiency. Vision-language models (VLMs) offer promising solutions for this issue, but existing general-purpose models demonstrate limited knowledge in ultrasound medical tasks, with poor generalization in multi-organ lesion recognition and low efficiency across multi-task diagnostics. To address these limitations, we propose EchoVLM, a vision-language model specifically designed for ultrasound medical imaging. The model employs a Mixture of Experts (MoE) architecture trained on data spanning seven anatomical regions. This design enables the model to perform multiple tasks, including ultrasound report generation, diagnosis and visual question-answering (VQA). The experimental results demonstrated that EchoVLM achieved significant improvements of 10.15 and 4.77 points in BLEU-1 scores and ROUGE-1 scores respectively compared to Qwen2-VL on the ultrasound report generation task. These findings suggest that EchoVLM has substantial potential to enhance diagnostic accuracy in ultrasound imaging, thereby providing a viable technical solution for future clinical applications. Source code and model weights are available at https://github.com/Asunatan/EchoVLM.

  • 5 authors
·
Sep 18, 2025 2

MedFrameQA: A Multi-Image Medical VQA Benchmark for Clinical Reasoning

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.

  • 5 authors
·
May 22, 2025

ReXVQA: A Large-scale Visual Question Answering Benchmark for Generalist Chest X-ray Understanding

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

  • 8 authors
·
Jun 4, 2025

Scalable Training for Vector-Quantized Networks with 100% Codebook Utilization

Vector quantization (VQ) is a key component in discrete tokenizers for image generation, but its training is often unstable due to straight-through estimation bias, one-step-behind updates, and sparse codebook gradients, which lead to suboptimal reconstruction performance and low codebook usage. In this work, we analyze these fundamental challenges and provide a simple yet effective solution. To maintain high codebook usage in VQ networks (VQN) during learning annealing and codebook size expansion, we propose VQBridge, a robust, scalable, and efficient projector based on the map function method. VQBridge optimizes code vectors through a compress-process-recover pipeline, enabling stable and effective codebook training. By combining VQBridge with learning annealing, our VQN achieves full (100%) codebook usage across diverse codebook configurations, which we refer to as FVQ (FullVQ). Through extensive experiments, we demonstrate that FVQ is effective, scalable, and generalizable: it attains 100% codebook usage even with a 262k-codebook, achieves state-of-the-art reconstruction performance, consistently improves with larger codebooks, higher vector channels, or longer training, and remains effective across different VQ variants. Moreover, when integrated with LlamaGen, FVQ significantly enhances image generation performance, surpassing visual autoregressive models (VAR) by 0.5 and diffusion models (DiT) by 0.2 rFID, highlighting the importance of high-quality tokenizers for strong autoregressive image generation.

  • 7 authors
·
Sep 12, 2025

Evaluating Text-to-Visual Generation with Image-to-Text Generation

Despite significant progress in generative AI, comprehensive evaluation remains challenging because of the lack of effective metrics and standardized benchmarks. For instance, the widely-used CLIPScore measures the alignment between a (generated) image and text prompt, but it fails to produce reliable scores for complex prompts involving compositions of objects, attributes, and relations. One reason is that text encoders of CLIP can notoriously act as a "bag of words", conflating prompts such as "the horse is eating the grass" with "the grass is eating the horse". To address this, we introduce the VQAScore, which uses a visual-question-answering (VQA) model to produce an alignment score by computing the probability of a "Yes" answer to a simple "Does this figure show '{text}'?" question. Though simpler than prior art, VQAScore computed with off-the-shelf models produces state-of-the-art results across many (8) image-text alignment benchmarks. We also compute VQAScore with an in-house model that follows best practices in the literature. For example, we use a bidirectional image-question encoder that allows image embeddings to depend on the question being asked (and vice versa). Our in-house model, CLIP-FlanT5, outperforms even the strongest baselines that make use of the proprietary GPT-4V. Interestingly, although we train with only images, VQAScore can also align text with video and 3D models. VQAScore allows researchers to benchmark text-to-visual generation using complex texts that capture the compositional structure of real-world prompts. We introduce GenAI-Bench, a more challenging benchmark with 1,600 compositional text prompts that require parsing scenes, objects, attributes, relationships, and high-order reasoning like comparison and logic. GenAI-Bench also offers over 15,000 human ratings for leading image and video generation models such as Stable Diffusion, DALL-E 3, and Gen2.

  • 8 authors
·
Apr 1, 2024

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

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

Best-of-Evidence: Best-of-N Selection under Partial Verification

BoN improves model outputs by sampling several candidates and selecting one with a proxy score, but it assumes that complete candidates can be evaluated reliably. Many vision-language tasks instead provide only partial verification: a finding, span, value, region, or relation may be checkable even when no dependable whole-response verifier exists. Moreover, the same claim may recur across candidates with opposing stances, allowing one observation to support part of the pool and contradict another. We introduce Best-of-Evidence (BoE), an inference-time selection framework that keeps the BoN candidate pool fixed, represents reusable claims with a signed candidate--factor graph, and allocates a limited budget to evidence actions that can change the final choice. BoE formalizes selection under partial verification and provides a practical score-based controller, with the zero-budget case recovering the underlying BoN decision. Theoretically, we show that residual evidence capacity limits any evidence-driven improvement and that shared factor queries can achieve an O(log K) versus Θ(K) query separation in a factor-code model. Common-ledger experiments on four medical VQA settings show that BoE can improve fixed-pool selection and rescue some BoN failures when evidence is reliable, contrastive, and decision-relevant, while also revealing the channel-quality and candidate-generation limits that prevent universal gains.

  • 6 authors
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Jul 22

QuarkMedBench: A Real-World Scenario Driven Benchmark for Evaluating Large Language Models

While Large Language Models (LLMs) excel on standardized medical exams, high scores often fail to translate to high-quality responses for real-world medical queries. Current evaluations rely heavily on multiple-choice questions, failing to capture the unstructured, ambiguous, and long-tail complexities inherent in genuine user inquiries. To bridge this gap, we introduce QuarkMedBench, an ecologically valid benchmark tailored for real-world medical LLM assessment. We compiled a massive dataset spanning Clinical Care, Wellness Health, and Professional Inquiry, comprising 20,821 single-turn queries and 3,853 multi-turn sessions. To objectively evaluate open-ended answers, we propose an automated scoring framework that integrates multi-model consensus with evidence-based retrieval to dynamically generate 220,617 fine-grained scoring rubrics (~9.8 per query). During evaluation, hierarchical weighting and safety constraints structurally quantify medical accuracy, key-point coverage, and risk interception, effectively mitigating the high costs and subjectivity of human grading. Experimental results demonstrate that the generated rubrics achieve a 91.8% concordance rate with clinical expert blind audits, establishing highly dependable medical reliability. Crucially, baseline evaluations on this benchmark reveal significant performance disparities among state-of-the-art models when navigating real-world clinical nuances, highlighting the limitations of conventional exam-based metrics. Ultimately, QuarkMedBench establishes a rigorous, reproducible yardstick for measuring LLM performance on complex health issues, while its framework inherently supports dynamic knowledge updates to prevent benchmark obsolescence.

  • 16 authors
·
Mar 13

Influence Scores at Scale for Efficient Language Data Sampling

Modern ML systems ingest data aggregated from diverse sources, such as synthetic, human-annotated, and live customer traffic. Understanding which examples are important to the performance of a learning algorithm is crucial for efficient model training. Recently, a growing body of literature has given rise to various "influence scores," which use training artifacts such as model confidence or checkpointed gradients to identify important subsets of data. However, these methods have primarily been developed in computer vision settings, and it remains unclear how well they generalize to language-based tasks using pretrained models. In this paper, we explore the applicability of influence scores in language classification tasks. We evaluate a diverse subset of these scores on the SNLI dataset by quantifying accuracy changes in response to pruning training data through random and influence-score-based sampling. We then stress-test one of the scores -- "variance of gradients" (VoG) from Agarwal et al. (2022) -- in an NLU model stack that was exposed to dynamic user speech patterns in a voice assistant type of setting. Our experiments demonstrate that in many cases, encoder-based language models can be finetuned on roughly 50% of the original data without degradation in performance metrics. Along the way, we summarize lessons learned from applying out-of-the-box implementations of influence scores, quantify the effects of noisy and class-imbalanced data, and offer recommendations on score-based sampling for better accuracy and training efficiency.

  • 3 authors
·
Nov 27, 2023

KorMedMCQA-V: A Multimodal Benchmark for Evaluating Vision-Language Models on the Korean Medical Licensing Examination

We introduce KorMedMCQA-V, a Korean medical licensing-exam-style multimodal multiple-choice question answering benchmark for evaluating vision-language models (VLMs). The dataset consists of 1,534 questions with 2,043 associated images from Korean Medical Licensing Examinations (2012-2023), with about 30% containing multiple images requiring cross-image evidence integration. Images cover clinical modalities including X-ray, computed tomography (CT), electrocardiography (ECG), ultrasound, endoscopy, and other medical visuals. We benchmark over 50 VLMs across proprietary and open-source categories-spanning general-purpose, medical-specialized, and Korean-specialized families-under a unified zero-shot evaluation protocol. The best proprietary model (Gemini-3.0-Pro) achieves 96.9% accuracy, the best open-source model (Qwen3-VL-32B-Thinking) 83.7%, and the best Korean-specialized model (VARCO-VISION-2.0-14B) only 43.2%. We further find that reasoning-oriented model variants gain up to +20 percentage points over instruction-tuned counterparts, medical domain specialization yields inconsistent gains over strong general-purpose baselines, all models degrade on multi-image questions, and performance varies notably across imaging modalities. By complementing the text-only KorMedMCQA benchmark, KorMedMCQA-V forms a unified evaluation suite for Korean medical reasoning across text-only and multimodal conditions. The dataset is available via Hugging Face Datasets: https://huggingface.co/datasets/seongsubae/KorMedMCQA-V.

  • 4 authors
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Feb 14

DeepTumorVQA: A Hierarchical 3D CT Benchmark for Stage-Wise Evaluation of Medical VLMs and Tool-Augmented Agents

Medical vision-language models (VLMs) and AI agents have made significant progress in learning to analyze and reason about clinical images. However, existing medical visual question answering (VQA) benchmarks collapse model capabilities into a single accuracy score, obscuring where and why models fail. We propose DeepTumorVQA, a hierarchical benchmark that follows the multi-stage evidence chain in tumor diagnosis and decomposes 3D CT reasoning into four stages: recognition, measurement, visual reasoning, and medical reasoning. Higher-level questions remain independently scorable, while their ground-truth evidence chains are defined over lower-level primitives. The benchmark contains 476K questions across 42 clinical subtypes on 9,262 3D CT volumes. In addition to a direct reasoning mode for VLMs, DeepTumorVQA provides tool-interaction environments for agent evaluation, where a model can call external tools, including segmentation models, measurement programs, and medical knowledge modules, before answering the question. Evaluating over 30 model configurations, we find that reliable quantitative measurement is the primary bottleneck, making later-stage visual and medical reasoning harder for VLMs, while tool augmentation substantially mitigates this issue. When tools are available, leveraging medical knowledge and tools to reason about medical images becomes a new challenge. We further show that ground-truth step-by-step tool-use traces from DeepTumorVQA can supervise agents and reduce tool-use and reasoning failures. This stage-wise progression from recognition to measurement to visual and medical reasoning provides a concrete roadmap for future medical VLM and AI agent studies. All data and code are released at https://github.com/Schuture/DeepTumorVQA.

  • 10 authors
·
May 9

MR-IQA: A Unified Margin View of Regression and Ranking for Blind Image Quality Assessment

Blind image quality assessment (BIQA) is commonly built on two basic learning paradigms: regression and ranking. Regression calibrates absolute scores, whereas ranking recovers quality structure from ordinal relations. Although joint regression-ranking supervision often improves BIQA, the relation between the two paradigms remains largely empirical and underexplored. In this work, we revisit what underlies regression and ranking and identify pairwise relational distance, termed quality margin, as their common bridge. Our derivation shows that, at the objective-optimization level, both paradigms fit quality margins: regression fits margins induced by score endpoints, while ranking fits transformed or sign-level margins through preference probabilities. Motivated by this insight, we propose MR-IQA, a direct quality-margin optimization framework for reinforcement learning (RL)-based BIQA. MR-IQA samples quality scores and optimizes pairwise margin errors as policy rewards, thereby modeling quality structure more explicitly. Experiments on six BIQA benchmarks show competitive general performance, and controlled comparisons demonstrate that MR-IQA achieves the strongest average PLCC/SRCC over regression- or ranking-based RL methods. Our findings provide a new insight into unifying regression and ranking, offering a theoretical basis for understanding quality-structure modeling in BIQA and beyond.

  • 7 authors
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Jun 28

SoTA with Less: MCTS-Guided Sample Selection for Data-Efficient Visual Reasoning Self-Improvement

In this paper, we present an effective method to enhance visual reasoning with significantly fewer training samples, relying purely on self-improvement with no knowledge distillation. Our key insight is that the difficulty of training data during reinforcement fine-tuning (RFT) is critical. Appropriately challenging samples can substantially boost reasoning capabilities even when the dataset is small. Despite being intuitive, the main challenge remains in accurately quantifying sample difficulty to enable effective data filtering. To this end, we propose a novel way of repurposing Monte Carlo Tree Search (MCTS) to achieve that. Starting from our curated 70k open-source training samples, we introduce an MCTS-based selection method that quantifies sample difficulty based on the number of iterations required by the VLMs to solve each problem. This explicit step-by-step reasoning in MCTS enforces the model to think longer and better identifies samples that are genuinely challenging. We filter and retain 11k samples to perform RFT on Qwen2.5-VL-7B-Instruct, resulting in our final model, ThinkLite-VL. Evaluation results on eight benchmarks show that ThinkLite-VL improves the average performance of Qwen2.5-VL-7B-Instruct by 7%, using only 11k training samples with no knowledge distillation. This significantly outperforms all existing 7B-level reasoning VLMs, and our fairly comparable baselines that use classic selection methods such as accuracy-based filtering. Notably, on MathVista, ThinkLite-VL-7B achieves the SoTA accuracy of 75.1, surpassing Qwen2.5-VL-72B, GPT-4o, and O1. Our code, data, and model are available at https://github.com/si0wang/ThinkLite-VL.

  • 9 authors
·
Apr 10, 2025 2

Diffusion-Based Quality Control of Medical Image Segmentations across Organs

Medical image segmentation using deep learning (DL) has enabled the development of automated analysis pipelines for large-scale population studies. However, state-of-the-art DL methods are prone to hallucinations, which can result in anatomically implausible segmentations. With manual correction impractical at scale, automated quality control (QC) techniques have to address the challenge. While promising, existing QC methods are organ-specific, limiting their generalizability and usability beyond their original intended task. To overcome this limitation, we propose no-new Quality Control (nnQC), a robust QC framework based on a diffusion-generative paradigm that self-adapts to any input organ dataset. Central to nnQC is a novel Team of Experts (ToE) architecture, where two specialized experts independently encode 3D spatial awareness, represented by the relative spatial position of an axial slice, and anatomical information derived from visual features from the original image. A weighted conditional module dynamically combines the pair of independent embeddings, or opinions to condition the sampling mechanism within a diffusion process, enabling the generation of a spatially aware pseudo-ground truth for predicting QC scores. Within its framework, nnQC integrates fingerprint adaptation to ensure adaptability across organs, datasets, and imaging modalities. We evaluated nnQC on seven organs using twelve publicly available datasets. Our results demonstrate that nnQC consistently outperforms state-of-the-art methods across all experiments, including cases where segmentation masks are highly degraded or completely missing, confirming its versatility and effectiveness across different organs.

  • 7 authors
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Mar 29

SHOVIR: A Benchmark for Evaluating Vision Shortcut Learning in Radiology Report Generation

Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image. This allows models to achieve competitive scores by exploiting learned priors or spurious correlations, a failure mode we refer to as vision shortcut. We introduce SHOVIR, a benchmark for evaluating vision shortcut behavior in RRG. SHOVIR extends two spatially annotated chest X-ray datasets, MIMIC-CXR and PadChest-GR, with per-box CheXpert labels, and defines image-level and disease-level occlusion experiments that contrast baseline performance on clean images against localized, region-specific perturbations. Comparing predictions across these conditions isolates two failure modes at the disease-class level: direct shortcuts, where a finding persists after its visual evidence is removed, and contextual shortcuts, where detection degrades once co-occurring pathologies are occluded despite the target region remaining intact. Benchmarking eight state-of-the-art VLMs, we find that shortcut behavior varies substantially across architectures and datasets. Models achieving the highest baseline report quality do not necessarily rank highest in spatial grounding, revealing that clinically fluent generation can coexist with shallow reliance on visual evidence. These findings expose a blind spot in current RRG evaluation and motivate region-aware assessment protocols.

  • 5 authors
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Jun 28

VecCISC: Improving Confidence-Informed Self-Consistency with Reasoning Trace Clustering and Candidate Answer Selection

A standard technique for scaling inference-time reasoning is Self-Consistency, whereby multiple candidate answers are sampled from an LLM and the most common answer is selected. More recently, it has been shown that weighted majority voting (e.g. Confidence-Informed Self Consistency (CISC)), which assigns a confidence value to each candidate answer and chooses the answer with the largest accumulated score, tends to be more accurate on a wide range of popular benchmarks. In practice, weighted majority voting necessitates calling a critic LLM on each candidate's reasoning trace to produce the answer's confidence score. This secondary series of LLM calls greatly increases the overhead and cost of weighted majority voting, despite its potential performance benefits. To reduce this expense, we propose VecCISC, a lightweight, adaptive framework that uses a measure of semantic similarity to filter reasoning traces that are semantically equivalent to others, degenerate, or hallucinated, thus decreasing the number of candidate answers that must be evaluated by the critic. To ensure adequate experimental thoroughness, we evaluate VecCISC on five challenging, widely-adopted datasets spanning the domains of mathematics, chemistry, biology, commonsense reasoning, and the humanities. Our results demonstrate that VecCISC reduces the total token usage by 47%, while maintaining or exceeding the accuracy of CISC.

  • 4 authors
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May 7

Preference Fine-Tuning for Factuality in Chest X-Ray Interpretation Models Without Human Feedback

Radiologists play a crucial role by translating medical images into medical reports. However, the field faces staffing shortages and increasing workloads. While automated approaches using vision-language models (VLMs) show promise as assistants, they require exceptionally high accuracy. Most current VLMs in radiology rely solely on supervised fine-tuning (SFT). Meanwhile, in the general domain, additional preference fine-tuning has become standard practice. The challenge in radiology lies in the prohibitive cost of obtaining radiologist feedback. We propose a scalable automated preference alignment technique for VLMs in radiology, focusing on chest X-ray (CXR) report generation. Our method leverages publicly available datasets with an LLM-as-a-Judge mechanism, eliminating the need for additional expert radiologist feedback. We evaluate and benchmark five direct alignment algorithms (DAAs). Our results show up to a 57.4% improvement in average GREEN scores, a LLM-based metric for evaluating CXR reports, and a 9.2% increase in an average across six metrics (domain specific and general), compared to the SFT baseline. We study reward overoptimization via length exploitation, with reports lengthening by up to 3.2x. To assess a potential alignment tax, we benchmark on six additional diverse tasks, finding no significant degradations. A reader study involving four board-certified radiologists indicates win rates of up to 0.62 over the SFT baseline, while significantly penalizing verbosity. Our analysis provides actionable insights for the development of VLMs in high-stakes fields like radiology.

  • 11 authors
·
Oct 9, 2024

Structured Proper Loss Geometries for Multiclass Classification: Theory and Controlled Empirical Evaluation

Strictly proper scoring rules identify the true conditional class distribution at population level, but their curvature can alter optimization and finite-sample behavior. We study three multiclass objectives: a class-aware quadratic Bregman score (CAPM), a strongly convex generator with constrained log-cosh ridges (HPG), and an HPG objective with an annealed probability-margin penalty (APMS). CAPM is treated as a structured instance of established quadratic scoring-rule theory. We derive conditional-regret, curvature, range, and logit-gradient bounds for CAPM and HPG, and prove exact penalty-range and conditional-target displacement bounds for APMS. Controlled five-seed experiments use Digits, Wisconsin breast cancer, and synthetic confusion and long-tail problems under clean labels, symmetric and pair-flip corruption, class imbalance, calibration evaluation, input corruption, and first-order adversarial perturbations. The candidates are close to cross-entropy on clean data and show descriptive gains in some noisy-label cells, but the five-seed comparisons are interpreted descriptively rather than as significance evidence. The selected noisy-label baselines perform better on Digits with 40% symmetric label noise, and explicit prior-adjustment methods perform better in the 30:1 synthetic long-tail experiment. Ablations do not show a consistent benefit from the candidate-specific graph, ridge, or margin components. The mathematical analysis establishes the stated properties, and the experiments delimit the empirical evidence; together they do not support a claim of general superiority.

  • 1 authors
·
Jun 27

VQAThinker: Exploring Generalizable and Explainable Video Quality Assessment via Reinforcement Learning

Video quality assessment (VQA) aims to objectively quantify perceptual quality degradation in alignment with human visual perception. Despite recent advances, existing VQA models still suffer from two critical limitations: poor generalization to out-of-distribution (OOD) videos and limited explainability, which restrict their applicability in real-world scenarios. To address these challenges, we propose VQAThinker, a reasoning-based VQA framework that leverages large multimodal models (LMMs) with reinforcement learning to jointly model video quality understanding and scoring, emulating human perceptual decision-making. Specifically, we adopt group relative policy optimization (GRPO), a rule-guided reinforcement learning algorithm that enables reasoning over video quality under score-level supervision, and introduce three VQA-specific rewards: (1) a bell-shaped regression reward that increases rapidly as the prediction error decreases and becomes progressively less sensitive near the ground truth; (2) a pairwise ranking reward that guides the model to correctly determine the relative quality between video pairs; and (3) a temporal consistency reward that encourages the model to prefer temporally coherent videos over their perturbed counterparts. Extensive experiments demonstrate that VQAThinker achieves state-of-the-art performance on both in-domain and OOD VQA benchmarks, showing strong generalization for video quality scoring. Furthermore, evaluations on video quality understanding tasks validate its superiority in distortion attribution and quality description compared to existing explainable VQA models and LMMs. These findings demonstrate that reinforcement learning offers an effective pathway toward building generalizable and explainable VQA models solely with score-level supervision.

  • 9 authors
·
Aug 8, 2025

Teaching LMMs for Image Quality Scoring and Interpreting

Image quality scoring and interpreting are two fundamental components of Image Quality Assessment (IQA). The former quantifies image quality, while the latter enables descriptive question answering about image quality. Traditionally, these two tasks have been addressed independently. However, from the perspective of the Human Visual System (HVS) and the Perception-Decision Integration Model, they are inherently interconnected: interpreting serves as the foundation for scoring, while scoring provides an abstract summary of interpreting. Thus, unifying these capabilities within a single model is both intuitive and logically coherent. In this paper, we propose Q-SiT (Quality Scoring and Interpreting joint Teaching), a unified framework that enables large multimodal models (LMMs) to learn both image quality scoring and interpreting simultaneously. We achieve this by transforming conventional IQA datasets into learnable question-answering datasets and incorporating human-annotated quality interpreting data for training. Furthermore, we introduce an efficient scoring & interpreting balance strategy, which first determines the optimal data mix ratio on lightweight LMMs and then maps this ratio to primary LMMs for fine-tuning adjustment. This strategy not only mitigates task interference and enhances cross-task knowledge transfer but also significantly reduces computational costs compared to direct optimization on full-scale LMMs. With this joint learning framework and corresponding training strategy, we develop Q-SiT, the first model capable of simultaneously performing image quality scoring and interpreting tasks, along with its lightweight variant, Q-SiT-mini. Experimental results demonstrate that Q-SiT achieves strong performance in both tasks with superior generalization IQA abilities.Project page at https://github.com/Q-Future/Q-SiT.

  • 5 authors
·
Mar 12, 2025

SoliReward: Mitigating Susceptibility to Reward Hacking and Annotation Noise in Video Generation Reward Models

Post-training alignment of video generation models with human preferences is a critical goal. Developing effective Reward Models (RMs) for this process faces significant methodological hurdles. Current data collection paradigms, reliant on in-prompt pairwise annotations, suffer from labeling noise. Concurrently, the architectural design of VLM-based RMs, particularly their output mechanisms, remains underexplored. Furthermore, RM is susceptible to reward hacking in post-training. To mitigate these limitations, we propose SoliReward, a systematic framework for video RM training. Our framework first sources high-quality, cost-efficient data via single-item binary annotations, then constructs preference pairs using a cross-prompt pairing strategy. Architecturally, we employ a Hierarchical Progressive Query Attention mechanism to enhance feature aggregation. Finally, we introduce a modified BT loss that explicitly accommodates win-tie scenarios. This approach regularizes the RM's score distribution for positive samples, providing more nuanced preference signals to alleviate over-focus on a small number of top-scoring samples. Our approach is validated on benchmarks evaluating physical plausibility, subject deformity, and semantic alignment, demonstrating improvements in direct RM evaluation metrics and in the efficacy of post-training on video generation models. Code and benchmark will be publicly available.

  • 9 authors
·
Dec 17, 2025

Gradient-Based Post-Training Quantization: Challenging the Status Quo

Quantization has become a crucial step for the efficient deployment of deep neural networks, where floating point operations are converted to simpler fixed point operations. In its most naive form, it simply consists in a combination of scaling and rounding transformations, leading to either a limited compression rate or a significant accuracy drop. Recently, Gradient-based post-training quantization (GPTQ) methods appears to be constitute a suitable trade-off between such simple methods and more powerful, yet expensive Quantization-Aware Training (QAT) approaches, particularly when attempting to quantize LLMs, where scalability of the quantization process is of paramount importance. GPTQ essentially consists in learning the rounding operation using a small calibration set. In this work, we challenge common choices in GPTQ methods. In particular, we show that the process is, to a certain extent, robust to a number of variables (weight selection, feature augmentation, choice of calibration set). More importantly, we derive a number of best practices for designing more efficient and scalable GPTQ methods, regarding the problem formulation (loss, degrees of freedom, use of non-uniform quantization schemes) or optimization process (choice of variable and optimizer). Lastly, we propose a novel importance-based mixed-precision technique. Those guidelines lead to significant performance improvements on all the tested state-of-the-art GPTQ methods and networks (e.g. +6.819 points on ViT for 4-bit quantization), paving the way for the design of scalable, yet effective quantization methods.

  • 3 authors
·
Aug 15, 2023

VQ-Logits: Compressing the Output Bottleneck of Large Language Models via Vector Quantized Logits

Large Language Models (LLMs) have achieved remarkable success but face significant computational and memory challenges, particularly due to their extensive output vocabularies. The final linear projection layer, mapping hidden states to vocabulary-sized logits, often constitutes a substantial portion of the model's parameters and computational cost during inference. Existing methods like adaptive softmax or hierarchical softmax introduce structural complexities. In this paper, we propose VQ-Logits, a novel approach that leverages Vector Quantization (VQ) to drastically reduce the parameter count and computational load of the LLM output layer. VQ-Logits replaces the large V * dmodel output embedding matrix with a small, shared codebook of K embedding vectors (K << V ). Each token in the vocabulary is mapped to one of these K codebook vectors. The LLM predicts logits over this compact codebook, which are then efficiently "scattered" to the full vocabulary space using the learned or preassigned mapping. We demonstrate through extensive experiments on standard language modeling benchmarks (e.g., WikiText-103, C4) that VQ-Logits can achieve up to 99% parameter reduction in the output layer and 6x speedup in logit computation, with only a marginal 4% increase in perplexity compared to full softmax baselines. We further provide detailed ablation studies on codebook size, initialization, and learning strategies, showcasing the robustness and effectiveness of our approach.

  • 7 authors
·
May 15, 2025

CARE: Towards Clinical Accountability in Multi-Modal Medical Reasoning with an Evidence-Grounded Agentic Framework

Large visual language models (VLMs) have shown strong multi-modal medical reasoning ability, but most operate as end-to-end black boxes, diverging from clinicians' evidence-based, staged workflows and hindering clinical accountability. Complementarily, expert visual grounding models can accurately localize regions of interest (ROIs), providing explicit, reliable evidence that improves both reasoning accuracy and trust. In this paper, we introduce CARE, advancing Clinical Accountability in multi-modal medical Reasoning with an Evidence-grounded agentic framework. Unlike existing approaches that couple grounding and reasoning within a single generalist model, CARE decomposes the task into coordinated sub-modules to reduce shortcut learning and hallucination: a compact VLM proposes relevant medical entities; an expert entity-referring segmentation model produces pixel-level ROI evidence; and a grounded VLM reasons over the full image augmented by ROI hints. The VLMs are optimized with reinforcement learning with verifiable rewards to align answers with supporting evidence. Furthermore, a VLM coordinator plans tool invocation and reviews evidence-answer consistency, providing agentic control and final verification. Evaluated on standard medical VQA benchmarks, our CARE-Flow (coordinator-free) improves average accuracy by 10.9% over the same size (10B) state-of-the-art (SOTA). With dynamic planning and answer review, our CARE-Coord yields a further gain, outperforming the heavily pre-trained SOTA by 5.2%. Our experiments demonstrate that an agentic framework that emulates clinical workflows, incorporating decoupled specialized models and explicit evidence, yields more accurate and accountable medical AI. Project page: https://xypb.github.io/CARE-Project-Page/

  • 5 authors
·
Mar 10

Improving Autoregressive Image Generation through Coarse-to-Fine Token Prediction

Autoregressive models have shown remarkable success in image generation by adapting sequential prediction techniques from language modeling. However, applying these approaches to images requires discretizing continuous pixel data through vector quantization methods like VQ-VAE. To alleviate the quantization errors that existed in VQ-VAE, recent works tend to use larger codebooks. However, this will accordingly expand vocabulary size, complicating the autoregressive modeling task. This paper aims to find a way to enjoy the benefits of large codebooks without making autoregressive modeling more difficult. Through empirical investigation, we discover that tokens with similar codeword representations produce similar effects on the final generated image, revealing significant redundancy in large codebooks. Based on this insight, we propose to predict tokens from coarse to fine (CTF), realized by assigning the same coarse label for similar tokens. Our framework consists of two stages: (1) an autoregressive model that sequentially predicts coarse labels for each token in the sequence, and (2) an auxiliary model that simultaneously predicts fine-grained labels for all tokens conditioned on their coarse labels. Experiments on ImageNet demonstrate our method's superior performance, achieving an average improvement of 59 points in Inception Score compared to baselines. Notably, despite adding an inference step, our approach achieves faster sampling speeds.

  • 3 authors
·
Mar 20, 2025 2

Trying Bilinear Pooling in Video-QA

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.

  • 4 authors
·
Dec 18, 2020

MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answering

Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is dominated by language. This paradigm is fundamentally limited in clinical scenarios, where accurate answers often depend on subtle, localized visual evidence that cannot be reliably preserved in static embeddings. We propose MedLVR, a latent visual reasoning framework that introduces an explicit visual evidence state into autoregressive decoding. Instead of relying solely on text-based intermediate reasoning, MedLVR interleaves a short latent reasoning segment within the decoder by reusing hidden states as continuous latent steps, enabling iterative preservation and refinement of query-relevant visual evidence before answer generation. To support effective visual supervision, we adopt a two-stage training strategy: region of interest (ROI)-supervised fine-tuning aligns latent states with clinically relevant image evidence, and Visual-Latent Policy Optimization (VLPO) further optimizes latent reasoning and answer generation under outcome-level rewards. Experiments on OmniMedVQA and five external medical VQA benchmarks show that MedLVR consistently outperforms recent reasoning baselines and improves the average score over the Qwen2.5-VL-7B backbone from 48.3\% to 53.4\%. These results show that latent visual reasoning provides an effective mechanism for preserving diagnostically relevant visual evidence and improving the reliability of medical VQA.

  • 7 authors
·
Apr 9

Multidimensional Rubric-oriented Reward Model Learning via Geometric Projection Reference Constraints

The integration of large language models (LLMs) into medical practice holds transformative potential, yet their real-world clinical utility remains limited by critical alignment challenges: (1) a disconnect between static evaluation benchmarks and dynamic clinical cognitive needs, (2) difficulties in adapting to evolving, multi-source medical standards, and (3) the inability of conventional reward models to capture nuanced, multi-dimensional medical quality criteria. To address these gaps, we propose MR-RML (Multidimensional Rubric-oriented Reward Model Learning) via GPRC (Geometric Projection Reference Constraints), a novel alignment framework that integrates medical standards into a structured "Dimensions-Scenarios-Disciplines" matrix to guide data generation and model optimization. MR-RML introduces three core innovations: (1) a "Dimensions-Scenarios-Disciplines" medical standard system that embeds domain standards into the full training pipeline; (2) an independent multi-dimensional reward model that decomposes evaluation criteria, shifting from real-time rubric-based scoring to internalized reward modeling for improved consistency and cost-efficiency; (3) geometric projection reference constraints that transform medical cognitive logic into mathematical regularization, aligning scoring gradients with clinical reasoning and enabling synthetic data-driven training. Through extensive evaluations on the authoritative medical benchmark Healthbench, our method yields substantial performance gains over the base LLM Qwen-32B (45% on the full subset and 85% on Hard subset, respectively). It achieves a SOTA among open-source LLMs with scores of 62.7 (full subset) and 44.7 (hard subset), while also outperforming the majority of closed-source models.

  • 5 authors
·
Nov 20, 2025

From Noisy Traces to Stable Gradients: Bias-Variance Optimized Preference Optimization for Aligning Large Reasoning Models

Large reasoning models (LRMs) generate intermediate reasoning traces before producing final answers, yielding strong gains on multi-step and mathematical tasks. Yet aligning LRMs with human preferences, a crucial prerequisite for model deployment, remains underexplored. The statistically correct objective for preference alignment requires marginalizing over reasoning traces, but this computation is intractable in practice. A common workaround optimizes a single sampled trajectory, which introduces substantial gradient variance from stochastic trace sampling. To address this challenge, we frame preference optimization for LRMs through the lens of the bias--variance trade-off and propose Bias--Variance Optimized Preference Optimization (BVPO), a simple, drop-in method that mixes two gradient estimators: a high-variance trace-based estimator and a low-variance empty-trace estimator obtained by disabling reasoning trace generation. Our theory shows that BVPO strictly reduces trace-induced variance for any nontrivial mixture, provides a closed-form choice of the mixing weight that minimizes mean-squared error relative to the true marginal gradient, and under standard smoothness and step-size conditions, tightens classical convergence bounds for stochastic gradient descent. Empirically, BVPO improves alignment over the best baseline by up to 7.8 points on AlpacaEval~2 and 6.8 points on Arena-Hard. Despite being trained only on general conversational data, BVPO also boosts reasoning performance for base models by up to 4.0 points on the average of six math reasoning benchmarks. These results identify variance from trace sampling as a key bottleneck and demonstrate that directly optimizing the bias--variance trade-off yields more stable training and stronger overall performance.

  • 5 authors
·
Oct 6, 2025

CXReasonBench: A Benchmark for Evaluating Structured Diagnostic Reasoning in Chest X-rays

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

kaist-ai KAIST AI
·
May 23, 2025 2

BBox DocVQA: A Large Scale Bounding Box Grounded Dataset for Enhancing Reasoning in Document Visual Question Answer

Document Visual Question Answering (DocVQA) is a fundamental task for multimodal document understanding and a key testbed for vision language reasoning. However, most existing DocVQA datasets are limited to the page level and lack fine grained spatial grounding, constraining the interpretability and reasoning capability of Vision Language Models (VLMs). To address this gap, we introduce BBox DocVQA a large scale, bounding box grounded dataset designed to enhance spatial reasoning and evidence localization in visual documents. We further present an automated construction pipeline, Segment Judge and Generate, which integrates a segment model for region segmentation, a VLM for semantic judgment, and another advanced VLM for question answer generation, followed by human verification for quality assurance. The resulting dataset contains 3.6 K diverse documents and 32 K QA pairs, encompassing single and multi region as well as single and multi page scenarios. Each QA instance is grounded on explicit bounding boxes, enabling fine grained evaluation of spatial semantic alignment. Benchmarking multiple state of the art VLMs (e.g., GPT 5, Qwen2.5 VL, and InternVL) on BBox DocVQA reveals persistent challenges in spatial grounding and reasoning accuracy. Furthermore, fine tuning on BBox DocVQA substantially improves both bounding box localization and answer generation, validating its effectiveness for enhancing the reasoning ability of VLMs. Our dataset and code will be publicly released to advance research on interpretable and spatially grounded vision language reasoning.

  • 8 authors
·
Nov 18, 2025

VQ4DiT: Efficient Post-Training Vector Quantization for Diffusion Transformers

The Diffusion Transformers Models (DiTs) have transitioned the network architecture from traditional UNets to transformers, demonstrating exceptional capabilities in image generation. Although DiTs have been widely applied to high-definition video generation tasks, their large parameter size hinders inference on edge devices. Vector quantization (VQ) can decompose model weight into a codebook and assignments, allowing extreme weight quantization and significantly reducing memory usage. In this paper, we propose VQ4DiT, a fast post-training vector quantization method for DiTs. We found that traditional VQ methods calibrate only the codebook without calibrating the assignments. This leads to weight sub-vectors being incorrectly assigned to the same assignment, providing inconsistent gradients to the codebook and resulting in a suboptimal result. To address this challenge, VQ4DiT calculates the candidate assignment set for each weight sub-vector based on Euclidean distance and reconstructs the sub-vector based on the weighted average. Then, using the zero-data and block-wise calibration method, the optimal assignment from the set is efficiently selected while calibrating the codebook. VQ4DiT quantizes a DiT XL/2 model on a single NVIDIA A100 GPU within 20 minutes to 5 hours depending on the different quantization settings. Experiments show that VQ4DiT establishes a new state-of-the-art in model size and performance trade-offs, quantizing weights to 2-bit precision while retaining acceptable image generation quality.

  • 6 authors
·
Aug 30, 2024 2

Uncertainty Quantification for Language Models: A Suite of Black-Box, White-Box, LLM Judge, and Ensemble Scorers

Hallucinations are a persistent problem with Large Language Models (LLMs). As these models become increasingly used in high-stakes domains, such as healthcare and finance, the need for effective hallucination detection is crucial. To this end, we propose a versatile framework for zero-resource hallucination detection that practitioners can apply to real-world use cases. To achieve this, we adapt a variety of existing uncertainty quantification (UQ) techniques, including black-box UQ, white-box UQ, and LLM-as-a-Judge, transforming them as necessary into standardized response-level confidence scores ranging from 0 to 1. To enhance flexibility, we introduce a tunable ensemble approach that incorporates any combination of the individual confidence scores. This approach enables practitioners to optimize the ensemble for a specific use case for improved performance. To streamline implementation, the full suite of scorers is offered in this paper's companion Python toolkit, UQLM. To evaluate the performance of the various scorers, we conduct an extensive set of experiments using several LLM question-answering benchmarks. We find that our tunable ensemble typically surpasses its individual components and outperforms existing hallucination detection methods. Our results demonstrate the benefits of customized hallucination detection strategies for improving the accuracy and reliability of LLMs.

  • 2 authors
·
Apr 27, 2025

IQBench: How "Smart'' Are Vision-Language Models? A Study with Human IQ Tests

Although large Vision-Language Models (VLMs) have demonstrated remarkable performance in a wide range of multimodal tasks, their true reasoning capabilities on human IQ tests remain underexplored. To advance research on the fluid intelligence of VLMs, we introduce **IQBench**, a new benchmark designed to evaluate VLMs on standardized visual IQ tests. We focus on evaluating the reasoning capabilities of VLMs, which we argue are more important than the accuracy of the final prediction. **Our benchmark is visually centric, minimizing the dependence on unnecessary textual content**, thus encouraging models to derive answers primarily from image-based information rather than learned textual knowledge. To this end, we manually collected and annotated 500 visual IQ questions to **prevent unintentional data leakage during training**. Unlike prior work that focuses primarily on the accuracy of the final answer, we evaluate the reasoning ability of the models by assessing their explanations and the patterns used to solve each problem, along with the accuracy of the final prediction and human evaluation. Our experiments show that there are substantial performance disparities between tasks, with models such as `o4-mini`, `gemini-2.5-flash`, and `claude-3.7-sonnet` achieving the highest average accuracies of 0.615, 0.578, and 0.548, respectively. However, all models struggle with 3D spatial and anagram reasoning tasks, highlighting significant limitations in current VLMs' general reasoning abilities. In terms of reasoning scores, `o4-mini`, `gemini-2.5-flash`, and `claude-3.7-sonnet` achieved top averages of 0.696, 0.586, and 0.516, respectively. These results highlight inconsistencies between the reasoning processes of the models and their final answers, emphasizing the importance of evaluating the accuracy of the reasoning in addition to the final predictions.

  • 8 authors
·
May 17, 2025 2

TrustRoboReward: Preference-Ordered Isotonic Score Editing for Multi-Paradigm Robot Reward Models

Reward models are a bottleneck for reinforcement learning in embodied AI. Long-horizon robotic manipulation requires scalable vision feedback beyond handcrafted rewards or task-specific annotations. Existing open-source VLM reward judges like RoboReward adopt simple 1--5 trajectory progress scoring, lacking pairwise preferences for RLHF, DPO and Bradley-Terry frameworks, while failing to optimize video scene understanding. Augmenting RoboReward with pairwise comparison and video-QA supervision causes inconsistency between pairwise preferences and pointwise scores, introducing training noise and hurting downstream performance---an issue aggregation methods such as TrustJudge cannot resolve. To address this, we propose TrustRoboReward, a multi-paradigm reward modeling framework equipped with Preference-Ordered Isotonic Score Editing (POISE). We construct a unified four-paradigm dataset with trajectory progress scoring (Score-A), video-QA answer quality scoring (Score-B), and their pairwise counterparts (Pair-A, Pair-B). Pairwise labels align better with human judgment than pointwise scores, inspiring us to calibrate pointwise scores to avoid score-pair reversals against pairwise preferences. POISE rectifies pointwise scores and eliminates cross-paradigm reversal conflicts unresolved by TrustJudge. Theoretically, POISE reduces score-pair reversal conflicts from 20.15% to 0%, whereas TrustJudge retains 20.46% conflicts on the same corpus. Evaluated on our benchmark, Qwen3-VL-4B trained with POISE achieves an overall reward score of 77.96%, nearly matching GPT-5-mini (78.09%, gap 0.13%) and outperforming the strongest RoboReward-4B baseline by 10.13%. It also lifts test-time score-pair consistency to 71.90%, exceeding RoboReward-4B (57.26%) and GPT-5-mini (68.09%). Integrating TrustJudge aggregation during inference boosts the overall score to 78.57%, surpassing the GPT-5-mini teacher model.

  • 19 authors
·
Aug 8

Forge: Quality-Aware Reinforcement Learning for NP-Hard Optimization in LLMs

Large Language Models (LLMs) have achieved remarkable success on reasoning benchmarks through Reinforcement Learning with Verifiable Rewards (RLVR), excelling at tasks such as math, coding, logic, and puzzles. However, existing benchmarks evaluate only correctness, while overlooking optimality, namely the ability to find the best solutions under constraints. We propose OPT-BENCH, the first comprehensive framework for training and evaluating LLMs on NP-hard optimization problems through quality-aware RLVR. OPT-BENCH provides three key components: a scalable training infrastructure with instance generators, quality verifiers, and optimal baselines across 10 tasks; a rigorous benchmark with 1,000 instances evaluating both feasibility, measured by Success Rate, and quality, measured by Quality Ratio; and quality-aware rewards that enable continuous improvement beyond binary correctness. Training on Qwen2.5-7B-Instruct-1M with 15K examples achieves 93.1% SR and 46.6% QR, significantly outperforming GPT-4o, which achieves 29.6% SR and 14.6% QR. Beyond optimization, training on OPT-BENCH transfers to diverse tasks, including mathematics (+2.2%), logic (+1.2%), knowledge (+4.1%), and instruction following (+6.1%). Our analysis reveals that quality-aware rewards improve solutions by 28.8% over binary rewards, and that task diversity drives generalization more than data quantity, offering insights into RLVR scaling for complex reasoning.

  • 8 authors
·
May 8

UVE: Are MLLMs Unified Evaluators for AI-Generated Videos?

With the rapid growth of video generative models (VGMs), it is essential to develop reliable and comprehensive automatic metrics for AI-generated videos (AIGVs). Existing methods either use off-the-shelf models optimized for other tasks or rely on human assessment data to train specialized evaluators. These approaches are constrained to specific evaluation aspects and are difficult to scale with the increasing demands for finer-grained and more comprehensive evaluations. To address this issue, this work investigates the feasibility of using multimodal large language models (MLLMs) as a unified evaluator for AIGVs, leveraging their strong visual perception and language understanding capabilities. To evaluate the performance of automatic metrics in unified AIGV evaluation, we introduce a benchmark called UVE-Bench. UVE-Bench collects videos generated by state-of-the-art VGMs and provides pairwise human preference annotations across 15 evaluation aspects. Using UVE-Bench, we extensively evaluate 16 MLLMs. Our empirical results suggest that while advanced MLLMs (e.g., Qwen2VL-72B and InternVL2.5-78B) still lag behind human evaluators, they demonstrate promising ability in unified AIGV evaluation, significantly surpassing existing specialized evaluation methods. Additionally, we conduct an in-depth analysis of key design choices that impact the performance of MLLM-driven evaluators, offering valuable insights for future research on AIGV evaluation. The code is available at https://github.com/bytedance/UVE.

ByteDance-Seed ByteDance Seed
·
Mar 12, 2025 2

QVal: Cheaply Evaluating Dense Supervision Signals for Long-Horizon LLM Agents

LLM agents increasingly act over long horizons, where a single trajectory can contain hundreds or thousands of actions. In these settings, outcome-only rewards provide too sparse guidance, failing to inform the model about the goodness of intermediate actions. Dense supervision methods aim to solve this problem by scoring intermediate steps, from intrinsic confidence to self-distillation and embedding similarities. However, it is common practice to evaluate them by measuring the downstream performance of a training pipeline that integrates them. This is expensive, conflates supervision quality with training engineering confounders, and renders different methodological families requiring distinct training setups incomparable. As a result, dense supervision methods are rarely benchmarked on common ground. We introduce QVal, a training-free testbed for directly evaluating dense supervision signals. Given a state-action pair, QVal measures how well a method's score is Q-aligned: whether it orders actions according to the Q-values of a strong reference-policy. This lets us compare signals before any training run and separate signal quality from other engineering choices. We instantiate QVal as QVal-v1.0, benchmarking 21 dense supervision methods across four diverse environments and seven methodological families, with over 1.2K evaluation experiments across six open-weight model backbones. We find that simple prompting baselines consistently outperform recent dense supervision methods from the literature, and that performance clusters strongly by family. These findings hold across model sizes, environments, and observation modalities. QVal is designed to be easily extensible to new environments and methods, enabling researchers to iterate on dense supervision methods before any training run.

bethgelab Bethgelab
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Jun 29 2

Breaking Reward Collapse: Adaptive Reinforcement for Open-ended Medical Reasoning with Enhanced Semantic Discrimination

Reinforcement learning (RL) with rule-based rewards has demonstrated strong potential in enhancing the reasoning and generalization capabilities of vision-language models (VLMs) and large language models (LLMs), while reducing computational overhead. However, its application in medical imaging remains underexplored. Existing reinforcement fine-tuning (RFT) approaches in this domain primarily target closed-ended visual question answering (VQA), limiting their applicability to real-world clinical reasoning. In contrast, open-ended medical VQA better reflects clinical practice but has received limited attention. While some efforts have sought to unify both formats via semantically guided RL, we observe that model-based semantic rewards often suffer from reward collapse, where responses with significant semantic differences receive similar scores. To address this, we propose ARMed (Adaptive Reinforcement for Medical Reasoning), a novel RL framework for open-ended medical VQA. ARMed first incorporates domain knowledge through supervised fine-tuning (SFT) on chain-of-thought data, then applies reinforcement learning with textual correctness and adaptive semantic rewards to enhance reasoning quality. We evaluate ARMed on six challenging medical VQA benchmarks. Results show that ARMed consistently boosts both accuracy and generalization, achieving a 32.64% improvement on in-domain tasks and an 11.65% gain on out-of-domain benchmarks. These results highlight the critical role of reward discriminability in medical RL and the promise of semantically guided rewards for enabling robust and clinically meaningful multimodal reasoning.

  • 7 authors
·
Aug 18, 2025

TextSquare: Scaling up Text-Centric Visual Instruction Tuning

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.

  • 16 authors
·
Apr 19, 2024 6

TTS-VAR: A Test-Time Scaling Framework for Visual Auto-Regressive Generation

Scaling visual generation models is essential for real-world content creation, yet requires substantial training and computational expenses. Alternatively, test-time scaling has garnered growing attention due to resource efficiency and promising performance. In this work, we present TTS-VAR, the first general test-time scaling framework for visual auto-regressive (VAR) models, modeling the generation process as a path searching problem. To dynamically balance computational efficiency with exploration capacity, we first introduce an adaptive descending batch size schedule throughout the causal generation process. Besides, inspired by VAR's hierarchical coarse-to-fine multi-scale generation, our framework integrates two key components: (i) At coarse scales, we observe that generated tokens are hard for evaluation, possibly leading to erroneous acceptance of inferior samples or rejection of superior samples. Noticing that the coarse scales contain sufficient structural information, we propose clustering-based diversity search. It preserves structural variety through semantic feature clustering, enabling later selection on samples with higher potential. (ii) In fine scales, resampling-based potential selection prioritizes promising candidates using potential scores, which are defined as reward functions incorporating multi-scale generation history. Experiments on the powerful VAR model Infinity show a notable 8.7% GenEval score improvement (from 0.69 to 0.75). Key insights reveal that early-stage structural features effectively influence final quality, and resampling efficacy varies across generation scales. Code is available at https://github.com/ali-vilab/TTS-VAR.

  • 7 authors
·
Jul 24, 2025 2

Learning Low-Rank Representations for Model Compression

Vector Quantization (VQ) is an appealing model compression method to obtain a tiny model with less accuracy loss. While methods to obtain better codebooks and codes under fixed clustering dimensionality have been extensively studied, optimizations of the vectors in favour of clustering performance are not carefully considered, especially via the reduction of vector dimensionality. This paper reports our recent progress on the combination of dimensionality compression and vector quantization, proposing a Low-Rank Representation Vector Quantization (LR^2VQ) method that outperforms previous VQ algorithms in various tasks and architectures. LR^2VQ joins low-rank representation with subvector clustering to construct a new kind of building block that is directly optimized through end-to-end training over the task loss. Our proposed design pattern introduces three hyper-parameters, the number of clusters k, the size of subvectors m and the clustering dimensionality d. In our method, the compression ratio could be directly controlled by m, and the final accuracy is solely determined by d. We recognize d as a trade-off between low-rank approximation error and clustering error and carry out both theoretical analysis and experimental observations that empower the estimation of the proper d before fine-tunning. With a proper d, we evaluate LR^2VQ with ResNet-18/ResNet-50 on ImageNet classification datasets, achieving 2.8\%/1.0\% top-1 accuracy improvements over the current state-of-the-art VQ-based compression algorithms with 43times/31times compression factor.

  • 3 authors
·
Nov 21, 2022

Demystifying the Visual Quality Paradox in Multimodal Large Language Models

Recent Multimodal Large Language Models (MLLMs) excel on benchmark vision-language tasks, yet little is known about how input visual quality shapes their responses. Does higher perceptual quality of images already translate to better MLLM understanding? We conduct the first systematic study spanning leading MLLMs and a suite of vision-language benchmarks, applying controlled degradations and stylistic shifts to each image. Surprisingly, we uncover a visual-quality paradox: model, task, and even individual-instance performance can improve when images deviate from human-perceived fidelity. Off-the-shelf restoration pipelines fail to reconcile these idiosyncratic preferences. To close the gap, we introduce Visual-Quality Test-Time Tuning (VQ-TTT)-a lightweight adaptation module that: (1) inserts a learnable, low-rank kernel before the frozen vision encoder to modulate frequency content; and (2) fine-tunes only shallow vision-encoder layers via LoRA. VQ-TTT dynamically adjusts each input image in a single forward pass, aligning it with task-specific model preferences. Across the evaluated MLLMs and all datasets, VQ-TTT lifts significant average accuracy, with no external models, cached features, or extra training data. These findings redefine ``better'' visual inputs for MLLMs and highlight the need for adaptive, rather than universally ``clean'', imagery, in the new era of AI being the main data customer.

  • 8 authors
·
Jun 18, 2025 2

LLM-as-a-Verifier: A General-Purpose Verification Framework

Scaling pre-training, post-training, and test-time compute have become the central paradigms for improving the capabilities of LLMs. In this work, we identify verification, the ability to determine the correctness of a solution, as a new scaling axis. To unlock this and demonstrate its effectiveness, we introduce LLM-as-a-Verifier, a general-purpose verification framework that provides fine-grained feedback for agentic tasks without requiring additional training. Unlike standard LM judges that prompt LLMs to produce discrete scores for candidate solutions, LLM-as-a-Verifier computes the expectation over the distribution of scoring token logits to generate continuous scores. This probabilistic formulation enables verification to scale along multiple dimensions: (1) score granularity, (2) repeated evaluation, and (3) criteria decomposition. In particular, we show that scaling the scoring granularity leads to better separation between positive and negative solutions, resulting in more calibrated comparisons. Moreover, scaling repeated evaluation and criteria decomposition consistently lead to additional gains in verification accuracy through variance and complexity reduction. We further introduce a cost-efficient ranking algorithm for selecting the best solution among candidates using the verifier's continuous scores. LLM-as-a-Verifier achieves state-of-the-art performance on Terminal-Bench V2 (86.5%), SWE-Bench Verified (78.2%), RoboRewardBench (87.4%), and MedAgentBench (73.3%). Beyond verification, the fine-grained signals from LLM-as-a-Verifier can also serve as a proxy for estimating task progress. We build an extension for Claude Code, enabling developers to monitor and improve their own agentic systems. Finally, we show that LLM-as-a-Verifier can provide dense feedback for RL, improving the sample efficiency of SAC and GRPO on robotics and mathematical reasoning benchmarks.

  • 9 authors
·
Jul 5 1

Q-Hawkeye: Reliable Visual Policy Optimization for Image Quality Assessment

Image Quality Assessment (IQA) predicts perceptual quality scores consistent with human judgments. Recent RL-based IQA methods built on MLLMs focus on generating visual quality descriptions and scores, ignoring two key reliability limitations: (i) although the model's prediction stability varies significantly across training samples, existing GRPO-based methods apply uniform advantage weighting, thereby amplifying noisy signals from unstable samples in gradient updates; (ii) most works emphasize text-grounded reasoning over images while overlooking the model's visual perception ability of image content. In this paper, we propose Q-Hawkeye, an RL-based reliable visual policy optimization framework that redesigns the learning signal through unified Uncertainty-Aware Dynamic Optimization and Perception-Aware Optimization. Q-Hawkeye estimates predictive uncertainty using the variance of predicted scores across multiple rollouts and leverages this uncertainty to reweight each sample's update strength, stabilizing policy optimization. To strengthen perceptual reliability, we construct paired inputs of degraded images and their original images and introduce an Implicit Perception Loss that constrains the model to ground its quality judgments in genuine visual evidence. Extensive experiments demonstrate that Q-Hawkeye outperforms state-of-the-art methods and generalizes better across multiple datasets. Our dataset and code are available at https://github.com/AMAP-ML/Q-Hawkeye.

  • 7 authors
·
Jan 30

Q-Insight: Understanding Image Quality via Visual Reinforcement Learning

Image quality assessment (IQA) focuses on the perceptual visual quality of images, playing a crucial role in downstream tasks such as image reconstruction, compression, and generation. The rapid advancement of multi-modal large language models (MLLMs) has significantly broadened the scope of IQA, moving toward comprehensive image quality understanding that incorporates content analysis, degradation perception, and comparison reasoning beyond mere numerical scoring. Previous MLLM-based methods typically either generate numerical scores lacking interpretability or heavily rely on supervised fine-tuning (SFT) using large-scale annotated datasets to provide descriptive assessments, limiting their flexibility and applicability. In this paper, we propose Q-Insight, a reinforcement learning-based model built upon group relative policy optimization (GRPO), which demonstrates strong visual reasoning capability for image quality understanding while requiring only a limited amount of rating scores and degradation labels. By jointly optimizing score regression and degradation perception tasks with carefully designed reward functions, our approach effectively exploits their mutual benefits for enhanced performance. Extensive experiments demonstrate that Q-Insight substantially outperforms existing state-of-the-art methods in both score regression and degradation perception tasks, while exhibiting impressive zero-shot generalization to comparison reasoning tasks. Code will be available at https://github.com/lwq20020127/Q-Insight.

  • 7 authors
·
Mar 28, 2025

Aloe-Vision: Robust Vision-Language Models for Healthcare

Large Vision-Language Models (LVLMs) specialized in healthcare are emerging as a promising research direction due to their potential impact in clinical and biomedical applications. However, progress is constrained by the scarcity of high-quality medical multimodal data, concerns about robustness in safety-critical settings, and the narrow and potentially contaminated evaluation benchmarks that limit reliable assessment. To address these issues, the field requires state-of-the-art solutions to be fully open and reproducible systems in which all components can be inspected, evaluated, and improved. This work introduces Aloe-Vision-Data, a large-scale, quality-filtered mixture which integrates both medical and general domains across multimodal and text-only sources, designed for direct use in model fine-tuning. Building on this dataset, we train the Aloe-Vision family of medical LVLMs, openly released with full weights, training recipes and data, in two scales (7B and 72B). Through comprehensive benchmarking, we demonstrate that high quality training mixtures produce balanced LVLMs which yield significant gains over the baseline models without compromising general capabilities, achieving competitive performance with respect to state-of-the-art alternatives. To support reliable evaluation, we introduce CareQA-Vision, a carefully curated vision benchmark derived from MIR and EIR exams, the residency entrance exams for medical and nursing specialists in Spain, offering novel vision questions with low likelihood of contamination. Finally, we show that current LVLMs remain vulnerable to adversarial and misleading inputs, underscoring reliability challenges in clinical contexts.

  • 6 authors
·
Jun 25

Are Vision Language Models Ready for Clinical Diagnosis? A 3D Medical Benchmark for Tumor-centric Visual Question Answering

Vision-Language Models (VLMs) have shown promise in various 2D visual tasks, yet their readiness for 3D clinical diagnosis remains unclear due to stringent demands for recognition precision, reasoning ability, and domain knowledge. To systematically evaluate these dimensions, we present DeepTumorVQA, a diagnostic visual question answering (VQA) benchmark targeting abdominal tumors in CT scans. It comprises 9,262 CT volumes (3.7M slices) from 17 public datasets, with 395K expert-level questions spanning four categories: Recognition, Measurement, Visual Reasoning, and Medical Reasoning. DeepTumorVQA introduces unique challenges, including small tumor detection and clinical reasoning across 3D anatomy. Benchmarking four advanced VLMs (RadFM, M3D, Merlin, CT-CHAT), we find current models perform adequately on measurement tasks but struggle with lesion recognition and reasoning, and are still not meeting clinical needs. Two key insights emerge: (1) large-scale multimodal pretraining plays a crucial role in DeepTumorVQA testing performance, making RadFM stand out among all VLMs. (2) Our dataset exposes critical differences in VLM components, where proper image preprocessing and design of vision modules significantly affect 3D perception. To facilitate medical multimodal research, we have released DeepTumorVQA as a rigorous benchmark: https://github.com/Schuture/DeepTumorVQA.

  • 8 authors
·
May 24, 2025

From Narrow to Panoramic Vision: Attention-Guided Cold-Start Reshapes Multimodal Reasoning

The cold-start initialization stage plays a pivotal role in training Multimodal Large Reasoning Models (MLRMs), yet its mechanisms remain insufficiently understood. To analyze this stage, we introduce the Visual Attention Score (VAS), an attention-based metric that quantifies how much a model attends to visual tokens. We find that reasoning performance is strongly correlated with VAS (r=0.9616): models with higher VAS achieve substantially stronger multimodal reasoning. Surprisingly, multimodal cold-start fails to elevate VAS, resulting in attention distributions close to the base model, whereas text-only cold-start leads to a clear increase. We term this counter-intuitive phenomenon Lazy Attention Localization. To validate its causal role, we design training-free interventions that directly modulate attention allocation during inference, performance gains of 1-2% without any retraining. Building on these insights, we further propose Attention-Guided Visual Anchoring and Reflection (AVAR), a comprehensive cold-start framework that integrates visual-anchored data synthesis, attention-guided objectives, and visual-anchored reward shaping. Applied to Qwen2.5-VL-7B, AVAR achieves an average gain of 7.0% across 7 multimodal reasoning benchmarks. Ablation studies further confirm that each component of AVAR contributes step-wise to the overall gains. The code, data, and models are available at https://github.com/lrlbbzl/Qwen-AVAR.

Qwen Qwen
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Mar 4 2

Teaching Large Language Models to Regress Accurate Image Quality Scores using Score Distribution

With the rapid advancement of Multi-modal Large Language Models (MLLMs), MLLM-based Image Quality Assessment (IQA) methods have shown promising performance in linguistic quality description. However, current methods still fall short in accurately scoring image quality. In this work, we aim to leverage MLLMs to regress accurate quality scores. A key challenge is that the quality score is inherently continuous, typically modeled as a Gaussian distribution, whereas MLLMs generate discrete token outputs. This mismatch necessitates score discretization. Previous approaches discretize the mean score into a one-hot label, resulting in information loss and failing to capture inter-image relationships. We propose a distribution-based approach that discretizes the score distribution into a soft label. This method preserves the characteristics of the score distribution, achieving high accuracy and maintaining inter-image relationships. Moreover, to address dataset variation, where different IQA datasets exhibit various distributions, we introduce a fidelity loss based on Thurstone's model. This loss captures intra-dataset relationships, facilitating co-training across multiple IQA datasets. With these designs, we develop the distribution-based Depicted image Quality Assessment model for Score regression (DeQA-Score). Experiments across multiple benchmarks show that DeQA-Score stably outperforms baselines in score regression. Also, DeQA-Score can predict the score distribution that closely aligns with human annotations. Codes and model weights have been released in https://depictqa.github.io/deqa-score/.

  • 5 authors
·
Jan 20, 2025

Listening to the Wise Few: Select-and-Copy Attention Heads for Multiple-Choice QA

A standard way to evaluate the abilities of LLM involves presenting a multiple-choice question and selecting the option with the highest logit as the model's predicted answer. However, such a format for evaluating LLMs has limitations, since even if the model knows the correct answer, it may struggle to select the corresponding letter simply due to difficulties in following this rigid format. To address this, we introduce new scores that better capture and reveal model's underlying knowledge: the Query-Key Score (QK-score), derived from the interaction between query and key representations in attention heads, and the Attention Score, based on attention weights. These scores are extracted from specific select-and-copy heads, which show consistent performance across popular Multi-Choice Question Answering (MCQA) datasets. Based on these scores, our method improves knowledge extraction, yielding up to 16\% gain for LLaMA2-7B and up to 10\% for larger models on popular MCQA benchmarks. At the same time, the accuracy on a simple synthetic dataset, where the model explicitly knows the right answer, increases by almost 60\%, achieving nearly perfect accuracy, therefore demonstrating the method's efficiency in mitigating MCQA format limitations. To support our claims, we conduct experiments on models ranging from 7 billion to 70 billion parameters in both zero- and few-shot setups.

  • 8 authors
·
Oct 3, 2024