Daily Papers

Cardiovascular disease remains the leading cause of global mortality, with progress hindered by human interpretation of complex cardiac tests. Current AI vision-language models are limited to single-modality inputs and are non-interactive. We present MARCUS (Multimodal Autonomous Reasoning and Chat for Ultrasound and Signals), an agentic vision-language system for end-to-end interpretation of electrocardiograms (ECGs), echocardiograms, and cardiac magnetic resonance imaging (CMR) independently and as multimodal input. MARCUS employs a hierarchical agentic architecture comprising modality-specific vision-language expert models, each integrating domain-trained visual encoders with multi-stage language model optimization, coordinated by a multimodal orchestrator. Trained on 13.5 million images (0.25M ECGs, 1.3M echocardiogram images, 12M CMR images) and our novel expert-curated dataset spanning 1.6 million questions, MARCUS achieves state-of-the-art performance surpassing frontier models (GPT-5 Thinking, Gemini 2.5 Pro Deep Think). Across internal (Stanford) and external (UCSF) test cohorts, MARCUS achieves accuracies of 87-91% for ECG, 67-86% for echocardiography, and 85-88% for CMR, outperforming frontier models by 34-45% (P<0.001). On multimodal cases, MARCUS achieved 70% accuracy, nearly triple that of frontier models (22-28%), with 1.7-3.0x higher free-text quality scores. Our agentic architecture also confers resistance to mirage reasoning, whereby vision-language models derive reasoning from unintended textual signals or hallucinated visual content. MARCUS demonstrates that domain-specific visual encoders with an agentic orchestrator enable multimodal cardiac interpretation. We release our models, code, and benchmark open-source.

In this paper, we present a holistic multimodal benchmark that evaluates the reasoning capabilities of MLLMs with an explicit focus on reasoning width, a complementary dimension to the more commonly studied reasoning depth. Specifically, reasoning depth measures the model's ability to carry out long-chain, sequential reasoning in which each step is tightly and rigorously linked to the next. Reasoning width tends to focus more on the model's capacity for broad trial-and-error search or multi-constrained optimization: it must systematically traverse many possible and parallelized reasoning paths, apply diverse constraints to prune unpromising branches, and identify valid solution routes for efficient iteration or backtracking. To achieve it, we carefully curate 1200+ high-quality multimodal cases spanning heterogeneous domains, and propose a fine-grained tree-of-thought evaluation protocol that jointly quantifies reasoning width and depth. We evaluate 12 major model families (over 30 advanced MLLMs) across difficulty tiers, question types, and required skills. Results show that while current models exhibit strong performance on general or common-sense VQA tasks, they still struggle to combine deep sequential thought chains with wide exploratory search to perform genuine insight-based reasoning. Finally, we analyze characteristic failure modes to provide possible directions for building MLLMs that reason not only deeper but also wider.

Multimodal retrieval-augmented generation (MM-RAG) is a key approach for applying large language models (LLMs) and agents to real-world knowledge bases, yet current evaluations are fragmented, focusing on either text or images in isolation or on simplified multimodal setups that fail to capture document-centric multimodal use cases. In this paper, we introduce UniDoc-Bench, the first large-scale, realistic benchmark for MM-RAG built from 70k real-world PDF pages across eight domains. Our pipeline extracts and links evidence from text, tables, and figures, then generates 1,600 multimodal QA pairs spanning factual retrieval, comparison, summarization, and logical reasoning queries. To ensure reliability, 20% of QA pairs are validated by multiple annotators and expert adjudication. UniDoc-Bench supports apples-to-apples comparison across four paradigms: (1) text-only, (2) image-only, (3) multimodal text-image fusion, and (4) multimodal joint retrieval -- under a unified protocol with standardized candidate pools, prompts, and evaluation metrics. Our experiments show that multimodal text-image fusion RAG systems consistently outperform both unimodal and jointly multimodal embedding-based retrieval, indicating that neither text nor images alone are sufficient and that current multimodal embeddings remain inadequate. Beyond benchmarking, our analysis reveals when and how visual context complements textual evidence, uncovers systematic failure modes, and offers actionable guidance for developing more robust MM-RAG pipelines.

We use (multi)modal deep neural networks (DNNs) to probe for sites of multimodal integration in the human brain by predicting stereoencephalography (SEEG) recordings taken while human subjects watched movies. We operationalize sites of multimodal integration as regions where a multimodal vision-language model predicts recordings better than unimodal language, unimodal vision, or linearly-integrated language-vision models. Our target DNN models span different architectures (e.g., convolutional networks and transformers) and multimodal training techniques (e.g., cross-attention and contrastive learning). As a key enabling step, we first demonstrate that trained vision and language models systematically outperform their randomly initialized counterparts in their ability to predict SEEG signals. We then compare unimodal and multimodal models against one another. Because our target DNN models often have different architectures, number of parameters, and training sets (possibly obscuring those differences attributable to integration), we carry out a controlled comparison of two models (SLIP and SimCLR), which keep all of these attributes the same aside from input modality. Using this approach, we identify a sizable number of neural sites (on average 141 out of 1090 total sites or 12.94%) and brain regions where multimodal integration seems to occur. Additionally, we find that among the variants of multimodal training techniques we assess, CLIP-style training is the best suited for downstream prediction of the neural activity in these sites.

Training large foundation models using self-supervised objectives on unlabeled data, followed by fine-tuning on downstream tasks, has emerged as a standard procedure. Unfortunately, the efficacy of this approach is often constrained by both limited fine-tuning compute and scarcity in labeled downstream data. We introduce Multimodal Attention Merging (MAM), an attempt that facilitates direct knowledge transfer from attention matrices of models rooted in high resource modalities, text and images, to those in resource-constrained domains, speech and audio, employing a zero-shot paradigm. MAM reduces the relative Word Error Rate (WER) of an Automatic Speech Recognition (ASR) model by up to 6.70%, and relative classification error of an Audio Event Classification (AEC) model by 10.63%. In cases where some data/compute is available, we present Learnable-MAM, a data-driven approach to merging attention matrices, resulting in a further 2.90% relative reduction in WER for ASR and 18.42% relative reduction in AEC compared to fine-tuning.

Multimodal foundation models that can holistically process text alongside images, video, audio, and other sensory modalities are increasingly used in a variety of real-world applications. However, it is challenging to characterize and study progress in multimodal foundation models, given the range of possible modeling decisions, tasks, and domains. In this paper, we introduce Holistic Evaluation of Multimodal Models (HEMM) to systematically evaluate the capabilities of multimodal foundation models across a set of 3 dimensions: basic skills, information flow, and real-world use cases. Basic multimodal skills are internal abilities required to solve problems, such as learning interactions across modalities, fine-grained alignment, multi-step reasoning, and the ability to handle external knowledge. Information flow studies how multimodal content changes during a task through querying, translation, editing, and fusion. Use cases span domain-specific challenges introduced in real-world multimedia, affective computing, natural sciences, healthcare, and human-computer interaction applications. Through comprehensive experiments across the 30 tasks in HEMM, we (1) identify key dataset dimensions (e.g., basic skills, information flows, and use cases) that pose challenges to today's models, and (2) distill performance trends regarding how different modeling dimensions (e.g., scale, pre-training data, multimodal alignment, pre-training, and instruction tuning objectives) influence performance. Our conclusions regarding challenging multimodal interactions, use cases, and tasks requiring reasoning and external knowledge, the benefits of data and model scale, and the impacts of instruction tuning yield actionable insights for future work in multimodal foundation models.

Sound design involves creatively selecting, recording, and editing sound effects for various media like cinema, video games, and virtual/augmented reality. One of the most time-consuming steps when designing sound is synchronizing audio with video. In some cases, environmental recordings from video shoots are available, which can aid in the process. However, in video games and animations, no reference audio exists, requiring manual annotation of event timings from the video. We propose a system to extract repetitive actions onsets from a video, which are then used - in conjunction with audio or textual embeddings - to condition a diffusion model trained to generate a new synchronized sound effects audio track. In this way, we leave complete creative control to the sound designer while removing the burden of synchronization with video. Furthermore, editing the onset track or changing the conditioning embedding requires much less effort than editing the audio track itself, simplifying the sonification process. We provide sound examples, source code, and pretrained models to faciliate reproducibility

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

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

This study proposes the design and implementation of a multimodal LLM-based Multi-Agent System (MAS) leveraging a No-Code platform to address the practical constraints and significant entry barriers associated with AI adoption in enterprises. Advanced AI technologies, such as Large Language Models (LLMs), often pose challenges due to their technical complexity and high implementation costs, making them difficult for many organizations to adopt. To overcome these limitations, this research develops a No-Code-based Multi-Agent System designed to enable users without programming knowledge to easily build and manage AI systems. The study examines various use cases to validate the applicability of AI in business processes, including code generation from image-based notes, Advanced RAG-based question-answering systems, text-based image generation, and video generation using images and prompts. These systems lower the barriers to AI adoption, empowering not only professional developers but also general users to harness AI for significantly improved productivity and efficiency. By demonstrating the scalability and accessibility of No-Code platforms, this study advances the democratization of AI technologies within enterprises and validates the practical applicability of Multi-Agent Systems, ultimately contributing to the widespread adoption of AI across various industries.

Left-behind children (LBCs), numbering over 66 million in China, face severe mental health challenges due to parental migration for work. Early screening and identification of at-risk LBCs is crucial, yet challenging due to the severe shortage of mental health professionals, especially in rural areas. While the House-Tree-Person (HTP) test shows higher child participation rates, its requirement for expert interpretation limits its application in resource-scarce regions. To address this challenge, we propose PsyDraw, a multi-agent system based on Multimodal Large Language Models that assists mental health professionals in analyzing HTP drawings. The system employs specialized agents for feature extraction and psychological interpretation, operating in two stages: comprehensive feature analysis and professional report generation. Evaluation of HTP drawings from 290 primary school students reveals that 71.03% of the analyzes achieved High Consistency with professional evaluations, 26.21% Moderate Consistency and only 2.41% Low Consistency. The system identified 31.03% of cases requiring professional attention, demonstrating its effectiveness as a preliminary screening tool. Currently deployed in pilot schools, \method shows promise in supporting mental health professionals, particularly in resource-limited areas, while maintaining high professional standards in psychological assessment.

As large language models expand beyond natural language to domains such as mathematics, multimodal understanding, and embodied agents, tokens increasingly reflect metric relationships rather than purely linguistic meaning. We introduce DIST2Loss, a distance-aware framework designed to train autoregressive discrete models by leveraging predefined distance relationships among output tokens. At its core, DIST2Loss transforms continuous exponential family distributions derived from inherent distance metrics into discrete, categorical optimization targets compatible with the models' architectures. This approach enables the models to learn and preserve meaningful distance relationships during token generation while maintaining compatibility with existing architectures. Empirical evaluations show consistent performance gains in diverse multimodal applications, including visual grounding, robotic manipulation, generative reward modeling, and image generation using vector-quantized features. These improvements are pronounced in cases of limited training data, highlighting DIST2Loss's effectiveness in resource-constrained settings.

Multimodal large language models (MLLMs) are increasingly deployed in open-ended, real-world environments where inputs are messy, underspecified, and not always trustworthy. Unlike curated benchmarks, these settings frequently involve instructions that refer to missing objects or contradictory facts, rely on ambiguous references, or request infeasible actions. In such cases, success hinges not on task execution alone, but on a model's ability to detect when something is silently wrong. This paper presents a systematic analysis of how current MLLMs handle such implicit reasoning scenarios: cases where the flaw is not explicitly stated but must be inferred from context. Using a curated diagnostic suite spanning four categories of real-world failure modes, we evaluate six MLLMs, including o3 and GPT-4o, and find that models frequently fail to surface hidden issues, even when they possess the necessary perceptual and reasoning skills. Explicit prompting reveals that the underlying capabilities exist but are often suppressed in favor of user compliance. We further show that simple inference-time interventions, such as cautious persona prompting and, in particular, requiring a clarifying question, can dramatically recover performance. Our findings highlight a persistent gap between reasoning competence and behavioral compliance in current MLLMs and suggest practical strategies for making these models more trustworthy in underconstrained environments.

Text role classification involves classifying the semantic role of textual elements within scientific charts. For this task, we propose to finetune two pretrained multimodal document layout analysis models, LayoutLMv3 and UDOP, on chart datasets. The transformers utilize the three modalities of text, image, and layout as input. We further investigate whether data augmentation and balancing methods help the performance of the models. The models are evaluated on various chart datasets, and results show that LayoutLMv3 outperforms UDOP in all experiments. LayoutLMv3 achieves the highest F1-macro score of 82.87 on the ICPR22 test dataset, beating the best-performing model from the ICPR22 CHART-Infographics challenge. Moreover, the robustness of the models is tested on a synthetic noisy dataset ICPR22-N. Finally, the generalizability of the models is evaluated on three chart datasets, CHIME-R, DeGruyter, and EconBiz, for which we added labels for the text roles. Findings indicate that even in cases where there is limited training data, transformers can be used with the help of data augmentation and balancing methods. The source code and datasets are available on GitHub under https://github.com/hjkimk/text-role-classification

Multimodal Continual Instruction Tuning (MCIT) aims to enable Multimodal Large Language Models (MLLMs) to incrementally learn new tasks without catastrophic forgetting. In this paper, we explore forgetting in this context, categorizing it into superficial forgetting and essential forgetting. Superficial forgetting refers to cases where the model's knowledge may not be genuinely lost, but its responses to previous tasks deviate from expected formats due to the influence of subsequent tasks' answer styles, making the results unusable. By contrast, essential forgetting refers to situations where the model provides correctly formatted but factually inaccurate answers, indicating a true loss of knowledge. Assessing essential forgetting necessitates addressing superficial forgetting first, as severe superficial forgetting can obscure the model's knowledge state. Hence, we first introduce the Answer Style Diversification (ASD) paradigm, which defines a standardized process for transforming data styles across different tasks, unifying their training sets into similarly diversified styles to prevent superficial forgetting caused by style shifts. Building on this, we propose RegLoRA to mitigate essential forgetting. RegLoRA stabilizes key parameters where prior knowledge is primarily stored by applying regularization, enabling the model to retain existing competencies. Experimental results demonstrate that our overall method, SEFE, achieves state-of-the-art performance.

Mobile User Interface Summarization generates succinct language descriptions of mobile screens for conveying important contents and functionalities of the screen, which can be useful for many language-based application scenarios. We present Screen2Words, a novel screen summarization approach that automatically encapsulates essential information of a UI screen into a coherent language phrase. Summarizing mobile screens requires a holistic understanding of the multi-modal data of mobile UIs, including text, image, structures as well as UI semantics, motivating our multi-modal learning approach. We collected and analyzed a large-scale screen summarization dataset annotated by human workers. Our dataset contains more than 112k language summarization across sim22k unique UI screens. We then experimented with a set of deep models with different configurations. Our evaluation of these models with both automatic accuracy metrics and human rating shows that our approach can generate high-quality summaries for mobile screens. We demonstrate potential use cases of Screen2Words and open-source our dataset and model to lay the foundations for further bridging language and user interfaces.

Autonomous agents that accomplish complex computer tasks with minimal human interventions have the potential to transform human-computer interaction, significantly enhancing accessibility and productivity. However, existing benchmarks either lack an interactive environment or are limited to environments specific to certain applications or domains, failing to reflect the diverse and complex nature of real-world computer use, thereby limiting the scope of tasks and agent scalability. To address this issue, we introduce OSWorld, the first-of-its-kind scalable, real computer environment for multimodal agents, supporting task setup, execution-based evaluation, and interactive learning across various operating systems such as Ubuntu, Windows, and macOS. OSWorld can serve as a unified, integrated computer environment for assessing open-ended computer tasks that involve arbitrary applications. Building upon OSWorld, we create a benchmark of 369 computer tasks involving real web and desktop apps in open domains, OS file I/O, and workflows spanning multiple applications. Each task example is derived from real-world computer use cases and includes a detailed initial state setup configuration and a custom execution-based evaluation script for reliable, reproducible evaluation. Extensive evaluation of state-of-the-art LLM/VLM-based agents on OSWorld reveals significant deficiencies in their ability to serve as computer assistants. While humans can accomplish over 72.36% of the tasks, the best model achieves only 12.24% success, primarily struggling with GUI grounding and operational knowledge. Comprehensive analysis using OSWorld provides valuable insights for developing multimodal generalist agents that were not possible with previous benchmarks. Our code, environment, baseline models, and data are publicly available at https://os-world.github.io.

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

Data science and engineering workflows often span multiple stages, from warehousing to orchestration, using tools like BigQuery, dbt, and Airbyte. As vision language models (VLMs) advance in multimodal understanding and code generation, VLM-based agents could potentially automate these workflows by generating SQL queries, Python code, and GUI operations. This automation can improve the productivity of experts while democratizing access to large-scale data analysis. In this paper, we introduce Spider2-V, the first multimodal agent benchmark focusing on professional data science and engineering workflows, featuring 494 real-world tasks in authentic computer environments and incorporating 20 enterprise-level professional applications. These tasks, derived from real-world use cases, evaluate the ability of a multimodal agent to perform data-related tasks by writing code and managing the GUI in enterprise data software systems. To balance realistic simulation with evaluation simplicity, we devote significant effort to developing automatic configurations for task setup and carefully crafting evaluation metrics for each task. Furthermore, we supplement multimodal agents with comprehensive documents of these enterprise data software systems. Our empirical evaluation reveals that existing state-of-the-art LLM/VLM-based agents do not reliably automate full data workflows (14.0% success). Even with step-by-step guidance, these agents still underperform in tasks that require fine-grained, knowledge-intensive GUI actions (16.2%) and involve remote cloud-hosted workspaces (10.6%). We hope that Spider2-V paves the way for autonomous multimodal agents to transform the automation of data science and engineering workflow. Our code and data are available at https://spider2-v.github.io.

Data-driven navigation algorithms are critically dependent on large-scale, high-quality real-world data collection for successful training and robust performance in realistic and uncontrolled conditions. To enhance the growing family of navigation-related real-world datasets, we introduce EgoWalk - a dataset of 50 hours of human navigation in a diverse set of indoor/outdoor, varied seasons, and location environments. Along with the raw and Imitation Learning-ready data, we introduce several pipelines to automatically create subsidiary datasets for other navigation-related tasks, namely natural language goal annotations and traversability segmentation masks. Diversity studies, use cases, and benchmarks for the proposed dataset are provided to demonstrate its practical applicability. We openly release all data processing pipelines and the description of the hardware platform used for data collection to support future research and development in robot navigation systems.

Deployed multimodal systems can fail in ways that evaluators did not anticipate. In order to find these failures before deployment, we introduce MultiMon, a system that automatically identifies systematic failures -- generalizable, natural-language descriptions of patterns of model failures. To uncover systematic failures, MultiMon scrapes a corpus for examples of erroneous agreement: inputs that produce the same output, but should not. It then prompts a language model (e.g., GPT-4) to find systematic patterns of failure and describe them in natural language. We use MultiMon to find 14 systematic failures (e.g., "ignores quantifiers") of the CLIP text-encoder, each comprising hundreds of distinct inputs (e.g., "a shelf with a few/many books"). Because CLIP is the backbone for most state-of-the-art multimodal systems, these inputs produce failures in Midjourney 5.1, DALL-E, VideoFusion, and others. MultiMon can also steer towards failures relevant to specific use cases, such as self-driving cars. We see MultiMon as a step towards evaluation that autonomously explores the long tail of potential system failures. Code for MULTIMON is available at https://github.com/tsb0601/MultiMon.

In this paper, we tackle two challenges in multimodal learning for visual recognition: 1) when missing-modality occurs either during training or testing in real-world situations; and 2) when the computation resources are not available to finetune on heavy transformer models. To this end, we propose to utilize prompt learning and mitigate the above two challenges together. Specifically, our modality-missing-aware prompts can be plugged into multimodal transformers to handle general missing-modality cases, while only requiring less than 1% learnable parameters compared to training the entire model. We further explore the effect of different prompt configurations and analyze the robustness to missing modality. Extensive experiments are conducted to show the effectiveness of our prompt learning framework that improves the performance under various missing-modality cases, while alleviating the requirement of heavy model re-training. Code is available.

Wireless foundation models (WFMs) have recently demonstrated promising capabilities, jointly performing multiple wireless functions and adapting effectively to new environments. However, while current WFMs process only one modality, depending on the task and operating conditions, the most informative modality changes and no single modality is best for all tasks. WFMs should therefore be designed to accept multiple modalities to enable a broader and more diverse range of tasks and scenarios. In this work, we propose and build the first multimodal wireless foundation model capable of processing both raw IQ streams and image-like wireless modalities (e.g., spectrograms and CSI) and performing multiple tasks across both. We introduce masked wireless modeling for the multimodal setting, a self-supervised objective and pretraining recipe that learns a joint representation from IQ streams and image-like wireless modalities. We evaluate the model on five tasks across both modality families: image-based (human activity sensing, RF signal classification, 5G NR positioning) and IQ-based (RF device fingerprinting, interference detection/classification). The multimodal WFM is competitive with single-modality WFMs, and in several cases surpasses their performance. Our results demonstrates the strong potential of developing multimodal WFMs that support diverse wireless tasks across different modalities. We believe this provides a concrete step toward both AI-native 6G and the vision of joint sensing, communication, and localization.

Accurate estimation of brain infarction (i.e., irreversibly damaged tissue) is critical for guiding treatment decisions in acute ischemic stroke. Reliable infarct prediction informs key clinical interventions, including the need for patient transfer to comprehensive stroke centers, the potential benefit of additional reperfusion attempts during mechanical thrombectomy, decisions regarding secondary neuroprotective treatments, and ultimately, prognosis of clinical outcomes. This work introduces the Ischemic Stroke Lesion Segmentation (ISLES) 2024 challenge, which focuses on the prediction of final infarct volumes from pre-interventional acute stroke imaging and clinical data. ISLES24 provides a comprehensive, multimodal setting where participants can leverage all clinically and practically available data, including full acute CT imaging, sub-acute follow-up MRI, and structured clinical information, across a train set of 150 cases. On the hidden test set of 98 cases, the top-performing model, a multimodal nnU-Net-based architecture, achieved a Dice score of 0.285 (+/- 0.213) and an absolute volume difference of 21.2 (+/- 37.2) mL, underlining the significant challenges posed by this task and the need for further advances in multimodal learning. This work makes two primary contributions: first, we establish a standardized, clinically realistic benchmark for post-treatment infarct prediction, enabling systematic evaluation of multimodal algorithmic strategies on a longitudinal stroke dataset; second, we analyze current methodological limitations and outline key research directions to guide the development of next-generation infarct prediction models.

Pathological diagnosis remains the definitive standard for identifying tumors. The rise of multimodal large models has simplified the process of integrating image analysis with textual descriptions. Despite this advancement, the substantial costs associated with training and deploying these complex multimodal models, together with a scarcity of high-quality training datasets, create a significant divide between cutting-edge technology and its application in the clinical setting. We had meticulously compiled a dataset of approximately 45,000 cases, covering over 6 different tasks, including the classification of organ tissues, generating pathology report descriptions, and addressing pathology-related questions and answers. We have fine-tuned multimodal large models, specifically LLaVA, Qwen-VL, InternLM, with this dataset to enhance instruction-based performance. We conducted a qualitative assessment of the capabilities of the base model and the fine-tuned model in performing image captioning and classification tasks on the specific dataset. The evaluation results demonstrate that the fine-tuned model exhibits proficiency in addressing typical pathological questions. We hope that by making both our models and datasets publicly available, they can be valuable to the medical and research communities.

Multimodal learning is a rapidly growing research field that has revolutionized multitasking and generative modeling in AI. While much of the research has focused on dealing with unstructured data (e.g., language, images, audio, or video), structured data (e.g., tabular data, time series, or signals) has received less attention. However, many industry-relevant use cases involve or can be benefited from both types of data. In this work, we propose a modular, end-to-end multimodal learning method called MAGNUM, which can natively handle both structured and unstructured data. MAGNUM is flexible enough to employ any specialized unimodal module to extract, compress, and fuse information from all available modalities.

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure mode: instability in early evidence interpretation precedes hallucination, creating branching reasoning trajectories that cascade into globally inconsistent conclusions. This highlights the need for clinical reasoning agents that constrain stochasticity and hallucination while producing auditable decision flows. We introduce MedMMV, a controllable multimodal multi-agent framework for reliable and verifiable clinical reasoning. MedMMV stabilizes reasoning through diversified short rollouts, grounds intermediate steps in a structured evidence graph under the supervision of a Hallucination Detector, and aggregates candidate paths with a Combined Uncertainty scorer. On six medical benchmarks, MedMMV improves accuracy by up to 12.7% and, more critically, demonstrates superior reliability. Blind physician evaluations confirm that MedMMV substantially increases reasoning truthfulness without sacrificing informational content. By controlling instability through a verifiable, multi-agent process, our framework provides a robust path toward deploying trustworthy AI systems in high-stakes domains like clinical decision support.

Despite progress in multimodal sarcasm detection, existing datasets and methods predominantly focus on single-image scenarios, overlooking potential semantic and affective relations across multiple images. This leaves a gap in modeling cases where sarcasm is triggered by multi-image cues in real-world settings. To bridge this gap, we introduce MMSD3.0, a new benchmark composed entirely of multi-image samples curated from tweets and Amazon reviews. We further propose the Cross-Image Reasoning Model (CIRM), which performs targeted cross-image sequence modeling to capture latent inter-image connections. In addition, we introduce a relevance-guided, fine-grained cross-modal fusion mechanism based on text-image correspondence to reduce information loss during integration. We establish a comprehensive suite of strong and representative baselines and conduct extensive experiments, showing that MMSD3.0 is an effective and reliable benchmark that better reflects real-world conditions. Moreover, CIRM demonstrates state-of-the-art performance across MMSD, MMSD2.0 and MMSD3.0, validating its effectiveness in both single-image and multi-image scenarios.

The rise of powerful multimodal LLMs has enhanced the viability of building web agents which can, with increasing levels of autonomy, assist users to retrieve information and complete tasks on various human-computer interfaces. It is hence necessary to build challenging benchmarks that span a wide-variety of use cases reflecting real-world usage. In this work, we present WebQuest, a multi-page question-answering dataset that requires reasoning across multiple related web pages. In contrast to existing UI benchmarks that focus on multi-step web navigation and task completion, our dataset evaluates information extraction, multimodal retrieval and composition of information from many web pages. WebQuest includes three question categories: single-screen QA, multi-screen QA, and QA based on navigation traces. We evaluate leading proprietary multimodal models like GPT-4V, Gemini Flash, Claude 3, and open source models like InstructBLIP, PaliGemma on our dataset, revealing a significant gap between single-screen and multi-screen reasoning. Finally, we investigate inference time techniques like Chain-of-Thought prompting to improve model capabilities on multi-screen reasoning.

The development of multimodal models has significantly advanced multimodal sentiment analysis and emotion recognition. However, in real-world applications, the presence of various missing modality cases often leads to a degradation in the model's performance. In this work, we propose a novel multimodal Transformer framework using prompt learning to address the issue of missing modalities. Our method introduces three types of prompts: generative prompts, missing-signal prompts, and missing-type prompts. These prompts enable the generation of missing modality features and facilitate the learning of intra- and inter-modality information. Through prompt learning, we achieve a substantial reduction in the number of trainable parameters. Our proposed method outperforms other methods significantly across all evaluation metrics. Extensive experiments and ablation studies are conducted to demonstrate the effectiveness and robustness of our method, showcasing its ability to effectively handle missing modalities.

The deployment of Large Language Models (LLMs) and Large Multimodal Models (LMMs) on mobile devices has gained significant attention due to the benefits of enhanced privacy, stability, and personalization. However, the hardware constraints of mobile devices necessitate the use of models with fewer parameters and model compression techniques like quantization. Currently, there is limited understanding of quantization's impact on various task performances, including LLM tasks, LMM tasks, and, critically, trust and safety. There is a lack of adequate tools for systematically testing these models on mobile devices. To address these gaps, we introduce MobileAIBench, a comprehensive benchmarking framework for evaluating mobile-optimized LLMs and LMMs. MobileAIBench assesses models across different sizes, quantization levels, and tasks, measuring latency and resource consumption on real devices. Our two-part open-source framework includes a library for running evaluations on desktops and an iOS app for on-device latency and hardware utilization measurements. Our thorough analysis aims to accelerate mobile AI research and deployment by providing insights into the performance and feasibility of deploying LLMs and LMMs on mobile platforms.

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

Although LLMs demonstrate proficiency in several text-based reasoning and planning tasks, their implementation in robotics control is constrained by significant deficiencies: (1) LLM agents are designed to work mainly with textual inputs rather than visual conditions; (2) Current multimodal agents treat LLMs as static planners, which separates their reasoning from environment dynamics, resulting in actions that do not take domain-specific knowledge into account; and (3) LLMs are not designed to learn from visual interactions, which makes it harder for them to make better policies for specific domains. In this paper, we introduce EMAC+, an Embodied Multimodal Agent that collaboratively integrates LLM and VLM via a bidirectional training paradigm. Unlike existing methods, EMAC+ dynamically refines high-level textual plans generated by an LLM using real-time feedback from a VLM executing low-level visual control tasks. We address critical limitations of previous models by enabling the LLM to internalize visual environment dynamics directly through interactive experience, rather than relying solely on static symbolic mappings. Extensive experimental evaluations on ALFWorld and RT-1 benchmarks demonstrate that EMAC+ achieves superior task performance, robustness against noisy observations, and efficient learning. We also conduct thorough ablation studies and provide detailed analyses of success and failure cases.

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.

The goal of multimodal alignment is to learn a single latent space that is shared between multimodal inputs. The most powerful models in this space have been trained using massive datasets of paired inputs and large-scale computational resources, making them prohibitively expensive to train in many practical scenarios. We surmise that existing unimodal encoders pre-trained on large amounts of unimodal data should provide an effective bootstrap to create multimodal models from unimodal ones at much lower costs. We therefore propose FuseMix, a multimodal augmentation scheme that operates on the latent spaces of arbitrary pre-trained unimodal encoders. Using FuseMix for multimodal alignment, we achieve competitive performance -- and in certain cases outperform state-of-the art methods -- in both image-text and audio-text retrieval, with orders of magnitude less compute and data: for example, we outperform CLIP on the Flickr30K text-to-image retrieval task with sim ! 600times fewer GPU days and sim ! 80times fewer image-text pairs. Additionally, we show how our method can be applied to convert pre-trained text-to-image generative models into audio-to-image ones. Code is available at: https://github.com/layer6ai-labs/fusemix.

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

To perform autonomous visual search for environmental monitoring, a robot may leverage satellite imagery as a prior map. This can help inform coarse, high-level search and exploration strategies, even when such images lack sufficient resolution to allow fine-grained, explicit visual recognition of targets. However, there are some challenges to overcome with using satellite images to direct visual search. For one, targets that are unseen in satellite images are underrepresented (compared to ground images) in most existing datasets, and thus vision models trained on these datasets fail to reason effectively based on indirect visual cues. Furthermore, approaches which leverage large Vision Language Models (VLMs) for generalization may yield inaccurate outputs due to hallucination, leading to inefficient search. To address these challenges, we introduce Search-TTA, a multimodal test-time adaptation framework that can accept text and/or image input. First, we pretrain a remote sensing image encoder to align with CLIP's visual encoder to output probability distributions of target presence used for visual search. Second, our framework dynamically refines CLIP's predictions during search using a test-time adaptation mechanism. Through a feedback loop inspired by Spatial Poisson Point Processes, gradient updates (weighted by uncertainty) are used to correct (potentially inaccurate) predictions and improve search performance. To validate Search-TTA's performance, we curate a visual search dataset based on internet-scale ecological data. We find that Search-TTA improves planner performance by up to 9.7%, particularly in cases with poor initial CLIP predictions. It also achieves comparable performance to state-of-the-art VLMs. Finally, we deploy Search-TTA on a real UAV via hardware-in-the-loop testing, by simulating its operation within a large-scale simulation that provides onboard sensing.

While Multimodal Large Language Models (MLLMs) are widely used for a variety of vision-language tasks, one observation is that they sometimes misinterpret visual inputs or fail to follow textual instructions even in straightforward cases, leading to irrelevant responses, mistakes, and ungrounded claims. This observation is analogous to a phenomenon in neuropsychology known as Agnosia, an inability to correctly process sensory modalities and recognize things (e.g., objects, colors, relations). In our study, we adapt this similar concept to define "agnosia in MLLMs", and our goal is to comprehensively evaluate and mitigate such agnosia in MLLMs. Inspired by the diagnosis and treatment process in neuropsychology, we propose a novel framework EMMA (Evaluation and Mitigation of Multimodal Agnosia). In EMMA, we develop an evaluation module that automatically creates fine-grained and diverse visual question answering examples to assess the extent of agnosia in MLLMs comprehensively. We also develop a mitigation module to reduce agnosia in MLLMs through multimodal instruction tuning on fine-grained conversations. To verify the effectiveness of our framework, we evaluate and analyze agnosia in seven state-of-the-art MLLMs using 9K test samples. The results reveal that most of them exhibit agnosia across various aspects and degrees. We further develop a fine-grained instruction set and tune MLLMs to mitigate agnosia, which led to notable improvement in accuracy.

Large Multimodal Models (LMMs) have demonstrated impressive capabilities in video reasoning via Chain-of-Thought (CoT). However, the robustness of their reasoning chains remains questionable. In this paper, we identify a critical failure mode termed textual inertia, where once a textual hallucination occurs in the thinking process, models tend to blindly adhere to the erroneous text while neglecting conflicting visual evidence. To systematically investigate this, we propose the LogicGraph Perturbation Protocol that structurally injects perturbations into the reasoning chains of diverse LMMs spanning both native reasoning architectures and prompt-driven paradigms to evaluate their self-reflection capabilities. The results reveal that models successfully self-correct in less than 10% of cases and predominantly succumb to blind textual error propagation. To mitigate this, we introduce Active Visual-Context Refinement, a training-free inference paradigm which orchestrates an active visual re-grounding mechanism to enforce fine-grained verification coupled with an adaptive context refinement strategy to summarize and denoise the reasoning history. Experiments demonstrate that our approach significantly stifles hallucination propagation and enhances reasoning robustness.

Large Language Models (LLMs) are increasingly used in a variety of applications, but concerns around membership inference have grown in parallel. Previous efforts focus on black-to-grey-box models, thus neglecting the potential benefit from internal LLM information. To address this, we propose the use of Linear Probes (LPs) as a method to detect Membership Inference Attacks (MIAs) by examining internal activations of LLMs. Our approach, dubbed LUMIA, applies LPs layer-by-layer to get fine-grained data on the model inner workings. We test this method across several model architectures, sizes and datasets, including unimodal and multimodal tasks. In unimodal MIA, LUMIA achieves an average gain of 15.71 % in Area Under the Curve (AUC) over previous techniques. Remarkably, LUMIA reaches AUC>60% in 65.33% of cases -- an increment of 46.80% against the state of the art. Furthermore, our approach reveals key insights, such as the model layers where MIAs are most detectable. In multimodal models, LPs indicate that visual inputs can significantly contribute to detect MIAs -- AUC>60% is reached in 85.90% of experiments.

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in understanding anatomical information, diagnosing eye diseases, and drafting interpretations and follow-up plans, thereby reducing the burden on clinicians and improving access to eye care. However, limited benchmarks are available to assess LVLMs' performance in ophthalmology-specific applications. In this study, we introduce LMOD, a large-scale multimodal ophthalmology benchmark consisting of 21,993 instances across (1) five ophthalmic imaging modalities: optical coherence tomography, color fundus photographs, scanning laser ophthalmoscopy, lens photographs, and surgical scenes; (2) free-text, demographic, and disease biomarker information; and (3) primary ophthalmology-specific applications such as anatomical information understanding, disease diagnosis, and subgroup analysis. In addition, we benchmarked 13 state-of-the-art LVLM representatives from closed-source, open-source, and medical domains. The results demonstrate a significant performance drop for LVLMs in ophthalmology compared to other domains. Systematic error analysis further identified six major failure modes: misclassification, failure to abstain, inconsistent reasoning, hallucination, assertions without justification, and lack of domain-specific knowledge. In contrast, supervised neural networks specifically trained on these tasks as baselines demonstrated high accuracy. These findings underscore the pressing need for benchmarks in the development and validation of ophthalmology-specific LVLMs.

Generalized Referring Expression Segmentation (GRES) extends the scope of classic RES to refer to multiple objects in one expression or identify the empty targets absent in the image. GRES poses challenges in modeling the complex spatial relationships of the instances in the image and identifying non-existing referents. Multimodal Large Language Models (MLLMs) have recently shown tremendous progress in these complicated vision-language tasks. Connecting Large Language Models (LLMs) and vision models, MLLMs are proficient in understanding contexts with visual inputs. Among them, LISA, as a representative, adopts a special [SEG] token to prompt a segmentation mask decoder, e.g., SAM, to enable MLLMs in the RES task. However, existing solutions to GRES remain unsatisfactory since current segmentation MLLMs cannot correctly handle the cases where users might reference multiple subjects in a singular prompt or provide descriptions incongruent with any image target. In this paper, we propose Generalized Segmentation Vision Assistant (GSVA) to address this gap. Specifically, GSVA reuses the [SEG] token to prompt the segmentation model towards supporting multiple mask references simultaneously and innovatively learns to generate a [REJ] token to reject the null targets explicitly. Experiments validate GSVA's efficacy in resolving the GRES issue, marking a notable enhancement and setting a new record on the GRES benchmark gRefCOCO dataset. GSVA also proves effective across various classic referring segmentation and comprehension tasks.

Multimodal sentiment analysis has attracted increasing attention and lots of models have been proposed. However, the performance of the state-of-the-art models decreases sharply when they are deployed in the real world. We find that the main reason is that real-world applications can only access the text outputs by the automatic speech recognition (ASR) models, which may be with errors because of the limitation of model capacity. Through further analysis of the ASR outputs, we find that in some cases the sentiment words, the key sentiment elements in the textual modality, are recognized as other words, which makes the sentiment of the text change and hurts the performance of multimodal sentiment models directly. To address this problem, we propose the sentiment word aware multimodal refinement model (SWRM), which can dynamically refine the erroneous sentiment words by leveraging multimodal sentiment clues. Specifically, we first use the sentiment word position detection module to obtain the most possible position of the sentiment word in the text and then utilize the multimodal sentiment word refinement module to dynamically refine the sentiment word embeddings. The refined embeddings are taken as the textual inputs of the multimodal feature fusion module to predict the sentiment labels. We conduct extensive experiments on the real-world datasets including MOSI-Speechbrain, MOSI-IBM, and MOSI-iFlytek and the results demonstrate the effectiveness of our model, which surpasses the current state-of-the-art models on three datasets. Furthermore, our approach can be adapted for other multimodal feature fusion models easily. Data and code are available at https://github.com/albertwy/SWRM.

Unified Multimodal Models (UMMs) have demonstrated remarkable performance in text-to-image generation (T2I) and editing (TI2I), whether instantiated as assembled unified frameworks which couple powerful vision-language model (VLM) with diffusion-based generator, or as naive Unified Multimodal Models with an early fusion of understanding and generation modalities. We contend that in current unified frameworks, the crucial capability of multimodal generative reasoning which encompasses instruction understanding, grounding, and image referring for identity preservation and faithful reconstruction, is intrinsically entangled with high-fidelity synthesis. In this work, we introduce Query-Kontext, a novel approach that bridges the VLM and diffusion model via a multimodal ``kontext'' composed of semantic cues and coarse-grained image conditions encoded from multimodal inputs. This design delegates the complex ability of multimodal generative reasoning to powerful VLM while reserving diffusion model's role for high-quality visual synthesis. To achieve this, we propose a three-stage progressive training strategy. First, we connect the VLM to a lightweight diffusion head via multimodal kontext tokens to unleash the VLM's generative reasoning ability. Second, we scale this head to a large, pre-trained diffusion model to enhance visual detail and realism. Finally, we introduce a low-level image encoder to improve image fidelity and perform instruction tuning on downstream tasks. Furthermore, we build a comprehensive data pipeline integrating real, synthetic, and open-source datasets, covering diverse multimodal reference-to-image scenarios, including image generation, instruction-driven editing, customized generation, and multi-subject composition. Experiments show that our approach matches strong unified baselines and even outperforms task-specific state-of-the-art methods in several cases.

This paper proposes one of the first clinical applications of multimodal large language models (LLMs) as an assistant for radiologists to check errors in their reports. We created an evaluation dataset from two real-world radiology datasets (MIMIC-CXR and IU-Xray), with 1,000 subsampled reports each. A subset of original reports was modified to contain synthetic errors by introducing various type of mistakes. The evaluation contained two difficulty levels: SIMPLE for binary error-checking and COMPLEX for identifying error types. LLaVA (Large Language and Visual Assistant) variant models, including our instruction-tuned model, were used for the evaluation. Additionally, a domain expert evaluation was conducted on a small test set. At the SIMPLE level, the LLaVA v1.5 model outperformed other publicly available models. Instruction tuning significantly enhanced performance by 47.4% and 25.4% on MIMIC-CXR and IU-Xray data, respectively. The model also surpassed the domain experts accuracy in the MIMIC-CXR dataset by 1.67%. Notably, among the subsets (N=21) of the test set where a clinician did not achieve the correct conclusion, the LLaVA ensemble mode correctly identified 71.4% of these cases. This study marks a promising step toward utilizing multi-modal LLMs to enhance diagnostic accuracy in radiology. The ensemble model demonstrated comparable performance to clinicians, even capturing errors overlooked by humans. Nevertheless, future work is needed to improve the model ability to identify the types of inconsistency.

The increasing application of multi-modal large language models (MLLMs) across various sectors have spotlighted the essence of their output reliability and accuracy, particularly their ability to produce content grounded in factual information (e.g. common and domain-specific knowledge). In this work, we introduce SimpleVQA, the first comprehensive multi-modal benchmark to evaluate the factuality ability of MLLMs to answer natural language short questions. SimpleVQA is characterized by six key features: it covers multiple tasks and multiple scenarios, ensures high quality and challenging queries, maintains static and timeless reference answers, and is straightforward to evaluate. Our approach involves categorizing visual question-answering items into 9 different tasks around objective events or common knowledge and situating these within 9 topics. Rigorous quality control processes are implemented to guarantee high-quality, concise, and clear answers, facilitating evaluation with minimal variance via an LLM-as-a-judge scoring system. Using SimpleVQA, we perform a comprehensive assessment of leading 18 MLLMs and 8 text-only LLMs, delving into their image comprehension and text generation abilities by identifying and analyzing error cases.

Multimodal learning seeks to utilize data from multiple sources to improve the overall performance of downstream tasks. It is desirable for redundancies in the data to make multimodal systems robust to missing or corrupted observations in some correlated modalities. However, we observe that the performance of several existing multimodal networks significantly deteriorates if one or multiple modalities are absent at test time. To enable robustness to missing modalities, we propose a simple and parameter-efficient adaptation procedure for pretrained multimodal networks. In particular, we exploit modulation of intermediate features to compensate for the missing modalities. We demonstrate that such adaptation can partially bridge performance drop due to missing modalities and outperform independent, dedicated networks trained for the available modality combinations in some cases. The proposed adaptation requires extremely small number of parameters (e.g., fewer than 1% of the total parameters) and applicable to a wide range of modality combinations and tasks. We conduct a series of experiments to highlight the missing modality robustness of our proposed method on five different multimodal tasks across seven datasets. Our proposed method demonstrates versatility across various tasks and datasets, and outperforms existing methods for robust multimodal learning with missing modalities.

In this paper, we introduce MIO, a novel foundation model built on multimodal tokens, capable of understanding and generating speech, text, images, and videos in an end-to-end, autoregressive manner. While the emergence of large language models (LLMs) and multimodal large language models (MM-LLMs) propels advancements in artificial general intelligence through their versatile capabilities, they still lack true any-to-any understanding and generation. Recently, the release of GPT-4o has showcased the remarkable potential of any-to-any LLMs for complex real-world tasks, enabling omnidirectional input and output across images, speech, and text. However, it is closed-source and does not support the generation of multimodal interleaved sequences. To address this gap, we present MIO, which is trained on a mixture of discrete tokens across four modalities using causal multimodal modeling. MIO undergoes a four-stage training process: (1) alignment pre-training, (2) interleaved pre-training, (3) speech-enhanced pre-training, and (4) comprehensive supervised fine-tuning on diverse textual, visual, and speech tasks. Our experimental results indicate that MIO exhibits competitive, and in some cases superior, performance compared to previous dual-modal baselines, any-to-any model baselines, and even modality-specific baselines. Moreover, MIO demonstrates advanced capabilities inherent to its any-to-any feature, such as interleaved video-text generation, chain-of-visual-thought reasoning, visual guideline generation, instructional image editing, etc.

This report introduces a new family of multimodal models, Gemini, that exhibit remarkable capabilities across image, audio, video, and text understanding. The Gemini family consists of Ultra, Pro, and Nano sizes, suitable for applications ranging from complex reasoning tasks to on-device memory-constrained use-cases. Evaluation on a broad range of benchmarks shows that our most-capable Gemini Ultra model advances the state of the art in 30 of 32 of these benchmarks - notably being the first model to achieve human-expert performance on the well-studied exam benchmark MMLU, and improving the state of the art in every one of the 20 multimodal benchmarks we examined. We believe that the new capabilities of Gemini models in cross-modal reasoning and language understanding will enable a wide variety of use cases and we discuss our approach toward deploying them responsibly to users.

We present MEGA-Bench, an evaluation suite that scales multimodal evaluation to over 500 real-world tasks, to address the highly heterogeneous daily use cases of end users. Our objective is to optimize for a set of high-quality data samples that cover a highly diverse and rich set of multimodal tasks, while enabling cost-effective and accurate model evaluation. In particular, we collected 505 realistic tasks encompassing over 8,000 samples from 16 expert annotators to extensively cover the multimodal task space. Instead of unifying these problems into standard multi-choice questions (like MMMU, MMBench, and MMT-Bench), we embrace a wide range of output formats like numbers, phrases, code, \LaTeX, coordinates, JSON, free-form, etc. To accommodate these formats, we developed over 40 metrics to evaluate these tasks. Unlike existing benchmarks, MEGA-Bench offers a fine-grained capability report across multiple dimensions (e.g., application, input type, output format, skill), allowing users to interact with and visualize model capabilities in depth. We evaluate a wide variety of frontier vision-language models on MEGA-Bench to understand their capabilities across these dimensions.

Spatial cognition is essential for human intelligence, enabling problem-solving through visual simulations rather than solely relying on verbal reasoning. However, existing AI benchmarks primarily assess verbal reasoning, neglecting the complexities of non-verbal, multi-step visual simulation. We introduce STARE(Spatial Transformations and Reasoning Evaluation), a benchmark designed to rigorously evaluate multimodal large language models on tasks better solved through multi-step visual simulation. STARE features 4K tasks spanning foundational geometric transformations (2D and 3D), integrated spatial reasoning (cube net folding and tangram puzzles), and real-world spatial reasoning (perspective and temporal reasoning), reflecting practical cognitive challenges like object assembly, mechanical diagram interpretation, and everyday spatial navigation. Our evaluations show that models excel at reasoning over simpler 2D transformations, but perform close to random chance on more complex tasks like 3D cube net folding and tangram puzzles that require multi-step visual simulations. Humans achieve near-perfect accuracy but take considerable time (up to 28.9s) on complex tasks, significantly speeding up (down by 7.5 seconds on average) with intermediate visual simulations. In contrast, models exhibit inconsistent performance gains from visual simulations, improving on most tasks but declining in specific cases like tangram puzzles (GPT-4o, o1) and cube net folding (Claude-3.5, Gemini-2.0 Flash), indicating that models may not know how to effectively leverage intermediate visual information.

We introduce Cosmos-Transfer, a conditional world generation model that can generate world simulations based on multiple spatial control inputs of various modalities such as segmentation, depth, and edge. In the design, the spatial conditional scheme is adaptive and customizable. It allows weighting different conditional inputs differently at different spatial locations. This enables highly controllable world generation and finds use in various world-to-world transfer use cases, including Sim2Real. We conduct extensive evaluations to analyze the proposed model and demonstrate its applications for Physical AI, including robotics Sim2Real and autonomous vehicle data enrichment. We further demonstrate an inference scaling strategy to achieve real-time world generation with an NVIDIA GB200 NVL72 rack. To help accelerate research development in the field, we open-source our models and code at https://github.com/nvidia-cosmos/cosmos-transfer1.

In this paper, we introduce OSUniverse: a benchmark of complex, multimodal desktop-oriented tasks for advanced GUI-navigation AI agents that focuses on ease of use, extensibility, comprehensive coverage of test cases, and automated validation. We divide the tasks in increasing levels of complexity, from basic precision clicking to multistep, multiapplication tests requiring dexterity, precision, and clear thinking from the agent. In version one of the benchmark, presented here, we have calibrated the complexity of the benchmark test cases to ensure that the SOTA (State of the Art) agents (at the time of publication) do not achieve results higher than 50%, while the average white collar worker can perform all these tasks with perfect accuracy. The benchmark can be scored manually, but we also introduce an automated validation mechanism that has an average error rate less than 2%. Therefore, this benchmark presents solid ground for fully automated measuring of progress, capabilities and the effectiveness of GUI-navigation AI agents over the short and medium-term horizon. The source code of the benchmark is available at https://github.com/agentsea/osuniverse.

AEC drawings encode geometry and semantics through symbols, layout conventions, and dense annotation, yet it remains unclear whether modern multimodal and vision-language models can reliably interpret this graphical language. We present AECV-Bench, a benchmark for evaluating multimodal and vision-language models on realistic AEC artefacts via two complementary use cases: (i) object counting on 120 high-quality floor plans (doors, windows, bedrooms, toilets), and (ii) drawing-grounded document QA spanning 192 question-answer pairs that test text extraction (OCR), instance counting, spatial reasoning, and comparative reasoning over common drawing regions. Object-counting performance is reported using per-field exact-match accuracy and MAPE results, while document-QA performance is reported using overall accuracy and per-category breakdowns with an LLM-as-a-judge scoring pipeline and targeted human adjudication for edge cases. Evaluating a broad set of state-of-the-art models under a unified protocol, we observe a stable capability gradient; OCR and text-centric document QA are strongest (up to 0.95 accuracy), spatial reasoning is moderate, and symbol-centric drawing understanding - especially reliable counting of doors and windows - remains unsolved (often 0.40-0.55 accuracy) with substantial proportional errors. These results suggest that current systems function well as document assistants but lack robust drawing literacy, motivating domain-specific representations and tool-augmented, human-in-the-loop workflows for an efficient AEC automation.

Multimodal relation extraction (MRE) is a crucial task in the fields of Knowledge Graph and Multimedia, playing a pivotal role in multimodal knowledge graph construction. However, existing methods are typically limited to extracting a single type of relational triplet, which restricts their ability to extract triplets beyond the specified types. Directly combining these methods fails to capture dynamic cross-modal interactions and introduces significant computational redundancy. Therefore, we propose a novel unified multimodal Relation Extraction framework with Multilevel Optimal Transport and mixture-of-Experts, termed REMOTE, which can simultaneously extract intra-modal and inter-modal relations between textual entities and visual objects. To dynamically select optimal interaction features for different types of relational triplets, we introduce mixture-of-experts mechanism, ensuring the most relevant modality information is utilized. Additionally, considering that the inherent property of multilayer sequential encoding in existing encoders often leads to the loss of low-level information, we adopt a multilevel optimal transport fusion module to preserve low-level features while maintaining multilayer encoding, yielding more expressive representations. Correspondingly, we also create a Unified Multimodal Relation Extraction (UMRE) dataset to evaluate the effectiveness of our framework, encompassing diverse cases where the head and tail entities can originate from either text or image. Extensive experiments show that REMOTE effectively extracts various types of relational triplets and achieves state-of-the-art performanc on almost all metrics across two other public MRE datasets. We release our resources at https://github.com/Nikol-coder/REMOTE.

Millions of melanocytic skin lesions are examined by pathologists each year, the majority of which concern common nevi (i.e., ordinary moles). While most of these lesions can be diagnosed in seconds, writing the corresponding pathology report is much more time-consuming. Automating part of the report writing could, therefore, alleviate the increasing workload of pathologists. In this work, we develop a vision-language model specifically for the pathology domain of cutaneous melanocytic lesions. The model follows the Contrastive Captioner framework and was trained and evaluated using a melanocytic lesion dataset of 42,512 H&E-stained whole slide images and 19,645 corresponding pathology reports. Our results show that the quality scores of model-generated reports were on par with pathologist-written reports for common nevi, assessed by an expert pathologist in a reader study. While report generation revealed to be more difficult for rare melanocytic lesion subtypes, the cross-modal retrieval performance for these cases was considerably better.

Multimodal foundation models serve numerous applications at the intersection of vision and language. Still, despite being pretrained on extensive data, they become outdated over time. To keep models updated, research into continual pretraining mainly explores scenarios with either (1) infrequent, indiscriminate updates on large-scale new data, or (2) frequent, sample-level updates. However, practical model deployment often operates in the gap between these two limit cases, as real-world applications often demand adaptation to specific subdomains, tasks or concepts -- spread over the entire, varying life cycle of a model. In this work, we complement current perspectives on continual pretraining through a research test bed as well as provide comprehensive guidance for effective continual model updates in such scenarios. We first introduce FoMo-in-Flux, a continual multimodal pretraining benchmark with realistic compute constraints and practical deployment requirements, constructed over 63 datasets with diverse visual and semantic coverage. Using FoMo-in-Flux, we explore the complex landscape of practical continual pretraining through multiple perspectives: (1) A data-centric investigation of data mixtures and stream orderings that emulate real-world deployment situations, (2) a method-centric investigation ranging from simple fine-tuning and traditional continual learning strategies to parameter-efficient updates and model merging, (3) meta learning rate schedules and mechanistic design choices, and (4) the influence of model and compute scaling. Together, our insights provide a practitioner's guide to continual multimodal pretraining for real-world deployment. Our benchmark and code is here: https://github.com/ExplainableML/fomo_in_flux.

Learning holistic computational representations in physical, chemical or biological systems requires the ability to process information from different distributions and modalities within the same model. Thus, the demand for multimodal machine learning models has sharply risen for modalities that go beyond vision and language, such as sequences, graphs, time series, or tabular data. While there are many available multimodal fusion and alignment approaches, most of them require end-to-end training, scale quadratically with the number of modalities, cannot handle cases of high modality imbalance in the training set, or are highly topology-specific, making them too restrictive for many biomedical learning tasks. This paper presents Multimodal Lego (MM-Lego), a modular and general-purpose fusion and model merging framework to turn any set of encoders into a competitive multimodal model with no or minimal fine-tuning. We achieve this by introducing a wrapper for unimodal encoders that enforces lightweight dimensionality assumptions between modalities and harmonises their representations by learning features in the frequency domain to enable model merging with little signal interference. We show that MM-Lego 1) can be used as a model merging method which achieves competitive performance with end-to-end fusion models without any fine-tuning, 2) can operate on any unimodal encoder, and 3) is a model fusion method that, with minimal fine-tuning, achieves state-of-the-art results on six benchmarked multimodal biomedical tasks.

E-commerce platforms are rich in multimodal data, featuring a variety of images that depict product details. However, this raises an important question: do these images always enhance product understanding, or can they sometimes introduce redundancy or degrade performance? Existing datasets are limited in both scale and design, making it difficult to systematically examine this question. To this end, we introduce EcomMMMU, an e-commerce multimodal multitask understanding dataset with 406,190 samples and 8,989,510 images. EcomMMMU is comprised of multi-image visual-language data designed with 8 essential tasks and a specialized VSS subset to benchmark the capability of multimodal large language models (MLLMs) to effectively utilize visual content. Analysis on EcomMMMU reveals that product images do not consistently improve performance and can, in some cases, degrade it. This indicates that MLLMs may struggle to effectively leverage rich visual content for e-commerce tasks. Building on these insights, we propose SUMEI, a data-driven method that strategically utilizes multiple images via predicting visual utilities before using them for downstream tasks. Comprehensive experiments demonstrate the effectiveness and robustness of SUMEI. The data and code are available through https://anonymous.4open.science/r/submission25.

Sexism is generally defined as prejudice and discrimination based on sex or gender, affecting every sector of society, from social institutions to relationships and individual behavior. Social media platforms amplify the impact of sexism by conveying discriminatory content not only through text but also across multiple modalities, highlighting the critical need for a multimodal approach to the analysis of sexism online. With the rise of social media platforms where users share short videos, sexism is increasingly spreading through video content. Automatically detecting sexism in videos is a challenging task, as it requires analyzing the combination of verbal, audio, and visual elements to identify sexist content. In this study, (1) we introduce MuSeD, a new Multimodal Spanish dataset for Sexism Detection consisting of approx 11 hours of videos extracted from TikTok and BitChute; (2) we propose an innovative annotation framework for analyzing the contribution of textual and multimodal labels in the classification of sexist and non-sexist content; and (3) we evaluate a range of large language models (LLMs) and multimodal LLMs on the task of sexism detection. We find that visual information plays a key role in labeling sexist content for both humans and models. Models effectively detect explicit sexism; however, they struggle with implicit cases, such as stereotypes, instances where annotators also show low agreement. This highlights the inherent difficulty of the task, as identifying implicit sexism depends on the social and cultural context.

The rapid advancements in Autonomous Driving Systems (ADS) have necessitated robust software testing to ensure safety and reliability. However, automating the generation of scalable and concrete test scenarios remains a significant challenge. Current scenario-based test case generation methods often face limitations, such as unrealistic scenes and inaccurate vehicle trajectories. These challenges largely result from the loss of map information during data extraction and the lack of an effective verification mechanism to mitigate hallucinations in large language models (LLMs). This paper introduces TRACE, a scenario-based ADS Test case Generation framework for Critical Scenarios. By leveraging multimodal data to extract challenging scenarios from real-world car crash reports, TRACE constructs numerous critical test cases with less data, significantly enhancing ADS bug detection efficiency. Using in-context learning, chain-of-thought prompting, and self-validation approaches, we use LLMs to extract environmental and road network information from crash reports. For vehicle trajectory planning, data containing map information and vehicle coordinates serves as a knowledge base to build a ChatGPT-based LLM with path-planning capabilities, which we named TrackMate. Based on 50 existing crash reports, our approach successfully tested three ADS models across two simulation platforms, MetaDrive and BeamNG. Of the 290 constructed test scenarios, 127 are identified as critical, as they resulted in vehicle collisions. Additionally, user feedback reveals that TRACE demonstrates superior scenario reconstruction accuracy, with 77.5% of the scenarios being rated as 'mostly or 'totally' consistent, compared to only 27% for the most related SOTA, LCTGen.

Multimodal large language models (MLLMs) have recently shown significant advancements in video understanding, excelling in content reasoning and instruction-following tasks. However, hallucination, where models generate inaccurate or misleading content, remains underexplored in the video domain. Building on the observation that MLLM visual encoders often fail to distinguish visually different yet semantically similar video pairs, we introduce VidHalluc, the largest benchmark designed to examine hallucinations in MLLMs for video understanding. It consists of 5,002 videos, paired to highlight cases prone to hallucinations. VidHalluc assesses hallucinations across three critical dimensions: (1) action, (2) temporal sequence, and (3) scene transition. Comprehensive testing shows that most MLLMs are vulnerable to hallucinations across these dimensions. Furthermore, we propose DINO-HEAL, a training-free method that reduces hallucinations by incorporating spatial saliency from DINOv2 to reweight visual features during inference. Our results show that DINO-HEAL consistently improves performance on VidHalluc, achieving an average improvement of 3.02% in mitigating hallucinations across all tasks. Both the VidHalluc benchmark and DINO-HEAL code are available at https://people-robots.github.io/vidhalluc.

Background: General-purpose large language models that utilize both text and images have not been evaluated on a diverse array of challenging medical cases. Methods: Using 934 cases from the NEJM Image Challenge published between 2005 and 2023, we evaluated the accuracy of the recently released Generative Pre-trained Transformer 4 with Vision model (GPT-4V) compared to human respondents overall and stratified by question difficulty, image type, and skin tone. We further conducted a physician evaluation of GPT-4V on 69 NEJM clinicopathological conferences (CPCs). Analyses were conducted for models utilizing text alone, images alone, and both text and images. Results: GPT-4V achieved an overall accuracy of 61% (95% CI, 58 to 64%) compared to 49% (95% CI, 49 to 50%) for humans. GPT-4V outperformed humans at all levels of difficulty and disagreement, skin tones, and image types; the exception was radiographic images, where performance was equivalent between GPT-4V and human respondents. Longer, more informative captions were associated with improved performance for GPT-4V but similar performance for human respondents. GPT-4V included the correct diagnosis in its differential for 80% (95% CI, 68 to 88%) of CPCs when using text alone, compared to 58% (95% CI, 45 to 70%) of CPCs when using both images and text. Conclusions: GPT-4V outperformed human respondents on challenging medical cases and was able to synthesize information from both images and text, but performance deteriorated when images were added to highly informative text. Overall, our results suggest that multimodal AI models may be useful in medical diagnostic reasoning but that their accuracy may depend heavily on context.

Multimodal machine translation (MMT) simultaneously takes the source sentence and a relevant image as input for translation. Since there is no paired image available for the input sentence in most cases, recent studies suggest utilizing powerful text-to-image generation models to provide image inputs. Nevertheless, synthetic images generated by these models often follow different distributions compared to authentic images. Consequently, using authentic images for training and synthetic images for inference can introduce a distribution shift, resulting in performance degradation during inference. To tackle this challenge, in this paper, we feed synthetic and authentic images to the MMT model, respectively. Then we minimize the gap between the synthetic and authentic images by drawing close the input image representations of the Transformer Encoder and the output distributions of the Transformer Decoder. Therefore, we mitigate the distribution disparity introduced by the synthetic images during inference, thereby freeing the authentic images from the inference process.Experimental results show that our approach achieves state-of-the-art performance on the Multi30K En-De and En-Fr datasets, while remaining independent of authentic images during inference.

Automated interpretation of electrocardiograms (ECG) has garnered significant attention with the advancements in machine learning methodologies. Despite the growing interest, most current studies focus solely on classification or regression tasks, which overlook a crucial aspect of clinical cardio-disease diagnosis: the diagnostic report generated by experienced human clinicians. In this paper, we introduce a novel approach to ECG interpretation, leveraging recent breakthroughs in Large Language Models (LLMs) and Vision-Transformer (ViT) models. Rather than treating ECG diagnosis as a classification or regression task, we propose an alternative method of automatically identifying the most similar clinical cases based on the input ECG data. Also, since interpreting ECG as images is more affordable and accessible, we process ECG as encoded images and adopt a vision-language learning paradigm to jointly learn vision-language alignment between encoded ECG images and ECG diagnosis reports. Encoding ECG into images can result in an efficient ECG retrieval system, which will be highly practical and useful in clinical applications. More importantly, our findings could serve as a crucial resource for providing diagnostic services in underdeveloped regions.

Multimodal large language models (MLLMs) hold significant potential in medical applications, including disease diagnosis and clinical decision-making. However, these tasks require highly accurate, context-sensitive, and professionally aligned responses, making reliable reward models and judges critical. Despite their importance, medical reward models (MRMs) and judges remain underexplored, with no dedicated benchmarks addressing clinical requirements. Existing benchmarks focus on general MLLM capabilities or evaluate models as solvers, neglecting essential evaluation dimensions like diagnostic accuracy and clinical relevance. To address this, we introduce Med-RewardBench, the first benchmark specifically designed to evaluate MRMs and judges in medical scenarios. Med-RewardBench features a multimodal dataset spanning 13 organ systems and 8 clinical departments, with 1,026 expert-annotated cases. A rigorous three-step process ensures high-quality evaluation data across six clinically critical dimensions. We evaluate 32 state-of-the-art MLLMs, including open-source, proprietary, and medical-specific models, revealing substantial challenges in aligning outputs with expert judgment. Additionally, we develop baseline models that demonstrate substantial performance improvements through fine-tuning.

Multimodal Large Language Models (MLLMs) have demonstrated strong generalization in vision-language tasks, yet their ability to understand and act within embodied environments remains underexplored. We present NavBench, a benchmark to evaluate the embodied navigation capabilities of MLLMs under zero-shot settings. NavBench consists of two components: (1) navigation comprehension, assessed through three cognitively grounded tasks including global instruction alignment, temporal progress estimation, and local observation-action reasoning, covering 3,200 question-answer pairs; and (2) step-by-step execution in 432 episodes across 72 indoor scenes, stratified by spatial, cognitive, and execution complexity. To support real-world deployment, we introduce a pipeline that converts MLLMs' outputs into robotic actions. We evaluate both proprietary and open-source models, finding that GPT-4o performs well across tasks, while lighter open-source models succeed in simpler cases. Results also show that models with higher comprehension scores tend to achieve better execution performance. Providing map-based context improves decision accuracy, especially in medium-difficulty scenarios. However, most models struggle with temporal understanding, particularly in estimating progress during navigation, which may pose a key challenge.

Multimodal in-context learning (ICL) remains underexplored despite significant potential for domains such as medicine. Clinicians routinely encounter diverse, specialized tasks requiring adaptation from limited examples, such as drawing insights from a few relevant prior cases or considering a constrained set of differential diagnoses. While multimodal large language models (MLLMs) have shown advances in medical visual question answering (VQA), their ability to learn multimodal tasks from context is largely unknown. We introduce SMMILE, the first expert-driven multimodal ICL benchmark for medical tasks. Eleven medical experts curated problems, each including a multimodal query and multimodal in-context examples as task demonstrations. SMMILE encompasses 111 problems (517 question-image-answer triplets) covering 6 medical specialties and 13 imaging modalities. We further introduce SMMILE++, an augmented variant with 1038 permuted problems. A comprehensive evaluation of 15 MLLMs demonstrates that most models exhibit moderate to poor multimodal ICL ability in medical tasks. In open-ended evaluations, ICL contributes only 8% average improvement over zero-shot on SMMILE and 9.4% on SMMILE++. We observe a susceptibility for irrelevant in-context examples: even a single noisy or irrelevant example can degrade performance by up to 9.5%. Moreover, example ordering exhibits a recency bias, i.e., placing the most relevant example last can lead to substantial performance improvements by up to 71%. Our findings highlight critical limitations and biases in current MLLMs when learning multimodal medical tasks from context.

Existing benchmarks do not test Large Multimodal Models (LMMs) on their interactive intelligence with human users which is vital for developing general-purpose AI assistants. We design InterFeedback, an interactive framework, which can be applied to any LMM and dataset to assess this ability autonomously. On top of this, we introduce InterFeedback-Bench which evaluates interactive intelligence using two representative datasets, MMMU-Pro and MathVerse, to test 10 different open-source LMMs. Additionally, we present InterFeedback-Human, a newly collected dataset of 120 cases designed for manually testing interactive performance in leading models such as OpenAI-o1 and Claude-3.5-Sonnet. Our evaluation results show that even state-of-the-art LMM (like OpenAI-o1) can correct their results through human feedback less than 50%. Our findings point to the need for methods that can enhance the LMMs' capability to interpret and benefit from feedback.

Large Multimodal Models (LMMs) have achieved impressive progress in visual perception and reasoning. However, when confronted with visually ambiguous or non-semantic scene text, they often struggle to accurately spot and understand the content, frequently generating semantically plausible yet visually incorrect answers, which we refer to as semantic hallucination. In this work, we investigate the underlying causes of semantic hallucination and identify a key finding: Transformer layers in LLM with stronger attention focus on scene text regions are less prone to producing semantic hallucinations. Thus, we propose a training-free semantic hallucination mitigation framework comprising two key components: (1) ZoomText, a coarse-to-fine strategy that identifies potential text regions without external detectors; and (2) Grounded Layer Correction, which adaptively leverages the internal representations from layers less prone to hallucination to guide decoding, correcting hallucinated outputs for non-semantic samples while preserving the semantics of meaningful ones. To enable rigorous evaluation, we introduce TextHalu-Bench, a benchmark of over 1,730 samples spanning both semantic and non-semantic cases, with manually curated question-answer pairs designed to probe model hallucinations. Extensive experiments demonstrate that our method not only effectively mitigates semantic hallucination but also achieves strong performance on public benchmarks for scene text spotting and understanding.

Reinforcement learning has recently improved the reasoning ability of Large Language Models and Multimodal LLMs, yet prevailing reward designs emphasise final-answer correctness and consequently tolerate process hallucinations--cases where models reach the right answer while misperceiving visual evidence. We address this process-level misalignment with PaLMR, a framework that aligns not only outcomes but also the reasoning process itself. PaLMR comprises two complementary components: a perception-aligned data layer that constructs process-aware reasoning data with structured pseudo-ground-truths and verifiable visual facts, and a process-aligned optimisation layer that constructs a hierarchical reward fusion scheme with a process-aware scoring function to encourage visually faithful chains-of-thought and improve training stability. Experiments on Qwen2.5-VL-7B show that our approach substantially reduces reasoning hallucinations and improves visual reasoning fidelity, achieving state-of-the-art results on HallusionBench while maintaining strong performance on MMMU, MathVista, and MathVerse. These findings indicate that PaLMR offers a principled and practical route to process-aligned multimodal reasoning, advancing the reliability and interpretability of MLLMs.

Multimodal large language models (MLLMs) are increasingly deployed as assistants that interact through text and images, making it crucial to evaluate contextual safety when risk depends on both the visual scene and the evolving dialogue. Existing contextual safety benchmarks are mostly single-turn and often miss how malicious intent can emerge gradually or how the same scene can support both benign and exploitative goals. We introduce the Multi-Turn Multimodal Contextual Safety Benchmark (MTMCS-Bench), a benchmark of realistic images and multi-turn conversations that evaluates contextual safety in MLLMs under two complementary settings, escalation-based risk and context-switch risk. MTMCS-Bench offers paired safe and unsafe dialogues with structured evaluation. It contains over 30 thousand multimodal (image+text) and unimodal (text-only) samples, with metrics that separately measure contextual intent recognition, safety-awareness on unsafe cases, and helpfulness on benign ones. Across eight open-source and seven proprietary MLLMs, we observe persistent trade-offs between contextual safety and utility, with models tending to either miss gradual risks or over-refuse benign dialogues. Finally, we evaluate five current guardrails and find that they mitigate some failures but do not fully resolve multi-turn contextual risks.

Takeovers remain a key safety vulnerability in production ADAS, yet existing public resources rarely provide takeover-centered, real-world data. We present ADAS-TO, the first large-scale naturalistic dataset dedicated to ADAS-to-manual transitions, containing 15,659 takeover-centered 20s clips from 327 drivers across 22 vehicle brands. Each clip synchronizes front-view video with CAN logs. Takeovers are defined as ADAS ON rightarrow OFF transitions, with the primary trigger labeled as brake, steer, gas, mixed, or system disengagement. We further separate planned driver-initiated terminations (Ego) from forced takeovers (Non-ego) using a rule-based partition. While most events occur within conservative kinematic margins, we identify a long tail of 285 safety-critical cases. For these events, we combine kinematic screening with vision--language (VLM) annotation to attribute hazards and relate them to intervention dynamics. The resulting cross-modal analysis shows distinct kinematic signatures across traffic dynamics, infrastructure degradation, and adverse environments, and finds that in 59.3% of critical cases, actionable visual cues emerge at least 3s before takeover, supporting the potential for semantics-aware early warning beyond late-stage kinematic triggers. The dataset is publicly released at huggingface.co/datasets/HenryYHW/ADAS-TO-Sample.

Incentivizing the reasoning ability of Multimodal Large Language Models (MLLMs) is essential for medical applications to transparently analyze medical scans and provide reliable diagnosis. However, existing medical MLLMs rely solely on internal knowledge during reasoning, leading to hallucinated reasoning and factual inaccuracies when encountering cases beyond their training scope. Although recent Agentic Retrieval-Augmented Generation (RAG) methods elicit the medical model's proactive retrieval ability during reasoning, they are confined to unimodal LLMs, neglecting the crucial visual information during reasoning and retrieval. Consequently, we propose the first Multimodal Medical Reasoning-with-Retrieval framework, Med-RwR, which actively retrieves external knowledge by querying observed symptoms or domain-specific medical concepts during reasoning. Specifically, we design a two-stage reinforcement learning strategy with tailored rewards that stimulate the model to leverage both visual diagnostic findings and textual clinical information for effective retrieval. Building on this foundation, we further propose a Confidence-Driven Image Re-retrieval (CDIR) method for test-time scaling when low prediction confidence is detected. Evaluation on various public medical benchmarks demonstrates Med-RwR's significant improvements over baseline models, proving the effectiveness of enhancing reasoning capabilities with external knowledge integration. Furthermore, Med-RwR demonstrates remarkable generalizability to unfamiliar domains, evidenced by 8.8% performance gain on our proposed EchoCardiography Benchmark (ECBench), despite the scarcity of echocardiography data in the training corpus. Our data, model, and codes will be made publicly available at https://github.com/xmed-lab/Med-RwR.

Social media platforms enable the propagation of hateful content across different modalities such as textual, auditory, and visual, necessitating effective detection methods. While recent approaches have shown promise in handling individual modalities, their effectiveness across different modality combinations remains unexplored. This paper presents a systematic analysis of fusion-based approaches for multimodal hate detection, focusing on their performance across video and image-based content. Our comprehensive evaluation reveals significant modality-specific limitations: while simple embedding fusion achieves state-of-the-art performance on video content (HateMM dataset) with a 9.9% points F1-score improvement, it struggles with complex image-text relationships in memes (Hateful Memes dataset). Through detailed ablation studies and error analysis, we demonstrate how current fusion approaches fail to capture nuanced cross-modal interactions, particularly in cases involving benign confounders. Our findings provide crucial insights for developing more robust hate detection systems and highlight the need for modality-specific architectural considerations. The code is available at https://github.com/gak97/Video-vs-Meme-Hate.

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

Image-text multimodal representation learning aligns data across modalities and enables important medical applications, e.g., image classification, visual grounding, and cross-modal retrieval. In this work, we establish a connection between multimodal representation learning and multiple instance learning. Based on this connection, we propose a generic framework for constructing permutation-invariant score functions with many existing multimodal representation learning approaches as special cases. Furthermore, we use the framework to derive a novel contrastive learning approach and demonstrate that our method achieves state-of-the-art results in several downstream tasks.

To address the risks of encountering inappropriate or harmful content, researchers managed to incorporate several harmful contents datasets with machine learning methods to detect harmful concepts. However, existing harmful datasets are curated by the presence of a narrow range of harmful objects, and only cover real harmful content sources. This hinders the generalizability of methods based on such datasets, potentially leading to misjudgments. Therefore, we propose a comprehensive harmful dataset, Visual Harmful Dataset 11K (VHD11K), consisting of 10,000 images and 1,000 videos, crawled from the Internet and generated by 4 generative models, across a total of 10 harmful categories covering a full spectrum of harmful concepts with nontrivial definition. We also propose a novel annotation framework by formulating the annotation process as a multi-agent Visual Question Answering (VQA) task, having 3 different VLMs "debate" about whether the given image/video is harmful, and incorporating the in-context learning strategy in the debating process. Therefore, we can ensure that the VLMs consider the context of the given image/video and both sides of the arguments thoroughly before making decisions, further reducing the likelihood of misjudgments in edge cases. Evaluation and experimental results demonstrate that (1) the great alignment between the annotation from our novel annotation framework and those from human, ensuring the reliability of VHD11K; (2) our full-spectrum harmful dataset successfully identifies the inability of existing harmful content detection methods to detect extensive harmful contents and improves the performance of existing harmfulness recognition methods; (3) VHD11K outperforms the baseline dataset, SMID, as evidenced by the superior improvement in harmfulness recognition methods. The complete dataset and code can be found at https://github.com/nctu-eva-lab/VHD11K.

The rapidly evolving sector of Multi-modal Large Language Models (MLLMs) is at the forefront of integrating linguistic and visual processing in artificial intelligence. This paper presents an in-depth comparative study of two pioneering models: Google's Gemini and OpenAI's GPT-4V(ision). Our study involves a multi-faceted evaluation of both models across key dimensions such as Vision-Language Capability, Interaction with Humans, Temporal Understanding, and assessments in both Intelligence and Emotional Quotients. The core of our analysis delves into the distinct visual comprehension abilities of each model. We conducted a series of structured experiments to evaluate their performance in various industrial application scenarios, offering a comprehensive perspective on their practical utility. We not only involve direct performance comparisons but also include adjustments in prompts and scenarios to ensure a balanced and fair analysis. Our findings illuminate the unique strengths and niches of both models. GPT-4V distinguishes itself with its precision and succinctness in responses, while Gemini excels in providing detailed, expansive answers accompanied by relevant imagery and links. These understandings not only shed light on the comparative merits of Gemini and GPT-4V but also underscore the evolving landscape of multimodal foundation models, paving the way for future advancements in this area. After the comparison, we attempted to achieve better results by combining the two models. Finally, We would like to express our profound gratitude to the teams behind GPT-4V and Gemini for their pioneering contributions to the field. Our acknowledgments are also extended to the comprehensive qualitative analysis presented in 'Dawn' by Yang et al. This work, with its extensive collection of image samples, prompts, and GPT-4V-related results, provided a foundational basis for our analysis.

Multimodal AI has the potential to significantly enhance document-understanding tasks, such as processing receipts, understanding workflows, extracting data from documents, and summarizing reports. Code generation tasks that require long-structured outputs can also be enhanced by multimodality. Despite this, their use in commercial applications is often limited due to limited access to training data and restrictive licensing, which hinders open access. To address these limitations, we introduce BigDocs-7.5M, a high-quality, open-access dataset comprising 7.5 million multimodal documents across 30 tasks. We use an efficient data curation process to ensure our data is high-quality and license-permissive. Our process emphasizes accountability, responsibility, and transparency through filtering rules, traceable metadata, and careful content analysis. Additionally, we introduce BigDocs-Bench, a benchmark suite with 10 novel tasks where we create datasets that reflect real-world use cases involving reasoning over Graphical User Interfaces (GUI) and code generation from images. Our experiments show that training with BigDocs-Bench improves average performance up to 25.8% over closed-source GPT-4o in document reasoning and structured output tasks such as Screenshot2HTML or Image2Latex generation. Finally, human evaluations showed a preference for outputs from models trained on BigDocs over GPT-4o. This suggests that BigDocs can help both academics and the open-source community utilize and improve AI tools to enhance multimodal capabilities and document reasoning. The project is hosted at https://bigdocs.github.io .

Long-context Multimodal Large Language Models (MLLMs) demand substantial computational resources for inference as the growth of their multimodal Key-Value (KV) cache, in response to increasing input lengths, challenges memory and time efficiency. Unlike single-modality LLMs that manage only textual contexts, the KV cache of long-context MLLMs includes representations from multiple images with temporal and spatial relationships and related textual contexts. The predominance of image tokens means traditional optimizations for LLMs' KV caches are unsuitable for multimodal long-context settings, and no prior works have addressed this challenge. In this work, we introduce LOOK-M, a pioneering, fine-tuning-free approach that efficiently reduces the multimodal KV cache size while maintaining performance comparable to a full cache. We observe that during prompt prefill, the model prioritizes more textual attention over image features, and based on the multimodal interaction observation, a new proposed text-prior method is explored to compress the KV cache. Furthermore, to mitigate the degradation of image contextual information, we propose several compensatory strategies using KV pairs merging. LOOK-M demonstrates that with a significant reduction in KV Cache memory usage, such as reducing it by 80% in some cases, it not only achieves up to 1.5x faster decoding but also maintains or even enhances performance across a variety of long context multimodal tasks.

Large language models (LLMs) like ChatGPT have revealed amazing intelligence. How to evaluate the question-solving abilities of LLMs and their degrees of intelligence is a hot-spot but challenging issue. First, the question-solving abilities are interlaced with different ability branches like understanding and massive knowledge categories like mathematics. Second, the inputs of questions are multimodal that may involve text and images. Third, the response format of LLMs is diverse and thus poses great challenges for result extraction and evaluation. In this paper, we propose AGIBench -- a multi-granularity, multimodal, human-referenced, and auto-scoring benchmarking methodology for LLMs. Instead of a collection of blended questions, AGIBench focuses on three typical ability branches and adopts a four-tuple <ability branch, knowledge, difficulty, modal> to label the attributes of each question. First, it supports multi-granularity benchmarking, e.g., per-question, per-ability branch, per-knowledge, per-modal, per-dataset, and per-difficulty level granularities. Second, it contains multimodal input, including text and images. Third, it classifies all the questions into five degrees of difficulty according to the average accuracy rate of abundant educated humans (human-referenced). Fourth, it adopts zero-shot learning to avoid introducing additional unpredictability and provides an auto-scoring method to extract and judge the result. Finally, it defines multi-dimensional metrics, including accuracy under the average, worst, best, and majority voting cases, and repeatability. AGIBench is publically available from https://www.benchcouncil.org/agibench.

In medical data analysis, extracting deep insights from complex, multi-modal datasets is essential for improving patient care, increasing diagnostic accuracy, and optimizing healthcare operations. However, there is currently a lack of high-quality datasets specifically designed to evaluate the ability of large multi-modal models (LMMs) to discover medical insights. In this paper, we introduce MedInsightBench, the first benchmark that comprises 332 carefully curated medical cases, each annotated with thoughtfully designed insights. This benchmark is intended to evaluate the ability of LMMs and agent frameworks to analyze multi-modal medical image data, including posing relevant questions, interpreting complex findings, and synthesizing actionable insights and recommendations. Our analysis indicates that existing LMMs exhibit limited performance on MedInsightBench, which is primarily attributed to their challenges in extracting multi-step, deep insights and the absence of medical expertise. Therefore, we propose MedInsightAgent, an automated agent framework for medical data analysis, composed of three modules: Visual Root Finder, Analytical Insight Agent, and Follow-up Question Composer. Experiments on MedInsightBench highlight pervasive challenges and demonstrate that MedInsightAgent can improve the performance of general LMMs in medical data insight discovery.

Multimodal Large Reasoning Models (MLRMs) demonstrate impressive cross-modal reasoning but often amplify safety risks under adversarial or unsafe prompts, a phenomenon we call the Reasoning Tax. Existing defenses mainly act at the output level and do not constrain the reasoning process, leaving models exposed to implicit risks. In this paper, we propose SaFeR-VLM, a safety-aligned reinforcement learning framework that embeds safety directly into multimodal reasoning. The framework integrates four components: (I) QI-Safe-10K, a curated dataset emphasizing safety-critical and reasoning-sensitive cases; (II) safety-aware rollout, where unsafe generations undergo reflection and correction instead of being discarded; (III) structured reward modeling with multi-dimensional weighted criteria and explicit penalties for hallucinations and contradictions; and (IV) GRPO optimization, which reinforces both safe and corrected trajectories. This unified design shifts safety from a passive safeguard to an active driver of reasoning, enabling scalable and generalizable safety-aware reasoning. SaFeR-VLM further demonstrates robustness against both explicit and implicit risks, supporting dynamic and interpretable safety decisions beyond surface-level filtering. SaFeR-VLM-3B achieves average performance 70.13 and 78.97 on safety and helpfulness across six benchmarks, surpassing both same-scale and >10times larger models such as Skywork-R1V3-38B, Qwen2.5VL-72B, and GLM4.5V-106B. Remarkably, SaFeR-VLM-7B benefits from its increased scale to surpass GPT-5-mini and Gemini-2.5-Flash by 6.47 and 16.76 points respectively on safety metrics, achieving this improvement without any degradation in helpfulness performance. Our codes are available at https://github.com/HarveyYi/SaFeR-VLM.

Multimodal Large Language Models (MLLMs) have exhibited impressive capabilities in visual understanding and reasoning, providing sightly reasonable answers, such as image descriptions. This has spurred extensive research on the evaluation of MLLMs. Most evaluation benchmarks assume that incorrect answers indicate a lack of understanding of the visual content. However, our findings reveal that, in many cases, MLLMs answer questions incorrectly despite correctly understanding the visual content. This suggests that incorrect answers do not necessarily imply a lack of comprehension but may instead result from lacking robustness to leading questions. To comprehensively measure MLLMs' understanding capability and robustness to leading questions, we introduce a MultiModal Robustness benchmark (MMR). MMR contains paired positive and negative questions across 12 categories, meticulously annotated by humans. We evaluate 18 leading MLLMs on the MMB benchmark, revealing that MLLMs suffer from fragility to leading questions despite understanding the visual content. To enhance MLLMs' understanding capability and robustness, we further present a training set with paired positive and negative visual question-answer samples. Experiments verify that MLLMs' robustness can be significantly enhanced by tuning on this new training set. The benchmark, training set, and code can be found at https://github.com/BAAI-DCAI/Multimodal-Robustness-Benchmark.

Multimodal Large Language Models (MLLMs) have recently been applied to universal multimodal retrieval, where Chain-of-Thought (CoT) reasoning improves candidate reranking. However, existing approaches remain largely language-driven, relying on static visual encodings and lacking the ability to actively verify fine-grained visual evidence, which often leads to speculative reasoning in visually ambiguous cases. We propose V-Retrver, an evidence-driven retrieval framework that reformulates multimodal retrieval as an agentic reasoning process grounded in visual inspection. V-Retrver enables an MLLM to selectively acquire visual evidence during reasoning via external visual tools, performing a multimodal interleaved reasoning process that alternates between hypothesis generation and targeted visual verification.To train such an evidence-gathering retrieval agent, we adopt a curriculum-based learning strategy combining supervised reasoning activation, rejection-based refinement, and reinforcement learning with an evidence-aligned objective. Experiments across multiple multimodal retrieval benchmarks demonstrate consistent improvements in retrieval accuracy (with 23.0% improvements on average), perception-driven reasoning reliability, and generalization.

Automatic metrics are now central to evaluating text-to-image models, often substituting for human judgment in benchmarking and large-scale filtering. However, it remains unclear whether these metrics truly prioritize semantic correctness or instead favor visually and socially prototypical images learned from biased data distributions. We identify and study prototypicality bias as a systematic failure mode in multimodal evaluation. We introduce a controlled contrastive benchmark ProtoBias (Prototypical Bias), spanning Animals, Objects, and Demography images, where semantically correct but non-prototypical images are paired with subtly incorrect yet prototypical adversarial counterparts. This setup enables a directional evaluation of whether metrics follow textual semantics or default to prototypes. Our results show that widely used metrics, including CLIPScore, PickScore, and VQA-based scores, frequently misrank these pairs, while even LLM-as-Judge systems exhibit uneven robustness in socially grounded cases. Human evaluations consistently favour semantic correctness with larger decision margins. Motivated by these findings, we propose ProtoScore, a robust 7B-parameter metric that substantially reduces failure rates and suppresses misranking, while running at orders of magnitude faster than the inference time of GPT-5, approaching the robustness of much larger closed-source judges.

With the rapid advancements in Multimodal Large Language Models (MLLMs), securing these models against malicious inputs while align- ing them with human values has emerged as a critical challenge. In this paper, we investigate an important and unexplored question of whether techniques that successfully jailbreak Large Language Models (LLMs) can be equally effective in jailbreaking MLLMs. To explore this issue, we in- troduce JailBreakV-28K, a pioneering benchmark designed to assess the transferability of LLM jailbreak techniques to MLLMs, thereby evaluat- ing the robustness of MLLMs against diverse jailbreak attacks. Utilizing a dataset of 2, 000 malicious queries that is also proposed in this paper, we generate 20, 000 text-based jailbreak prompts using advanced jailbreak attacks on LLMs, alongside 8, 000 image-based jailbreak inputs from recent MLLMs jailbreak attacks, our comprehensive dataset includes 28, 000 test cases across a spectrum of adversarial scenarios. Our evaluation of 10 open- source MLLMs reveals a notably high Attack Success Rate (ASR) for attacks transferred from LLMs, highlighting a critical vulnerability in MLLMs that stems from their text-processing capabilities. Our findings underscore the urgent need for future research to address alignment vulnerabilities in MLLMs from both textual and visual inputs.

As Multimodal Large Language Models (MLLMs) become an indispensable assistant in human life, the unsafe content generated by MLLMs poses a danger to human behavior, perpetually overhanging human society like a sword of Damocles. To investigate and evaluate the safety impact of MLLMs responses on human behavior in daily life, we introduce SaLAD, a multimodal safety benchmark which contains 2,013 real-world image-text samples across 10 common categories, with a balanced design covering both unsafe scenarios and cases of oversensitivity. It emphasizes realistic risk exposure, authentic visual inputs, and fine-grained cross-modal reasoning, ensuring that safety risks cannot be inferred from text alone. We further propose a safety-warning-based evaluation framework that encourages models to provide clear and informative safety warnings, rather than generic refusals. Results on 18 MLLMs demonstrate that the top-performing models achieve a safe response rate of only 57.2% on unsafe queries. Moreover, even popular safety alignment methods limit effectiveness of the models in our scenario, revealing the vulnerabilities of current MLLMs in identifying dangerous behaviors in daily life. Our dataset is available at https://github.com/xinyuelou/SaLAD.

We introduce Granite Vision, a lightweight large language model with vision capabilities, specifically designed to excel in enterprise use cases, particularly in visual document understanding. Our model is trained on a comprehensive instruction-following dataset, including document-related tasks, such as content extraction from tables, charts, diagrams, sketches, and infographics, as well as general image tasks. The architecture of Granite Vision is centered around visual modality alignment with a decoder-only, 2 billion parameter Granite large language model. Additionally, we introduce a dedicated safety classification approach in test-time that leverages a sparse set of attention vectors to identify potential harmful inputs. Despite its lightweight architecture, Granite Vision achieves strong results in standard benchmarks related to visual document understanding, as well as on the LiveXiv benchmark, which is designed to avoid test set contamination by using a constantly updated corpus of recently published Arxiv papers. We are releasing the model under the Apache-2 license, allowing for both research and commercial use, while offering complete visibility into the training data and other relevant details. See https://huggingface.co/ibm-granite/ for model weights.

Reasoning lies at the heart of intelligence, shaping the ability to make decisions, draw conclusions, and generalize across domains. In artificial intelligence, as systems increasingly operate in open, uncertain, and multimodal environments, reasoning becomes essential for enabling robust and adaptive behavior. Large Multimodal Reasoning Models (LMRMs) have emerged as a promising paradigm, integrating modalities such as text, images, audio, and video to support complex reasoning capabilities and aiming to achieve comprehensive perception, precise understanding, and deep reasoning. As research advances, multimodal reasoning has rapidly evolved from modular, perception-driven pipelines to unified, language-centric frameworks that offer more coherent cross-modal understanding. While instruction tuning and reinforcement learning have improved model reasoning, significant challenges remain in omni-modal generalization, reasoning depth, and agentic behavior. To address these issues, we present a comprehensive and structured survey of multimodal reasoning research, organized around a four-stage developmental roadmap that reflects the field's shifting design philosophies and emerging capabilities. First, we review early efforts based on task-specific modules, where reasoning was implicitly embedded across stages of representation, alignment, and fusion. Next, we examine recent approaches that unify reasoning into multimodal LLMs, with advances such as Multimodal Chain-of-Thought (MCoT) and multimodal reinforcement learning enabling richer and more structured reasoning chains. Finally, drawing on empirical insights from challenging benchmarks and experimental cases of OpenAI O3 and O4-mini, we discuss the conceptual direction of native large multimodal reasoning models (N-LMRMs), which aim to support scalable, agentic, and adaptive reasoning and planning in complex, real-world environments.

Training web agents to navigate complex, real-world websites requires them to master subtasks - short-horizon interactions on multiple UI components (e.g., choosing the correct date in a date picker, or scrolling in a container to extract information). We introduce WARC-Bench (Web Archive Benchmark), a novel web navigation benchmark featuring 438 tasks designed to evaluate multimodal AI agents on subtasks. WARC-Bench enables sandboxed interactions with dynamic and realistic webpages using Web ARChive files. We show that WARC-Bench is challenging for leading computer-use models, with the highest observed success rate being 64.8%. To improve open source models on subtask, we explore two common training techniques: supervised fine-tuning (SFT) and reinforcement learning with verifiable rewards (RLVR). Experiments show that SFT models obtain a 48.8% success rate on the benchmark. Training with RLVR over SFT checkpoints, even in data-scarce settings, improves the score to 52.8% on WARC-Bench, outperforming many frontier models. Our analysis concludes that mastering these subtasks is essential for robust web planning and navigation, and is a capability not extensively evaluated by existing benchmarks.

We present the Brain Treebank, a large-scale dataset of electrophysiological neural responses, recorded from intracranial probes while 10 subjects watched one or more Hollywood movies. Subjects watched on average 2.6 Hollywood movies, for an average viewing time of 4.3 hours, and a total of 43 hours. The audio track for each movie was transcribed with manual corrections. Word onsets were manually annotated on spectrograms of the audio track for each movie. Each transcript was automatically parsed and manually corrected into the universal dependencies (UD) formalism, assigning a part of speech to every word and a dependency parse to every sentence. In total, subjects heard over 38,000 sentences (223,000 words), while they had on average 168 electrodes implanted. This is the largest dataset of intracranial recordings featuring grounded naturalistic language, one of the largest English UD treebanks in general, and one of only a few UD treebanks aligned to multimodal features. We hope that this dataset serves as a bridge between linguistic concepts, perception, and their neural representations. To that end, we present an analysis of which electrodes are sensitive to language features while also mapping out a rough time course of language processing across these electrodes. The Brain Treebank is available at https://BrainTreebank.dev/

This paper presents our team's participation in the MEDIQA-ClinicalNLP2024 shared task B. We present a novel approach to diagnosing clinical dermatology cases by integrating large multimodal models, specifically leveraging the capabilities of GPT-4V under a retriever and a re-ranker framework. Our investigation reveals that GPT-4V, when used as a retrieval agent, can accurately retrieve the correct skin condition 85% of the time using dermatological images and brief patient histories. Additionally, we empirically show that Naive Chain-of-Thought (CoT) works well for retrieval while Medical Guidelines Grounded CoT is required for accurate dermatological diagnosis. Further, we introduce a Multi-Agent Conversation (MAC) framework and show its superior performance and potential over the best CoT strategy. The experiments suggest that using naive CoT for retrieval and multi-agent conversation for critique-based diagnosis, GPT-4V can lead to an early and accurate diagnosis of dermatological conditions. The implications of this work extend to improving diagnostic workflows, supporting dermatological education, and enhancing patient care by providing a scalable, accessible, and accurate diagnostic tool.

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

Spatial transcriptomics (ST) enables interrogating the molecular composition of tissue with ever-increasing resolution, depth, and sensitivity. However, costs, rapidly evolving technology, and lack of standards have constrained computational methods in ST to narrow tasks and small cohorts. In addition, the underlying tissue morphology as reflected by H&E-stained whole slide images (WSIs) encodes rich information often overlooked in ST studies. Here, we introduce HEST-1k, a collection of 1,108 spatial transcriptomic profiles, each linked to a WSI and metadata. HEST-1k was assembled using HEST-Library from 131 public and internal cohorts encompassing 25 organs, two species (Homo Sapiens and Mus Musculus), and 320 cancer samples from 25 cancer types. HEST-1k processing enabled the identification of 1.5 million expression--morphology pairs and 60 million nuclei. HEST-1k is tested on three use cases: (1) benchmarking foundation models for histopathology (HEST-Benchmark), (2) biomarker identification, and (3) multimodal representation learning. HEST-1k, HEST-Library, and HEST-Benchmark can be freely accessed via https://github.com/mahmoodlab/hest.

Large Vision-Language Models (VLMs) have achieved remarkable performance across a wide range of tasks. However, their deployment in safety-critical domains poses significant challenges. Existing safety fine-tuning methods, which focus on textual or multimodal content, fall short in addressing challenging cases or disrupt the balance between helpfulness and harmlessness. Our evaluation highlights a safety reasoning gap: these methods lack safety visual reasoning ability, leading to such bottlenecks. To address this limitation and enhance both visual perception and reasoning in safety-critical contexts, we propose a novel dataset that integrates multi-image inputs with safety Chain-of-Thought (CoT) labels as fine-grained reasoning logic to improve model performance. Specifically, we introduce the Multi-Image Safety (MIS) dataset, an instruction-following dataset tailored for multi-image safety scenarios, consisting of training and test splits. Our experiments demonstrate that fine-tuning InternVL2.5-8B with MIS significantly outperforms both powerful open-source models and API-based models in challenging multi-image tasks requiring safety-related visual reasoning. This approach not only delivers exceptional safety performance but also preserves general capabilities without any trade-offs. Specifically, fine-tuning with MIS increases average accuracy by 0.83% across five general benchmarks and reduces the Attack Success Rate (ASR) on multiple safety benchmarks by a large margin. Data and Models are released under: https://dripnowhy.github.io/MIS/{https://dripnowhy.github.io/MIS/}

We introduce EconWebArena, a benchmark for evaluating autonomous agents on complex, multimodal economic tasks in realistic web environments. The benchmark comprises 360 curated tasks from 82 authoritative websites spanning domains such as macroeconomics, labor, finance, trade, and public policy. Each task challenges agents to navigate live websites, interpret structured and visual content, interact with real interfaces, and extract precise, time-sensitive data through multi-step workflows. We construct the benchmark by prompting multiple large language models (LLMs) to generate candidate tasks, followed by rigorous human curation to ensure clarity, feasibility, and source reliability. Unlike prior work, EconWebArena emphasizes fidelity to authoritative data sources and the need for grounded web-based economic reasoning. We evaluate a diverse set of state-of-the-art multimodal LLMs as web agents, analyze failure cases, and conduct ablation studies to assess the impact of visual grounding, plan-based reasoning, and interaction design. Our results reveal substantial performance gaps and highlight persistent challenges in grounding, navigation, and multimodal understanding, positioning EconWebArena as a rigorous testbed for economic web intelligence.

As robots transition from controlled settings to unstructured human environments, building generalist agents that can reliably follow natural language instructions remains a central challenge. Progress in robust mobile manipulation requires large-scale multimodal datasets that capture contact-rich and long-horizon tasks, yet existing resources lack synchronized force-torque sensing, hierarchical annotations, and explicit failure cases. We address this gap with the AIRoA MoMa Dataset, a large-scale real-world multimodal dataset for mobile manipulation. It includes synchronized RGB images, joint states, six-axis wrist force-torque signals, and internal robot states, together with a novel two-layer annotation schema of sub-goals and primitive actions for hierarchical learning and error analysis. The initial dataset comprises 25,469 episodes (approx. 94 hours) collected with the Human Support Robot (HSR) and is fully standardized in the LeRobot v2.1 format. By uniquely integrating mobile manipulation, contact-rich interaction, and long-horizon structure, AIRoA MoMa provides a critical benchmark for advancing the next generation of Vision-Language-Action models. The first version of our dataset is now available at https://huggingface.co/datasets/airoa-org/airoa-moma .

We introduce the new task of generating Illustrated Instructions, i.e., visual instructions customized to a user's needs. We identify desiderata unique to this task, and formalize it through a suite of automatic and human evaluation metrics, designed to measure the validity, consistency, and efficacy of the generations. We combine the power of large language models (LLMs) together with strong text-to-image generation diffusion models to propose a simple approach called StackedDiffusion, which generates such illustrated instructions given text as input. The resulting model strongly outperforms baseline approaches and state-of-the-art multimodal LLMs; and in 30% of cases, users even prefer it to human-generated articles. Most notably, it enables various new and exciting applications far beyond what static articles on the web can provide, such as personalized instructions complete with intermediate steps and pictures in response to a user's individual situation.

Generative AI has made rapid advancements in recent years, achieving unprecedented capabilities in multimodal understanding and code generation. This can enable a new paradigm of front-end development, in which multimodal LLMs might directly convert visual designs into code implementations. In this work, we formalize this as a Design2Code task and conduct comprehensive benchmarking. Specifically, we manually curate a benchmark of 484 diverse real-world webpages as test cases and develop a set of automatic evaluation metrics to assess how well current multimodal LLMs can generate the code implementations that directly render into the given reference webpages, given the screenshots as input. We also complement automatic metrics with comprehensive human evaluations. We develop a suite of multimodal prompting methods and show their effectiveness on GPT-4V and Gemini Pro Vision. We further finetune an open-source Design2Code-18B model that successfully matches the performance of Gemini Pro Vision. Both human evaluation and automatic metrics show that GPT-4V performs the best on this task compared to other models. Moreover, annotators think GPT-4V generated webpages can replace the original reference webpages in 49% of cases in terms of visual appearance and content; and perhaps surprisingly, in 64% of cases GPT-4V generated webpages are considered better than the original reference webpages. Our fine-grained break-down metrics indicate that open-source models mostly lag in recalling visual elements from the input webpages and in generating correct layout designs, while aspects like text content and coloring can be drastically improved with proper finetuning.

Large Language Models (LLMs), despite being trained on text alone, surprisingly develop rich visual priors. These priors allow latent visual capabilities to be unlocked for vision tasks with a relatively small amount of multimodal data, and in some cases, to perform visual tasks without ever having seen an image. Through systematic analysis, we reveal that visual priors-the implicit, emergent knowledge about the visual world acquired during language pre-training-are composed of separable perception and reasoning priors with unique scaling trends and origins. We show that an LLM's latent visual reasoning ability is predominantly developed by pre-training on reasoning-centric data (e.g., code, math, academia) and scales progressively. This reasoning prior acquired from language pre-training is transferable and universally applicable to visual reasoning. In contrast, a perception prior emerges more diffusely from broad corpora, and perception ability is more sensitive to the vision encoder and visual instruction tuning data. In parallel, text describing the visual world proves crucial, though its performance impact saturates rapidly. Leveraging these insights, we propose a data-centric recipe for pre-training vision-aware LLMs and verify it in 1T token scale pre-training. Our findings are grounded in over 100 controlled experiments consuming 500,000 GPU-hours, spanning the full MLLM construction pipeline-from LLM pre-training to visual alignment and supervised multimodal fine-tuning-across five model scales, a wide range of data categories and mixtures, and multiple adaptation setups. Along with our main findings, we propose and investigate several hypotheses, and introduce the Multi-Level Existence Bench (MLE-Bench). Together, this work provides a new way of deliberately cultivating visual priors from language pre-training, paving the way for the next generation of multimodal LLMs.

The reliability of medical LLM evaluation is critically undermined by data contamination and knowledge obsolescence, leading to inflated scores on static benchmarks. To address these challenges, we introduce LiveClin, a live benchmark designed for approximating real-world clinical practice. Built from contemporary, peer-reviewed case reports and updated biannually, LiveClin ensures clinical currency and resists data contamination. Using a verified AI-human workflow involving 239 physicians, we transform authentic patient cases into complex, multimodal evaluation scenarios that span the entire clinical pathway. The benchmark currently comprises 1,407 case reports and 6,605 questions. Our evaluation of 26 models on LiveClin reveals the profound difficulty of these real-world scenarios, with the top-performing model achieving a Case Accuracy of just 35.7%. In benchmarking against human experts, Chief Physicians achieved the highest accuracy, followed closely by Attending Physicians, with both surpassing most models. LiveClin thus provides a continuously evolving, clinically grounded framework to guide the development of medical LLMs towards closing this gap and achieving greater reliability and real-world utility. Our data and code are publicly available at https://github.com/AQ-MedAI/LiveClin.

We introduce Qwen3-VL, the most capable vision-language model in the Qwen series to date, achieving superior performance across a broad range of multimodal benchmarks. It natively supports interleaved contexts of up to 256K tokens, seamlessly integrating text, images, and video. The model family includes both dense (2B/4B/8B/32B) and mixture-of-experts (30B-A3B/235B-A22B) variants to accommodate diverse latency-quality trade-offs. Qwen3-VL delivers three core pillars: (i) markedly stronger pure-text understanding, surpassing comparable text-only backbones in several cases; (ii) robust long-context comprehension with a native 256K-token window for both text and interleaved multimodal inputs, enabling faithful retention, retrieval, and cross-referencing across long documents and videos; and (iii) advanced multimodal reasoning across single-image, multi-image, and video tasks, demonstrating leading performance on comprehensive evaluations such as MMMU and visual-math benchmarks (e.g., MathVista and MathVision). Architecturally, we introduce three key upgrades: (i) an enhanced interleaved-MRoPE for stronger spatial-temporal modeling across images and video; (ii) DeepStack integration, which effectively leverages multi-level ViT features to tighten vision-language alignment; and (iii) text-based time alignment for video, evolving from T-RoPE to explicit textual timestamp alignment for more precise temporal grounding. Under comparable token budgets and latency constraints, Qwen3-VL achieves superior performance in both dense and Mixture-of-Experts (MoE) architectures. We envision Qwen3-VL serving as a foundational engine for image-grounded reasoning, agentic decision-making, and multimodal code intelligence in real-world workflows.

We introduce Llama Guard 3 Vision, a multimodal LLM-based safeguard for human-AI conversations that involves image understanding: it can be used to safeguard content for both multimodal LLM inputs (prompt classification) and outputs (response classification). Unlike the previous text-only Llama Guard versions (Inan et al., 2023; Llama Team, 2024b,a), it is specifically designed to support image reasoning use cases and is optimized to detect harmful multimodal (text and image) prompts and text responses to these prompts. Llama Guard 3 Vision is fine-tuned on Llama 3.2-Vision and demonstrates strong performance on the internal benchmarks using the MLCommons taxonomy. We also test its robustness against adversarial attacks. We believe that Llama Guard 3 Vision serves as a good starting point to build more capable and robust content moderation tools for human-AI conversation with multimodal capabilities.

This paper presents a comprehensive review of the Mixture-of-Experts (MoE) architecture in large language models, highlighting its ability to significantly enhance model performance while maintaining minimal computational overhead. Through a systematic analysis spanning theoretical foundations, core architectural designs, and large language model (LLM) applications, we examine expert gating and routing mechanisms, hierarchical and sparse MoE configurations, meta-learning approaches, multimodal and multitask learning scenarios, real-world deployment cases, and recent advances and challenges in deep learning. Our analysis identifies key advantages of MoE, including superior model capacity compared to equivalent Bayesian approaches, improved task-specific performance, and the ability to scale model capacity efficiently. We also underscore the importance of ensuring expert diversity, accurate calibration, and reliable inference aggregation, as these are essential for maximizing the effectiveness of MoE architectures. Finally, this review outlines current research limitations, open challenges, and promising future directions, providing a foundation for continued innovation in MoE architecture and its applications.

Our experience of the world is multimodal - we see objects, hear sounds, feel texture, smell odors, and taste flavors. Modality refers to the way in which something happens or is experienced and a research problem is characterized as multimodal when it includes multiple such modalities. In order for Artificial Intelligence to make progress in understanding the world around us, it needs to be able to interpret such multimodal signals together. Multimodal machine learning aims to build models that can process and relate information from multiple modalities. It is a vibrant multi-disciplinary field of increasing importance and with extraordinary potential. Instead of focusing on specific multimodal applications, this paper surveys the recent advances in multimodal machine learning itself and presents them in a common taxonomy. We go beyond the typical early and late fusion categorization and identify broader challenges that are faced by multimodal machine learning, namely: representation, translation, alignment, fusion, and co-learning. This new taxonomy will enable researchers to better understand the state of the field and identify directions for future research.

Online video web content is richly multimodal: a single video blends vision, speech, ambient audio, and on-screen text. Retrieval systems typically treat these modalities as independent retrieval sources, which can lead to noisy and subpar retrieval. We explore multimodal video content retrieval, where relevance can be scored from one particular modality or jointly across multiple modalities simultaneously. Consequently, an effective retriever must dynamically choose which modality (or set of modalities) best addresses the query. We introduce CLaMR, a multimodal, late-interaction retriever that jointly indexes 4 modalities: video frames, transcribed speech, on-screen text, and metadata. CLaMR jointly encodes all modalities with a unified multimodal backbone for improved contextualization and is trained to enhance dynamic modality selection via two key innovations. First, given the lack of training data for multimodal retrieval, we introduce MultiVENT 2.0++, a large-scale synthetic training dataset built on MultiVENT 2.0 (event-centric videos in various languages paired with queries) with modality-targeted queries. Next, we propose a modality-aware loss that jointly trains according to a standard contrastive objective alongside an objective for learning correct modality usage. On the test sets of MultiVENT 2.0++ and MSRVTT, conventional aggregation strategies, such as averaging similarities for baseline retrievers, degrade performance by introducing noise from irrelevant modalities. In contrast, CLaMR consistently outperforms existing retrievers: on MultiVENT 2.0++, CLaMR improves nDCG@10 by 25.6 over the best single-modality retriever and by 35.4 over the best multi-modality retriever. We illustrate CLaMR's downstream utility on long-video QA, retrieving relevant frames and obtaining a 3.50% boost over LanguageBind on Video-MME and 1.42% over dense sampling on LongVideoBench.

Multimodal LLMs are the natural evolution of LLMs, and enlarge their capabilities so as to work beyond the pure textual modality. As research is being carried out to design novel architectures and vision-and-language adapters, in this paper we concentrate on endowing such models with the capability of answering questions that require external knowledge. Our approach, termed Wiki-LLaVA, aims at integrating an external knowledge source of multimodal documents, which is accessed through a hierarchical retrieval pipeline. Relevant passages, using this approach, are retrieved from the external knowledge source and employed as additional context for the LLM, augmenting the effectiveness and precision of generated dialogues. We conduct extensive experiments on datasets tailored for visual question answering with external data and demonstrate the appropriateness of our approach.

This paper presents a comprehensive survey of the taxonomy and evolution of multimodal foundation models that demonstrate vision and vision-language capabilities, focusing on the transition from specialist models to general-purpose assistants. The research landscape encompasses five core topics, categorized into two classes. (i) We start with a survey of well-established research areas: multimodal foundation models pre-trained for specific purposes, including two topics -- methods of learning vision backbones for visual understanding and text-to-image generation. (ii) Then, we present recent advances in exploratory, open research areas: multimodal foundation models that aim to play the role of general-purpose assistants, including three topics -- unified vision models inspired by large language models (LLMs), end-to-end training of multimodal LLMs, and chaining multimodal tools with LLMs. The target audiences of the paper are researchers, graduate students, and professionals in computer vision and vision-language multimodal communities who are eager to learn the basics and recent advances in multimodal foundation models.

Multimodal learning, a rapidly evolving field in artificial intelligence, seeks to construct more versatile and robust systems by integrating and analyzing diverse types of data, including text, images, audio, and video. Inspired by the human ability to assimilate information through many senses, this method enables applications such as text-to-video conversion, visual question answering, and image captioning. Recent developments in datasets that support multimodal language models (MLLMs) are highlighted in this overview. Large-scale multimodal datasets are essential because they allow for thorough testing and training of these models. With an emphasis on their contributions to the discipline, the study examines a variety of datasets, including those for training, domain-specific tasks, and real-world applications. It also emphasizes how crucial benchmark datasets are for assessing models' performance in a range of scenarios, scalability, and applicability. Since multimodal learning is always changing, overcoming these obstacles will help AI research and applications reach new heights.

The rise in loosely-structured data available through text, images, and other modalities has called for new ways of querying them. Multimedia Information Retrieval has filled this gap and has witnessed exciting progress in recent years. Tasks such as search and retrieval of extensive multimedia archives have undergone massive performance improvements, driven to a large extent by recent developments in multimodal deep learning. However, methods in this field remain limited in the kinds of queries they support and, in particular, their inability to answer database-like queries. For this reason, inspired by recent work on neural databases, we propose a new framework, which we name Multimodal Neural Databases (MMNDBs). MMNDBs can answer complex database-like queries that involve reasoning over different input modalities, such as text and images, at scale. In this paper, we present the first architecture able to fulfill this set of requirements and test it with several baselines, showing the limitations of currently available models. The results show the potential of these new techniques to process unstructured data coming from different modalities, paving the way for future research in the area. Code to replicate the experiments will be released at https://github.com/GiovanniTRA/MultimodalNeuralDatabases

Large multimodal language models (MLLMs) are increasingly deployed as web agents, yet many multimodal browsing benchmarks can be solved by shallow, fixed workflows that lean on high-recall image search and nearby text-masking the genuinely multimodal challenges of fine-grained visual reasoning, provenance verification, and long-horizon tool use. We introduce MMSearch-Plus, a benchmark of 311 tasks that highly demand multimodal understanding while preserving the difficulty profile of strong text-only browsing suites. Each item is constructed to contain multiple weak, localized visual signals that must be extracted, propagated through iterative text-image search, and cross-validated under retrieval noise before answering. Our curation procedure, Spatial-Temporal Extrapolation, seeds questions whose answers require extrapolating from spatial cues (micro-text, part-level appearance, layouts, signage) and temporal traces (broadcast overlays, seasonal context) to out-of-image facts such as events, dates, and venues. We provide a model-agnostic agent framework with browsing tools and evaluate a range of closed and open MLLMs. The strongest agent (o3) attains 15.1% without search and 36.0% accuracy with rollout under our framework, while a strong open-source model (Qwen-2.5-VL-72B-Instruct) achieves 0.0% without search and 6.9% after 20 rounds of search. Beyond answer accuracy, we assess bounding-box production and cropped-image search, and conduct an error analysis that surfaces failures in source verification, part-based reasoning, and long-horizon planning.

Multimodal large language models (MLLMs) have achieved remarkable success across a broad range of vision tasks. However, constrained by the capacity of their internal world knowledge, prior work has proposed augmenting MLLMs by ``reasoning-then-tool-call'' for visual and textual search engines to obtain substantial gains on tasks requiring extensive factual information. However, these approaches typically define multimodal search in a naive setting, assuming that a single full-level or entity-level image query and few text query suffices to retrieve the key evidence needed to answer the question, which is unrealistic in real-world scenarios with substantial visual noise. Moreover, they are often limited in the reasoning depth and search breadth, making it difficult to solve complex questions that require aggregating evidence from diverse visual and textual sources. Building on this, we propose Vision-DeepResearch, which proposes one new multimodal deep-research paradigm, i.e., performs multi-turn, multi-entity and multi-scale visual and textual search to robustly hit real-world search engines under heavy noise. Our Vision-DeepResearch supports dozens of reasoning steps and hundreds of engine interactions, while internalizing deep-research capabilities into the MLLM via cold-start supervision and RL training, resulting in a strong end-to-end multimodal deep-research MLLM. It substantially outperforming existing multimodal deep-research MLLMs, and workflows built on strong closed-source foundation model such as GPT-5, Gemini-2.5-pro and Claude-4-Sonnet. The code will be released in https://github.com/Osilly/Vision-DeepResearch.

Is vision good enough for language? Recent advancements in multimodal models primarily stem from the powerful reasoning abilities of large language models (LLMs). However, the visual component typically depends only on the instance-level contrastive language-image pre-training (CLIP). Our research reveals that the visual capabilities in recent multimodal LLMs (MLLMs) still exhibit systematic shortcomings. To understand the roots of these errors, we explore the gap between the visual embedding space of CLIP and vision-only self-supervised learning. We identify ''CLIP-blind pairs'' - images that CLIP perceives as similar despite their clear visual differences. With these pairs, we construct the Multimodal Visual Patterns (MMVP) benchmark. MMVP exposes areas where state-of-the-art systems, including GPT-4V, struggle with straightforward questions across nine basic visual patterns, often providing incorrect answers and hallucinated explanations. We further evaluate various CLIP-based vision-and-language models and found a notable correlation between visual patterns that challenge CLIP models and those problematic for multimodal LLMs. As an initial effort to address these issues, we propose a Mixture of Features (MoF) approach, demonstrating that integrating vision self-supervised learning features with MLLMs can significantly enhance their visual grounding capabilities. Together, our research suggests visual representation learning remains an open challenge, and accurate visual grounding is crucial for future successful multimodal systems.

Multimodal Large Language Models (MLLMs) have advanced VQA and now support Vision-DeepResearch systems that use search engines for complex visual-textual fact-finding. However, evaluating these visual and textual search abilities is still difficult, and existing benchmarks have two major limitations. First, existing benchmarks are not visual search-centric: answers that should require visual search are often leaked through cross-textual cues in the text questions or can be inferred from the prior world knowledge in current MLLMs. Second, overly idealized evaluation scenario: On the image-search side, the required information can often be obtained via near-exact matching against the full image, while the text-search side is overly direct and insufficiently challenging. To address these issues, we construct the Vision-DeepResearch benchmark (VDR-Bench) comprising 2,000 VQA instances. All questions are created via a careful, multi-stage curation pipeline and rigorous expert review, designed to assess the behavior of Vision-DeepResearch systems under realistic real-world conditions. Moreover, to address the insufficient visual retrieval capabilities of current MLLMs, we propose a simple multi-round cropped-search workflow. This strategy is shown to effectively improve model performance in realistic visual retrieval scenarios. Overall, our results provide practical guidance for the design of future multimodal deep-research systems. The code will be released in https://github.com/Osilly/Vision-DeepResearch.

Vision-language models in pathology enable multimodal case retrieval and automated report generation. Many of the models developed so far, however, have been trained on pathology reports that include information which cannot be inferred from paired whole slide images (e.g., patient history), potentially leading to hallucinated sentences in generated reports. To this end, we investigate how the selection of information from pathology reports for vision-language modeling affects the quality of the multimodal representations and generated reports. More concretely, we compare a model trained on full reports against a model trained on preprocessed reports that only include sentences describing the cell and tissue appearances based on the H&E-stained slides. For the experiments, we built upon the BLIP-2 framework and used a cutaneous melanocytic lesion dataset of 42,433 H&E-stained whole slide images and 19,636 corresponding pathology reports. Model performance was assessed using image-to-text and text-to-image retrieval, as well as qualitative evaluation of the generated reports by an expert pathologist. Our results demonstrate that text preprocessing prevents hallucination in report generation. Despite the improvement in the quality of the generated reports, training the vision-language model on full reports showed better cross-modal retrieval performance.

The burgeoning integration of 3D medical imaging into healthcare has led to a substantial increase in the workload of medical professionals. To assist clinicians in their diagnostic processes and alleviate their workload, the development of a robust system for retrieving similar case studies presents a viable solution. While the concept holds great promise, the field of 3D medical text-image retrieval is currently limited by the absence of robust evaluation benchmarks and curated datasets. To remedy this, our study presents a groundbreaking dataset, BIMCV-R (This dataset will be released upon acceptance.), which includes an extensive collection of 8,069 3D CT volumes, encompassing over 2 million slices, paired with their respective radiological reports. Expanding upon the foundational work of our dataset, we craft a retrieval strategy, MedFinder. This approach employs a dual-stream network architecture, harnessing the potential of large language models to advance the field of medical image retrieval beyond existing text-image retrieval solutions. It marks our preliminary step towards developing a system capable of facilitating text-to-image, image-to-text, and keyword-based retrieval tasks.

In an era defined by the explosive growth of data and rapid technological advancements, Multimodal Large Language Models (MLLMs) stand at the forefront of artificial intelligence (AI) systems. Designed to seamlessly integrate diverse data types-including text, images, videos, audio, and physiological sequences-MLLMs address the complexities of real-world applications far beyond the capabilities of single-modality systems. In this paper, we systematically sort out the applications of MLLM in multimodal tasks such as natural language, vision, and audio. We also provide a comparative analysis of the focus of different MLLMs in the tasks, and provide insights into the shortcomings of current MLLMs, and suggest potential directions for future research. Through these discussions, this paper hopes to provide valuable insights for the further development and application of MLLM.