Daily Papers

Long-form clinical videos are central to visual evidence-based decision-making, with growing importance for applications such as surgical robotics and related settings. However, current multimodal large language models typically process videos with passive sampling or weakly grounded inspection, which limits their ability to iteratively locate, verify, and justify predictions with temporally targeted evidence. To close this gap, we propose MedScope, a tool-using clinical video reasoning model that performs coarse-to-fine evidence seeking over long-form procedures. By interleaving intermediate reasoning with targeted tool calls and verification on retrieved observations, MedScope produces more accurate and trustworthy predictions that are explicitly grounded in temporally localized visual evidence. To address the lack of high-fidelity supervision, we build ClinVideoSuite, an evidence-centric, fine-grained clinical video suite. We then optimize MedScope with Grounding-Aware Group Relative Policy Optimization (GA-GRPO), which directly reinforces tool use with grounding-aligned rewards and evidence-weighted advantages. On full and fine-grained video understanding benchmarks, MedScope achieves state-of-the-art performance in both in-domain and out-of-domain evaluations. Our approach illuminates a path toward medical AI agents that can genuinely "think with videos" through tool-integrated reasoning. We will release our code, models, and data.

The emergence of advanced reasoning capabilities in Large Language Models (LLMs) marks a transformative development in healthcare applications. Beyond merely expanding functional capabilities, these reasoning mechanisms enhance decision transparency and explainability-critical requirements in medical contexts. This survey examines the transformation of medical LLMs from basic information retrieval tools to sophisticated clinical reasoning systems capable of supporting complex healthcare decisions. We provide a thorough analysis of the enabling technological foundations, with a particular focus on specialized prompting techniques like Chain-of-Thought and recent breakthroughs in Reinforcement Learning exemplified by DeepSeek-R1. Our investigation evaluates purpose-built medical frameworks while also examining emerging paradigms such as multi-agent collaborative systems and innovative prompting architectures. The survey critically assesses current evaluation methodologies for medical validation and addresses persistent challenges in field interpretation limitations, bias mitigation strategies, patient safety frameworks, and integration of multimodal clinical data. Through this survey, we seek to establish a roadmap for developing reliable LLMs that can serve as effective partners in clinical practice and medical research.

Chain-of-thought (CoT) reasoning has been highly successful in solving complex tasks in natural language processing, and recent multimodal large language models (MLLMs) have extended this paradigm to video reasoning. However, these models typically build on lengthy reasoning chains and large numbers of input visual tokens. Motivated by empirical observations from our benchmark study, we hypothesize that concise reasoning combined with a reduced set of visual tokens can be sufficient for effective video reasoning. To evaluate this hypothesis, we design and validate an efficient post-training and inference framework that enhances a video MLLM's reasoning capability. Our framework enables models to operate on compressed visual tokens and generate brief reasoning traces prior to answering. The resulting models achieve substantially improved inference efficiency, deliver competitive performance across diverse benchmarks, and avoid reliance on manual CoT annotations or supervised fine-tuning. Collectively, our results suggest that long, human-like CoT reasoning may not be necessary for general video reasoning, and that concise reasoning can be both effective and efficient. Our code will be released at https://github.com/LaVi-Lab/Rethink_CoT_Video.

Recent advances in image reasoning methods, particularly "Thinking with Images", have demonstrated remarkable success in Multimodal Large Language Models (MLLMs); however, this dynamic reasoning paradigm has not yet been extended to video reasoning tasks. In this paper, we propose Video-Thinker, which empowers MLLMs to think with videos by autonomously leveraging their intrinsic "grounding" and "captioning" capabilities to generate reasoning clues throughout the inference process. To spark this capability, we construct Video-Thinker-10K, a curated dataset featuring autonomous tool usage within chain-of-thought reasoning sequences. Our training strategy begins with Supervised Fine-Tuning (SFT) to learn the reasoning format, followed by Group Relative Policy Optimization (GRPO) to strengthen this reasoning capability. Through this approach, Video-Thinker enables MLLMs to autonomously navigate grounding and captioning tasks for video reasoning, eliminating the need for constructing and calling external tools. Extensive experiments demonstrate that Video-Thinker achieves significant performance gains on both in-domain tasks and challenging out-of-domain video reasoning benchmarks, including Video-Holmes, CG-Bench-Reasoning, and VRBench. Our Video-Thinker-7B substantially outperforms existing baselines such as Video-R1 and establishes state-of-the-art performance among 7B-sized MLLMs.

The advancement of Large Vision Language Models (LVLMs) has significantly improved multimodal understanding, yet challenges remain in video reasoning tasks due to the scarcity of high-quality, large-scale datasets. Existing video question-answering (VideoQA) datasets often rely on costly manual annotations with insufficient granularity or automatic construction methods with redundant frame-by-frame analysis, limiting their scalability and effectiveness for complex reasoning. To address these challenges, we introduce VideoEspresso, a novel dataset that features VideoQA pairs preserving essential spatial details and temporal coherence, along with multimodal annotations of intermediate reasoning steps. Our construction pipeline employs a semantic-aware method to reduce redundancy, followed by generating QA pairs using GPT-4o. We further develop video Chain-of-Thought (CoT) annotations to enrich reasoning processes, guiding GPT-4o in extracting logical relationships from QA pairs and video content. To exploit the potential of high-quality VideoQA pairs, we propose a Hybrid LVLMs Collaboration framework, featuring a Frame Selector and a two-stage instruction fine-tuned reasoning LVLM. This framework adaptively selects core frames and performs CoT reasoning using multimodal evidence. Evaluated on our proposed benchmark with 14 tasks against 9 popular LVLMs, our method outperforms existing baselines on most tasks, demonstrating superior video reasoning capabilities. Our code and dataset will be released at: https://github.com/hshjerry/VideoEspresso

Recent advances in test-time optimization have led to remarkable reasoning capabilities in Large Language Models (LLMs), enabling them to solve highly complex problems in math and coding. However, the reasoning capabilities of multimodal LLMs (MLLMs) still significantly lag, especially for complex video-language tasks. To address this issue, we present SiLVR, a Simple Language-based Video Reasoning framework that decomposes complex video understanding into two stages. In the first stage, SiLVR transforms raw video into language-based representations using multisensory inputs, such as short clip captions and audio/speech subtitles. In the second stage, language descriptions are fed into a powerful reasoning LLM to solve complex video-language understanding tasks. To handle long-context multisensory inputs, we use an adaptive token reduction scheme, which dynamically determines the temporal granularity with which to sample the tokens. Our simple, modular, and training-free video reasoning framework achieves the best-reported results on Video-MME (long), Video-MMMU (comprehension), Video-MMLU, CGBench, and EgoLife. Furthermore, our empirical study focused on video reasoning capabilities shows that, despite not being explicitly trained on video, strong reasoning LLMs can effectively aggregate multisensory input information from video, speech, and audio for complex temporal, causal, long-context, and knowledge acquisition reasoning tasks in video. Code is available at https://github.com/CeeZh/SILVR.

The advancement of Chain-of-Thought (CoT) reasoning has significantly enhanced the capabilities of large language models (LLMs) and large vision-language models (LVLMs). However, a rigorous evaluation framework for video CoT reasoning remains absent. Current video benchmarks fail to adequately assess the reasoning process and expose whether failures stem from deficiencies in perception or reasoning capabilities. Therefore, we introduce VCR-Bench, a novel benchmark designed to comprehensively evaluate LVLMs' Video Chain-of-Thought Reasoning capabilities. VCR-Bench comprises 859 videos spanning a variety of video content and durations, along with 1,034 high-quality question-answer pairs. Each pair is manually annotated with a stepwise CoT rationale, where every step is tagged to indicate its association with the perception or reasoning capabilities. Furthermore, we design seven distinct task dimensions and propose the CoT score to assess the entire CoT process based on the stepwise tagged CoT rationals. Extensive experiments on VCR-Bench highlight substantial limitations in current LVLMs. Even the top-performing model, o1, only achieves a 62.8% CoT score and an 56.7% accuracy, while most models score below 40%. Experiments show most models score lower on perception than reasoning steps, revealing LVLMs' key bottleneck in temporal-spatial information processing for complex video reasoning. A robust positive correlation between the CoT score and accuracy confirms the validity of our evaluation framework and underscores the critical role of CoT reasoning in solving complex video reasoning tasks. We hope VCR-Bench to serve as a standardized evaluation framework and expose the actual drawbacks in complex video reasoning task.

Recent advances in CoT reasoning and RL post-training have been reported to enhance video reasoning capabilities of MLLMs. This progress naturally raises a question: can these models perform complex video reasoning in a manner comparable to human experts? However, existing video benchmarks primarily evaluate visual perception and grounding abilities, with questions that can be answered based on explicit prompts or isolated visual cues. Such benchmarks do not fully capture the intricacies of real-world reasoning, where humans must actively search for, integrate, and analyze multiple clues before reaching a conclusion. To address this issue, we present Video-Holmes, a benchmark inspired by the reasoning process of Sherlock Holmes, designed to evaluate the complex video reasoning capabilities of MLLMs. Video-Holmes consists of 1,837 questions derived from 270 manually annotated suspense short films, which spans seven carefully designed tasks. Each task is constructed by first identifying key events and causal relationships within films, and then designing questions that require models to actively locate and connect multiple relevant visual clues scattered across different video segments. Our comprehensive evaluation of state-of-the-art MLLMs reveals that, while these models generally excel at visual perception, they encounter substantial difficulties with integrating information and often miss critical clues. For example, the best-performing model, Gemini-2.5-Pro, achieves an accuracy of only 45%, with most models scoring below 40%. We aim that Video-Holmes can serve as a "Holmes-test" for multimodal reasoning, motivating models to reason more like humans and emphasizing the ongoing challenges in this field. The benchmark is released in https://github.com/TencentARC/Video-Holmes.

Recent studies have shown that long chain-of-thought (CoT) reasoning can significantly enhance the performance of large language models (LLMs) on complex tasks. However, this benefit is yet to be demonstrated in the domain of video understanding, since most existing benchmarks lack the reasoning depth required to demonstrate the advantages of extended CoT chains. While recent efforts have proposed benchmarks aimed at video reasoning, the tasks are often knowledge-driven and do not rely heavily on visual content. To bridge this gap, we introduce VideoReasonBench, a benchmark designed to evaluate vision-centric, complex video reasoning. To ensure visual richness and high reasoning complexity, each video in VideoReasonBench depicts a sequence of fine-grained operations on a latent state that is only visible in part of the video. The questions evaluate three escalating levels of video reasoning skills: recalling observed visual information, inferring the content of latent states, and predicting information beyond the video. Under such task setting, models have to precisely recall multiple operations in the video, and perform step-by-step reasoning to get correct final answers for these questions. Using VideoReasonBench, we comprehensively evaluate 18 state-of-the-art multimodal LLMs (MLLMs), finding that most perform poorly on complex video reasoning, e.g., GPT-4o achieves only 6.9% accuracy, while the thinking-enhanced Gemini-2.5-Pro significantly outperforms others with 56.0% accuracy. Our investigations on "test-time scaling" further reveal that extended thinking budget, while offering none or minimal benefits on existing video benchmarks, is essential for improving the performance on VideoReasonBench.

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.

Recent advances in Chain-of-Thought (CoT) reasoning have improved complex video understanding, but existing methods often struggle to adapt to domain-specific skills (e.g., event detection, spatial relation understanding, emotion understanding) over various video content. To address this, we propose Video-Skill-CoT (a.k.a. Video-SKoT), a framework that automatically constructs and leverages skill-aware CoT supervisions for domain-adaptive video reasoning. First, we construct skill-based CoT annotations: we extract domain-relevant reasoning skills from training questions, cluster them into a shared skill taxonomy, and create detailed multi-step CoT rationale tailored to each video-question pair for training. Second, we introduce a skill-specific expert learning framework. Each expert module specializes in a subset of reasoning skills and is trained with lightweight adapters using the collected CoT supervision. We demonstrate the effectiveness of the proposed approach on three video understanding benchmarks, where Video-SKoT consistently outperforms strong baselines. We also provide in-depth analyses on comparing different CoT annotation pipelines and learned skills over multiple video domains.

Schemata are structured representations of complex tasks that can aid artificial intelligence by allowing models to break down complex tasks into intermediate steps. We propose a novel system that induces schemata from web videos and generalizes them to capture unseen tasks with the goal of improving video retrieval performance. Our system proceeds in three major phases: (1) Given a task with related videos, we construct an initial schema for a task using a joint video-text model to match video segments with text representing steps from wikiHow; (2) We generalize schemata to unseen tasks by leveraging language models to edit the text within existing schemata. Through generalization, we can allow our schemata to cover a more extensive range of tasks with a small amount of learning data; (3) We conduct zero-shot instructional video retrieval with the unseen task names as the queries. Our schema-guided approach outperforms existing methods for video retrieval, and we demonstrate that the schemata induced by our system are better than those generated by other models.

The sequential structure of videos poses a challenge to the ability of multimodal large language models (MLLMs) to locate multi-frame evidence and conduct multimodal reasoning. However, existing video benchmarks mainly focus on understanding tasks, which only require models to match frames mentioned in the question (hereafter referred to as "question frame") and perceive a few adjacent frames. To address this gap, we propose MMR-V: A Benchmark for Multimodal Deep Reasoning in Videos. The benchmark is characterized by the following features. (1) Long-range, multi-frame reasoning: Models are required to infer and analyze evidence frames that may be far from the question frame. (2) Beyond perception: Questions cannot be answered through direct perception alone but require reasoning over hidden information. (3) Reliability: All tasks are manually annotated, referencing extensive real-world user understanding to align with common perceptions. (4) Confusability: Carefully designed distractor annotation strategies to reduce model shortcuts. MMR-V consists of 317 videos and 1,257 tasks. Our experiments reveal that current models still struggle with multi-modal reasoning; even the best-performing model, o4-mini, achieves only 52.5% accuracy. Additionally, current reasoning enhancement strategies (Chain-of-Thought and scaling test-time compute) bring limited gains. Further analysis indicates that the CoT demanded for multi-modal reasoning differs from it in textual reasoning, which partly explains the limited performance gains. We hope that MMR-V can inspire further research into enhancing multi-modal reasoning capabilities.

In recent years, video question answering based on multimodal large language models (MLLM) has garnered considerable attention, due to the benefits from the substantial advancements in LLMs. However, these models have a notable deficiency in the domains of video temporal grounding and reasoning, posing challenges to the development of effective real-world video understanding systems. Inspired by how humans use video players to interact with the progress bar for video comprehension, we introduce VTimeCoT, a simple yet effective training-free framework, designed for high-performance video grounding and reasoning. The proposed framework incorporates two novel visual tools of the progress bar: a plug-and-play progress bar integration tool and a high-efficiency highlighting tool. In addition, to address the limitations of conventional text-based chain-of-thought (CoT) approaches, we introduce a visuotemporal CoT process that integrates cross-modality reasoning across both video and text. Our approach demonstrates significant performance improvements on both Qwen2VL-7B and GPT4o baselines in tasks of video temporal grounding and reasoning-based question answering. Finally, we showcase that the proposed framework achieves a compositional and interpretable reasoning process. Project page: https://vtimecot.github.io

Inspired by DeepSeek-R1's success in eliciting reasoning abilities through rule-based reinforcement learning (RL), we introduce Video-R1 as the first attempt to systematically explore the R1 paradigm for eliciting video reasoning within multimodal large language models (MLLMs). However, directly applying RL training with the GRPO algorithm to video reasoning presents two primary challenges: (i) a lack of temporal modeling for video reasoning, and (ii) the scarcity of high-quality video-reasoning data. To address these issues, we first propose the T-GRPO algorithm, which encourages models to utilize temporal information in videos for reasoning. Additionally, instead of relying solely on video data, we incorporate high-quality image-reasoning data into the training process. We have constructed two datasets: Video-R1-COT-165k for SFT cold start and Video-R1-260k for RL training, both comprising image and video data. Experimental results demonstrate that Video-R1 achieves significant improvements on video reasoning benchmarks such as VideoMMMU and VSI-Bench, as well as on general video benchmarks including MVBench and TempCompass, etc. Notably, Video-R1-7B attains a 35.8% accuracy on video spatial reasoning benchmark VSI-bench, surpassing the commercial proprietary model GPT-4o. All codes, models, data are released.

Multimodal large language models (MLLMs) have begun to demonstrate robust reasoning capabilities on general tasks, yet their application in the medical domain remains in its early stages. Constructing chain-of-thought (CoT) training data is essential for bolstering the reasoning abilities of medical MLLMs. However, existing approaches exhibit a deficiency in offering a comprehensive framework for searching and evaluating effective reasoning paths towards critical diagnosis. To address this challenge, we propose Mentor-Intern Collaborative Search (MICS), a novel reasoning-path searching scheme to generate rigorous and effective medical CoT data. MICS first leverages mentor models to initialize the reasoning, one step at a time, then prompts each intern model to continue the thinking along those initiated paths, and finally selects the optimal reasoning path according to the overall reasoning performance of multiple intern models. The reasoning performance is determined by an MICS-Score, which assesses the quality of generated reasoning paths. Eventually, we construct MMRP, a multi-task medical reasoning dataset with ranked difficulty, and Chiron-o1, a new medical MLLM devised via a curriculum learning strategy, with robust visual question-answering and generalizable reasoning capabilities. Extensive experiments demonstrate that Chiron-o1, trained on our CoT dataset constructed using MICS, achieves state-of-the-art performance across a list of medical visual question answering and reasoning benchmarks. Codes are available at GitHub - manglu097/Chiron-o1: Enhancing Step-by-Step and Verifiable Medical Reasoning in MLLMs

Large Multimodal Models (LMMs) have achieved remarkable progress across various capabilities; however, complex video reasoning in the scientific domain remains a significant and challenging frontier. Current video benchmarks predominantly target general scenarios where perception/recognition is heavily relied on, while with relatively simple reasoning tasks, leading to saturation and thus failing to effectively evaluate advanced multimodal cognitive skills. To address this critical gap, we introduce SciVideoBench, a rigorous benchmark specifically designed to assess advanced video reasoning in scientific contexts. SciVideoBench consists of 1,000 carefully crafted multiple-choice questions derived from cutting-edge scientific experimental videos spanning over 25 specialized academic subjects and verified by a semi-automatic system. Each question demands sophisticated domain-specific knowledge, precise spatiotemporal perception, and intricate logical reasoning, effectively challenging models' higher-order cognitive abilities. Our evaluation highlights significant performance deficits in state-of-the-art proprietary and open-source LMMs, including Gemini 2.5 Pro and Qwen2.5-VL, indicating substantial room for advancement in video reasoning capabilities. Detailed analyses of critical factors such as reasoning complexity and visual grounding provide valuable insights and clear direction for future developments in LMMs, driving the evolution of truly capable multimodal AI co-scientists. We hope SciVideoBench could fit the interests of the community and help to push the boundary of cutting-edge AI for border science.

Recent studies have demonstrated the effectiveness of Large Language Models (LLMs) as reasoning modules that can deconstruct complex tasks into more manageable sub-tasks, particularly when applied to visual reasoning tasks for images. In contrast, this paper introduces a Video Understanding and Reasoning Framework (VURF) based on the reasoning power of LLMs. Ours is a novel approach to extend the utility of LLMs in the context of video tasks, leveraging their capacity to generalize from minimal input and output demonstrations within a contextual framework. By presenting LLMs with pairs of instructions and their corresponding high-level programs, we harness their contextual learning capabilities to generate executable visual programs for video understanding. To enhance program's accuracy and robustness, we implement two important strategies. Firstly, we employ a feedback-generation approach, powered by GPT-3.5, to rectify errors in programs utilizing unsupported functions. Secondly, taking motivation from recent works on self refinement of LLM outputs, we introduce an iterative procedure for improving the quality of the in-context examples by aligning the initial outputs to the outputs that would have been generated had the LLM not been bound by the structure of the in-context examples. Our results on several video-specific tasks, including visual QA, video anticipation, pose estimation and multi-video QA illustrate the efficacy of these enhancements in improving the performance of visual programming approaches for video tasks. Our Codes and data will be publicly released.

Despite recent advances in video understanding, the capabilities of Large Video Language Models (LVLMs) to perform video-based causal reasoning remains underexplored, largely due to the absence of relevant and dedicated benchmarks for evaluating causal reasoning in visually grounded and goal-driven settings. To fill this gap, we introduce a novel benchmark named Video-based long-form Causal Reasoning (VCRBench). We create VCRBench using procedural videos of simple everyday activities, where the steps are deliberately shuffled with each clip capturing a key causal event, to test whether LVLMs can identify, reason about, and correctly sequence the events needed to accomplish a specific goal. Moreover, the benchmark is carefully designed to prevent LVLMs from exploiting linguistic shortcuts, as seen in multiple-choice or binary QA formats, while also avoiding the challenges associated with evaluating open-ended QA. Our evaluation of state-of-the-art LVLMs on VCRBench suggests that these models struggle with video-based long-form causal reasoning, primarily due to their difficulty in modeling long-range causal dependencies directly from visual observations. As a simple step toward enabling such capabilities, we propose Recognition-Reasoning Decomposition (RRD), a modular approach that breaks video-based causal reasoning into two sub-tasks of video recognition and causal reasoning. Our experiments on VCRBench show that RRD significantly boosts accuracy on VCRBench, with gains of up to 25.2%. Finally, our thorough analysis reveals interesting insights, for instance, that LVLMs primarily rely on language knowledge for complex video-based long-form causal reasoning tasks.

Mathematical reasoning in real-world video settings presents a fundamentally different challenge than in static images or text. It requires interpreting fine-grained visual information, accurately reading handwritten or digital text, and integrating spoken cues, often dispersed non-linearly over time. In such multimodal contexts, success hinges not just on perception, but on selectively identifying and integrating the right contextual details from a rich and noisy stream of content. To this end, we introduce VideoMathQA, a benchmark designed to evaluate whether models can perform such temporally extended cross-modal reasoning on videos. The benchmark spans 10 diverse mathematical domains, covering videos ranging from 10 seconds to over 1 hour. It requires models to interpret structured visual content, understand instructional narratives, and jointly ground concepts across visual, audio, and textual modalities. We employ graduate-level experts to ensure high quality, totaling over 920 man-hours of annotation. To reflect real-world scenarios, questions are designed around three core reasoning challenges: direct problem solving, where answers are grounded in the presented question; conceptual transfer, which requires applying learned methods to new problems; and deep instructional comprehension, involving multi-step reasoning over extended explanations and partially worked-out solutions. Each question includes multi-step reasoning annotations, enabling fine-grained diagnosis of model capabilities. Through this benchmark, we highlight the limitations of existing approaches and establish a systematic evaluation framework for models that must reason, rather than merely perceive, across temporally extended and modality-rich mathematical problem settings. Our benchmark and evaluation code are available at: https://mbzuai-oryx.github.io/VideoMathQA

Despite significant breakthroughs in video analysis driven by the rapid development of large multimodal models (LMMs), there remains a lack of a versatile evaluation benchmark to comprehensively assess these models' performance in video understanding and reasoning. To address this, we present VideoVista, a video QA benchmark that integrates challenges across diverse content categories, durations, and abilities. Specifically, VideoVista comprises 25,000 questions derived from 3,400 videos spanning 14 categories (e.g., Howto, Film, and Entertainment) with durations ranging from a few seconds to over 10 minutes. Besides, it encompasses 19 types of understanding tasks (e.g., anomaly detection, interaction understanding) and 8 reasoning tasks (e.g., logical reasoning, causal reasoning). To achieve this, we present an automatic data construction framework, leveraging powerful GPT-4o alongside advanced analysis tools (e.g., video splitting, object segmenting, and tracking). We also utilize this framework to construct training data to enhance the capabilities of video-related LMMs (Video-LMMs). Through a comprehensive and quantitative evaluation of cutting-edge models, we reveal that: 1) Video-LMMs face difficulties in fine-grained video tasks involving temporal location, object tracking, and anomaly detection; 2) Video-LMMs present inferior logical and relation reasoning abilities; 3) Open-source Video-LMMs' performance is significantly lower than GPT-4o and Gemini-1.5, lagging by 20 points. This highlights the crucial role VideoVista will play in advancing LMMs that can accurately understand videos and perform precise reasoning.

Despite progress in video large language models (Video-LLMs), research on instructional video understanding, crucial for enhancing access to instructional content, remains insufficient. To address this, we introduce InstructionBench, an Instructional video understanding Benchmark, which challenges models' advanced temporal reasoning within instructional videos characterized by their strict step-by-step flow. Employing GPT-4, we formulate Q\&A pairs in open-ended and multiple-choice formats to assess both Coarse-Grained event-level and Fine-Grained object-level reasoning. Our filtering strategies exclude questions answerable purely by common-sense knowledge, focusing on visual perception and analysis when evaluating Video-LLM models. The benchmark finally contains 5k questions across over 700 videos. We evaluate the latest Video-LLMs on our InstructionBench, finding that closed-source models outperform open-source ones. However, even the best model, GPT-4o, achieves only 53.42\% accuracy, indicating significant gaps in temporal reasoning. To advance the field, we also develop a comprehensive instructional video dataset with over 19k Q\&A pairs from nearly 2.5k videos, using an automated data generation framework, thereby enriching the community's research resources.

While recent advancements in reasoning optimization have significantly enhanced the capabilities of large language models (LLMs), existing efforts to improve reasoning have been limited to solving mathematical problems and focusing on visual graphical inputs, neglecting broader applications in general video understanding.This paper proposes video-SALMONN-o1, the first open-source reasoning-enhanced audio-visual LLM designed for general video understanding tasks. To enhance its reasoning abilities, we develop a reasoning-intensive dataset featuring challenging audio-visual questions with step-by-step solutions. We also propose process direct preference optimization (pDPO), which leverages contrastive step selection to achieve efficient step-level reward modelling tailored for multimodal inputs. Additionally, we introduce RivaBench, the first reasoning-intensive video understanding benchmark, featuring over 4,000 high-quality, expert-curated question-answer pairs across scenarios such as standup comedy, academic presentations, and synthetic video detection. video-SALMONN-o1 achieves 3-8% accuracy improvements over the LLaVA-OneVision baseline across different video reasoning benchmarks. Besides, pDPO achieves 6-8% improvements compared to the supervised fine-tuning model on RivaBench. Enhanced reasoning enables video-SALMONN-o1 zero-shot synthetic video detection capabilities.

Recent multimodal large language models (MLLMs) have advanced video understanding, yet most still "think about videos" ie once a video is encoded, reasoning unfolds entirely in text, treating visual input as a static context. This passive paradigm creates a semantic bottleneck: models cannot rewatch, refocus, or verify evidence, leading to shallow visual reasoning on tasks requiring fine grained spatio temporal understanding. In this work, we introduce Interactive Video Reasoning, a new paradigm that transforms video into an active cognitive workspace, enabling models to "think with videos". Our model, Video CoM, reasons through a Chain of Manipulations (CoM), performing iterative visual actions to gather and refine evidence. To support this behavior, we construct Video CoM Instruct, an 18K instruction tuning dataset curated for multi step manipulation reasoning. Beyond supervised learning, we further optimize the manipulation policy via reinforcement learning with reasoning aware Group Relative Policy Optimization (GRPO). Unlike prior work that relies solely on sparse answer rewards, our method introduces step level reasoning rewards, guiding the model toward grounded and consistent reasoning. Video CoM achieves strong results across nine video reasoning benchmarks, improving average performance by 3.6 percent over recent state of the art models, while training on only 25K SFT and 3K GRPO video samples, significantly fewer than comparable large scale models. Ablation studies demonstrate that reasoning aware rewards improve both accuracy and interpretability. Code: https://github.com/mbzuai-oryx/Video-CoM

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

Recent progress in generative video models, such as Veo-3, has shown surprising zero-shot reasoning abilities, creating a growing need for systematic and reliable evaluation. We introduce V-ReasonBench, a benchmark designed to assess video reasoning across four key dimensions: structured problem-solving, spatial cognition, pattern-based inference, and physical dynamics. The benchmark is built from both synthetic and real-world image sequences and provides a diverse set of answer-verifiable tasks that are reproducible, scalable, and unambiguous. Evaluations of six state-of-the-art video models reveal clear dimension-wise differences, with strong variation in structured, spatial, pattern-based, and physical reasoning. We further compare video models with strong image models, analyze common hallucination behaviors, and study how video duration affects Chain-of-Frames reasoning. Overall, V-ReasonBench offers a unified and reproducible framework for measuring video reasoning and aims to support the development of models with more reliable, human-aligned reasoning skills.

We introduce a new task, Video-and-Language Inference, for joint multimodal understanding of video and text. Given a video clip with aligned subtitles as premise, paired with a natural language hypothesis based on the video content, a model needs to infer whether the hypothesis is entailed or contradicted by the given video clip. A new large-scale dataset, named Violin (VIdeO-and-Language INference), is introduced for this task, which consists of 95,322 video-hypothesis pairs from 15,887 video clips, spanning over 582 hours of video. These video clips contain rich content with diverse temporal dynamics, event shifts, and people interactions, collected from two sources: (i) popular TV shows, and (ii) movie clips from YouTube channels. In order to address our new multimodal inference task, a model is required to possess sophisticated reasoning skills, from surface-level grounding (e.g., identifying objects and characters in the video) to in-depth commonsense reasoning (e.g., inferring causal relations of events in the video). We present a detailed analysis of the dataset and an extensive evaluation over many strong baselines, providing valuable insights on the challenges of this new task.

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with Chain-of-Thought (CoT) reasoning by linking lesion boxes to organ segmentation and structured rationales. These contextual signals enable medical vision-language models to generate question-answer pairs with step-by-step reasoning. To utilize this data effectively, we propose an Integrated CoT-Curriculum Strategy composed of an Easy stage with explicit lesion boxes for visual grounding, a Medium stage that encourages implicit localization, and a Hard stage for weakly supervised reasoning. Experimental results demonstrate that MedCLM attains state-of-the-art performance on several medical VQA benchmarks, providing a scalable framework for developing clinically aligned medical vision-language models.

Reranking is a critical component of modern retrieval systems, which typically pair an efficient first-stage retriever with a more expressive model to refine results. While large reasoning models have driven rapid progress in text-centric reranking, reasoning-based reranking for video retrieval remains underexplored. To address this gap, we introduce RANKVIDEO, a reasoning-based reranker for video retrieval that explicitly reasons over query-video pairs using video content to assess relevance. RANKVIDEO is trained using a two-stage curriculum consisting of perception-grounded supervised fine-tuning followed by reranking training that combines pointwise, pairwise, and teacher confidence distillation objectives, and is supported by a data synthesis pipeline for constructing reasoning-intensive query-video pairs. Experiments on the large-scale MultiVENT 2.0 benchmark demonstrate that RANKVIDEO consistently improves retrieval performance within a two-stage framework, yielding an average improvement of 31% on nDCG@10 and outperforming text-only and vision-language reranking alternatives, while more efficient.

The rapid evolution of video generative models has shifted their focus from producing visually plausible outputs to tackling tasks requiring physical plausibility and logical consistency. However, despite recent breakthroughs such as Veo 3's chain-of-frames reasoning, it remains unclear whether these models can exhibit reasoning capabilities similar to large language models (LLMs). Existing benchmarks predominantly evaluate visual fidelity and temporal coherence, failing to capture higher-order reasoning abilities. To bridge this gap, we propose TiViBench, a hierarchical benchmark specifically designed to evaluate the reasoning capabilities of image-to-video (I2V) generation models. TiViBench systematically assesses reasoning across four dimensions: i) Structural Reasoning & Search, ii) Spatial & Visual Pattern Reasoning, iii) Symbolic & Logical Reasoning, and iv) Action Planning & Task Execution, spanning 24 diverse task scenarios across 3 difficulty levels. Through extensive evaluations, we show that commercial models (e.g., Sora 2, Veo 3.1) demonstrate stronger reasoning potential, while open-source models reveal untapped potential that remains hindered by limited training scale and data diversity. To further unlock this potential, we introduce VideoTPO, a simple yet effective test-time strategy inspired by preference optimization. By performing LLM self-analysis on generated candidates to identify strengths and weaknesses, VideoTPO significantly enhances reasoning performance without requiring additional training, data, or reward models. Together, TiViBench and VideoTPO pave the way for evaluating and advancing reasoning in video generation models, setting a foundation for future research in this emerging field.

Recent advances in multimodal large language models (MLLMs) have demonstrated substantial potential in video understanding. However, existing benchmarks fail to comprehensively evaluate synergistic reasoning capabilities across audio and visual modalities, often neglecting either one of the modalities or integrating them in a logically inconsistent manner. To bridge this gap, we introduce OmniVideoBench, a large-scale and rigorously designed benchmark dedicated to assessing synergistic audio-visual understanding, with a strong emphasis on modality complementarity and logical consistency. Specifically, OmniVideoBench comprises 1000 high-quality question-answer(QA) pairs, each annotated with step-by-step reasoning traces, derived from 628 diverse videos ranging from several seconds to 30 minutes, and manually verified to guarantee complete correctness and uniqueness. Moreover, OmniVideoBench encompasses 13 carefully designed question types, covering temporal reasoning, spatial localization, counting, causal inference, summarization, and beyond, thereby capturing the essential challenges of video understanding. Evaluation of multiple MLLMs on OmniVideoBench reveals a pronounced gap between model performance and human reasoning, with open-source models lagging significantly behind their closed-source counterparts, underscoring the inherent difficulty of genuine audio-visual reasoning. We will release OmniVideoBench to foster the development of MLLMs with stronger and more generalizable reasoning capabilities.

Vision-language models are integral to computer vision research, yet many high-performing models remain closed-source, obscuring their data, design and training recipe. The research community has responded by using distillation from black-box models to label training data, achieving strong benchmark results, at the cost of measurable scientific progress. However, without knowing the details of the teacher model and its data sources, scientific progress remains difficult to measure. In this paper, we study building a Perception Language Model (PLM) in a fully open and reproducible framework for transparent research in image and video understanding. We analyze standard training pipelines without distillation from proprietary models and explore large-scale synthetic data to identify critical data gaps, particularly in detailed video understanding. To bridge these gaps, we release 2.8M human-labeled instances of fine-grained video question-answer pairs and spatio-temporally grounded video captions. Additionally, we introduce PLM-VideoBench, a suite for evaluating challenging video understanding tasks focusing on the ability to reason about "what", "where", "when", and "how" of a video. We make our work fully reproducible by providing data, training recipes, code & models.

Video reasoning, the task of enabling machines to infer from dynamic visual content through multi-step logic, is crucial for advanced AI. While the Chain-of-Thought (CoT) mechanism has enhanced reasoning in text-based tasks, its application to video understanding remains underexplored. This paper presents a systematic analysis revealing that CoT often degrades performance in video reasoning, generating verbose but misleading internal monologues, and leading to hallucinated visual details and overridden correct intuitions - a phenomenon we term "visual thinking drift". We explain this drift through a Bayesian lens, positing that CoT traces often diverge from actual visual evidence, instead amplifying internal biases or language priors, causing models to storytell rather than engage in grounded reasoning. To counteract this, we introduce Visual Evidence Reward (VER), a novel reinforcement learning framework that explicitly rewards the generation of reasoning traces that are verifiably grounded in visual evidence. Comprehensive evaluation across 10 diverse video understanding benchmarks demonstrates that our Video-VER consistently achieves top performance. Our work sheds light on the distinct challenges of video-centric reasoning and encourages the development of AI that robustly grounds its inferences in visual evidence - for large multimodal models that not only "think before answering", but also "see while thinking".

Video Large Language Models (VideoLLMs) have recently demonstrated remarkable progress in general video understanding. However, existing models primarily focus on high-level comprehension and are limited to text-only responses, restricting the flexibility for object-centric, multiround interactions. In this paper, we make three contributions: (i) we address these limitations by introducing a VideoLLM model, capable of performing both object referring for input and grounding for output in video reasoning tasks, i.e., allowing users to interact with videos using both textual and visual prompts; (ii) we propose STOM (Spatial-Temporal Overlay Module), a novel approach that propagates arbitrary visual prompts input at any single timestamp to the remaining frames within a video; (iii) we present VideoInfer, a manually curated object-centric video instruction dataset featuring questionanswering pairs that require reasoning. We conduct comprehensive experiments on VideoInfer and other existing benchmarks across video question answering and referring object segmentation. The results on 12 benchmarks of 6 tasks show that our proposed model consistently outperforms baselines in both video question answering and segmentation, underscoring its robustness in multimodal, object-centric video and image understanding. Project page: https://qirui-chen.github.io/RGA3-release/.

We present VRBench, the first long narrative video benchmark crafted for evaluating large models' multi-step reasoning capabilities, addressing limitations in existing evaluations that overlook temporal reasoning and procedural validity. It comprises 1,010 long videos (with an average duration of 1.6 hours), along with 9,468 human-labeled multi-step question-answering pairs and 30,292 reasoning steps with timestamps. These videos are curated via a multi-stage filtering process including expert inter-rater reviewing to prioritize plot coherence. We develop a human-AI collaborative framework that generates coherent reasoning chains, each requiring multiple temporally grounded steps, spanning seven types (e.g., event attribution, implicit inference). VRBench designs a multi-phase evaluation pipeline that assesses models at both the outcome and process levels. Apart from the MCQs for the final results, we propose a progress-level LLM-guided scoring metric to evaluate the quality of the reasoning chain from multiple dimensions comprehensively. Through extensive evaluations of 12 LLMs and 16 VLMs on VRBench, we undertake a thorough analysis and provide valuable insights that advance the field of multi-step reasoning.

Visual reasoning, the capability to interpret visual input in response to implicit text query through multi-step reasoning, remains a challenge for deep learning models due to the lack of relevant benchmarks. Previous work in visual reasoning has primarily focused on reasoning segmentation, where models aim to segment objects based on implicit text queries. This paper introduces reasoning visual tasks (RVTs), a unified formulation that extends beyond traditional video reasoning segmentation to a diverse family of visual language reasoning problems, which can therefore accommodate multiple output formats including bounding boxes, natural language descriptions, and question-answer pairs. Correspondingly, we identify the limitations in current benchmark construction methods that rely solely on large language models (LLMs), which inadequately capture complex spatial-temporal relationships and multi-step reasoning chains in video due to their reliance on token representation, resulting in benchmarks with artificially limited reasoning complexity. To address this limitation, we propose a novel automated RVT benchmark construction pipeline that leverages digital twin (DT) representations as structured intermediaries between perception and the generation of implicit text queries. Based on this method, we construct RVTBench, a RVT benchmark containing 3,896 queries of over 1.2 million tokens across four types of RVT (segmentation, grounding, VQA and summary), three reasoning categories (semantic, spatial, and temporal), and four increasing difficulty levels, derived from 200 video sequences. Finally, we propose RVTagent, an agent framework for RVT that allows for zero-shot generalization across various types of RVT without task-specific fine-tuning.

Large multimodal models (LMMs) are processing increasingly longer and richer inputs. Albeit the progress, few public benchmark is available to measure such development. To mitigate this gap, we introduce LongVideoBench, a question-answering benchmark that features video-language interleaved inputs up to an hour long. Our benchmark includes 3,763 varying-length web-collected videos with their subtitles across diverse themes, designed to comprehensively evaluate LMMs on long-term multimodal understanding. To achieve this, we interpret the primary challenge as to accurately retrieve and reason over detailed multimodal information from long inputs. As such, we formulate a novel video question-answering task termed referring reasoning. Specifically, as part of the question, it contains a referring query that references related video contexts, called referred context. The model is then required to reason over relevant video details from the referred context. Following the paradigm of referring reasoning, we curate 6,678 human-annotated multiple-choice questions in 17 fine-grained categories, establishing one of the most comprehensive benchmarks for long-form video understanding. Evaluations suggest that the LongVideoBench presents significant challenges even for the most advanced proprietary models (e.g. GPT-4o, Gemini-1.5-Pro, GPT-4-Turbo), while their open-source counterparts show an even larger performance gap. In addition, our results indicate that model performance on the benchmark improves only when they are capable of processing more frames, positioning LongVideoBench as a valuable benchmark for evaluating future-generation long-context LMMs.

We propose a novel video understanding task by fusing knowledge-based and video question answering. First, we introduce KnowIT VQA, a video dataset with 24,282 human-generated question-answer pairs about a popular sitcom. The dataset combines visual, textual and temporal coherence reasoning together with knowledge-based questions, which need of the experience obtained from the viewing of the series to be answered. Second, we propose a video understanding model by combining the visual and textual video content with specific knowledge about the show. Our main findings are: (i) the incorporation of knowledge produces outstanding improvements for VQA in video, and (ii) the performance on KnowIT VQA still lags well behind human accuracy, indicating its usefulness for studying current video modelling limitations.

Chain-of-thought (CoT) reasoning has emerged as a powerful tool for multimodal large language models on video understanding tasks. However, its necessity and advantages over direct answering remain underexplored. In this paper, we first demonstrate that for RL-trained video models, direct answering often matches or even surpasses CoT performance, despite CoT producing step-by-step analyses at a higher computational cost. Motivated by this, we propose VideoAuto-R1, a video understanding framework that adopts a reason-when-necessary strategy. During training, our approach follows a Thinking Once, Answering Twice paradigm: the model first generates an initial answer, then performs reasoning, and finally outputs a reviewed answer. Both answers are supervised via verifiable rewards. During inference, the model uses the confidence score of the initial answer to determine whether to proceed with reasoning. Across video QA and grounding benchmarks, VideoAuto-R1 achieves state-of-the-art accuracy with significantly improved efficiency, reducing the average response length by ~3.3x, e.g., from 149 to just 44 tokens. Moreover, we observe a low rate of thinking-mode activation on perception-oriented tasks, but a higher rate on reasoning-intensive tasks. This suggests that explicit language-based reasoning is generally beneficial but not always necessary.

Recent advances in video generation have enabled the synthesis of videos with strong temporal consistency and impressive visual quality, marking a crucial step toward vision foundation models. To evaluate these video generation models, existing benchmarks primarily focus on factors related to visual perception and understanding, like visual aesthetics, instruction adherence, and temporal coherence. However, the rule-based reasoning capabilities of video generation models remain largely unexplored. Although recent studies have carried out preliminary explorations into whether video models can serve as zero-shot learners, they still lack a fine-grained decomposition of reasoning capabilities and a comprehensive evaluation protocol. To address this gap, we introduce RULER-Bench, a benchmark designed to evaluate the reasoning ability of video generation models from the perspective of cognitive rules. Built upon two fundamental paradigms: text-to-video and image-to-video, RULER-Bench covers 40 representative tasks spanning six rule categories with 622 high-quality annotated instances. For the evaluation of each generated video, we construct a checklist covering four metrics and leverage GPT-o3 to assign scores to each question, achieving 85% alignment with human judgements. Extensive experiments show that the state-of-the-art model achieves only 48.87% on the rule coherence metric, highlighting significant room for improvement in the reasoning capability of next-level video models. We expect that the insight obtained from RULER-Bench will facilitate further development of reasoning-aware video generation, advancing video generation models toward vision foundation intelligence.

Long-form video understanding, characterized by long-range temporal dependencies and multiple events, remains a challenge. Existing methods often rely on static reasoning or external visual-language models (VLMs), which face issues like complexity and sub-optimal performance due to the lack of end-to-end training. In this paper, we propose Video-MTR, a reinforced multi-turn reasoning framework designed to enable iterative key video segment selection and question comprehension. Unlike traditional video reasoning pipeline, which generate predictions in a single turn, Video-MTR performs reasoning in multiple turns, selecting video segments progressively based on the evolving understanding of previously processed segments and the current question. This iterative process allows for a more refined and contextually aware analysis of the video. To ensure intermediate reasoning process, we introduce a novel gated bi-level reward system, combining trajectory-level rewards based on answer correctness and turn-level rewards emphasizing frame-query relevance. This system optimizes both video segment selection and question comprehension, eliminating the need for external VLMs and allowing end-to-end training. Extensive experiments on benchmarks like VideoMME, MLVU, and EgoSchema demonstrate that Video-MTR outperforms existing methods in both accuracy and efficiency, advancing the state-of-the-art in long video understanding.

This paper addresses the task of video question answering (videoQA) via a decomposed multi-stage, modular reasoning framework. Previous modular methods have shown promise with a single planning stage ungrounded in visual content. However, through a simple and effective baseline, we find that such systems can lead to brittle behavior in practice for challenging videoQA settings. Thus, unlike traditional single-stage planning methods, we propose a multi-stage system consisting of an event parser, a grounding stage, and a final reasoning stage in conjunction with an external memory. All stages are training-free, and performed using few-shot prompting of large models, creating interpretable intermediate outputs at each stage. By decomposing the underlying planning and task complexity, our method, MoReVQA, improves over prior work on standard videoQA benchmarks (NExT-QA, iVQA, EgoSchema, ActivityNet-QA) with state-of-the-art results, and extensions to related tasks (grounded videoQA, paragraph captioning).

Vision-Language Models (VLM) can support clinicians by analyzing medical images and engaging in natural language interactions to assist in diagnostic and treatment tasks. However, VLMs often exhibit "hallucinogenic" behavior, generating textual outputs not grounded in contextual multimodal information. This challenge is particularly pronounced in the medical domain, where we do not only require VLM outputs to be accurate in single interactions but also to be consistent with clinical reasoning and diagnostic pathways throughout multi-turn conversations. For this purpose, we propose a new alignment algorithm that uses symbolic representations of clinical reasoning to ground VLMs in medical knowledge. These representations are utilized to (i) generate GPT-4-guided visual instruction tuning data at scale, simulating clinician-VLM conversations with demonstrations of clinical reasoning, and (ii) create an automatic reward function that evaluates the clinical validity of VLM generations throughout clinician-VLM interactions. Our algorithm eliminates the need for human involvement in training data generation or reward model construction, reducing costs compared to standard reinforcement learning with human feedback (RLHF). We apply our alignment algorithm to develop Dr-LLaVA, a conversational VLM finetuned for analyzing bone marrow pathology slides, demonstrating strong performance in multi-turn medical conversations.

Large vision-language models struggle with medical video understanding, where spatial precision, temporal reasoning, and clinical semantics are critical. To address this, we first introduce MedVidBench, a large-scale benchmark of 531,850 video-instruction pairs across 8 medical sources spanning video, segment, and frame-level tasks, curated through a rigorous quality assurance pipeline with expert-guided prompting and dual-model validation. While supervised fine-tuning on MedVidBench yields noticeable gains, standard Reinforcement Learning (RL) fails due to imbalanced reward scales across datasets, which destabilizes optimization and leads to training collapse. To overcome this, we introduce MedGRPO, a novel RL framework for balanced multi-dataset training with two key innovations: (1) cross-dataset reward normalization that maps each dataset's median performance to a common reward value, ensuring fair optimization regardless of difficulty, and (2) a medical LLM judge that evaluates caption quality on five clinical dimensions through comparative similarity scoring. Supervised fine-tuning Qwen2.5-VL-7B on MedVidBench substantially outperforms GPT-4.1 and Gemini-2.5-Flash across all tasks, demonstrating MedVidBench's efficacy, while our MedGRPO framework further improves upon the SFT baseline across grounding and captioning tasks. Our work establishes a foundational benchmark and robust training methodology for advancing vision-language models in medical domains. Our project website is available at https://yuhaosu.github.io/MedGRPO/.

Despite rapid advances in vision-language models (VLMs), current benchmarks for multimodal reasoning fall short in three key dimensions. First, they overwhelmingly rely on static images, failing to capture the temporal complexity of real-world environments. Second, they narrowly focus on mathematical problem-solving, neglecting the broader spectrum of reasoning skills -- including abstract, physical, planning, spatial, and temporal capabilities -- required for robust multimodal intelligence. Third, many benchmarks quickly saturate, offering limited headroom for diagnosing failure modes or measuring continued progress. We introduce MORSE-500 (Multimodal Reasoning Stress-test Environment), a video benchmark composed of 500 fully scripted clips with embedded questions spanning six complementary reasoning categories. Each instance is programmatically generated using deterministic Python scripts (via Manim, Matplotlib, MoviePy), generative video models, and curated real footage. This script-driven design allows fine-grained control over visual complexity, distractor density, and temporal dynamics -- enabling difficulty to be scaled systematically as models improve. Unlike static benchmarks that become obsolete once saturated, MORSE-500 is built to evolve: its controllable generation pipeline supports the creation of arbitrarily challenging new instances, making it ideally suited for stress-testing next-generation models. Initial experiments with state-of-the-art systems -- including various Gemini 2.5 Pro and OpenAI o3 which represent the strongest available at the time, alongside strong open-source models -- reveal substantial performance gaps across all categories, with particularly large deficits in abstract and planning tasks. We release the full dataset, generation scripts, and evaluation harness to support transparent, reproducible, and forward-looking multimodal reasoning research.

Despite impressive advancements in multimodal compositional reasoning approaches, they are still limited in their flexibility and efficiency by processing fixed modality inputs while updating a lot of model parameters. This paper tackles these critical challenges and proposes CREMA, an efficient and modular modality-fusion framework for injecting any new modality into video reasoning. We first augment multiple informative modalities (such as optical flow, 3D point cloud, audio) from given videos without extra human annotation by leveraging existing pre-trained models. Next, we introduce a query transformer with multiple parameter-efficient modules associated with each accessible modality. It projects diverse modality features to the LLM token embedding space, allowing the model to integrate different data types for response generation. Furthermore, we propose a fusion module designed to compress multimodal queries, maintaining computational efficiency in the LLM while combining additional modalities. We validate our method on video-3D, video-audio, and video-language reasoning tasks and achieve better/equivalent performance against strong multimodal LLMs, including BLIP-2, 3D-LLM, and SeViLA while using 96% fewer trainable parameters. We provide extensive analyses of CREMA, including the impact of each modality on reasoning domains, the design of the fusion module, and example visualizations.

Reasoning over dynamic visual content remains a central challenge for multimodal large language models. Recent thinking models generate explicit reasoning traces for interpretability; however, their reasoning often appears convincing while being logically inconsistent or weakly grounded in visual evidence. We identify and formalize these issues through two diagnostic metrics: Think Answer Consistency (TAC), which measures the alignment between reasoning and answers, and Video Attention Score (VAS), which captures the extent to which reasoning depends on visual versus textual cues. Analysis across 11 video reasoning benchmarks shows that current models rely heavily on linguistic priors rather than visual content. To address this, we propose a reinforcement learning approach that enhances both temporal precision and reasoning consistency. Our approach combines timestamp aware supervised fine tuning with Group Relative Policy Optimization (GRPO) guided by a novel Temporal Alignment Reward (TAR). This dual step post training stage encourages temporally aligned and causally coherent video reasoning. The resulting model, Video R2, achieves consistently higher TAC, VAS, and accuracy across multiple benchmarks, demonstrating that improvements in temporal alignment and reasoning coherence lead to more accurate and trustworthy video understanding. Code: https://github.com/mbzuai-oryx/Video-R2

Video unified models exhibit strong capabilities in understanding and generation, yet they struggle with reason-informed visual editing even when equipped with powerful internal vision-language models (VLMs). We attribute this gap to two factors: 1) existing datasets are inadequate for training and evaluating reasoning-aware video editing, and 2) an inherent disconnect between the models' reasoning and editing capabilities, which prevents the rich understanding from effectively instructing the editing process. Bridging this gap requires an integrated framework that connects reasoning with visual transformation. To address this gap, we introduce the Reason-Informed Video Editing (RVE) task, which requires reasoning about physical plausibility and causal dynamics during editing. To support systematic evaluation, we construct RVE-Bench, a comprehensive benchmark with two complementary subsets: Reasoning-Informed Video Editing and In-Context Video Generation. These subsets cover diverse reasoning dimensions and real-world editing scenarios. Building upon this foundation, we propose the ReViSE, a Self-Reflective Reasoning (SRF) framework that unifies generation and evaluation within a single architecture. The model's internal VLM provides intrinsic feedback by assessing whether the edited video logically satisfies the given instruction. The differential feedback that refines the generator's reasoning behavior during training. Extensive experiments on RVE-Bench demonstrate that ReViSE significantly enhances editing accuracy and visual fidelity, achieving a 32% improvement of the Overall score in the reasoning-informed video editing subset over state-of-the-art methods.

Video-based large language models (Video-LLMs) have been recently introduced, targeting both fundamental improvements in perception and comprehension, and a diverse range of user inquiries. In pursuit of the ultimate goal of achieving artificial general intelligence, a truly intelligent Video-LLM model should not only see and understand the surroundings, but also possess human-level commonsense, and make well-informed decisions for the users. To guide the development of such a model, the establishment of a robust and comprehensive evaluation system becomes crucial. To this end, this paper proposes Video-Bench, a new comprehensive benchmark along with a toolkit specifically designed for evaluating Video-LLMs. The benchmark comprises 10 meticulously crafted tasks, evaluating the capabilities of Video-LLMs across three distinct levels: Video-exclusive Understanding, Prior Knowledge-based Question-Answering, and Comprehension and Decision-making. In addition, we introduce an automatic toolkit tailored to process model outputs for various tasks, facilitating the calculation of metrics and generating convenient final scores. We evaluate 8 representative Video-LLMs using Video-Bench. The findings reveal that current Video-LLMs still fall considerably short of achieving human-like comprehension and analysis of real-world videos, offering valuable insights for future research directions. The benchmark and toolkit are available at: https://github.com/PKU-YuanGroup/Video-Bench.

Long video understanding (LVU) presents a significant challenge for current multi-modal large language models (MLLMs) due to the task's inherent complexity and context window constraint. It is widely assumed that addressing LVU tasks requires foundation MLLMs with extended context windows, strong visual perception capabilities, and proficient domain expertise. In this work, we challenge this common belief by introducing VideoDeepResearch, a novel agentic framework for long video understanding. Our approach relies solely on a text-only large reasoning model (LRM) combined with a modular multi-modal toolkit, including multimodal retrievers and visual perceivers, all of which are readily available in practice. For each LVU task, the system formulates a problem-solving strategy through reasoning, while selectively accessing and utilizing essential video content via tool using. We conduct extensive experiments on popular LVU benchmarks, including MLVU, Video-MME, and LVBench. Our results demonstrate that VideoDeepResearch achieves substantial improvements over existing MLLM baselines, surpassing the previous state-of-the-art by 9.6%, 6.6%, and 3.9% on MLVU (test), LVBench, and LongVideoBench, respectively. These findings highlight the promise of agentic systems in overcoming key challenges in LVU problems.

Long-form video understanding presents significant challenges due to extensive temporal-spatial complexity and the difficulty of question answering under such extended contexts. While Large Language Models (LLMs) have demonstrated considerable advancements in video analysis capabilities and long context handling, they continue to exhibit limitations when processing information-dense hour-long videos. To overcome such limitations, we propose the Deep Video Discovery agent to leverage an agentic search strategy over segmented video clips. Different from previous video agents manually designing a rigid workflow, our approach emphasizes the autonomous nature of agents. By providing a set of search-centric tools on multi-granular video database, our DVD agent leverages the advanced reasoning capability of LLM to plan on its current observation state, strategically selects tools, formulates appropriate parameters for actions, and iteratively refines its internal reasoning in light of the gathered information. We perform comprehensive evaluation on multiple long video understanding benchmarks that demonstrates the advantage of the entire system design. Our DVD agent achieves SOTA performance, significantly surpassing prior works by a large margin on the challenging LVBench dataset. Comprehensive ablation studies and in-depth tool analyses are also provided, yielding insights to further advance intelligent agents tailored for long-form video understanding tasks. The code will be released later.

Large Language Models (LLMs) have attained human-level accuracy on medical question-answer (QA) benchmarks. However, their limitations in navigating open-ended clinical scenarios have recently been shown, raising concerns about the robustness and generalizability of LLM reasoning across diverse, real-world medical tasks. To probe potential LLM failure modes in clinical problem-solving, we present the medical abstraction and reasoning corpus (M-ARC). M-ARC assesses clinical reasoning through scenarios designed to exploit the Einstellung effect -- the fixation of thought arising from prior experience, targeting LLM inductive biases toward inflexible pattern matching from their training data rather than engaging in flexible reasoning. We find that LLMs, including current state-of-the-art o1 and Gemini models, perform poorly compared to physicians on M-ARC, often demonstrating lack of commonsense medical reasoning and a propensity to hallucinate. In addition, uncertainty estimation analyses indicate that LLMs exhibit overconfidence in their answers, despite their limited accuracy. The failure modes revealed by M-ARC in LLM medical reasoning underscore the need to exercise caution when deploying these models in clinical settings.

Despite constituting 65% of all internet traffic in 2023, video content is underrepresented in generative AI research. Meanwhile, recent large language models (LLMs) have become increasingly integrated with capabilities in the visual modality. Integrating video with LLMs is a natural next step, so how can this gap be bridged? To advance video reasoning, we propose a new research direction of VideoCOT on video keyframes, which leverages the multimodal generative abilities of vision-language models to enhance video reasoning while reducing the computational complexity of processing hundreds or thousands of frames. We introduce VIP, an inference-time dataset that can be used to evaluate VideoCOT, containing 1) a variety of real-life videos with keyframes and corresponding unstructured and structured scene descriptions, and 2) two new video reasoning tasks: video infilling and scene prediction. We benchmark various vision-language models on VIP, demonstrating the potential to use vision-language models and LLMs to enhance video chain of thought reasoning.

Recent advancements in Large Video Language Models (LVLMs) have highlighted their potential for multi-modal understanding, yet evaluating their factual grounding in video contexts remains a critical unsolved challenge. To address this gap, we introduce Video SimpleQA, the first comprehensive benchmark tailored for factuality evaluation of LVLMs. Our work distinguishes from existing video benchmarks through the following key features: 1) Knowledge required: demanding integration of external knowledge beyond the explicit narrative; 2) Fact-seeking question: targeting objective, undisputed events or relationships, avoiding subjective interpretation; 3) Definitive & short-form answer: Answers are crafted as unambiguous and definitively correct in a short format, enabling automated evaluation through LLM-as-a-judge frameworks with minimal scoring variance; 4) External-source verified: All annotations undergo rigorous validation against authoritative external references to ensure the reliability; 5) Temporal reasoning required: The annotated question types encompass both static single-frame understanding and dynamic temporal reasoning, explicitly evaluating LVLMs factuality under the long-context dependencies. We extensively evaluate 41 state-of-the-art LVLMs and summarize key findings as follows: 1) Current LVLMs exhibit notable deficiencies in factual adherence, particularly for open-source models. The best-performing model Gemini-1.5-Pro achieves merely an F-score of 54.4%; 2) Test-time compute paradigms show insignificant performance gains, revealing fundamental constraints for enhancing factuality through post-hoc computation; 3) Retrieval-Augmented Generation demonstrates consistent improvements at the cost of additional inference time overhead, presenting a critical efficiency-performance trade-off.

We introduce MMVU, a comprehensive expert-level, multi-discipline benchmark for evaluating foundation models in video understanding. MMVU includes 3,000 expert-annotated questions spanning 27 subjects across four core disciplines: Science, Healthcare, Humanities & Social Sciences, and Engineering. Compared to prior benchmarks, MMVU features three key advancements. First, it challenges models to apply domain-specific knowledge and perform expert-level reasoning to analyze specialized-domain videos, moving beyond the basic visual perception typically assessed in current video benchmarks. Second, each example is annotated by human experts from scratch. We implement strict data quality controls to ensure the high quality of the dataset. Finally, each example is enriched with expert-annotated reasoning rationals and relevant domain knowledge, facilitating in-depth analysis. We conduct an extensive evaluation of 32 frontier multimodal foundation models on MMVU. The latest System-2-capable models, o1 and Gemini 2.0 Flash Thinking, achieve the highest performance among the tested models. However, they still fall short of matching human expertise. Through in-depth error analyses and case studies, we offer actionable insights for future advancements in expert-level, knowledge-intensive video understanding for specialized domains.

We introduce a full-stack framework that scales up reasoning in vision-language models (VLMs) to long videos, leveraging reinforcement learning. We address the unique challenges of long video reasoning by integrating three critical components: (1) a large-scale dataset, LongVideo-Reason, comprising 52K long video QA pairs with high-quality reasoning annotations across diverse domains such as sports, games, and vlogs; (2) a two-stage training pipeline that extends VLMs with chain-of-thought supervised fine-tuning (CoT-SFT) and reinforcement learning (RL); and (3) a training infrastructure for long video RL, named Multi-modal Reinforcement Sequence Parallelism (MR-SP), which incorporates sequence parallelism and a vLLM-based engine tailored for long video, using cached video embeddings for efficient rollout and prefilling. In experiments, LongVILA-R1-7B achieves strong performance on long video QA benchmarks such as VideoMME. It also outperforms Video-R1-7B and even matches Gemini-1.5-Pro across temporal reasoning, goal and purpose reasoning, spatial reasoning, and plot reasoning on our LongVideo-Reason-eval benchmark. Notably, our MR-SP system achieves up to 2.1x speedup on long video RL training. LongVILA-R1 demonstrates consistent performance gains as the number of input video frames scales. LongVILA-R1 marks a firm step towards long video reasoning in VLMs. In addition, we release our training system for public availability that supports RL training on various modalities (video, text, and audio), various models (VILA and Qwen series), and even image and video generation models. On a single A100 node (8 GPUs), it supports RL training on hour-long videos (e.g., 3,600 frames / around 256k tokens).

Recent video generation models can produce high-fidelity, temporally coherent videos, indicating that they may encode substantial world knowledge. Beyond realistic synthesis, they also exhibit emerging behaviors indicative of visual perception, modeling, and manipulation. Yet, an important question still remains: Are video models ready to serve as zero-shot reasoners in challenging visual reasoning scenarios? In this work, we conduct an empirical study to comprehensively investigate this question, focusing on the leading and popular Veo-3. We evaluate its reasoning behavior across 12 dimensions, including spatial, geometric, physical, temporal, and embodied logic, systematically characterizing both its strengths and failure modes. To standardize this study, we curate the evaluation data into MME-CoF, a compact benchmark that enables in-depth and thorough assessment of Chain-of-Frame (CoF) reasoning. Our findings reveal that while current video models demonstrate promising reasoning patterns on short-horizon spatial coherence, fine-grained grounding, and locally consistent dynamics, they remain limited in long-horizon causal reasoning, strict geometric constraints, and abstract logic. Overall, they are not yet reliable as standalone zero-shot reasoners, but exhibit encouraging signs as complementary visual engines alongside dedicated reasoning models. Project page: https://video-cof.github.io

Counterfactual reasoning is crucial for robust video understanding but remains underexplored in existing multimodal benchmarks. In this paper, we introduce COVER (\underline{CO}unterfactual \underline{V}id\underline{E}o \underline{R}easoning), a multidimensional multimodal benchmark that systematically evaluates MLLMs across the abstract-concrete and perception-cognition dimensions. Beyond prior multimodal benchmarks, COVER decomposes complex queries into structured sub-questions, enabling fine-grained reasoning analysis. Experiments on commercial and open-source models reveal a strong correlation between sub-question accuracy and counterfactual reasoning performance, highlighting the role of structured inference in video understanding. Furthermore, our results suggest a key insight: enhancing the reasoning capability of models is essential for improving the robustness of video understanding. COVER establishes a new standard for assessing MLLMs' logical reasoning abilities in dynamic environments. Our work is available at https://github.com/gongyifan-hash/COVER-Benchmark.

This paper introduces VideoMind, a video-centric omni-modal dataset designed for deep video content cognition and enhanced multi-modal feature representation. The dataset comprises 103K video samples (3K reserved for testing), each paired with audio and systematically detailed textual descriptions. Specifically, every video and its audio is described across three hierarchical layers (factual, abstract, and intent), progressing from surface to depth. It contains over 22 million words, averaging ~225 words per sample. VideoMind's key distinction from existing datasets is its provision of intent expressions, which require contextual integration across the entire video and are not directly observable. These deep-cognitive expressions are generated using a Chain-of-Thought (COT) approach, prompting the mLLM through step-by-step reasoning. Each description includes annotations for subject, place, time, event, action, and intent, supporting downstream recognition tasks. Crucially, we establish a gold-standard benchmark with 3,000 manually validated samples for evaluating deep-cognitive video understanding. We design hybrid-cognitive retrieval experiments, scored by multi-level retrieval metrics, to appropriately assess deep video comprehension. Evaluation results for models (e.g., InternVideo, VAST, UMT-L) are released. VideoMind serves as a powerful benchmark for fine-grained cross-modal alignment and advances fields requiring in-depth video understanding, such as emotion and intent recognition. The data is publicly available on GitHub, HuggingFace, and OpenDataLab, https://github.com/cdx-cindy/VideoMind.

Although large language models (LLMs) have demonstrated impressive reasoning capabilities across general domains, their effectiveness in real-world clinical practice remains limited. This is likely due to their insufficient exposure to real-world clinical data during training, as such data is typically not included due to privacy concerns. To address this, we propose enhancing the clinical reasoning capabilities of LLMs by leveraging real-world clinical data. We constructed reasoning-intensive questions from a nationwide sepsis registry and fine-tuned Phi-4 on these questions using reinforcement learning, resulting in C-Reason. C-Reason exhibited strong clinical reasoning capabilities on the in-domain test set, as evidenced by both quantitative metrics and expert evaluations. Furthermore, its enhanced reasoning capabilities generalized to a sepsis dataset involving different tasks and patient cohorts, an open-ended consultations on antibiotics use task, and other diseases. Future research should focus on training LLMs with large-scale, multi-disease clinical datasets to develop more powerful, general-purpose clinical reasoning models.

Humans acquire knowledge through three cognitive stages: perceiving information, comprehending knowledge, and adapting knowledge to solve novel problems. Videos serve as an effective medium for this learning process, facilitating a progression through these cognitive stages. However, existing video benchmarks fail to systematically evaluate the knowledge acquisition capabilities in Large Multimodal Models (LMMs). To address this gap, we introduce Video-MMMU, a multi-modal, multi-disciplinary benchmark designed to assess LMMs' ability to acquire and utilize knowledge from videos. Video-MMMU features a curated collection of 300 expert-level videos and 900 human-annotated questions across six disciplines, evaluating knowledge acquisition through stage-aligned question-answer pairs: Perception, Comprehension, and Adaptation. A proposed knowledge gain metric, {\Delta}knowledge, quantifies improvement in performance after video viewing. Evaluation of LMMs reveals a steep decline in performance as cognitive demands increase and highlights a significant gap between human and model knowledge acquisition, underscoring the need for methods to enhance LMMs' capability to learn and adapt from videos.

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where doctors typically refer to a patient's historical conditions to provide a comprehensive assessment by tracking their changes over time. In this paper, we introduce TemMed-Bench, the first benchmark designed for analyzing changes in patients' conditions between different clinical visits, which challenges large vision-language models (LVLMs) to reason over temporal medical images. TemMed-Bench consists of a test set comprising three tasks - visual question-answering (VQA), report generation, and image-pair selection - and a supplementary knowledge corpus of over 17,000 instances. With TemMed-Bench, we conduct an evaluation of six proprietary and six open-source LVLMs. Our results show that most LVLMs lack the ability to analyze patients' condition changes over temporal medical images, and a large proportion perform only at a random-guessing level in the closed-book setting. In contrast, GPT o3, o4-mini and Claude 3.5 Sonnet demonstrate comparatively decent performance, though they have yet to reach the desired level. Furthermore, we explore augmenting the input with both retrieved visual and textual modalities in the medical domain. We also show that multi-modal retrieval augmentation yields notably higher performance gains than no retrieval and textual retrieval alone across most models on our benchmark, with the VQA task showing an average improvement of 2.59%. Overall, we compose a benchmark grounded on real-world clinical practice, and it reveals LVLMs' limitations in temporal medical image reasoning, as well as highlighting the use of multi-modal retrieval augmentation as a potentially promising direction worth exploring to address this challenge.

With the burgeoning growth of online video platforms and the escalating volume of video content, the demand for proficient video understanding tools has intensified markedly. Given the remarkable capabilities of Large Language Models (LLMs) in language and multimodal tasks, this survey provides a detailed overview of the recent advancements in video understanding harnessing the power of LLMs (Vid-LLMs). The emergent capabilities of Vid-LLMs are surprisingly advanced, particularly their ability for open-ended spatial-temporal reasoning combined with commonsense knowledge, suggesting a promising path for future video understanding. We examine the unique characteristics and capabilities of Vid-LLMs, categorizing the approaches into four main types: LLM-based Video Agents, Vid-LLMs Pretraining, Vid-LLMs Instruction Tuning, and Hybrid Methods. Furthermore, this survey presents a comprehensive study of the tasks, datasets, and evaluation methodologies for Vid-LLMs. Additionally, it explores the expansive applications of Vid-LLMs across various domains, highlighting their remarkable scalability and versatility in real-world video understanding challenges. Finally, it summarizes the limitations of existing Vid-LLMs and outlines directions for future research. For more information, readers are recommended to visit the repository at https://github.com/yunlong10/Awesome-LLMs-for-Video-Understanding.

In this paper, we introduce BMMR, a large-scale bilingual, multimodal, multi-disciplinary reasoning dataset for the community to develop and evaluate large multimodal models (LMMs). BMMR comprises 110k college-level questions spanning 300 UNESCO-defined subjects, spanning diverse formats-multiple-choice, fill-in-the-blank, and open-ended QA-and sourced from both print and digital media such as books, exams, and quizzes. All data are curated and filtered via a human-in-the-loop and scalable framework, and each instance is paired with a high-quality reasoning path. The dataset is organized into two parts: BMMR-Eval that comprises 20,458 high-quality instances to comprehensively assess LMMs' knowledge and reasoning across multiple disciplines in both Chinese and English; and BMMR-Train that contains 88,991 instances to support further research and development, extending the current focus on mathematical reasoning to diverse disciplines and domains. In addition, we propose the process-based multi-discipline verifier (i.e., BMMR-Verifier) for accurate and fine-grained evaluation of reasoning paths. Extensive experiments on 24 models reveal that (i) even SOTA models (e.g., o3 and Gemini-2.5-Pro) leave substantial headroom on BMMR-Eval; (ii) reasoning models exhibit discipline bias and outperform LMMs only on specific subjects; (iii) open-source models still trail their proprietary counterparts; and (iv) fine-tuning on BMMR-Train narrows this gap. Additionally, we conduct reasoning-chain analyses using BMMR-Verifier and other in-depth studies, uncovering the challenges LMMs currently face in multidisciplinary reasoning. We will release the data, and we hope our work can offer insights and contributions to the community.

The video reasoning ability of multimodal large language models (MLLMs) is crucial for downstream tasks like video question answering and temporal grounding. While recent approaches have explored text-based chain-of-thought (CoT) reasoning for MLLMs, these methods often suffer from limited cross-modal interaction and increased hallucination, especially with longer videos or reasoning chains. To address these challenges, we propose Video Intelligence via Tool-Augmented Learning (VITAL), a novel end-to-end agentic video reasoning framework. With a visual toolbox, the model can densely sample new video frames on demand and generate multimodal CoT for precise long video reasoning. We observe that temporal grounding and question answering are mutually beneficial for video understanding tasks. Therefore, we construct two high-quality multi-task video reasoning datasets MTVR-CoT-72k for supervised fine-tuning and MTVR-RL-110k for reinforcement learning. Moreover, we propose a Difficulty-aware Group Relative Policy Optimization algorithm (DGRPO) to mitigate difficulty imbalance in multi-task reinforcement learning. Extensive experiments on 11 challenging video understanding benchmarks demonstrate the advanced reasoning ability of VITAL, outperforming existing methods in video question answering and temporal grounding tasks, especially in long video scenarios. All code, data and model weight will be made publicly available.

Video understanding has seen significant progress in recent years, with models' performance on perception from short clips continuing to rise. Yet, multiple recent benchmarks, such as LVBench, Neptune, and ActivityNet-RTL, show performance wanes for tasks requiring complex reasoning on videos as queries grow more complex and videos grow longer. In this work, we ask: can existing perception capabilities be leveraged to successfully perform more complex video reasoning? In particular, we develop a large language model agent given access to video modules as subagents or tools. Rather than following a fixed procedure to solve queries as in previous work such as Visual Programming, ViperGPT, and MoReVQA, the agent uses the results of each call to a module to determine subsequent steps. Inspired by work in the textual reasoning domain, we introduce a critic to distinguish between instances of successful and unsuccessful sequences from the agent. We show that the combination of our agent and critic achieve strong performance on the previously-mentioned datasets.

High-quality and carefully curated data is a cornerstone of training medical large language models, as it directly impacts both generalization and robustness to unseen clinical tasks. We investigate strategies for training and data curation to develop a robust multimodal reasoning model in the medical domain. Our work focuses on supervised fine-tuning (SFT) and explores data recipes that leverage structured reasoning traces. Using our proposed data recipe, we scale experiments to a dataset of over 8 million examples and 6.8 billion response tokens, achieving state-of-the-art performance among open-source models across diverse out-of-distribution medical benchmark tasks. Our results further indicate that curating a high-quality, diverse training dataset with varying structured reasoning trace lengths enables the fine-tuned model to self-calibrate its reasoning trajectory lengths based on the downstream task, without explicit supervision. We present key insights, describe the data curation strategy, and outline next steps toward developing robust medical vision-language reasoning system.

Combining pre-trained expert models offers substantial potential for scalable multimodal reasoning, but building a unified framework remains challenging due to the increasing diversity of input modalities and task complexity. For instance, medical diagnosis requires precise reasoning over structured clinical tables, while financial forecasting depends on interpreting plot-based data to make informed predictions. To tackle this challenge, we introduce MEXA, a training-free framework that performs modality- and task-aware aggregation of multiple expert models to enable effective multimodal reasoning across diverse and distinct domains. MEXA dynamically selects expert models based on the input modality and the task-specific reasoning demands (i.e., skills). Each expert model, specialized in a modality task pair, generates interpretable textual reasoning outputs. MEXA then aggregates and reasons over these outputs using a Large Reasoning Model (LRM) to produce the final answer. This modular design allows flexible and transparent multimodal reasoning across diverse domains without additional training overhead. We extensively evaluate our approach on diverse multimodal benchmarks, including Video Reasoning, Audio Reasoning, 3D Understanding, and Medical QA. MEXA consistently delivers performance improvements over strong multimodal baselines, highlighting the effectiveness and broad applicability of our expert-driven selection and aggregation in diverse multimodal reasoning tasks.

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in clinical practice. In this work, we present ChestX-Reasoner, a radiology diagnosis MLLM designed to leverage process supervision mined directly from clinical reports, reflecting the step-by-step reasoning followed by radiologists. We construct a large dataset by extracting and refining reasoning chains from routine radiology reports. Our two-stage training framework combines supervised fine-tuning and reinforcement learning guided by process rewards to better align model reasoning with clinical standards. We introduce RadRBench-CXR, a comprehensive benchmark featuring 59K visual question answering samples with 301K clinically validated reasoning steps, and propose RadRScore, a metric evaluating reasoning factuality, completeness, and effectiveness. ChestX-Reasoner outperforms existing medical and general-domain MLLMs in both diagnostic accuracy and reasoning ability, achieving 16%, 5.9%, and 18% improvements in reasoning ability compared to the best medical MLLM, the best general MLLM, and its base model, respectively, as well as 3.3%, 24%, and 27% improvements in outcome accuracy. All resources are open-sourced to facilitate further research in medical reasoning MLLMs.

Large language models have demonstrated impressive performance when integrated with vision models even enabling video understanding. However, evaluating these video models presents its own unique challenges, for which several benchmarks have been proposed. In this paper, we show that the currently most used video-language benchmarks can be solved without requiring much temporal reasoning. We identified three main issues in existing datasets: (i) static information from single frames is often sufficient to solve the tasks (ii) the text of the questions and candidate answers is overly informative, allowing models to answer correctly without relying on any visual input (iii) world knowledge alone can answer many of the questions, making the benchmarks a test of knowledge replication rather than visual reasoning. In addition, we found that open-ended question-answering benchmarks for video understanding suffer from similar issues while the automatic evaluation process with LLMs is unreliable, making it an unsuitable alternative. As a solution, we propose TVBench, a novel open-source video multiple-choice question-answering benchmark, and demonstrate through extensive evaluations that it requires a high level of temporal understanding. Surprisingly, we find that most recent state-of-the-art video-language models perform similarly to random performance on TVBench, with only Gemini-Pro and Tarsier clearly surpassing this baseline.

Existing video understanding benchmarks often conflate knowledge-based and purely image-based questions, rather than clearly isolating a model's temporal reasoning ability, which is the key aspect that distinguishes video understanding from other modalities. We identify two major limitations that obscure whether higher scores truly indicate stronger understanding of the dynamic content in videos: (1) strong language priors, where models can answer questions without watching the video; and (2) shuffling invariance, where models maintain similar performance on certain questions even when video frames are temporally shuffled. To alleviate these issues, we propose VBenchComp, an automated pipeline that categorizes questions into different domains: LLM-Answerable, Semantic, and Temporal. Specifically, LLM-Answerable questions can be answered without viewing the video; Semantic questions remain answerable even when the video frames are shuffled; and Temporal questions require understanding the correct temporal order of frames. The rest of the questions are labeled as Others. This can enable fine-grained evaluation of different capabilities of a video LLM. Our analysis reveals nuanced model weaknesses that are hidden by traditional overall scores, and we offer insights and recommendations for designing future benchmarks that more accurately assess video LLMs.

Video reasoning, which requires multi-step deduction across frames, remains a major challenge for multimodal large language models (MLLMs). While reinforcement learning (RL)-based methods enhance reasoning capabilities, they often rely on text-only chains that yield ungrounded or hallucinated conclusions. Conversely, frame-retrieval approaches introduce visual grounding but still struggle with inaccurate evidence localization. To address these challenges, we present Conan, a framework for evidence-grounded multi-step video reasoning. Conan identifies contextual and evidence frames, reasons over cross-frame clues, and adaptively decides when to conclude or explore further. To achieve this, we (1) construct Conan-91K, a large-scale dataset of automatically generated reasoning traces that includes frame identification, evidence reasoning, and action decision, and (2) design a multi-stage progressive cold-start strategy combined with an Identification-Reasoning-Action (AIR) RLVR training framework to jointly enhance multi-step visual reasoning. Extensive experiments on six multi-step reasoning benchmarks demonstrate that Conan surpasses the baseline Qwen2.5-VL-7B-Instruct by an average of over 10% in accuracy, achieving state-of-the-art performance. Furthermore, Conan generalizes effectively to long-video understanding tasks, validating its strong scalability and robustness.

In the video-language domain, recent works in leveraging zero-shot Large Language Model-based reasoning for video understanding have become competitive challengers to previous end-to-end models. However, long video understanding presents unique challenges due to the complexity of reasoning over extended timespans, even for zero-shot LLM-based approaches. The challenge of information redundancy in long videos prompts the question of what specific information is essential for large language models (LLMs) and how to leverage them for complex spatial-temporal reasoning in long-form video analysis. We propose a framework VideoINSTA, i.e. INformative Spatial-TemporAl Reasoning for zero-shot long-form video understanding. VideoINSTA contributes (1) a zero-shot framework for long video understanding using LLMs; (2) an event-based temporal reasoning and content-based spatial reasoning approach for LLMs to reason over spatial-temporal information in videos; (3) a self-reflective information reasoning scheme balancing temporal factors based on information sufficiency and prediction confidence. Our model significantly improves the state-of-the-art on three long video question-answering benchmarks: EgoSchema, NextQA, and IntentQA, and the open question answering dataset ActivityNetQA. The code is released here: https://github.com/mayhugotong/VideoINSTA.

Human processes video reasoning in a sequential spatio-temporal reasoning logic, we first identify the relevant frames ("when") and then analyse the spatial relationships ("where") between key objects, and finally leverage these relationships to draw inferences ("what"). However, can Video Large Language Models (Video-LLMs) also "reason through a sequential spatio-temporal logic" in videos? Existing Video-LLM benchmarks primarily focus on assessing object presence, neglecting relational reasoning. Consequently, it is difficult to measure whether a model truly comprehends object interactions (actions/events) in videos or merely relies on pre-trained "memory" of co-occurrences as biases in generating answers. In this work, we introduce a Video Spatio-Temporal Reasoning (V-STaR) benchmark to address these shortcomings. The key idea is to decompose video understanding into a Reverse Spatio-Temporal Reasoning (RSTR) task that simultaneously evaluates what objects are present, when events occur, and where they are located while capturing the underlying Chain-of-thought (CoT) logic. To support this evaluation, we construct a dataset to elicit the spatial-temporal reasoning process of Video-LLMs. It contains coarse-to-fine CoT questions generated by a semi-automated GPT-4-powered pipeline, embedding explicit reasoning chains to mimic human cognition. Experiments from 14 Video-LLMs on our V-STaR reveal significant gaps between current Video-LLMs and the needs for robust and consistent spatio-temporal reasoning.

Medical vision-language models (VLMs) excel at image-text understanding but typically rely on a single-pass reasoning that neglects localized visual cues. In clinical practice, however, human experts iteratively scan, focus, and refine the regions of interest before reaching a final diagnosis. To narrow this machine-human perception gap, we introduce ViTAR, a novel VLM framework that emulates the iterative reasoning process of human experts through a cognitive chain of "think-act-rethink-answer". ViTAR treats medical images as interactive objects, enabling models to engage multi-step visual reasoning. To support this approach, we curate a high-quality instruction dataset comprising 1K interactive examples that encode expert-like diagnostic behaviors. In addition, a 16K visual question answering training data has been curated towards fine-grained visual diagnosis. We introduce a two-stage training strategy that begins with supervised fine-tuning to guide cognitive trajectories, followed by the reinforcement learning to optimize decision-making. Extensive evaluations demonstrate that ViTAR outperforms strong state-of-the-art models. Visual attention analysis reveals that from the "think" to "rethink" rounds, ViTAR increasingly anchors visual grounding to clinically critical regions and maintains high attention allocation to visual tokens during reasoning, providing mechanistic insight into its improved performance. These findings demonstrate that embedding expert-style iterative thinking chains into VLMs enhances both performance and trustworthiness of medical AI.

Recent advancements in reasoning-enhanced large language models (LLMs), such as DeepSeek-R1 and OpenAI-o3, have demonstrated significant progress. However, their application in professional medical contexts remains underexplored, particularly in evaluating the quality of their reasoning processes alongside final outputs. Here, we introduce MedR-Bench, a benchmarking dataset of 1,453 structured patient cases, annotated with reasoning references derived from clinical case reports. Spanning 13 body systems and 10 specialties, it includes both common and rare diseases. To comprehensively evaluate LLM performance, we propose a framework encompassing three critical examination recommendation, diagnostic decision-making, and treatment planning, simulating the entire patient care journey. To assess reasoning quality, we present the Reasoning Evaluator, a novel automated system that objectively scores free-text reasoning responses based on efficiency, actuality, and completeness using dynamic cross-referencing and evidence checks. Using this benchmark, we evaluate five state-of-the-art reasoning LLMs, including DeepSeek-R1, OpenAI-o3-mini, and Gemini-2.0-Flash Thinking, etc. Our results show that current LLMs achieve over 85% accuracy in relatively simple diagnostic tasks when provided with sufficient examination results. However, performance declines in more complex tasks, such as examination recommendation and treatment planning. While reasoning outputs are generally reliable, with factuality scores exceeding 90%, critical reasoning steps are frequently missed. These findings underscore both the progress and limitations of clinical LLMs. Notably, open-source models like DeepSeek-R1 are narrowing the gap with proprietary systems, highlighting their potential to drive accessible and equitable advancements in healthcare.

Long-form video reasoning remains a major challenge for Video Large Language Models (Video LLMs), as static uniform frame sampling leads to information dilution and obscures critical evidence. Furthermore, existing pixel-space video reasoning agents, which are designed to actively interact with the video to acquire new visual information, remain suboptimal due to their lack of rigorous reward mechanisms to enforce evidence purity and their inability to perform temporal information supplementation beyond pre-sampled frames. To address this critical gap, we propose a novel evidence-prioritized adaptive framework built upon our core philosophy: "Select Less, Reason More." Our core contribution is the evidence-aware reinforcement learning (EARL) framework, which transforms the model into an active interrogator of evidence. EARL is precisely engineered to dynamically select the most relevant frames and, crucially, to perform localized re-sampling around the selected key frames to access fine-grained temporal detail. Extensive experiments on five demanding video reasoning benchmarks demonstrate that our EARL-trained model achieves new state-of-the-art among open-source Video LLMs, simultaneously learning an effective and high-purity visual evidence selection policy. Impressively, our 7B model achieves 59.8% on LongVideoBench, 69.0% on MVBench and 64.9% on VideoMME. These results highlight the importance of prioritizing evidence purity and the effectiveness of our framework.

Cross-Video Reasoning (CVR) presents a significant challenge in video understanding, which requires simultaneous understanding of multiple videos to aggregate and compare information across groups of videos. Most existing video understanding benchmarks focus on single-video analysis, failing to assess the ability of multimodal large language models (MLLMs) to simultaneously reason over various videos. Recent benchmarks evaluate MLLMs' capabilities on multi-view videos that capture different perspectives of the same scene. However, their limited tasks hinder a thorough assessment of MLLMs in diverse real-world CVR scenarios. To this end, we introduce CrossVid, the first benchmark designed to comprehensively evaluate MLLMs' spatial-temporal reasoning ability in cross-video contexts. Firstly, CrossVid encompasses a wide spectrum of hierarchical tasks, comprising four high-level dimensions and ten specific tasks, thereby closely reflecting the complex and varied nature of real-world video understanding. Secondly, CrossVid provides 5,331 videos, along with 9,015 challenging question-answering pairs, spanning single-choice, multiple-choice, and open-ended question formats. Through extensive experiments on various open-source and closed-source MLLMs, we observe that Gemini-2.5-Pro performs best on CrossVid, achieving an average accuracy of 50.4%. Notably, our in-depth case study demonstrates that most current MLLMs struggle with CVR tasks, primarily due to their inability to integrate or compare evidence distributed across multiple videos for reasoning. These insights highlight the potential of CrossVid to guide future advancements in enhancing MLLMs' CVR capabilities.

Video Models have achieved remarkable success in high-fidelity video generation with coherent motion dynamics. Analogous to the development from text generation to text-based reasoning in language modeling, the development of video models motivates us to ask: Can video models reason via video generation? Compared with the discrete text corpus, video grounds reasoning in explicit spatial layouts and temporal continuity, which serves as an ideal substrate for spatial reasoning. In this work, we explore the reasoning via video paradigm and introduce VR-Bench -- a comprehensive benchmark designed to systematically evaluate video models' reasoning capabilities. Grounded in maze-solving tasks that inherently require spatial planning and multi-step reasoning, VR-Bench contains 7,920 procedurally generated videos across five maze types and diverse visual styles. Our empirical analysis demonstrates that SFT can efficiently elicit the reasoning ability of video model. Video models exhibit stronger spatial perception during reasoning, outperforming leading VLMs and generalizing well across diverse scenarios, tasks, and levels of complexity. We further discover a test-time scaling effect, where diverse sampling during inference improves reasoning reliability by 10--20%. These findings highlight the unique potential and scalability of reasoning via video for spatial reasoning tasks.

Large language models (LLMs) have shown promise in generating program workflows for visual tasks. However, previous approaches often rely on closed-source models, lack systematic reasoning, and struggle with long-form video question answering (videoQA). To address these challenges, we introduce the FS-VisPR framework, an adaptive visual program reasoning approach that balances fast reasoning for simple queries with slow reasoning for difficult ones. First, we design efficient visual modules (e.g., key clip retrieval and subtitle retrieval) to support long-form video tasks. Then, we construct a diverse and high-quality fast-slow reasoning dataset with a strong LLM to align open-source language models' ability to generate visual program workflows as FS-LLM. Next, we design a fast-slow reasoning framework with FS-LLM: Simple queries are directly solved by VideoLLMs, while difficult ones invoke visual program reasoning, motivated by human-like reasoning processes. During this process, low-confidence fast-thinking answers will trigger a second-stage slow-reasoning process, and a fallback mechanism to fast reasoning is activated if the program execution fails. Moreover, we improve visual programs through parameter search during both training and inference. By adjusting the parameters of the visual modules within the program, multiple variants are generated: during training, programs that yield correct answers are selected, while during inference, the program with the highest confidence result is applied. Experiments show that FS-VisPR improves both efficiency and reliability in visual program workflows. It achieves 50.4% accuracy on LVBench, surpassing GPT-4o, matching the performance of Qwen2.5VL-72B on VideoMME.

Recently we have witnessed the rapid development of video question answering models. However, most models can only handle simple videos in terms of temporal reasoning, and their performance tends to drop when answering temporal-reasoning questions on long and informative videos. To tackle this problem we propose STAIR, a Spatial-Temporal Reasoning model with Auditable Intermediate Results for video question answering. STAIR is a neural module network, which contains a program generator to decompose a given question into a hierarchical combination of several sub-tasks, and a set of lightweight neural modules to complete each of these sub-tasks. Though neural module networks are already widely studied on image-text tasks, applying them to videos is a non-trivial task, as reasoning on videos requires different abilities. In this paper, we define a set of basic video-text sub-tasks for video question answering and design a set of lightweight modules to complete them. Different from most prior works, modules of STAIR return intermediate outputs specific to their intentions instead of always returning attention maps, which makes it easier to interpret and collaborate with pre-trained models. We also introduce intermediate supervision to make these intermediate outputs more accurate. We conduct extensive experiments on several video question answering datasets under various settings to show STAIR's performance, explainability, compatibility with pre-trained models, and applicability when program annotations are not available. Code: https://github.com/yellow-binary-tree/STAIR

While recent advancements in vision-language models have improved video understanding, diagnosing their capacity for deep, narrative comprehension remains a challenge. Existing benchmarks often test short-clip recognition or use template-based questions, leaving a critical gap in evaluating fine-grained reasoning over long-form narrative content. To address these gaps, we introduce Cinacute{easte}, a comprehensive benchmark for long-form movie understanding. Our dataset comprises 3,119 multiple-choice question-answer pairs derived from 1,805 scenes across 200 diverse movies, spanning five novel fine-grained contextual reasoning categories. We use GPT-4o to generate diverse, context-rich questions by integrating visual descriptions, captions, scene titles, and summaries, which require deep narrative understanding. To ensure high-quality evaluation, our pipeline incorporates a two-stage filtering process: Context-Independence filtering ensures questions require video context, while Contextual Veracity filtering validates factual consistency against the movie content, mitigating hallucinations. Experiments show that existing MLLMs struggle on Cinacute{easte}; our analysis reveals that long-range temporal reasoning is a primary bottleneck, with the top open-source model achieving only 63.15\% accuracy. This underscores significant challenges in fine-grained contextual understanding and the need for advancements in long-form movie comprehension.

Long video understanding is still challenging for recent Large Video-Language Models (LVLMs) due to the conflict between long-form temporal understanding and detailed spatial perception. LVLMs with a uniform frame sampling mechanism, which samples frames with an equal frame size and fixed sampling rate, inevitably sacrifice either temporal clues or spatial details, resulting in suboptimal solutions. To mitigate this dilemma, we propose LOVE-R1, a model that can adaptively zoom in on a video clip. The model is first provided with densely sampled frames but in a small resolution. If some spatial details are needed, the model can zoom in on a clip of interest with a large frame resolution based on its reasoning until key visual information is obtained. The whole process is implemented as a multi-step reasoning process. To train the reasoning ability, we first finetune the model on our collected 38k high-quality CoT data and enhance it with decoupled reinforcement finetuning. As outcome rewards can not provide fine-grained process supervision, we decouple multi-step reasoning into multiple single-step reasoning and optimize the internal zoom-in ability explicitly. Experiments on long video understanding benchmarks show that our model with the slow-fast adaptive frame sampling mechanism achieves a great trade-off between sampling density and frame resolutions, and LOVE-R1 outperforms our baseline Qwen2.5-VL by an average of 3.1% points across 4 common long video understanding benchmarks.

Medical tasks such as diagnosis and treatment planning require precise and complex reasoning, particularly in life-critical domains. Unlike mathematical reasoning, medical reasoning demands meticulous, verifiable thought processes to ensure reliability and accuracy. However, there is a notable lack of datasets that provide transparent, step-by-step reasoning to validate and enhance the medical reasoning ability of AI models. To bridge this gap, we introduce MedReason, a large-scale high-quality medical reasoning dataset designed to enable faithful and explainable medical problem-solving in large language models (LLMs). We utilize a structured medical knowledge graph (KG) to convert clinical QA pairs into logical chains of reasoning, or ``thinking paths'', which trace connections from question elements to answers via relevant KG entities. Each path is validated for consistency with clinical logic and evidence-based medicine. Our pipeline generates detailed reasoning for various medical questions from 7 medical datasets, resulting in a dataset of 32,682 question-answer pairs, each with detailed, step-by-step explanations. Experiments demonstrate that fine-tuning with our dataset consistently boosts medical problem-solving capabilities, achieving significant gains of up to 7.7% for DeepSeek-Ditill-8B. Our top-performing model, MedReason-8B, outperforms the Huatuo-o1-8B, a state-of-the-art medical reasoning model, by up to 4.2% on the clinical benchmark MedBullets. We also engage medical professionals from diverse specialties to assess our dataset's quality, ensuring MedReason offers accurate and coherent medical reasoning. Our data, models, and code will be publicly available.

Video Question Answering (VideoQA) requires identifying sparse critical moments in long videos and reasoning about their causal relationships to answer semantically complex questions. While recent advances in multimodal learning have improved alignment and fusion, current approaches remain limited by two prevalent but fundamentally flawed strategies: (1) task-agnostic sampling indiscriminately processes all frames, overwhelming key events with irrelevant content; and (2) heuristic retrieval captures superficial patterns but misses causal-temporal structures needed for complex reasoning. To address these challenges, we introduce LeAdQA, an innovative approach that bridges these gaps through synergizing causal-aware query refinement with fine-grained visual grounding. Our method first leverages LLMs to reformulate question-option pairs, resolving causal ambiguities and sharpening temporal focus. These refined queries subsequently direct a temporal grounding model to precisely retrieve the most salient segments, complemented by an adaptive fusion mechanism dynamically integrating the evidence to maximize relevance. The integrated visual-textual cues are then processed by an MLLM to generate accurate, contextually-grounded answers. Experiments on NExT-QA, IntentQA, and NExT-GQA demonstrate that our method's precise visual grounding substantially enhances the understanding of video-question relationships, achieving state-of-the-art (SOTA) performance on complex reasoning tasks while maintaining computational efficiency.

Integrating large language models (LLMs) like DeepSeek R1 into healthcare requires rigorous evaluation of their reasoning alignment with clinical expertise. This study assesses DeepSeek R1's medical reasoning against expert patterns using 100 MedQA clinical cases. The model achieved 93% diagnostic accuracy, demonstrating systematic clinical judgment through differential diagnosis, guideline-based treatment selection, and integration of patient-specific factors. However, error analysis of seven incorrect cases revealed persistent limitations: anchoring bias, challenges reconciling conflicting data, insufficient exploration of alternatives, overthinking, knowledge gaps, and premature prioritization of definitive treatment over intermediate care. Crucially, reasoning length correlated with accuracy - shorter responses (<5,000 characters) were more reliable, suggesting extended explanations may signal uncertainty or rationalization of errors. While DeepSeek R1 exhibits foundational clinical reasoning capabilities, recurring flaws highlight critical areas for refinement, including bias mitigation, knowledge updates, and structured reasoning frameworks. These findings underscore LLMs' potential to augment medical decision-making through artificial reasoning but emphasize the need for domain-specific validation, interpretability safeguards, and confidence metrics (e.g., response length thresholds) to ensure reliability in real-world applications.

We introduce ReXTime, a benchmark designed to rigorously test AI models' ability to perform temporal reasoning within video events. Specifically, ReXTime focuses on reasoning across time, i.e. human-like understanding when the question and its corresponding answer occur in different video segments. This form of reasoning, requiring advanced understanding of cause-and-effect relationships across video segments, poses significant challenges to even the frontier multimodal large language models. To facilitate this evaluation, we develop an automated pipeline for generating temporal reasoning question-answer pairs, significantly reducing the need for labor-intensive manual annotations. Our benchmark includes 921 carefully vetted validation samples and 2,143 test samples, each manually curated for accuracy and relevance. Evaluation results show that while frontier large language models outperform academic models, they still lag behind human performance by a significant 14.3% accuracy gap. Additionally, our pipeline creates a training dataset of 9,695 machine generated samples without manual effort, which empirical studies suggest can enhance the across-time reasoning via fine-tuning.

We present Q-ViD, a simple approach for video question answering (video QA), that unlike prior methods, which are based on complex architectures, computationally expensive pipelines or use closed models like GPTs, Q-ViD relies on a single instruction-aware open vision-language model (InstructBLIP) to tackle videoQA using frame descriptions. Specifically, we create captioning instruction prompts that rely on the target questions about the videos and leverage InstructBLIP to obtain video frame captions that are useful to the task at hand. Subsequently, we form descriptions of the whole video using the question-dependent frame captions, and feed that information, along with a question-answering prompt, to a large language model (LLM). The LLM is our reasoning module, and performs the final step of multiple-choice QA. Our simple Q-ViD framework achieves competitive or even higher performances than current state of the art models on a diverse range of videoQA benchmarks, including NExT-QA, STAR, How2QA, TVQA and IntentQA.

Recent advances in reasoning with large language models (LLMs)has shown remarkable reasoning capabilities in domains such as mathematics and coding, yet their application to clinical diagnosis remains underexplored. Here, we introduce ClinicalGPT-R1, a reasoning enhanced generalist large language model for disease diagnosis. Trained on a dataset of 20,000 real-world clinical records, ClinicalGPT-R1 leverages diverse training strategies to enhance diagnostic reasoning. To benchmark performance, we curated MedBench-Hard, a challenging dataset spanning seven major medical specialties and representative diseases. Experimental results demonstrate that ClinicalGPT-R1 outperforms GPT-4o in Chinese diagnostic tasks and achieves comparable performance to GPT-4 in English settings. This comparative study effectively validates the superior performance of ClinicalGPT-R1 in disease diagnosis tasks. Resources are available at https://github.com/medfound/medfound.

The gigapixel scale of whole slide images (WSIs) poses a challenge for histopathology multi-modal chatbots, requiring a global WSI analysis for diagnosis, compounding evidence from different WSI patches. Current visual instruction datasets, generated through large language models, focus on creating question/answer pairs for individual image patches, which may lack diagnostic capacity on their own in histopathology, further complicated by the absence of spatial grounding in histopathology image captions. To bridge this gap, we introduce Quilt-Instruct, a large-scale dataset of 107,131 histopathology-specific instruction question/answer pairs, that is collected by leveraging educational histopathology videos from YouTube, which provides spatial localization of captions by automatically extracting narrators' cursor movements. In addition, we provide contextual reasoning by extracting diagnosis and supporting facts from the entire video content to guide the extrapolative reasoning of GPT-4. Using Quilt-Instruct, we train Quilt-LLaVA, which can reason beyond the given single image patch, enabling diagnostic reasoning and the capability of spatial awareness. To evaluate Quilt-LLaVA, we propose a comprehensive evaluation dataset created from 985 images and 1283 human-generated question-answers. We also thoroughly evaluate Quilt-LLaVA using public histopathology datasets, where Quilt-LLaVA significantly outperforms SOTA by over 10% on relative GPT-4 score and 4% and 9% on open and closed set VQA. Our code, data, and model are publicly available at quilt-llava.github.io.

Recently, improving the reasoning ability of large multimodal models (LMMs) through reinforcement learning has made great progress. However, most existing works are based on highly reasoning-intensive datasets such as mathematics and code, and researchers generally choose large-scale models as the foundation. We argue that exploring small-scale models' reasoning capabilities remains valuable for researchers with limited computational resources. Moreover, enabling models to explain their reasoning processes on general question-answering datasets is equally meaningful. Therefore, we present the small-scale video reasoning model TinyLLaVA-Video-R1. Based on TinyLLaVA-Video, a traceably trained video understanding model with no more than 4B parameters, it not only demonstrates significantly improved reasoning and thinking capabilities after using reinforcement learning on general Video-QA datasets, but also exhibits the emergent characteristic of "aha moments". Furthermore, we share a series of experimental findings, aiming to provide practical insights for future exploration of video reasoning (thinking) abilities in small-scale models. It is available at https://github.com/ZhangXJ199/TinyLLaVA-Video-R1.

Reinforcement fine-tuning (RFT) has shown great promise in achieving humanlevel reasoning capabilities of Large Language Models (LLMs), and has recently been extended to MLLMs. Nevertheless, reasoning about videos, which is a fundamental aspect of human intelligence, remains a persistent challenge due to the complex logic, temporal and causal structures inherent in video data. To fill this gap, we propose VideoRFT, a novel approach that extends the RFT paradigm to cultivate human-like video reasoning capabilities in MLLMs. VideoRFT follows the standard two-stage scheme in RFT: supervised fine-tuning (SFT) with chain-of-thought (CoT) annotations, followed by reinforcement learning (RL) to improve generalization. A central challenge to achieve this in the video domain lies in the scarcity of large-scale, high-quality video CoT datasets. We address this by building a multi-expert-driven, cognition-inspired CoT curation pipeline. First, we devise a cognition-inspired prompting strategy to elicit a reasoning LLM to generate preliminary CoTs based solely on rich, structured, and literal representations of video content. Subsequently, these CoTs are revised by a MLLM conditioned on the actual video, ensuring visual consistency and reducing visual hallucinations. This pipeline results in two new datasets, i.e.VideoRFT-CoT-102K for SFT and VideoRFT-RL-310K for RL. To further strengthen the RL phase, we introduce a novel semantic-consistency reward that explicitly promotes the alignment between textual reasoning and visual evidence. This reward encourages the model to produce coherent, context-aware reasoning outputs grounded in visual input. Extensive experiments show that VideoRFT achieves state-of-the-art performance on six video reasoning benchmarks.

Recent great advances in video generation models have demonstrated their potential to produce high-quality videos, bringing challenges to effective evaluation. Unlike human evaluation, existing automated evaluation metrics lack high-level semantic understanding and reasoning capabilities for video, thus making them infeasible and unexplainable. To fill this gap, we curate GRADEO-Instruct, a multi-dimensional T2V evaluation instruction tuning dataset, including 3.3k videos from over 10 existing video generation models and multi-step reasoning assessments converted by 16k human annotations. We then introduce GRADEO, one of the first specifically designed video evaluation models, which grades AI-generated videos for explainable scores and assessments through multi-step reasoning. Experiments show that our method aligns better with human evaluations than existing methods. Furthermore, our benchmarking reveals that current video generation models struggle to produce content that aligns with human reasoning and complex real-world scenarios. The models, datasets, and codes will be released soon.

As humans, we are natural any-horizon reasoners, i.e., we can decide whether to iteratively skim long videos or watch short ones in full when necessary for a given task. With this in mind, one would expect video reasoning models to reason flexibly across different durations. However, SOTA models are still trained to predict answers in a single turn while processing a large number of frames, akin to watching an entire long video, requiring significant resources. This raises the question: Is it possible to develop performant any-horizon video reasoning systems? Inspired by human behavior, we first propose SAGE, an agent system that performs multi-turn reasoning on long videos while handling simpler problems in a single turn. Secondly, we introduce an easy synthetic data generation pipeline using Gemini-2.5-Flash to train the orchestrator, SAGE-MM, which lies at the core of SAGE. We further propose an effective RL post-training recipe essential for instilling any-horizon reasoning ability in SAGE-MM. Thirdly, we curate SAGE-Bench with an average duration of greater than 700 seconds for evaluating video reasoning ability in real-world entertainment use cases. Lastly, we empirically validate the effectiveness of our system, data, and RL recipe, observing notable improvements of up to 6.1% on open-ended video reasoning tasks, as well as an impressive 8.2% improvement on videos longer than 10 minutes.

The advent of large vision-language models (LVLMs) has spurred research into their applications in multi-modal contexts, particularly in video understanding. Traditional VideoQA benchmarks, despite providing quantitative metrics, often fail to encompass the full spectrum of video content and inadequately assess models' temporal comprehension. To address these limitations, we introduce MMBench-Video, a quantitative benchmark designed to rigorously evaluate LVLMs' proficiency in video understanding. MMBench-Video incorporates lengthy videos from YouTube and employs free-form questions, mirroring practical use cases. The benchmark is meticulously crafted to probe the models' temporal reasoning skills, with all questions human-annotated according to a carefully constructed ability taxonomy. We employ GPT-4 for automated assessment, demonstrating superior accuracy and robustness over earlier LLM-based evaluations. Utilizing MMBench-Video, we have conducted comprehensive evaluations that include both proprietary and open-source LVLMs for images and videos. MMBench-Video stands as a valuable resource for the research community, facilitating improved evaluation of LVLMs and catalyzing progress in the field of video understanding. The evalutation code of MMBench-Video will be integrated into VLMEvalKit: https://github.com/open-compass/VLMEvalKit.

Understanding text-rich videos requires reading small, transient textual cues that often demand repeated inspection. Yet most video QA models rely on single-pass perception over fixed frames, leading to hallucinations and failures on fine-grained evidence. Inspired by how humans pause, zoom, and re-read critical regions, we introduce Video-R4 (Reinforcing Text-Rich Video Reasoning with Visual Rumination), a video reasoning LMM that performs visual rumination: iteratively selecting frames, zooming into informative regions, re-encoding retrieved pixels, and updating its reasoning state. We construct two datasets with executable rumination trajectories: Video-R4-CoT-17k for supervised practice and Video-R4-RL-30k for reinforcement learning. We propose a multi-stage rumination learning framework that progressively finetunes a 7B LMM to learn atomic and mixing visual operations via SFT and GRPO-based RL. Video-R4-7B achieves state-of-the-art results on M4-ViteVQA and further generalizes to multi-page document QA, slides QA, and generic video QA, demonstrating that iterative rumination is an effective paradigm for pixel-grounded multimodal reasoning.

Complex video reasoning remains a significant challenge for Multimodal Large Language Models (MLLMs), as current R1-based methodologies often prioritize text-centric reasoning derived from text-based and image-based developments. In video tasks, such strategies frequently underutilize rich visual information, leading to potential shortcut learning and increased susceptibility to hallucination. To foster a more robust, visual-centric video understanding, we start by introducing a novel self-supervised reinforcement learning GRPO algorithm (Pretext-GRPO) within the standard R1 pipeline, in which positive rewards are assigned for correctly solving pretext tasks on transformed visual inputs, which makes the model to non-trivially process the visual information. Building on the effectiveness of Pretext-GRPO, we further propose the ViSS-R1 framework, which streamlines and integrates pretext-task-based self-supervised learning directly into the MLLM's R1 post-training paradigm. Instead of relying solely on sparse visual cues, our framework compels models to reason about transformed visual input by simultaneously processing both pretext questions (concerning transformations) and true user queries. This necessitates identifying the applied transformation and reconstructing the original video to formulate accurate final answers. Comprehensive evaluations on six widely-used video reasoning and understanding benchmarks demonstrate the effectiveness and superiority of our Pretext-GRPO and ViSS-R1 for complex video reasoning. Our codes and models will be publicly available.

Video Question Answering (VideoQA) in the surgical domain aims to enhance intraoperative understanding by enabling AI models to reason over temporally coherent events rather than isolated frames. Current approaches are limited to static image features, and available datasets often lack temporal annotations, ignoring the dynamics critical for accurate procedural interpretation. We propose SurgViVQA, a surgical VideoQA model that extends visual reasoning from static images to dynamic surgical scenes. It uses a Masked Video--Text Encoder to fuse video and question features, capturing temporal cues such as motion and tool--tissue interactions, which a fine-tuned large language model (LLM) then decodes into coherent answers. To evaluate its performance, we curated REAL-Colon-VQA, a colonoscopic video dataset that includes motion-related questions and diagnostic attributes, as well as out-of-template questions with rephrased or semantically altered formulations to assess model robustness. Experimental validation on REAL-Colon-VQA and the public EndoVis18-VQA dataset shows that SurgViVQA outperforms existing image-based VQA benchmark models, particularly in keyword accuracy, improving over PitVQA by +11\% on REAL-Colon-VQA and +9\% on EndoVis18-VQA. A perturbation study on the questions further confirms improved generalizability and robustness to variations in question phrasing. SurgViVQA and the REAL-Colon-VQA dataset provide a framework for temporally-aware understanding in surgical VideoQA, enabling AI models to interpret dynamic procedural contexts more effectively. Code and dataset available at https://github.com/madratak/SurgViVQA.

There has been growing sentiment recently that modern large multimodal models (LMMs) have addressed most of the key challenges related to short video comprehension. As a result, both academia and industry are gradually shifting their attention towards the more complex challenges posed by understanding long-form videos. However, is this really the case? Our studies indicate that LMMs still lack many fundamental reasoning capabilities even when dealing with short videos. We introduce Vinoground, a temporal counterfactual LMM evaluation benchmark encompassing 1000 short and natural video-caption pairs. We demonstrate that existing LMMs severely struggle to distinguish temporal differences between different actions and object transformations. For example, the best model GPT-4o only obtains ~50% on our text and video scores, showing a large gap compared to the human baseline of ~90%. All open-source multimodal models and CLIP-based models perform much worse, producing mostly random chance performance. Through this work, we shed light onto the fact that temporal reasoning in short videos is a problem yet to be fully solved. The dataset and evaluation code are available at https://vinoground.github.io.

While Large Vision-Language Models (LVLMs) have achieved substantial progress in video understanding, their application to long video reasoning is hindered by uniform frame sampling and static textual reasoning, which are inefficient and struggle to handle visually intensive video tasks. To overcome these challenges, in this paper, we introduce the concept of thinking with long videos and propose a novel framework FrameThinker. Within this framework, LVLMs are able to iteratively interrogate video content. Developing such video reasoning capabilities in LVLMs presents notable challenges, particularly in adapting the model to new video actions (e.g. select frame), and designing reward functions to guide LVLMs to adopt the newly introduced action. To solve these challenges, we propose a two-phase training strategy, first employing Supervised Fine-Tuning (SFT) to instill fundamental action capabilities, followed by Reinforcement Learning (RL) to optimize a strategic decision-making policy. Notably, in this RL phase, we conduct an in-depth and comprehensive exploration of the reward design for each action and format reward. Extensive experiments on reasoning benchmarks like Video-Holmes, LongVideo-Reason, and long-video understanding benchmarks such as LongVideoBench, MLVU, VideoMME, and LVBench, demonstrate that FrameThinker achieves a significant average improvement of +10.4% over baselines while drastically reducing the number of processed frames. Most notably, our 7B model, FrameThinker establishes a new state-of-the-art on LongVideo-Reason, achieving 76.1% accuracy using an average of only 20.6 frames. This not only outperforms the competitive LongVILA-R1 (72.0%) but does so with over 20x fewer frames (vs. 512), demonstrating unparalleled efficiency and effectiveness.

While Chain-of-Thought (CoT) prompting enables sophisticated symbolic reasoning in LLMs, it remains confined to discrete text and cannot simulate the continuous, physics-governed dynamics of the real world. Recent video generation models have emerged as potential world simulators through Chain-of-Frames (CoF) reasoning -- materializing thought as frame-by-frame visual sequences, with each frame representing a physically-grounded reasoning step. Despite compelling demonstrations, a challenge persists: existing benchmarks, focusing on fidelity or alignment, do not assess CoF reasoning and thus cannot measure core cognitive abilities in multi-step planning, algorithmic logic, or abstract pattern extrapolation. This evaluation void prevents systematic understanding of model capabilities and principled guidance for improvement. We introduce Gen-ViRe (Generative Visual Reasoning Benchmark), a framework grounded in cognitive science and real-world AI applications, which decomposes CoF reasoning into six cognitive dimensions -- from perceptual logic to abstract planning -- and 24 subtasks. Through multi-source data curation, minimal prompting protocols, and hybrid VLM-assisted evaluation with detailed criteria, Gen-ViRe delivers the first quantitative assessment of video models as reasoners. Our experiments on SOTA systems reveal substantial discrepancies between impressive visual quality and actual reasoning depth, establishing baselines and diagnostic tools to advance genuine world simulators.

Current medical retrieval benchmarks primarily emphasize lexical or shallow semantic similarity, overlooking the reasoning-intensive demands that are central to clinical decision-making. In practice, physicians often retrieve authoritative medical evidence to support diagnostic hypotheses. Such evidence typically aligns with an inferred diagnosis rather than the surface form of a patient's symptoms, leading to low lexical or semantic overlap between queries and relevant documents. To address this gap, we introduce R2MED, the first benchmark explicitly designed for reasoning-driven medical retrieval. It comprises 876 queries spanning three tasks: Q&A reference retrieval, clinical evidence retrieval, and clinical case retrieval. These tasks are drawn from five representative medical scenarios and twelve body systems, capturing the complexity and diversity of real-world medical information needs. We evaluate 15 widely-used retrieval systems on R2MED and find that even the best model achieves only 31.4 nDCG@10, demonstrating the benchmark's difficulty. Classical re-ranking and generation-augmented retrieval methods offer only modest improvements. Although large reasoning models improve performance via intermediate inference generation, the best results still peak at 41.4 nDCG@10. These findings underscore a substantial gap between current retrieval techniques and the reasoning demands of real clinical tasks. We release R2MED as a challenging benchmark to foster the development of next-generation medical retrieval systems with enhanced reasoning capabilities. Data and code are available at https://github.com/R2MED/R2MED

Most existing video understanding benchmarks for multimodal large language models (MLLMs) focus only on short videos. The limited number of benchmarks for long video understanding often rely solely on multiple-choice questions (MCQs). However, because of the inherent limitation of MCQ-based evaluation and the increasing reasoning ability of MLLMs, models can give the current answer purely by combining short video understanding with elimination, without genuinely understanding the video content. To address this gap, we introduce CG-Bench, a novel benchmark designed for clue-grounded question answering in long videos. CG-Bench emphasizes the model's ability to retrieve relevant clues for questions, enhancing evaluation credibility. It features 1,219 manually curated videos categorized by a granular system with 14 primary categories, 171 secondary categories, and 638 tertiary categories, making it the largest benchmark for long video analysis. The benchmark includes 12,129 QA pairs in three major question types: perception, reasoning, and hallucination. Compensating the drawbacks of pure MCQ-based evaluation, we design two novel clue-based evaluation methods: clue-grounded white box and black box evaluations, to assess whether the model generates answers based on the correct understanding of the video. We evaluate multiple closed-source and open-source MLLMs on CG-Bench. Results indicate that current models significantly underperform in understanding long videos compared to short ones, and a significant gap exists between open-source and commercial models. We hope CG-Bench can advance the development of more trustworthy and capable MLLMs for long video understanding. All annotations and video data are released at https://cg-bench.github.io/leaderboard/.

Temporal search aims to identify a minimal set of relevant frames from tens of thousands based on a given query, serving as a foundation for accurate long-form video understanding. Existing works attempt to progressively narrow the search space. However, these approaches typically rely on a hand-crafted search process, lacking end-to-end optimization for learning optimal search strategies. In this paper, we propose TimeSearch-R, which reformulates temporal search as interleaved text-video thinking, seamlessly integrating searching video clips into the reasoning process through reinforcement learning (RL). However, applying RL training methods, such as Group Relative Policy Optimization (GRPO), to video reasoning can result in unsupervised intermediate search decisions. This leads to insufficient exploration of the video content and inconsistent logical reasoning. To address these issues, we introduce GRPO with Completeness Self-Verification (GRPO-CSV), which gathers searched video frames from the interleaved reasoning process and utilizes the same policy model to verify the adequacy of searched frames, thereby improving the completeness of video reasoning. Additionally, we construct datasets specifically designed for the SFT cold-start and RL training of GRPO-CSV, filtering out samples with weak temporal dependencies to enhance task difficulty and improve temporal search capabilities. Extensive experiments demonstrate that TimeSearch-R achieves significant improvements on temporal search benchmarks such as Haystack-LVBench and Haystack-Ego4D, as well as long-form video understanding benchmarks like VideoMME and MLVU. Notably, TimeSearch-R establishes a new state-of-the-art on LongVideoBench with 4.1% improvement over the base model Qwen2.5-VL and 2.0% over the advanced video reasoning model Video-R1. Our code is available at https://github.com/Time-Search/TimeSearch-R.

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.

"Thinking with Text" and "Thinking with Images" paradigm significantly improve the reasoning ability of large language models (LLMs) and Vision Language Models (VLMs). However, these paradigms have inherent limitations. (1) Images capture only single moments and fail to represent dynamic processes or continuous changes, and (2) The separation of text and vision as distinct modalities, hindering unified multimodal understanding and generation. To overcome these limitations, we introduce "Thinking with Video", a new paradigm that leverages video generation models, such as Sora-2, to bridge visual and textual reasoning in a unified temporal framework. To support this exploration, we developed the Video Thinking Benchmark (VideoThinkBench). VideoThinkBench encompasses two task categories: (1) vision-centric tasks (e.g., Eyeballing Puzzles), and (2) text-centric tasks (e.g., subsets of GSM8K, MMMU). Our evaluation establishes Sora-2 as a capable reasoner. On vision-centric tasks, Sora-2 is generally comparable to state-of-the-art (SOTA) VLMs, and even surpasses VLMs on several tasks, such as Eyeballing Games. On text-centric tasks, Sora-2 achieves 92% accuracy on MATH, and 75.53% accuracy on MMMU. Furthermore, we systematically analyse the source of these abilities. We also find that self-consistency and in-context learning can improve Sora-2's performance. In summary, our findings demonstrate that the video generation model is the potential unified multimodal understanding and generation model, positions "thinking with video" as a unified multimodal reasoning paradigm.

Evaluating the video understanding capabilities of Video-Language Models (VLMs) remains a significant challenge. We propose a long-context video understanding benchmark, Causal2Needles, that assesses two crucial abilities insufficiently evaluated by existing benchmarks: (1) the ability to extract information from two separate locations in a long video and understand them jointly, and (2) the ability to model the world in terms of cause and effect in human behaviors. Specifically, Causal2Needles introduces 2-needle questions, which require extracting information from both the cause and effect human-behavior events in a long video and the associated narration text. To prevent textual bias, these questions comprise two complementary formats: one asking to identify the video clip containing the answer, and one asking for the textual description of an unrelated visual detail from that video clip. Our experiments reveal that models excelling in pre-existing benchmarks struggle with 2-needle visual grounding, and the model performance is negatively correlated with the distance between the two needles. These findings highlight critical limitations in current VLMs.

Recent advancements in language multimodal models (LMMs) for video have demonstrated their potential for understanding video content, yet the task of comprehending multi-discipline lectures remains largely unexplored. We introduce Video-MMLU, a massive benchmark designed to evaluate the capabilities of LMMs in understanding Multi-Discipline Lectures. We evaluate over 90 open-source and proprietary models, ranging from 0.5B to 40B parameters. Our results highlight the limitations of current models in addressing the cognitive challenges presented by these lectures, especially in tasks requiring both perception and reasoning. Additionally, we explore how the number of visual tokens and the large language models influence performance, offering insights into the interplay between multimodal perception and reasoning in lecture comprehension.

Recent advancements in Large Language Models (LLMs) have demonstrated significant promise in clinical diagnosis. However, current models struggle to emulate the iterative, diagnostic hypothesis-driven reasoning of real clinical scenarios. Specifically, current LLMs suffer from three critical limitations: (1) generating hallucinated medical content due to weak grounding in verified knowledge, (2) asking redundant or inefficient questions rather than discriminative ones that hinder diagnostic progress, and (3) losing coherence over multi-turn dialogues, leading to contradictory or inconsistent conclusions. To address these challenges, we propose MedKGI, a diagnostic framework grounded in clinical practices. MedKGI integrates a medical knowledge graph (KG) to constrain reasoning to validated medical ontologies, selects questions based on information gain to maximize diagnostic efficiency, and adopts an OSCE-format structured state to maintain consistent evidence tracking across turns. Experiments on clinical benchmarks show that MedKGI outperforms strong LLM baselines in both diagnostic accuracy and inquiry efficiency, improving dialogue efficiency by 30% on average while maintaining state-of-the-art accuracy.

Over the last decade, online lecture videos have become increasingly popular and have experienced a meteoric rise during the pandemic. However, video-language research has primarily focused on instructional videos or movies, and tools to help students navigate the growing online lectures are lacking. Our first contribution is to facilitate research in the educational domain, by introducing AVLectures, a large-scale dataset consisting of 86 courses with over 2,350 lectures covering various STEM subjects. Each course contains video lectures, transcripts, OCR outputs for lecture frames, and optionally lecture notes, slides, assignments, and related educational content that can inspire a variety of tasks. Our second contribution is introducing video lecture segmentation that splits lectures into bite-sized topics that show promise in improving learner engagement. We formulate lecture segmentation as an unsupervised task that leverages visual, textual, and OCR cues from the lecture, while clip representations are fine-tuned on a pretext self-supervised task of matching the narration with the temporally aligned visual content. We use these representations to generate segments using a temporally consistent 1-nearest neighbor algorithm, TW-FINCH. We evaluate our method on 15 courses and compare it against various visual and textual baselines, outperforming all of them. Our comprehensive ablation studies also identify the key factors driving the success of our approach.

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in medical visual question answering (VQA), no large-scale expert-level dataset has captured stepwise reasoning with precise visual grounding. We introduce S-Chain, the first large-scale dataset of 12,000 expert-annotated medical images with bounding boxes and structured visual CoT (SV-CoT), explicitly linking visual regions to reasoning steps. The dataset further supports 16 languages, totaling over 700k VQA pairs for broad multilingual applicability. Using S-Chain, we benchmark state-of-the-art medical VLMs (ExGra-Med, LLaVA-Med) and general-purpose VLMs (Qwen2.5-VL, InternVL2.5), showing that SV-CoT supervision significantly improves interpretability, grounding fidelity, and robustness. Beyond benchmarking, we study its synergy with retrieval-augmented generation, revealing how domain knowledge and visual grounding interact during autoregressive reasoning. Finally, we propose a new mechanism that strengthens the alignment between visual evidence and reasoning, improving both reliability and efficiency. S-Chain establishes a new benchmark for grounded medical reasoning and paves the way toward more trustworthy and explainable medical VLMs.

Medical Visual Language Models have shown great potential in various healthcare applications, including medical image captioning and diagnostic assistance. However, most existing models rely on text-based instructions, limiting their usability in real-world clinical environments especially in scenarios such as surgery, text-based interaction is often impractical for physicians. In addition, current medical image analysis models typically lack comprehensive reasoning behind their predictions, which reduces their reliability for clinical decision-making. Given that medical diagnosis errors can have life-changing consequences, there is a critical need for interpretable and rational medical assistance. To address these challenges, we introduce an end-to-end speech-driven medical VLM, SilVar-Med, a multimodal medical image assistant that integrates speech interaction with VLMs, pioneering the task of voice-based communication for medical image analysis. In addition, we focus on the interpretation of the reasoning behind each prediction of medical abnormalities with a proposed reasoning dataset. Through extensive experiments, we demonstrate a proof-of-concept study for reasoning-driven medical image interpretation with end-to-end speech interaction. We believe this work will advance the field of medical AI by fostering more transparent, interactive, and clinically viable diagnostic support systems. Our code and dataset are publicly available at SiVar-Med.

Existing medical RAG systems mainly leverage knowledge from medical knowledge bases, neglecting the crucial role of experiential knowledge derived from similar patient cases -- a key component of human clinical reasoning. To bridge this gap, we propose DoctorRAG, a RAG framework that emulates doctor-like reasoning by integrating both explicit clinical knowledge and implicit case-based experience. DoctorRAG enhances retrieval precision by first allocating conceptual tags for queries and knowledge sources, together with a hybrid retrieval mechanism from both relevant knowledge and patient. In addition, a Med-TextGrad module using multi-agent textual gradients is integrated to ensure that the final output adheres to the retrieved knowledge and patient query. Comprehensive experiments on multilingual, multitask datasets demonstrate that DoctorRAG significantly outperforms strong baseline RAG models and gains improvements from iterative refinements. Our approach generates more accurate, relevant, and comprehensive responses, taking a step towards more doctor-like medical reasoning systems.

Recent advances in general medical AI have made significant strides, but existing models often lack the reasoning capabilities needed for complex medical decision-making. This paper presents GMAI-VL-R1, a multimodal medical reasoning model enhanced by reinforcement learning (RL) to improve its reasoning abilities. Through iterative training, GMAI-VL-R1 optimizes decision-making, significantly boosting diagnostic accuracy and clinical support. We also develop a reasoning data synthesis method, generating step-by-step reasoning data via rejection sampling, which further enhances the model's generalization. Experimental results show that after RL training, GMAI-VL-R1 excels in tasks such as medical image diagnosis and visual question answering. While the model demonstrates basic memorization with supervised fine-tuning, RL is crucial for true generalization. Our work establishes new evaluation benchmarks and paves the way for future advancements in medical reasoning models. Code, data, and model will be released at https://github.com/uni-medical/GMAI-VL-R1{this link}.

While multimodal large language models (MLLMs) exhibit strong performance on single-video tasks (e.g., video question answering), their ability across multiple videos remains critically underexplored. However, this capability is essential for real-world applications, including multi-camera surveillance and cross-video procedural learning. To bridge this gap, we present CVBench, the first comprehensive benchmark designed to assess cross-video relational reasoning rigorously. CVBench comprises 1,000 question-answer pairs spanning three hierarchical tiers: cross-video object association (identifying shared entities), cross-video event association (linking temporal or causal event chains), and cross-video complex reasoning (integrating commonsense and domain knowledge). Built from five domain-diverse video clusters (e.g., sports, life records), the benchmark challenges models to synthesise information across dynamic visual contexts. Extensive evaluation of 10+ leading MLLMs (including GPT-4o, Gemini-2.0-flash, Qwen2.5-VL) under zero-shot or chain-of-thought prompting paradigms. Key findings reveal stark performance gaps: even top models, such as GPT-4o, achieve only 60% accuracy on causal reasoning tasks, compared to the 91% accuracy of human performance. Crucially, our analysis reveals fundamental bottlenecks inherent in current MLLM architectures, notably deficient inter-video context retention and poor disambiguation of overlapping entities. CVBench establishes a rigorous framework for diagnosing and advancing multi-video reasoning, offering architectural insights for next-generation MLLMs. The data and evaluation code are available at https://github.com/Hokhim2/CVBench.

Visual texts embedded in videos carry rich semantic information, which is crucial for both holistic video understanding and fine-grained reasoning about local human actions. However, existing video understanding benchmarks largely overlook textual information, while OCR-specific benchmarks are constrained to static images, limiting their ability to capture the interaction between text and dynamic visual contexts. To address this gap, we propose VidText, a new benchmark designed for comprehensive and in-depth evaluation of video text understanding. VidText offers the following key features: 1) It covers a wide range of real-world scenarios and supports multilingual content, encompassing diverse settings where video text naturally appears. 2) It introduces a hierarchical evaluation framework with video-level, clip-level, and instance-level tasks, enabling assessment of both global summarization and local retrieval capabilities. 3) The benchmark also introduces a set of paired perception reasoning tasks, ranging from visual text perception to cross-modal reasoning between textual and visual information. Extensive experiments on 18 state-of-the-art Large Multimodal Models (LMMs) reveal that current models struggle across most tasks, with significant room for improvement. Further analysis highlights the impact of both model-intrinsic factors, such as input resolution and OCR capability, and external factors, including the use of auxiliary information and Chain-of-Thought reasoning strategies. We hope VidText will fill the current gap in video understanding benchmarks and serve as a foundation for future research on multimodal reasoning with video text in dynamic environments.

In medical scenarios, effectively retrieving external knowledge and leveraging it for rigorous logical reasoning is of significant importance. Despite their potential, existing work has predominantly focused on enhancing either retrieval or reasoning capabilities of the models in isolation, with little attention given to their joint optimization, which leads to limited coordination between the two processes. Additionally, current methods rely heavily on supervised fine-tuning (SFT), which can cause models to memorize existing problem-solving pathways, thereby restricting their generalization ability when confronted with novel problem contexts. Furthermore, while some studies have explored to improve retrieval-augmented reasoning in general domains via reinforcement learning, their reward function designs do not adequately capture the specific demands of the medical domain. To address these challenges, we introduce **Med-R^3**, a **Med**ical **R**etrieval-augmented **R**easoning framework driven by progressive **R**einforcement learning. In this framework, we first develop the model's ability to perform logical reasoning over medical problems. Subsequently, on the basis of this foundation, we adaptively optimize the retrieval capability to better align with the characteristics of knowledge corpus and external information utilization throughout the reasoning process. Finally, we conduct joint optimization of the model's retrieval and reasoning coordination. Extensive experiments indicate that **Med-R^3** could achieve state-of-the-art performances, with LLaMA3.1-8B-Instruct + Med-R^3 surpassing closed-sourced GPT-4o-mini by 3.93\% at a comparable parameter scale, while Qwen2.5-14B augmented with Med-R^3 shows a more substantial gain of 13.53\%.

Videos, with their unique temporal dimension, demand precise grounded understanding, where answers are directly linked to visual, interpretable evidence. Despite significant breakthroughs in reasoning capabilities within Large Language Models, multi-modal reasoning - especially for videos - remains unexplored. In this work, we introduce VideoMind, a novel video-language agent designed for temporal-grounded video understanding. VideoMind incorporates two key innovations: (i) We identify essential capabilities for video temporal reasoning and develop a role-based agentic workflow, including a planner for coordinating different roles, a grounder for temporal localization, a verifier to assess temporal interval accuracy, and an answerer for question-answering. (ii) To efficiently integrate these diverse roles, we propose a novel Chain-of-LoRA strategy, enabling seamless role-switching via lightweight LoRA adaptors while avoiding the overhead of multiple models, thus balancing efficiency and flexibility. Extensive experiments on 14 public benchmarks demonstrate that our agent achieves state-of-the-art performance on diverse video understanding tasks, including 3 on grounded video question-answering, 6 on video temporal grounding, and 5 on general video question-answering, underscoring its effectiveness in advancing video agent and long-form temporal reasoning.

The commonsense reasoning capabilities of vision-language models (VLMs), especially in abductive reasoning and defeasible reasoning, remain poorly understood. Most benchmarks focus on typical visual scenarios, making it difficult to discern whether model performance stems from keen perception and reasoning skills, or reliance on pure statistical recall. We argue that by focusing on atypical events in videos, clearer insights can be gained on the core capabilities of VLMs. Explaining and understanding such out-of-distribution events requires models to extend beyond basic pattern recognition and regurgitation of their prior knowledge. To this end, we introduce BlackSwanSuite, a benchmark for evaluating VLMs' ability to reason about unexpected events through abductive and defeasible tasks. Our tasks artificially limit the amount of visual information provided to models while questioning them about hidden unexpected events, or provide new visual information that could change an existing hypothesis about the event. We curate a comprehensive benchmark suite comprising over 3,800 MCQ, 4,900 generative and 6,700 yes/no tasks, spanning 1,655 videos. After extensively evaluating various state-of-the-art VLMs, including GPT-4o and Gemini 1.5 Pro, as well as open-source VLMs such as LLaVA-Video, we find significant performance gaps of up to 32% from humans on these tasks. Our findings reveal key limitations in current VLMs, emphasizing the need for enhanced model architectures and training strategies.

We introduce MedXpertQA, a highly challenging and comprehensive benchmark to evaluate expert-level medical knowledge and advanced reasoning. MedXpertQA includes 4,460 questions spanning 17 specialties and 11 body systems. It includes two subsets, Text for text evaluation and MM for multimodal evaluation. Notably, MM introduces expert-level exam questions with diverse images and rich clinical information, including patient records and examination results, setting it apart from traditional medical multimodal benchmarks with simple QA pairs generated from image captions. MedXpertQA applies rigorous filtering and augmentation to address the insufficient difficulty of existing benchmarks like MedQA, and incorporates specialty board questions to improve clinical relevance and comprehensiveness. We perform data synthesis to mitigate data leakage risk and conduct multiple rounds of expert reviews to ensure accuracy and reliability. We evaluate 16 leading models on MedXpertQA. Moreover, medicine is deeply connected to real-world decision-making, providing a rich and representative setting for assessing reasoning abilities beyond mathematics and code. To this end, we develop a reasoning-oriented subset to facilitate the assessment of o1-like models.