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Aug 12

Masked Diffusion with Task-awareness for Procedure Planning in Instructional Videos

A key challenge with procedure planning in instructional videos lies in how to handle a large decision space consisting of a multitude of action types that belong to various tasks. To understand real-world video content, an AI agent must proficiently discern these action types (e.g., pour milk, pour water, open lid, close lid, etc.) based on brief visual observation. Moreover, it must adeptly capture the intricate semantic relation of the action types and task goals, along with the variable action sequences. Recently, notable progress has been made via the integration of diffusion models and visual representation learning to address the challenge. However, existing models employ rudimentary mechanisms to utilize task information to manage the decision space. To overcome this limitation, we introduce a simple yet effective enhancement - a masked diffusion model. The introduced mask acts akin to a task-oriented attention filter, enabling the diffusion/denoising process to concentrate on a subset of action types. Furthermore, to bolster the accuracy of task classification, we harness more potent visual representation learning techniques. In particular, we learn a joint visual-text embedding, where a text embedding is generated by prompting a pre-trained vision-language model to focus on human actions. We evaluate the method on three public datasets and achieve state-of-the-art performance on multiple metrics. Code is available at https://github.com/ffzzy840304/Masked-PDPP.

  • 5 authors
·
Sep 13, 2023

Agentic Robot: A Brain-Inspired Framework for Vision-Language-Action Models in Embodied Agents

Long-horizon robotic manipulation poses significant challenges for autonomous systems, requiring extended reasoning, precise execution, and robust error recovery across complex sequential tasks. Current approaches, whether based on static planning or end-to-end visuomotor policies, suffer from error accumulation and lack effective verification mechanisms during execution, limiting their reliability in real-world scenarios. We present Agentic Robot, a brain-inspired framework that addresses these limitations through Standardized Action Procedures (SAP)--a novel coordination protocol governing component interactions throughout manipulation tasks. Drawing inspiration from Standardized Operating Procedures (SOPs) in human organizations, SAP establishes structured workflows for planning, execution, and verification phases. Our architecture comprises three specialized components: (1) a large reasoning model that decomposes high-level instructions into semantically coherent subgoals, (2) a vision-language-action executor that generates continuous control commands from real-time visual inputs, and (3) a temporal verifier that enables autonomous progression and error recovery through introspective assessment. This SAP-driven closed-loop design supports dynamic self-verification without external supervision. On the LIBERO benchmark, Agentic Robot achieves state-of-the-art performance with an average success rate of 79.6\%, outperforming SpatialVLA by 6.1\% and OpenVLA by 7.4\% on long-horizon tasks. These results demonstrate that SAP-driven coordination between specialized components enhances both performance and interpretability in sequential manipulation, suggesting significant potential for reliable autonomous systems. Project Github: https://agentic-robot.github.io.

  • 11 authors
·
May 29, 2025

CoPESD: A Multi-Level Surgical Motion Dataset for Training Large Vision-Language Models to Co-Pilot Endoscopic Submucosal Dissection

submucosal dissection (ESD) enables rapid resection of large lesions, minimizing recurrence rates and improving long-term overall survival. Despite these advantages, ESD is technically challenging and carries high risks of complications, necessitating skilled surgeons and precise instruments. Recent advancements in Large Visual-Language Models (LVLMs) offer promising decision support and predictive planning capabilities for robotic systems, which can augment the accuracy of ESD and reduce procedural risks. However, existing datasets for multi-level fine-grained ESD surgical motion understanding are scarce and lack detailed annotations. In this paper, we design a hierarchical decomposition of ESD motion granularity and introduce a multi-level surgical motion dataset (CoPESD) for training LVLMs as the robotic Co-Pilot of Endoscopic Submucosal Dissection. CoPESD includes 17,679 images with 32,699 bounding boxes and 88,395 multi-level motions, from over 35 hours of ESD videos for both robot-assisted and conventional surgeries. CoPESD enables granular analysis of ESD motions, focusing on the complex task of submucosal dissection. Extensive experiments on the LVLMs demonstrate the effectiveness of CoPESD in training LVLMs to predict following surgical robotic motions. As the first multimodal ESD motion dataset, CoPESD supports advanced research in ESD instruction-following and surgical automation. The dataset is available at https://github.com/gkw0010/CoPESD{https://github.com/gkw0010/CoPESD.}}

  • 9 authors
·
Oct 9, 2024

AssistGPT: A General Multi-modal Assistant that can Plan, Execute, Inspect, and Learn

Recent research on Large Language Models (LLMs) has led to remarkable advancements in general NLP AI assistants. Some studies have further explored the use of LLMs for planning and invoking models or APIs to address more general multi-modal user queries. Despite this progress, complex visual-based tasks still remain challenging due to the diverse nature of visual tasks. This diversity is reflected in two aspects: 1) Reasoning paths. For many real-life applications, it is hard to accurately decompose a query simply by examining the query itself. Planning based on the specific visual content and the results of each step is usually required. 2) Flexible inputs and intermediate results. Input forms could be flexible for in-the-wild cases, and involves not only a single image or video but a mixture of videos and images, e.g., a user-view image with some reference videos. Besides, a complex reasoning process will also generate diverse multimodal intermediate results, e.g., video narrations, segmented video clips, etc. To address such general cases, we propose a multi-modal AI assistant, AssistGPT, with an interleaved code and language reasoning approach called Plan, Execute, Inspect, and Learn (PEIL) to integrate LLMs with various tools. Specifically, the Planner is capable of using natural language to plan which tool in Executor should do next based on the current reasoning progress. Inspector is an efficient memory manager to assist the Planner to feed proper visual information into a specific tool. Finally, since the entire reasoning process is complex and flexible, a Learner is designed to enable the model to autonomously explore and discover the optimal solution. We conducted experiments on A-OKVQA and NExT-QA benchmarks, achieving state-of-the-art results. Moreover, showcases demonstrate the ability of our system to handle questions far more complex than those found in the benchmarks.

  • 7 authors
·
Jun 14, 2023 2

Dr-LLaVA: Visual Instruction Tuning with Symbolic Clinical Grounding

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.

  • 7 authors
·
May 29, 2024

RoboAgent: Chaining Basic Capabilities for Embodied Task Planning

This paper focuses on embodied task planning, where an agent acquires visual observations from the environment and executes atomic actions to accomplish a given task. Although recent Vision-Language Models (VLMs) have achieved impressive results in multimodal understanding and reasoning, their performance remains limited when applied to embodied planning that involves multi-turn interaction, long-horizon reasoning, and extended context analysis. To bridge this gap, we propose RoboAgent, a capability-driven planning pipeline in which the model actively invokes different sub-capabilities. Each capability maintains its own context, and produces intermediate reasoning results or interacts with the environment according to the query given by a scheduler. This framework decomposes complex planning into a sequence of basic vision-language problems that VLMs can better address, enabling a more transparent and controllable reasoning process. The scheduler and all capabilities are implemented with a single VLM, without relying on external tools. To train this VLM, we adopt a multi-stage paradigm that consists of: (1) behavior cloning with expert plans, (2) DAgger training using trajectories collected by the model, and (3) reinforcement learning guided by an expert policy. Across these stages, we exploit the internal information of the environment simulator to construct high-quality supervision for each capability, and we further introduce augmented and synthetic data to enhance the model's performance in more diverse scenarios. Extensive experiments on widely used embodied task planning benchmarks validate the effectiveness of the proposed approach. Our codes will be available at https://github.com/woyut/RoboAgent_CVPR26.

  • 3 authors
·
Apr 8

Structured Preference Optimization for Vision-Language Long-Horizon Task Planning

Existing methods for vision-language task planning excel in short-horizon tasks but often fall short in complex, long-horizon planning within dynamic environments. These challenges primarily arise from the difficulty of effectively training models to produce high-quality reasoning processes for long-horizon tasks. To address this, we propose Structured Preference Optimization (SPO), which aims to enhance reasoning and action selection in long-horizon task planning through structured preference evaluation and optimized training strategies. Specifically, SPO introduces: 1) Preference-Based Scoring and Optimization, which systematically evaluates reasoning chains based on task relevance, visual grounding, and historical consistency; and 2) Curriculum-Guided Training, where the model progressively adapts from simple to complex tasks, improving its generalization ability in long-horizon scenarios and enhancing reasoning robustness. To advance research in vision-language long-horizon task planning, we introduce ExtendaBench, a comprehensive benchmark covering 1,509 tasks across VirtualHome and Habitat 2.0, categorized into ultra-short, short, medium, and long tasks. Experimental results demonstrate that SPO significantly improves reasoning quality and final decision accuracy, outperforming prior methods on long-horizon tasks and underscoring the effectiveness of preference-driven optimization in vision-language task planning. Specifically, SPO achieves a +5.98% GCR and +4.68% SR improvement in VirtualHome and a +3.30% GCR and +2.11% SR improvement in Habitat over the best-performing baselines.

  • 9 authors
·
Feb 28, 2025

ORacle: Large Vision-Language Models for Knowledge-Guided Holistic OR Domain Modeling

Every day, countless surgeries are performed worldwide, each within the distinct settings of operating rooms (ORs) that vary not only in their setups but also in the personnel, tools, and equipment used. This inherent diversity poses a substantial challenge for achieving a holistic understanding of the OR, as it requires models to generalize beyond their initial training datasets. To reduce this gap, we introduce ORacle, an advanced vision-language model designed for holistic OR domain modeling, which incorporates multi-view and temporal capabilities and can leverage external knowledge during inference, enabling it to adapt to previously unseen surgical scenarios. This capability is further enhanced by our novel data augmentation framework, which significantly diversifies the training dataset, ensuring ORacle's proficiency in applying the provided knowledge effectively. In rigorous testing, in scene graph generation, and downstream tasks on the 4D-OR dataset, ORacle not only demonstrates state-of-the-art performance but does so requiring less data than existing models. Furthermore, its adaptability is displayed through its ability to interpret unseen views, actions, and appearances of tools and equipment. This demonstrates ORacle's potential to significantly enhance the scalability and affordability of OR domain modeling and opens a pathway for future advancements in surgical data science. We will release our code and data upon acceptance.

  • 4 authors
·
Apr 10, 2024

PlanGPT-VL: Enhancing Urban Planning with Domain-Specific Vision-Language Models

In the field of urban planning, existing Vision-Language Models (VLMs) frequently fail to effectively analyze and evaluate planning maps, despite the critical importance of these visual elements for urban planners and related educational contexts. Planning maps, which visualize land use, infrastructure layouts, and functional zoning, require specialized understanding of spatial configurations, regulatory requirements, and multi-scale analysis. To address this challenge, we introduce PlanGPT-VL, the first domain-specific Vision-Language Model tailored specifically for urban planning maps. PlanGPT-VL employs three innovative approaches: (1) PlanAnno-V framework for high-quality VQA data synthesis, (2) Critical Point Thinking to reduce hallucinations through structured verification, and (3) comprehensive training methodology combining Supervised Fine-Tuning with frozen vision encoder parameters. Through systematic evaluation on our proposed PlanBench-V benchmark, we demonstrate that PlanGPT-VL significantly outperforms general-purpose state-of-the-art VLMs in specialized planning map interpretation tasks, offering urban planning professionals a reliable tool for map analysis, assessment, and educational applications while maintaining high factual accuracy. Our lightweight 7B parameter model achieves comparable performance to models exceeding 72B parameters, demonstrating efficient domain specialization without sacrificing performance.

  • 7 authors
·
May 20, 2025

Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lectures

Recent advancements in surgical computer vision have been driven by vision-only models, which lack language semantics, relying on manually annotated videos to predict fixed object categories. This limits their generalizability to unseen surgical procedures and tasks. We propose leveraging surgical video lectures from e-learning platforms to provide effective vision and language supervisory signals for multi-modal representation learning, bypassing manual annotations. We address surgery-specific linguistic challenges using multiple automatic speech recognition systems for text transcriptions. We introduce SurgVLP - Surgical Vision Language Pre-training - a novel method for multi-modal representation learning. SurgVLP employs a new contrastive learning objective, aligning video clip embeddings with corresponding multiple text embeddings in a joint latent space. We demonstrate the representational capability of this space through several vision-and-language surgical tasks and vision-only tasks specific to surgery. Unlike current fully supervised approaches, SurgVLP adapts to different surgical procedures and tasks without specific fine-tuning, achieving zero-shot adaptation to tasks such as surgical tool, phase, and triplet recognition without manual annotation. These results highlight the transferability and versatility of the learned multi-modal representations in surgical video analysis. The code is available at https://github.com/CAMMA-public/SurgVLP

  • 7 authors
·
Jul 27, 2023

Specialist vision-language models for clinical ophthalmology

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

  • 16 authors
·
Jul 11, 2024

SurgLaVi: Large-Scale Hierarchical Dataset for Surgical Vision-Language Representation Learning

Vision-language pre-training (VLP) offers unique advantages for surgery by aligning language with surgical videos, enabling workflow understanding and transfer across tasks without relying on expert-labeled datasets. However, progress in surgical VLP remains constrained by the limited scale, procedural diversity, semantic quality, and hierarchical structure of existing datasets. In this work, we present SurgLaVi, the largest and most diverse surgical vision-language dataset to date, comprising nearly 240k clip-caption pairs from more than 200 procedures, and comprising hierarchical levels at phase-, step-, and task-level. At the core of SurgLaVi lies a fully automated pipeline that systematically generates fine-grained transcriptions of surgical videos and segments them into coherent procedural units. To ensure high-quality annotations, it applies dual-modality filtering to remove irrelevant and noisy samples. Within this framework, the resulting captions are enriched with contextual detail, producing annotations that are both semantically rich and easy to interpret. To ensure accessibility, we release SurgLaVi-eta, an open-source derivative of 113k clip-caption pairs constructed entirely from public data, which is over four times larger than existing surgical VLP datasets. To demonstrate the value of SurgLaVi datasets, we introduce SurgCLIP, a CLIP-style video-text contrastive framework with dual encoders, as a representative base model. SurgCLIP achieves consistent improvements across phase, step, action, and tool recognition, surpassing prior state-of-the-art methods, often by large margins. These results validate that large-scale, semantically rich, and hierarchically structured datasets directly translate into stronger and more generalizable representations, establishing SurgLaVi as a key resource for developing surgical foundation models.

  • 5 authors
·
Sep 9, 2025

Evaluating Vision-Language Models as Evaluators in Path Planning

Despite their promise to perform complex reasoning, large language models (LLMs) have been shown to have limited effectiveness in end-to-end planning. This has inspired an intriguing question: if these models cannot plan well, can they still contribute to the planning framework as a helpful plan evaluator? In this work, we generalize this question to consider LLMs augmented with visual understanding, i.e., Vision-Language Models (VLMs). We introduce PathEval, a novel benchmark evaluating VLMs as plan evaluators in complex path-planning scenarios. Succeeding in the benchmark requires a VLM to be able to abstract traits of optimal paths from the scenario description, demonstrate precise low-level perception on each path, and integrate this information to decide the better path. Our analysis of state-of-the-art VLMs reveals that these models face significant challenges on the benchmark. We observe that the VLMs can precisely abstract given scenarios to identify the desired traits and exhibit mixed performance in integrating the provided information. Yet, their vision component presents a critical bottleneck, with models struggling to perceive low-level details about a path. Our experimental results show that this issue cannot be trivially addressed via end-to-end fine-tuning; rather, task-specific discriminative adaptation of these vision encoders is needed for these VLMs to become effective path evaluators.

  • 4 authors
·
Nov 27, 2024

Prism: A Framework for Decoupling and Assessing the Capabilities of VLMs

Vision Language Models (VLMs) demonstrate remarkable proficiency in addressing a wide array of visual questions, which requires strong perception and reasoning faculties. Assessing these two competencies independently is crucial for model refinement, despite the inherent difficulty due to the intertwined nature of seeing and reasoning in existing VLMs. To tackle this issue, we present Prism, an innovative framework designed to disentangle the perception and reasoning processes involved in visual question solving. Prism comprises two distinct stages: a perception stage that utilizes a VLM to extract and articulate visual information in textual form, and a reasoning stage that formulates responses based on the extracted visual information using a Large Language Model (LLM). This modular design enables the systematic comparison and assessment of both proprietary and open-source VLM for their perception and reasoning strengths. Our analytical framework provides several valuable insights, underscoring Prism's potential as a cost-effective solution for vision-language tasks. By combining a streamlined VLM focused on perception with a powerful LLM tailored for reasoning, Prism achieves superior results in general vision-language tasks while substantially cutting down on training and operational expenses. Quantitative evaluations show that Prism, when configured with a vanilla 2B LLaVA and freely accessible GPT-3.5, delivers performance on par with VLMs 10 times larger on the rigorous multimodal benchmark MMStar. The project is released at: https://github.com/SparksJoe/Prism.

  • 9 authors
·
Jun 20, 2024 2

ViPlan: A Benchmark for Visual Planning with Symbolic Predicates and Vision-Language Models

Integrating Large Language Models with symbolic planners is a promising direction for obtaining verifiable and grounded plans compared to planning in natural language, with recent works extending this idea to visual domains using Vision-Language Models (VLMs). However, rigorous comparison between VLM-grounded symbolic approaches and methods that plan directly with a VLM has been hindered by a lack of common environments, evaluation protocols and model coverage. We introduce ViPlan, the first open-source benchmark for Visual Planning with symbolic predicates and VLMs. ViPlan features a series of increasingly challenging tasks in two domains: a visual variant of the classic Blocksworld planning problem and a simulated household robotics environment. We benchmark nine open-source VLM families across multiple sizes, along with selected closed models, evaluating both VLM-grounded symbolic planning and using the models directly to propose actions. We find symbolic planning to outperform direct VLM planning in Blocksworld, where accurate image grounding is crucial, whereas the opposite is true in the household robotics tasks, where commonsense knowledge and the ability to recover from errors are beneficial. Finally, we show that across most models and methods, there is no significant benefit to using Chain-of-Thought prompting, suggesting that current VLMs still struggle with visual reasoning.

  • 8 authors
·
May 19, 2025 1

LMOD: A Large Multimodal Ophthalmology Dataset and Benchmark for Large Vision-Language Models

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

  • 9 authors
·
Oct 2, 2024

OphCLIP: Hierarchical Retrieval-Augmented Learning for Ophthalmic Surgical Video-Language Pretraining

Surgical practice involves complex visual interpretation, procedural skills, and advanced medical knowledge, making surgical vision-language pretraining (VLP) particularly challenging due to this complexity and the limited availability of annotated data. To address the gap, we propose OphCLIP, a hierarchical retrieval-augmented vision-language pretraining framework specifically designed for ophthalmic surgical workflow understanding. OphCLIP leverages the OphVL dataset we constructed, a large-scale and comprehensive collection of over 375K hierarchically structured video-text pairs with tens of thousands of different combinations of attributes (surgeries, phases/operations/actions, instruments, medications, as well as more advanced aspects like the causes of eye diseases, surgical objectives, and postoperative recovery recommendations, etc). These hierarchical video-text correspondences enable OphCLIP to learn both fine-grained and long-term visual representations by aligning short video clips with detailed narrative descriptions and full videos with structured titles, capturing intricate surgical details and high-level procedural insights, respectively. Our OphCLIP also designs a retrieval-augmented pretraining framework to leverage the underexplored large-scale silent surgical procedure videos, automatically retrieving semantically relevant content to enhance the representation learning of narrative videos. Evaluation across 11 datasets for phase recognition and multi-instrument identification shows OphCLIP's robust generalization and superior performance.

  • 20 authors
·
Nov 22, 2024

Prompt Triage: Structured Optimization Enhances Vision-Language Model Performance on Medical Imaging Benchmarks

Vision-language foundation models (VLMs) show promise for diverse imaging tasks but often underperform on medical benchmarks. Prior efforts to improve performance include model finetuning, which requires large domain-specific datasets and significant compute, or manual prompt engineering, which is hard to generalize and often inaccessible to medical institutions seeking to deploy these tools. These challenges motivate interest in approaches that draw on a model's embedded knowledge while abstracting away dependence on human-designed prompts to enable scalable, weight-agnostic performance improvements. To explore this, we adapt the Declarative Self-improving Python (DSPy) framework for structured automated prompt optimization in medical vision-language systems through a comprehensive, formal evaluation. We implement prompting pipelines for five medical imaging tasks across radiology, gastroenterology, and dermatology, evaluating 10 open-source VLMs with four prompt optimization techniques. Optimized pipelines achieved a median relative improvement of 53% over zero-shot prompting baselines, with the largest gains ranging from 300% to 3,400% on tasks where zero-shot performance is low. These results highlight the substantial potential of applying automated prompt optimization to medical AI systems, demonstrating significant gains for vision-based applications requiring accurate clinical image interpretation. By reducing dependence on prompt design to elicit intended outputs, these techniques allow clinicians to focus on patient care and clinical decision-making. Furthermore, our experiments offer scalability and preserve data privacy, demonstrating performance improvement on open-source VLMs. We publicly release our evaluation pipelines to support reproducible research on specialized medical tasks, available at https://github.com/DaneshjouLab/prompt-triage-lab.

  • 5 authors
·
Nov 14, 2025

MEDVISTAGYM: A Scalable Training Environment for Thinking with Medical Images via Tool-Integrated Reinforcement Learning

Vision language models (VLMs) achieve strong performance on general image understanding but struggle to think with medical images, especially when performing multi-step reasoning through iterative visual interaction. Medical VLMs often rely on static visual embeddings and single-pass inference, preventing models from re-examining, verifying, or refining visual evidence during reasoning. While tool-integrated reasoning offers a promising path forward, open-source VLMs lack the training infrastructure to learn effective tool selection, invocation, and coordination in multi-modal medical reasoning. We introduce MedVistaGym, a scalable and interactive training environment that incentivizes tool-integrated visual reasoning for medical image analysis. MedVistaGym equips VLMs to determine when and which tools to invoke, localize task-relevant image regions, and integrate single or multiple sub-image evidence into interleaved multimodal reasoning within a unified, executable interface for agentic training. Using MedVistaGym, we train MedVistaGym-R1 to interleave tool use with agentic reasoning through trajectory sampling and end-to-end reinforcement learning. Across six medical VQA benchmarks, MedVistaGym-R1-8B exceeds comparably sized tool-augmented baselines by 19.10% to 24.21%, demonstrating that structured agentic training--not tool access alone--unlocks effective tool-integrated reasoning for medical image analysis.

  • 9 authors
·
Jan 11

Pixel Reasoner: Incentivizing Pixel-Space Reasoning with Curiosity-Driven Reinforcement Learning

Chain-of-thought reasoning has significantly improved the performance of Large Language Models (LLMs) across various domains. However, this reasoning process has been confined exclusively to textual space, limiting its effectiveness in visually intensive tasks. To address this limitation, we introduce the concept of reasoning in the pixel-space. Within this novel framework, Vision-Language Models (VLMs) are equipped with a suite of visual reasoning operations, such as zoom-in and select-frame. These operations enable VLMs to directly inspect, interrogate, and infer from visual evidences, thereby enhancing reasoning fidelity for visual tasks. Cultivating such pixel-space reasoning capabilities in VLMs presents notable challenges, including the model's initially imbalanced competence and its reluctance to adopt the newly introduced pixel-space operations. We address these challenges through a two-phase training approach. The first phase employs instruction tuning on synthesized reasoning traces to familiarize the model with the novel visual operations. Following this, a reinforcement learning (RL) phase leverages a curiosity-driven reward scheme to balance exploration between pixel-space reasoning and textual reasoning. With these visual operations, VLMs can interact with complex visual inputs, such as information-rich images or videos to proactively gather necessary information. We demonstrate that this approach significantly improves VLM performance across diverse visual reasoning benchmarks. Our 7B model, \model, achieves 84\% on V* bench, 74\% on TallyQA-Complex, and 84\% on InfographicsVQA, marking the highest accuracy achieved by any open-source model to date. These results highlight the importance of pixel-space reasoning and the effectiveness of our framework.

  • 5 authors
·
May 21, 2025 2

An Approach to Enriching Surgical Video Datasets for Fine-Grained Spatial-Temporal Understanding of Vision-Language Models

Surgical video understanding is a crucial prerequisite for advancing Computer-Assisted Surgery. While vision-language models (VLMs) have recently been applied to the surgical domain, existing surgical vision-language datasets lack in capturing and evaluating complex, interleaved spatial-temporal dynamics. Creating large scale datasets that accurately represent fine-grained spatial-temporal relationships in surgical videos is challenging due to costly manual annotations or error-prone generation using large language models. To address this gap, we introduce the SurgSTU-Pipeline, a deterministic generation pipeline featuring temporal and spatial continuity filtering to reliably create surgical datasets for fine-grained spatial-temporal multimodal understanding. Applying this pipeline to publicly available surgical datasets, we create the SurgSTU dataset, comprising 7515 video clips densely extended with 150k fine-grained spatial-temporal question-answer samples. Our comprehensive evaluation shows that while state-of-the-art generalist VLMs struggle in zero-shot settings, their spatial-temporal capabilities can be improved through in-context learning. A fine-tuned VLM on the SurgSTU training dataset achieves highest performance among all spatial-temporal tasks, validating the dataset's efficacy to improve spatial-temporal understanding of VLMs in surgical videos. Code will be made publicly available.

  • 2 authors
·
Mar 31

Align, Reason and Learn: Enhancing Medical Vision-and-Language Pre-training with Knowledge

Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain three elements: uni-modal encoders (i.e., a vision encoder and a language encoder), a multi-modal fusion module, and pretext tasks, with few studies considering the importance of medical domain expert knowledge and explicitly exploiting such knowledge to facilitate Med-VLP. Although there exist knowledge-enhanced vision-and-language pre-training (VLP) methods in the general domain, most require off-the-shelf toolkits (e.g., object detectors and scene graph parsers), which are unavailable in the medical domain. In this paper, we propose a systematic and effective approach to enhance Med-VLP by structured medical knowledge from three perspectives. First, considering knowledge can be regarded as the intermediate medium between vision and language, we align the representations of the vision encoder and the language encoder through knowledge. Second, we inject knowledge into the multi-modal fusion model to enable the model to perform reasoning using knowledge as the supplementation of the input image and text. Third, we guide the model to put emphasis on the most critical information in images and texts by designing knowledge-induced pretext tasks. To perform a comprehensive evaluation and facilitate further research, we construct a medical vision-and-language benchmark including three tasks. Experimental results illustrate the effectiveness of our approach, where state-of-the-art performance is achieved on all downstream tasks. Further analyses explore the effects of different components of our approach and various settings of pre-training.

  • 3 authors
·
Sep 15, 2022

Event-Guided Procedure Planning from Instructional Videos with Text Supervision

In this work, we focus on the task of procedure planning from instructional videos with text supervision, where a model aims to predict an action sequence to transform the initial visual state into the goal visual state. A critical challenge of this task is the large semantic gap between observed visual states and unobserved intermediate actions, which is ignored by previous works. Specifically, this semantic gap refers to that the contents in the observed visual states are semantically different from the elements of some action text labels in a procedure. To bridge this semantic gap, we propose a novel event-guided paradigm, which first infers events from the observed states and then plans out actions based on both the states and predicted events. Our inspiration comes from that planning a procedure from an instructional video is to complete a specific event and a specific event usually involves specific actions. Based on the proposed paradigm, we contribute an Event-guided Prompting-based Procedure Planning (E3P) model, which encodes event information into the sequential modeling process to support procedure planning. To further consider the strong action associations within each event, our E3P adopts a mask-and-predict approach for relation mining, incorporating a probabilistic masking scheme for regularization. Extensive experiments on three datasets demonstrate the effectiveness of our proposed model.

  • 5 authors
·
Aug 17, 2023

MedObvious: Exposing the Medical Moravec's Paradox in VLMs via Clinical Triage

Vision Language Models (VLMs) are increasingly used for tasks like medical report generation and visual question answering. However, fluent diagnostic text does not guarantee safe visual understanding. In clinical practice, interpretation begins with pre-diagnostic sanity checks: verifying that the input is valid to read (correct modality and anatomy, plausible viewpoint and orientation, and no obvious integrity violations). Existing benchmarks largely assume this step is solved, and therefore miss a critical failure mode: a model can produce plausible narratives even when the input is inconsistent or invalid. We introduce MedObvious, a 1,880-task benchmark that isolates input validation as a set-level consistency capability over small multi-panel image sets: the model must identify whether any panel violates expected coherence. MedObvious spans five progressive tiers, from basic orientation/modality mismatches to clinically motivated anatomy/viewpoint verification and triage-style cues, and includes five evaluation formats to test robustness across interfaces. Evaluating 17 different VLMs, we find that sanity checking remains unreliable: several models hallucinate anomalies on normal (negative-control) inputs, performance degrades when scaling to larger image sets, and measured accuracy varies substantially between multiple-choice and open-ended settings. These results show that pre-diagnostic verification remains unsolved for medical VLMs and should be treated as a distinct, safety-critical capability before deployment.

  • 8 authors
·
Mar 23

ExoViP: Step-by-step Verification and Exploration with Exoskeleton Modules for Compositional Visual Reasoning

Compositional visual reasoning methods, which translate a complex query into a structured composition of feasible visual tasks, have exhibited a strong potential in complicated multi-modal tasks. Empowered by recent advances in large language models (LLMs), this multi-modal challenge has been brought to a new stage by treating LLMs as few-shot/zero-shot planners, i.e., vision-language (VL) programming. Such methods, despite their numerous merits, suffer from challenges due to LLM planning mistakes or inaccuracy of visual execution modules, lagging behind the non-compositional models. In this work, we devise a "plug-and-play" method, ExoViP, to correct errors in both the planning and execution stages through introspective verification. We employ verification modules as "exoskeletons" to enhance current VL programming schemes. Specifically, our proposed verification module utilizes a mixture of three sub-verifiers to validate predictions after each reasoning step, subsequently calibrating the visual module predictions and refining the reasoning trace planned by LLMs. Experimental results on two representative VL programming methods showcase consistent improvements on five compositional reasoning tasks on standard benchmarks. In light of this, we believe that ExoViP can foster better performance and generalization on open-domain multi-modal challenges.

  • 4 authors
·
Aug 4, 2024 2

ExploreVLM: Closed-Loop Robot Exploration Task Planning with Vision-Language Models

The advancement of embodied intelligence is accelerating the integration of robots into daily life as human assistants. This evolution requires robots to not only interpret high-level instructions and plan tasks but also perceive and adapt within dynamic environments. Vision-Language Models (VLMs) present a promising solution by combining visual understanding and language reasoning. However, existing VLM-based methods struggle with interactive exploration, accurate perception, and real-time plan adaptation. To address these challenges, we propose ExploreVLM, a novel closed-loop task planning framework powered by Vision-Language Models (VLMs). The framework is built around a step-wise feedback mechanism that enables real-time plan adjustment and supports interactive exploration. At its core is a dual-stage task planner with self-reflection, enhanced by an object-centric spatial relation graph that provides structured, language-grounded scene representations to guide perception and planning. An execution validator supports the closed loop by verifying each action and triggering re-planning. Extensive real-world experiments demonstrate that ExploreVLM significantly outperforms state-of-the-art baselines, particularly in exploration-centric tasks. Ablation studies further validate the critical role of the reflective planner and structured perception in achieving robust and efficient task execution.

  • 4 authors
·
Aug 16, 2025

Reinforced Embodied Planning with Verifiable Reward for Real-World Robotic Manipulation

Enabling robots to execute long-horizon manipulation tasks from free-form language instructions remains a fundamental challenge in embodied AI. While vision-language models (VLMs) have shown promise as high-level planners, their deployment in the real world is hindered by two gaps: (i) the scarcity of large-scale, sequential manipulation data that couples natural language with multi-step action plans, and (ii) the absence of dense, interpretable rewards for fine-tuning VLMs on planning objectives. To address these issues, we propose REVER, a framework that empowers VLMs to generate and validate long-horizon manipulation plans from natural language instructions in real-world scenarios. Under REVER we train and release RoboFarseer, a VLM incentivized to emit chain-of-thought that perform temporal and spatial reasoning, ensuring physically plausible and logically coherent plans. To obtain training data, we leverage the Universal Manipulation Interface framework to capture hardware-agnostic demonstrations of atomic skills. An automated annotation engine converts each demonstration into vision-instruction-plan triplet. We introduce a verifiable reward that scores the generated plan by its ordered bipartite matching overlap with the ground-truth skill sequence. At run time, the fine-tuned VLM functions both as a planner and as a monitor, verifying step-wise completion. RoboFarseer matches or exceeds the performance of proprietary models that are orders of magnitude larger, while on open-ended planning it surpasses the best baseline by more than 40%. In real-world, long-horizon tasks, the complete system boosts overall success by roughly 60% compared with the same low-level controller without the planner. We will open-source both the dataset and the trained model upon publication.

  • 10 authors
·
Sep 30, 2025

ISR-LLM: Iterative Self-Refined Large Language Model for Long-Horizon Sequential Task Planning

Motivated by the substantial achievements observed in Large Language Models (LLMs) in the field of natural language processing, recent research has commenced investigations into the application of LLMs for complex, long-horizon sequential task planning challenges in robotics. LLMs are advantageous in offering the potential to enhance the generalizability as task-agnostic planners and facilitate flexible interaction between human instructors and planning systems. However, task plans generated by LLMs often lack feasibility and correctness. To address this challenge, we introduce ISR-LLM, a novel framework that improves LLM-based planning through an iterative self-refinement process. The framework operates through three sequential steps: preprocessing, planning, and iterative self-refinement. During preprocessing, an LLM translator is employed to convert natural language input into a Planning Domain Definition Language (PDDL) formulation. In the planning phase, an LLM planner formulates an initial plan, which is then assessed and refined in the iterative self-refinement step by using a validator. We examine the performance of ISR-LLM across three distinct planning domains. The results show that ISR-LLM is able to achieve markedly higher success rates in task accomplishments compared to state-of-the-art LLM-based planners. Moreover, it also preserves the broad applicability and generalizability of working with natural language instructions.

  • 5 authors
·
Aug 25, 2023

ForeAct: Steering Your VLA with Efficient Visual Foresight Planning

Vision-Language-Action (VLA) models convert high-level language instructions into concrete, executable actions, a task that is especially challenging in open-world environments. We present Visual Foresight Planning (ForeAct), a general and efficient planner that guides a VLA step-by-step using imagined future observations and subtask descriptions. With an imagined future observation, the VLA can focus on visuo-motor inference rather than high-level semantic reasoning, leading to improved accuracy and generalization. Our planner comprises a highly efficient foresight image generation module that predicts a high-quality 640times480 future observation from the current visual input and language instruction within only 0.33s on an H100 GPU, together with a vision-language model that reasons over the task and produces subtask descriptions for both the generator and the VLA. Importantly, state-of-the-art VLAs can integrate our planner seamlessly by simply augmenting their visual inputs, without any architectural modification. The foresight generator is pretrained on over 1 million multi-task, cross-embodiment episodes, enabling it to learn robust embodied dynamics. We evaluate our framework on a benchmark that consists of 11 diverse, multi-step real-world tasks. It achieves an average success rate of 87.4%, demonstrating a +40.9% absolute improvement over the π_0 baseline (46.5%) and a +30.3% absolute improvement over π_0 augmented with textual subtask guidance (57.1%).

  • 8 authors
·
Feb 12 2

Geometry-Aware Uncertainty Coresets for Robust Visual In-Context Learning in Histopathology

Vision-language models (VLMs) can couple visual perception with open-ended clinical reasoning, making them attractive for computational histopathology. However, fine-tuning billions of parameters on scarce, expert-annotated pathology data is prohibitive, while in-context learning (ICL), which conditions the VLM on demonstrative image-text pairs without parameter updates, suffers from high sensitivity to which examples are selected and how the query is phrased, producing unreliable diagnostics. Existing selection strategies rely on query-dependent nearest-neighbour retrieval that ignores global data structure, require costly parameter updates, or disregard the joint vision-text embedding geometry of VLMs. We propose GAUC, a training-free coreset selection method operating directly in the pre-trained multimodal embedding space. GAUC jointly optimises three objectives: (1) a Maximum Mean Discrepancy term enforcing distributional fidelity between coreset and full dataset, (2) an Effective Mutual Information Difference regulariser bounding performance degradation under prompt paraphrases by exploiting the VLM's joint vision-text alignment, and (3) a predictive-variance penalty suppressing overconfident, unstable outputs. On CRC-100K and MHIST across multiple open-source VLM architectures, GAUC consistently improves accuracy, calibration, and prompt robustness over recent ICL selection methods and dataset-distillation baselines, all without a single gradient update.

  • 3 authors
·
May 17

Self-Rewarding Vision-Language Model via Reasoning Decomposition

Vision-Language Models (VLMs) often suffer from visual hallucinations, saying things that are not actually in the image, and language shortcuts, where they skip the visual part and just rely on text priors. These issues arise because most post-training methods for VLMs rely on simple verifiable answer matching and supervise only final outputs, leaving intermediate visual reasoning without explicit guidance. As a result, VLMs receive sparse visual signals and often learn to prioritize language-based reasoning over visual perception. To mitigate this, some existing methods add visual supervision using human annotations or distilled labels from external large models. However, human annotations are labor-intensive and costly, and because external signals cannot adapt to the evolving policy, they cause distributional shifts that can lead to reward hacking. In this paper, we introduce Vision-SR1, a self-rewarding method that improves visual reasoning without relying on external visual supervisions via reinforcement learning. Vision-SR1 decomposes VLM reasoning into two stages: visual perception and language reasoning. The model is first prompted to produce self-contained visual perceptions that are sufficient to answer the question without referring back the input image. To validate this self-containment, the same VLM model is then re-prompted to perform language reasoning using only the generated perception as input to compute reward. This self-reward is combined with supervision on final outputs, providing a balanced training signal that strengthens both visual perception and language reasoning. Our experiments demonstrate that Vision-SR1 improves visual reasoning, mitigates visual hallucinations, and reduces reliance on language shortcuts across diverse vision-language tasks.

tencent Tencent
·
Aug 27, 2025 2

Enhancing Visual Planning with Auxiliary Tasks and Multi-token Prediction

Visual Planning for Assistance (VPA) aims to predict a sequence of user actions required to achieve a specified goal based on a video showing the user's progress. Although recent advances in multimodal large language models (MLLMs) have shown promising results in video understanding, long-horizon visual planning remains a challenging problem. We identify two challenges in training large MLLMs for video-based planning tasks: (1) scarcity of procedural annotations, limiting the model's ability to learn procedural task dynamics effectively, and (2) inefficiency of next-token prediction objective to explicitly capture the structured action space for visual planning when compared to free-form, natural language. To tackle data scarcity, we introduce Auxiliary Task Augmentation. We design and train our model on auxiliary tasks relevant to long-horizon video-based planning (e.g., goal prediction) to augment the model's planning ability. To more explicitly model the structured action space unique to visual planning tasks, we leverage Multi-token Prediction, extending traditional next-token prediction by using multiple heads to predict multiple future tokens during training. Our approach, VideoPlan, achieves state-of-the-art VPA performance on the COIN and CrossTask datasets, surpassing prior methods by 7.3% and 3.4%, respectively, when predicting 3 future actions. We further extend our method to the challenging Ego4D Long-term Action Anticipation task, and show that it is on par with the state-of-the-art approaches despite not using specialized egocentric features. Code will be made available.

  • 7 authors
·
Jul 20, 2025

PlanningBench: Generating Scalable and Verifiable Planning Data for Evaluating and Training Large Language Models

Planning is a fundamental capability for large language models (LLMs) because such complex tasks require models to coordinate goals, constraints, resources, and long-term consequences into executable and verifiable solutions. Existing planning benchmarks, however, usually treat planning data as fixed collections of instances rather than controllable generation targets. This limits scenario coverage, ties difficulty to surface-level proxies rather than structural sources, and offers limited support for scalable generation, automatic verification, or planning-oriented training. We introduce PlanningBench, a framework for generating scalable, diverse, and verifiable planning data for both evaluation and training. PlanningBench starts from real planning scenarios and abstracts practical workflows into a structured taxonomy of more than 30 task types, subtasks, constraint families, and difficulty factors. Guided by this taxonomy, a constraint-driven synthesis pipeline instantiates self-contained planning problems with adaptive difficulty control, quality filtering, and instance-level verification checklists. This shifts planning data construction from fixed benchmark collection to controllable generation while preserving realistic task grounding. We use PlanningBench to evaluate open-source and closed-source frontier LLMs, and find that current models still struggle to produce complete solutions under coupled constraints. Beyond evaluation, reinforcement learning on verified PlanningBench data improves performance on unseen planning benchmarks and broader instruction-following tasks. Further analysis suggests that determinate or well-specified optimal solutions provide clearer reward signals and more stable training dynamics. Overall, PlanningBench provides a controllable source of planning data for diagnosing and improving generalizable planning abilities in LLMs.

Tencent-Hunyuan Tencent Hunyuan
·
May 19

Plan-X: Instruct Video Generation via Semantic Planning

Diffusion Transformers have demonstrated remarkable capabilities in visual synthesis, yet they often struggle with high-level semantic reasoning and long-horizon planning. This limitation frequently leads to visual hallucinations and mis-alignments with user instructions, especially in scenarios involving complex scene understanding, human-object interactions, multi-stage actions, and in-context motion reasoning. To address these challenges, we propose Plan-X, a framework that explicitly enforces high-level semantic planning to instruct video generation process. At its core lies a Semantic Planner, a learnable multimodal language model that reasons over the user's intent from both text prompts and visual context, and autoregressively generates a sequence of text-grounded spatio-temporal semantic tokens. These semantic tokens, complementary to high-level text prompt guidance, serve as structured "semantic sketches" over time for the video diffusion model, which has its strength at synthesizing high-fidelity visual details. Plan-X effectively integrates the strength of language models in multimodal in-context reasoning and planning, together with the strength of diffusion models in photorealistic video synthesis. Extensive experiments demonstrate that our framework substantially reduces visual hallucinations and enables fine-grained, instruction-aligned video generation consistent with multimodal context.

  • 10 authors
·
Nov 22, 2025 2

SurgRAW: Multi-Agent Workflow with Chain-of-Thought Reasoning for Surgical Intelligence

Integration of Vision-Language Models (VLMs) in surgical intelligence is hindered by hallucinations, domain knowledge gaps, and limited understanding of task interdependencies within surgical scenes, undermining clinical reliability. While recent VLMs demonstrate strong general reasoning and thinking capabilities, they still lack the domain expertise and task-awareness required for precise surgical scene interpretation. Although Chain-of-Thought (CoT) can structure reasoning more effectively, current approaches rely on self-generated CoT steps, which often exacerbate inherent domain gaps and hallucinations. To overcome this, we present SurgRAW, a CoT-driven multi-agent framework that delivers transparent, interpretable insights for most tasks in robotic-assisted surgery. By employing specialized CoT prompts across five tasks: instrument recognition, action recognition, action prediction, patient data extraction, and outcome assessment, SurgRAW mitigates hallucinations through structured, domain-aware reasoning. Retrieval-Augmented Generation (RAG) is also integrated to external medical knowledge to bridge domain gaps and improve response reliability. Most importantly, a hierarchical agentic system ensures that CoT-embedded VLM agents collaborate effectively while understanding task interdependencies, with a panel discussion mechanism promotes logical consistency. To evaluate our method, we introduce SurgCoTBench, the first reasoning-based dataset with structured frame-level annotations. With comprehensive experiments, we demonstrate the effectiveness of proposed SurgRAW with 29.32% accuracy improvement over baseline VLMs on 12 robotic procedures, achieving the state-of-the-art performance and advancing explainable, trustworthy, and autonomous surgical assistance.

  • 7 authors
·
Mar 13, 2025

SpaceTools: Tool-Augmented Spatial Reasoning via Double Interactive RL

Vision Language Models (VLMs) demonstrate strong qualitative visual understanding, but struggle with metrically precise spatial reasoning required for embodied applications. The agentic paradigm promises that VLMs can use a wide variety of tools that could augment these capabilities, such as depth estimators, segmentation models, and pose estimators. Yet it remains an open challenge how to realize this vision without solely relying on handcrafted prompting strategies or enforcing fixed, predefined tool pipelines that limit VLMs' ability to discover optimal tool-use patterns. Reinforcement Learning could overcome this gap, but has so far been limited to reasoning with a single visual tool due to the large search space in multi-tool reasoning. We introduce Double Interactive Reinforcement Learning (DIRL), a two-phase training framework where VLMs learn to coordinate multiple tools through interactive exploration and feedback. In the teaching phase, we combine demonstrations from a single tool specialist trained via interactive RL with traces from a frontier model using all tools. In the exploration phase, the model further refines multi-tool coordination through continued RL. Our model, SpaceTools, with tool-augmented spatial reasoning ability, achieves state-of-the-art performance on spatial understanding benchmarks (RoboSpatial-Home, BLINK, BOP-ASK) and demonstrates reliable real-world manipulation using a 7-DOF robot as a tool. DIRL provides substantial improvements over the vanilla SFT (+12% on RoboSpatial) and RL (+16% on RoboSpatial) baselines. Project page: https://spacetools.github.io/.

nvidia NVIDIA
·
Dec 3, 2025 2

Multimodal Procedural Planning via Dual Text-Image Prompting

Embodied agents have achieved prominent performance in following human instructions to complete tasks. However, the potential of providing instructions informed by texts and images to assist humans in completing tasks remains underexplored. To uncover this capability, we present the multimodal procedural planning (MPP) task, in which models are given a high-level goal and generate plans of paired text-image steps, providing more complementary and informative guidance than unimodal plans. The key challenges of MPP are to ensure the informativeness, temporal coherence,and accuracy of plans across modalities. To tackle this, we propose Text-Image Prompting (TIP), a dual-modality prompting method that jointly leverages zero-shot reasoning ability in large language models (LLMs) and compelling text-to-image generation ability from diffusion-based models. TIP improves the interaction in the dual modalities using Text-to-Image Bridge and Image-to-Text Bridge, allowing LLMs to guide the textual-grounded image plan generation and leveraging the descriptions of image plans to ground the textual plan reversely. To address the lack of relevant datasets, we collect WIKIPLAN and RECIPEPLAN as a testbed for MPP. Our results show compelling human preferences and automatic scores against unimodal and multimodal baselines on WIKIPLAN and RECIPEPLAN in terms of informativeness, temporal coherence, and plan accuracy. Our code and data: https://github.com/YujieLu10/MPP.

  • 6 authors
·
May 2, 2023

Expert-level vision-language foundation model for real-world radiology and comprehensive evaluation

Radiology is a vital and complex component of modern clinical workflow and covers many tasks. Recently, vision-language (VL) foundation models in medicine have shown potential in processing multimodal information, offering a unified solution for various radiology tasks. However, existing studies either pre-trained VL models on natural data or did not fully integrate vision-language architecture and pretraining, often neglecting the unique multimodal complexity in radiology images and their textual contexts. Additionally, their practical applicability in real-world scenarios remains underexplored. Here, we present RadFound, a large and open-source vision-language foundation model tailored for radiology, that is trained on the most extensive dataset of over 8.1 million images and 250,000 image-text pairs, covering 19 major organ systems and 10 imaging modalities. To establish expert-level multimodal perception and generation capabilities, RadFound introduces an enhanced vision encoder to capture intra-image local features and inter-image contextual information, and a unified cross-modal learning design tailored to radiology. To fully assess the models' capability, we construct a benchmark, RadVLBench, including radiology interpretation tasks like medical vision-language question-answering, as well as text generation tasks ranging from captioning to report generation. We also propose a human evaluation framework. When evaluated on the real-world benchmark involving three representative modalities, 2D images (chest X-rays), multi-view images (mammograms), and 3D images (thyroid CT scans), RadFound significantly outperforms other VL foundation models on both quantitative metrics and human evaluation. In summary, the development of RadFound represents an advancement in radiology generalists, demonstrating broad applicability potential for integration into clinical workflows.

  • 9 authors
·
Sep 24, 2024

MedVision: Dataset and Benchmark for Quantitative Medical Image Analysis

Current vision-language models (VLMs) in medicine are primarily designed for categorical question answering (e.g., "Is this normal or abnormal?") or qualitative descriptive tasks. However, clinical decision-making often relies on quantitative assessments, such as measuring the size of a tumor or the angle of a joint, from which physicians draw their own diagnostic conclusions. This quantitative reasoning capability remains underexplored and poorly supported in existing VLMs. In this work, we introduce MedVision, a large-scale dataset and benchmark specifically designed to evaluate and improve VLMs on quantitative medical image analysis. MedVision spans 22 public datasets covering diverse anatomies and modalities, with 30.8 million image-annotation pairs. We focus on three representative quantitative tasks: (1) detection of anatomical structures and abnormalities, (2) tumor/lesion (T/L) size estimation, and (3) angle/distance (A/D) measurement. Our benchmarks show that current off-the-shelf VLMs perform poorly on these tasks. However, with supervised fine-tuning on MedVision, we significantly enhance their performance across detection, T/L estimation, and A/D measurement, demonstrating reduced error rates and improved precision. This work provides a foundation for developing VLMs with robust quantitative reasoning capabilities in medical imaging. Code and data are available at https://medvision-vlm.github.io.

  • 6 authors
·
Nov 23, 2025

InfiniBench: Infinite Benchmarking for Visual Spatial Reasoning with Customizable Scene Complexity

Modern vision-language models (VLMs) are expected to have abilities of spatial reasoning with diverse scene complexities, but evaluating such abilities is difficult due to the lack of benchmarks that are not only diverse and scalable but also fully customizable. Existing benchmarks offer limited customizability over the scene complexity and are incapable of isolating and analyzing specific VLM failure modes under distinct spatial conditions. To address this gap, instead of individually presenting benchmarks for different scene complexities, in this paper we present InfiniBench, a fully automated, customizable and user-friendly benchmark generator that can synthesize a theoretically infinite variety of 3D scenes with parameterized control on scene complexity. InfiniBench uniquely translates scene descriptions in natural language into photo-realistic videos with complex and physically plausible 3D layouts. This is achieved through three key innovations: 1) a LLM-based agentic framework that iteratively refines procedural scene constraints from scene descriptions; 2) a flexible cluster-based layout optimizer that generates dense and cluttered scenes previously intractable for procedural methods; and 3) a task-aware camera trajectory optimization method that renders scenes into videos with full object coverage as VLM input. Experiments demonstrate that InfiniBench outperforms state-of-the-art procedural and LLM-based 3D generation methods in prompt fidelity and physical plausibility, especially in high-complexity scenarios. We further showcased the usefulness of InfiniBench, by generating benchmarks for representative spatial reasoning tasks including measurement, perspective-taking and spatiotemporal tracking.

  • 3 authors
·
Dec 4, 2025

EVLP:Learning Unified Embodied Vision-Language Planner with Reinforced Supervised Fine-Tuning

In complex embodied long-horizon manipulation tasks, effective task decomposition and execution require synergistic integration of textual logical reasoning and visual-spatial imagination to ensure efficient and accurate operation. Current methods fail to adopt a unified generation framework for multimodal planning, lead to inconsistent in multimodal planning. To address this challenge, we present EVLP (Embodied Vision-Language Planner), an innovative multimodal unified generation framework that jointly models linguistic reasoning and visual generation. Our approach achieves multimodal planning for long-horizon tasks through a novel training pipeline incorporating dynamic pretraining and reinforced alignment. Our core innovations consist of three key components: 1) Unified Multimodal Generation Framework: For understanding, We integrate semantic information with spatial features to provide comprehensive visual perception. For generation, we directly learn the joint distribution of discrete images for one-step visual synthesis, enabling coordinated language-visual modeling through learnable cross-modal attention mechanisms. 2) Dynamic Perception Pretraining: We propose a bidirectional dynamic alignment strategy employing inverse dynamics tasks and forward dynamics tasks, effectively strengthening multimodal correlations within a unified feature space. 3) Reinforced Supervised Fine-Tuning: While conducting instruction-based fine-tuning in the unified generation space, we construct a reinforce loss to align the spatial logic between textual actions and generated images, enabling the model to acquire spatio-awared multimodal planning capabilities.

  • 7 authors
·
Nov 3, 2025

Object Tokens as a Bridge Between Segmentation and Visual Question Answering in Robotic Surgery

Visual Question Answering (VQA) in robotic surgery, referred to as surgical VQA, requires high-level understanding of complex surgical scenes and the integration of visual perception with language reasoning, with the potential to support surgical training and intraoperative decision-making. Recent Vision-Language Models (VLMs) have shown promising performance through parameter-efficient fine-tuning; however, most existing approaches rely on coarse visual grounding, typically limited to bounding boxes, which fails to capture the fine-grained spatial structure of surgical objects. In this work, we propose a unified framework that jointly performs pixel-level segmentation and visual question answering within a single framework. Our approach integrates a VLM with a Segment Anything Model (SAM)-based decoder and represents scene elements as object tokens generated by the VLM. These object tokens guide answer prediction and are further projected to the SAM-based decoder to produce segmentation masks. By optimizing the object token embeddings through both segmentation and question answering objectives, the model learns spatially grounded representations that enhance visual reasoning while providing explicit pixel-level grounding. We evaluate the proposed method on the private RAMIE (Robot-Assisted Minimally Invasive Esophagectomy) dataset and the public EndoVis18 dataset, where it consistently outperforms baseline methods for surgical VQA. These results demonstrate that incorporating context-aware object tokens into vision-language models improves fine-grained surgical scene understanding.

  • 8 authors
·
Jun 13

VILA-M3: Enhancing Vision-Language Models with Medical Expert Knowledge

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

  • 22 authors
·
Nov 19, 2024

ADEM-VL: Adaptive and Embedded Fusion for Efficient Vision-Language Tuning

Recent advancements in multimodal fusion have witnessed the remarkable success of vision-language (VL) models, which excel in various multimodal applications such as image captioning and visual question answering. However, building VL models requires substantial hardware resources, where efficiency is restricted by two key factors: the extended input sequence of the language model with vision features demands more computational operations, and a large number of additional learnable parameters increase memory complexity. These challenges significantly restrict the broader applicability of such models. To bridge this gap, we propose ADEM-VL, an efficient vision-language method that tunes VL models based on pretrained large language models (LLMs) by adopting a parameter-free cross-attention mechanism for similarity measurements in multimodal fusion. This approach only requires embedding vision features into the language space, significantly reducing the number of trainable parameters and accelerating both training and inference speeds. To enhance representation learning in fusion module, we introduce an efficient multiscale feature generation scheme that requires only a single forward pass through the vision encoder. Moreover, we propose an adaptive fusion scheme that dynamically discards less relevant visual information for each text token based on its attention score. This ensures that the fusion process prioritizes the most pertinent visual features. With experiments on various tasks including visual question answering, image captioning, and instruction-following, we demonstrate that our framework outperforms existing approaches. Specifically, our method surpasses existing methods by an average accuracy of 0.77% on ScienceQA dataset, with reduced training and inference latency, demonstrating the superiority of our framework. The code is available at https://github.com/Hao840/ADEM-VL.

  • 6 authors
·
Oct 23, 2024 2

SCOPE: Real-Time Natural Language Camera Agent at the Edge

Deploying language-driven agents in robotics requires evaluations that reflect real-world task demands: natural-language instructions with reproducible outcomes. Such agents must connect language models to callable perception and control tools, and be assessed using deployment-critical metrics including latency, accuracy, and error modes. We present SCOPE (Simulation and Camera Operations for Perception and Evaluation), a modular agent for natural-language, open-vocabulary pan-tilt-zoom (PTZ) camera control and visual scene understanding, designed explicitly for edge deployment. SCOPE operates both in a Blender-based simulation environment and on a physical PTZ camera, executing all perception, planning, and control locally at the deployment site using edge-accessible compute. We release a 536-task benchmark spanning QA, single- and multi-step commands, counting, spatial reasoning, descriptions, and optical character recognition in a Blender-based simulation environment that exposes realistic PTZ control affordances. Execution traces are combined with an LM-as-Judge to evaluate latency, accuracy, and error modes. We evaluate 19 planner-perception model combinations pairing Qwen3 small language models (SLMs) with Moondream and Qwen vision-language models (VLMs). Stronger SLMs substantially reduce hallucinations and improve tool routing, leading to more reliable closed-loop behavior. Once a sufficiently capable SLM is used, perception becomes the dominant performance bottleneck. Mixture-of-Experts models on both the planning and perception side consistently match or exceed dense alternatives at latencies and memory footprints comparable to much smaller networks. Quantization provides additional efficiency gains with minimal accuracy degradation, identifying a practical, sim-to-real validated design point for real-time, edge-feasible language-driven PTZ control.

  • 3 authors
·
May 31

UCSF-PDGM-VQA: Visual Question Answering dataset for brain tumor MRI interpretation

Brain tumor diagnosis is largely dependent on Magnetic Resonance Imaging (MRI) evaluation, which requires radiologists to synthesize thousands of images across multiple 3D sequences and longitudinal studies. This process requires advanced neuro-radiology training, poses substantial cognitive load, and is highly time-consuming. Despite increasing demands in radiology, this expertise is difficult to scale, straining the current health systems. Vision-Language Models (VLMs) provide an opportunity to reduce this burden through a semi-automated, interactive interpretation of complex brain MRIs. However, they are currently underutilized in neuro-oncology due to a lack of specialized benchmarks for evaluating them. We introduce a clinically relevant visual question answering (VQA) benchmark -- the UCSF-PDGM-VQA dataset -- consisting of 2,387 QA pairs from 473 glioma-related MRI studies in the public UCSF-PDGM dataset. We further establish a performance baseline for six state-of-the-art vision-language models (VLMs) and one large language model on this dataset. We find that current models are incapable of effectively processing multi-sequence, 3-dimensional MRI scans, thus resulting in a suppression of visual features and over-reliance on language priors, causing modality collapse. These findings underscore a critical deficiency in current model reliability and safety within clinical settings, necessitating the development of robust, domain-specific VLMs.

  • 7 authors
·
May 15

PFEA: An LLM-based High-Level Natural Language Planning and Feedback Embodied Agent for Human-Centered AI

The rapid advancement of Large Language Models (LLMs) has marked a significant breakthrough in Artificial Intelligence (AI), ushering in a new era of Human-centered Artificial Intelligence (HAI). HAI aims to better serve human welfare and needs, thereby placing higher demands on the intelligence level of robots, particularly in aspects such as natural language interaction, complex task planning, and execution. Intelligent agents powered by LLMs have opened up new pathways for realizing HAI. However, existing LLM-based embodied agents often lack the ability to plan and execute complex natural language control tasks online. This paper explores the implementation of intelligent robotic manipulating agents based on Vision-Language Models (VLMs) in the physical world. We propose a novel embodied agent framework for robots, which comprises a human-robot voice interaction module, a vision-language agent module and an action execution module. The vision-language agent itself includes a vision-based task planner, a natural language instruction converter, and a task performance feedback evaluator. Experimental results demonstrate that our agent achieves a 28\% higher average task success rate in both simulated and real environments compared to approaches relying solely on LLM+CLIP, significantly improving the execution success rate of high-level natural language instruction tasks.

  • 6 authors
·
Oct 28, 2025

RoboProcessBench: Benchmarking Process-Aware Understanding in Vision-Language Robotic Manipulation

Vision-language models (VLMs) are increasingly explored as visual critics, reward generators, and failure detectors in robotic manipulation. These roles implicitly require models to judge not only final task success, but also how a manipulation execution is physically and temporally progressing. However, existing evaluations fail to test whether VLMs possess fine-grained process understanding. To address this gap, we present RoboProcessBench, a benchmark for process-aware understanding in vision-language robotic manipulation. RoboProcessBench decomposes such capability into two complementary dimensions, static monitoring and dynamic reasoning, instantiated as 12 diagnostic question families covering phase, contact, motion, coordination, primitive-local progress, temporal order, outcome, and primitive-level transitions. Built from physically grounded execution traces, the curated benchmark corpus ProcessData contains \textasciitilde 58k question-answer pairs across 260 manipulation tasks, which is further split into ProcessData-SFT and ProcessData-Eval for post-training and evaluation purposes. Extensive evaluation of various VLMs on ProcessData-Eval reveals broad limitations across 12 diagnostic task families, suggesting current models still lack robust process-aware understanding of manipulation executions. But with ProcessData-SFT, the post-trained Qwen2.5-VL-7B and InternVL-3-8B exhibit consistent gains on local state, motion, progress, and primitive-aware cues. These results demonstrate that RoboProcessBench serves as both an evaluation benchmark and a learnable supervision source for developing VLMs capable of monitoring and evaluating robotic manipulation processes. Project webpage: https://processbench-2026.github.io/RoboProcessBench-Web/{https://processbench-2026.github.io}.

  • 10 authors
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Jun 11

SurgVidLM: Towards Multi-grained Surgical Video Understanding with Large Language Model

Surgical scene understanding is critical for surgical training and robotic decision-making in robot-assisted surgery. Recent advances in Multimodal Large Language Models (MLLMs) have demonstrated great potential for advancing scene perception in the medical domain, facilitating surgeons to understand surgical scenes and procedures. However, these methods are primarily oriented towards image-based analysis or global video understanding, overlooking the fine-grained video reasoning that is crucial for analyzing specific processes and capturing detailed task execution within a surgical procedure. To bridge this gap, we propose SurgVidLM, the first video language model designed to address both full and fine-grained surgical video comprehension. To train our SurgVidLM, we construct the SVU-31K that is a large-scale dataset with over 31K video-instruction pairs, enabling both holistic understanding and detailed analysis of surgical procedures. Building on this resource, SurgVidLM incorporates a two-stage StageFocus mechanism: the first stage extracts global procedural context, while the second stage performs high-frequency local analysis guided by temporal cues. We also develop the Multi-frequency Fusion Attention to effectively integrate low- and high-frequency visual tokens, ensuring the preservation of critical task-specific details. Experimental results demonstrate that SurgVidLM significantly outperforms state-of-the-art Vid-LLMs of comparable parameter scale in both full and fine-grained video understanding tasks, showcasing its superior capability in capturing the context of complex robot-assisted surgeries. Our code and dataset will be publicly accessible soon.

  • 14 authors
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Feb 2

Benchmarking Direct Preference Optimization for Medical Large Vision-Language Models

Large Vision-Language Models (LVLMs) hold significant promise for medical applications, yet their deployment is often constrained by insufficient alignment and reliability. While Direct Preference Optimization (DPO) has emerged as a potent framework for refining model responses, its efficacy in high-stakes medical contexts remains underexplored, lacking the rigorous empirical groundwork necessary to guide future methodological advances. To bridge this gap, we present the first comprehensive examination of diverse DPO variants within the medical domain, evaluating nine distinct formulations across two medical LVLMs: LLaVA-Med and HuatuoGPT-Vision. Our results reveal several critical limitations: current DPO approaches often yield inconsistent gains over supervised fine-tuning, with their efficacy varying significantly across different tasks and backbones. Furthermore, they frequently fail to resolve fundamental visual misinterpretation errors. Building on these insights, we present a targeted preference construction strategy as a proof-of-concept that explicitly addresses visual misinterpretation errors frequently observed in existing DPO models. This design yields a 3.6% improvement over the strongest existing DPO baseline on visual question-answering tasks. To support future research, we release our complete framework, including all training data, model checkpoints, and our codebase at https://github.com/dmis-lab/med-vlm-dpo.

  • 7 authors
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Jan 25

Reasmory: 3D Reconstruction as Explicit Memory for VLMs Spatial Reasoning

Vision-Language Models (VLMs) exhibit emerging spatial reasoning capabilities, yet they remain unreliable on tasks requiring precise spatial understanding, such as viewpoint reasoning, directional comparison, and distance estimation. In multi-view images and monocular videos, relevant spatial cues are often sparse and distributed across redundant observations, making them difficult to organize and exploit. Reconstruction-based Vision Foundation Models (VFMs) offer a natural way to aggregate such observations into explicit spatial memory, such as point clouds. However, simply exposing reconstruction models as free-form tools is brittle, VLMs may invoke tools incorrectly, skip required spatial transformations, or misuse intermediate results. We propose Reasmory, a framework that formulates spatial reasoning as structured program execution over reconstructed spatial memory. Reasmory constructs explicit 3D memory, augments it with semantically grounded 3D object instances, and introduces a lightweight Domain-Specific Language (DSL) that constrains how VLMs query objects and cameras, transform viewpoints, and render observations during reasoning. Generated programs are parsed and validated before execution, enabling more reliable interaction with spatial memory than unconstrained tool use. Experiments on multi-view image and video spatial reasoning benchmarks show consistent gains of 6--18\% over strong baselines, including GPT-5-mini and Gemini-3-flash, indicating that explicit 3D memory is most useful when accessed through constrained, validated operations rather than free-form tool calls.

  • 4 authors
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May 30

LLM-CXR: Instruction-Finetuned LLM for CXR Image Understanding and Generation

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

  • 4 authors
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May 19, 2023

VisionLLM: Large Language Model is also an Open-Ended Decoder for Vision-Centric Tasks

Large language models (LLMs) have notably accelerated progress towards artificial general intelligence (AGI), with their impressive zero-shot capacity for user-tailored tasks, endowing them with immense potential across a range of applications. However, in the field of computer vision, despite the availability of numerous powerful vision foundation models (VFMs), they are still restricted to tasks in a pre-defined form, struggling to match the open-ended task capabilities of LLMs. In this work, we present an LLM-based framework for vision-centric tasks, termed VisionLLM. This framework provides a unified perspective for vision and language tasks by treating images as a foreign language and aligning vision-centric tasks with language tasks that can be flexibly defined and managed using language instructions. An LLM-based decoder can then make appropriate predictions based on these instructions for open-ended tasks. Extensive experiments show that the proposed VisionLLM can achieve different levels of task customization through language instructions, from fine-grained object-level to coarse-grained task-level customization, all with good results. It's noteworthy that, with a generalist LLM-based framework, our model can achieve over 60\% mAP on COCO, on par with detection-specific models. We hope this model can set a new baseline for generalist vision and language models. The demo shall be released based on https://github.com/OpenGVLab/InternGPT. The code shall be released at https://github.com/OpenGVLab/VisionLLM.

  • 11 authors
·
May 18, 2023 5

ViX-Ray: A Vietnamese Chest X-Ray Dataset for Vision-Language Models

Vietnamese medical research has become an increasingly vital domain, particularly with the rise of intelligent technologies aimed at reducing time and resource burdens in clinical diagnosis. Recent advances in vision-language models (VLMs), such as Gemini and GPT-4V, have sparked a growing interest in applying AI to healthcare. However, most existing VLMs lack exposure to Vietnamese medical data, limiting their ability to generate accurate and contextually appropriate diagnostic outputs for Vietnamese patients. To address this challenge, we introduce ViX-Ray, a novel dataset comprising 5,400 Vietnamese chest X-ray images annotated with expert-written findings and impressions from physicians at a major Vietnamese hospital. We analyze linguistic patterns within the dataset, including the frequency of mentioned body parts and diagnoses, to identify domain-specific linguistic characteristics of Vietnamese radiology reports. Furthermore, we fine-tune five state-of-the-art open-source VLMs on ViX-Ray and compare their performance to leading proprietary models, GPT-4V and Gemini. Our results show that while several models generate outputs partially aligned with clinical ground truths, they often suffer from low precision and excessive hallucination, especially in impression generation. These findings not only demonstrate the complexity and challenge of our dataset but also establish ViX-Ray as a valuable benchmark for evaluating and advancing vision-language models in the Vietnamese clinical domain.

  • 7 authors
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Mar 15

TowerVision: Understanding and Improving Multilinguality in Vision-Language Models

Despite significant advances in vision-language models (VLMs), most existing work follows an English-centric design process, limiting their effectiveness in multilingual settings. In this work, we provide a comprehensive empirical study analyzing the impact of several multilingual design choices, such as training data composition, encoder selection, and text backbones. The result is TowerVision, a family of open multilingual VLMs for both image-text and video-text tasks, built upon the multilingual text-only model Tower+. TowerVision achieves competitive performance on multiple multimodal multilingual benchmarks and shows particular strength in culturally grounded tasks and multimodal translation. By incorporating visual and cultural context during fine-tuning, our models surpass existing approaches trained on substantially larger datasets, as demonstrated on ALM-Bench and Multi30K (image tasks) and ViMUL-Bench (video tasks). Alongside the models, we release VisionBlocks, a high-quality, curated vision-language dataset. Our findings highlight that multilingual vision-language training data substantially improves cross-lingual generalization -- both from high-resource to underrepresented languages and vice versa -- and that instruction-tuned LLMs are not always the optimal initialization point. To support further research, we publicly release all models, data, and training recipes.

  • 10 authors
·
Oct 22, 2025

A Comparative Study in Surgical AI: Datasets, Foundation Models, and Barriers to Med-AGI

Recent Artificial Intelligence (AI) models have matched or exceeded human experts in several benchmarks of biomedical task performance, but have lagged behind on surgical image-analysis benchmarks. Since surgery requires integrating disparate tasks -- including multimodal data integration, human interaction, and physical effects -- generally-capable AI models could be particularly attractive as a collaborative tool if performance could be improved. On the one hand, the canonical approach of scaling architecture size and training data is attractive, especially since there are millions of hours of surgical video data generated per year. On the other hand, preparing surgical data for AI training requires significantly higher levels of professional expertise, and training on that data requires expensive computational resources. These trade-offs paint an uncertain picture of whether and to-what-extent modern AI could aid surgical practice. In this paper, we explore this question through a case study of surgical tool detection using state-of-the-art AI methods available in 2026. We demonstrate that even with multi-billion parameter models and extensive training, current Vision Language Models fall short in the seemingly simple task of tool detection in neurosurgery. Additionally, we show scaling experiments indicating that increasing model size and training time only leads to diminishing improvements in relevant performance metrics. Thus, our experiments suggest that current models could still face significant obstacles in surgical use cases. Moreover, some obstacles cannot be simply ``scaled away'' with additional compute and persist across diverse model architectures, raising the question of whether data and label availability are the only limiting factors. We discuss the main contributors to these constraints and advance potential solutions.

RePLan: Robotic Replanning with Perception and Language Models

Advancements in large language models (LLMs) have demonstrated their potential in facilitating high-level reasoning, logical reasoning and robotics planning. Recently, LLMs have also been able to generate reward functions for low-level robot actions, effectively bridging the interface between high-level planning and low-level robot control. However, the challenge remains that even with syntactically correct plans, robots can still fail to achieve their intended goals. This failure can be attributed to imperfect plans proposed by LLMs or to unforeseeable environmental circumstances that hinder the execution of planned subtasks due to erroneous assumptions about the state of objects. One way to prevent these challenges is to rely on human-provided step-by-step instructions, limiting the autonomy of robotic systems. Vision Language Models (VLMs) have shown remarkable success in tasks such as visual question answering and image captioning. Leveraging the capabilities of VLMs, we present a novel framework called Robotic Replanning with Perception and Language Models (RePLan) that enables real-time replanning capabilities for long-horizon tasks. This framework utilizes the physical grounding provided by a VLM's understanding of the world's state to adapt robot actions when the initial plan fails to achieve the desired goal. We test our approach within four environments containing seven long-horizion tasks. We find that RePLan enables a robot to successfully adapt to unforeseen obstacles while accomplishing open-ended, long-horizon goals, where baseline models cannot. Find more information at https://replan-lm.github.io/replan.github.io/

  • 6 authors
·
Jan 8, 2024

TuneVLSeg: Prompt Tuning Benchmark for Vision-Language Segmentation Models

Vision-Language Models (VLMs) have shown impressive performance in vision tasks, but adapting them to new domains often requires expensive fine-tuning. Prompt tuning techniques, including textual, visual, and multimodal prompting, offer efficient alternatives by leveraging learnable prompts. However, their application to Vision-Language Segmentation Models (VLSMs) and evaluation under significant domain shifts remain unexplored. This work presents an open-source benchmarking framework, TuneVLSeg, to integrate various unimodal and multimodal prompt tuning techniques into VLSMs, making prompt tuning usable for downstream segmentation datasets with any number of classes. TuneVLSeg includes 6 prompt tuning strategies on various prompt depths used in 2 VLSMs totaling of 8 different combinations. We test various prompt tuning on 8 diverse medical datasets, including 3 radiology datasets (breast tumor, echocardiograph, chest X-ray pathologies) and 5 non-radiology datasets (polyp, ulcer, skin cancer), and two natural domain segmentation datasets. Our study found that textual prompt tuning struggles under significant domain shifts, from natural-domain images to medical data. Furthermore, visual prompt tuning, with fewer hyperparameters than multimodal prompt tuning, often achieves performance competitive to multimodal approaches, making it a valuable first attempt. Our work advances the understanding and applicability of different prompt-tuning techniques for robust domain-specific segmentation. The source code is available at https://github.com/naamiinepal/tunevlseg.

  • 4 authors
·
Oct 7, 2024

Visual Program Distillation: Distilling Tools and Programmatic Reasoning into Vision-Language Models

Solving complex visual tasks such as "Who invented the musical instrument on the right?" involves a composition of skills: understanding space, recognizing instruments, and also retrieving prior knowledge. Recent work shows promise by decomposing such tasks using a large language model (LLM) into an executable program that invokes specialized vision models. However, generated programs are error-prone: they omit necessary steps, include spurious ones, and are unable to recover when the specialized models give incorrect outputs. Moreover, they require loading multiple models, incurring high latency and computation costs. We propose Visual Program Distillation (VPD), an instruction tuning framework that produces a vision-language model (VLM) capable of solving complex visual tasks with a single forward pass. VPD distills the reasoning ability of LLMs by using them to sample multiple candidate programs, which are then executed and verified to identify a correct one. It translates each correct program into a language description of the reasoning steps, which are then distilled into a VLM. Extensive experiments show that VPD improves the VLM's ability to count, understand spatial relations, and reason compositionally. Our VPD-trained PaLI-X outperforms all prior VLMs, achieving state-of-the-art performance across complex vision tasks, including MMBench, OK-VQA, A-OKVQA, TallyQA, POPE, and Hateful Memes. An evaluation with human annotators also confirms that VPD improves model response factuality and consistency. Finally, experiments on content moderation demonstrate that VPD is also helpful for adaptation to real-world applications with limited data.

  • 8 authors
·
Dec 5, 2023

From Seeing to Thinking: Decoupling Perception and Reasoning Improves Post-Training of Vision-Language Models

Recent advances in vision-language models (VLMs) emphasize long chain-of-thought reasoning; yet, we find that their performance on visual tasks is primarily limited by a lack of visual perception as opposed to reasoning itself. In this work, we systematically study the interplay between perception and reasoning in VLM post-training by decomposing their capabilities into three separate training stages: visual perception, visual reasoning, and textual reasoning, incorporating specialized training data. We demonstrate that visual perception (a) requires targeted optimization with specialized data; (b) serves as a fundamental scaffold that should be solidified through staged training before refining visual reasoning; and (c) is more effectively learned via RL than caption-based SFT. Our experiments across multiple VLMs demonstrate that staged training consistently improves both visual perception and reasoning performance over merged training. Notably, models trained with our approach achieve 1.5% higher reasoning accuracy with 20.8% shorter reasoning traces, suggesting that superior perception reduces the need for excessive reasoning. Furthermore, we show that this capability-based staging represents a new curriculum dimension orthogonal to traditional difficulty-based curricula, and combining both yields further additive gains. Our staged-training models achieve superior performance among open-weight VLMs, establishing advanced results on several visual math and perception (e.g., +5.2% on WeMath and +3.7% on RealWorldQA) tasks compared with the base counterpart.

  • 9 authors
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May 18 2

Agentic Jigsaw Interaction Learning for Enhancing Visual Perception and Reasoning in Vision-Language Models

Although current large Vision-Language Models (VLMs) have advanced in multimodal understanding and reasoning, their fundamental perceptual and reasoning abilities remain limited. Specifically, even on simple jigsaw tasks, existing VLMs perform near randomly, revealing deficiencies in core perception and reasoning capabilities. While high-quality vision-language data can enhance these capabilities, its scarcity and limited scalability impose significant constraints. To address this, we propose AGILE, an Agentic jiGsaw Interaction Learning for Enhancing visual perception and reasoning in VLMs. AGILE formulates jigsaw solving as an interactive process, enabling the model to progressively engage with the environment. At each step, the model generates executable code to perform an action based on the current state, while the environment provides fine-grained visual feedback to guide task completion. Through this iterative cycle of observation and interaction, the model incrementally improves its perceptual and reasoning capabilities via exploration and feedback. Experimental results show that AGILE not only substantially boosts performance on jigsaw tasks of varying complexity (e.g., increasing accuracy from 9.5% to 82.8% under the 2 times 2 setting) but also demonstrates strong generalization across 9 general vision tasks, achieving an average improvement of 3.1%. These results indicate notable enhancements in both perceptual and reasoning abilities. This work opens a new avenue for advancing reasoning and generalization in multimodal models and provides an efficient, scalable solution to the scarcity of multimodal reinforcement learning data. The code and datasets is available at https://github.com/yuzeng0-0/AGILE .

  • 12 authors
·
Oct 1, 2025 3

ImagineNav: Prompting Vision-Language Models as Embodied Navigator through Scene Imagination

Visual navigation is an essential skill for home-assistance robots, providing the object-searching ability to accomplish long-horizon daily tasks. Many recent approaches use Large Language Models (LLMs) for commonsense inference to improve exploration efficiency. However, the planning process of LLMs is limited within texts and it is difficult to represent the spatial occupancy and geometry layout only by texts. Both are important for making rational navigation decisions. In this work, we seek to unleash the spatial perception and planning ability of Vision-Language Models (VLMs), and explore whether the VLM, with only on-board camera captured RGB/RGB-D stream inputs, can efficiently finish the visual navigation tasks in a mapless manner. We achieve this by developing the imagination-powered navigation framework ImagineNav, which imagines the future observation images at valuable robot views and translates the complex navigation planning process into a rather simple best-view image selection problem for VLM. To generate appropriate candidate robot views for imagination, we introduce the Where2Imagine module, which is distilled to align with human navigation habits. Finally, to reach the VLM preferred views, an off-the-shelf point-goal navigation policy is utilized. Empirical experiments on the challenging open-vocabulary object navigation benchmarks demonstrates the superiority of our proposed system.

  • 4 authors
·
Oct 13, 2024

Can LLM-Reasoning Models Replace Classical Planning? A Benchmark Study

Recent advancements in Large Language Models have sparked interest in their potential for robotic task planning. While these models demonstrate strong generative capabilities, their effectiveness in producing structured and executable plans remains uncertain. This paper presents a systematic evaluation of a broad spectrum of current state of the art language models, each directly prompted using Planning Domain Definition Language domain and problem files, and compares their planning performance with the Fast Downward planner across a variety of benchmarks. In addition to measuring success rates, we assess how faithfully the generated plans translate into sequences of actions that can actually be executed, identifying both strengths and limitations of using these models in this setting. Our findings show that while the models perform well on simpler planning tasks, they continue to struggle with more complex scenarios that require precise resource management, consistent state tracking, and strict constraint compliance. These results underscore fundamental challenges in applying language models to robotic planning in real world environments. By outlining the gaps that emerge during execution, we aim to guide future research toward combined approaches that integrate language models with classical planners in order to enhance the reliability and scalability of planning in autonomous robotics.

  • 2 authors
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Jul 31, 2025

Select2Plan: Training-Free ICL-Based Planning through VQA and Memory Retrieval

This study explores the potential of off-the-shelf Vision-Language Models (VLMs) for high-level robot planning in the context of autonomous navigation. Indeed, while most of existing learning-based approaches for path planning require extensive task-specific training/fine-tuning, we demonstrate how such training can be avoided for most practical cases. To do this, we introduce Select2Plan (S2P), a novel training-free framework for high-level robot planning which completely eliminates the need for fine-tuning or specialised training. By leveraging structured Visual Question-Answering (VQA) and In-Context Learning (ICL), our approach drastically reduces the need for data collection, requiring a fraction of the task-specific data typically used by trained models, or even relying only on online data. Our method facilitates the effective use of a generally trained VLM in a flexible and cost-efficient way, and does not require additional sensing except for a simple monocular camera. We demonstrate its adaptability across various scene types, context sources, and sensing setups. We evaluate our approach in two distinct scenarios: traditional First-Person View (FPV) and infrastructure-driven Third-Person View (TPV) navigation, demonstrating the flexibility and simplicity of our method. Our technique significantly enhances the navigational capabilities of a baseline VLM of approximately 50% in TPV scenario, and is comparable to trained models in the FPV one, with as few as 20 demonstrations.

  • 6 authors
·
Nov 6, 2024

On the Importance of Text Preprocessing for Multimodal Representation Learning and Pathology Report Generation

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

  • 6 authors
·
Feb 26, 2025

The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy

The growing ability of large language models and vision language models to jointly interpret and reason over images and text is reshaping medical agents, moving them from task specific predictors toward autonomous systems that perceive, reason, plan, remember, and act in clinical environments. This work departs from the capability first perspective of existing literature and instead begins from clinical deployment, asking what tasks, contamination resistant benchmarks, and interactive training environments are required before medical agents can be trusted in practice. Medical agents are formalized as sequential decision making systems under partial observability, together with a three level autonomy taxonomy spanning assisted, cooperative, and fully autonomous operation. The field is organized along a unified scaling spine consisting of framework scaling, capability scaling, and environment scaling. Within this framework, clinical environment scaling, the integration of tools, data, and clinical gyms, is identified as the most actionable yet underexplored direction for agents operating in PACS, EHR, and FHIR ecosystems. Clinical self evolution, where agents improve through interaction with their environments rather than parameter scaling alone, is further positioned as a key research frontier, drawing insights from self improving agents, agent gyms, and test time compute scaling. Applications across radiology, pathology, ophthalmology, and hospital workflows are examined together with deployment challenges including hallucination, cascading failures, and fairness. By consolidating more than 300 references, with particular emphasis on advances from 2025 to 2026, this work provides a roadmap toward trustworthy, self improving medical imaging systems for real clinical practice.

  • 18 authors
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Jul 12

Learning Visual Spatial Planning from Symbolic State via Modality-Gap-Aware Self-Distillation

While vision-language models excel at general multimodal understanding, they still struggle with visual spatial planning. We attribute this to a perception-reasoning modality gap: visual planning requires models to infer latent state structures from pixels and then reason over the recovered structure to produce valid actions, whereas symbolic planning directly leverages explicit objects and constraints. This creates dual bottlenecks in visual state recovery and multi-step planning. To address this, we propose MGSD, a two-stage modality-gap-aware self-distillation framework. First, a cold-start grounding stage equips the visual student with reliable state representations, minimizing early perception noise. Second, a privileged teacher transfers planning capabilities via on-policy distillation, using explicit symbolic states to supervise the student's own visual rollout prefixes. Crucially, symbolic data is used strictly during training, leaving inference purely visual. Experiments on visual planning benchmarks show that MGSD consistently improves visual planning across both 4B and 8B backbones, raising the macro average by 19.3% and 18.4%, respectively. The resulting models narrow the gap to symbolic-input upper bounds, while ablations and diagnostics confirm that the improvement comes from both visual state recovery and optimal-path reasoning. These results suggest that modality-gap-aware self-distillation improves not only how models perceive actionable states, but also how they plan over the inferred structure. Code is available at https://github.com/Oranger-l/MGSD.

  • 9 authors
·
Jun 3

Look Less, Reason More: Rollout-Guided Adaptive Pixel-Space Reasoning

Vision-Language Models (VLMs) excel at many multimodal tasks, yet they frequently struggle with tasks requiring precise understanding and handling of fine-grained visual elements. This is mainly due to information loss during image encoding or insufficient attention to critical regions. Recent work has shown promise by incorporating pixel-level visual information into the reasoning process, enabling VLMs to access high-resolution visual details during their thought process. However, this pixel-level information is often overused, leading to inefficiency and distraction from irrelevant visual details. To address these challenges, we propose the first framework for adaptive pixel reasoning that dynamically determines necessary pixel-level operations based on the input query. Specifically, we first apply operation-aware supervised fine-tuning to establish baseline competence in textual reasoning and visual operations, then design a novel rollout-guided reinforcement learning framework relying on feedback of the model's own responses, which enables the VLM to determine when pixel operations should be invoked based on query difficulty. Experiments on extensive multimodal reasoning benchmarks show that our model achieves superior performance while significantly reducing unnecessary visual operations. Impressively, our model achieves 73.4\% accuracy on HR-Bench 4K while maintaining a tool usage ratio of only 20.1\%, improving accuracy and simultaneously reducing tool usage by 66.5\% compared to the previous methods.

  • 6 authors
·
Oct 2, 2025

SGL: Symbolic Goal Learning in a Hybrid, Modular Framework for Human Instruction Following

This paper investigates robot manipulation based on human instruction with ambiguous requests. The intent is to compensate for imperfect natural language via visual observations. Early symbolic methods, based on manually defined symbols, built modular framework consist of semantic parsing and task planning for producing sequences of actions from natural language requests. Modern connectionist methods employ deep neural networks to automatically learn visual and linguistic features and map to a sequence of low-level actions, in an endto-end fashion. These two approaches are blended to create a hybrid, modular framework: it formulates instruction following as symbolic goal learning via deep neural networks followed by task planning via symbolic planners. Connectionist and symbolic modules are bridged with Planning Domain Definition Language. The vision-and-language learning network predicts its goal representation, which is sent to a planner for producing a task-completing action sequence. For improving the flexibility of natural language, we further incorporate implicit human intents with explicit human instructions. To learn generic features for vision and language, we propose to separately pretrain vision and language encoders on scene graph parsing and semantic textual similarity tasks. Benchmarking evaluates the impacts of different components of, or options for, the vision-and-language learning model and shows the effectiveness of pretraining strategies. Manipulation experiments conducted in the simulator AI2THOR show the robustness of the framework to novel scenarios.

  • 4 authors
·
Feb 25, 2022

Training Vision-Language Process Reward Models for Test-Time Scaling in Multimodal Reasoning: Key Insights and Lessons Learned

Process Reward Models (PRMs) provide step-level supervision that improves the reliability of reasoning in large language models. While PRMs have been extensively studied in text-based domains, their extension to Vision Language Models (VLMs) remains limited. Existing Vision-Language PRMs (VL-PRMs) rely on Monte Carlo Tree Search (MCTS) for data construction, which can often produce noisy supervision signals and limit generalization across tasks. In this work, we aim to elucidate the design space of VL-PRMs by exploring diverse strategies for dataset construction, training, and test-time scaling. First, we introduce a hybrid data synthesis framework that combines MCTS with judgments from a strong VLM, producing more accurate step-level labels. Second, we propose perception-focused supervision, enabling our PRM to explicitly detect errors at the visual grounding stage of reasoning. Third, we systematically evaluate multiple test-time scaling strategies, showing that our PRMs can reliably guide VLMs toward more accurate solutions. Our experiments covering five diverse multimodal benchmarks (MMMU, PuzzleVQA, AlgoPuzzleVQA, MathVista, and MathVision) reveal several key insights: (i) VL-PRMs when used as Outcome Reward Models (ORMs) during test-time scaling (TTS) can outperform VL-PRM guided process step selection, (ii) smaller VL-PRMs can match or even surpass larger ones in detecting process errors, (iii) VL-PRMs uncover latent reasoning abilities in stronger VLM backbones, (iv) perception-level supervision leads to significant gains in test-time scaling, and (v) TTS performance of different policies improve on advanced math reasoning datasets despite not training VL-PRMs on such datasets. We hope our work will motivate further research and support the advancement of VLMs.

Point, Detect, Count: Multi-Task Medical Image Understanding with Instruction-Tuned Vision-Language Models

We investigate fine-tuning Vision-Language Models (VLMs) for multi-task medical image understanding, focusing on detection, localization, and counting of findings in medical images. Our objective is to evaluate whether instruction-tuned VLMs can simultaneously improve these tasks, with the goal of enhancing diagnostic accuracy and efficiency. Using MedMultiPoints, a multimodal dataset with annotations from endoscopy (polyps and instruments) and microscopy (sperm cells), we reformulate each task into instruction-based prompts suitable for vision-language reasoning. We fine-tune Qwen2.5-VL-7B-Instruct using Low-Rank Adaptation (LoRA) across multiple task combinations. Results show that multi-task training improves robustness and accuracy. For example, it reduces the Count Mean Absolute Error (MAE) and increases Matching Accuracy in the Counting + Pointing task. However, trade-offs emerge, such as more zero-case point predictions, indicating reduced reliability in edge cases despite overall performance gains. Our study highlights the potential of adapting general-purpose VLMs to specialized medical tasks via prompt-driven fine-tuning. This approach mirrors clinical workflows, where radiologists simultaneously localize, count, and describe findings - demonstrating how VLMs can learn composite diagnostic reasoning patterns. The model produces interpretable, structured outputs, offering a promising step toward explainable and versatile medical AI. Code, model weights, and scripts will be released for reproducibility at https://github.com/simula/PointDetectCount.

  • 3 authors
·
May 22, 2025