Daily Papers

We present NUBIA, a methodology to build automatic evaluation metrics for text generation using only machine learning models as core components. A typical NUBIA model is composed of three modules: a neural feature extractor, an aggregator and a calibrator. We demonstrate an implementation of NUBIA which outperforms metrics currently used to evaluate machine translation, summaries and slightly exceeds/matches state of the art metrics on correlation with human judgement on the WMT segment-level Direct Assessment task, sentence-level ranking and image captioning evaluation. The model implemented is modular, explainable and set to continuously improve over time.

We present the contribution of the Unbabel team to the WMT 2020 Shared Task on Metrics. We intend to participate on the segment-level, document-level and system-level tracks on all language pairs, as well as the 'QE as a Metric' track. Accordingly, we illustrate results of our models in these tracks with reference to test sets from the previous year. Our submissions build upon the recently proposed COMET framework: We train several estimator models to regress on different human-generated quality scores and a novel ranking model trained on relative ranks obtained from Direct Assessments. We also propose a simple technique for converting segment-level predictions into a document-level score. Overall, our systems achieve strong results for all language pairs on previous test sets and in many cases set a new state-of-the-art.

High-quality Machine Translation (MT) evaluation relies heavily on human judgments. Comprehensive error classification methods, such as Multidimensional Quality Metrics (MQM), are expensive as they are time-consuming and can only be done by experts, whose availability may be limited especially for low-resource languages. On the other hand, just assigning overall scores, like Direct Assessment (DA), is simpler and faster and can be done by translators of any level, but is less reliable. In this paper, we introduce Error Span Annotation (ESA), a human evaluation protocol which combines the continuous rating of DA with the high-level error severity span marking of MQM. We validate ESA by comparing it to MQM and DA for 12 MT systems and one human reference translation (English to German) from WMT23. The results show that ESA offers faster and cheaper annotations than MQM at the same quality level, without the requirement of expensive MQM experts.

Existing online video segmentation models typically combine a per-frame segmenter with complex specialized tracking modules. While effective, these modules introduce significant architectural complexity and computational overhead. Recent studies suggest that plain Vision Transformer (ViT) encoders, when scaled with sufficient capacity and large-scale pre-training, can conduct accurate image segmentation without requiring specialized modules. Motivated by this observation, we propose the Video Encoder-only Mask Transformer (VidEoMT), a simple encoder-only video segmentation model that eliminates the need for dedicated tracking modules. To enable temporal modeling in an encoder-only ViT, VidEoMT introduces a lightweight query propagation mechanism that carries information across frames by reusing queries from the previous frame. To balance this with adaptability to new content, it employs a query fusion strategy that combines the propagated queries with a set of temporally-agnostic learned queries. As a result, VidEoMT attains the benefits of a tracker without added complexity, achieving competitive accuracy while being 5x--10x faster, running at up to 160 FPS with a ViT-L backbone. Code: https://www.tue-mps.org/videomt/

Recent advancements in large reasoning models (LRMs) have introduced an intermediate "thinking" process prior to generating final answers, improving their reasoning capabilities on complex downstream tasks. However, the potential of LRMs as evaluators for machine translation (MT) quality remains underexplored. We provides the first systematic analysis of LRM-as-a-judge in MT evaluation. We identify key challenges, revealing LRMs require tailored evaluation materials, tend to "overthink" simpler instances and have issues with scoring mechanisms leading to overestimation. To address these, we propose to calibrate LRM thinking by training them on synthetic, human-like thinking trajectories. Our experiments on WMT24 Metrics benchmarks demonstrate that this approach largely reduces thinking budgets by ~35x while concurrently improving evaluation performance across different LRM scales from 7B to 32B (e.g., R1-Distill-Qwen-7B achieves a +8.7 correlation point improvement). These findings highlight the potential of efficiently calibrated LRMs to advance fine-grained automatic MT evaluation.

Annually, at the Conference of Machine Translation (WMT), the Metrics Shared Task organizers conduct the meta-evaluation of Machine Translation (MT) metrics, ranking them according to their correlation with human judgments. Their results guide researchers toward enhancing the next generation of metrics and MT systems. With the recent introduction of neural metrics, the field has witnessed notable advancements. Nevertheless, the inherent opacity of these metrics has posed substantial challenges to the meta-evaluation process. This work highlights two issues with the meta-evaluation framework currently employed in WMT, and assesses their impact on the metrics rankings. To do this, we introduce the concept of sentinel metrics, which are designed explicitly to scrutinize the meta-evaluation process's accuracy, robustness, and fairness. By employing sentinel metrics, we aim to validate our findings, and shed light on and monitor the potential biases or inconsistencies in the rankings. We discover that the present meta-evaluation framework favors two categories of metrics: i) those explicitly trained to mimic human quality assessments, and ii) continuous metrics. Finally, we raise concerns regarding the evaluation capabilities of state-of-the-art metrics, emphasizing that they might be basing their assessments on spurious correlations found in their training data.

Reliable end-to-end clinical report generation has been a longstanding goal of medical ML research. The end goal for this process is to alleviate radiologists' workloads and provide second opinions to clinicians or patients. Thus, a necessary prerequisite for report generation models is a strong general performance and some type of innate grounding capability, to convince clinicians or patients of the veracity of the generated reports. In this paper, we present ASaRG (Automatic Segmentation-assisted Report Generation), an extension of the popular LLaVA architecture that aims to tackle both of these problems. ASaRG proposes to fuse intermediate features and fine-grained segmentation maps created by specialist radiological models into LLaVA's multi-modal projection layer via simple concatenation. With a small number of added parameters, our approach achieves a +0.89\% performance gain (p=0.012) in CE F1 score compared to the LLaVA baseline when using only intermediate features, and +2.77\% performance gain (p<0.001) when adding a combination of intermediate features and fine-grained segmentation maps. Compared with COMG and ORID, two other report generation methods that utilize segmentations, the performance gain amounts to 6.98\% and 6.28\% in F1 score, respectively. ASaRG is not mutually exclusive with other changes made to the LLaVA architecture, potentially allowing our method to be combined with other advances in the field. Finally, the use of an arbitrary number of segmentations as part of the input demonstrably allows tracing elements of the report to the corresponding segmentation maps and verifying the groundedness of assessments. Our code will be made publicly available at a later date.

We describe GEMBA, a GPT-based metric for assessment of translation quality, which works both with a reference translation and without. In our evaluation, we focus on zero-shot prompting, comparing four prompt variants in two modes, based on the availability of the reference. We investigate nine versions of GPT models, including ChatGPT and GPT-4. We show that our method for translation quality assessment only works with GPT~3.5 and larger models. Comparing to results from WMT22's Metrics shared task, our method achieves state-of-the-art accuracy in both modes when compared to MQM-based human labels. Our results are valid on the system level for all three WMT22 Metrics shared task language pairs, namely English into German, English into Russian, and Chinese into English. This provides a first glimpse into the usefulness of pre-trained, generative large language models for quality assessment of translations. We publicly release all our code and prompt templates used for the experiments described in this work, as well as all corresponding scoring results, to allow for external validation and reproducibility.

The year 2024 marks the 10th anniversary of the Multidimensional Quality Metrics (MQM) framework for analytic translation quality evaluation. The MQM error typology has been widely used by practitioners in the translation and localization industry and has served as the basis for many derivative projects. The annual Conference on Machine Translation (WMT) shared tasks on both human and automatic translation quality evaluations used the MQM error typology. The metric stands on two pillars: error typology and the scoring model. The scoring model calculates the quality score from annotation data, detailing how to convert error type and severity counts into numeric scores to determine if the content meets specifications. Previously, only the raw scoring model had been published. This April, the MQM Council published the Linear Calibrated Scoring Model, officially presented herein, along with the Non-Linear Scoring Model, which had not been published before. This paper details the latest MQM developments and presents a universal approach to translation quality measurement across three sample size ranges. It also explains why Statistical Quality Control should be used for very small sample sizes, starting from a single sentence.

This paper describes our submission of the WMT 2020 Shared Task on Sentence Level Direct Assessment, Quality Estimation (QE). In this study, we empirically reveal the mismatching issue when directly adopting BERTScore to QE. Specifically, there exist lots of mismatching errors between the source sentence and translated candidate sentence with token pairwise similarity. In response to this issue, we propose to expose explicit cross-lingual patterns, e.g. word alignments and generation score, to our proposed zero-shot models. Experiments show that our proposed QE model with explicit cross-lingual patterns could alleviate the mismatching issue, thereby improving the performance. Encouragingly, our zero-shot QE method could achieve comparable performance with supervised QE method, and even outperforms the supervised counterpart on 2 out of 6 directions. We expect our work could shed light on the zero-shot QE model improvement.

Large language models (LLMs) have demonstrated remarkable capabilities, but they still frequently produce hallucinations. These hallucinations are difficult to detect in reasoning-intensive tasks, where the content appears coherent but contains errors like logical flaws and unreliable intermediate results. While step-level analysis is commonly used to detect internal hallucinations, it suffers from limited granularity and poor scalability due to its reliance on step segmentation. To address these limitations, we propose TokenHD, a holistic pipeline for training token-level hallucination detectors. Specifically, TokenHD consists of a scalable data engine for synthesizing large-scale hallucination annotations along with a training recipe featuring an importance-weighted strategy for robust model training. To systematically assess the detection performance, we also provide a rigorous evaluation protocol. Through training within TokenHD, our detector operates directly on free-form text to identify hallucinations, eliminating the need for predefined step segmentation or additional text reformatting. Our experiments show that even a small detector (0.6B) achieves substantial performance gains after training, surpassing much larger reasoning models (e.g., QwQ-32B), and detection performance scales consistently with model size from 0.6B to 8B. Finally, we show that our detector can generalize well across diverse practical scenarios and explore strategies to further enhance its cross-domain generalization capability.

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

Direct neural machine translation (direct NMT) is a type of NMT system that translates text between two non-English languages. Direct NMT systems often face limitations due to the scarcity of parallel data between non-English language pairs. Several approaches have been proposed to address this limitation, such as multilingual NMT and pivot NMT (translation between two languages via English). Task-level Mixture of expert models (Task-level MoE), an inference-efficient variation of Transformer-based models, has shown promising NMT performance for a large number of language pairs. In Task-level MoE, different language groups can use different routing strategies to optimize cross-lingual learning and inference speed. In this work, we examine Task-level MoE's applicability in direct NMT and propose a series of high-performing training and evaluation configurations, through which Task-level MoE-based direct NMT systems outperform bilingual and pivot-based models for a large number of low and high-resource direct pairs, and translation directions. Our Task-level MoE with 16 experts outperforms bilingual NMT, Pivot NMT models for 7 language pairs, while pivot-based models still performed better in 9 pairs and directions.

As strong machine translation (MT) systems are increasingly based on large language models (LLMs), reliable quality benchmarking requires methods that capture their ability to leverage extended context. This study compares two commercial MT systems -- DeepL and Supertext -- by assessing their performance on unsegmented texts. We evaluate translation quality across four language directions with professional translators assessing segments with full document-level context. While segment-level assessments indicate no strong preference between the systems in most cases, document-level analysis reveals a preference for Supertext in three out of four language directions, suggesting superior consistency across longer texts. We advocate for more context-sensitive evaluation methodologies to ensure that MT quality assessments reflect real-world usability. We release all evaluation data and scripts for further analysis and reproduction at https://github.com/supertext/evaluation_deepl_supertext.

Proprietary LMs such as GPT-4 are often employed to assess the quality of responses from various LMs. However, concerns including transparency, controllability, and affordability strongly motivate the development of open-source LMs specialized in evaluations. On the other hand, existing open evaluator LMs exhibit critical shortcomings: 1) they issue scores that significantly diverge from those assigned by humans, and 2) they lack the flexibility to perform both direct assessment and pairwise ranking, the two most prevalent forms of assessment. Additionally, they do not possess the ability to evaluate based on custom evaluation criteria, focusing instead on general attributes like helpfulness and harmlessness. To address these issues, we introduce Prometheus 2, a more powerful evaluator LM than its predecessor that closely mirrors human and GPT-4 judgements. Moreover, it is capable of processing both direct assessment and pair-wise ranking formats grouped with a user-defined evaluation criteria. On four direct assessment benchmarks and four pairwise ranking benchmarks, Prometheus 2 scores the highest correlation and agreement with humans and proprietary LM judges among all tested open evaluator LMs. Our models, code, and data are all publicly available at https://github.com/prometheus-eval/prometheus-eval.

Recent advances in generative vision-language models (VLMs) have exciting potential implications for AI in radiology, yet VLMs are also known to produce hallucinations, nonsensical text, and other unwanted behaviors that can waste clinicians' time and cause patient harm. Drawing on recent work on direct preference optimization (DPO), we propose a simple method for modifying the behavior of pretrained VLMs performing radiology report generation by suppressing unwanted types of generations. We apply our method to the prevention of hallucinations of prior exams, addressing a long-established problem behavior in models performing chest X-ray report generation. Across our experiments, we find that DPO fine-tuning achieves a 3.2-4.8x reduction in lines hallucinating prior exams while maintaining model performance on clinical accuracy metrics. Our work is, to the best of our knowledge, the first work to apply DPO to medical VLMs, providing a data- and compute- efficient way to suppress problem behaviors while maintaining overall clinical accuracy.

Promptable segmentation typically requires instance-specific manual prompts to guide the segmentation of each desired object. To minimize such a need, task-generic promptable segmentation has been introduced, which employs a single task-generic prompt to segment various images of different objects in the same task. Current methods use Multimodal Large Language Models (MLLMs) to reason detailed instance-specific prompts from a task-generic prompt for improving segmentation accuracy. The effectiveness of this segmentation heavily depends on the precision of these derived prompts. However, MLLMs often suffer hallucinations during reasoning, resulting in inaccurate prompting. While existing methods focus on eliminating hallucinations to improve a model, we argue that MLLM hallucinations can reveal valuable contextual insights when leveraged correctly, as they represent pre-trained large-scale knowledge beyond individual images. In this paper, we utilize hallucinations to mine task-related information from images and verify its accuracy for enhancing precision of the generated prompts. Specifically, we introduce an iterative Prompt-Mask Cycle generation framework (ProMaC) with a prompt generator and a mask generator.The prompt generator uses a multi-scale chain of thought prompting, initially exploring hallucinations for extracting extended contextual knowledge on a test image.These hallucinations are then reduced to formulate precise instance-specific prompts, directing the mask generator to produce masks that are consistent with task semantics by mask semantic alignment. The generated masks iteratively induce the prompt generator to focus more on task-relevant image areas and reduce irrelevant hallucinations, resulting jointly in better prompts and masks. Experiments on 5 benchmarks demonstrate the effectiveness of ProMaC. Code given in https://lwpyh.github.io/ProMaC/.

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

This paper investigates the reference-less evaluation of machine translation for low-resource language pairs, known as quality estimation (QE). Segment-level QE is a challenging cross-lingual language understanding task that provides a quality score (0-100) to the translated output. We comprehensively evaluate large language models (LLMs) in zero/few-shot scenarios and perform instruction fine-tuning using a novel prompt based on annotation guidelines. Our results indicate that prompt-based approaches are outperformed by the encoder-based fine-tuned QE models. Our error analysis reveals tokenization issues, along with errors due to transliteration and named entities, and argues for refinement in LLM pre-training for cross-lingual tasks. We release the data, and models trained publicly for further research.

The evaluation of vision-language models (VLMs) for chest X-ray (CXR) analysis has largely been limited to disease-presence classification without visual grounding. Such evaluations fail to verify the expert-level lesion perception necessary to ensure the clinical reliability of VLMs. To address these limitations, we introduce CheXpercept, a sequential, multi-level perception benchmark that mirrors a radiologist's cognitive workflow across coarse-level detection, fine-level contour evaluation and revision, and semantic-level attribute extraction. To ensure high clinical fidelity at scale, we construct the dataset using a semi-automated generation pipeline paired with a review by six medical experts. CheXpercept contains 10,400 QA items derived from 2,100 CXRs, covering seven clinically critical pulmonary and cardiac lesions. To demonstrate the current landscape of VLM perception, we benchmark 14 general and medical VLMs on CheXpercept. The models achieve adequate performance only at the coarse level, with accuracy degrading precipitously on deeper visual tasks. Notably, medical VLMs show almost no perceptual advantage over their general-domain counterparts, highlighting a systemic flaw in current domain adaptation. The code and dataset will be publicly available.

Multiple-choice QA benchmarks usually evaluate small language models (SLMs) as direct answerers, but deployed language-model systems increasingly rely on external scaffolds such as tools, code, and repeated model calls. We introduce Code-Guided Reasoning (CGR), an evaluation protocol and generated-program resource for measuring when executable reasoning scaffolds improve SLM performance on MCQA tasks. CGR standardizes six components: a normalized item interface, a direct solver prompt, a generator prompt, a Python scaffold, solver-call and extraction helpers, and a three-channel result record. On 20,498 retained result rows from a locally prepared MCQA bundle and six metadata-registered solver models, the observed non-zero-baseline partition shows 66.21% macro assisted accuracy versus 38.11% direct accuracy, a +28.10 percentage-point difference with a pair-bootstrap interval of [20.32, 36.43]. Under a stricter Ab > 30% direct-signal gate, the macro difference is +14.11 points. These estimates are descriptive. Assisted inference uses a larger solver-call budget, answer extraction is brittle, Time-MQA contains the observed regressions, and some generated programs violate the no-hard-coding instruction. CGR provides the trace package needed to interpret these results, including direct, assisted, and generator-side answers, partition definitions, generated programs, response metadata, and audits.

This paper describes FBK's system submission to the IWSLT 2021 Offline Speech Translation task. We participated with a direct model, which is a Transformer-based architecture trained to translate English speech audio data into German texts. The training pipeline is characterized by knowledge distillation and a two-step fine-tuning procedure. Both knowledge distillation and the first fine-tuning step are carried out on manually segmented real and synthetic data, the latter being generated with an MT system trained on the available corpora. Differently, the second fine-tuning step is carried out on a random segmentation of the MuST-C v2 En-De dataset. Its main goal is to reduce the performance drops occurring when a speech translation model trained on manually segmented data (i.e. an ideal, sentence-like segmentation) is evaluated on automatically segmented audio (i.e. actual, more realistic testing conditions). For the same purpose, a custom hybrid segmentation procedure that accounts for both audio content (pauses) and for the length of the produced segments is applied to the test data before passing them to the system. At inference time, we compared this procedure with a baseline segmentation method based on Voice Activity Detection (VAD). Our results indicate the effectiveness of the proposed hybrid approach, shown by a reduction of the gap with manual segmentation from 8.3 to 1.4 BLEU points.

Application of deep learning on histopathological whole slide images (WSIs) holds promise of improving diagnostic efficiency and reproducibility but is largely dependent on the ability to write computer code or purchase commercial solutions. We present a code-free pipeline utilizing free-to-use, open-source software (QuPath, DeepMIB, and FastPathology) for creating and deploying deep learning-based segmentation models for computational pathology. We demonstrate the pipeline on a use case of separating epithelium from stroma in colonic mucosa. A dataset of 251 annotated WSIs, comprising 140 hematoxylin-eosin (HE)-stained and 111 CD3 immunostained colon biopsy WSIs, were developed through active learning using the pipeline. On a hold-out test set of 36 HE and 21 CD3-stained WSIs a mean intersection over union score of 96.6% and 95.3% was achieved on epithelium segmentation. We demonstrate pathologist-level segmentation accuracy and clinical acceptable runtime performance and show that pathologists without programming experience can create near state-of-the-art segmentation solutions for histopathological WSIs using only free-to-use software. The study further demonstrates the strength of open-source solutions in its ability to create generalizable, open pipelines, of which trained models and predictions can seamlessly be exported in open formats and thereby used in external solutions. All scripts, trained models, a video tutorial, and the full dataset of 251 WSIs with ~31k epithelium annotations are made openly available at https://github.com/andreped/NoCodeSeg to accelerate research in the field.

As large language models (LLMs) become primary sources of health information for millions, their accuracy in women's health remains critically unexamined. We introduce the Women's Health Benchmark (WHB), the first benchmark evaluating LLM performance specifically in women's health. Our benchmark comprises 96 rigorously validated model stumps covering five medical specialties (obstetrics and gynecology, emergency medicine, primary care, oncology, and neurology), three query types (patient query, clinician query, and evidence/policy query), and eight error types (dosage/medication errors, missing critical information, outdated guidelines/treatment recommendations, incorrect treatment advice, incorrect factual information, missing/incorrect differential diagnosis, missed urgency, and inappropriate recommendations). We evaluated 13 state-of-the-art LLMs and revealed alarming gaps: current models show approximately 60\% failure rates on the women's health benchmark, with performance varying dramatically across specialties and error types. Notably, models universally struggle with "missed urgency" indicators, while newer models like GPT-5 show significant improvements in avoiding inappropriate recommendations. Our findings underscore that AI chatbots are not yet fully able of providing reliable advice in women's health.

With the advancements in Large Language Models (LLMs), Vision-Language Models (VLMs) have reached a new level of sophistication, showing notable competence in executing intricate cognition and reasoning tasks. However, existing evaluation benchmarks, primarily relying on rigid, hand-crafted datasets to measure task-specific performance, face significant limitations in assessing the alignment of these increasingly anthropomorphic models with human intelligence. In this work, we address the limitations via Auto-Bench, which delves into exploring LLMs as proficient aligners, measuring the alignment between VLMs and human intelligence and value through automatic data curation and assessment. Specifically, for data curation, Auto-Bench utilizes LLMs (e.g., GPT-4) to automatically generate a vast set of question-answer-reasoning triplets via prompting on visual symbolic representations (e.g., captions, object locations, instance relationships, and etc.). The curated data closely matches human intent, owing to the extensive world knowledge embedded in LLMs. Through this pipeline, a total of 28.5K human-verified and 3,504K unfiltered question-answer-reasoning triplets have been curated, covering 4 primary abilities and 16 sub-abilities. We subsequently engage LLMs like GPT-3.5 to serve as judges, implementing the quantitative and qualitative automated assessments to facilitate a comprehensive evaluation of VLMs. Our validation results reveal that LLMs are proficient in both evaluation data curation and model assessment, achieving an average agreement rate of 85%. We envision Auto-Bench as a flexible, scalable, and comprehensive benchmark for evaluating the evolving sophisticated VLMs.

Purpose: In radiology, large language models (LLMs), including ChatGPT, have recently gained attention, and their utility is being rapidly evaluated. However, concerns have emerged regarding their reliability in clinical applications due to limitations such as hallucinations and insufficient referencing. To address these issues, we focus on the latest technology, retrieval-augmented generation (RAG), which enables LLMs to reference reliable external knowledge (REK). Specifically, this study examines the utility and reliability of a recently released RAG-equipped LLM (RAG-LLM), NotebookLM, for staging lung cancer. Materials and methods: We summarized the current lung cancer staging guideline in Japan and provided this as REK to NotebookLM. We then tasked NotebookLM with staging 100 fictional lung cancer cases based on CT findings and evaluated its accuracy. For comparison, we performed the same task using a gold-standard LLM, GPT-4 Omni (GPT-4o), both with and without the REK. Results: NotebookLM achieved 86% diagnostic accuracy in the lung cancer staging experiment, outperforming GPT-4o, which recorded 39% accuracy with the REK and 25% without it. Moreover, NotebookLM demonstrated 95% accuracy in searching reference locations within the REK. Conclusion: NotebookLM successfully performed lung cancer staging by utilizing the REK, demonstrating superior performance compared to GPT-4o. Additionally, it provided highly accurate reference locations within the REK, allowing radiologists to efficiently evaluate the reliability of NotebookLM's responses and detect possible hallucinations. Overall, this study highlights the potential of NotebookLM, a RAG-LLM, in image diagnosis.

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

Multimodal Language Language Models (MLLMs) demonstrate the emerging abilities of "world models" -- interpreting and reasoning about complex real-world dynamics. To assess these abilities, we posit videos are the ideal medium, as they encapsulate rich representations of real-world dynamics and causalities. To this end, we introduce MMWorld, a new benchmark for multi-discipline, multi-faceted multimodal video understanding. MMWorld distinguishes itself from previous video understanding benchmarks with two unique advantages: (1) multi-discipline, covering various disciplines that often require domain expertise for comprehensive understanding; (2) multi-faceted reasoning, including explanation, counterfactual thinking, future prediction, etc. MMWorld consists of a human-annotated dataset to evaluate MLLMs with questions about the whole videos and a synthetic dataset to analyze MLLMs within a single modality of perception. Together, MMWorld encompasses 1,910 videos across seven broad disciplines and 69 subdisciplines, complete with 6,627 question-answer pairs and associated captions. The evaluation includes 2 proprietary and 10 open-source MLLMs, which struggle on MMWorld (e.g., GPT-4V performs the best with only 52.3\% accuracy), showing large room for improvement. Further ablation studies reveal other interesting findings such as models' different skill sets from humans. We hope MMWorld can serve as an essential step towards world model evaluation in videos.

This study investigates GPT-4's assessment of its performance in healthcare applications. A simple prompting technique was used to prompt the LLM with questions taken from the United States Medical Licensing Examination (USMLE) questionnaire and it was tasked to evaluate its confidence score before posing the question and after asking the question. The questionnaire was categorized into two groups-questions with feedback (WF) and questions with no feedback(NF) post-question. The model was asked to provide absolute and relative confidence scores before and after each question. The experimental findings were analyzed using statistical tools to study the variability of confidence in WF and NF groups. Additionally, a sequential analysis was conducted to observe the performance variation for the WF and NF groups. Results indicate that feedback influences relative confidence but doesn't consistently increase or decrease it. Understanding the performance of LLM is paramount in exploring its utility in sensitive areas like healthcare. This study contributes to the ongoing discourse on the reliability of AI, particularly of LLMs like GPT-4, within healthcare, offering insights into how feedback mechanisms might be optimized to enhance AI-assisted medical education and decision support.

Large language models (LLMs) now reach expert-level scores on medical licensing exams, encouraging the assumption that high scores imply safe medical judgment while patients increasingly use them for health advice. We show this assumption is fragile: when misleading context is injected into questions that LLMs originally answer correctly, they abandon the correct answer. We call the ability to maintain correct judgment under adversarial context epistemic resilience, and introduce MedMisBench to measure it. MedMisBench contains 10,932 medical question items and 48,889 misleading context-option pairs spanning medical reasoning, agentic capability, and patient-journey evaluation. Across 11 model configurations, mean accuracy falls from 71.1% on original questions to 38.0% under focused misleading context, with 51.5% attack success. The most damaging injections are formal, rule-like fabrications: authority-framed falsehoods reach 69.5% attack success and exception-poisoning claims reach 64.1%. A 14-member clinical panel from 7 countries identified serious potential harm in 38.2% of reviewed cases. MedMisBench exposes a structural blind spot in LLM evaluation in medical settings: existing benchmarks measure what models know, but not whether they preserve correct medical judgment under misleading context.

We describe the JD Explore Academy's submission of the WMT 2022 shared general translation task. We participated in all high-resource tracks and one medium-resource track, including Chinese-English, German-English, Czech-English, Russian-English, and Japanese-English. We push the limit of our previous work -- bidirectional training for translation by scaling up two main factors, i.e. language pairs and model sizes, namely the Vega-MT system. As for language pairs, we scale the "bidirectional" up to the "multidirectional" settings, covering all participating languages, to exploit the common knowledge across languages, and transfer them to the downstream bilingual tasks. As for model sizes, we scale the Transformer-Big up to the extremely large model that owns nearly 4.7 Billion parameters, to fully enhance the model capacity for our Vega-MT. Also, we adopt the data augmentation strategies, e.g. cycle translation for monolingual data, and bidirectional self-training for bilingual and monolingual data, to comprehensively exploit the bilingual and monolingual data. To adapt our Vega-MT to the general domain test set, generalization tuning is designed. Based on the official automatic scores of constrained systems, in terms of the sacreBLEU shown in Figure-1, we got the 1st place on {Zh-En (33.5), En-Zh (49.7), De-En (33.7), En-De (37.8), Cs-En (54.9), En-Cs (41.4) and En-Ru (32.7)}, 2nd place on {Ru-En (45.1) and Ja-En (25.6)}, and 3rd place on {En-Ja(41.5)}, respectively; W.R.T the COMET, we got the 1st place on {Zh-En (45.1), En-Zh (61.7), De-En (58.0), En-De (63.2), Cs-En (74.7), Ru-En (64.9), En-Ru (69.6) and En-Ja (65.1)}, 2nd place on {En-Cs (95.3) and Ja-En (40.6)}, respectively.

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

As machine translation (MT) metrics improve their correlation with human judgement every year, it is crucial to understand the limitations of such metrics at the segment level. Specifically, it is important to investigate metric behaviour when facing accuracy errors in MT because these can have dangerous consequences in certain contexts (e.g., legal, medical). We curate ACES, a translation accuracy challenge set, consisting of 68 phenomena ranging from simple perturbations at the word/character level to more complex errors based on discourse and real-world knowledge. We use ACES to evaluate a wide range of MT metrics including the submissions to the WMT 2022 metrics shared task and perform several analyses leading to general recommendations for metric developers. We recommend: a) combining metrics with different strengths, b) developing metrics that give more weight to the source and less to surface-level overlap with the reference and c) explicitly modelling additional language-specific information beyond what is available via multilingual embeddings.

Large Language Models (LLMs) are commonly used as evaluators in various applications, but the reliability of the outcomes remains a challenge. One such challenge is using LLMs-as-judges for direct assessment, i.e., assigning scores from a specified range without any references. We first show that this challenge stems from LLM judge outputs being associated with score range bias, i.e., LLM judge outputs are highly sensitive to pre-defined score ranges, preventing the search for optimal score ranges. We also show that similar biases exist among models from the same family. We then mitigate this bias through contrastive decoding, achieving up to 11.3% relative improvement on average in Spearman correlation with human judgments across different score ranges.

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

The explosion of visual content available online underscores the requirement for an accurate machine assessor to robustly evaluate scores across diverse types of visual contents. While recent studies have demonstrated the exceptional potentials of large multi-modality models (LMMs) on a wide range of related fields, in this work, we explore how to teach them for visual rating aligned with human opinions. Observing that human raters only learn and judge discrete text-defined levels in subjective studies, we propose to emulate this subjective process and teach LMMs with text-defined rating levels instead of scores. The proposed Q-Align achieves state-of-the-art performance on image quality assessment (IQA), image aesthetic assessment (IAA), as well as video quality assessment (VQA) tasks under the original LMM structure. With the syllabus, we further unify the three tasks into one model, termed the OneAlign. In our experiments, we demonstrate the advantage of the discrete-level-based syllabus over direct-score-based variants for LMMs. Our code and the pre-trained weights are released at https://github.com/Q-Future/Q-Align.

Resection and whole brain radiotherapy (WBRT) are the standards of care for the treatment of patients with brain metastases (BM) but are often associated with cognitive side effects. Stereotactic radiosurgery (SRS) involves a more targeted treatment approach and has been shown to avoid the side effects associated with WBRT. However, SRS requires precise identification and delineation of BM. While many AI algorithms have been developed for this purpose, their clinical adoption has been limited due to poor model performance in the clinical setting. Major reasons for non-generalizable algorithms are the limitations in the datasets used for training the AI network. The purpose of this study was to create a large, heterogenous, annotated BM dataset for training and validation of AI models to improve generalizability. We present a BM dataset of 200 patients with pretreatment T1, T1 post-contrast, T2, and FLAIR MR images. The dataset includes contrast-enhancing and necrotic 3D segmentations on T1 post-contrast and whole tumor (including peritumoral edema) 3D segmentations on FLAIR. Our dataset contains 975 contrast-enhancing lesions, many of which are sub centimeter, along with clinical and imaging feature information. We used a streamlined approach to database-building leveraging a PACS-integrated segmentation workflow.

Understanding the wireless spectrum is a fundamen- tal requirement for intelligent communication systems, however, interpreting spectrograms requires extracting multiple physical attributes and reasoning about signal structure, which is a capability that is not achieved by traditional ML approaches. Recent advances in vision-language models (VLMs) demonstrated the possibility of learning such interpretation capabilities directly from data. This paper investigates whether VLMs can learn this capability from synthetic data alone, and more importantly, whether such learned representations generalize to real over-the- air RF environments. To address this question, we introduce RF-Analyzer, an SDR-to-AI analysis platform that integrates live spectrum captures associated with the corresponding VLM- based interpretation, enabling direct evaluation of VLMs outputs on live over-the-air signals. Using this platform, we assess a model trained exclusively on synthetic spectrogram data with general-purpose baselines. To enable systematic analysis, we establish a benchmark framework comprising three metrics, Physical Attribute Extraction Score (PAES), Prompt Leakage Rate (PLR), and hallucination count, to assess signal understanding and grounding. The obtained results demonstrate that VLMs trained on synthetic spectrogram data can generalize to real RF environments, particularly for extracting physical signal attributes such as spectral occupancy, temporal behavior, and SNR. This indicates that synthetic data is sufficient for learning transferable representations of RF signal structure. However, this generalization is limited due to the fact that synthetic training does not provide reliable semantic grounding without contextual priors. In particular, generalization breaks under conditions that are not covered in the synthetic distribution, particularly low-SNR regimes

We present TransEvalnia, a prompting-based translation evaluation and ranking system that uses reasoning in performing its evaluations and ranking. This system presents fine-grained evaluations based on a subset of the Multidimensional Quality Metrics (https://themqm.org/), returns an assessment of which translation it deems the best, and provides numerical scores for the various dimensions and for the overall translation. We show that TransEvalnia performs as well as or better than the state-of-the-art MT-Ranker (Moosa et al. 2024) on our own English-Japanese data as well as several language pairs from various WMT shared tasks. Using Anthropic's Claude-3.5-Sonnet and Qwen-2.5-72B-Instruct as the evaluation LLMs, we show that the evaluations returned are deemed highly acceptable to human raters, and that the scores assigned to the translations by Sonnet, as well as other LLMs, correlate well with scores assigned by the human raters. We also note the sensitivity of our system -- as well as MT-Ranker -- to the order in which the translations are presented, and we propose methods to address this position bias. All data, including the system's evaluation and reasoning, human assessments, as well as code is released.

Precise delineation of meningiomas is crucial for effective radiotherapy (RT) planning, directly influencing treatment efficacy and preservation of adjacent healthy tissues. While automated deep learning approaches have demonstrated considerable potential, achieving consistently accurate clinical segmentation remains challenging due to tumor heterogeneity. Interactive Medical Image Segmentation (IMIS) addresses this challenge by integrating advanced AI techniques with clinical input. However, generic segmentation tools, despite widespread applicability, often lack the specificity required for clinically critical and disease-specific tasks like meningioma RT planning. To overcome these limitations, we introduce Interactive-MEN-RT, a dedicated IMIS tool specifically developed for clinician-assisted 3D meningioma segmentation in RT workflows. The system incorporates multiple clinically relevant interaction methods, including point annotations, bounding boxes, lasso tools, and scribbles, enhancing usability and clinical precision. In our evaluation involving 500 contrast-enhanced T1-weighted MRI scans from the BraTS 2025 Meningioma RT Segmentation Challenge, Interactive-MEN-RT demonstrated substantial improvement compared to other segmentation methods, achieving Dice similarity coefficients of up to 77.6\% and Intersection over Union scores of 64.8\%. These results emphasize the need for clinically tailored segmentation solutions in critical applications such as meningioma RT planning. The code is publicly available at: https://github.com/snuh-rad-aicon/Interactive-MEN-RT

Vision-Language Models(VLMs) have demonstrated significant potential for end-to-end autonomous driving, yet a substantial gap remains between their current capabilities and the reliability necessary for real-world deployment. A critical challenge is their fragility, characterized by hallucinations and poor generalization in out-of-distribution (OOD) scenarios. To bridge this gap, we introduce MTRDrive, a novel framework that integrates procedural driving experiences with a dynamic toolkit to enhance generalization and proactive decision-making. MTRDrive addresses these limitations through a closed-loop system that combines a memory-based experience retrieval mechanism with dynamic toolkits. This synergy enables the model to interact more effectively with its environment, improving both reasoning and decision-making capabilities with the help of our memory-tool synergistic reasoning. Additionally, we introduce a new benchmark based on complex Roadwork construction scenarios to rigorously evaluate zero-shot generalization. Extensive experiments demonstrate the superior effectiveness of our approach. On the public NAVSIM benchmark, our 3B-parameter MTRDrive model achieves an exceptional PDMS of 88.3 without chain-of-thought and sets a state-of-the-art performance bar on high-level planning, with a driving metric score of 79.8\% and a planning accuracy of 82.6\%. Rigorous zero-shot evaluation on the new Roadwork-VLM benchmark shows a strong ability to reason robustly in unseen scenarios, achieving a driving metric score of 80.2\%. These results highlight MTRDrive's potential to advance autonomous driving toward safer and more reliable systems.

Whole Slide Images (WSIs) exhibit hierarchical structure, where diagnostic information emerges from cellular morphology, regional tissue organization, and global context. Existing Computational Pathology (CPath) Multimodal Large Language Models (MLLMs) typically compress an entire WSI into a single embedding, which hinders fine-grained grounding and ignores how pathologists synthesize evidence across different scales. We introduce MLLM-HWSI, a Hierarchical WSI-level MLLM that aligns visual features with pathology language at four distinct scales, cell as word, patch as phrase, region as sentence, and WSI as paragraph to support interpretable evidence-grounded reasoning. MLLM-HWSI decomposes each WSI into multi-scale embeddings with scale-specific projectors and jointly enforces (i) a hierarchical contrastive objective and (ii) a cross-scale consistency loss, preserving semantic coherence from cells to the WSI. We compute diagnostically relevant patches and aggregate segmented cell embeddings into a compact cellular token per-patch using a lightweight Cell-Cell Attention Fusion (CCAF) transformer. The projected multi-scale tokens are fused with text tokens and fed to an instruction-tuned LLM for open-ended reasoning, VQA, report, and caption generation tasks. Trained in three stages, MLLM-HWSI achieves new SOTA results on 13 WSI-level benchmarks across six CPath tasks. By aligning language with multi-scale visual evidence, MLLM-HWSI provides accurate, interpretable outputs that mirror diagnostic workflows and advance holistic WSI understanding. Code is available at: https://github.com/BasitAlawode/HWSI-MLLM{GitHub}.

The increasing availability of multimodal data across text, tables, and images presents new challenges for developing models capable of complex cross-modal reasoning. Existing methods for Multimodal Multi-hop Question Answering (MMQA) often suffer from limited reasoning capabilities, reliance on modality conversion, and inadequate alignment between visual and textual representations. To address these limitations, this paper introduces Vision-Language Multimodal Transformer (VLMT), a unified architecture that integrates a transformer-based vision encoder with a sequence-to-sequence language model. VLMT employs a direct token-level injection mechanism to fuse visual and textual inputs within a shared embedding space, eliminating the need for intermediate projection layers. To enhance cross-modal alignment and reasoning, a three-stage pretraining strategy is proposed to progressively align vision-language representations and improve the model's capacity for multimodal understanding. Based on the pretrained backbone, two task-specific modules are instantiated to form a two-stage MMQA framework: a multimodal reranker that predicts document relevance scores and utilizes a relative threshold with top-k strategy for context retrieval, and a multimodal question answering model that generates contextually grounded answers based on the retrieved evidence. Comprehensive experiments on two benchmark datasets demonstrate the effectiveness of the proposed approach. On MultimodalQA validation set, VLMT-Large achieves 76.5% Exact Match and 80.1% F1, outperforming the previous state-of-the-art by +9.1% in Exact Match and +8.8% in F1. On WebQA, it attains a QA score of 47.6, surpassing prior models such as PERQA by +3.2. These results highlight VLMT's strong capabilities in multimodal reasoning and its potential to advance real-world information retrieval and question answering systems.

Vision-Language Models (VLMs) are increasingly used in safety-critical applications that require reliable visual grounding. However, these models often hallucinate details that are not present in the image to satisfy user prompts. While recent datasets and benchmarks have been introduced to evaluate systematic hallucinations in VLMs, many hallucination behaviors remain insufficiently characterized. In particular, prior work primarily focuses on object presence or absence, leaving it unclear how prompt phrasing and structural constraints can systematically induce hallucinations. In this paper, we investigate how different forms of prompt pressure influence hallucination behavior. We introduce Ghost-100, a procedurally generated dataset of synthetic scenes in which key visual details are deliberately removed, enabling controlled analysis of absence-based hallucinations. Using a structured 5-Level Prompt Intensity Framework, we vary prompts from neutral queries to toxic demands and rigid formatting constraints. We evaluate three representative open-weight VLMs: MiniCPM-V 2.6-8B, Qwen2-VL-7B, and Qwen3-VL-8B. Across all three models, hallucination rates do not increase monotonically with prompt intensity. All models exhibit reductions at higher intensity levels at different thresholds, though not all show sustained reduction under maximum coercion. These results suggest that current safety alignment is more effective at detecting semantic hostility than structural coercion, revealing model-specific limitations in handling compliance pressure. Our dataset is available at: https://github.com/bli1/tone-matters

Prior work has established test-time training (TTT) as a general framework to further improve a trained model at test time. Before making a prediction on each test instance, the model is trained on the same instance using a self-supervised task, such as image reconstruction with masked autoencoders. We extend TTT to the streaming setting, where multiple test instances - video frames in our case - arrive in temporal order. Our extension is online TTT: The current model is initialized from the previous model, then trained on the current frame and a small window of frames immediately before. Online TTT significantly outperforms the fixed-model baseline for four tasks, on three real-world datasets. The relative improvement is 45% and 66% for instance and panoptic segmentation. Surprisingly, online TTT also outperforms its offline variant that accesses more information, training on all frames from the entire test video regardless of temporal order. This differs from previous findings using synthetic videos. We conceptualize locality as the advantage of online over offline TTT. We analyze the role of locality with ablations and a theory based on bias-variance trade-off.

Video multi-target segmentation remains a major challenge in long sequences, mainly due to the inherent limitations of existing architectures in capturing global temporal dependencies. We introduce WISE-TTT, a synergistic architecture integrating Test-Time Training (TTT) mechanisms with the Transformer architecture through co-design. The TTT layer systematically compresses historical temporal data to generate hidden states containing worldwide information(Lossless memory to maintain long contextual integrity), while achieving multi-stage contextual aggregation through splicing. Crucially, our framework provides the first empirical validation that implementing worldwide information across multiple network layers is essential for optimal dependency utilization.Ablation studies show TTT modules at high-level features boost global modeling. This translates to 3.1% accuracy improvement(J&F metric) on Davis2017 long-term benchmarks -- the first proof of hierarchical context superiority in video segmentation. We provide the first systematic evidence that worldwide information critically impacts segmentation performance.

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

Document-level Neural Machine Translation (DocNMT) has been proven crucial for handling discourse phenomena by introducing document-level context information. One of the most important directions is to input the whole document directly to the standard Transformer model. In this case, efficiency becomes a critical concern due to the quadratic complexity of the attention module. Existing studies either focus on the encoder part, which cannot be deployed on sequence-to-sequence generation tasks, e.g., Machine Translation (MT), or suffer from a significant performance drop. In this work, we keep the translation performance while gaining 20\% speed up by introducing extra selection layer based on lightweight attention that selects a small portion of tokens to be attended. It takes advantage of the original attention to ensure performance and dimension reduction to accelerate inference. Experimental results show that our method could achieve up to 95\% sparsity (only 5\% tokens attended) approximately, and save 93\% computation cost on the attention module compared with the original Transformer, while maintaining the performance.

Machine Translation (MT) evaluation metrics assess translation quality automatically. Recently, researchers have employed MT metrics for various new use cases, such as data filtering and translation re-ranking. However, most MT metrics return assessments as scalar scores that are difficult to interpret, posing a challenge to making informed design choices. Moreover, MT metrics' capabilities have historically been evaluated using correlation with human judgment, which, despite its efficacy, falls short of providing intuitive insights into metric performance, especially in terms of new metric use cases. To address these issues, we introduce an interpretable evaluation framework for MT metrics. Within this framework, we evaluate metrics in two scenarios that serve as proxies for the data filtering and translation re-ranking use cases. Furthermore, by measuring the performance of MT metrics using Precision, Recall, and F-score, we offer clearer insights into their capabilities than correlation with human judgments. Finally, we raise concerns regarding the reliability of manually curated data following the Direct Assessments+Scalar Quality Metrics (DA+SQM) guidelines, reporting a notably low agreement with Multidimensional Quality Metrics (MQM) annotations.

Trainable evaluation metrics for machine translation (MT) exhibit strong correlation with human judgements, but they are often hard to interpret and might produce unreliable scores under noisy or out-of-domain data. Recent work has attempted to mitigate this with simple uncertainty quantification techniques (Monte Carlo dropout and deep ensembles), however these techniques (as we show) are limited in several ways -- for example, they are unable to distinguish between different kinds of uncertainty, and they are time and memory consuming. In this paper, we propose more powerful and efficient uncertainty predictors for MT evaluation, and we assess their ability to target different sources of aleatoric and epistemic uncertainty. To this end, we develop and compare training objectives for the COMET metric to enhance it with an uncertainty prediction output, including heteroscedastic regression, divergence minimization, and direct uncertainty prediction. Our experiments show improved results on uncertainty prediction for the WMT metrics task datasets, with a substantial reduction in computational costs. Moreover, they demonstrate the ability of these predictors to address specific uncertainty causes in MT evaluation, such as low quality references and out-of-domain data.

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

Research on Machine Translation (MT) has achieved important breakthroughs in several areas. While there is much more to be done in order to build on this success, we believe that the language industry needs better ways to take full advantage of current achievements. Due to a combination of factors, including time, resources, and skills, businesses tend to apply pragmatism into their AI workflows. Hence, they concentrate more on outcomes, e.g. delivery, shipping, releases, and features, and adopt high-level working production solutions, where possible. Among the features thought to be helpful for translators are sentence-level and word-level translation auto-suggestion and auto-completion. Suggesting alternatives can inspire translators and limit their need to refer to external resources, which hopefully boosts their productivity. This work describes our submissions to WMT's shared task on word-level auto-completion, for the Chinese-to-English, English-to-Chinese, German-to-English, and English-to-German language directions. We investigate the possibility of using pre-trained models and out-of-the-box features from available libraries. We employ random sampling to generate diverse alternatives, which reveals good results. Furthermore, we introduce our open-source API, based on CTranslate2, to serve translations, auto-suggestions, and auto-completions.

Large Vision Language Models (LVLMs) are increasingly integral to healthcare applications, including medical visual question answering and imaging report generation. While these models inherit the robust capabilities of foundational Large Language Models (LLMs), they also inherit susceptibility to hallucinations-a significant concern in high-stakes medical contexts where the margin for error is minimal. However, currently, there are no dedicated methods or benchmarks for hallucination detection and evaluation in the medical field. To bridge this gap, we introduce Med-HallMark, the first benchmark specifically designed for hallucination detection and evaluation within the medical multimodal domain. This benchmark provides multi-tasking hallucination support, multifaceted hallucination data, and hierarchical hallucination categorization. Furthermore, we propose the MediHall Score, a new medical evaluative metric designed to assess LVLMs' hallucinations through a hierarchical scoring system that considers the severity and type of hallucination, thereby enabling a granular assessment of potential clinical impacts. We also present MediHallDetector, a novel Medical LVLM engineered for precise hallucination detection, which employs multitask training for hallucination detection. Through extensive experimental evaluations, we establish baselines for popular LVLMs using our benchmark. The findings indicate that MediHall Score provides a more nuanced understanding of hallucination impacts compared to traditional metrics and demonstrate the enhanced performance of MediHallDetector. We hope this work can significantly improve the reliability of LVLMs in medical applications. All resources of this work will be released soon.

Evaluating generative video models remains an open problem. Reference-based metrics such as Structural Similarity Index Measure (SSIM) and Peak Signal to Noise Ratio (PSNR) reward pixel fidelity over semantic correctness, while Frechet Video Distance (FVD) favors distributional textures over physical plausibility. Binary Visual Question Answering (VQA) based benchmarks like VBench~2.0 are prone to yes-bias and rely on low-resolution auditors that miss temporal failures. Moreover, their prompts target a single dimension at a time, multiplying the number of videos required while still not guaranteeing reliable results. WorldJen addresses these limitations directly. Binary VQA is replaced with Likert-scale questionnaires graded by a VLM that receives frames at native video resolution. Video generation costs are addressed by using adversarially curated prompts that are designed to exercise up to 16 quality dimensions simultaneously. The framework is built around two interlocking contributions. First, A blind human preference study is conducted, accumulating (2,696 pairwise annotations from 7 annotators with 100% pair coverage over 50 of the curated prompts times 6 state-of-the-art video models. A mean inter-annotator agreement of 66.9% is achieved and the study establishes a human ground-truth Bradley-Terry (BT) rating with a three-tier structure. Second, A VLM-as-a-judge evaluation engine using prompt-specific, dimension-specific Likert questionnaires (10 questions per dimension, 47,160 scored responses) judges the videos and reproduces the human-established three-tier BT rating structure independently. The VLM achieves a Spearman hatρ=1.000,~p=0.0014 that is interpreted as tier agreement with the human results. Six focused ablation studies validate the robustness of the VLM evaluation framework.

Evaluation metrics are central to binary target segmentation because they determine how progress is measured, compared, and interpreted. In this paper, target denotes the task-defined positive region to be segmented rather than a generic foreground object. It may be salient, camouflaged, transparent, glass-like, mirror-like, shadow-like, lesion-like, or defined by other application-specific semantics. We treat existing metrics as compositions of modular design choices rather than isolated formulas. The proposed framework decomposes each metric into five stages covering prediction representation, target extraction, target matching, score computation, and metric reporting. We use this framework to analyze representative metrics and show how newer metrics address specific limits in earlier protocols. The stage choices keep each metric's assumptions visible. We then discuss the design space opened by the framework and its implications for task-aware evaluation protocols. Reference code is available at https://github.com/lartpang/PySODMetrics.

We present PEAR (Pairwise Evaluation for Automatic Relative Scoring), a supervised quality estimation (QE) metric family that reframes reference-free machine translation (MT) evaluation as a graded pairwise comparison. Given a source segment and two candidate translations, PEAR predicts the direction and magnitude of their quality difference. The metrics are trained using pairwise supervision derived from differences in human judgments, with an additional regularization term that encourages sign inversion under candidate order reversal. On the WMT24 meta-evaluation benchmark, PEAR outperforms strictly matched single-candidate QE baselines trained with the same data and backbones, isolating the benefit of the proposed pairwise formulation. Despite using substantially fewer parameters than recent large metrics, PEAR surpasses far larger QE models and reference-based metrics. Our analysis further indicates that PEAR yields a less redundant evaluation signal relative to other top metrics. Finally, we show that PEAR is an effective utility function for minimum Bayes risk (MBR) decoding, reducing pairwise scoring cost at negligible impact.

Metric-induced discrete flow matching (MI-DFM) exploits token-latent geometry for discrete generation, but its practical use is limited by two issues: heuristic schedulers requiring hyperparameter search, and finite-step path-tracking error from its first-order continuous-time Markov chain (CTMC) solver. We address both issues. First, we derive a kinetic-optimal scheduler for prescribed scalar-parameterized probability paths, and instantiate it for MI-DFM as a training-free numerical schedule that traverses the path at constant Fisher-Rao speed. Second, we introduce a finite-step moment correction that adjusts the jump probability while preserving the CTMC jump destination distribution. We validate the resulting method, GibbsTTS, on codec-based zero-shot text-to-speech (TTS). Under controlled comparisons with a unified architecture and large-scale dataset, GibbsTTS achieves the best objective naturalness and is preferred in subjective evaluations over masked discrete generative baselines. Additionally, in comparison with the evaluated state-of-the-art TTS systems, GibbsTTS shows strong speaker similarity, achieving the highest similarity on three of four test sets and ranking second on the fourth. Project page: https://ydqmkkx.github.io/GibbsTTSProject

As Large Language Models (LLMs) are increasingly integrated into healthcare to address complex inquiries, ensuring their reliability remains a critical challenge. Recent studies have highlighted that generic LLMs often struggle in clinical contexts, occasionally producing misleading guidance. To mitigate these risks, this research focuses on the domain-specific adaptation of Llama-2-7B using the Low-Rank Adaptation (LoRA) technique. By injecting trainable low-rank matrices into the Transformer layers, we efficiently adapted the model using authentic patient-physician transcripts while preserving the foundational knowledge of the base model. Our objective was to enhance precision and contextual relevance in responding to medical queries by capturing the specialized nuances of clinical discourse. Due to the resource-intensive nature of large-scale human validation, the model's performance was evaluated through a dual-track framework: Track A utilized traditional lexical similarity metrics (e.g., BLEU, ROUGE), while Track B employed an "LLM-as-a-Judge" paradigm using GPT-4 for semantic assessment. Our results demonstrate that while the LoRA-enhanced model achieved significant improvements across all quantitative lexical dimensions, a profound disagreement surfaced in the GPT-4 evaluation, which marginally favored the baseline model's conversational flow. This metric divergence underscores a pivotal finding: traditional automated scores may not fully reflect clinical utility. Consequently, we propose that while automated metrics and LLM judges serve as valuable developmental proxies, rigorous validation by human medical experts remains an indispensable requirement for the safe deployment of LLMs in healthcare settings.

Current evaluations of spatial intelligence can be systematically invalid under modern vision-language model (VLM) settings. First, many benchmarks derive question-answer (QA) pairs from point-cloud-based 3D annotations originally curated for traditional 3D perception. When such annotations are treated as ground truth for video-based evaluation, reconstruction and annotation artifacts can miss objects that are clearly visible in the video, mislabel object identities, or corrupt geometry-dependent answers (e.g., size), yielding incorrect or ambiguous QA pairs. Second, evaluations often assume full-scene access, while many VLMs operate on sparsely sampled frames (e.g., 16-64), making many questions effectively unanswerable under the actual model inputs. We improve evaluation validity by introducing ReVSI, a benchmark and protocol that ensures each QA pair is answerable and correct under the model's actual inputs. To this end, we re-annotate objects and geometry across 381 scenes from 5 datasets to improve data quality, and regenerate all QA pairs with rigorous bias mitigation and human verification using professional 3D annotation tools. We further enhance evaluation controllability by providing variants across multiple frame budgets (16/32/64/all) and fine-grained object visibility metadata, enabling controlled diagnostic analyses. Evaluations of general and domain-specific VLMs on ReVSI reveal systematic failure modes that are obscured by prior benchmarks, yielding a more reliable and diagnostic assessment of spatial intelligence.

While multimodal Large Language Models (MLLMs) excel at offline video understanding, an interesting question of how far they are from serving as a real-time procedural coach remains unknown. Such a role typically requires an MLLM to continuously monitor the execution, detect mistakes, and provide corrective guidance in a closed-loop interaction. In this paper, we construct GuideMe, the first multi-domain benchmark for streaming video that supports training and evaluation of MLLMs for closed-loop interactive task guidance. It comprises 2,458 videos spanning 223.7 hours across diverse domains (\eg, cooking, object manipulation, daily-life guidance, and fitness), with 47,775 interaction samples covering next-step instructions, completion feedback, error detection, and corrective guidance. To evaluate existing models on GuideMe, we design a three-component assessment framework to measure the capabilities of representative MLLMs, which consists of temporal-semantic bipartite matching for sequence-level alignment, behavioral classification for intervention timing, and LLM-as-a-Judge for content quality. Extensive experiments highlight a critical performance asymmetry: despite excelling at providing instructions, existing MLLMs consistently fail to identify execution errors and respond with corrective feedback. Code and data are released at https://fawnliu.github.io/project/guideme.

Large language models (LLMs) often generate outdated or inaccurate information based on static training datasets. Retrieval-augmented generation (RAG) mitigates this by integrating outside data sources. While previous RAG systems used pre-assembled, fixed databases with limited flexibility, we have developed Radiology RAG (RadioRAG), an end-to-end framework that retrieves data from authoritative radiologic online sources in real-time. We evaluate the diagnostic accuracy of various LLMs when answering radiology-specific questions with and without access to additional online information via RAG. Using 80 questions from the RSNA Case Collection across radiologic subspecialties and 24 additional expert-curated questions with reference standard answers, LLMs (GPT-3.5-turbo, GPT-4, Mistral-7B, Mixtral-8x7B, and Llama3 [8B and 70B]) were prompted with and without RadioRAG in a zero-shot inference scenario RadioRAG retrieved context-specific information from Radiopaedia in real-time. Accuracy was investigated. Statistical analyses were performed using bootstrapping. The results were further compared with human performance. RadioRAG improved diagnostic accuracy across most LLMs, with relative accuracy increases ranging up to 54% for different LLMs. It matched or exceeded non-RAG models and the human radiologist in question answering across radiologic subspecialties, particularly in breast imaging and emergency radiology. However, the degree of improvement varied among models; GPT-3.5-turbo and Mixtral-8x7B-instruct-v0.1 saw notable gains, while Mistral-7B-instruct-v0.2 showed no improvement, highlighting variability in RadioRAG's effectiveness. LLMs benefit when provided access to domain-specific data beyond their training data. RadioRAG shows potential to improve LLM accuracy and factuality in radiology question answering by integrating real-time domain-specific data.

Existing video benchmarks often resemble image-based benchmarks, with question types like "What actions does the person perform throughout the video?" or "What color is the woman's dress in the video?" For these, models can often answer by scanning just a few key frames, without deep temporal reasoning. This limits our ability to assess whether large vision-language models (LVLMs) can truly think with videos rather than perform superficial frame-level analysis. To address this, we introduce GLIMPSE, a benchmark specifically designed to evaluate whether LVLMs can genuinely think with videos. Unlike prior benchmarks, GLIMPSE emphasizes comprehensive video understanding beyond static image cues. It consists of 3,269 videos and over 4,342 highly visual-centric questions across 11 categories, including Trajectory Analysis, Temporal Reasoning, and Forensics Detection. All questions are carefully crafted by human annotators and require watching the entire video and reasoning over full video context-this is what we mean by thinking with video. These questions cannot be answered by scanning selected frames or relying on text alone. In human evaluations, GLIMPSE achieves 94.82% accuracy, but current LVLMs face significant challenges. Even the best-performing model, GPT-o3, reaches only 66.43%, highlighting that LVLMs still struggle to move beyond surface-level reasoning to truly think with videos.

Recent progress in text-to-image (T2I) generation underscores the importance of reliable benchmarks in evaluating how accurately generated images reflect the semantics of their textual prompt. However, (1) existing benchmarks lack the diversity of prompt scenarios and multilingual support, both essential for real-world applicability; (2) they offer only coarse evaluations across primary dimensions, covering a narrow range of sub-dimensions, and fall short in fine-grained sub-dimension assessment. To address these limitations, we introduce UniGenBench++, a unified semantic assessment benchmark for T2I generation. Specifically, it comprises 600 prompts organized hierarchically to ensure both coverage and efficiency: (1) spans across diverse real-world scenarios, i.e., 5 main prompt themes and 20 subthemes; (2) comprehensively probes T2I models' semantic consistency over 10 primary and 27 sub evaluation criteria, with each prompt assessing multiple testpoints. To rigorously assess model robustness to variations in language and prompt length, we provide both English and Chinese versions of each prompt in short and long forms. Leveraging the general world knowledge and fine-grained image understanding capabilities of a closed-source Multi-modal Large Language Model (MLLM), i.e., Gemini-2.5-Pro, an effective pipeline is developed for reliable benchmark construction and streamlined model assessment. Moreover, to further facilitate community use, we train a robust evaluation model that enables offline assessment of T2I model outputs. Through comprehensive benchmarking of both open- and closed-sourced T2I models, we systematically reveal their strengths and weaknesses across various aspects.

This paper introduces GEMBA-MQM, a GPT-based evaluation metric designed to detect translation quality errors, specifically for the quality estimation setting without the need for human reference translations. Based on the power of large language models (LLM), GEMBA-MQM employs a fixed three-shot prompting technique, querying the GPT-4 model to mark error quality spans. Compared to previous works, our method has language-agnostic prompts, thus avoiding the need for manual prompt preparation for new languages. While preliminary results indicate that GEMBA-MQM achieves state-of-the-art accuracy for system ranking, we advise caution when using it in academic works to demonstrate improvements over other methods due to its dependence on the proprietary, black-box GPT model.

Multi-modal large language models(MLLMs) have achieved remarkable progress and demonstrated powerful knowledge comprehension and reasoning abilities. However, the mastery of domain-specific knowledge, which is essential for evaluating the intelligence of MLLMs, continues to be a challenge. Current multi-modal benchmarks for domain-specific knowledge concentrate on multiple-choice questions and are predominantly available in English, which imposes limitations on the comprehensiveness of the evaluation. To this end, we introduce CMMU, a novel benchmark for multi-modal and multi-type question understanding and reasoning in Chinese. CMMU consists of 3,603 questions in 7 subjects, covering knowledge from primary to high school. The questions can be categorized into 3 types: multiple-choice, multiple-response, and fill-in-the-blank, bringing greater challenges to MLLMs. In addition, we propose a rigorous evaluation strategy called ShiftCheck for assessing multiple-choice questions. The strategy aims to reduce position bias, minimize the influence of randomness on correctness, and perform a quantitative analysis of position bias. We evaluate seven open-source MLLMs along with GPT4-V, Gemini-Pro, and Qwen-VL-Plus. The results demonstrate that CMMU poses a significant challenge to the recent MLLMs.

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

Multimodal large language models (MLLMs) have advanced clinical tasks for common conditions, but their performance on rare diseases remains largely untested. In rare-disease scenarios, clinicians often lack prior clinical knowledge, forcing them to rely strictly on case-level evidence for clinical judgments. Existing benchmarks predominantly evaluate common-condition, single-image settings, leaving multimodal and multi-image evidence integration under rare-disease data scarcity systematically unevaluated. We introduce MMRareBench, to our knowledge the first rare-disease benchmark jointly evaluating multimodal and multi-image clinical capability across four workflow-aligned tracks: diagnosis, treatment planning, cross-image evidence alignment, and examination suggestion. The benchmark comprises 1,756 question-answer pairs with 7,958 associated medical images curated from PMC case reports, with Orphanet-anchored ontology alignment, track-specific leakage control, evidence-grounded annotations, and a two-level evaluation protocol. A systematic evaluation of 23 MLLMs reveals fragmented capability profiles and universally low treatment-planning performance, with medical-domain models trailing general-purpose MLLMs substantially on multi-image tracks despite competitive diagnostic scores. These patterns are consistent with a capacity dilution effect: medical fine-tuning can narrow the diagnostic gap but may erode the compositional multi-image capability that rare-disease evidence integration demands.

Large language models (LLMs) have shown promise in medical question answering, yet they often overlook the domain-specific expertise that professionals depend on, such as the clinical subject areas (e.g., trauma, airway) and the certification level (e.g., EMT, Paramedic). Existing approaches typically apply general-purpose prompting or retrieval strategies without leveraging this structured context, limiting performance in high-stakes settings. We address this gap with EMSQA, an 24.3K-question multiple-choice dataset spanning 10 clinical subject areas and 4 certification levels, accompanied by curated, subject area-aligned knowledge bases (40K documents and 2M tokens). Building on EMSQA, we introduce (i) Expert-CoT, a prompting strategy that conditions chain-of-thought (CoT) reasoning on specific clinical subject area and certification level, and (ii) ExpertRAG, a retrieval-augmented generation pipeline that grounds responses in subject area-aligned documents and real-world patient data. Experiments on 4 LLMs show that Expert-CoT improves up to 2.05% over vanilla CoT prompting. Additionally, combining Expert-CoT with ExpertRAG yields up to a 4.59% accuracy gain over standard RAG baselines. Notably, the 32B expertise-augmented LLMs pass all the computer-adaptive EMS certification simulation exams.

Chain-of-Thought (CoT) reasoning has proven effective in enhancing large language models by encouraging step-by-step intermediate reasoning, and recent advances have extended this paradigm to Multimodal Large Language Models (MLLMs). In the medical domain, where diagnostic decisions depend on nuanced visual cues and sequential reasoning, CoT aligns naturally with clinical thinking processes. However, Current benchmarks for medical image understanding generally focus on the final answer while ignoring the reasoning path. An opaque process lacks reliable bases for judgment, making it difficult to assist doctors in diagnosis. To address this gap, we introduce a new M3CoTBench benchmark specifically designed to evaluate the correctness, efficiency, impact, and consistency of CoT reasoning in medical image understanding. M3CoTBench features 1) a diverse, multi-level difficulty dataset covering 24 examination types, 2) 13 varying-difficulty tasks, 3) a suite of CoT-specific evaluation metrics (correctness, efficiency, impact, and consistency) tailored to clinical reasoning, and 4) a performance analysis of multiple MLLMs. M3CoTBench systematically evaluates CoT reasoning across diverse medical imaging tasks, revealing current limitations of MLLMs in generating reliable and clinically interpretable reasoning, and aims to foster the development of transparent, trustworthy, and diagnostically accurate AI systems for healthcare. Project page at https://juntaojianggavin.github.io/projects/M3CoTBench/.

Multi-modal Large Language Models (MLLMs) are increasingly prominent in the field of artificial intelligence. These models not only excel in traditional vision-language tasks but also demonstrate impressive performance in contemporary multi-modal benchmarks. Although many of these benchmarks attempt to holistically evaluate MLLMs, they typically concentrate on basic reasoning tasks, often yielding only simple yes/no or multi-choice responses. These methods naturally lead to confusion and difficulties in conclusively determining the reasoning capabilities of MLLMs. To mitigate this issue, we manually curate a benchmark dataset specifically designed for MLLMs, with a focus on complex reasoning tasks. Our benchmark comprises three key reasoning categories: deductive, abductive, and analogical reasoning. The queries in our dataset are intentionally constructed to engage the reasoning capabilities of MLLMs in the process of generating answers. For a fair comparison across various MLLMs, we incorporate intermediate reasoning steps into our evaluation criteria. In instances where an MLLM is unable to produce a definitive answer, its reasoning ability is evaluated by requesting intermediate reasoning steps. If these steps align with our manual annotations, appropriate scores are assigned. This evaluation scheme resembles methods commonly used in human assessments, such as exams or assignments, and represents what we consider a more effective assessment technique compared with existing benchmarks. We evaluate a selection of representative MLLMs using this rigorously developed open-ended multi-step elaborate reasoning benchmark, designed to challenge and accurately measure their reasoning capabilities. The code and data will be released at https://core-mm.github.io/

Recent advances in large video-language models have displayed promising outcomes in video comprehension. Current approaches straightforwardly convert video into language tokens and employ large language models for multi-modal tasks. However, this method often leads to the generation of irrelevant content, commonly known as "hallucination", as the length of the text increases and the impact of the video diminishes. To address this problem, we propose Vista-LLaMA, a novel framework that maintains the consistent distance between all visual tokens and any language tokens, irrespective of the generated text length. Vista-LLaMA omits relative position encoding when determining attention weights between visual and text tokens, retaining the position encoding for text and text tokens. This amplifies the effect of visual tokens on text generation, especially when the relative distance is longer between visual and text tokens. The proposed attention mechanism significantly reduces the chance of producing irrelevant text related to the video content. Furthermore, we present a sequential visual projector that projects the current video frame into tokens of language space with the assistance of the previous frame. This approach not only captures the temporal relationship within the video, but also allows less visual tokens to encompass the entire video. Our approach significantly outperforms various previous methods (e.g., Video-ChatGPT, MovieChat) on four challenging open-ended video question answering benchmarks. We reach an accuracy of 60.7 on the zero-shot NExT-QA and 60.5 on the zero-shot MSRVTT-QA, setting a new state-of-the-art performance. This project is available at https://jinxxian.github.io/Vista-LLaMA.

Multiple-choice question (MCQ) datasets like Massive Multitask Language Understanding (MMLU) are widely used to evaluate the commonsense, understanding, and problem-solving abilities of large language models (LLMs). However, the open-source nature of these benchmarks and the broad sources of training data for LLMs have inevitably led to benchmark contamination, resulting in unreliable evaluation results. To alleviate this issue, we propose a contamination-free and more challenging MCQ benchmark called MMLU-CF. This benchmark reassesses LLMs' understanding of world knowledge by averting both unintentional and malicious data leakage. To avoid unintentional data leakage, we source data from a broader domain and design three decontamination rules. To prevent malicious data leakage, we divide the benchmark into validation and test sets with similar difficulty and subject distributions. The test set remains closed-source to ensure reliable results, while the validation set is publicly available to promote transparency and facilitate independent verification. Our evaluation of mainstream LLMs reveals that the powerful GPT-4o achieves merely a 5-shot score of 73.4% and a 0-shot score of 71.9% on the test set, which indicates the effectiveness of our approach in creating a more rigorous and contamination-free evaluation standard. The GitHub repository is available at https://github.com/microsoft/MMLU-CF and the dataset refers to https://huggingface.co/datasets/microsoft/MMLU-CF.

Medical Large Language Models (MLLMs) have demonstrated potential in healthcare applications, yet their propensity for hallucinations -- generating medically implausible or inaccurate information -- presents substantial risks to patient care. This paper introduces MedHallBench, a comprehensive benchmark framework for evaluating and mitigating hallucinations in MLLMs. Our methodology integrates expert-validated medical case scenarios with established medical databases to create a robust evaluation dataset. The framework employs a sophisticated measurement system that combines automated ACHMI (Automatic Caption Hallucination Measurement in Medical Imaging) scoring with rigorous clinical expert evaluations and utilizes reinforcement learning methods to achieve automatic annotation. Through an optimized reinforcement learning from human feedback (RLHF) training pipeline specifically designed for medical applications, MedHallBench enables thorough evaluation of MLLMs across diverse clinical contexts while maintaining stringent accuracy standards. We conducted comparative experiments involving various models, utilizing the benchmark to establish a baseline for widely adopted large language models (LLMs). Our findings indicate that ACHMI provides a more nuanced understanding of the effects of hallucinations compared to traditional metrics, thereby highlighting its advantages in hallucination assessment. This research establishes a foundational framework for enhancing MLLMs' reliability in healthcare settings and presents actionable strategies for addressing the critical challenge of AI hallucinations in medical applications.

Currently, evaluating vision-language models (VLMs) in medical imaging tasks oversimplifies clinical reality by relying on pre-selected 2D images that demand significant manual labor to curate. This setup misses the core challenge of realworld diagnostics: a true clinical agent must actively navigate full 3D volumes across multiple sequences or modalities to gather evidence and ultimately support a final decision. To address this, we propose MEDOPENCLAW, an auditable runtime designed to let VLMs operate dynamically within standard medical tools or viewers (e.g., 3D Slicer). On top of this runtime, we introduce MEDFLOWBENCH, a full-study medical imaging benchmark covering multi-sequence brain MRI and lung CT/PET. It systematically evaluates medical agentic capabilities across viewer-only, tool-use, and open-method tracks. Initial results reveal a critical insight: while state-of-the-art LLMs/VLMs (e.g., Gemini 3.1 Pro and GPT-5.4) can successfully navigate the viewer to solve basic study-level tasks, their performance paradoxically degrades when given access to professional support tools due to a lack of precise spatial grounding. By bridging the gap between static-image perception and interactive clinical workflows, MEDOPENCLAW and MEDFLOWBENCH establish a reproducible foundation for developing auditable, full-study medical imaging agents.

As multimodal large models (MLLMs) continue to advance across challenging tasks, a key question emerges: What essential capabilities are still missing? A critical aspect of human learning is continuous interaction with the environment -- not limited to language, but also involving multimodal understanding and generation. To move closer to human-level intelligence, models must similarly support multi-turn, multimodal interaction. In particular, they should comprehend interleaved multimodal contexts and respond coherently in ongoing exchanges. In this work, we present an initial exploration through the InterMT -- the first preference dataset for multi-turn multimodal interaction, grounded in real human feedback. In this exploration, we particularly emphasize the importance of human oversight, introducing expert annotations to guide the process, motivated by the fact that current MLLMs lack such complex interactive capabilities. InterMT captures human preferences at both global and local levels into nine sub-dimensions, consists of 15.6k prompts, 52.6k multi-turn dialogue instances, and 32.4k human-labeled preference pairs. To compensate for the lack of capability for multi-modal understanding and generation, we introduce an agentic workflow that leverages tool-augmented MLLMs to construct multi-turn QA instances. To further this goal, we introduce InterMT-Bench to assess the ability of MLLMs in assisting judges with multi-turn, multimodal tasks. We demonstrate the utility of \InterMT through applications such as judge moderation and further reveal the multi-turn scaling law of judge model. We hope the open-source of our data can help facilitate further research on aligning current MLLMs to the next step. Our project website can be found at https://pku-intermt.github.io .

Large language models (LLMs) have excelled in various NLP tasks, including machine translation (MT), yet most studies focus on sentence-level translation. This work investigates the inherent capability of instruction-tuned LLMs for document-level translation (docMT). Unlike prior approaches that require specialized techniques, we evaluate LLMs by directly prompting them to translate entire documents in a single pass. Our results show that this method improves translation quality compared to translating sentences separately, even without document-level fine-tuning. However, this advantage is not reflected in BLEU scores, which often favor sentence-based translations. We propose using the LLM-as-a-judge paradigm for evaluation, where GPT-4 is used to assess document coherence, accuracy, and fluency in a more nuanced way than n-gram-based metrics. Overall, our work demonstrates that instruction-tuned LLMs can effectively leverage document context for translation. However, we caution against using BLEU scores for evaluating docMT, as they often provide misleading outcomes, failing to capture the quality of document-level translation. Code and data are available at https://github.com/EIT-NLP/BLEUless_DocMT

This paper describes the submission to the IWSLT 2021 offline speech translation task by the UPC Machine Translation group. The task consists of building a system capable of translating English audio recordings extracted from TED talks into German text. Submitted systems can be either cascade or end-to-end and use a custom or given segmentation. Our submission is an end-to-end speech translation system, which combines pre-trained models (Wav2Vec 2.0 and mBART) with coupling modules between the encoder and decoder, and uses an efficient fine-tuning technique, which trains only 20% of its total parameters. We show that adding an Adapter to the system and pre-training it, can increase the convergence speed and the final result, with which we achieve a BLEU score of 27.3 on the MuST-C test set. Our final model is an ensemble that obtains 28.22 BLEU score on the same set. Our submission also uses a custom segmentation algorithm that employs pre-trained Wav2Vec 2.0 for identifying periods of untranscribable text and can bring improvements of 2.5 to 3 BLEU score on the IWSLT 2019 test set, as compared to the result with the given segmentation.

Multimodal large language models (MLLMs) have made significant strides, yet they face challenges in the medical domain due to limited specialized knowledge. While recent medical MLLMs demonstrate strong performance in lab settings, they often struggle in real-world applications, highlighting a substantial gap between research and practice. In this paper, we seek to address this gap at various stages of the end-to-end learning pipeline, including data collection, model fine-tuning, and evaluation. At the data collection stage, we introduce SemiHVision, a dataset that combines human annotations with automated augmentation techniques to improve both medical knowledge representation and diagnostic reasoning. For model fine-tuning, we trained PMC-Cambrian-8B-AN over 2400 H100 GPU hours, resulting in performance that surpasses public medical models like HuatuoGPT-Vision-34B (79.0% vs. 66.7%) and private general models like Claude3-Opus (55.7%) on traditional benchmarks such as SLAKE and VQA-RAD. In the evaluation phase, we observed that traditional benchmarks cannot accurately reflect realistic clinical task capabilities. To overcome this limitation and provide more targeted guidance for model evaluation, we introduce the JAMA Clinical Challenge, a novel benchmark specifically designed to evaluate diagnostic reasoning. On this benchmark, PMC-Cambrian-AN achieves state-of-the-art performance with a GPT-4 score of 1.29, significantly outperforming HuatuoGPT-Vision-34B (1.13) and Claude3-Opus (1.17), demonstrating its superior diagnostic reasoning abilities.

Using Multimodal Large Language Models (MLLMs) as judges to achieve precise and consistent evaluations has gradually become an emerging paradigm across various domains. Evaluating the capability and reliability of MLLM-as-a-judge systems is therefore essential for ensuring trustworthy assessment. Existing judge benchmarks categorize samples by task types but fail to capture the fundamental judgment capabilities required for reliable evaluation. In this work, we introduce M-JudgeBench, a ten-dimensional capability-oriented benchmark designed to comprehensively assess the judgment abilities of MLLMs. Our benchmark decomposes evaluation into pairwise Chain-of-Thought (CoT) comparison, length bias avoidance, and process error detection tasks, jointly covering ten fine-grained subtasks. This design enables diagnosis of model reliability across reasoning styles, response lengths, and cross-model variations. Systematic evaluation uncovers the systematic weaknesses in existing MLLM-as-a-judge systems. To address this issue, we further propose Judge-MCTS, a data construction framework generating pairwise reasoning trajectories with various correctness and length. Using Judge-MCTS, we construct an MCTS-augmented dataset and train M-Judger, a series of strong judge models. Extensive experiments demonstrate the superiority of M-Judger on existing judge benchmarks as well as M-JudgeBench. Overall, our work establishes a more principled foundation for evaluating MLLM-as-a-judge through M-JudgeBench and Judge-MCTS framework, paving the way for future research on judge model evaluation and capability-driven judge training.

International challenges have become the de facto standard for comparative assessment of image analysis algorithms given a specific task. Segmentation is so far the most widely investigated medical image processing task, but the various segmentation challenges have typically been organized in isolation, such that algorithm development was driven by the need to tackle a single specific clinical problem. We hypothesized that a method capable of performing well on multiple tasks will generalize well to a previously unseen task and potentially outperform a custom-designed solution. To investigate the hypothesis, we organized the Medical Segmentation Decathlon (MSD) - a biomedical image analysis challenge, in which algorithms compete in a multitude of both tasks and modalities. The underlying data set was designed to explore the axis of difficulties typically encountered when dealing with medical images, such as small data sets, unbalanced labels, multi-site data and small objects. The MSD challenge confirmed that algorithms with a consistent good performance on a set of tasks preserved their good average performance on a different set of previously unseen tasks. Moreover, by monitoring the MSD winner for two years, we found that this algorithm continued generalizing well to a wide range of other clinical problems, further confirming our hypothesis. Three main conclusions can be drawn from this study: (1) state-of-the-art image segmentation algorithms are mature, accurate, and generalize well when retrained on unseen tasks; (2) consistent algorithmic performance across multiple tasks is a strong surrogate of algorithmic generalizability; (3) the training of accurate AI segmentation models is now commoditized to non AI experts.

Task-generic promptable image segmentation aims to achieve segmentation of diverse samples under a single task description by utilizing only one task-generic prompt. Current methods leverage the generalization capabilities of Vision-Language Models (VLMs) to infer instance-specific prompts from these task-generic prompts in order to guide the segmentation process. However, when VLMs struggle to generalise to some image instances, predicting instance-specific prompts becomes poor. To solve this problem, we introduce Instance-specific Negative Mining for Task-Generic Promptable Segmentation (INT). The key idea of INT is to adaptively reduce the influence of irrelevant (negative) prior knowledge whilst to increase the use the most plausible prior knowledge, selected by negative mining with higher contrast, in order to optimise instance-specific prompts generation. Specifically, INT consists of two components: (1) instance-specific prompt generation, which progressively fliters out incorrect information in prompt generation; (2) semantic mask generation, which ensures each image instance segmentation matches correctly the semantics of the instance-specific prompts. INT is validated on six datasets, including camouflaged objects and medical images, demonstrating its effectiveness, robustness and scalability.

Tool-augmented large language models (LLMs) are rapidly being integrated into real-world applications. Due to the lack of benchmarks, the community still needs to fully understand the hallucination issues within these models. To address this challenge, we introduce a comprehensive diagnostic benchmark, ToolBH. Specifically, we assess the LLM's hallucinations through two perspectives: depth and breadth. In terms of depth, we propose a multi-level diagnostic process, including (1) solvability detection, (2) solution planning, and (3) missing-tool analysis. For breadth, we consider three scenarios based on the characteristics of the toolset: missing necessary tools, potential tools, and limited functionality tools. Furthermore, we developed seven tasks and collected 700 evaluation samples through multiple rounds of manual annotation. The results show the significant challenges presented by the ToolBH benchmark. The current advanced models Gemini-1.5-Pro and GPT-4o only achieve a total score of 45.3 and 37.0, respectively, on a scale of 100. In this benchmark, larger model parameters do not guarantee better performance; the training data and response strategies also play a crucial role in tool-enhanced LLM scenarios. Our diagnostic analysis indicates that the primary reason for model errors lies in assessing task solvability. Additionally, open-weight models suffer from performance drops with verbose replies, whereas proprietary models excel with longer reasoning.

From image to video understanding, the capabilities of Multi-modal LLMs (MLLMs) are increasingly powerful. However, most existing video understanding benchmarks are relatively short, which makes them inadequate for effectively evaluating the long-sequence modeling capabilities of MLLMs. This highlights the urgent need for a comprehensive and integrated long video understanding benchmark to assess the ability of MLLMs thoroughly. To this end, we propose ALLVB (ALL-in-One Long Video Understanding Benchmark). ALLVB's main contributions include: 1) It integrates 9 major video understanding tasks. These tasks are converted into video QA formats, allowing a single benchmark to evaluate 9 different video understanding capabilities of MLLMs, highlighting the versatility, comprehensiveness, and challenging nature of ALLVB. 2) A fully automated annotation pipeline using GPT-4o is designed, requiring only human quality control, which facilitates the maintenance and expansion of the benchmark. 3) It contains 1,376 videos across 16 categories, averaging nearly 2 hours each, with a total of 252k QAs. To the best of our knowledge, it is the largest long video understanding benchmark in terms of the number of videos, average duration, and number of QAs. We have tested various mainstream MLLMs on ALLVB, and the results indicate that even the most advanced commercial models have significant room for improvement. This reflects the benchmark's challenging nature and demonstrates the substantial potential for development in long video understanding.

We propose a simple and effective method for machine translation evaluation which does not require reference translations. Our approach is based on (1) grounding the entity mentions found in each source sentence and candidate translation against a large-scale multilingual knowledge base, and (2) measuring the recall of the grounded entities found in the candidate vs. those found in the source. Our approach achieves the highest correlation with human judgements on 9 out of the 18 language pairs from the WMT19 benchmark for evaluation without references, which is the largest number of wins for a single evaluation method on this task. On 4 language pairs, we also achieve higher correlation with human judgements than BLEU. To foster further research, we release a dataset containing 1.8 million grounded entity mentions across 18 language pairs from the WMT19 metrics track data.

Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce MedHallu, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting "hard" category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a "not sure" category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

Despite their sophisticated capabilities, large language models (LLMs) encounter a major hurdle in effective assessment. This paper first revisits the prevalent evaluation method-multiple choice question answering (MCQA), which allows for straightforward accuracy measurement. Through a comprehensive evaluation of 24 models across 11 benchmarks, we highlight several potential drawbacks of MCQA, for instance, the inconsistency between the MCQA evaluation and the generation of open-ended responses in practical scenarios. In response, we introduce an RWQ-Elo rating system, engaging 24 LLMs such as GPT-4, GPT-3.5, Google-Gemini-Pro and LLaMA-1/-2, in a two-player competitive format, with GPT-4 serving as the judge. Each LLM receives an Elo rating thereafter. This system is designed to mirror real-world usage, and for this purpose, we have compiled a new benchmark called ``Real-world questions'' (RWQ), comprising 20,772 authentic user inquiries. Additionally, we thoroughly analyze the characteristics of our system and compare it with prior leaderboards like AlpacaEval and MT-Bench. Our analysis reveals the stability of our RWQ-Elo system, the feasibility of registering new models, and its potential to reshape LLM leaderboards.

Multimodal Large Language Models (MLLMs) increasingly excel at perception, understanding, and reasoning. However, current benchmarks inadequately evaluate their ability to perform these tasks continuously in dynamic, real-world environments. To bridge this gap, we introduce RTV-Bench, a fine-grained benchmark for MLLM real-time video analysis. RTV-Bench uses three key principles: (1) Multi-Timestamp Question Answering (MTQA), where answers evolve with scene changes; (2) Hierarchical Question Structure, combining basic and advanced queries; and (3) Multi-dimensional Evaluation, assessing the ability of continuous perception, understanding, and reasoning. RTV-Bench contains 552 diverse videos (167.2 hours) and 4,631 high-quality QA pairs. We evaluated leading MLLMs, including proprietary (GPT-4o, Gemini 2.0), open-source offline (Qwen2.5-VL, VideoLLaMA3), and open-source real-time (VITA-1.5, InternLM-XComposer2.5-OmniLive) models. Experiment results show open-source real-time models largely outperform offline ones but still trail top proprietary models. Our analysis also reveals that larger model size or higher frame sampling rates do not significantly boost RTV-Bench performance, sometimes causing slight decreases. This underscores the need for better model architectures optimized for video stream processing and long sequences to advance real-time video analysis with MLLMs. Our benchmark toolkit is available at: https://github.com/LJungang/RTV-Bench.

LLM-as-a-Judge (LLMaaJ) now underpins scalable evaluation, yet we lack a decisive test of a judge's qualification: can it recover a conversation's latent objective and know when that inference is trustworthy? LLMs degrade under irrelevant or long context; multi-turn jailbreaks further hide goals across turns. We introduce ObjexMT, a benchmark for objective extraction and metacognition. Given a multi-turn transcript, a model must return a one-sentence base objective and a self-reported confidence. Accuracy is computed via LLM-judge semantic similarity to gold objectives, converted to binary correctness by a single human-aligned threshold calibrated once on N = 100 items (tau^*=0.61). Metacognition is evaluated with ECE, Brier, Wrong-at-High-Conf, and risk-coverage. Across gpt-4.1, claude-sonnet-4, and Qwen3-235B-A22B-FP8 on SafeMTData_Attack600, SafeMTData_1K, MHJ, and CoSafe, claude-sonnet-4 attains the best objective-extraction accuracy (0.515) and calibration (ECE 0.296; Brier 0.324); gpt-4.1 and Qwen3-235B-A22B-FP8 tie at 0.441 but are overconfident (mean confidence approx0.88 vs. accuracy approx0.44; Wrong-at-0.90 approx48-52%). Performance varies by dataset (approx0.167-0.865). ObjexMT thus supplies an actionable test for LLM judges: when objectives are not explicit, judges often misinfer them with high confidence. We recommend exposing objectives when feasible and gating decisions by confidence otherwise. Code and data at https://github.com/hyunjun1121/ObjexMT_dataset.

Vision Foundation Models (VFMs) pre-trained at scale enable a single frozen encoder to serve multiple downstream tasks simultaneously. Recent VFM-based encoder-only models for image and video segmentation, such as EoMT and VidEoMT, achieve competitive accuracy with remarkably low latency, yet they require finetuning the encoder, sacrificing the multi-task encoder sharing that makes VFMs practically attractive for large-scale deployment. To reconcile encoder-only simplicity and speed with frozen VFM features, we propose the Plain Mask Decoder (PMD), a fast Transformer-based segmentation decoder that operates on top of frozen VFM features. The resulting model, the Plain Mask Transformer (PMT), preserves the architectural simplicity and low latency of encoder-only designs while keeping the encoder representation unchanged and shareable. The design seamlessly applies to both image and video segmentation, inheriting the generality of the encoder-only framework. On standard image segmentation benchmarks, PMT matches the frozen-encoder state of the art while running up to ~3x faster. For video segmentation, it even performs on par with fully finetuned methods, while being up to 8x faster than state-of-the-art frozen-encoder models. Code: https://github.com/tue-mps/pmt.

Generation capabilities and language coverage of multilingual large language models (mLLMs) are advancing rapidly. However, evaluation practices for generative abilities of mLLMs are still lacking comprehensiveness, scientific rigor, and consistent adoption across research labs, which undermines their potential to meaningfully guide mLLM development. We draw parallels with machine translation (MT) evaluation, a field that faced similar challenges and has, over decades, developed transparent reporting standards and reliable evaluations for multilingual generative models. Through targeted experiments across key stages of the generative evaluation pipeline, we demonstrate how best practices from MT evaluation can deepen the understanding of quality differences between models. Additionally, we identify essential components for robust meta-evaluation of mLLMs, ensuring the evaluation methods themselves are rigorously assessed. We distill these insights into a checklist of actionable recommendations for mLLM research and development.

Large language models (LLMs) are increasingly utilized for machine translation, yet their predictions often exhibit uncertainties that hinder interpretability and user trust. Effectively visualizing these uncertainties can enhance the usability of LLM outputs, particularly in contexts where translation accuracy is critical. This paper addresses two primary objectives: (1) providing users with token-level insights into model confidence and (2) developing a web-based visualization tool to quantify and represent translation uncertainties. To achieve these goals, we utilized the T5 model with the WMT19 dataset for translation tasks and evaluated translation quality using established metrics such as BLEU, METEOR, and ROUGE. We introduced three novel uncertainty quantification (UQ) metrics: (1) the geometric mean of token probabilities, (2) the arithmetic mean of token probabilities, and (3) the arithmetic mean of the kurtosis of token distributions. These metrics provide a simple yet effective framework for evaluating translation performance. Our analysis revealed a linear relationship between the traditional evaluation metrics and our UQ metrics, demonstrating the validity of our approach. Additionally, we developed an interactive web-based visualization that uses a color gradient to represent token confidence. This tool offers users a clear and intuitive understanding of translation quality while providing valuable insights into model performance. Overall, we show that our UQ metrics and visualization are both robust and interpretable, offering practical tools for evaluating and accessing machine translation systems.

Mitotic figure (MF) detection in histopathology images is challenging due to large variations in slide scanners, staining protocols, tissue types, and the presence of artifacts. This paper presents a collection of training techniques - a bag of tricks - that enable robust, real-time MF detection across diverse domains. We build on the efficient RTMDet single stage object detector to achieve high inference speed suitable for clinical deployment. Our method addresses scanner variability and tumor heterogeneity via extensive multi-domain training data, balanced sampling, and careful augmentation. Additionally, we employ targeted, hard negative mining on necrotic and debris tissue to reduce false positives. In a grouped 5-fold cross-validation across multiple MF datasets, our model achieves an F1 score between 0.78 and 0.84. On the preliminary test set of the MItosis DOmain Generalization (MIDOG) 2025 challenge, our single-stage RTMDet-S based approach reaches an F1 of 0.81, outperforming larger models and demonstrating adaptability to new, unfamiliar domains. The proposed solution offers a practical trade-off between accuracy and speed, making it attractive for real-world clinical adoption.

The Test and Measurement domain, known for its strict requirements for accuracy and efficiency, is increasingly adopting Generative AI technologies to enhance the performance of data analysis, automation, and decision-making processes. Among these, Large Language Models (LLMs) show significant promise for advancing automation and precision in testing. However, the evaluation of LLMs in this specialized area remains insufficiently explored. To address this gap, we introduce the Test and Measurement Intelligence Quotient (TMIQ), a benchmark designed to quantitatively assess LLMs across a wide range of electronic engineering tasks. TMIQ offers a comprehensive set of scenarios and metrics for detailed evaluation, including SCPI command matching accuracy, ranked response evaluation, Chain-of-Thought Reasoning (CoT), and the impact of output formatting variations required by LLMs on performance. In testing various LLMs, our findings indicate varying levels of proficiency, with exact SCPI command match accuracy ranging from around 56% to 73%, and ranked matching first-position scores achieving around 33% for the best-performing model. We also assess token usage, cost-efficiency, and response times, identifying trade-offs between accuracy and operational efficiency. Additionally, we present a command-line interface (CLI) tool that enables users to generate datasets using the same methodology, allowing for tailored assessments of LLMs. TMIQ and the CLI tool provide a rigorous, reproducible means of evaluating LLMs for production environments, facilitating continuous monitoring and identifying strengths and areas for improvement, and driving innovation in their selections for applications within the Test and Measurement industry.

In this paper, we propose a comprehensive evaluation benchmark for Visual Language Models (VLM) in Traditional Chinese. Our evaluation suite, the first of its kind, contains two complementary components: (1) VisTW-MCQ, a collection of manually curated exam multi-choice questions from 21 academic subjects designed to test the broad knowledge and reasoning capabilities of VLMs; and (2) VisTW-Dialogue, an open dialogue benchmark comprising 131 image-question pairs manually created to evaluate VLMs' ability in free-form dialogue generation within Taiwanese cultural contexts. These benchmarks address a critical gap in the evaluation landscape, where existing benchmarks predominantly focus on English or Simplified Chinese, neglecting the unique linguistic and cultural aspects of Traditional Chinese used in regions like Taiwan and Hong Kong. Our analysis reveals significant performance differences across various VLMs and highlights specific challenges in processing Traditional Chinese visual content.

Gender-neutral translation (GNT) aims to avoid expressing the gender of human referents when the source text lacks explicit cues about the gender of those referents. Evaluating GNT automatically is particularly challenging, with current solutions being limited to monolingual classifiers. Such solutions are not ideal because they do not factor in the source sentence and require dedicated data and fine-tuning to scale to new languages. In this work, we address such limitations by investigating the use of large language models (LLMs) as evaluators of GNT. Specifically, we explore two prompting approaches: one in which LLMs generate sentence-level assessments only, and another, akin to a chain-of-thought approach, where they first produce detailed phrase-level annotations before a sentence-level judgment. Through extensive experiments on multiple languages with five models, both open and proprietary, we show that LLMs can serve as evaluators of GNT. Moreover, we find that prompting for phrase-level annotations before sentence-level assessments consistently improves the accuracy of all models, providing a better and more scalable alternative to current solutions.

In this study, we evaluate the performance of the Segment Anything Model (SAM) in clinical radiotherapy. Our results indicate that SAM's 'segment anything' mode can achieve clinically acceptable segmentation results in most organs-at-risk (OARs) with Dice scores higher than 0.7. SAM's 'box prompt' mode further improves the Dice scores by 0.1 to 0.5. Considering the size of the organ and the clarity of its boundary, SAM displays better performance for large organs with clear boundaries but performs worse for smaller organs with unclear boundaries. Given that SAM, a model pre-trained purely on natural images, can handle the delineation of OARs from medical images with clinically acceptable accuracy, these results highlight SAM's robust generalization capabilities with consistent accuracy in automatic segmentation for radiotherapy. In other words, SAM can achieve delineation of different OARs at different sites using a generic automatic segmentation model. SAM's generalization capabilities across different disease sites suggest that it is technically feasible to develop a generic model for automatic segmentation in radiotherapy.

Clinical early warning systems built on electronic health records, in which clinical observations are recorded as irregularly sampled medical time series (ISMTS), must deliver both calibrated risk scores for patient triage and interpretable rationales that clinicians can verify. Large Language Models (LLMs) have been explored for this task, yet they collapse graded clinical risk into overconfident binary predictions. This risk polarization undermines both calibration and cross-patient comparability. To address this, we propose TRIAGE, a framework that trains an LLM to generate dialectical reasoning over competing clinical outcomes by eliciting outcome-specific rationales. This dialectical formulation mitigates risk polarization, enabling a single LLM to yield continuous risk scores grounded in explicit clinical reasoning. Evaluated on three ISMTS benchmarks, TRIAGE achieves an average AUPRC improvement of 3.3% and reduces calibration error by 81% compared to the competitive baselines. An LLM-as-a-judge assessment further shows that our rationales surpass post-hoc explanations from the baseline by 20% in clinical reasoning quality. The source code is available at https://github.com/HyeongWon-Jang/TRIAGE .

Claim-level Uncertainty Quantification (UQ) is a promising approach to mitigate the lack of reliability in Large Language Models (LLMs). We introduce MUCH, the first claim-level UQ benchmark designed for fair and reproducible evaluation of future methods under realistic conditions. It includes 4,873 samples across four European languages (English, French, Spanish, and German) and four instruction-tuned open-weight LLMs. Unlike prior claim-level benchmarks, we release 24 generation logits per token, facilitating the development of future white-box methods without re-generating data. Moreover, in contrast to previous benchmarks that rely on manual or LLM-based segmentation, we propose a new deterministic algorithm capable of segmenting claims using as little as 0.2% of the LLM generation time. This makes our segmentation approach suitable for real-time monitoring of LLM outputs, ensuring that MUCH evaluates UQ methods under realistic deployment constraints. Finally, our evaluations show that current methods still have substantial room for improvement in both performance and efficiency.

We present ReXGroundingCT, the first publicly available dataset to link free-text radiology findings with pixel-level segmentations in 3D chest CT scans that is manually annotated. While prior datasets have relied on structured labels or predefined categories, ReXGroundingCT captures the full expressiveness of clinical language represented in free text and grounds it to spatially localized 3D segmentation annotations in volumetric imaging. This addresses a critical gap in medical AI: the ability to connect complex, descriptive text, such as "3 mm nodule in the left lower lobe", to its precise anatomical location in three-dimensional space, a capability essential for grounded radiology report generation systems. The dataset comprises 3,142 non-contrast chest CT scans paired with standardized radiology reports from the CT-RATE dataset. Using a systematic three-stage pipeline, GPT-4 was used to extract positive lung and pleural findings, which were then manually segmented by expert annotators. A total of 8,028 findings across 16,301 entities were annotated, with quality control performed by board-certified radiologists. Approximately 79% of findings are focal abnormalities, while 21% are non-focal. The training set includes up to three representative segmentations per finding, while the validation and test sets contain exhaustive labels for each finding entity. ReXGroundingCT establishes a new benchmark for developing and evaluating sentence-level grounding and free-text medical segmentation models in chest CT. The dataset can be accessed at https://huggingface.co/datasets/rajpurkarlab/ReXGroundingCT.

The field of neural machine translation (NMT) has changed with the advent of large language models (LLMs). Much of the recent emphasis in natural language processing (NLP) has been on modeling machine translation and many other problems using a single pre-trained Transformer decoder, while encoder-decoder architectures, which were the standard in earlier NMT models, have received relatively less attention. In this paper, we explore translation models that are universal, efficient, and easy to optimize, by marrying the world of LLMs with the world of NMT. We apply LLMs to NMT encoding and leave the NMT decoder unchanged. We also develop methods for adapting LLMs to work better with the NMT decoder. Furthermore, we construct a new dataset involving multiple tasks to assess how well the machine translation system generalizes across various tasks. Evaluations on the WMT and our datasets show that results using our method match or surpass a range of baselines in terms of translation quality, but achieve 2.4 sim 6.5 times inference speedups and a 75% reduction in the memory footprint of the KV cache. It also demonstrates strong generalization across a variety of translation-related tasks.

Language-referred audio-visual segmentation (Ref-AVS) aims to segment target objects described by natural language by jointly reasoning over video, audio, and text. Beyond generating segmentation masks, providing rich and interpretable diagnoses of mask quality remains largely underexplored. In this work, we introduce Mask Quality Assessment in the Ref-AVS context (MQA-RefAVS), a new task that evaluates the quality of candidate segmentation masks without relying on ground-truth annotations as references at inference time. Given audio-visual-language inputs and each provided segmentation mask, the task requires estimating its IoU with the unobserved ground truth, identifying the corresponding error type, and recommending an actionable quality-control decision. To support this task, we construct MQ-RAVSBench, a benchmark featuring diverse and representative mask error modes that span both geometric and semantic issues. We further propose MQ-Auditor, a multimodal large language model (MLLM)-based auditor that explicitly reasons over multimodal cues and mask information to produce quantitative and qualitative mask quality assessments. Extensive experiments demonstrate that MQ-Auditor outperforms strong open-source and commercial MLLMs and can be integrated with existing Ref-AVS systems to detect segmentation failures and support downstream segmentation improvement. Data and codes will be released at https://github.com/jasongief/MQA-RefAVS.

Large language models (LLMs) in medicine are mainly evaluated using multiple-choice question answering (MCQA), which can overestimate real clinical ability due to guessing strategies and answer biases. To address these limitations, we introduce an expanded and more challenging benchmark based on Polish medical exams, adding over 15,000 questions, two new domains, and four structural modifications that reduce MCQA-specific artifacts and better test reasoning. We evaluate 21 LLMs and show that evaluation design strongly affects results. Under our harder setup, the best model (Qwen3.5-122B) drops by 28.4 and 31 pp on English and Polish exams, respectively. Despite low evidence of data contamination, standard MCQA scores do not reliably reflect true medical competence. To facilitate further research, we make our benchmark publicly available.

Interpreting chest X-rays is inherently challenging due to the overlap between anatomical structures and the subtle presentation of many clinically significant pathologies, making accurate diagnosis time-consuming even for experienced radiologists. Recent radiology-focused foundation models, such as LLaVA-Rad and Maira-2, have positioned multi-modal large language models (MLLMs) at the forefront of automated radiology report generation (RRG). However, despite these advances, current foundation models generate reports in a single forward pass. This decoding strategy diminishes attention to visual tokens and increases reliance on language priors as generation proceeds, which in turn introduces spurious pathology co-occurrences in the generated reports. To mitigate these limitations, we propose Category-Wise Contrastive Decoding (CWCD), a novel and modular framework designed to enhance structured radiology report generation (SRRG). Our approach introduces category-specific parameterization and generates category-wise reports by contrasting normal X-rays with masked X-rays using category-specific visual prompts. Experimental results demonstrate that CWCD consistently outperforms baseline methods across both clinical efficacy and natural language generation metrics. An ablation study further elucidates the contribution of each architectural component to overall performance.

Recent advances in Vision Transformers (ViTs) have significantly enhanced medical image segmentation by facilitating the learning of global relationships. However, these methods face a notable challenge in capturing diverse local and global long-range sequential feature representations, particularly evident in whole-body CT (WBCT) scans. To overcome this limitation, we introduce Swin Soft Mixture Transformer (Swin SMT), a novel architecture based on Swin UNETR. This model incorporates a Soft Mixture-of-Experts (Soft MoE) to effectively handle complex and diverse long-range dependencies. The use of Soft MoE allows for scaling up model parameters maintaining a balance between computational complexity and segmentation performance in both training and inference modes. We evaluate Swin SMT on the publicly available TotalSegmentator-V2 dataset, which includes 117 major anatomical structures in WBCT images. Comprehensive experimental results demonstrate that Swin SMT outperforms several state-of-the-art methods in 3D anatomical structure segmentation, achieving an average Dice Similarity Coefficient of 85.09%. The code and pre-trained weights of Swin SMT are publicly available at https://github.com/MI2DataLab/SwinSMT.

Vision-and-Language Models (VLMs) have shown impressive capabilities on single-turn benchmarks, yet real-world applications often demand more intricate multi-turn dialogues. Existing multi-turn datasets (e.g, MMDU, ConvBench) only partially capture the breadth and depth of conversational scenarios encountered by users. In this work, we introduce MultiVerse, a novel multi-turn conversation benchmark featuring 647 dialogues - each averaging four turns - derived from a diverse set of 12 popular VLM evaluation benchmarks. With 484 tasks and 484 interaction goals, MultiVerse covers a wide range of topics, from factual knowledge and perception to advanced reasoning tasks such as mathematics and coding. To facilitate robust assessment, we propose a checklist-based evaluation method that leverages GPT-4o as the automated evaluator, measuring performance across 37 key aspects, including perceptual accuracy, linguistic clarity, and factual correctness. We evaluate 18 VLMs on MultiVerse, revealing that even the strongest models (e.g., GPT-4o) achieve only a 50% success rate in complex multi-turn conversations, highlighting the dataset's challenging nature. Notably, we find that providing full dialogue context significantly enhances performance for smaller or weaker models, emphasizing the importance of in-context learning. We believe MultiVerse is a landscape of evaluating multi-turn interaction abilities for VLMs.

Medical image segmentation has achieved remarkable success through the continuous advancement of UNet-based and Transformer-based foundation backbones. However, clinical diagnosis in the real world often requires integrating domain knowledge, especially textual information. Conducting multimodal learning involves visual and text modalities shown as a solution, but collecting paired vision-language datasets is expensive and time-consuming, posing significant challenges. Inspired by the superior ability in numerous cross-modal tasks for Large Language Models (LLMs), we proposed a novel Vision-LLM union framework to address the issues. Specifically, we introduce frozen LLMs for zero-shot instruction generation based on corresponding medical images, imitating the radiology scanning and report generation process. {To better approximate real-world diagnostic processes}, we generate more precise text instruction from multimodal radiology images (e.g., T1-w or T2-w MRI and CT). Based on the impressive ability of semantic understanding and rich knowledge of LLMs. This process emphasizes extracting special features from different modalities and reunion the information for the ultimate clinical diagnostic. With generated text instruction, our proposed union segmentation framework can handle multimodal segmentation without prior collected vision-language datasets. To evaluate our proposed method, we conduct comprehensive experiments with influential baselines, the statistical results and the visualized case study demonstrate the superiority of our novel method.}

Vision-Language Models (VLMs) are increasingly deployed in settings where reliable visual grounding carries operational consequences, yet their behavior under progressively coercive prompt phrasing remains undercharacterized. Existing hallucination benchmarks predominantly rely on neutral prompts and binary detection, leaving open how both the incidence and the intensity of fabrication respond to graded linguistic pressure across structurally distinct task types. We present Ghost-100, a procedurally constructed benchmark of 800 synthetically generated images spanning eight categories across three task families: text-illegibility, time-reading, and object-absence, each designed under a negative-ground-truth principle that guarantees the queried target is absent, illegible, or indeterminate by construction. Every image is paired with five prompts drawn from a structured 5-Level Prompt Intensity Framework, holding the image and task identity fixed while varying only directive force, so that tone is isolated as the sole independent variable. We adopt a dual-track evaluation protocol: a rule-based H-Rate measuring the proportion of responses in which a model crosses from grounded refusal into unsupported positive commitment, and a GPT-4o-mini-judged H-Score on a 1-5 scale characterizing the confidence and specificity of fabrication once it occurs. We additionally release a three-stage automated validation workflow, which retrospectively confirms 717 of 800 images as strictly compliant. Evaluating nine open-weight VLMs, we find that H-Rate and H-Score dissociate substantially across model families, reading-style and presence-detection subsets respond to prompt pressure in qualitatively different ways, and several models exhibit non-monotonic sensitivity peaking at intermediate tone levels: patterns that aggregate metrics obscure.

We present COMET, a neural framework for training multilingual machine translation evaluation models which obtains new state-of-the-art levels of correlation with human judgements. Our framework leverages recent breakthroughs in cross-lingual pretrained language modeling resulting in highly multilingual and adaptable MT evaluation models that exploit information from both the source input and a target-language reference translation in order to more accurately predict MT quality. To showcase our framework, we train three models with different types of human judgements: Direct Assessments, Human-mediated Translation Edit Rate and Multidimensional Quality Metrics. Our models achieve new state-of-the-art performance on the WMT 2019 Metrics shared task and demonstrate robustness to high-performing systems.

The recent trend in the Large Vision and Language model has brought a new change in how information extraction systems are built. VLMs have set a new benchmark with their State-of-the-art techniques in understanding documents and building question-answering systems across various industries. They are significantly better at generating text from document images and providing accurate answers to questions. However, there are still some challenges in effectively utilizing these models to build a precise conversational system. General prompting techniques used with large language models are often not suitable for these specially designed vision language models. The output generated by such generic input prompts is ordinary and may contain information gaps when compared with the actual content of the document. To obtain more accurate and specific answers, a well-targeted prompt is required by the vision language model, along with the document image. In this paper, a technique is discussed called Target prompting, which focuses on explicitly targeting parts of document images and generating related answers from those specific regions only. The paper also covers the evaluation of response for each prompting technique using different user queries and input prompts.

We present FRMT, a new dataset and evaluation benchmark for Few-shot Region-aware Machine Translation, a type of style-targeted translation. The dataset consists of professional translations from English into two regional variants each of Portuguese and Mandarin Chinese. Source documents are selected to enable detailed analysis of phenomena of interest, including lexically distinct terms and distractor terms. We explore automatic evaluation metrics for FRMT and validate their correlation with expert human evaluation across both region-matched and mismatched rating scenarios. Finally, we present a number of baseline models for this task, and offer guidelines for how researchers can train, evaluate, and compare their own models. Our dataset and evaluation code are publicly available: https://bit.ly/frmt-task

Recent breakthroughs in vision-language models (VLMs) emphasize the necessity of benchmarking human preferences in real-world multimodal interactions. To address this gap, we launched WildVision-Arena (WV-Arena), an online platform that collects human preferences to evaluate VLMs. We curated WV-Bench by selecting 500 high-quality samples from 8,000 user submissions in WV-Arena. WV-Bench uses GPT-4 as the judge to compare each VLM with Claude-3-Sonnet, achieving a Spearman correlation of 0.94 with the WV-Arena Elo. This significantly outperforms other benchmarks like MMVet, MMMU, and MMStar. Our comprehensive analysis of 20K real-world interactions reveals important insights into the failure cases of top-performing VLMs. For example, we find that although GPT-4V surpasses many other models like Reka-Flash, Opus, and Yi-VL-Plus in simple visual recognition and reasoning tasks, it still faces challenges with subtle contextual cues, spatial reasoning, visual imagination, and expert domain knowledge. Additionally, current VLMs exhibit issues with hallucinations and safety when intentionally provoked. We are releasing our chat and feedback data to further advance research in the field of VLMs.

This paper presents the technical solution developed by team CRUISE for the KDD Cup 2025 Meta Comprehensive RAG Benchmark for Multi-modal, Multi-turn (CRAG-MM) challenge. The challenge aims to address a critical limitation of modern Vision Language Models (VLMs): their propensity to hallucinate, especially when faced with egocentric imagery, long-tail entities, and complex, multi-hop questions. This issue is particularly problematic in real-world applications where users pose fact-seeking queries that demand high factual accuracy across diverse modalities. To tackle this, we propose a robust, multi-stage framework that prioritizes factual accuracy and truthfulness over completeness. Our solution integrates a lightweight query router for efficiency, a query-aware retrieval and summarization pipeline, a dual-pathways generation and a post-hoc verification. This conservative strategy is designed to minimize hallucinations, which incur a severe penalty in the competition's scoring metric. Our approach achieved 3rd place in Task 1, demonstrating the effectiveness of prioritizing answer reliability in complex multi-modal RAG systems. Our implementation is available at https://github.com/Breezelled/KDD-Cup-2025-Meta-CRAG-MM .

The zero-shot chain of thought (CoT) approach is often used in question answering (QA) by language models (LMs) for tasks that require multiple reasoning steps, typically enhanced by the prompt "Let's think step by step." However, some QA tasks hinge more on accessing relevant knowledge than on chaining reasoning steps. We introduce a simple general prompting technique, called PREP, that involves using two instances of LMs: the first (LM1) generates relevant information, and the second (LM2) answers the question based on this information. PREP is designed to be general and independent of the user's domain knowledge, making it applicable across various QA tasks without the need for specialized prompt engineering. To evaluate the effectiveness of our prompting method, we create a dataset of 100 binary-choice questions, derived from an extensive schematic dataset on artifact parts and material composition. These questions ask which of two artifacts is less likely to share materials with another artifact. Such questions probe the LM's knowledge of shared materials in the part structure of different artifacts. We test our method on our dataset and three published commonsense reasoning datasets. The average accuracy of our method is consistently higher than that of all the other tested methods across all the tested datasets.

Traditional whole slide image (WSI) analysis methods typically rely on the multiple instance learning (MIL) paradigm, which extracts patch-level features at high magnification and aggregates them for slide-level prediction. However, such exhaustive patch-level processing is computationally expensive, severely limiting the efficiency and scalability of WSI analysis. To address this challenge, we propose PathCTM (a Pathology-oriented Continuous Thought Model) that enables token-efficient scale-space continuous reasoning for gigapixel WSIs. PathCTM formulates diagnostic inference as a dynamic sequential information pursuit. It progressively transitions from low-magnification global to high-magnification local inspection, and adaptively terminates inference when sufficient evidence is gathered to effectively bound decision uncertainty. Specifically, it uses conditional computation for dynamic scale switching with attention-guided region pruning, coupled with confidence-aware early stopping. Extensive experiments demonstrate that, compared with standard MIL-based methods, PathCTM reduces the number of required image patches by 95.95% and shortens inference time by approximately 95.62%, while maintaining AUC without degradation. Code is available at https://github.com/JSGe-AI/PathCTM.

The recent release of RadGenome-Chest CT has significantly advanced CT-based report generation. However, existing methods primarily focus on global features, making it challenging to capture region-specific details, which may cause certain abnormalities to go unnoticed. To address this, we propose MedRegion-CT, a region-focused Multi-Modal Large Language Model (MLLM) framework, featuring three key innovations. First, we introduce Region Representative (R^2) Token Pooling, which utilizes a 2D-wise pretrained vision model to efficiently extract 3D CT features. This approach generates global tokens representing overall slice features and region tokens highlighting target areas, enabling the MLLM to process comprehensive information effectively. Second, a universal segmentation model generates pseudo-masks, which are then processed by a mask encoder to extract region-centric features. This allows the MLLM to focus on clinically relevant regions, using six predefined region masks. Third, we leverage segmentation results to extract patient-specific attributions, including organ size, diameter, and locations. These are converted into text prompts, enriching the MLLM's understanding of patient-specific contexts. To ensure rigorous evaluation, we conducted benchmark experiments on report generation using the RadGenome-Chest CT. MedRegion-CT achieved state-of-the-art performance, outperforming existing methods in natural language generation quality and clinical relevance while maintaining interpretability. The code for our framework is publicly available.

Large Language Models (LLMs) have garnered significant attention for their impressive general-purpose capabilities. For applications requiring intricate domain knowledge, Retrieval-Augmented Generation (RAG) has shown a distinct advantage in incorporating domain-specific information into LLMs. However, existing RAG research has not fully addressed the challenges of Multiple Choice Question Answering (MCQA) in telecommunications, particularly in terms of retrieval quality and mitigating hallucinations. To tackle these challenges, we propose a novel first token probability guided RAG framework. This framework leverages confidence scores to optimize key hyperparameters, such as chunk number and chunk window size, while dynamically adjusting the context. Our method starts by retrieving the most relevant chunks and generates a single token as the potential answer. The probabilities of all options are then normalized to serve as confidence scores, which guide the dynamic adjustment of the context. By iteratively optimizing the hyperparameters based on these confidence scores, we can continuously improve RAG performance. We conducted experiments to validate the effectiveness of our framework, demonstrating its potential to enhance accuracy in domain-specific MCQA tasks.

Visually impaired individuals (VIIs) encounter significant daily challenges due to limited access to visual information. Although Multimodal Large Language Models (MLLMs) have achieved impressive results on general vision and language tasks, their practical utility in real-world blind assistance still remains largely underexplored. To fill this gap, we introduce VIABench, a comprehensive video benchmark specifically designed to evaluate MLLMs in Visually Impaired Assistance scenarios using first-person videos recorded or shared by VIIs themselves. VIABench defines three core tasks, each targeting a distinct requirement in visual assistance. Proactive Reminder: Assesses the model's ability to interpret ongoing video content while proactively anticipating and verbally describing upcoming navigation-critical events; Visual Question Answering (VQA): Evaluates the model's capacity to answer user-posed questions about the environment or objects within the video; Vision-Guided Interaction: Tests context-aware reasoning to accomplish intentional interactions between user and environment. To ensure a robust and fair evaluation, we propose a rigorous benchmarking pipeline that supports both online (real-time) and offline settings. Our experiments demonstrate that current MLLMs still struggle to deliver comprehensive support for VIIs, especially in the Proactive Reminder task, which demands accurate anticipation and real-time responsiveness. We hope VIABench will drive future research toward developing customized MLLMs for real-world assistance, ultimately improving navigation and interaction experiences for visually impaired individuals. Code and data will be released at https://github.com/MCG-NJU/VIABench.

Numerous benchmarks have been established to assess the performance of foundation models on open-ended question answering, which serves as a comprehensive test of a model's ability to understand and generate language in a manner similar to humans. Most of these works focus on proposing new datasets, however, we see two main issues within previous benchmarking pipelines, namely testing leakage and evaluation automation. In this paper, we propose a novel benchmarking framework, Language-Model-as-an-Examiner, where the LM serves as a knowledgeable examiner that formulates questions based on its knowledge and evaluates responses in a reference-free manner. Our framework allows for effortless extensibility as various LMs can be adopted as the examiner, and the questions can be constantly updated given more diverse trigger topics. For a more comprehensive and equitable evaluation, we devise three strategies: (1) We instruct the LM examiner to generate questions across a multitude of domains to probe for a broad acquisition, and raise follow-up questions to engage in a more in-depth assessment. (2) Upon evaluation, the examiner combines both scoring and ranking measurements, providing a reliable result as it aligns closely with human annotations. (3) We additionally propose a decentralized Peer-examination method to address the biases in a single examiner. Our data and benchmarking results are available at: https://lmexam.com.

While Multimodal Large Language Models (MLLMs) show promising performance in automated electrocardiogram interpretation, it remains unclear whether they genuinely perform actual step-by-step reasoning or just rely on superficial visual cues. To investigate this, we introduce ECG-Reasoning-Benchmark, a novel multi-turn evaluation framework comprising over 6,400 samples to systematically assess step-by-step reasoning across 17 core ECG diagnoses. Our comprehensive evaluation of state-of-the-art models reveals a critical failure in executing multi-step logical deduction. Although models possess the medical knowledge to retrieve clinical criteria for a diagnosis, they exhibit near-zero success rates (6% Completion) in maintaining a complete reasoning chain, primarily failing to ground the corresponding ECG findings to the actual visual evidence in the ECG signal. These results demonstrate that current MLLMs bypass actual visual interpretation, exposing a critical flaw in existing training paradigms and underscoring the necessity for robust, reasoning-centric medical AI. The code and data are available at https://github.com/Jwoo5/ecg-reasoning-benchmark.

Large reasoning models (LRMs) have shown significant progress in test-time scaling through chain-of-thought prompting. Current approaches like search-o1 integrate retrieval augmented generation (RAG) into multi-step reasoning processes but rely on a single, linear reasoning chain while incorporating unstructured textual information in a flat, context-agnostic manner. As a result, these approaches can lead to error accumulation throughout the reasoning chain, which significantly limits its effectiveness in medical question-answering (QA) tasks where both accuracy and traceability are critical requirements. To address these challenges, we propose MIRAGE (Multi-chain Inference with Retrieval-Augmented Graph Exploration), a novel test-time scalable reasoning framework that performs dynamic multi-chain inference over structured medical knowledge graphs. Specifically, MIRAGE 1) decomposes complex queries into entity-grounded sub-questions, 2) executes parallel inference chains, 3) retrieves evidence adaptively via neighbor expansion and multi-hop traversal, and 4) integrates answers using cross-chain verification to resolve contradictions. Experiments on three medical QA benchmarks (GenMedGPT-5k, CMCQA, and ExplainCPE) show that MIRAGE consistently outperforms GPT-4o, Tree-of-Thought variants, and other retrieval-augmented baselines in both automatic and human evaluations. Additionally, MIRAGE improves interpretability by generating explicit reasoning chains that trace each factual claim to concrete chains within the knowledge graph, making it well-suited for complex medical reasoning scenarios. The code will be available for further research.