Daily Papers

Visual Question Generation (VQG) is a task to generate questions from images. When humans ask questions about an image, their goal is often to acquire some new knowledge. However, existing studies on VQG have mainly addressed question generation from answers or question categories, overlooking the objectives of knowledge acquisition. To introduce a knowledge acquisition perspective into VQG, we constructed a novel knowledge-aware VQG dataset called K-VQG. This is the first large, humanly annotated dataset in which questions regarding images are tied to structured knowledge. We also developed a new VQG model that can encode and use knowledge as the target for a question. The experiment results show that our model outperforms existing models on the K-VQG dataset.

Growing interest in conversational agents promote twoway human-computer communications involving asking and answering visual questions have become an active area of research in AI. Thus, generation of visual questionanswer pair(s) becomes an important and challenging task. To address this issue, we propose a weakly-supervised visual question answer generation method that generates a relevant question-answer pairs for a given input image and associated caption. Most of the prior works are supervised and depend on the annotated question-answer datasets. In our work, we present a weakly supervised method that synthetically generates question-answer pairs procedurally from visual information and captions. The proposed method initially extracts list of answer words, then does nearest question generation that uses the caption and answer word to generate synthetic question. Next, the relevant question generator converts the nearest question to relevant language question by dependency parsing and in-order tree traversal, finally, fine-tune a ViLBERT model with the question-answer pair(s) generated at end. We perform an exhaustive experimental analysis on VQA dataset and see that our model significantly outperform SOTA methods on BLEU scores. We also show the results wrt baseline models and ablation study.

The increasing demand for intelligent systems capable of interpreting and reasoning about visual content requires the development of Large Multi-Modal Models (LMMs) that are not only accurate but also have explicit reasoning capabilities. This paper presents a novel approach to imbue an LMM with the ability to conduct explicit reasoning based on visual content and textual instructions. We introduce a system that can ask a question to acquire necessary knowledge, thereby enhancing the robustness and explicability of the reasoning process. Our method comprises the development of a novel dataset generated by a Large Language Model (LLM), designed to promote chain-of-thought reasoning combined with a question-asking mechanism. We designed an LMM, which has high capabilities on region awareness to address the intricate requirements of image-text alignment. The model undergoes a three-stage training phase, starting with large-scale image-text alignment using a large-scale datasets, followed by instruction tuning, and fine-tuning with a focus on chain-of-thought reasoning. The results demonstrate a stride toward a more robust, accurate, and interpretable LMM, capable of reasoning explicitly and seeking information proactively when confronted with ambiguous visual input.

While models for Visual Question Answering (VQA) have steadily improved over the years, interacting with one quickly reveals that these models lack consistency. For instance, if a model answers "red" to "What color is the balloon?", it might answer "no" if asked, "Is the balloon red?". These responses violate simple notions of entailment and raise questions about how effectively VQA models ground language. In this work, we introduce a dataset, ConVQA, and metrics that enable quantitative evaluation of consistency in VQA. For a given observable fact in an image (e.g. the balloon's color), we generate a set of logically consistent question-answer (QA) pairs (e.g. Is the balloon red?) and also collect a human-annotated set of common-sense based consistent QA pairs (e.g. Is the balloon the same color as tomato sauce?). Further, we propose a consistency-improving data augmentation module, a Consistency Teacher Module (CTM). CTM automatically generates entailed (or similar-intent) questions for a source QA pair and fine-tunes the VQA model if the VQA's answer to the entailed question is consistent with the source QA pair. We demonstrate that our CTM-based training improves the consistency of VQA models on the ConVQA datasets and is a strong baseline for further research.

With the breakthrough of multi-modal large language models, answering complex visual questions that demand advanced reasoning abilities and world knowledge has become a much more important testbed for developing AI models than ever. However, equipping AI models with robust cross-modality reasoning ability remains challenging since the cognition scheme of humans has not been understood systematically. In this paper, we believe that if we can collect visual clues in the given image as much as possible, we will recognize the image more accurately, understand the question better, recall relevant knowledge more easily, and finally reason out the answer. We discover these rich visual clues by mining question-answer pairs in images and sending them into multi-modal large language models as prompts. We call the proposed method Q&A Prompts. Specifically, we first use the image-answer pairs and the corresponding questions in the training set as inputs and outputs to train a visual question generation model. Then, we use an image tagging model to identify various instances and send packaged image-tag pairs into the visual question generation model to generate relevant questions with the extracted image tags as answers. Finally, we encode these generated question-answer pairs as prompts with a visual-aware prompting module and send them into pre-trained multi-modal large language models to reason out the final answers. Experimental results show that, compared with state-of-the-art methods, our Q&A Prompts achieves substantial improvements on the challenging visual question answering datasets requiring reasoning over diverse world knowledge, such as OK-VQA and A-OKVQA.

Evaluating text-to-image models is notoriously difficult. A strong recent approach for assessing text-image faithfulness is based on QG/A (question generation and answering), which uses pre-trained foundational models to automatically generate a set of questions and answers from the prompt, and output images are scored based on whether these answers extracted with a visual question answering model are consistent with the prompt-based answers. This kind of evaluation is naturally dependent on the quality of the underlying QG and VQA models. We identify and address several reliability challenges in existing QG/A work: (a) QG questions should respect the prompt (avoiding hallucinations, duplications, and omissions) and (b) VQA answers should be consistent (not asserting that there is no motorcycle in an image while also claiming the motorcycle is blue). We address these issues with Davidsonian Scene Graph (DSG), an empirically grounded evaluation framework inspired by formal semantics, which is adaptable to any QG/A frameworks. DSG produces atomic and unique questions organized in dependency graphs, which (i) ensure appropriate semantic coverage and (ii) sidestep inconsistent answers. With extensive experimentation and human evaluation on a range of model configurations (LLM, VQA, and T2I), we empirically demonstrate that DSG addresses the challenges noted above. Finally, we present DSG-1k, an open-sourced evaluation benchmark that includes 1,060 prompts, covering a wide range of fine-grained semantic categories with a balanced distribution. We release the DSG-1k prompts and the corresponding DSG questions.

The role of data in building AI systems has recently been emphasized by the emerging concept of data-centric AI. Unfortunately, in the real-world, datasets may contain dirty samples, such as poisoned samples from backdoor attack, noisy labels in crowdsourcing, and even hybrids of them. The presence of such dirty samples makes the DNNs vunerable and unreliable.Hence, it is critical to detect dirty samples to improve the quality and realiability of dataset. Existing detectors only focus on detecting poisoned samples or noisy labels, that are often prone to weak generalization when dealing with dirty samples from other domains.In this paper, we find a commonality of various dirty samples is visual-linguistic inconsistency between images and associated labels. To capture the semantic inconsistency between modalities, we propose versatile data cleanser (VDC) leveraging the surpassing capabilities of multimodal large language models (MLLM) in cross-modal alignment and reasoning.It consists of three consecutive modules: the visual question generation module to generate insightful questions about the image; the visual question answering module to acquire the semantics of the visual content by answering the questions with MLLM; followed by the visual answer evaluation module to evaluate the inconsistency.Extensive experiments demonstrate its superior performance and generalization to various categories and types of dirty samples.

There has been an explosion of work in the vision & language community during the past few years from image captioning to video transcription, and answering questions about images. These tasks have focused on literal descriptions of the image. To move beyond the literal, we choose to explore how questions about an image are often directed at commonsense inference and the abstract events evoked by objects in the image. In this paper, we introduce the novel task of Visual Question Generation (VQG), where the system is tasked with asking a natural and engaging question when shown an image. We provide three datasets which cover a variety of images from object-centric to event-centric, with considerably more abstract training data than provided to state-of-the-art captioning systems thus far. We train and test several generative and retrieval models to tackle the task of VQG. Evaluation results show that while such models ask reasonable questions for a variety of images, there is still a wide gap with human performance which motivates further work on connecting images with commonsense knowledge and pragmatics. Our proposed task offers a new challenge to the community which we hope furthers interest in exploring deeper connections between vision & language.

Automatically determining whether a text and a corresponding image are semantically aligned is a significant challenge for vision-language models, with applications in generative text-to-image and image-to-text tasks. In this work, we study methods for automatic text-image alignment evaluation. We first introduce SeeTRUE: a comprehensive evaluation set, spanning multiple datasets from both text-to-image and image-to-text generation tasks, with human judgements for whether a given text-image pair is semantically aligned. We then describe two automatic methods to determine alignment: the first involving a pipeline based on question generation and visual question answering models, and the second employing an end-to-end classification approach by finetuning multimodal pretrained models. Both methods surpass prior approaches in various text-image alignment tasks, with significant improvements in challenging cases that involve complex composition or unnatural images. Finally, we demonstrate how our approaches can localize specific misalignments between an image and a given text, and how they can be used to automatically re-rank candidates in text-to-image generation.

Neural sequence models are widely used to model time-series data. Equally ubiquitous is the usage of beam search (BS) as an approximate inference algorithm to decode output sequences from these models. BS explores the search space in a greedy left-right fashion retaining only the top-B candidates - resulting in sequences that differ only slightly from each other. Producing lists of nearly identical sequences is not only computationally wasteful but also typically fails to capture the inherent ambiguity of complex AI tasks. To overcome this problem, we propose Diverse Beam Search (DBS), an alternative to BS that decodes a list of diverse outputs by optimizing for a diversity-augmented objective. We observe that our method finds better top-1 solutions by controlling for the exploration and exploitation of the search space - implying that DBS is a better search algorithm. Moreover, these gains are achieved with minimal computational or memory over- head as compared to beam search. To demonstrate the broad applicability of our method, we present results on image captioning, machine translation and visual question generation using both standard quantitative metrics and qualitative human studies. Further, we study the role of diversity for image-grounded language generation tasks as the complexity of the image changes. We observe that our method consistently outperforms BS and previously proposed techniques for diverse decoding from neural sequence models.

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.

Recent advancements in vision-language systems have improved the accuracy of Radiological Visual Question Answering (VQA) Models. However, some challenges remain across each stage of model development: limited expert-labeled images hinders data procurement at scale; the intricate and nuanced patterns of radiological images make modeling inherently difficult; and the lack of evaluation evaluation efforts makes it difficult to identify cases where the model might be ill-conditioned. In this study, we fine-tune a lightweight 3B parameter vision-language model for Radiological VQA, demonstrating that small models, when appropriately tuned with curated data, can achieve robust performance across both open- and closed-ended questions. We propose a cost-effective training pipeline from synthetic question-answer pair generation to multi-stage fine-tuning on specialised radiological domain-targeted datasets (e.g., ROCO v2.0, MedPix v2.0). Our results show that despite operating at a fraction of the scale of state-of-the-art models such as LLaVA-Med, our model achieves promising performance given its small parameter size and the limited scale of training data. We introduce a lightweight saliency-based diagnostic tool that enables domain experts to inspect VQA model performance and identify ill-conditioned failure modes through saliency analysis.

The rapid development of Artificial Intelligence (AI) has revolutionized numerous fields, with large language models (LLMs) and computer vision (CV) systems driving advancements in natural language understanding and visual processing, respectively. The convergence of these technologies has catalyzed the rise of multimodal AI, enabling richer, cross-modal understanding that spans text, vision, audio, and video modalities. Multimodal large language models (MLLMs), in particular, have emerged as a powerful framework, demonstrating impressive capabilities in tasks like image-text generation, visual question answering, and cross-modal retrieval. Despite these advancements, the complexity and scale of MLLMs introduce significant challenges in interpretability and explainability, essential for establishing transparency, trustworthiness, and reliability in high-stakes applications. This paper provides a comprehensive survey on the interpretability and explainability of MLLMs, proposing a novel framework that categorizes existing research across three perspectives: (I) Data, (II) Model, (III) Training \& Inference. We systematically analyze interpretability from token-level to embedding-level representations, assess approaches related to both architecture analysis and design, and explore training and inference strategies that enhance transparency. By comparing various methodologies, we identify their strengths and limitations and propose future research directions to address unresolved challenges in multimodal explainability. This survey offers a foundational resource for advancing interpretability and transparency in MLLMs, guiding researchers and practitioners toward developing more accountable and robust multimodal AI systems.

Medical image analysis is essential to clinical diagnosis and treatment, which is increasingly supported by multi-modal large language models (MLLMs). However, previous research has primarily focused on 2D medical images, leaving 3D images under-explored, despite their richer spatial information. This paper aims to advance 3D medical image analysis with MLLMs. To this end, we present a large-scale 3D multi-modal medical dataset, M3D-Data, comprising 120K image-text pairs and 662K instruction-response pairs specifically tailored for various 3D medical tasks, such as image-text retrieval, report generation, visual question answering, positioning, and segmentation. Additionally, we propose M3D-LaMed, a versatile multi-modal large language model for 3D medical image analysis. Furthermore, we introduce a new 3D multi-modal medical benchmark, M3D-Bench, which facilitates automatic evaluation across eight tasks. Through comprehensive evaluation, our method proves to be a robust model for 3D medical image analysis, outperforming existing solutions. All code, data, and models are publicly available at: https://github.com/BAAI-DCAI/M3D.

We present a framework that formulates visual question answering as modular code generation. In contrast to prior work on modular approaches to VQA, our approach requires no additional training and relies on pre-trained language models (LMs), visual models pre-trained on image-caption pairs, and fifty VQA examples used for in-context learning. The generated Python programs invoke and compose the outputs of the visual models using arithmetic and conditional logic. Our approach improves accuracy on the COVR dataset by at least 3% and on the GQA dataset by roughly 2% compared to the few-shot baseline that does not employ code generation.

Multi-modal Large Language Models (MLLMs) have introduced a novel dimension to document understanding, i.e., they endow large language models with visual comprehension capabilities; however, how to design a suitable image-text pre-training task for bridging the visual and language modality in document-level MLLMs remains underexplored. In this study, we introduce a novel visual-language alignment method that casts the key issue as a Visual Question Answering with Mask generation (VQAMask) task, optimizing two tasks simultaneously: VQA-based text parsing and mask generation. The former allows the model to implicitly align images and text at the semantic level. The latter introduces an additional mask generator (discarded during inference) to explicitly ensure alignment between visual texts within images and their corresponding image regions at a spatially-aware level. Together, they can prevent model hallucinations when parsing visual text and effectively promote spatially-aware feature representation learning. To support the proposed VQAMask task, we construct a comprehensive image-mask generation pipeline and provide a large-scale dataset with 6M data (MTMask6M). Subsequently, we demonstrate that introducing the proposed mask generation task yields competitive document-level understanding performance. Leveraging the proposed VQAMask, we introduce Marten, a training-efficient MLLM tailored for document-level understanding. Extensive experiments show that our Marten consistently achieves significant improvements among 8B-MLLMs in document-centric tasks. Code and datasets are available at https://github.com/PriNing/Marten.

Although recent advancements in diffusion models have significantly enriched the quality of generated images, challenges remain in synthesizing pixel-based human-drawn sketches, a representative example of abstract expression. To combat these challenges, we propose StableSketcher, a novel framework that empowers diffusion models to generate hand-drawn sketches with high prompt fidelity. Within this framework, we fine-tune the variational autoencoder to optimize latent decoding, enabling it to better capture the characteristics of sketches. In parallel, we integrate a new reward function for reinforcement learning based on visual question answering, which improves text-image alignment and semantic consistency. Extensive experiments demonstrate that StableSketcher generates sketches with improved stylistic fidelity, achieving better alignment with prompts compared to the Stable Diffusion baseline. Additionally, we introduce SketchDUO, to the best of our knowledge, the first dataset comprising instance-level sketches paired with captions and question-answer pairs, thereby addressing the limitations of existing datasets that rely on image-label pairs. Our code and dataset will be made publicly available upon acceptance.

Document Visual Question Answering (DocVQA) faces dual challenges in processing lengthy multimodal documents (text, images, tables) and performing cross-modal reasoning. Current document retrieval-augmented generation (DocRAG) methods remain limited by their text-centric approaches, frequently missing critical visual information. The field also lacks robust benchmarks for assessing multimodal evidence selection and integration. We introduce MMDocRAG, a comprehensive benchmark featuring 4,055 expert-annotated QA pairs with multi-page, cross-modal evidence chains. Our framework introduces innovative metrics for evaluating multimodal quote selection and enables answers that interleave text with relevant visual elements. Through large-scale experiments with 60 VLM/LLM models and 14 retrieval systems, we identify persistent challenges in multimodal evidence retrieval, selection, and integration.Key findings reveal advanced proprietary LVMs show superior performance than open-sourced alternatives. Also, they show moderate advantages using multimodal inputs over text-only inputs, while open-source alternatives show significant performance degradation. Notably, fine-tuned LLMs achieve substantial improvements when using detailed image descriptions. MMDocRAG establishes a rigorous testing ground and provides actionable insights for developing more robust multimodal DocVQA systems. Our benchmark and code are available at https://mmdocrag.github.io/MMDocRAG/.

Humans apprehend the world through various sensory modalities, yet language is their predominant communication channel. Machine learning systems need to draw on the same multimodal richness to have informed discourses with humans in natural language; this is particularly true for systems specialized in visually-dense information, such as dialogue, recommendation, and search engines for clothing. To this end, we train a visual question answering (VQA) system to answer complex natural language questions about apparel in fashion photoshoot images. The key to the successful training of our VQA model is the automatic creation of a visual question-answering dataset with 168 million samples from item attributes of 207 thousand images using diverse templates. The sample generation employs a strategy that considers the difficulty of the question-answer pairs to emphasize challenging concepts. Contrary to the recent trends in using several datasets for pretraining the visual question answering models, we focused on keeping the dataset fixed while training various models from scratch to isolate the improvements from model architecture changes. We see that using the same transformer for encoding the question and decoding the answer, as in language models, achieves maximum accuracy, showing that visual language models (VLMs) make the best visual question answering systems for our dataset. The accuracy of the best model surpasses the human expert level, even when answering human-generated questions that are not confined to the template formats. Our approach for generating a large-scale multimodal domain-specific dataset provides a path for training specialized models capable of communicating in natural language. The training of such domain-expert models, e.g., our fashion VLM model, cannot rely solely on the large-scale general-purpose datasets collected from the web.

Knowledge-based visual question answering (KB-VQA) requires visual language models (VLMs) to integrate visual understanding with external knowledge retrieval. Although retrieval-augmented generation (RAG) achieves significant advances in this task by combining knowledge-base querying, it still struggles with the quality of multimodal queries and the relevance of retrieved results. To overcome these challenges, we propose a novel three-stage method, termed Wiki-PRF, including Processing, Retrieval and Filtering stages. The processing stage dynamically invokes visual tools to extract precise multimodal information for retrieval. The retrieval stage integrates visual and text features to achieve multimodal knowledge retrieval. The filtering stage performs relevance filtering and concentration on retrieval results. To this end, we introduce a visual language model trained with answer accuracy and format consistency as reward signals via a reinforcement learning manner. This enhances the model's reasoning, tool invocation for accurate queries, and filtering of irrelevant content. Experiments on benchmark datasets (E-VQA and InfoSeek) show significant improvements~(36.0 and 42.8) in answer quality, achieving state-of-the-art performance. Code is available at https://github.com/cqu-student/Wiki-PRF

Large Multimodal Models (LMMs) are increasingly capable of answering medical questions that require joint reasoning over images and text, yet training general medical VQA systems is impeded by the lack of large, openly usable, high-quality corpora. We present MedVLSynther, a rubric-guided generator-verifier framework that synthesizes high-quality multiple-choice VQA items directly from open biomedical literature by conditioning on figures, captions, and in-text references. The generator produces self-contained stems and parallel, mutually exclusive options under a machine-checkable JSON schema; a multi-stage verifier enforces essential gates (self-containment, single correct answer, clinical validity, image-text consistency), awards fine-grained positive points, and penalizes common failure modes before acceptance. Applying this pipeline to PubMed Central yields MedSynVQA: 13,087 audited questions over 14,803 images spanning 13 imaging modalities and 28 anatomical regions. Training open-weight LMMs with reinforcement learning using verifiable rewards improves accuracy across six medical VQA benchmarks, achieving averages of 55.85 (3B) and 58.15 (7B), with up to 77.57 on VQA-RAD and 67.76 on PathVQA, outperforming strong medical LMMs. A Ablations verify that both generation and verification are necessary and that more verified data consistently helps, and a targeted contamination analysis detects no leakage from evaluation suites. By operating entirely on open literature and open-weight models, MedVLSynther offers an auditable, reproducible, and privacy-preserving path to scalable medical VQA training data.

Recent advances in Multimodal Large Language Models~(MLLMs) have significantly enhanced the ability of these models in multimodal understanding and reasoning. However, the performance of MLLMs for knowledge-intensive visual questions, which require external knowledge beyond the visual content of an image, still remains limited. While Retrieval-Augmented Generation (RAG) has become a promising solution to provide models with external knowledge, its conventional single-pass framework often fails to gather sufficient knowledge. To overcome this limitation, we propose MI-RAG, a Multimodal Iterative RAG framework that leverages reasoning to enhance retrieval and incorporates knowledge synthesis to refine its understanding. At each iteration, the model formulates a reasoning-guided multi-query to explore multiple facets of knowledge. Subsequently, these queries drive a joint search across heterogeneous knowledge bases, retrieving diverse knowledge. This retrieved knowledge is then synthesized to enrich the reasoning record, progressively deepening the model's understanding. Experiments on challenging benchmarks, including Encyclopedic VQA, InfoSeek, and OK-VQA, show that MI-RAG significantly improves both retrieval recall and answer accuracy, establishing a scalable approach for compositional reasoning in knowledge-intensive VQA.

We present ReXVQA, the largest and most comprehensive benchmark for visual question answering (VQA) in chest radiology, comprising approximately 696,000 questions paired with 160,000 chest X-rays studies across training, validation, and test sets. Unlike prior efforts that rely heavily on template based queries, ReXVQA introduces a diverse and clinically authentic task suite reflecting five core radiological reasoning skills: presence assessment, location analysis, negation detection, differential diagnosis, and geometric reasoning. We evaluate eight state-of-the-art multimodal large language models, including MedGemma-4B-it, Qwen2.5-VL, Janus-Pro-7B, and Eagle2-9B. The best-performing model (MedGemma) achieves 83.24% overall accuracy. To bridge the gap between AI performance and clinical expertise, we conducted a comprehensive human reader study involving 3 radiology residents on 200 randomly sampled cases. Our evaluation demonstrates that MedGemma achieved superior performance (83.84% accuracy) compared to human readers (best radiology resident: 77.27%), representing a significant milestone where AI performance exceeds expert human evaluation on chest X-ray interpretation. The reader study reveals distinct performance patterns between AI models and human experts, with strong inter-reader agreement among radiologists while showing more variable agreement patterns between human readers and AI models. ReXVQA establishes a new standard for evaluating generalist radiological AI systems, offering public leaderboards, fine-grained evaluation splits, structured explanations, and category-level breakdowns. This benchmark lays the foundation for next-generation AI systems capable of mimicking expert-level clinical reasoning beyond narrow pathology classification. Our dataset will be open-sourced at https://huggingface.co/datasets/rajpurkarlab/ReXVQA

Modular neural networks without additional training have recently been shown to surpass end-to-end neural networks on challenging vision-language tasks. The latest such methods simultaneously introduce LLM-based code generation to build programs and a number of skill-specific, task-oriented modules to execute them. In this paper, we focus on ViperGPT and ask where its additional performance comes from and how much is due to the (state-of-art, end-to-end) BLIP-2 model it subsumes vs. additional symbolic components. To do so, we conduct a controlled study (comparing end-to-end, modular, and prompting-based methods across several VQA benchmarks). We find that ViperGPT's reported gains over BLIP-2 can be attributed to its selection of task-specific modules, and when we run ViperGPT using a more task-agnostic selection of modules, these gains go away. Additionally, ViperGPT retains much of its performance if we make prominent alterations to its selection of modules: e.g. removing or retaining only BLIP-2. Finally, we compare ViperGPT against a prompting-based decomposition strategy and find that, on some benchmarks, modular approaches significantly benefit by representing subtasks with natural language, instead of code.

Visual question answering (VQA) often requires an understanding of visual concepts and language semantics, which relies on external knowledge. Most existing methods exploit pre-trained language models or/and unstructured text, but the knowledge in these resources are often incomplete and noisy. Some other methods prefer to use knowledge graphs (KGs) which often have intensive structured knowledge, but the research is still quite preliminary. In this paper, we propose LaKo, a knowledge-driven VQA method via Late Knowledge-to-text Injection. To effectively incorporate an external KG, we transfer triples into textual format and propose a late injection mechanism for knowledge fusion. Finally we address VQA as a text generation task with an effective encoder-decoder paradigm, which achieves state-of-the-art results on OKVQA dataset.

This paper introduces the task of visual question answering for remote sensing data (RSVQA). Remote sensing images contain a wealth of information which can be useful for a wide range of tasks including land cover classification, object counting or detection. However, most of the available methodologies are task-specific, thus inhibiting generic and easy access to the information contained in remote sensing data. As a consequence, accurate remote sensing product generation still requires expert knowledge. With RSVQA, we propose a system to extract information from remote sensing data that is accessible to every user: we use questions formulated in natural language and use them to interact with the images. With the system, images can be queried to obtain high level information specific to the image content or relational dependencies between objects visible in the images. Using an automatic method introduced in this article, we built two datasets (using low and high resolution data) of image/question/answer triplets. The information required to build the questions and answers is queried from OpenStreetMap (OSM). The datasets can be used to train (when using supervised methods) and evaluate models to solve the RSVQA task. We report the results obtained by applying a model based on Convolutional Neural Networks (CNNs) for the visual part and on a Recurrent Neural Network (RNN) for the natural language part to this task. The model is trained on the two datasets, yielding promising results in both cases.

Visual retrieval-augmented generation (VRAG) augments vision-language models (VLMs) with external visual knowledge to ground reasoning and reduce hallucinations. Yet current VRAG systems often fail to reliably perceive and integrate evidence across multiple images, leading to weak grounding and erroneous conclusions. In this paper, we propose EVisRAG, an end-to-end framework that learns to reason with evidence-guided multi-image to address this issue. The model first observes retrieved images and records per-image evidence, then derives the final answer from the aggregated evidence. To train EVisRAG effectively, we introduce Reward-Scoped Group Relative Policy Optimization (RS-GRPO), which binds fine-grained rewards to scope-specific tokens to jointly optimize visual perception and reasoning abilities of VLMs. Experimental results on multiple visual question answering benchmarks demonstrate that EVisRAG delivers substantial end-to-end gains over backbone VLM with 27\% improvements on average. Further analysis shows that, powered by RS-GRPO, EVisRAG improves answer accuracy by precisely perceiving and localizing question-relevant evidence across multiple images and deriving the final answer from that evidence, much like a real detective.

Multimodal large language models (MLLMs), such as GPT-4o, Gemini, LLaVA, and Flamingo, have made significant progress in integrating visual and textual modalities, excelling in tasks like visual question answering (VQA), image captioning, and content retrieval. They can generate coherent and contextually relevant descriptions of images. However, they still face challenges in accurately identifying and counting objects and determining their spatial locations, particularly in complex scenes with overlapping or small objects. To address these limitations, we propose a novel framework based on multimodal retrieval-augmented generation (RAG), which introduces structured scene graphs to enhance object recognition, relationship identification, and spatial understanding within images. Our framework improves the MLLM's capacity to handle tasks requiring precise visual descriptions, especially in scenarios with challenging perspectives, such as aerial views or scenes with dense object arrangements. Finally, we conduct extensive experiments on the VG-150 dataset that focuses on first-person visual understanding and the AUG dataset that involves aerial imagery. The results show that our approach consistently outperforms existing MLLMs in VQA tasks, which stands out in recognizing, localizing, and quantifying objects in different spatial contexts and provides more accurate visual descriptions.

Visual Language Models have demonstrated remarkable capabilities across tasks, including visual question answering and image captioning. However, most models rely on text-based instructions, limiting their effectiveness in human-machine interactions. Moreover, the quality of language models depends on reasoning and prompting techniques, such as COT, which remain underexplored when using speech instructions. To address these challenges, we propose SilVar, a novel end-to-end multimodal model that uses speech instructions for reasoning in visual question answering. In addition, we investigate reasoning techniques with levels including conversational, simple, and complex speech instruction. SilVar is built upon CLIP, Whisper, and LLaMA 3.1-8B, enabling intuitive interactions by allowing users to provide verbal or text instructions. To this end, we introduce a dataset designed to challenge models with speech-based reasoning tasks for object localization. This dataset enhances the model ability to process and explain visual scenes from spoken input, moving beyond object recognition to reasoning-based interactions. The experiments show that SilVar achieves SOTA performance on the MMMU and ScienceQA benchmarks despite the challenge of speech-based instructions. We believe SilVar will inspire next-generation multimodal reasoning models, toward expert artificial general intelligence. Our code and dataset are available here.

Medical visual question answering (VQA) aims to answer clinically relevant questions regarding input medical images. This technique has the potential to improve the efficiency of medical professionals while relieving the burden on the public health system, particularly in resource-poor countries. Existing medical VQA methods tend to encode medical images and learn the correspondence between visual features and questions without exploiting the spatial, semantic, or medical knowledge behind them. This is partially because of the small size of the current medical VQA dataset, which often includes simple questions. Therefore, we first collected a comprehensive and large-scale medical VQA dataset, focusing on chest X-ray images. The questions involved detailed relationships, such as disease names, locations, levels, and types in our dataset. Based on this dataset, we also propose a novel baseline method by constructing three different relationship graphs: spatial relationship, semantic relationship, and implicit relationship graphs on the image regions, questions, and semantic labels. The answer and graph reasoning paths are learned for different questions.

Vision-Language Models (VLMs) acquire real-world knowledge and general reasoning ability through Internet-scale image-text corpora. They can augment robotic systems with scene understanding and task planning, and assist visuomotor policies that are trained on robot trajectory data. We explore the reverse paradigm - using rich, real, multi-modal robot trajectory data to enhance and evaluate VLMs. In this paper, we present Robo2VLM, a Visual Question Answering (VQA) dataset generation framework for VLMs. Given a human tele-operated robot trajectory, Robo2VLM derives ground-truth from non-visual and non-descriptive sensory modalities, such as end-effector pose, gripper aperture, and force sensing. Based on these modalities, it segments the robot trajectory into a sequence of manipulation phases. At each phase, Robo2VLM uses scene and interaction understanding to identify 3D properties of the robot, task goal, and the target object. The properties are used to generate representative VQA queries - images with textural multiple-choice questions - based on spatial, goal-conditioned, and interaction reasoning question templates. We curate Robo2VLM-1, a large-scale in-the-wild dataset with 684,710 questions covering 463 distinct scenes and 3,396 robotic manipulation tasks from 176k real robot trajectories. Results suggest that Robo2VLM-1 can benchmark and improve VLM capabilities in spatial and interaction reasoning.

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

In this paper, we focus on the problem of Medical Visual Question Answering (MedVQA), which is crucial in efficiently interpreting medical images with vital clinic-relevant information. Firstly, we reframe the problem of MedVQA as a generation task that naturally follows the human-machine interaction, we propose a generative-based model for medical visual understanding by aligning visual information from a pre-trained vision encoder with a large language model. Secondly, we establish a scalable pipeline to construct a large-scale medical visual question-answering dataset, named PMC-VQA, which contains 227k VQA pairs of 149k images that cover various modalities or diseases. Thirdly, we pre-train our proposed model on PMC-VQA and then fine-tune it on multiple public benchmarks, e.g., VQA-RAD and SLAKE, outperforming existing work by a large margin. Additionally, we propose a test set that has undergone manual verification, which is significantly more challenging, even the best models struggle to solve.

The emergence of multimodal large models (MLMs) has significantly advanced the field of visual understanding, offering remarkable capabilities in the realm of visual question answering (VQA). Yet, the true challenge lies in the domain of knowledge-intensive VQA tasks, which necessitate not just recognition of visual elements, but also a deep comprehension of the visual information in conjunction with a vast repository of learned knowledge. To uncover such capabilities of MLMs, particularly the newly introduced GPT-4V and Gemini, we provide an in-depth evaluation from three perspectives: 1) Commonsense Knowledge, which assesses how well models can understand visual cues and connect to general knowledge; 2) Fine-grained World Knowledge, which tests the model's skill in reasoning out specific knowledge from images, showcasing their proficiency across various specialized fields; 3) Comprehensive Knowledge with Decision-making Rationales, which examines model's capability to provide logical explanations for its inference, facilitating a deeper analysis from the interpretability perspective. Additionally, we utilize a visual knowledge-enhanced training strategy and multimodal retrieval-augmented generation approach to enhance MLMs, highlighting the future need for advancements in this research direction. Extensive experiments indicate that: a) GPT-4V demonstrates enhanced explanation generation when using composite images as few-shots; b) GPT-4V and other MLMs produce severe hallucinations when dealing with world knowledge; c) Visual knowledge enhanced training and prompting technicals present potential to improve performance. Codes: https://github.com/HITsz-TMG/Cognitive-Visual-Language-Mapper

Knowledge-Intensive Visual Question Answering (KI-VQA) refers to answering a question about an image whose answer does not lie in the image. This paper presents a new pipeline for KI-VQA tasks, consisting of a retriever and a reader. First, we introduce DEDR, a symmetric dual encoding dense retrieval framework in which documents and queries are encoded into a shared embedding space using uni-modal (textual) and multi-modal encoders. We introduce an iterative knowledge distillation approach that bridges the gap between the representation spaces in these two encoders. Extensive evaluation on two well-established KI-VQA datasets, i.e., OK-VQA and FVQA, suggests that DEDR outperforms state-of-the-art baselines by 11.6% and 30.9% on OK-VQA and FVQA, respectively. Utilizing the passages retrieved by DEDR, we further introduce MM-FiD, an encoder-decoder multi-modal fusion-in-decoder model, for generating a textual answer for KI-VQA tasks. MM-FiD encodes the question, the image, and each retrieved passage separately and uses all passages jointly in its decoder. Compared to competitive baselines in the literature, this approach leads to 5.5% and 8.5% improvements in terms of question answering accuracy on OK-VQA and FVQA, respectively.

Contemporary Visual Question Answering (VQA) systems remain constrained when confronted with culturally specific content, largely because cultural knowledge is under-represented in training corpora and the reasoning process is not rendered interpretable to end users. This paper introduces VietMEAgent, a multimodal explainable framework engineered for Vietnamese cultural understanding. The method integrates a cultural object detection backbone with a structured program generation layer, yielding a pipeline in which answer prediction and explanation are tightly coupled. A curated knowledge base of Vietnamese cultural entities serves as an explicit source of background information, while a dual-modality explanation module combines attention-based visual evidence with structured, human-readable textual rationales. We further construct a Vietnamese Cultural VQA dataset sourced from public repositories and use it to demonstrate the practicality of programming-based methodologies for cultural AI. The resulting system provides transparent explanations that disclose both the computational rationale and the underlying cultural context, supporting education and cultural preservation with an emphasis on interpretability and cultural sensitivity.

We present VARGPT, a novel multimodal large language model (MLLM) that unifies visual understanding and generation within a single autoregressive framework. VARGPT employs a next-token prediction paradigm for visual understanding and a next-scale prediction paradigm for visual autoregressive generation. VARGPT innovatively extends the LLaVA architecture, achieving efficient scale-wise autoregressive visual generation within MLLMs while seamlessly accommodating mixed-modal input and output within a single model framework. Our VARGPT undergoes a three-stage unified training process on specially curated datasets, comprising a pre-training phase and two mixed visual instruction-tuning phases. The unified training strategy are designed to achieve alignment between visual and textual features, enhance instruction following for both understanding and generation, and improve visual generation quality, respectively. Despite its LLAVA-based architecture for multimodel understanding, VARGPT significantly outperforms LLaVA-1.5 across various vision-centric benchmarks, such as visual question-answering and reasoning tasks. Notably, VARGPT naturally supports capabilities in autoregressive visual generation and instruction-to-image synthesis, showcasing its versatility in both visual understanding and generation tasks. Project page is at: https://vargpt-1.github.io/

Visual question answering (VQA) is the task of providing accurate answers to natural language questions based on visual input. Programmatic VQA (PVQA) models have been gaining attention recently. These use large language models (LLMs) to formulate executable programs that address questions requiring complex visual reasoning. However, there are challenges in enabling LLMs to comprehend the usage of image processing modules and generate relevant code. To overcome these challenges, this paper introduces PyramidCoder, a novel prompting framework for PVQA models. PyramidCoder consists of three hierarchical levels, each serving a distinct purpose: query rephrasing, code generation, and answer aggregation. Notably, PyramidCoder utilizes a single frozen LLM and pre-defined prompts at each level, eliminating the need for additional training and ensuring flexibility across various LLM architectures. Compared to the state-of-the-art PVQA model, our approach improves accuracy by at least 0.5% on the GQA dataset, 1.4% on the VQAv2 dataset, and 2.9% on the NLVR2 dataset.

We study visual question answering in a setting where the answer has to be mined from a pool of relevant and irrelevant images given as a context. For such a setting, a model must first retrieve relevant images from the pool and answer the question from these retrieved images. We refer to this problem as retrieval-based visual question answering (or RETVQA in short). The RETVQA is distinctively different and more challenging than the traditionally-studied Visual Question Answering (VQA), where a given question has to be answered with a single relevant image in context. Towards solving the RETVQA task, we propose a unified Multi Image BART (MI-BART) that takes a question and retrieved images using our relevance encoder for free-form fluent answer generation. Further, we introduce the largest dataset in this space, namely RETVQA, which has the following salient features: multi-image and retrieval requirement for VQA, metadata-independent questions over a pool of heterogeneous images, expecting a mix of classification-oriented and open-ended generative answers. Our proposed framework achieves an accuracy of 76.5% and a fluency of 79.3% on the proposed dataset, namely RETVQA and also outperforms state-of-the-art methods by 4.9% and 11.8% on the image segment of the publicly available WebQA dataset on the accuracy and fluency metrics, respectively.

Document Visual Question Answering (Document VQA) must cope with documents that span dozens of pages, yet leading systems still concatenate every page or rely on very large vision-language models, both of which are memory-hungry. Retrieval-Augmented Generation (RAG) offers an attractive alternative, first retrieving a concise set of relevant segments before generating answers from this selected evidence. In this paper, we systematically evaluate the impact of incorporating RAG into Document VQA through different retrieval variants - text-based retrieval using OCR tokens and purely visual retrieval without OCR - across multiple models and benchmarks. Evaluated on the multi-page datasets MP-DocVQA, DUDE, and InfographicVQA, the text-centric variant improves the "concatenate-all-pages" baseline by up to +22.5 ANLS, while the visual variant achieves +5.0 ANLS improvement without requiring any text extraction. An ablation confirms that retrieval and reranking components drive most of the gain, whereas the layout-guided chunking strategy - proposed in several recent works to leverage page structure - fails to help on these datasets. Our experiments demonstrate that careful evidence selection consistently boosts accuracy across multiple model sizes and multi-page benchmarks, underscoring its practical value for real-world Document VQA.

Recent methods for visual question answering rely on large-scale annotated datasets. Manual annotation of questions and answers for videos, however, is tedious, expensive and prevents scalability. In this work, we propose to avoid manual annotation and generate a large-scale training dataset for video question answering making use of automatic cross-modal supervision. We leverage a question generation transformer trained on text data and use it to generate question-answer pairs from transcribed video narrations. Given narrated videos, we then automatically generate the HowToVQA69M dataset with 69M video-question-answer triplets. To handle the open vocabulary of diverse answers in this dataset, we propose a training procedure based on a contrastive loss between a video-question multi-modal transformer and an answer transformer. We introduce the zero-shot VideoQA task and the VideoQA feature probe evaluation setting and show excellent results, in particular for rare answers. Furthermore, our method achieves competitive results on MSRVTT-QA, ActivityNet-QA, MSVD-QA and How2QA datasets. We also show that our VideoQA dataset generation approach generalizes to another source of web video and text data. We use our method to generate the WebVidVQA3M dataset from the WebVid dataset, i.e., videos with alt-text annotations, and show its benefits for training VideoQA models. Finally, for a detailed evaluation we introduce iVQA, a new VideoQA dataset with reduced language bias and high-quality manual annotations. Code, datasets and trained models are available at https://antoyang.github.io/just-ask.html

We propose V-Doc, a question-answering tool using document images and PDF, mainly for researchers and general non-deep learning experts looking to generate, process, and understand the document visual question answering tasks. The V-Doc supports generating and using both extractive and abstractive question-answer pairs using documents images. The extractive QA selects a subset of tokens or phrases from the document contents to predict the answers, while the abstractive QA recognises the language in the content and generates the answer based on the trained model. Both aspects are crucial to understanding the documents, especially in an image format. We include a detailed scenario of question generation for the abstractive QA task. V-Doc supports a wide range of datasets and models, and is highly extensible through a declarative, framework-agnostic platform.

The rapid development of vision language models (VLMs) demands rigorous and reliable evaluation. However, current visual question answering (VQA) benchmarks often depend on open-ended questions, making accurate evaluation difficult due to the variability in natural language responses. To address this, we introduce AutoConverter, an agentic framework that automatically converts these open-ended questions into multiple-choice format, enabling objective evaluation while reducing the costly question creation process. Our experiments demonstrate that AutoConverter can generate correct and challenging multiple-choice questions, with VLMs demonstrating consistently similar or lower accuracy on these questions compared to human-created ones. Using AutoConverter, we construct VMCBench, a benchmark created by transforming 20 existing VQA datasets into a unified multiple-choice format, totaling 9,018 questions. We comprehensively evaluate 33 state-of-the-art VLMs on VMCBench, setting a new standard for scalable, consistent, and reproducible VLM evaluation.

Recent advancements in large language models (LLMs) and multi-modal LLMs have been remarkable. However, these models still rely solely on their parametric knowledge, which limits their ability to generate up-to-date information and increases the risk of producing erroneous content. Retrieval-Augmented Generation (RAG) partially mitigates these challenges by incorporating external data sources, yet the reliance on databases and retrieval systems can introduce irrelevant or inaccurate documents, ultimately undermining both performance and reasoning quality. In this paper, we propose Multi-Modal Knowledge-Based Retrieval-Augmented Generation (MMKB-RAG), a novel multi-modal RAG framework that leverages the inherent knowledge boundaries of models to dynamically generate semantic tags for the retrieval process. This strategy enables the joint filtering of retrieved documents, retaining only the most relevant and accurate references. Extensive experiments on knowledge-based visual question-answering tasks demonstrate the efficacy of our approach: on the E-VQA dataset, our method improves performance by +4.2% on the Single-Hop subset and +0.4% on the full dataset, while on the InfoSeek dataset, it achieves gains of +7.8% on the Unseen-Q subset, +8.2% on the Unseen-E subset, and +8.1% on the full dataset. These results highlight significant enhancements in both accuracy and robustness over the current state-of-the-art MLLM and RAG frameworks.

Multimodal Large Language Models (MLLMs) have achieved notable gains in various tasks by incorporating Chain-of-Thought (CoT) reasoning in language spaces. Recent work extends this direction by leveraging external tools for visual editing, thereby enhancing the visual signal along the reasoning trajectories. Nevertheless, these approaches remain fundamentally constrained: reasoning is still confined to the language space, with visual information treated as static preconditions. We introduce Latent Visual Reasoning (LVR), a new paradigm that enables autoregressive reasoning directly in the visual embedding space. A visual encoder first projects images into visual tokens within a joint semantic space shared with the language model. The language model is then trained to generate latent states that reconstruct key visual tokens critical for answering the query, constituting the process of latent visual reasoning. By interleaving LVR with standard text generation, our model achieves substantial gains on perception-intensive visual question answering tasks. In addition, we adapt the GRPO algorithm to conduct reinforcement learning on latent reasoning, further balancing LVR and textual generation. We show that LVR substantially improves fine-grained visual understanding and perception, achieving 71.67% on MMVP compared to 66.67% with Qwen2.5-VL. Code base and model weights will be released later.

Recent works have shown that supervised models often exploit data artifacts to achieve good test scores while their performance severely degrades on samples outside their training distribution. Contrast sets (Gardneret al., 2020) quantify this phenomenon by perturbing test samples in a minimal way such that the output label is modified. While most contrast sets were created manually, requiring intensive annotation effort, we present a novel method which leverages rich semantic input representation to automatically generate contrast sets for the visual question answering task. Our method computes the answer of perturbed questions, thus vastly reducing annotation cost and enabling thorough evaluation of models' performance on various semantic aspects (e.g., spatial or relational reasoning). We demonstrate the effectiveness of our approach on the GQA dataset and its semantic scene graph image representation. We find that, despite GQA's compositionality and carefully balanced label distribution, two high-performing models drop 13-17% in accuracy compared to the original test set. Finally, we show that our automatic perturbation can be applied to the training set to mitigate the degradation in performance, opening the door to more robust models.

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

The emergence of ChatGPT has once again sparked research in generative artificial intelligence (GAI). While people have been amazed by the generated results, they have also noticed the reasoning potential reflected in the generated textual content. However, this current ability for causal reasoning is primarily limited to the domain of language generation, such as in models like GPT-3. In visual modality, there is currently no equivalent research. Considering causal reasoning in visual content generation is significant. This is because visual information contains infinite granularity. Particularly, images can provide more intuitive and specific demonstrations for certain reasoning tasks, especially when compared to coarse-grained text. Hence, we propose a new image generation task called visual question answering with image (VQAI) and establish a dataset of the same name based on the classic Tom and Jerry animated series. Additionally, we develop a new paradigm for image generation to tackle the challenges of this task. Finally, we perform extensive experiments and analyses, including visualizations of the generated content and discussions on the potentials and limitations. The code and data are publicly available under the license of CC BY-NC-SA 4.0 for academic and non-commercial usage. The code and dataset are publicly available at: https://github.com/IEIT-AGI/MIX-Shannon/blob/main/projects/VQAI/lgd_vqai.md.

Multimodal large language models (MLLMs) have achieved strong performance on vision-language tasks but still struggle with fine-grained visual differences, leading to hallucinations or missed semantic shifts. We attribute this to limitations in both training data and learning objectives. To address these issues, we propose a controlled data generation pipeline that produces minimally edited image pairs with semantically aligned captions. Using this pipeline, we construct the Micro Edit Dataset (MED), containing over 50K image-text pairs spanning 11 fine-grained edit categories, including attribute, count, position, and object presence changes. Building on MED, we introduce a supervised fine-tuning (SFT) framework with a feature-level consistency loss that promotes stable visual embeddings under small edits. We evaluate our approach on the Micro Edit Detection benchmark, which includes carefully balanced evaluation pairs designed to test sensitivity to subtle visual variations across the same edit categories. Our method improves difference detection accuracy and reduces hallucinations compared to strong baselines, including GPT-4o. Moreover, it yields consistent gains on standard vision-language tasks such as image captioning and visual question answering. These results demonstrate the effectiveness of combining targeted data and alignment objectives for enhancing fine-grained visual reasoning in MLLMs.

We present WebMMU, a multilingual benchmark that evaluates three core web tasks: (1) website visual question answering, (2) code editing involving HTML/CSS/JavaScript, and (3) mockup-to-code generation. Unlike prior benchmarks that treat these tasks separately, WebMMU unifies them using expert-annotated, real-world web data to assess models' abilities in complex multi-step reasoning, precise element grounding, and functional UI comprehension and coding. Our evaluation shows that while multimodal large language models (MLLMs) perform well on basic information extraction, they struggle with reasoning and grounding, editing code to preserve functionality, and generating design-to-code that maintains hierarchy and supports multilingual content. These findings reveal key limitations in current MLLMs and underscore the need for improved multimodal and cross-lingual reasoning to build future web agents capable of automating diverse web development tasks.

While Multi-modal Language Models (MLMs) demonstrate impressive multimodal ability, they still struggle on providing factual and precise responses for tasks like visual question answering (VQA). In this paper, we address this challenge from the perspective of contextual information. We propose Causal Context Generation, Causal-CoG, which is a prompting strategy that engages contextual information to enhance precise VQA during inference. Specifically, we prompt MLMs to generate contexts, i.e, text description of an image, and engage the generated contexts for question answering. Moreover, we investigate the advantage of contexts on VQA from a causality perspective, introducing causality filtering to select samples for which contextual information is helpful. To show the effectiveness of Causal-CoG, we run extensive experiments on 10 multimodal benchmarks and show consistent improvements, e.g., +6.30% on POPE, +13.69% on Vizwiz and +6.43% on VQAv2 compared to direct decoding, surpassing existing methods. We hope Casual-CoG inspires explorations of context knowledge in multimodal models, and serves as a plug-and-play strategy for MLM decoding.

Multimodal Large Language Models have advanced AI in applications like text-to-video generation and visual question answering. These models rely on visual encoders to convert non-text data into vectors, but current encoders either lack semantic alignment or overlook non-salient objects. We propose the Guiding Visual Encoder to Perceive Overlooked Information (GiVE) approach. GiVE enhances visual representation with an Attention-Guided Adapter (AG-Adapter) module and an Object-focused Visual Semantic Learning module. These incorporate three novel loss terms: Object-focused Image-Text Contrast (OITC) loss, Object-focused Image-Image Contrast (OIIC) loss, and Object-focused Image Discrimination (OID) loss, improving object consideration, retrieval accuracy, and comprehensiveness. Our contributions include dynamic visual focus adjustment, novel loss functions to enhance object retrieval, and the Multi-Object Instruction (MOInst) dataset. Experiments show our approach achieves state-of-the-art performance.

Recent advances in Vision-Language Models (VLMs) and the scarcity of high-quality multi-modal alignment data have inspired numerous researches on synthetic VLM data generation. The conventional norm in VLM data construction uses a mixture of specialists in caption and OCR, or stronger VLM APIs and expensive human annotation. In this paper, we present World to Code (W2C), a meticulously curated multi-modal data construction pipeline that organizes the final generation output into a Python code format. The pipeline leverages the VLM itself to extract cross-modal information via different prompts and filter the generated outputs again via a consistency filtering strategy. Experiments have demonstrated the high quality of W2C by improving various existing visual question answering and visual grounding benchmarks across different VLMs. Further analysis also demonstrates that the new code parsing ability of VLMs presents better cross-modal equivalence than the commonly used detail caption ability. Our code is available at https://github.com/foundation-multimodal-models/World2Code.

We introduce MAIA (Multimodal AI Assessment), a native-Italian benchmark designed for fine-grained investigation of the reasoning abilities of visual language models on videos. MAIA differs from other available video benchmarks for its design, its reasoning categories, the metric it uses and the language and culture of the videos. It evaluates Vision Language Models (VLMs) on two aligned tasks: a visual statement verification task, and an open-ended visual question-answering task, both on the same set of video-related questions. It considers twelve reasoning categories that aim to disentangle language and vision relations by highlight when one of two alone encodes sufficient information to solve the tasks, when they are both needed and when the full richness of the short video is essential instead of just a part of it. Thanks to its carefully taught design, it evaluates VLMs' consistency and visually grounded natural language comprehension and generation simultaneously through an aggregated metric. Last but not least, the video collection has been carefully selected to reflect the Italian culture and the language data are produced by native-speakers.

We present a unified transformer, i.e., Show-o, that unifies multimodal understanding and generation. Unlike fully autoregressive models, Show-o unifies autoregressive and (discrete) diffusion modeling to adaptively handle inputs and outputs of various and mixed modalities. The unified model flexibly supports a wide range of vision-language tasks including visual question-answering, text-to-image generation, text-guided inpainting/extrapolation, and mixed-modality generation. Across various benchmarks, it demonstrates comparable or superior performance to existing individual models with an equivalent or larger number of parameters tailored for understanding or generation. This significantly highlights its potential as a next-generation foundation model. Code and models are released at https://github.com/showlab/Show-o.

We propose the VLR-Bench, a visual question answering (VQA) benchmark for evaluating vision language models (VLMs) based on retrieval augmented generation (RAG). Unlike existing evaluation datasets for external knowledge-based VQA, the proposed VLR-Bench includes five input passages. This allows testing of the ability to determine which passage is useful for answering a given query, a capability lacking in previous research. In this context, we constructed a dataset of 32,000 automatically generated instruction-following examples, which we denote as VLR-IF. This dataset is specifically designed to enhance the RAG capabilities of VLMs by enabling them to learn how to generate appropriate answers based on input passages. We evaluated the validity of the proposed benchmark and training data and verified its performance using the state-of-the-art Llama3-based VLM, the Llava-Llama-3 model. The proposed VLR-Bench and VLR-IF datasets are publicly available online.

Multimodal Retrieval Augmented Generation (mRAG) plays an important role in mitigating the "hallucination" issue inherent in multimodal large language models (MLLMs). Although promising, existing heuristic mRAGs typically predefined fixed retrieval processes, which causes two issues: (1) Non-adaptive Retrieval Queries. (2) Overloaded Retrieval Queries. However, these flaws cannot be adequately reflected by current knowledge-seeking visual question answering (VQA) datasets, since the most required knowledge can be readily obtained with a standard two-step retrieval. To bridge the dataset gap, we first construct Dyn-VQA dataset, consisting of three types of "dynamic" questions, which require complex knowledge retrieval strategies variable in query, tool, and time: (1) Questions with rapidly changing answers. (2) Questions requiring multi-modal knowledge. (3) Multi-hop questions. Experiments on Dyn-VQA reveal that existing heuristic mRAGs struggle to provide sufficient and precisely relevant knowledge for dynamic questions due to their rigid retrieval processes. Hence, we further propose the first self-adaptive planning agent for multimodal retrieval, OmniSearch. The underlying idea is to emulate the human behavior in question solution which dynamically decomposes complex multimodal questions into sub-question chains with retrieval action. Extensive experiments prove the effectiveness of our OmniSearch, also provide direction for advancing mRAG. The code and dataset will be open-sourced at https://github.com/Alibaba-NLP/OmniSearch.

Despite their wide-spread success, Text-to-Image models (T2I) still struggle to produce images that are both aesthetically pleasing and faithful to the user's input text. We introduce DreamSync, a model-agnostic training algorithm by design that improves T2I models to be faithful to the text input. DreamSync builds off a recent insight from TIFA's evaluation framework -- that large vision-language models (VLMs) can effectively identify the fine-grained discrepancies between generated images and the text inputs. DreamSync uses this insight to train T2I models without any labeled data; it improves T2I models using its own generations. First, it prompts the model to generate several candidate images for a given input text. Then, it uses two VLMs to select the best generation: a Visual Question Answering model that measures the alignment of generated images to the text, and another that measures the generation's aesthetic quality. After selection, we use LoRA to iteratively finetune the T2I model to guide its generation towards the selected best generations. DreamSync does not need any additional human annotation. model architecture changes, or reinforcement learning. Despite its simplicity, DreamSync improves both the semantic alignment and aesthetic appeal of two diffusion-based T2I models, evidenced by multiple benchmarks (+1.7% on TIFA, +2.9% on DSG1K, +3.4% on VILA aesthetic) and human evaluation.

Large Vision-Language Models (LVLMs) have made remarkable strides in multimodal tasks such as visual question answering, visual grounding, and complex reasoning. However, they remain limited by static training data, susceptibility to hallucinations, and inability to verify claims against up-to-date, external evidence, compromising their performance in dynamic real-world applications. Retrieval-Augmented Generation (RAG) offers a practical solution to mitigate these challenges by allowing the LVLMs to access large-scale knowledge databases via retrieval mechanisms, thereby grounding model outputs in factual, contextually relevant information. Here in this paper, we conduct the first systematic dissection of the multimodal RAG pipeline for LVLMs, explicitly investigating (1) the retrieval phase: on the modality configurations and retrieval strategies, (2) the re-ranking stage: on strategies to mitigate positional biases and improve the relevance of retrieved evidence, and (3) the generation phase: we further investigate how to best integrate retrieved candidates into the final generation process. Finally, we extend to explore a unified agentic framework that integrates re-ranking and generation through self-reflection, enabling LVLMs to select relevant evidence and suppress irrelevant context dynamically. Our full-stack exploration of RAG for LVLMs yields substantial insights, resulting in an average performance boost of 5% without any fine-tuning.

Recently a number of studies demonstrated impressive performance on diverse vision-language multi-modal tasks such as image captioning and visual question answering by extending the BERT architecture with multi-modal pre-training objectives. In this work we explore a broad set of multi-modal representation learning tasks in the medical domain, specifically using radiology images and the unstructured report. We propose Medical Vision Language Learner (MedViLL), which adopts a BERT-based architecture combined with a novel multi-modal attention masking scheme to maximize generalization performance for both vision-language understanding tasks (diagnosis classification, medical image-report retrieval, medical visual question answering) and vision-language generation task (radiology report generation). By statistically and rigorously evaluating the proposed model on four downstream tasks with three radiographic image-report datasets (MIMIC-CXR, Open-I, and VQA-RAD), we empirically demonstrate the superior downstream task performance of MedViLL against various baselines, including task-specific architectures. The source code is publicly available at: https://github.com/SuperSupermoon/MedViLL

Existing methods for vision-and-language learning typically require designing task-specific architectures and objectives for each task. For example, a multi-label answer classifier for visual question answering, a region scorer for referring expression comprehension, and a language decoder for image captioning, etc. To alleviate these hassles, in this work, we propose a unified framework that learns different tasks in a single architecture with the same language modeling objective, i.e., multimodal conditional text generation, where our models learn to generate labels in text based on the visual and textual inputs. On 7 popular vision-and-language benchmarks, including visual question answering, referring expression comprehension, visual commonsense reasoning, most of which have been previously modeled as discriminative tasks, our generative approach (with a single unified architecture) reaches comparable performance to recent task-specific state-of-the-art vision-and-language models. Moreover, our generative approach shows better generalization ability on questions that have rare answers. Also, we show that our framework allows multi-task learning in a single architecture with a single set of parameters, achieving similar performance to separately optimized single-task models. Our code is publicly available at: https://github.com/j-min/VL-T5

We present Lumina-mGPT, a family of multimodal autoregressive models capable of various vision and language tasks, particularly excelling in generating flexible photorealistic images from text descriptions. Unlike existing autoregressive image generation approaches, Lumina-mGPT employs a pretrained decoder-only transformer as a unified framework for modeling multimodal token sequences. Our key insight is that a simple decoder-only transformer with multimodal Generative PreTraining (mGPT), utilizing the next-token prediction objective on massive interleaved text-image sequences, can learn broad and general multimodal capabilities, thereby illuminating photorealistic text-to-image generation. Building on these pretrained models, we propose Flexible Progressive Supervised Finetuning (FP-SFT) on high-quality image-text pairs to fully unlock their potential for high-aesthetic image synthesis at any resolution while maintaining their general multimodal capabilities. Furthermore, we introduce Ominiponent Supervised Finetuning (Omni-SFT), transforming Lumina-mGPT into a foundation model that seamlessly achieves omnipotent task unification. The resulting model demonstrates versatile multimodal capabilities, including visual generation tasks like flexible text-to-image generation and controllable generation, visual recognition tasks like segmentation and depth estimation, and vision-language tasks like multiturn visual question answering. Additionally, we analyze the differences and similarities between diffusion-based and autoregressive methods in a direct comparison.

We aim to develop a retrieval-augmented generation (RAG) framework that answers questions over a corpus of visually-rich documents presented in mixed modalities (e.g., charts, tables) and diverse formats (e.g., PDF, PPTX). In this paper, we introduce a new RAG framework, VDocRAG, which can directly understand varied documents and modalities in a unified image format to prevent missing information that occurs by parsing documents to obtain text. To improve the performance, we propose novel self-supervised pre-training tasks that adapt large vision-language models for retrieval by compressing visual information into dense token representations while aligning them with textual content in documents. Furthermore, we introduce OpenDocVQA, the first unified collection of open-domain document visual question answering datasets, encompassing diverse document types and formats. OpenDocVQA provides a comprehensive resource for training and evaluating retrieval and question answering models on visually-rich documents in an open-domain setting. Experiments show that VDocRAG substantially outperforms conventional text-based RAG and has strong generalization capability, highlighting the potential of an effective RAG paradigm for real-world documents.

Although Vision Language Models (VLMs) have shown strong generalization in medical imaging, pathology presents unique challenges due to ultra-high resolution, complex tissue structures, and nuanced clinical semantics. These factors make pathology VLMs prone to hallucinations, i.e., generating outputs inconsistent with visual evidence, which undermines clinical trust. Existing RAG approaches in this domain largely depend on text-based knowledge bases, limiting their ability to leverage diagnostic visual cues. To address this, we propose Patho-AgenticRAG, a multimodal RAG framework with a database built on page-level embeddings from authoritative pathology textbooks. Unlike traditional text-only retrieval systems, it supports joint text-image search, enabling direct retrieval of textbook pages that contain both the queried text and relevant visual cues, thus avoiding the loss of critical image-based information. Patho-AgenticRAG also supports reasoning, task decomposition, and multi-turn search interactions, improving accuracy in complex diagnostic scenarios. Experiments show that Patho-AgenticRAG significantly outperforms existing multimodal models in complex pathology tasks like multiple-choice diagnosis and visual question answering. Our project is available at the Patho-AgenticRAG repository: https://github.com/Wenchuan-Zhang/Patho-AgenticRAG.

Current large multimodal models (LMMs) face challenges in grounding, which requires the model to relate language components to visual entities. Contrary to the common practice that fine-tunes LMMs with additional grounding supervision, we find that the grounding ability can in fact emerge in LMMs trained without explicit grounding supervision. To reveal this emerging grounding, we introduce an "attend-and-segment" method which leverages attention maps from standard LMMs to perform pixel-level segmentation. Furthermore, to enhance the grounding ability, we propose DIFFLMM, an LMM utilizing a diffusion-based visual encoder, as opposed to the standard CLIP visual encoder, and trained with the same weak supervision. Without being constrained by the biases and limited scale of grounding-specific supervision data, our approach is more generalizable and scalable. We achieve competitive performance on both grounding-specific and general visual question answering benchmarks, compared with grounding LMMs and generalist LMMs, respectively. Notably, we achieve a 44.2 grounding mask recall on grounded conversation generation without any grounding supervision, outperforming the extensively supervised model GLaMM. Project page: https://GroundLMM-ICCV.github.io.

Despite the impressive progress on understanding and generating images shown by the recent unified architectures, the integration of 3D tasks remains challenging and largely unexplored. In this paper, we introduce UniUGG, the first unified understanding and generation framework for 3D modalities. Our unified framework employs an LLM to comprehend and decode sentences and 3D representations. At its core, we propose a spatial decoder leveraging a latent diffusion model to generate high-quality 3D representations. This allows for the generation and imagination of 3D scenes based on a reference image and an arbitrary view transformation, while remaining supports for spatial visual question answering (VQA) tasks. Additionally, we propose a geometric-semantic learning strategy to pretrain the vision encoder. This design jointly captures the input's semantic and geometric cues, enhancing both spatial understanding and generation. Extensive experimental results demonstrate the superiority of our method in visual representation, spatial understanding, and 3D generation. The source code will be released upon paper acceptance.

While diffusion models are powerful in generating high-quality, diverse synthetic data for object-centric tasks, existing methods struggle with scene-aware tasks such as Visual Question Answering (VQA) and Human-Object Interaction (HOI) Reasoning, where it is critical to preserve scene attributes in generated images consistent with a multimodal context, i.e. a reference image with accompanying text guidance query. To address this, we introduce Hummingbird, the first diffusion-based image generator which, given a multimodal context, generates highly diverse images w.r.t. the reference image while ensuring high fidelity by accurately preserving scene attributes, such as object interactions and spatial relationships from the text guidance. Hummingbird employs a novel Multimodal Context Evaluator that simultaneously optimizes our formulated Global Semantic and Fine-grained Consistency Rewards to ensure generated images preserve the scene attributes of reference images in relation to the text guidance while maintaining diversity. As the first model to address the task of maintaining both diversity and fidelity given a multimodal context, we introduce a new benchmark formulation incorporating MME Perception and Bongard HOI datasets. Benchmark experiments show Hummingbird outperforms all existing methods by achieving superior fidelity while maintaining diversity, validating Hummingbird's potential as a robust multimodal context-aligned image generator in complex visual tasks.

Diffusion models have gained tremendous success in text-to-image generation, yet still lag behind with visual understanding tasks, an area dominated by autoregressive vision-language models. We propose a large-scale and fully end-to-end diffusion model for multi-modal understanding and generation that significantly improves on existing diffusion-based multimodal models, and is the first of its kind to support the full suite of vision-language modeling capabilities. Inspired by the multimodal diffusion transformer (MM-DiT) and recent advances in discrete diffusion language modeling, we leverage a cross-modal maximum likelihood estimation framework that simultaneously trains the conditional likelihoods of both images and text jointly under a single loss function, which is back-propagated through both branches of the diffusion transformer. The resulting model is highly flexible and capable of a wide range of tasks including image generation, captioning, and visual question answering. Our model attained competitive performance compared to recent unified image understanding and generation models, demonstrating the potential of multimodal diffusion modeling as a promising alternative to autoregressive next-token prediction models.

Generating 3D vehicle assets from in-the-wild observations is crucial to autonomous driving. Existing image-to-3D methods cannot well address this problem because they learn generation merely from image RGB information without a deeper understanding of in-the-wild vehicles (such as car models, manufacturers, etc.). This leads to their poor zero-shot prediction capability to handle real-world observations with occlusion or tricky viewing angles. To solve this problem, in this work, we propose VQA-Diff, a novel framework that leverages in-the-wild vehicle images to create photorealistic 3D vehicle assets for autonomous driving. VQA-Diff exploits the real-world knowledge inherited from the Large Language Model in the Visual Question Answering (VQA) model for robust zero-shot prediction and the rich image prior knowledge in the Diffusion model for structure and appearance generation. In particular, we utilize a multi-expert Diffusion Models strategy to generate the structure information and employ a subject-driven structure-controlled generation mechanism to model appearance information. As a result, without the necessity to learn from a large-scale image-to-3D vehicle dataset collected from the real world, VQA-Diff still has a robust zero-shot image-to-novel-view generation ability. We conduct experiments on various datasets, including Pascal 3D+, Waymo, and Objaverse, to demonstrate that VQA-Diff outperforms existing state-of-the-art methods both qualitatively and quantitatively.

The rapid advancement in generative artificial intelligence have enabled the creation of 3D human faces (HFs) for applications including media production, virtual reality, security, healthcare, and game development, etc. However, assessing the quality and realism of these AI-generated 3D human faces remains a significant challenge due to the subjective nature of human perception and innate perceptual sensitivity to facial features. To this end, we conduct a comprehensive study on the quality assessment of AI-generated 3D human faces. We first introduce Gen3DHF, a large-scale benchmark comprising 2,000 videos of AI-Generated 3D Human Faces along with 4,000 Mean Opinion Scores (MOS) collected across two dimensions, i.e., quality and authenticity, 2,000 distortion-aware saliency maps and distortion descriptions. Based on Gen3DHF, we propose LMME3DHF, a Large Multimodal Model (LMM)-based metric for Evaluating 3DHF capable of quality and authenticity score prediction, distortion-aware visual question answering, and distortion-aware saliency prediction. Experimental results show that LMME3DHF achieves state-of-the-art performance, surpassing existing methods in both accurately predicting quality scores for AI-generated 3D human faces and effectively identifying distortion-aware salient regions and distortion types, while maintaining strong alignment with human perceptual judgments. Both the Gen3DHF database and the LMME3DHF will be released upon the publication.

Visual transformation reasoning (VTR) is a vital cognitive capability that empowers intelligent agents to understand dynamic scenes, model causal relationships, and predict future states, and thereby guiding actions and laying the foundation for advanced intelligent systems. However, existing benchmarks suffer from a sim-to-real gap, limited task complexity, and incomplete reasoning coverage, limiting their practical use in real-world scenarios. To address these limitations, we introduce VisualTrans, the first comprehensive benchmark specifically designed for VTR in real-world human-object interaction scenarios. VisualTrans encompasses 12 semantically diverse manipulation tasks and systematically evaluates three essential reasoning dimensions - spatial, procedural, and quantitative - through 6 well-defined subtask types. The benchmark features 472 high-quality question-answer pairs in various formats, including multiple-choice, open-ended counting, and target enumeration. We introduce a scalable data construction pipeline built upon first-person manipulation videos, which integrates task selection, image pair extraction, automated metadata annotation with large multimodal models, and structured question generation. Human verification ensures the final benchmark is both high-quality and interpretable. Evaluations of various state-of-the-art vision-language models show strong performance in static spatial tasks. However, they reveal notable shortcomings in dynamic, multi-step reasoning scenarios, particularly in areas like intermediate state recognition and transformation sequence planning. These findings highlight fundamental weaknesses in temporal modeling and causal reasoning, providing clear directions for future research aimed at developing more capable and generalizable VTR systems. The dataset and code are available at https://github.com/WangYipu2002/VisualTrans.

In this work, we introduce Vision-Language Generative Pre-trained Transformer (VL-GPT), a transformer model proficient at concurrently perceiving and generating visual and linguistic data. VL-GPT achieves a unified pre-training approach for both image and text modalities by employing a straightforward auto-regressive objective, thereby enabling the model to process image and text as seamlessly as a language model processes text. To accomplish this, we initially propose a novel image tokenizer-detokenizer framework for visual data, specifically designed to transform raw images into a sequence of continuous embeddings and reconstruct them accordingly. In combination with the existing text tokenizer and detokenizer, this framework allows for the encoding of interleaved image-text data into a multimodal sequence, which can subsequently be fed into the transformer model. Consequently, VL-GPT can perform large-scale pre-training on multimodal corpora utilizing a unified auto-regressive objective (i.e., next-token prediction). Upon completion of pre-training, VL-GPT exhibits remarkable zero-shot and few-shot performance across a diverse range of vision and language understanding and generation tasks, including image captioning, visual question answering, text-to-image generation, and more. Additionally, the pre-trained model retrains in-context learning capabilities when provided with multimodal prompts. We further conduct instruction tuning on our VL-GPT, highlighting its exceptional potential for multimodal assistance. The source code and model weights shall be released.

Recent progress in VLMs has demonstrated impressive capabilities across a variety of tasks in the natural image domain. Motivated by these advancements, the remote sensing community has begun to adopt VLMs for remote sensing vision-language tasks, including scene understanding, image captioning, and visual question answering. However, existing remote sensing VLMs typically rely on closed-set scene understanding and focus on generic scene descriptions, yet lack the ability to incorporate external knowledge. This limitation hinders their capacity for semantic reasoning over complex or context-dependent queries that involve domain-specific or world knowledge. To address these challenges, we first introduced a multimodal Remote Sensing World Knowledge (RSWK) dataset, which comprises high-resolution satellite imagery and detailed textual descriptions for 14,141 well-known landmarks from 175 countries, integrating both remote sensing domain knowledge and broader world knowledge. Building upon this dataset, we proposed a novel Remote Sensing Retrieval-Augmented Generation (RS-RAG) framework, which consists of two key components. The Multi-Modal Knowledge Vector Database Construction module encodes remote sensing imagery and associated textual knowledge into a unified vector space. The Knowledge Retrieval and Response Generation module retrieves and re-ranks relevant knowledge based on image and/or text queries, and incorporates the retrieved content into a knowledge-augmented prompt to guide the VLM in producing contextually grounded responses. We validated the effectiveness of our approach on three representative vision-language tasks, including image captioning, image classification, and visual question answering, where RS-RAG significantly outperformed state-of-the-art baselines.

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Recent studies on machine reading comprehension have focused on text-level understanding but have not yet reached the level of human understanding of the visual layout and content of real-world documents. In this study, we introduce a new visual machine reading comprehension dataset, named VisualMRC, wherein given a question and a document image, a machine reads and comprehends texts in the image to answer the question in natural language. Compared with existing visual question answering (VQA) datasets that contain texts in images, VisualMRC focuses more on developing natural language understanding and generation abilities. It contains 30,000+ pairs of a question and an abstractive answer for 10,000+ document images sourced from multiple domains of webpages. We also introduce a new model that extends existing sequence-to-sequence models, pre-trained with large-scale text corpora, to take into account the visual layout and content of documents. Experiments with VisualMRC show that this model outperformed the base sequence-to-sequence models and a state-of-the-art VQA model. However, its performance is still below that of humans on most automatic evaluation metrics. The dataset will facilitate research aimed at connecting vision and language understanding.

Scientific research demands sophisticated reasoning over multimodal data, a challenge especially prevalent in biology. Despite recent advances in multimodal large language models (MLLMs) for AI-assisted research, existing multimodal reasoning benchmarks only target up to college-level difficulty, while research-level benchmarks emphasize lower-level perception, falling short of the complex multimodal reasoning needed for scientific discovery. To bridge this gap, we introduce MicroVQA, a visual-question answering (VQA) benchmark designed to assess three reasoning capabilities vital in research workflows: expert image understanding, hypothesis generation, and experiment proposal. MicroVQA consists of 1,042 multiple-choice questions (MCQs) curated by biology experts across diverse microscopy modalities, ensuring VQA samples represent real scientific practice. In constructing the benchmark, we find that standard MCQ generation methods induce language shortcuts, motivating a new two-stage pipeline: an optimized LLM prompt structures question-answer pairs into MCQs; then, an agent-based `RefineBot' updates them to remove shortcuts. Benchmarking on state-of-the-art MLLMs reveal a peak performance of 53\%; models with smaller LLMs only slightly underperform top models, suggesting that language-based reasoning is less challenging than multimodal reasoning; and tuning with scientific articles enhances performance. Expert analysis of chain-of-thought responses shows that perception errors are the most frequent, followed by knowledge errors and then overgeneralization errors. These insights highlight the challenges in multimodal scientific reasoning, showing MicroVQA is a valuable resource advancing AI-driven biomedical research. MicroVQA is available at https://huggingface.co/datasets/jmhb/microvqa, and project page at https://jmhb0.github.io/microvqa.

We propose Visualize-then-Retrieve (VisRet), a new paradigm for Text-to-Image (T2I) retrieval that mitigates the limitations of cross-modal similarity alignment of existing multi-modal embeddings. VisRet first projects textual queries into the image modality via T2I generation. Then, it performs retrieval within the image modality to bypass the weaknesses of cross-modal retrievers in recognizing subtle visual-spatial features. Experiments on three knowledge-intensive T2I retrieval benchmarks, including a newly introduced multi-entity benchmark, demonstrate that VisRet consistently improves T2I retrieval by 24.5% to 32.7% NDCG@10 across different embedding models. VisRet also significantly benefits downstream visual question answering accuracy when used in retrieval-augmented generation pipelines. The method is plug-and-play and compatible with off-the-shelf retrievers, making it an effective module for knowledge-intensive multi-modal systems. Our code and the new benchmark are publicly available at https://github.com/xiaowu0162/Visualize-then-Retrieve.

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

We present VisionLLM v2, an end-to-end generalist multimodal large model (MLLM) that unifies visual perception, understanding, and generation within a single framework. Unlike traditional MLLMs limited to text output, VisionLLM v2 significantly broadens its application scope. It excels not only in conventional visual question answering (VQA) but also in open-ended, cross-domain vision tasks such as object localization, pose estimation, and image generation and editing. To this end, we propose a new information transmission mechanism termed "super link", as a medium to connect MLLM with task-specific decoders. It not only allows flexible transmission of task information and gradient feedback between the MLLM and multiple downstream decoders but also effectively resolves training conflicts in multi-tasking scenarios. In addition, to support the diverse range of tasks, we carefully collected and combed training data from hundreds of public vision and vision-language tasks. In this way, our model can be joint-trained end-to-end on hundreds of vision language tasks and generalize to these tasks using a set of shared parameters through different user prompts, achieving performance comparable to task-specific models. We believe VisionLLM v2 will offer a new perspective on the generalization of MLLMs.

Multimodal large language models (MLLMs) have significantly advanced tasks like caption generation and visual question answering by integrating visual and textual data. However, they sometimes produce misleading or hallucinate content due to discrepancies between their pre-training data and real user prompts. Existing approaches using Direct Preference Optimization (DPO) in vision-language tasks often rely on strong models like GPT-4 or CLIP to determine positive and negative responses. Here, we propose a new framework in generating synthetic data using a reward model as a proxy of human preference for effective multimodal alignment with DPO training. The resulting DPO dataset ranges from 2K to 9K image-text pairs, was evaluated on LLaVA-v1.5-7B, where our approach demonstrated substantial improvements in both the trustworthiness and reasoning capabilities of the base model across multiple hallucination and vision-language benchmark. The experiment results indicate that integrating selected synthetic data, such as from generative and rewards models can effectively reduce reliance on human-annotated data while enhancing MLLMs' alignment capability, offering a scalable solution for safer deployment.

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

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

The rapid progress of Large Multimodal Models (LMMs) and cloud-based AI agents is transforming human-AI collaboration into bidirectional, multimodal interaction. However, existing codecs remain optimized for unimodal, one-way communication, resulting in repeated degradation under conventional compress-transmit-reconstruct pipelines. To address this limitation, we propose UniMIC, a Unified token-based Multimodal Interactive Coding framework that bridges edge devices and cloud AI agents. Instead of transmitting raw pixels or plain text, UniMIC employs compact tokenized representations as the communication medium, enabling efficient low-bitrate transmission while maintaining compatibility with LMMs. To further enhance compression, lightweight Transformer-based entropy models with scenario-specific designs-generic, masked, and text-conditioned-effectively minimize inter-token redundancy. Extensive experiments on text-to-image generation, text-guided inpainting, outpainting, and visual question answering show that UniMIC achieves substantial bitrate savings and remains robust even at ultra-low bitrates (<0.05bpp), without compromising downstream task performance. These results establish UniMIC as a practical and forward-looking paradigm for next-generation multimodal interactive communication.

Recent advancements in Large Vision Language Models (LVLMs) have significantly improved performance in Visual Question Answering (VQA) tasks through multimodal Retrieval-Augmented Generation (RAG). However, existing methods still face challenges, such as the scarcity of knowledge with reasoning examples and erratic responses from retrieved knowledge. To address these issues, in this study, we propose a multimodal RAG framework, termed RCTS, which enhances LVLMs by constructing a Reasoning Context-enriched knowledge base and a Tree Search re-ranking method. Specifically, we introduce a self-consistent evaluation mechanism to enrich the knowledge base with intrinsic reasoning patterns. We further propose a Monte Carlo Tree Search with Heuristic Rewards (MCTS-HR) to prioritize the most relevant examples. This ensures that LVLMs can leverage high-quality contextual reasoning for better and more consistent responses. Extensive experiments demonstrate that our framework achieves state-of-the-art performance on multiple VQA datasets, significantly outperforming In-Context Learning (ICL) and Vanilla-RAG methods. It highlights the effectiveness of our knowledge base and re-ranking method in improving LVLMs. Our code is available at https://github.com/yannqi/RCTS-RAG.

Despite the success of Large Language Models (LLMs) in general image tasks, a gap persists in the medical field for a multimodal large model adept at handling the nuanced diversity of medical images. Addressing this, we propose MedXChat, a unified multimodal large model designed for seamless interactions between medical assistants and users. MedXChat encompasses three key functionalities: CXR(Chest X-ray)-to-Report generation, CXR-based visual question-answering (VQA), and Text-to-CXR synthesis. Our contributions are as follows. Firstly, our model showcases exceptional cross-task adaptability, displaying adeptness across all three defined tasks and outperforming the benchmark models on the MIMIC dataset in medical multimodal applications. Secondly, we introduce an innovative Text-to-CXR synthesis approach that utilizes instruction-following capabilities within the Stable Diffusion (SD) architecture. This technique integrates smoothly with the existing model framework, requiring no extra parameters, thereby maintaining the SD's generative strength while also bestowing upon it the capacity to render fine-grained medical images with high fidelity. Comprehensive experiments validate MedXChat's synergistic enhancement across all tasks. Our instruction data and model will be open-sourced.

Recent advancements in artificial intelligence (AI) have precipitated significant breakthroughs in healthcare, particularly in refining diagnostic procedures. However, previous studies have often been constrained to limited functionalities. This study introduces MiniGPT-Med, a vision-language model derived from large-scale language models and tailored for medical applications. MiniGPT-Med demonstrates remarkable versatility across various imaging modalities, including X-rays, CT scans, and MRIs, enhancing its utility. The model is capable of performing tasks such as medical report generation, visual question answering (VQA), and disease identification within medical imagery. Its integrated processing of both image and textual clinical data markedly improves diagnostic accuracy. Our empirical assessments confirm MiniGPT-Med's superior performance in disease grounding, medical report generation, and VQA benchmarks, representing a significant step towards reducing the gap in assisting radiology practice. Furthermore, it achieves state-of-the-art performance on medical report generation, higher than the previous best model by 19\% accuracy. MiniGPT-Med promises to become a general interface for radiology diagnoses, enhancing diagnostic efficiency across a wide range of medical imaging applications.

The VNHSGE (VietNamese High School Graduation Examination) dataset, developed exclusively for evaluating large language models (LLMs), is introduced in this article. The dataset, which covers nine subjects, was generated from the Vietnamese National High School Graduation Examination and comparable tests. 300 literary essays have been included, and there are over 19,000 multiple-choice questions on a range of topics. The dataset assesses LLMs in multitasking situations such as question answering, text generation, reading comprehension, visual question answering, and more by including both textual data and accompanying images. Using ChatGPT and BingChat, we evaluated LLMs on the VNHSGE dataset and contrasted their performance with that of Vietnamese students to see how well they performed. The results show that ChatGPT and BingChat both perform at a human level in a number of areas, including literature, English, history, geography, and civics education. They still have space to grow, though, especially in the areas of mathematics, physics, chemistry, and biology. The VNHSGE dataset seeks to provide an adequate benchmark for assessing the abilities of LLMs with its wide-ranging coverage and variety of activities. We intend to promote future developments in the creation of LLMs by making this dataset available to the scientific community, especially in resolving LLMs' limits in disciplines involving mathematics and the natural sciences.

Large Language Models (LLMs) excel in understanding human instructions, driving the development of Multimodal LLMs (MLLMs) with instruction tuning. However, acquiring high-quality multimodal instruction tuning data poses a significant challenge. Previous approaches relying on GPT-4 for data generation proved expensive and exhibited unsatisfactory performance for certain tasks. To solve this, we present Genixer, an innovative data generation pipeline producing high-quality multimodal instruction tuning data for various tasks. Genixer collects datasets for ten prevalent multimodal tasks and designs instruction templates to transform these datasets into instruction-tuning data. It then trains pretrained MLLMs to generate task-specific instruction data and proposes an effective data filtering strategy to ensure high quality. To evaluate Genixer, a base MLLM model, Kakapo, is built and achieves SoTA performance in image captioning and visual question answering (VQA) tasks across multiple datasets. Experimental results show that filtered data from Genixer continually improves Kakapo for image captioning and VQA tasks. For the SoTA Shikra MLLM model on the image-region-related tasks, e.g., region caption and detection, Genixer also successfully generates corresponding data and improves its performance. Genixer opens avenues for generating high-quality multimodal instruction data for diverse tasks, enabling innovative applications across domains. The code and models will be released soon.

Unified vision large language models (VLLMs) have recently achieved impressive advancements in both multimodal understanding and generation, powering applications such as visual question answering and text-guided image synthesis. However, progress in unified VLLMs remains constrained by the lack of datasets that fully exploit the synergistic potential between these two core abilities. Existing datasets typically address understanding and generation in isolation, thereby limiting the performance of unified VLLMs. To bridge this critical gap, we introduce a novel dataset construction framework, UnifiedVisual, and present UnifiedVisual-240K, a high-quality dataset meticulously designed to facilitate mutual enhancement between multimodal understanding and generation. UnifiedVisual-240K seamlessly integrates diverse visual and textual inputs and outputs, enabling comprehensive cross-modal reasoning and precise text-to-image alignment. Our dataset encompasses a wide spectrum of tasks and data sources, ensuring rich diversity and addressing key shortcomings of prior resources. Extensive experiments demonstrate that models trained on UnifiedVisual-240K consistently achieve strong performance across a wide range of tasks. Notably, these models exhibit significant mutual reinforcement between multimodal understanding and generation, further validating the effectiveness of our framework and dataset. We believe UnifiedVisual represents a new growth point for advancing unified VLLMs and unlocking their full potential. Our code and datasets is available at https://github.com/fnlp-vision/UnifiedVisual.

A big convergence of language, multimodal perception, action, and world modeling is a key step toward artificial general intelligence. In this work, we introduce Kosmos-1, a Multimodal Large Language Model (MLLM) that can perceive general modalities, learn in context (i.e., few-shot), and follow instructions (i.e., zero-shot). Specifically, we train Kosmos-1 from scratch on web-scale multimodal corpora, including arbitrarily interleaved text and images, image-caption pairs, and text data. We evaluate various settings, including zero-shot, few-shot, and multimodal chain-of-thought prompting, on a wide range of tasks without any gradient updates or finetuning. Experimental results show that Kosmos-1 achieves impressive performance on (i) language understanding, generation, and even OCR-free NLP (directly fed with document images), (ii) perception-language tasks, including multimodal dialogue, image captioning, visual question answering, and (iii) vision tasks, such as image recognition with descriptions (specifying classification via text instructions). We also show that MLLMs can benefit from cross-modal transfer, i.e., transfer knowledge from language to multimodal, and from multimodal to language. In addition, we introduce a dataset of Raven IQ test, which diagnoses the nonverbal reasoning capability of MLLMs.

With the rapid advancement of deep learning, particularly in the field of medical image analysis, an increasing number of Vision-Language Models (VLMs) are being widely applied to solve complex health and biomedical challenges. However, existing research has primarily focused on specific tasks or single modalities, which limits their applicability and generalization across diverse medical scenarios. To address this challenge, we propose UMIT, a unified multi-modal, multi-task VLM designed specifically for medical imaging tasks. UMIT is able to solve various tasks, including visual question answering, disease detection, and medical report generation. In addition, it is applicable to multiple imaging modalities (e.g., X-ray, CT and PET), covering a wide range of applications from basic diagnostics to complex lesion analysis. Moreover, UMIT supports both English and Chinese, expanding its applicability globally and ensuring accessibility to healthcare services in different linguistic contexts. To enhance the model's adaptability and task-handling capability, we design a unique two-stage training strategy and fine-tune UMIT with designed instruction templates. Through extensive empirical evaluation, UMIT outperforms previous methods in five tasks across multiple datasets. The performance of UMIT indicates that it can significantly enhance diagnostic accuracy and workflow efficiency, thus providing effective solutions for medical imaging applications.

We present Chameleon, a family of early-fusion token-based mixed-modal models capable of understanding and generating images and text in any arbitrary sequence. We outline a stable training approach from inception, an alignment recipe, and an architectural parameterization tailored for the early-fusion, token-based, mixed-modal setting. The models are evaluated on a comprehensive range of tasks, including visual question answering, image captioning, text generation, image generation, and long-form mixed modal generation. Chameleon demonstrates broad and general capabilities, including state-of-the-art performance in image captioning tasks, outperforms Llama-2 in text-only tasks while being competitive with models such as Mixtral 8x7B and Gemini-Pro, and performs non-trivial image generation, all in a single model. It also matches or exceeds the performance of much larger models, including Gemini Pro and GPT-4V, according to human judgments on a new long-form mixed-modal generation evaluation, where either the prompt or outputs contain mixed sequences of both images and text. Chameleon marks a significant step forward in a unified modeling of full multimodal documents.

We introduce Kvasir-VQA, an extended dataset derived from the HyperKvasir and Kvasir-Instrument datasets, augmented with question-and-answer annotations to facilitate advanced machine learning tasks in Gastrointestinal (GI) diagnostics. This dataset comprises 6,500 annotated images spanning various GI tract conditions and surgical instruments, and it supports multiple question types including yes/no, choice, location, and numerical count. The dataset is intended for applications such as image captioning, Visual Question Answering (VQA), text-based generation of synthetic medical images, object detection, and classification. Our experiments demonstrate the dataset's effectiveness in training models for three selected tasks, showcasing significant applications in medical image analysis and diagnostics. We also present evaluation metrics for each task, highlighting the usability and versatility of our dataset. The dataset and supporting artifacts are available at https://datasets.simula.no/kvasir-vqa.

We present Emu, a Transformer-based multimodal foundation model, which can seamlessly generate images and texts in multimodal context. This omnivore model can take in any single-modality or multimodal data input indiscriminately (e.g., interleaved image, text and video) through a one-model-for-all autoregressive training process. First, visual signals are encoded into embeddings, and together with text tokens form an interleaved input sequence. Emu is then end-to-end trained with a unified objective of classifying the next text token or regressing the next visual embedding in the multimodal sequence. This versatile multimodality empowers the exploration of diverse pretraining data sources at scale, such as videos with interleaved frames and text, webpages with interleaved images and text, as well as web-scale image-text pairs and video-text pairs. Emu can serve as a generalist multimodal interface for both image-to-text and text-to-image tasks, and supports in-context image and text generation. Across a broad range of zero-shot/few-shot tasks including image captioning, visual question answering, video question answering and text-to-image generation, Emu demonstrates superb performance compared to state-of-the-art large multimodal models. Extended capabilities such as multimodal assistants via instruction tuning are also demonstrated with impressive performance.

Humans possess the remarkable skill of Visual Perception, the ability to see and understand the seen, helping them make sense of the visual world and, in turn, reason. Multimodal Large Language Models (MLLM) have recently achieved impressive performance on vision-language tasks ranging from visual question-answering and image captioning to visual reasoning and image generation. However, when prompted to identify or count (perceive) the entities in a given image, existing MLLM systems fail. Working towards developing an accurate MLLM system for perception and reasoning, we propose using Versatile vision enCoders (VCoder) as perception eyes for Multimodal LLMs. We feed the VCoder with perception modalities such as segmentation or depth maps, improving the MLLM's perception abilities. Secondly, we leverage the images from COCO and outputs from off-the-shelf vision perception models to create our COCO Segmentation Text (COST) dataset for training and evaluating MLLMs on the object perception task. Thirdly, we introduce metrics to assess the object perception abilities in MLLMs on our COST dataset. Lastly, we provide extensive experimental evidence proving the VCoder's improved object-level perception skills over existing Multimodal LLMs, including GPT-4V. We open-source our dataset, code, and models to promote research. We open-source our code at https://github.com/SHI-Labs/VCoder

Existing vision tokenization isolates the optimization of vision tokenizers from downstream training, implicitly assuming the visual tokens can generalize well across various tasks, e.g., image generation and visual question answering. The vision tokenizer optimized for low-level reconstruction is agnostic to downstream tasks requiring varied representations and semantics. This decoupled paradigm introduces a critical misalignment: The loss of the vision tokenization can be the representation bottleneck for target tasks. For example, errors in tokenizing text in a given image lead to poor results when recognizing or generating them. To address this, we propose ETT, an end-to-end vision tokenizer tuning approach that enables joint optimization between vision tokenization and target autoregressive tasks. Unlike prior autoregressive models that use only discrete indices from a frozen vision tokenizer, ETT leverages the visual embeddings of the tokenizer codebook, and optimizes the vision tokenizers end-to-end with both reconstruction and caption objectives. ETT can be seamlessly integrated into existing training pipelines with minimal architecture modifications. Our ETT is simple to implement and integrate, without the need to adjust the original codebooks or architectures of the employed large language models. Extensive experiments demonstrate that our proposed end-to-end vision tokenizer tuning unlocks significant performance gains, i.e., 2-6% for multimodal understanding and visual generation tasks compared to frozen tokenizer baselines, while preserving the original reconstruction capability. We hope this very simple and strong method can empower multimodal foundation models besides image generation and understanding.

Vision Language Models (VLMs) have demonstrated significant potential in various downstream tasks, including Image/Video Generation, Visual Question Answering, Multimodal Chatbots, and Video Understanding. However, these models often struggle with basic image transformations. This paper investigates the image-level understanding of VLMs, specifically CLIP by OpenAI and SigLIP by Google. Our findings reveal that these models lack comprehension of multiple image-level augmentations. To facilitate this study, we created an augmented version of the Flickr8k dataset, pairing each image with a detailed description of the applied transformation. We further explore how this deficiency impacts downstream tasks, particularly in image editing, and evaluate the performance of state-of-the-art Image2Image models on simple transformations.

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

Weird, unusual, and uncanny images pique the curiosity of observers because they challenge commonsense. For example, an image released during the 2022 world cup depicts the famous soccer stars Lionel Messi and Cristiano Ronaldo playing chess, which playfully violates our expectation that their competition should occur on the football field. Humans can easily recognize and interpret these unconventional images, but can AI models do the same? We introduce WHOOPS!, a new dataset and benchmark for visual commonsense. The dataset is comprised of purposefully commonsense-defying images created by designers using publicly-available image generation tools like Midjourney. We consider several tasks posed over the dataset. In addition to image captioning, cross-modal matching, and visual question answering, we introduce a difficult explanation generation task, where models must identify and explain why a given image is unusual. Our results show that state-of-the-art models such as GPT3 and BLIP2 still lag behind human performance on WHOOPS!. We hope our dataset will inspire the development of AI models with stronger visual commonsense reasoning abilities. Data, models and code are available at the project website: whoops-benchmark.github.io

This paper presents a unified Vision-Language Pre-training (VLP) model. The model is unified in that (1) it can be fine-tuned for either vision-language generation (e.g., image captioning) or understanding (e.g., visual question answering) tasks, and (2) it uses a shared multi-layer transformer network for both encoding and decoding, which differs from many existing methods where the encoder and decoder are implemented using separate models. The unified VLP model is pre-trained on a large amount of image-text pairs using the unsupervised learning objectives of two tasks: bidirectional and sequence-to-sequence (seq2seq) masked vision-language prediction. The two tasks differ solely in what context the prediction conditions on. This is controlled by utilizing specific self-attention masks for the shared transformer network. To the best of our knowledge, VLP is the first reported model that achieves state-of-the-art results on both vision-language generation and understanding tasks, as disparate as image captioning and visual question answering, across three challenging benchmark datasets: COCO Captions, Flickr30k Captions, and VQA 2.0. The code and the pre-trained models are available at https://github.com/LuoweiZhou/VLP.

Several medical Multimodal Large Languange Models (MLLMs) have been developed to address tasks involving visual images with textual instructions across various medical modalities, achieving impressive results. Most current medical generalist models are region-agnostic, treating the entire image as a holistic representation. However, they struggle to identify which specific regions they are focusing on when generating a sentence. To mimic the behavior of doctors, who typically begin by reviewing the entire image before concentrating on specific regions for a thorough evaluation, we aim to enhance the capability of medical MLLMs in understanding anatomical regions within entire medical scans. To achieve it, we first formulate Region-Centric tasks and construct a large-scale dataset, MedRegInstruct, to incorporate regional information into training. Combining our collected dataset with other medical multimodal corpora for training, we propose a Region-Aware medical MLLM, MedRegA, which is the first bilingual generalist medical AI system to simultaneously handle image-level and region-level medical vision-language tasks across a broad range of modalities. Our MedRegA not only enables three region-centric tasks, but also achieves the best performance for visual question answering, report generation and medical image classification over 8 modalities, showcasing significant versatility. Experiments demonstrate that our model can not only accomplish powerful performance across various medical vision-language tasks in bilingual settings, but also recognize and detect structures in multimodal medical scans, boosting the interpretability and user interactivity of medical MLLMs. Our project page is https://medrega.github.io.

The rapid evolution of artificial intelligence, especially in large language models (LLMs), has significantly impacted various domains, including healthcare. In chest X-ray (CXR) analysis, previous studies have employed LLMs, but with limitations: either underutilizing the multi-tasking capabilities of LLMs or lacking clinical accuracy. This paper presents M4CXR, a multi-modal LLM designed to enhance CXR interpretation. The model is trained on a visual instruction-following dataset that integrates various task-specific datasets in a conversational format. As a result, the model supports multiple tasks such as medical report generation (MRG), visual grounding, and visual question answering (VQA). M4CXR achieves state-of-the-art clinical accuracy in MRG by employing a chain-of-thought prompting strategy, in which it identifies findings in CXR images and subsequently generates corresponding reports. The model is adaptable to various MRG scenarios depending on the available inputs, such as single-image, multi-image, and multi-study contexts. In addition to MRG, M4CXR performs visual grounding at a level comparable to specialized models and also demonstrates outstanding performance in VQA. Both quantitative and qualitative assessments reveal M4CXR's versatility in MRG, visual grounding, and VQA, while consistently maintaining clinical accuracy.

Finetuning language agents with reasoning-action trajectories is effective, but obtaining these trajectories from human annotations or stronger models is costly and sometimes impractical. In this paper, we investigate the use of self-training in language agents, which can generate supervision from the agent itself, offering a promising alternative without relying on human or stronger model demonstrations. Self-training, however, requires high-quality model-generated samples, which are hard to obtain for challenging language agent tasks. To address this, we present Reflection-Reinforced Self-Training (Re-ReST), which uses a reflector to refine low-quality generated samples during self-training. The reflector takes the agent's output and feedback from an external environment (e.g., unit test results in code generation) to produce improved samples. This technique enhances the quality of inferior samples and efficiently enriches the self-training dataset with higher-quality samples. We conduct extensive experiments on open-source language agents across tasks, including multi-hop question answering, sequential decision-making, code generation, visual question answering, and text-to-image generation. The results demonstrate the effectiveness of self-training and Re-ReST in language agent tasks, with self-training improving baselines by 7.6\% on HotpotQA and 28.4\% on AlfWorld, and Re-ReST further boosting performance by 2.0\% and 14.1\%, respectively. Our studies also confirm the efficiency of using a reflector to generate high-quality samples for self-training. Moreover, we demonstrate a method to employ reflection during inference without ground-truth feedback, addressing the limitation of previous reflection work. Our code is released at https://github.com/PlusLabNLP/Re-ReST.

This paper introduces BiMediX2, a bilingual (Arabic-English) Bio-Medical EXpert Large Multimodal Model (LMM) with a unified architecture that integrates text and visual modalities, enabling advanced image understanding and medical applications. BiMediX2 leverages the Llama3.1 architecture and integrates text and visual capabilities to facilitate seamless interactions in both English and Arabic, supporting text-based inputs and multi-turn conversations involving medical images. The model is trained on an extensive bilingual healthcare dataset consisting of 1.6M samples of diverse medical interactions for both text and image modalities, mixed in Arabic and English. We also propose the first bilingual GPT-4o based medical LMM benchmark named BiMed-MBench. BiMediX2 is benchmarked on both text-based and image-based tasks, achieving state-of-the-art performance across several medical benchmarks. It outperforms recent state-of-the-art models in medical LLM evaluation benchmarks. Our model also sets a new benchmark in multimodal medical evaluations with over 9% improvement in English and over 20% in Arabic evaluations. Additionally, it surpasses GPT-4 by around 9% in UPHILL factual accuracy evaluations and excels in various medical Visual Question Answering, Report Generation, and Report Summarization tasks. The project page including source code and the trained model, is available at https://github.com/mbzuai-oryx/BiMediX2.

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

Real-world clinical decision-making grapples with integrating information from diverse data modalities, including medical text, 2D/3D images, and video, leading to inefficiencies and potential diagnostic oversights. While generalist vision-language models (VLMs) offer promise, their medical development faces challenges of opaque pipelines, data scarcity, and architectural inflexibility. Here we present Hulu-Med, a transparent medical VLM that unifies understanding across all these modalities. Built upon a unified patch-based vision encoder and an LLM decoder, Hulu-Med was progressively trained on 16.7 million (M) samples to scale from 2D to 3D and video comprehension. The medical-aware token reduction enables efficient training, requiring only 4,000 to 40,000 GPU hours for 7B to 32B parameter variants. Extensive evaluation across 30 benchmarks exhibits state-of-the-art performance, surpassing leading open-source models and competing with proprietary systems in tasks spanning visual question-answering, medical report generation, and complex reasoning in multilingual and rare disease scenarios. By open-sourcing our complete pipeline, we establish that high-performance medical VLM can be achieved transparently, providing a foundational tool for accessible and impactful clinical AI. Code is released on https://github.com/ZJUI-AI4H/Hulu-Med{https://github.com/ZJUI-AI4H/Hulu-Med}.

Recent advances in large vision-language models (LVLMs) have demonstrated strong performance on general-purpose medical tasks. However, their effectiveness in specialized domains such as dentistry remains underexplored. In particular, panoramic X-rays, a widely used imaging modality in oral radiology, pose interpretative challenges due to dense anatomical structures and subtle pathological cues, which are not captured by existing medical benchmarks or instruction datasets. To this end, we introduce MMOral, the first large-scale multimodal instruction dataset and benchmark tailored for panoramic X-ray interpretation. MMOral consists of 20,563 annotated images paired with 1.3 million instruction-following instances across diverse task types, including attribute extraction, report generation, visual question answering, and image-grounded dialogue. In addition, we present MMOral-Bench, a comprehensive evaluation suite covering five key diagnostic dimensions in dentistry. We evaluate 64 LVLMs on MMOral-Bench and find that even the best-performing model, i.e., GPT-4o, only achieves 41.45% accuracy, revealing significant limitations of current models in this domain. To promote the progress of this specific domain, we also propose OralGPT, which conducts supervised fine-tuning (SFT) upon Qwen2.5-VL-7B with our meticulously curated MMOral instruction dataset. Remarkably, a single epoch of SFT yields substantial performance enhancements for LVLMs, e.g., OralGPT demonstrates a 24.73% improvement. Both MMOral and OralGPT hold significant potential as a critical foundation for intelligent dentistry and enable more clinically impactful multimodal AI systems in the dental field. The dataset, model, benchmark, and evaluation suite are available at https://github.com/isbrycee/OralGPT.

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.

Surgical site infection (SSI) is one of the most common and costly healthcare-associated infections and and surgical wound care remains a significant clinical challenge in preventing SSIs and improving patient outcomes. While recent studies have explored the use of deep learning for preliminary surgical wound screening, progress has been hindered by concerns over data privacy and the high costs associated with expert annotation. Currently, no publicly available dataset or benchmark encompasses various types of surgical wounds, resulting in the absence of an open-source Surgical-Wound screening tool. To address this gap: (1) we present SurgWound, the first open-source dataset featuring a diverse array of surgical wound types. It contains 697 surgical wound images annotated by 3 professional surgeons with eight fine-grained clinical attributes. (2) Based on SurgWound, we introduce the first benchmark for surgical wound diagnosis, which includes visual question answering (VQA) and report generation tasks to comprehensively evaluate model performance. (3) Furthermore, we propose a three-stage learning framework, WoundQwen, for surgical wound diagnosis. In the first stage, we employ five independent MLLMs to accurately predict specific surgical wound characteristics. In the second stage, these predictions serve as additional knowledge inputs to two MLLMs responsible for diagnosing outcomes, which assess infection risk and guide subsequent interventions. In the third stage, we train a MLLM that integrates the diagnostic results from the previous two stages to produce a comprehensive report. This three-stage framework can analyze detailed surgical wound characteristics and provide subsequent instructions to patients based on surgical images, paving the way for personalized wound care, timely intervention, and improved patient outcomes.

Medical image grounding aims to align natural language phrases with specific regions in medical images, serving as a foundational task for intelligent diagnosis, visual question answering (VQA), and automated report generation (MRG). However, existing research is constrained by limited modality coverage, coarse-grained annotations, and the absence of a unified, generalizable grounding framework. To address these challenges, we construct a large-scale medical grounding dataset Med-GLIP-5M comprising over 5.3 million region-level annotations across seven imaging modalities, covering diverse anatomical structures and pathological findings. The dataset supports both segmentation and grounding tasks with hierarchical region labels, ranging from organ-level boundaries to fine-grained lesions. Based on this foundation, we propose Med-GLIP, a modality-aware grounding framework trained on Med-GLIP-5M. Rather than relying on explicitly designed expert modules, Med-GLIP implicitly acquires hierarchical semantic understanding from diverse training data -- enabling it to recognize multi-granularity structures, such as distinguishing lungs from pneumonia lesions. Extensive experiments demonstrate that Med-GLIP consistently outperforms state-of-the-art baselines across multiple grounding benchmarks. Furthermore, integrating its spatial outputs into downstream tasks, including medical VQA and report generation, leads to substantial performance gains. Our dataset will be released soon.

In recent years, large language models (LLMs) have demonstrated remarkable progress in common-sense reasoning tasks. This ability is fundamental to understanding social dynamics, interactions, and communication. However, the potential of integrating computers with these social capabilities is still relatively unexplored. However, the potential of integrating computers with these social capabilities is still relatively unexplored. This paper introduces MuSA, a multimodal LLM-based agent that analyzes text-rich social content tailored to address selected human-centric content analysis tasks, such as question answering, visual question answering, title generation, and categorization. It uses planning, reasoning, acting, optimizing, criticizing, and refining strategies to complete a task. Our approach demonstrates that MuSA can automate and improve social content analysis, helping decision-making processes across various applications. We have evaluated our agent's capabilities in question answering, title generation, and content categorization tasks. MuSA performs substantially better than our baselines.

The analysis of 3D medical images is crucial for modern healthcare, yet traditional task-specific models are becoming increasingly inadequate due to limited generalizability across diverse clinical scenarios. Multimodal large language models (MLLMs) offer a promising solution to these challenges. However, existing MLLMs have limitations in fully leveraging the rich, hierarchical information embedded in 3D medical images. Inspired by clinical practice, where radiologists focus on both 3D spatial structure and 2D planar content, we propose Med-2E3, a novel MLLM for 3D medical image analysis that integrates 3D and 2D encoders. To aggregate 2D features more effectively, we design a Text-Guided Inter-Slice (TG-IS) scoring module, which scores the attention of each 2D slice based on slice contents and task instructions. To the best of our knowledge, Med-2E3 is the first MLLM to integrate both 3D and 2D features for 3D medical image analysis. Experiments on a large-scale, open-source 3D medical multimodal benchmark demonstrate that Med-2E3 exhibits task-specific attention distribution and significantly outperforms current state-of-the-art models, with a 14% improvement in report generation and a 5% gain in medical visual question answering (VQA), highlighting the model's potential in addressing complex multimodal clinical tasks. The code will be released upon acceptance.

Recently, Multi-Modal(MM) Large Language Models(LLMs) have unlocked many complex use-cases that require MM understanding (e.g., image captioning or visual question answering) and MM generation (e.g., text-guided image generation or editing) capabilities. To further improve the output fidelity of MM-LLMs we introduce the model-agnostic UniRAG technique that adds relevant retrieved information to prompts as few-shot examples during inference. Unlike the common belief that Retrieval Augmentation (RA) mainly improves generation or understanding of uncommon entities, our evaluation results on the MSCOCO dataset with common entities show that both proprietary models like GPT4 and Gemini-Pro and smaller open-source models like Llava, LaVIT, and Emu2 significantly enhance their generation quality when their input prompts are augmented with relevant information retrieved by MM retrievers like UniIR models.

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

Multi-modal interpretation of biomedical images opens up novel opportunities in biomedical image analysis. Conventional AI approaches typically rely on disjointed training, i.e., Large Language Models (LLMs) for clinical text generation and segmentation models for target extraction, which results in inflexible real-world deployment and a failure to leverage holistic biomedical information. To this end, we introduce UniBiomed, the first universal foundation model for grounded biomedical image interpretation. UniBiomed is based on a novel integration of Multi-modal Large Language Model (MLLM) and Segment Anything Model (SAM), which effectively unifies the generation of clinical texts and the segmentation of corresponding biomedical objects for grounded interpretation. In this way, UniBiomed is capable of tackling a wide range of biomedical tasks across ten diverse biomedical imaging modalities. To develop UniBiomed, we curate a large-scale dataset comprising over 27 million triplets of images, annotations, and text descriptions across ten imaging modalities. Extensive validation on 84 internal and external datasets demonstrated that UniBiomed achieves state-of-the-art performance in segmentation, disease recognition, region-aware diagnosis, visual question answering, and report generation. Moreover, unlike previous models that rely on clinical experts to pre-diagnose images and manually craft precise textual or visual prompts, UniBiomed can provide automated and end-to-end grounded interpretation for biomedical image analysis. This represents a novel paradigm shift in clinical workflows, which will significantly improve diagnostic efficiency. In summary, UniBiomed represents a novel breakthrough in biomedical AI, unlocking powerful grounded interpretation capabilities for more accurate and efficient biomedical image analysis.

Vision-and-language models (VLMs) have been increasingly explored in the medical domain, particularly following the success of CLIP in general domain. However, unlike the relatively straightforward pairing of 2D images and text, curating large-scale paired data in the medical field for volumetric modalities such as CT scans remains a challenging and time-intensive process. This difficulty often limits the performance on downstream tasks. To address these challenges, we propose a novel vision-language pre-training (VLP) framework, termed as VELVET-Med, specifically designed for limited volumetric data such as 3D CT and associated radiology reports. Instead of relying on large-scale data collection, our method focuses on the development of effective pre-training objectives and model architectures. The key contributions are: 1) We incorporate uni-modal self-supervised learning into VLP framework, which are often underexplored in the existing literature. 2) We propose a novel language encoder, termed as TriBERT, for learning multi-level textual semantics. 3) We devise the hierarchical contrastive learning to capture multi-level vision-language correspondence. Using only 38,875 scan-report pairs, our approach seeks to uncover rich spatial and semantic relationships embedded in volumetric medical images and corresponding clinical narratives, thereby enhancing the generalization ability of the learned encoders. The resulting encoders exhibit strong transferability, achieving state-of-the-art performance across a wide range of downstream tasks, including 3D segmentation, cross-modal retrieval, visual question answering, and report generation.

Medical image analysis is a fundamental component. As deep learning progresses, the focus has shifted from single-task applications, such as classification and segmentation, to more complex multimodal tasks, including medical visual question answering and report generation. Traditional shallow and task-specific models are increasingly limited in addressing the complexity and scalability required in clinical practice. The emergence of large language models (LLMs) has driven the development of medical Large Vision-Language Models (LVLMs), offering a unified solution for diverse vision-language tasks. In this study, we investigate various architectural designs for medical LVLMs based on the widely adopted LLaVA framework, which follows an encoder-connector-LLM paradigm. We construct two distinct models targeting 2D and 3D modalities, respectively. These models are designed to support both general-purpose medical tasks and domain-specific fine-tuning, thereby serving as effective foundation models. To facilitate reproducibility and further research, we develop a modular and extensible codebase, MedM-VL, and release two LVLM variants: MedM-VL-2D for 2D medical image analysis and MedM-VL-CT-Chest for 3D CT-based applications. The code and models are available at: https://github.com/MSIIP/MedM-VL

Both Minsky's "society of mind" and Schmidhuber's "learning to think" inspire diverse societies of large multimodal neural networks (NNs) that solve problems by interviewing each other in a "mindstorm." Recent implementations of NN-based societies of minds consist of large language models (LLMs) and other NN-based experts communicating through a natural language interface. In doing so, they overcome the limitations of single LLMs, improving multimodal zero-shot reasoning. In these natural language-based societies of mind (NLSOMs), new agents -- all communicating through the same universal symbolic language -- are easily added in a modular fashion. To demonstrate the power of NLSOMs, we assemble and experiment with several of them (having up to 129 members), leveraging mindstorms in them to solve some practical AI tasks: visual question answering, image captioning, text-to-image synthesis, 3D generation, egocentric retrieval, embodied AI, and general language-based task solving. We view this as a starting point towards much larger NLSOMs with billions of agents-some of which may be humans. And with this emergence of great societies of heterogeneous minds, many new research questions have suddenly become paramount to the future of artificial intelligence. What should be the social structure of an NLSOM? What would be the (dis)advantages of having a monarchical rather than a democratic structure? How can principles of NN economies be used to maximize the total reward of a reinforcement learning NLSOM? In this work, we identify, discuss, and try to answer some of these questions.

Large language models (LLMs) excel at zero-shot inference but continue to struggle with complex, multi-step reasoning. Recent methods that augment LLMs with intermediate reasoning steps such as Chain of Thought (CoT) and Program of Thought (PoT) improve performance but often produce undesirable solutions, especially in algorithmic domains. We introduce Per-Instance Program Synthesis (PIPS), a method that generates and refines programs at the instance-level using structural feedback without relying on task-specific guidance or explicit test cases. To further improve performance, PIPS incorporates a confidence metric that dynamically chooses between direct inference and program synthesis on a per-instance basis. Experiments across three frontier LLMs and 30 benchmarks including all tasks of Big Bench Extra Hard (BBEH), visual question answering tasks, relational reasoning tasks, and mathematical reasoning tasks show that PIPS improves the absolute harmonic mean accuracy by up to 8.6% and 9.4% compared to PoT and CoT respectively, and reduces undesirable program generations by 65.1% on the algorithmic tasks compared to PoT with Gemini-2.0-Flash.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.