In computational pathology (CPath), developing omni-modal self-supervised learning (SSL) models that integrate histology, genomics, and clinical reports enables transferable representation learning for whole slide images (WSIs). Existing approaches implicitly force heterogeneous modalities into a uniform latent space by contrastive alignment, causing modality collapse where unique, synergistic diagnostic signals (termed as $\mathrmΦ$) are discarded in favor of trivial redundancy. We hypothesize that the strongest task-agnostic SSL training signal stems from distilling the synergistic interactions over merely aligning shared redundancy. To this end, we introduce \textsc{$\mathrmΦ$-Omni}, a synergistic information disentanglement framework grounded in Partial Information Decomposition (PID) theory for slide representation learning. Unlike standard contrastive approaches, \textsc{$\mathrmΦ$-Omni} employs a Synergistic Information Bottleneck (SIB) regulated by the proposed $\mathrmΦ\text{ID}$ objective, which explicitly suppresses marginal redundancy while maximizing irreducible synergy, thereby distilling high-order cross-modal interactions. Following pretraining on breast ($n$=1031) and lung ($n$=919) cohorts, \textsc{$\mathrmΦ$-Omni} demonstrates superior few-shot performance across five independent external datasets spanning eight tasks compared to supervised and SSL baselines. Source code is available here.
We present TropicalCycloneNext (TC-Next), a multimodal deep learning model that forecasts tropical cyclone track and intensity at $6$-$24$ h leads by leveraging a foundation model's forecast fields of atmospheric kinematic and thermodynamic fields and GridSat infrared satellite imagery. Trained only on GraphCast forecasts over the Western Pacific (WP), yet reliant only on generic atmospheric variables, TC-Next on GraphCast lowers track error by $15$-$44\%$ and intensity error by a factor of $3$-$6$ relative to a conventional, rule-based tracker, TempestExtremes; applied without retraining to the forecast fields of Pangu-Weather and IFS HRES, it stays ahead of TempestExtremes on both. Applied zero-shot to the generic weather fields of WeatherNext Cyclones on the 2025 WP season, TC-Next attains lower intensity error at every lead time, and lower or comparable track error, compared to that model's specialized direct tracker in a deterministic comparison. Our ablation studies show that our multimodal model is able to utilize the additional modality to improve performance in tracking errors at every lead time and in intensity prediction at longer lead times.
InfRared Small Target Detection (IRSTD) is a challenging task. Relying solely on pixel-level information, vision-only methods struggle to distinguish targets from clutter. Current multimodal methods typically describe both targets and backgrounds with a single textual prompt. Such an approach lacks dedicated regional guidance and ignores infrared semantic asymmetry. Consequently, it provides insufficient background suppression information and introduces severe feature optimization conflicts, overwhelming small targets with noise. To address these issues, we propose a novel Asymmetric Dual-text Guided Network (ADGNet). Specifically, accounting for the infrared semantic asymmetry, we first design the Asymmetric Dual-text Prompt (ADP), comprising an image-agnostic abstract target prompt and an image-specific detailed background prompt. To leverage these prompts, we introduce an Asymmetric Dual-Branch Interaction (ADBI) module to separately guide visual features with their respective text priors, protecting targets from noise while suppressing background clutter. Subsequently, we introduce an Adaptive Feature Aggregation (AFA) module to dynamically fuse features from the two branches. Furthermore, we construct a multimodal Asymmetric Image-Text Infrared (AITIR) dataset by providing asymmetric text annotations for three public datasets (IRSTD-1K, NUDT-SIRST, and SIRST). Extensive experiments demonstrate that ADGNet outperforms 21 state-of-the-art (SOTA) methods. Code is available at https://github.com/iLearn-Lab/MM26-ADGNet.
Chaohui Dang, Zheheng Jiang, James Glasbey +3cs.CV
Objective assessment of surgical technical skill is important for surgical training and structured feedback, but current workflows remain dependent on labor-intensive expert review. Existing automated approaches primarily focus on visual inputs and provide limited support for jointly studying operative performance, structured skill scores, and evaluator feedback. We introduce SurgSkill-Bench, an initial video-score-text benchmark-style dataset containing 214 surgical training simulation videos, six-dimensional OSATS scores, and expert free-text comments. We define two evaluation settings: video-only OSATS prediction for automated assessment and post hoc expert-comment-assisted prediction, where evaluator comments are available as auxiliary information. We provide controlled baseline experiments using representative frozen visual backbones, content-adaptive key-frame sampling, and a simple video-text co-attention fusion module. Under internal video-level validation, content-adaptive sampling improves video-only performance in this dataset, while evaluator comments provide additional score-related signal in the assisted setting. The best mean AUROC reaches 0.88 under dataset-specific median dichotomization. We further discuss evaluation constraints related to dataset scale, metadata completeness, and the interpretation of comment-assisted prediction. Code will be released publicly at a later date.
Sarang Manoj Pekhale, Amartya Roy, Rajat Sarkar +1cs.AI
Discovering governing partial differential equations (PDEs) from observational data remains a core challenge across the sciences. Existing sparse-regression, symbolic-regression, and LLM-based approaches can be constrained by predefined libraries, noise sensitivity, hallucination, or limited iterative refinement. We introduce \textbf{MAGE} (\textbf{M}ultimodal \textbf{A}gentic \textbf{G}overning \textbf{E}quation Discovery), an agentic framework that organizes PDE discovery as a \textit{confidence governed hypothesis validation loop} inspired by the scientific cycle of observation, hypothesis, and falsification. Four role-specialized agents collaborate: a \textit{Differential Observer} computing derivatives and diagnostic visualizations; a VLM-powered \textit{Phenomenology Extractor} distilling qualitative cues from multimodal diagnostics; an LLM-driven \textit{Governing Law Synthesizer} proposing candidates without a predefined library; and an \textit{Equation Arbiter} fitting coefficients and assigning confidence scores. Discovery iterates until the top candidate clears a user-specified threshold, providing a structured process with an explicit accept-reject protocol. On the evaluated canonical PDE suite, MAGE obtains \textbf{8/8} exact structural recovery and the lowest coefficient error among the compared methods on \textbf{7/8} systems, with improvements of up to \textbf{4 orders of magnitude} and a geometric-mean improvement of approximately \textbf{3 orders of magnitude}. The pipeline also recovers the expected operators in two complex geometries and, on one laboratory sensor record, selects a cubic restoring-force model with held-out $R^2=0.98538$. These results support further study of structured agentic reasoning for library-free governing-law discovery, while broader generalization remains to be evaluated.
Multimodal GUI agents have emerged as a promising paradigm for digital task automation, yet transitioning from benchmark-oriented models to dependable real-world applications remains challenging due to limited environment coverage, brittle task construction, and unreliable reward verification. In this work, we present UI-Venus-2, a general-purpose foundation GUI agent designed to operate across mobile, web, and desktop environments through a unified closed-loop reasoning-action framework. To bridge the gap toward practical deployment, we jointly scale three critical dimensions: (1) Environments, expanding coverage to more than 170 multilingual mobile apps and native desktop operating systems; (2) Tasks, employing a deep-research pipeline for function-grounded instruction generation; and (3) Verification, adopting trace-level and sample-level evaluators with visual keypoints and multi-model voting to ensure reliable RL signals for training. Furthermore, we integrate safety-aware mechanisms to ensure controlled execution of consequential actions. By offering a capable, efficient, and open-source foundation, UI-Venus-2 advances the field toward more generalizable, verifiable, and self-reflective agents for real-world applications.
Understanding how (multimodal) large language models perform on physics problems requires benchmarks that reflect the difficulty and breadth of expert-level physical reasoning. Existing physics benchmarks remain limited in the following two important ways: (1) short of high-difficulty datasets, and (2) lack of comprehensive coverage of visual forms, knowledge points, and step-by-step solution processes. As a result, model performance on current datasets may not be fully representative of their ability to solve complex physics problems. To address these issues, we present PhysElite, a large-scale bilingual multimodal benchmark for Olympiad-level physics reasoning. PhysElite contains 11,586 Olympiad-tier problems. For each problem, we provide corresponding visual diagrams, step-by-step bilingual Chinese-English solution derivations, and the final answer. We benchmark 18 open-source and closed-source MLLMs, and find that even the strongest model reaches only 33.7% answer accuracy. We additionally conduct step-level process evaluation to diagnose where models fail in the reasoning chain. Our datasets are released at https://huggingface.co/datasets/physelite/PhysElite.
Eugene Vorontsov, Yi Kan Wang, Alican Bozkurt +13cs.LG
Precision oncology necessitates a longitudinal model of patient state that captures cancer evolution and treatment over time, integrating multimodal observations. We introduce the oFM, a foundation model developed on a real-world oncology cohort of 1.67 million cancer patients that integrates clinical trajectories with DNA, RNA, and H&E pathology. Patient-level partitions were reserved for training, validation, and testing, with over one million patients used for training. The oFM encodes daily clinical and molecular episodes and, along with pathology images, integrates them over time to produce a patient state embedding. We evaluate frozen oFM embeddings against expert-curated clinical and molecular baseline features. In prognostic benchmarks, the oFM improved AUC for treatment response, progression-free survival, and overall survival (0.774 vs. 0.563 for overall survival). Across 11 comparative-treatment cohorts, the oFM embeddings achieved a three-fold higher pooled and scale-normalized treatment-benefit AUTOC than baseline features with improved benefit ranking in 9 of 11 cohorts, and provided stronger prognostic discrimination within both treatment arms. We also evaluated a mechanism discovery framework that interprets downstream models built on oFM embeddings by linking their predicted outcomes to clinically and biologically grounded mechanisms through an evidence-grounded temporal graph, enabling evaluation in clinical and drug-development applications.
Marie-Lisa Eich, Kai Standvoss, Timo Milbich +30cs.CV cs.AI cs.LG
Lung cancer tissue diagnostics is complex, as therapy decisions in precision oncology rely on the integration of histomorphological, immunohistochemical, and molecular features. Yet pathological assessment remains largely visual and semi-quantitative and shows interobserver variability, while existing artificial intelligence (AI) tools cover only selected tasks, rarely reach generalizable expert-level performance, and lack prospective clinical validation. To address these challenges, we developed and clinically validated LUCAID, an agentic AI system for precision lung cancer pathology. An integrative agent couples diagnostic reasoning with nine modules that cover the full routine workflow, from quality control, tumor detection and segmentation, histological subtyping, tumor microenvironment profiling, tumor cellularity quantification, and predictive biomarker scoring (PD-L1, MET, TROP-2) to automated structured report generation. LUCAID enables users to interactively query the module outputs and generate reports that contextualize the results. Against large-scale expert ground-truth annotations, the analysis modules achieved F1 scores of 0.82-0.95. In prospective clinical validation, LUCAID reached 93.0% concordance with an expert-panel adjudicated reference standard across clinically actionable decisions, compared with 68.3-81.1% for five experienced thoracic pathologists.
Jiawen Wang, Xiaoxue Gao, Zi Haur Pang +1cs.SD cs.AI
Recent large audio language models (LALMs) have achieved impressive progress in audio understanding. However, existing evaluations remain largely constrained to English and narrow audio domains. Prior benchmarks typically focus on a single audio modality, i.e., speech, sound, or music, limiting the systematic investigation into how these models generalize across diverse visual scenarios. In this paper, we introduce EXAM$^2$, a benchmark for multilingual and multimodal audio understanding spanning six languages and multiple modalities, including speech, sound, music, mixed-audio settings, and visual images. By incorporating visual information alongside heterogeneous audio inputs, EXAM$^2$ enables more realistic evaluation of scene-aware audio reasoning and cross-modal comprehension. EXAM$^2$ comprises $5,667$ multiple-choice questions, $22,614$ image instances, and $135,684$ multilingual translations. We evaluate state-of-the-art open-source and proprietary LALMs as well as multimodal LLMs, revealing substantial performance gaps in multilingual and cross-modal understanding. Furthermore, we propose Gemma3n-EXAM$^2$, a lightweight fusion-model fine-tuned on EXAM$^2$-train, achieves up to $12.4\%$ improvement in multilingual settings and $21.7\%$ gains in multimodal evaluation over a strong baseline. Empirical results establish EXAM$^2$ as a challenging benchmark and pioneer future multilingual and multimodal audio intelligence research.
Vincenzo Marco De Luca, Antonio Longa, Giovanna Varni +1cs.LG
In surgery, patient safety is threatened not only by technical issues but also by poor teamwork. However, existing surgical AI-based solutions focus mainly on visual workflow and technical execution, neglecting the modeling of team interactions and missing opportunities to actively support clinicians in improving their teamwork skills. To address this gap, we propose a tempo-relational framework for modeling surgical team dynamics from multimodal observations. By leveraging Time-Expanded graphs, the approach captures both relational structure and temporal evolution, achieving strong expressivity while remaining robust in the low-data regime typical of surgical settings. Beyond prediction, such modeling enables the generation of efficient, interpretable, and actionable suggestions for clinicians. More specifically, we generate suggestions via a counterfactual procedure that identifies minimal yet structured changes in individual behaviors and interaction patterns associated with improvements in team performance. Experiments with simulated surgical procedures show that our approach improves predictive performance in diverse behavioral and interaction goals while offering meaningful insights into team dynamics. This work advances surgical AI beyond outcome-driven prediction towards a socially grounded, team-centric, and actionable paradigm to better understand and support the development of team skills in surgical settings.
Depression assessment from multimodal clinical interviews requires integrating dispersed evidence from multiple symptoms into a coherent PHQ-8 profile. This process is hierarchical: relevant evidence is often sparse and context-dependent within local question-answer exchanges, multiple exchanges jointly support symptom-level judgments, and the final assessment depends on the coherence of the complete symptom profile. Existing LLM systems either process interviews holistically or distribute work across generic agent roles; neither design necessarily provides an explicit orchestration mechanism that coordinates evidence access, item-score authority, bounded feedback, and state recording across these levels. To address this gap, we introduce HiMA-MDD, a hierarchical multi-agent harness that aligns this assessment hierarchy with three agent layers. After non-agentic preprocessing constructs context-preserving multimodal QA units, Layer 1 identifies candidate QA-to-item relations and supports bounded item-grounded evidence routing. Layer 2 assigns symptom groups to operational factor specialists, with one specialist responsible for each provisional item score. Layer 3 audits the complete provisional profile, requests at most one round of targeted revision, and reconstructs the verified PHQ-8 profile. This layered design naturally yields a Hierarchical Evidence Trace, preserves all intermediate evidence, judgments, and revisions for auditability. The final item scores then deterministically produce the total score and screening decision. Using Qwen2.5-72B-Instruct as the harness backbone, our experiments on E-DAIC demonstrate that HiMA-MDD outperforms the compared state-of-the-art methods.
The current progress of Clinical Vision Large Language Models (C-VLLMs) has substantially improved digital diagnostics, still these frameworks often endure lesion noises, modality misalignment, hallucination, and missed contextual grounding in complex clinical cases. Moreover, prevailing agent systems usually depend on static and non-adaptable pipelines and lack the versatility necessary for complex medical reasoning. To resolve these difficulties, we present BioMed-Agent-RL, a unified medical agent that incorporates adaptive orchestration, policy, and reward-based reinforcement learning (RL) models for biomedical applications. To ensure reliability, it invokes clinical context-aware preference optimization (CPO), direct preference optimization (DPO), and group relative policy optimization (GRPO) with dynamic entropy regulation. This pipeline utilizes a multimodal meta-learning approach that operates as a field-specific expert and human judgment synthesizer. The agent adaptively utilizes a set of model-level expertise, such as clinical grounding and reasoner, lesion segmenter, and field-specific synthesizer, across various clinical modalities (e.g., X-ray) by utilizing an iterative and adaptive RL approach. The agent learns to seriously synthesize misleading, conflicting vision cues and trust in inherent reasoning, while specialist advice is faulty. An intensive ablation study is conducted across multiple benchmarks, and the agent significantly outperforms existing state of the art models, such as GPT-5, attaining up to ~73% accuracy (gain of ~5%) over contemporary baselines. As a result, the framework suggests a new standard for building factual, reliable, robust, and expert-like intelligent agent systems for independent clinical reasoning.
Medical image-text data can expose protected health information (PHI) through both visible image content as well as accompanying text, creating a barrier to privacy-preserving medical AI systems. This risk is especially prominent in multimodal systems, where images, questions, reports, and clinical context may enter training, evaluation, or inference pipelines. Existing medical vision-language benchmarks primarily emphasize task utility, while de-identification methods are often evaluated separately from downstream reasoning. We introduce ClinX, an end-to-end multimodal PHI sanitization framework for medical image-text data. ClinX detects visible identifiers with optical character recognition (OCR), constructs binary PHI masks, and applies ClinX-PRISM, a no-skip generative restoration module with privacy-oriented post-processing for burned-in identifier suppression. In parallel, text-side PHI is reduced through progressive de-identification levels: regex masking, context-aware masking, and rewrite-based sanitization. We evaluate ClinX in medical visual question answering (MedVQA), jointly measuring PHI leakage and downstream utility across image-side, text-side, and combined de-identification settings. Results show that OCR-only masking is not sufficient as a standalone solution, and restoration-based sanitization better preserves clinically relevant visual context while sharply reducing recoverable PHI.
Narratives are central to how social communication is framed, making their detection critical for understanding and analysing public discourse. Prior work has explored narrative detection and extraction across diverse domains; however, migration narratives remain significantly understudied, primarily due to the absence of dedicated annotated datasets. Furthermore, public communication has recently shifted towards video-centric platforms, where narratives are conveyed through multimodal signals and consumed at scale. Despite this shift, narratives in videos remain largely unexplored. To bridge these gaps, we introduce MigrationNarrate, the first multimodal dataset for detection of migration narratives in the UK, consisting of 1,115 YouTube video transcripts annotated using a two-level taxonomy of 12 migration super-narratives and 53 narrative labels. This paper details the dataset design, collection, and annotations; together with benchmark results using a combination of pre-trained encoder models and both open- and closed-source Large Language Models. Finally, a thorough error analysis offers insights for future work.
Deep learning-based whole-body PET-CT lesion segmentation can support cancer staging, treatment planning, and response assessment, but generalization is limited by scarce annotations and domain shifts. Self-supervised learning (SSL) can address these challenges but remains underexplored in pan-cancer, multi-tracer PET-CT. In this work, we propose MUST-PET (MUltimodal Self-Supervised learning across Tracers), a multimodal, multi-tracer SSL framework for generalizable whole-body PET-CT lesion segmentation. MUST-PET is trained and validated on a diverse, multi-institutional collection of pan-cancer PET-CT scans acquired with FDG and prostate-specific membrane antigen (PSMA)-targeted radiotracers. MUST-PET uses context-aware masked reconstruction, where one modality is partially masked and reconstructed using complementary information from both PET and CT. The pretrained model is subsequently fine-tuned with labeled samples and evaluated for reconstruction quality, lesion segmentation, label efficiency, and generalizability across independent held-out datasets. MUST-PET reduces reconstruction error, improves lesion segmentation over training from scratch, and performs well with limited labeled data and on unseen external datasets, demonstrating the potential of multi-tracer SSL for label-efficient, generalizable whole-body PET-CT. segmentation.
While multimodal large language models (MLLMs) excel in medical applications, most of them favor static images or short-term signals. In the critical field of dynamic electrocardiograms (ECG), models struggle with complex temporal reasoning and diagnostic report generation due to a lack of high-quality datasets and benchmarks. To address this, we introduce (i) Holtercare-23K, a large-scale multimodal dynamic ECG dataset comprising 22,980 QA pairs derived from 788 clinical Holter records and featuring a novel signal-video-text tri-modal alignment. Based on this dataset, we present (ii) Holtercare-Bench, a multimodal benchmark that evaluates models on temporal localization, clinical diagnosis, and global summarization. Zero-shot evaluations of leading MLLMs reveal a significant performance gap in processing ultra-long pathological sequences. However, fine-tuning representative models yields substantial improvements. This work illuminates the limitations of current MLLMs in electrophysiology and provides a foundational benchmark for long-term medical MLLMs. Our project is available at https://github.com/ZJU4HealthCare/Holtercare-Bench.
Zijie Meng, Yuncheng Zhang, Hualiang Wang +8cs.CL cs.AI
Recent Multimodal Large Language Models (MLLMs) are rapidly evolving into unified understanding and generation (UAG) frameworks. However, extending these unified paradigms to the medical domain is hindered by: the absence of comprehensive training and evaluation benchmarks, and the lack of broadly validated unified medical model. To address these gaps, we present a comprehensive foundation for medical UAG. First, we construct MedUAGCorpus, the largest unified medical understanding and generation dataset to date, comprising over 6 million instances across 14 imaging modalities. Second, we introduce MedUAGBench, a systematic benchmark that expands medical generation evaluation to 12 diverse tasks under standardized protocols. Finally, leveraging these resources, we develop MedUAG, an end-to-end trained unified medical model. Extensive experiments demonstrate that MedUAG achieves strong performance across a wide array of understanding and generation tasks, establishing a competitive baseline and paving the way for next-generation medical multimodal systems.
Holger R. Roth, Ziyue Xu, Peter Cnuddecs.CV cs.AI cs.LG
Federated multimodal models often assume every site has every modality, although hospitals differ in access to EHRs, chest radiographs, and ECGs. We study this setting on a MIMIC-derived respiratory deterioration task with simulated FL clients and introduce FedCoRe (Federated Cross-Modal Representation Completion). FedCoRe learns representation- or logit-space corrections rather than generating synthetic ECGs or CXR images. When a client observes a modality that may be missing at deployment, it evaluates the same example with and without that modality to obtain paired supervision. Only clients with such pairs update the completion module, and validation may retain the unchanged prediction. We freeze the trained multimodal predictor during evaluation so that measured differences come only from completion. Hiding ECG reduced AUROC by about 0.085; paired-example FedAvg restored 0.0415 AUROC, or 49.0% of the lost performance. We therefore report two distinct effects: paired-example FedAvg partially recovers the missing-ECG gap, while validation-selected completion is a task-specific classifier-logit correction rather than literal ECG recovery. For CXR, effect-aware completion recovers 52.8% of the loss in a controlled test where CXR is hidden. Paired-example FedAvg transfers part of this effect, but validation keeps the no-completion baseline for deployment cases whose inputs lack CXR. Thus, FedCoRe should be read as a validation-gated completion/correction framework: it can recover missing-modality signal in supported settings, but it should be deployed only when paired examples and validation evidence support that modality.
Multimodal Retrieval Augmented Generation (M-RAG) is increasingly vulnerable to adversarial attacks where malicious data are crafted to produce embeddings that align with benign entries in the vector space, deceiving retrieval and inducing harmful outputs. Existing defenses primarily operate at query time, relying on auxiliary detectors, similarity re-ranking, or feature-consistency checks. However, these approaches suffer from non-trivial inference overhead, generalize poorly to unseen attack strategies, and often assume specific attack distributions. To address this, we propose DSPrompt, a Dynamic Soft Prompt defense framework that directly reshapes the retriever's embedding semantics, without modifying the retrieval pipeline. It inserts few learnable soft prompts into each layer of the visual and textual encoders of a frozen retriever, utilizing a shallow-to-deep length schedule that is adaptive to the capacity in the model layers. These prompts are trained under a dynamic min-max scheme: an online multimodal attacker continually crafts hard adversarial documents against the current retriever, while the defender is updated to push such documents out of the top-k while preserving the ranking and diversity of benign evidence. Because the defended encoder can be pre-computed and indexed exactly as in standard dense retrieval, DSPrompt incurs no additional per-query optimization and introduces fewer than 1% additional parameters. Extensive experiments across four benchmarks and three representative poisoning attacks show that DSPrompt substantially reduces the attack success rate and poison retrieval rate while maintaining near-lossless retrieval utility and generation fidelity, consistently outperforming existing defense baselines at a fraction of their computational cost.
Petros Chatzitoulousis, George K. Matsopouloscs.CV
This report describes our submission to the Big Cross-Modal Attenuation Correction (BIC-MAC) 2026 Challenge for CT-less PET attenuation correction through multimodal pseudo-CT synthesis. We build upon a standard nnU-Net architecture and combine anatomical and physical supervision to improve both pseudo-CT quality and downstream PET reconstruction. Anatomical supervision is introduced through a frozen TotalSegmentator feature extractor, anatomy-guided structural constraints and patch sampling, while physical supervision is achieved using a differentiable attenuation correction factor projection loss based on multi-angle attenuation projections. Furthermore, the network is initialized with pretrained weights obtained from training on the SynthRAD Challenge MR-to-CT dataset. Minimal architectural modifications are applied, while performance improvements are pursued across the nnU-Net pipeline, including preprocessing, plans, and supervision design, among other components. Our final submission demonstrates the effectiveness of combining anatomical supervision, attenuation physics, and efficient nnU-Net scaling for CT-less PET attenuation correction.
On modern e-commerce stores, customers consume ordered slates of heterogeneous product media, such as images, videos, and 3D renders, before making purchase decisions. Existing media-ranking systems often optimize myopic engagement proxies such as clicks or dwell time, even though product media assets are cooperative informational components of the same item that together help customers find the information they need through sequential interaction. We present Sequential Multimodal Evidence Optimization (SMEO), a two-stage utility-guided framework for customer-oriented media sequencing. SMEO first learns a trajectory utility model from consumed media prefixes to estimate how ordered evidence helps customers reach a purchase decision, while mitigating position-bias and variable-depth imbalance in logged data. Recognizing that customer attention is a limited resource, it then trains an autoregressive ranking policy with survival-weighted reward-to-go that prioritizes the most decision-relevant information early, so customers can find what they need with less effort. By decoupling utility learning from policy optimization, SMEO enables stable offline learning from biased logs and post-hoc media attribution without explicit media-level labels. Evaluated offline on large-scale e-commerce sessions using doubly robust off-policy estimation, SMEO improves estimated conversion by 5.5% and helps customers reach a purchase decision with 15% fewer swipes than existing baselines.
In the current artificial intelligence-driven innovation era, the pace of knowledge growth is accelerating, and is hard to keep up with. While generative models are increasingly used to synthesize content, they often lack in information grounding. To address these peculiarities of our time, we propose Wyvern, a multi-agent framework for the automated generation of grounded, multimodal technical reports. Wyvern allows for the generation of multimodal outputs, integrating images, tables, and text with supporting references in a unified report. Additionally, a particular focus is placed on the grounding of the content, with the implementation of a claims auto-revision stage. We conduct a human evaluation study to assess the quality of our proposed framework. The results show that the figures' informativeness is perceived as superior to that of a recent baseline in 87% of cases. Furthermore, Wyvern's reports are rated as more useful than those produced by three alternative methods in 63% to 100% of instances. We also carry out automatic evaluations showing that Wyvern gains up to 2.3$\times$ in citation recall and 1.6$\times$ in citation precision with respect to the baselines.
Adiba Orzikulova, Dong Min Kim, Jaehong Yoon +1cs.LG
Federated multimodal medical AI faces modality heterogeneity at both the client and sample levels: clients may systematically lack access to specific modality types, while individual records within the same client may contain different partial modality subsets. Sparse Mixture-of-Experts (MoE) architectures are a promising remedy for modality-adaptive computation, but their use in federated learning is fragile under cross-client modality heterogeneity, where locally learned routing policies can diverge across clients and drive experts toward incompatible specializations. Different clients may assign the same observed modality configuration to different experts, or train similarly indexed experts on different missing-modality configurations, causing standard aggregation to misalign or overwrite the expert specialization that sparse MoEs are intended to learn. To address this challenge, we propose MedMix, a semantic-alignment framework for federated multimodal sparse MoEs that coordinates cross-client routing and expert specialization using modality context. At the client side, MedMix uses modality-context-aware routing to guide expert selection using each token's modality identity, position, and incompleteness context. Across clients, it uses consensus-guided routing alignment to construct server-side consensus anchors for shared modality patterns and align local routing distributions across clients. Complementing these routing mechanisms, client-adaptive expert aggregation leverages client-specific modality-pattern prototypes to match and aggregate functionally similar experts across clients. Experiments on real-world multimodal medical datasets show that MedMix achieves the best average F1 across diverse modality heterogeneity and modality incompleteness settings, with especially clear gains under severe heterogeneity.
Unified image and video creation requires a model to follow diverse instructions while preserving identity, geometry, and temporal structure from visual context. However, semantic-only conditioning and creation-only training do not explicitly supervise the local structure needed for precise, temporally consistent editing. We therefore formulate depth and surface-normal prediction as image-form denoising targets, using these dense tasks as structured visual supervision within the same creation interface. Our framework decouples semantic interpretation from spatially aligned visual injection while sharing one multimodal diffusion transformer (MMDiT) backbone across all tasks. Mutual Context Attention (MCA), a paired-video data-construction procedure, and a progressive training curriculum then connect the learned structural cues to temporally localized editing and reference-conditioned creation. A single checkpoint obtains the highest overall score in the reported comparison of unified systems (4.15); adding dense supervision improves OpenVE Overall from 3.98 to 4.06 and Local Add from 3.92 to 4.18. These results support a deliberately bounded conclusion: perception-oriented dense supervision transfers useful structural knowledge to downstream creation, especially editing locality and preservation; we do not claim superiority as a standalone dense predictor.
Implicit multimodal in-context learning compresses demonstrations into internal interventions, ranging from static task vectors to query-conditioned transformations and attention routing. Despite their common goal, these methods differ substantially in how the intervention depends on the query and where it modifies the model, leaving unclear which additional complexity is necessary for a given task. We propose the Selection--Realization Hypothesis. It views demonstrations as inducing a compact family of internal changes from which the query selects, while the model's computation constrains how the selected change can be implemented. We evaluate this account using controlled multimodal tasks in which query dependence varies without changing the underlying task primitives or prompt format. By contrasting correct demonstrations with matched counterfactuals, we measure the structure of explicit M-ICL and test whether it predicts intervention behavior. We find that the success of a static task vector is closely tied to how much of the demonstration-induced change is shared across queries. Additional intervention complexity becomes useful when explicit M-ICL contains query-specific or distributed structure that a local additive shift cannot recover. These relationships extend to natural VQA benchmarks and support cost-aware method selection without access to test performance. Our results provide a unified empirical theory of when demonstrations can be compressed into a task vector and when a more expressive intervention is warranted.
Multimodal embodied agents are increasingly required to solve long-horizon tasks by integrating visual observations, textual goals, and interaction history into closed-loop decision making. However, state-of-the-art large-model-based planners often rely on a single dominant planning style during execution. Once this execution mode becomes ineffective, the agent may remain stalled for many steps, repeatedly interacting with the environment without making meaningful progress. We address this limitation by proposing a Quality-Diversity (QD) framework for discovering diverse planning policies for multimodal embodied agents. The proposed method treats planning-policy templates as evolvable individuals and organizes them into a behavior-indexed archive rather than collapsing search to a single prompt style. In the offline stage, rollout trajectories are summarized into structured success and failure experiences, which guide policy variation through recombination and experience-guided mutation. The resulting policies are mapped into a behavior space defined by interaction intensity and goal-directedness, and the highest-quality policy in each niche is retained in the archive. In the online stage, the agent executes one policy at a time while monitoring task progress. When persistent stall is detected, the system rolls back to the latest checkpoint and switches to a behaviorally distinct archive policy to resume execution. Experiments on the ThreeDWorld transport benchmark show that the proposed framework improves both task success and interaction efficiency over representative baseline planners. These results suggest that discovering diverse policy repertoires is an effective way to support adaptive multimodal planning and online failure recovery.
Industrial recommendation systems predominantly adopt a passive ranking paradigm that infers user preferences from implicit behavioral signals (e.g., clicks, dwell time) rather than explicit, natural language inputs. As a result, users experience a persistent discrepancy between their explicit interests and what passive behavioral algorithms deliver, limiting their ability to express nuanced preferences or steer their feed in real time. To address this growing gap between how recommendations are optimized and how users wish to articulate their interests, we present Shape Your Feed (SYF), an LLM-based agentic recommendation framework that enables real-time, multimodal co-curation of content. SYF employs a three-tier architecture: (i) a Perception Flow that captures fine-grained user intent from text prompts, voice commands, and UI interactions; (ii) a Serving Flow that performs real-time agentic re-ranking and pruning of candidate items, grounded in a persistent Semantic Profile encoding evolving user preferences; and (iii) a Self-Evolution Flow that aligns system behavior with human judgments via Direct Preference Optimization (DPO) and an LLM-as-a-Judge ensemble. Offline evaluations show that SYF's alignment scoring module achieves 98.85% accuracy, substantially improving over strong few-shot baselines. Large-scale online A/B experiments on production traffic further demonstrate that SYF improves feed relevance and user sentiment, indicating a practical and scalable path toward interactive, user-steerable recommendation in industrial settings.
Background: Respiratory specialty care requires multimodal interpretation, longitudinal risk assessment, guideline-concordant intervention, and whole-course management, which are poorly represented by examination-oriented medical benchmarks. Objective: To develop RESPClinBench, a real-world scenario-based benchmark for respiratory clinical decision-making, and evaluate seven contemporary large language models across AECOPD-PIM and PNBIM. Methods: RESPClinBench cases were adapted from de-identified respiratory clinical data. Three attending-level respiratory physicians revised cases, reference answers, and atomic clinical-action points, while one senior respiratory specialist performed cross-review and final adjudication. AECOPD-PIM comprised 427 open-ended COPD cases, and PNBIM comprised 196 multimodal pulmonary nodule cases combining chest CT with structured clinical information. Seven models generated 4,361 responses through standardized API inference with temperature 0 and a maximum output length of 8192 tokens. An automated framework calculated the final score as the arithmetic mean of atomic-action recall and rubric-based LLM-as-a-Judge assessment. Results: Across 623 cases, the mean final score was 68.58. Qwen3.6-27B ranked first overall at 71.22, Qwen3.5-397B-A17B led PNBIM at 72.48, and Qwen3.6-27B led AECOPD-PIM at 71.11. Imaging hallucination and serious medical risk occurred in 31.85% and 8.16% of PNBIM responses; medication-safety risk and serious medical risk occurred in 26.93% and 1.44% of AECOPD-PIM responses. Conclusions: RESPClinBench identifies task-specific limitations in multimodal pulmonary nodule assessment and longitudinal COPD management. Combining explicit clinical-action coverage, holistic evaluation, and independent safety flags provides a clinically grounded basis for model selection and prospective validation.
Data agents enable natural-language analytics over organizational workspaces, where relevant evidence may be scattered across databases, structured files, long documents, and multimedia. Existing benchmarks largely isolate structured querying, retrieval, or open-ended analysis, leaving heterogeneous evidence discovery, complete tabular outputs, and deterministic evaluation insufficiently unified. We introduce DataSpace, a benchmark in which data agents produce verifiable tabular results from task-local heterogeneous workspaces. It contains 410 cross-language tasks and 7,439 artifacts totaling 15.01 GB across CSV, JSON, SQLite, Markdown, PDF, and video. DataSpace also served as the official evaluation benchmark for the KDD Cup 2026 Data Agents for Complex Data Analysis competition. Each agent receives only a question and workspace and returns the complete requested tabular result. We construct DataSpace with DataSpace-Builder, an execution-grounded framework comprising cross-language transformation, constraint-aware relational sampling, modality routing and artifact rendering, and human review and task repair by 11 domain experts. A deterministic evaluator performs header-invariant column alignment, type- and precision-aware normalization, and order-aware row comparison. Across six recently released frontier multimodal models and five widely used agent harnesses, the best accuracy reaches 66.34%, while harness choice creates a 15.36-point spread with the backbone fixed. Multimodal evidence integration and joins consistently reduce accuracy across all six backbones. These results show that DataSpace remains unsaturated and identify key challenges for improving data-agent reliability.