Daily Papers

This document presents the Center for Robot Assisted Search And Rescue - Uncrewed Aerial Systems - Disaster Response Overhead Inspection Dataset (CRASAR-U-DROIDs) for building damage assessment and spatial alignment collected from small uncrewed aerial systems (sUAS) geospatial imagery. This dataset is motivated by the increasing use of sUAS in disaster response and the lack of previous work in utilizing high-resolution geospatial sUAS imagery for machine learning and computer vision models, the lack of alignment with operational use cases, and with hopes of enabling further investigations between sUAS and satellite imagery. The CRASAR-U-DRIODs dataset consists of fifty-two (52) orthomosaics from ten (10) federally declared disasters (Hurricane Ian, Hurricane Ida, Hurricane Harvey, Hurricane Idalia, Hurricane Laura, Hurricane Michael, Musset Bayou Fire, Mayfield Tornado, Kilauea Eruption, and Champlain Towers Collapse) spanning 67.98 square kilometers (26.245 square miles), containing 21,716 building polygons and damage labels, and 7,880 adjustment annotations. The imagery was tiled and presented in conjunction with overlaid building polygons to a pool of 130 annotators who provided human judgments of damage according to the Joint Damage Scale. These annotations were then reviewed via a two-stage review process in which building polygon damage labels were first reviewed individually and then again by committee. Additionally, the building polygons have been aligned spatially to precisely overlap with the imagery to enable more performant machine learning models to be trained. It appears that CRASAR-U-DRIODs is the largest labeled dataset of sUAS orthomosaic imagery.

This work presents the first quantitative study of alignment errors between small uncrewed aerial systems (sUAS) geospatial imagery and a priori building polygons and finds that alignment errors are non-uniform and irregular. The work also introduces a publicly available dataset of imagery, building polygons, and human-generated and curated adjustments that can be used to evaluate existing strategies for aligning building polygons with sUAS imagery. There are no efforts that have aligned pre-existing spatial data with sUAS imagery, and thus, there is no clear state of practice. However, this effort and analysis show that the translational alignment errors present in this type of data, averaging 82px and an intersection over the union of 0.65, which would induce further errors and biases in downstream machine learning systems unless addressed. This study identifies and analyzes the translational alignment errors of 21,619 building polygons in fifty-one orthomosaic images, covering 16787.2 Acres (26.23 square miles), constructed from sUAS raw imagery from nine wide-area disasters (Hurricane Ian, Hurricane Harvey, Hurricane Michael, Hurricane Ida, Hurricane Idalia, Hurricane Laura, the Mayfield Tornado, the Musset Bayou Fire, and the Kilauea Eruption). The analysis finds no uniformity among the angle and distance metrics of the building polygon alignments as they present an average degree variance of 0.4 and an average pixel distance variance of 0.45. This work alerts the sUAS community to the problem of spatial alignment and that a simple linear transform, often used to align satellite imagery, will not be sufficient to align spatial data in sUAS orthomosaic imagery.

Illegal gold mining in the Amazon rainforest causes deforestation, water contamination, and long-term ecosystem disruption, yet remains difficult to monitor at fine spatial scales. Satellite imagery supports large-scale observation, but often misses small mining-related structures and subtle land-cover transitions, especially under frequent cloud cover. We introduce ELDOR, a large-scale UAV benchmark for monitoring environmental and landscape disturbance from illegal gold mining in the rainforest. ELDOR contains manually annotated orthomosaic imagery covering over 2,500 hectares, with pixel-level semantic labels for both mining-related activities and surrounding ecological structures. With this unified annotation source, we establish four benchmark tasks: semantic segmentation, segmentation-derived recognition, direct multi-label classification, and class-presence recognition with vision-language models. Across these tasks, we compare generic and remote-sensing-specific segmentation models, vision foundation model-related segmentation methods, direct multi-label classification methods, and vision-language models under a controlled closed-set protocol. Results show that current methods still struggle with rare small-scale mining structures and fine-grained recovery classes, suggesting the need for context-aware and multimodal modeling. To support domain analysis and practical use, we further build an interactive explorer for domain experts that provides a unified interface for data exploration and model inference.

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

Recent progress in video generation has led to substantial improvements in visual fidelity, yet ensuring physically consistent motion remains a fundamental challenge. Intuitively, this limitation can be attributed to the fact that real-world object motion unfolds in three-dimensional space, while video observations provide only partial, view-dependent projections of such dynamics. To address these issues, we propose OrthoPhys, a two-stage framework that leverages orthogonal-view geometry guidance to enforce physical plausibility. Instead of directly generating unstructured 2D videos, our first stage generates synchronized, four-view orthogonal videos of the foreground dynamics. By incorporating a geometry-enhanced attention mechanism across these orthogonal views, this stage effectively enforces 3D spatial coherence and implicitly grounds the motion in physical attributes. In the second stage, these physically consistent orthogonal foregrounds serve as rigid guidance to synthesize the final complete video, seamlessly learning the interaction between foreground dynamics and the background context. To support this orthogonal-view training paradigm, we construct PhysMV, a dataset containing 40K scenes, each consisting of four orthogonal viewpoints, resulting in a total of 160K video sequences. Extensive experiments demonstrate that OrthoPhys significantly improves physical realism and spatial-temporal coherence over existing video generation methods. Project page: https://anonymous.4open.science/w/Phys4D/.

Accurate visual localization from aerial views is a fundamental problem with applications in mapping, large-area inspection, and search-and-rescue operations. In many scenarios, these systems require high-precision localization while operating with limited resources (e.g., no internet connection or GNSS/GPS support), making large image databases or heavy 3D models impractical. Surprisingly, little attention has been given to leveraging orthographic geodata as an alternative paradigm, which is lightweight and increasingly available through free releases by governmental authorities (e.g., the European Union). To fill this gap, we propose OrthoLoC, the first large-scale dataset comprising 16,425 UAV images from Germany and the United States with multiple modalities. The dataset addresses domain shifts between UAV imagery and geospatial data. Its paired structure enables fair benchmarking of existing solutions by decoupling image retrieval from feature matching, allowing isolated evaluation of localization and calibration performance. Through comprehensive evaluation, we examine the impact of domain shifts, data resolutions, and covisibility on localization accuracy. Finally, we introduce a refinement technique called AdHoP, which can be integrated with any feature matcher, improving matching by up to 95% and reducing translation error by up to 63%. The dataset and code are available at: https://deepscenario.github.io/OrthoLoC.

Operating rooms (ORs) are complex, high-stakes environments requiring precise understanding of interactions among medical staff, tools, and equipment for enhancing surgical assistance, situational awareness, and patient safety. Current datasets fall short in scale, realism and do not capture the multimodal nature of OR scenes, limiting progress in OR modeling. To this end, we introduce MM-OR, a realistic and large-scale multimodal spatiotemporal OR dataset, and the first dataset to enable multimodal scene graph generation. MM-OR captures comprehensive OR scenes containing RGB-D data, detail views, audio, speech transcripts, robotic logs, and tracking data and is annotated with panoptic segmentations, semantic scene graphs, and downstream task labels. Further, we propose MM2SG, the first multimodal large vision-language model for scene graph generation, and through extensive experiments, demonstrate its ability to effectively leverage multimodal inputs. Together, MM-OR and MM2SG establish a new benchmark for holistic OR understanding, and open the path towards multimodal scene analysis in complex, high-stakes environments. Our code, and data is available at https://github.com/egeozsoy/MM-OR.

Developing embodied AI for intelligent surgical systems requires safe, controllable environments for continual learning and evaluation. However, safety regulations and operational constraints in operating rooms (ORs) limit embodied agents from freely perceiving and interacting in realistic settings. Digital twins provide high-fidelity, risk-free environments for exploration and training. How we may create photorealistic and dynamic digital representations of ORs that capture relevant spatial, visual, and behavioral complexity remains unclear. We introduce TwinOR, a framework for constructing photorealistic, dynamic digital twins of ORs for embodied AI research. The system reconstructs static geometry from pre-scan videos and continuously models human and equipment motion through multi-view perception of OR activities. The static and dynamic components are fused into an immersive 3D environment that supports controllable simulation and embodied exploration. The proposed framework reconstructs complete OR geometry with centimeter level accuracy while preserving dynamic interaction across surgical workflows, enabling realistic renderings and a virtual playground for embodied AI systems. In our experiments, TwinOR simulates stereo and monocular sensor streams for geometry understanding and visual localization tasks. Models such as FoundationStereo and ORB-SLAM3 on TwinOR-synthesized data achieve performance within their reported accuracy on real indoor datasets, demonstrating that TwinOR provides sensor-level realism sufficient for perception and localization challenges. By establishing a real-to-sim pipeline for constructing dynamic, photorealistic digital twins of OR environments, TwinOR enables the safe, scalable, and data-efficient development and benchmarking of embodied AI, ultimately accelerating the deployment of embodied AI from sim-to-real.

Large Language Models (LLMs) have demonstrated impressive reasoning capabilities, yet they struggle with spatial tasks that require mental simulation, such as mental rotation. This paper investigates whether equipping an LLM with an external ``Imagery Module'' -- a tool capable of rendering and rotating 3D models -- can bridge this gap, functioning as a ``cognitive prosthetic.'' We conducted experiments using a dual-module architecture in which a reasoning module (an MLLM) interacts with an imagery module on 3D model rotation tasks. Performance was lower than expected, with accuracy reaching at most 62.5%. Further investigation suggests that even when the burden of maintaining and manipulating a holistic 3D state is outsourced, the system still fails. This reveals that current frontier models lack the foundational visual-spatial primitives required to interface with imagery. Specifically, they lack: (1) the low-level sensitivity to extract spatial signals such as (a) depth, (b) motion, and (c) short-horizon dynamic prediction; and (2) the capacity to reason contemplatively over images, dynamically shifting visual focus and balancing imagery with symbolic and associative information.

Driven by the demand for spatial intelligence and holistic scene perception, omnidirectional images (ODIs), which provide a complete 360 field of view, are receiving growing attention across diverse applications such as virtual reality, autonomous driving, and embodied robotics. Despite their unique characteristics, ODIs exhibit remarkable differences from perspective images in geometric projection, spatial distribution, and boundary continuity, making it challenging for direct domain adaption from perspective methods. This survey reviews recent panoramic vision techniques with a particular emphasis on the perspective-to-panorama adaptation. We first revisit the panoramic imaging pipeline and projection methods to build the prior knowledge required for analyzing the structural disparities. Then, we summarize three challenges of domain adaptation: severe geometric distortions near the poles, non-uniform sampling in Equirectangular Projection (ERP), and periodic boundary continuity. Building on this, we cover 20+ representative tasks drawn from more than 300 research papers in two dimensions. On one hand, we present a cross-method analysis of representative strategies for addressing panoramic specific challenges across different tasks. On the other hand, we conduct a cross-task comparison and classify panoramic vision into four major categories: visual quality enhancement and assessment, visual understanding, multimodal understanding, and visual generation. In addition, we discuss open challenges and future directions in data, models, and applications that will drive the advancement of panoramic vision research. We hope that our work can provide new insight and forward looking perspectives to advance the development of panoramic vision technologies. Our project page is https://insta360-research-team.github.io/Survey-of-Panorama

Precise spatial modeling in the operating room (OR) is foundational to many clinical tasks, supporting intraoperative awareness, hazard avoidance, and surgical decision-making. While existing approaches leverage large-scale multimodal datasets for latent-space alignment to implicitly learn spatial relationships, they overlook the 3D capabilities of MLLMs. However, this approach raises two issues: (1) Operating rooms typically lack multiple video and audio sensors, making multimodal 3D data difficult to obtain; (2) Training solely on readily available 2D data fails to capture fine-grained details in complex scenes. To address this gap, we introduce Spatial-ORMLLM, the first large vision-language model for 3D spatial reasoning in operating rooms using only RGB modality to infer volumetric and semantic cues, enabling downstream medical tasks with detailed and holistic spatial context. Spatial-ORMLLM incorporates a Spatial-Enhanced Feature Fusion Block, which integrates 2D modality inputs with rich 3D spatial knowledge extracted by the estimation algorithm and then feeds the combined features into the visual tower. By employing a unified end-to-end MLLM framework, it combines powerful spatial features with textual features to deliver robust 3D scene reasoning without any additional expert annotations or sensor inputs. Experiments on multiple benchmark clinical datasets demonstrate that Spatial-ORMLLM achieves state-of-the-art performance and generalizes robustly to previously unseen surgical scenarios and downstream tasks.

Operating rooms (ORs) demand precise coordination among surgeons, nurses, and equipment in a fast-paced, occlusion-heavy environment, necessitating advanced perception models to enhance safety and efficiency. Existing datasets either provide partial egocentric views or sparse exocentric multi-view context, but do not explore the comprehensive combination of both. We introduce EgoExOR, the first OR dataset and accompanying benchmark to fuse first-person and third-person perspectives. Spanning 94 minutes (84,553 frames at 15 FPS) of two emulated spine procedures, Ultrasound-Guided Needle Insertion and Minimally Invasive Spine Surgery, EgoExOR integrates egocentric data (RGB, gaze, hand tracking, audio) from wearable glasses, exocentric RGB and depth from RGB-D cameras, and ultrasound imagery. Its detailed scene graph annotations, covering 36 entities and 22 relations (568,235 triplets), enable robust modeling of clinical interactions, supporting tasks like action recognition and human-centric perception. We evaluate the surgical scene graph generation performance of two adapted state-of-the-art models and offer a new baseline that explicitly leverages EgoExOR's multimodal and multi-perspective signals. This new dataset and benchmark set a new foundation for OR perception, offering a rich, multimodal resource for next-generation clinical perception.

Omnidirectional images (ODIs) have become increasingly popular, as their large field-of-view (FoV) can offer viewers the chance to freely choose the view directions in immersive environments such as virtual reality. The M\"obius transformation is typically employed to further provide the opportunity for movement and zoom on ODIs, but applying it to the image level often results in blurry effect and aliasing problem. In this paper, we propose a novel deep learning-based approach, called OmniZoomer, to incorporate the M\"obius transformation into the network for movement and zoom on ODIs. By learning various transformed feature maps under different conditions, the network is enhanced to handle the increasing edge curvatures, which alleviates the blurry effect. Moreover, to address the aliasing problem, we propose two key components. Firstly, to compensate for the lack of pixels for describing curves, we enhance the feature maps in the high-resolution (HR) space and calculate the transformed index map with a spatial index generation module. Secondly, considering that ODIs are inherently represented in the spherical space, we propose a spherical resampling module that combines the index map and HR feature maps to transform the feature maps for better spherical correlation. The transformed feature maps are decoded to output a zoomed ODI. Experiments show that our method can produce HR and high-quality ODIs with the flexibility to move and zoom in to the object of interest. Project page is available at http://vlislab22.github.io/OmniZoomer/.

Vision-Language Pre-training (VLP) has shown the merits of analysing medical images, by leveraging the semantic congruence between medical images and their corresponding reports. It efficiently learns visual representations, which in turn facilitates enhanced analysis and interpretation of intricate imaging data. However, such observation is predominantly justified on single-modality data (mostly 2D images like X-rays), adapting VLP to learning unified representations for medical images in real scenario remains an open challenge. This arises from medical images often encompass a variety of modalities, especially modalities with different various number of dimensions (e.g., 3D images like Computed Tomography). To overcome the aforementioned challenges, we propose an Unified Medical Image Pre-training framework, namely UniMedI, which utilizes diagnostic reports as common semantic space to create unified representations for diverse modalities of medical images (especially for 2D and 3D images). Under the text's guidance, we effectively uncover visual modality information, identifying the affected areas in 2D X-rays and slices containing lesion in sophisticated 3D CT scans, ultimately enhancing the consistency across various medical imaging modalities. To demonstrate the effectiveness and versatility of UniMedI, we evaluate its performance on both 2D and 3D images across 10 different datasets, covering a wide range of medical image tasks such as classification, segmentation, and retrieval. UniMedI has demonstrated superior performance in downstream tasks, showcasing its effectiveness in establishing a universal medical visual representation.

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

Clinical decision-making relies heavily on understanding relative positions of anatomical structures and anomalies. Therefore, for Vision-Language Models (VLMs) to be applicable in clinical practice, the ability to accurately determine relative positions on medical images is a fundamental prerequisite. Despite its importance, this capability remains highly underexplored. To address this gap, we evaluate the ability of state-of-the-art VLMs, GPT-4o, Llama3.2, Pixtral, and JanusPro, and find that all models fail at this fundamental task. Inspired by successful approaches in computer vision, we investigate whether visual prompts, such as alphanumeric or colored markers placed on anatomical structures, can enhance performance. While these markers provide moderate improvements, results remain significantly lower on medical images compared to observations made on natural images. Our evaluations suggest that, in medical imaging, VLMs rely more on prior anatomical knowledge than on actual image content for answering relative position questions, often leading to incorrect conclusions. To facilitate further research in this area, we introduce the MIRP , Medical Imaging Relative Positioning, benchmark dataset, designed to systematically evaluate the capability to identify relative positions in medical images.

Recently, the visual generation ability by GPT-4o(mni) has been unlocked by OpenAI. It demonstrates a very remarkable generation capability with excellent multimodal condition understanding and varied task instructions. In this paper, we aim to explore the capabilities of GPT-4o across various tasks. Inspired by previous study, we constructed a task taxonomy along with a carefully curated set of test samples to conduct a comprehensive qualitative test. Benefiting from GPT-4o's powerful multimodal comprehension, its image-generation process demonstrates abilities surpassing those of traditional image-generation tasks. Thus, regarding the dimensions of model capabilities, we evaluate its performance across six task categories: traditional image generation tasks, discriminative tasks, knowledge-based generation, commonsense-based generation, spatially-aware image generation, and temporally-aware image generation. These tasks not only assess the quality and conditional alignment of the model's outputs but also probe deeper into GPT-4o's understanding of real-world concepts. Our results reveal that GPT-4o performs impressively well in general-purpose synthesis tasks, showing strong capabilities in text-to-image generation, visual stylization, and low-level image processing. However, significant limitations remain in its ability to perform precise spatial reasoning, instruction-grounded generation, and consistent temporal prediction. Furthermore, when faced with knowledge-intensive or domain-specific scenarios, such as scientific illustrations or mathematical plots, the model often exhibits hallucinations, factual errors, or structural inconsistencies. These findings suggest that while GPT-4o marks a substantial advancement in unified multimodal generation, there is still a long way to go before it can be reliably applied to professional or safety-critical domains.

Orthodontic treatment usually requires regular face-to-face examinations to monitor dental conditions of the patients. When in-person diagnosis is not feasible, an alternative is to utilize five intra-oral photographs for remote dental monitoring. However, it lacks of 3D information, and how to reconstruct 3D dental models from such sparse view photographs is a challenging problem. In this study, we propose a 3D teeth reconstruction framework, named TeethDreamer, aiming to restore the shape and position of the upper and lower teeth. Given five intra-oral photographs, our approach first leverages a large diffusion model's prior knowledge to generate novel multi-view images with known poses to address sparse inputs and then reconstructs high-quality 3D teeth models by neural surface reconstruction. To ensure the 3D consistency across generated views, we integrate a 3D-aware feature attention mechanism in the reverse diffusion process. Moreover, a geometry-aware normal loss is incorporated into the teeth reconstruction process to enhance geometry accuracy. Extensive experiments demonstrate the superiority of our method over current state-of-the-arts, giving the potential to monitor orthodontic treatment remotely. Our code is available at https://github.com/ShanghaiTech-IMPACT/TeethDreamer

360^{circ} omnidirectional images (ODIs) have gained considerable attention recently, and are widely used in various virtual reality (VR) and augmented reality (AR) applications. However, capturing such images is expensive and requires specialized equipment, making ODI synthesis increasingly important. While common 2D image generation and editing methods are rapidly advancing, these models struggle to deliver satisfactory results when generating or editing ODIs due to the unique format and broad 360^{circ} Field-of-View (FoV) of ODIs. To bridge this gap, we construct \textit{Any2Omni}, the first comprehensive ODI generation-editing dataset comprises 60,000+ training data covering diverse input conditions and up to 9 ODI generation and editing tasks. Built upon Any2Omni, we propose an \underline{Omni} model for \underline{Omni}-directional image generation and editing (\textit{Omni^2}), with the capability of handling various ODI generation and editing tasks under diverse input conditions using one model. Extensive experiments demonstrate the superiority and effectiveness of the proposed Omni^2 model for both the ODI generation and editing tasks.

Multimodal Large Language Models (MLLMs) have demonstrated promising spatial reasoning capabilities, while these abilities remain underexplored in the emerging visual modality of panoramic imagery. The full 360°times180° field of view of panoramas essentially supports complex global multi-step reasoning, which is also the fundamental advantage of panoramas in applications such as embodied intelligence. However, existing panoramic benchmarks largely focus on simplistic queries that rely on local cues or single-/few-step reasoning, thereby ignoring the fundamental advantage of panoramas and failing to fully exploit their potential. To address this gap, we introduce OmniCoT, a panoramic spatial reasoning suite designed to enable MLLMs to use global evidence and perform multi-step inference across viewpoints. It includes OmniCoT-B (6.7K data) for evaluation, which measures both answer accuracy and reasoning quality, OmniCoT-Real (1K data) as a manually annotated real-world subset to quantify the Sim-to-Real gap. For training, OmniCoT-T (14.3K data) is purpose-built with structured stepwise Chain-of-Thought annotations that explicitly link intermediate reasoning steps to panoramic evidence. Based on OmniCoT-T, we introduce OmniCoT-R1 and adopt a two-stage training strategy tailored to the geometrically complex panoramic space, where Supervised Fine-tuning (SFT) anchors reasoning to panoramic evidence (e.g., bearings, proximity) and GRPO penalizes geometrically incoherent paths to consolidate global 360° spatial consistency. Through OmniCoT, we aim to recalibrate the difficulty of panoramic spatial reasoning to better align with the intrinsic capabilities of panoramic imagery, thereby fostering meaningful progress in this research area.

Vision language models (VLMs) excel at many tasks but still struggle with spatial reasoning when critical information is not directly observable. Many such problems require imaginative perception: inferring what would be seen from an unseen viewpoint, tracing paths through occluded spaces, or integrating partial observations into a coherent spatial representation. We introduce Imaginative Perception Tokens (IPT), intermediate perceptual representations that externalize what a VLM would perceive under alternative spatial configurations while remaining consistent with the observed input. To study this capability, we formulate three tasks, Perspective Taking (PET), Path Tracing (PT), and Multiview Counting (MVC), and construct datasets of approximately 20K examples with ground truth imaginations, answers, and evaluation benchmarks. Using the unified VLM BAGEL as the backbone, IPT supervision consistently improves spatial reasoning and often outperforms textual chain of thought training, even without generating images at inference time. On MVC, IPT improves accuracy by 3.4% and achieves competitive performance with strong closed-source models on PT. We further find that combining IPT and label-only supervision yields additional gains, whereas textual chain of thought can substantially degrade performance, suggesting a modality mismatch when spatial computation is forced through language. Overall, IPT provides a principled supervision signal for reasoning about unobserved spatial structure, improving generalization while producing interpretable intermediate representations.

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known as medical hallucinations, which pose serious risks in medical applications that demand accuracy and image-grounded outputs. Through empirical analysis, we find that prompt-induced hallucinations remain prevalent in radiology MLLMs, largely due to over-sensitivity to clinical sections. To address this, we introduce Clinical Contrastive Cecoding (CCD), a training-free and retrieval-free inference framework that integrates structured clinical signals from task-specific radiology expert models. CCD introduces a dual-stage contrastive mechanism to refine token-level logits during generation, thereby enhancing clinical fidelity without modifying the base MLLM. Experiments on three datasets and multiple models demonstrate that CCD consistently improves overall performance on radiology report generation (RRG). On the MIMIC-CXR dataset, it yields up to a 17% improvement in RadGraph-F1 when applied to state-of-the-art RRG models. Our approach provides a lightweight and generalisable solution for mitigating medical hallucinations, effectively bridging expert models and MLLMs in radiology.

Current Vision-Language Models (VLMs) struggle to ground anatomical regions in 3D medical images and reason about them in a step-by-step manner, a key requirement of real-world diagnostic assessment. This ability is essential for aligning model outputs with the diagnostic workflows clinicians use in practice, enabling trustworthy clinician-AI collaboration. Existing 3D datasets provide localization labels, but none support this "grounded reasoning" ability. To address this gap, we introduce 3DReasonKnee, the first 3D grounded reasoning dataset for medical images, which provides 494k high-quality quintuples derived from 7,970 3D knee MRI volumes. Each quintuple includes: (1) the 3D MRI volume, (2) a diagnostic question targeting a specific anatomical region (3) a 3D bounding box localizing the relevant anatomical structures, (4) clinician-generated diagnostic reasoning steps that explicitly detail the 3D reasoning process, and (5) structured severity assessments for the relevant anatomical region. The creation and validation of 3DReasonKnee, involving over 450 hours of expert clinician time for manually segmenting MRIs and generating reasoning chains, ensures its superior quality and clinical relevance. We establish ReasonKnee-Bench to evaluate localization and diagnostic accuracy, providing insight into VLM ability to perform grounding and severity assessment across anatomical regions and diagnostic inquiries. We benchmark five state-of-the-art VLMs, providing baseline performance for ReasonKnee-Bench. By providing this unique resource of expert-annotated 3D reasoning pathways, 3DReasonKnee serves as a repository of orthopedic surgeons' diagnostic expertise and offers a vital testbed for advancing multimodal medical AI systems towards 3D, clinically aligned, localized decision-making capabilities. The dataset can be found in: https://huggingface.co/datasets/rajpurkarlab/3DReasonKnee

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

Musculoskeletal disorders represent a significant global health burden and are a leading cause of disability worldwide. While MRI is essential for accurate diagnosis, its interpretation remains exceptionally challenging. Radiologists must identify multiple potential abnormalities within complex anatomical structures across different imaging planes, a process that requires significant expertise and is prone to variability. We developed OrthoDiffusion, a unified diffusion-based foundation model designed for multi-task musculoskeletal MRI interpretation. The framework utilizes three orientation-specific 3D diffusion models, pre-trained in a self-supervised manner on 15,948 unlabeled knee MRI scans, to learn robust anatomical features from sagittal, coronal, and axial views. These view-specific representations are integrated to support diverse clinical tasks, including anatomical segmentation and multi-label diagnosis. Our evaluation demonstrates that OrthoDiffusion achieves excellent performance in the segmentation of 11 knee structures and the detection of 8 knee abnormalities. The model exhibited remarkable robustness across different clinical centers and MRI field strengths, consistently outperforming traditional supervised models. Notably, in settings where labeled data was scarce, OrthoDiffusion maintained high diagnostic precision using only 10\% of training labels. Furthermore, the anatomical representations learned from knee imaging proved highly transferable to other joints, achieving strong diagnostic performance across 11 diseases of the ankle and shoulder. These findings suggest that diffusion-based foundation models can serve as a unified platform for multi-disease diagnosis and anatomical segmentation, potentially improving the efficiency and accuracy of musculoskeletal MRI interpretation in real-world clinical workflows.

Musculoskeletal diseases are among the leading causes of disability worldwide and create the greatest global need for rehabilitation. Because recovery, remodelling and degeneration often unfold over months to years, musculoskeletal care requires longitudinal management that repeatedly integrates evolving patient evidence, external medical knowledge and stage-specific functional goals. In routine practice, this evidence is fragmented across visits, departments and hospital systems, limiting individualized, evidence-based care. Here we report OrthoPilot, a clinical artificial intelligence system powered by a large language model that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal management. OrthoPilot autonomously retrieves real-time imaging, laboratory, pathology and order data and converts evolving patient states into evidence-based decisions from admission diagnosis to rehabilitation planning. We established a specialist-validated benchmark from real-world electronic health records spanning 1,000 disease codes. In a reader study across the complete care pathway, OrthoPilot was compared with 81 orthopaedic physicians and surpassed experts with 25 years of experience in diagnostic reasoning, clinical decision-making and management planning. It also outperformed all evaluated intelligent systems across 60 external clinical centres. In a prospective study of 1,870 complex cases, OrthoPilot increased full-chain management success by 10.6%. During an 8-month randomised deployment involving 8,240 inpatients, it increased cumulative cases per bed by 9.7% and improved patient-reported access to health information. These results move clinical AI from predicting isolated events toward executing longitudinal management across complete musculoskeletal care pathways.

Marine visual understanding is essential for monitoring and protecting marine ecosystems, enabling automatic and scalable biological surveys. However, progress is hindered by limited training data and the lack of a systematic task formulation that aligns domain-specific marine challenges with well-defined computer vision tasks, thereby limiting effective model application. To address this gap, we present ORCA, a multi-modal benchmark for marine research comprising 14,647 images from 478 species, with 42,217 bounding box annotations and 22,321 expert-verified instance captions. The dataset provides fine-grained visual and textual annotations that capture morphology-oriented attributes across diverse marine species. To catalyze methodological advances, we evaluate 18 state-of-the-art models on three tasks: object detection (closed-set and open-vocabulary), instance captioning, and visual grounding. Results highlight key challenges, including species diversity, morphological overlap, and specialized domain demands, underscoring the difficulty of marine understanding. ORCA thus establishes a comprehensive benchmark to advance research in marine domain. Project Page: http://orca.hkustvgd.com/.

We present S1-Omni-Image, an open-weight unified multimodal model for scientific image understanding, generation, and editing. Unlike general-purpose image generation models, scientific image tasks require not only high-fidelity synthesis, but also robust understanding of scientific semantics, structural relations, domain knowledge, and task intent. To this end, S1-Omni-Image builds on the scientific multimodal reasoning backbone S1-VL-32B and couples its understanding capability with an image generation module under a unified think-before-generate paradigm. Given a user instruction, the model first produces a task-oriented reasoning trace, a textual answer, and a task special token; their hidden states are then injected into the generation module to condition image generation or editing. S1-Omni-Image supports scientific image understanding, generation, and editing in a unified framework. For generation, it focuses on scientific illustrations and text rendering, including logical diagrams, relational comparisons, data charts, and realistic scientific visualizations. For editing, it casts segmentation and other domain-specific vision tasks as native image editing problems, enabling multi-turn illustration editing, medical and geographic image segmentation, medical image translation, and scientific image super-resolution. We construct SciGenEdit, a 314K-sample training dataset, and release the model weights, inference code, and SciGenEdit-10K. Experiments show that S1-Omni-Image substantially improves scientific image generation and editing while preserving the scientific image understanding capability inherited from S1-VL-32B. It outperforms open-source models on GenExam and TechImage-Bench, achieves state-of-the-art results on four editing benchmarks including MSD, cigRockSEM, SynthRAD2025, and IXI, and maintains stable performance on scientific image understanding evaluations.

Omnidirectional images (ODIs) are commonly used in real-world visual tasks, and high-resolution ODIs help improve the performance of related visual tasks. Most existing super-resolution methods for ODIs use end-to-end learning strategies, resulting in inferior realness of generated images and a lack of effective out-of-domain generalization capabilities in training methods. Image generation methods represented by diffusion model provide strong priors for visual tasks and have been proven to be effectively applied to image restoration tasks. Leveraging the image priors of the Stable Diffusion (SD) model, we achieve omnidirectional image super-resolution with both fidelity and realness, dubbed as OmniSSR. Firstly, we transform the equirectangular projection (ERP) images into tangent projection (TP) images, whose distribution approximates the planar image domain. Then, we use SD to iteratively sample initial high-resolution results. At each denoising iteration, we further correct and update the initial results using the proposed Octadecaplex Tangent Information Interaction (OTII) and Gradient Decomposition (GD) technique to ensure better consistency. Finally, the TP images are transformed back to obtain the final high-resolution results. Our method is zero-shot, requiring no training or fine-tuning. Experiments of our method on two benchmark datasets demonstrate the effectiveness of our proposed method.

Omnidirectional vision, using 360-degree vision to understand the environment, has become increasingly critical across domains like robotics, industrial inspection, and environmental monitoring. Compared to traditional pinhole vision, omnidirectional vision provides holistic environmental awareness, significantly enhancing the completeness of scene perception and the reliability of decision-making. However, foundational research in this area has historically lagged behind traditional pinhole vision. This talk presents an emerging trend in the embodied AI era: the rapid development of omnidirectional vision, driven by growing industrial demand and academic interest. We highlight recent breakthroughs in omnidirectional generation, omnidirectional perception, omnidirectional understanding, and related datasets. Drawing on insights from both academia and industry, we propose an ideal panoramic system architecture in the embodied AI era, PANORAMA, which consists of four key subsystems. Moreover, we offer in-depth opinions related to emerging trends and cross-community impacts at the intersection of panoramic vision and embodied AI, along with the future roadmap and open challenges. This overview synthesizes state-of-the-art advancements and outlines challenges and opportunities for future research in building robust, general-purpose omnidirectional AI systems in the embodied AI era.

Novel view synthesis from a single input image is a challenging task, where the goal is to generate a new view of a scene from a desired camera pose that may be separated by a large motion. The highly uncertain nature of this synthesis task due to unobserved elements within the scene (i.e. occlusion) and outside the field-of-view makes the use of generative models appealing to capture the variety of possible outputs. In this paper, we propose a novel generative model capable of producing a sequence of photorealistic images consistent with a specified camera trajectory, and a single starting image. Our approach is centred on an autoregressive conditional diffusion-based model capable of interpolating visible scene elements, and extrapolating unobserved regions in a view, in a geometrically consistent manner. Conditioning is limited to an image capturing a single camera view and the (relative) pose of the new camera view. To measure the consistency over a sequence of generated views, we introduce a new metric, the thresholded symmetric epipolar distance (TSED), to measure the number of consistent frame pairs in a sequence. While previous methods have been shown to produce high quality images and consistent semantics across pairs of views, we show empirically with our metric that they are often inconsistent with the desired camera poses. In contrast, we demonstrate that our method produces both photorealistic and view-consistent imagery.

With the advent of smartphone indirect ophthalmoscopy, teleophthalmology - the use of specialist ophthalmology assets at a distance from the patient - has experienced a breakthrough, promising enormous benefits especially for healthcare in distant, inaccessible or opthalmologically underserved areas, where specialists are either unavailable or too few in number. However, accurate teleophthalmology requires high-quality ophthalmoscopic imagery. This paper considers three feature families - statistical metrics, gradient-based metrics and wavelet transform coefficient derived indicators - as possible metrics to identify unsharp or blurry images. By using standard machine learning techniques, the suitability of these features for image quality assessment is confirmed, albeit on a rather small data set. With the increased availability and decreasing cost of digital ophthalmoscopy on one hand and the increased prevalence of diabetic retinopathy worldwide on the other, creating tools that can determine whether an image is likely to be diagnostically suitable can play a significant role in accelerating and streamlining the teleophthalmology process. This paper highlights the need for more research in this area, including the compilation of a diverse database of ophthalmoscopic imagery, annotated with quality markers, to train the Point of Acquisition error detection algorithms of the future.

Different medical imaging modalities capture diagnostic information at varying spatial resolutions, from coarse global patterns to fine-grained localized structures. However, most existing vision-language frameworks in the medical domain apply a uniform strategy for local feature extraction, overlooking the modality-specific demands. In this work, we present MedMoE, a modular and extensible vision-language processing framework that dynamically adapts visual representation based on the diagnostic context. MedMoE incorporates a Mixture-of-Experts (MoE) module conditioned on the report type, which routes multi-scale image features through specialized expert branches trained to capture modality-specific visual semantics. These experts operate over feature pyramids derived from a Swin Transformer backbone, enabling spatially adaptive attention to clinically relevant regions. This framework produces localized visual representations aligned with textual descriptions, without requiring modality-specific supervision at inference. Empirical results on diverse medical benchmarks demonstrate that MedMoE improves alignment and retrieval performance across imaging modalities, underscoring the value of modality-specialized visual representations in clinical vision-language systems.

Visual data comes in various forms, ranging from small icons of just a few pixels to long videos spanning hours. Existing multi-modal LLMs usually standardize these diverse visual inputs to a fixed resolution for visual encoders and yield similar numbers of tokens for LLMs. This approach is non-optimal for multimodal understanding and inefficient for processing inputs with long and short visual contents. To solve the problem, we propose Oryx, a unified multimodal architecture for the spatial-temporal understanding of images, videos, and multi-view 3D scenes. Oryx offers an on-demand solution to seamlessly and efficiently process visual inputs with arbitrary spatial sizes and temporal lengths through two core innovations: 1) a pre-trained OryxViT model that can encode images at any resolution into LLM-friendly visual representations; 2) a dynamic compressor module that supports 1x to 16x compression on visual tokens by request. These design features enable Oryx to accommodate extremely long visual contexts, such as videos, with lower resolution and high compression while maintaining high recognition precision for tasks like document understanding with native resolution and no compression. Beyond the architectural improvements, enhanced data curation and specialized training on long-context retrieval and spatial-aware data help Oryx achieve strong capabilities in image, video, and 3D multimodal understanding simultaneously. Our work is open-sourced at https://github.com/Oryx-mllm/Oryx.

Automatic medical report generation (MRG), which possesses significant research value as it can aid radiologists in clinical diagnosis and report composition, has garnered increasing attention. Despite recent progress, generating accurate reports remains arduous due to the requirement for precise clinical comprehension and disease diagnosis inference. Furthermore, owing to the limited accessibility of medical data and the imbalanced distribution of diseases, the underrepresentation of rare diseases in training data makes large-scale medical visual language models (LVLMs) prone to hallucinations, such as omissions or fabrications, severely undermining diagnostic performance and further intensifying the challenges for MRG in practice. In this study, to effectively mitigate hallucinations in medical report generation, we propose a chain-of-medical-thought approach (CoMT), which intends to imitate the cognitive process of human doctors by decomposing diagnostic procedures. The radiological features with different importance are structured into fine-grained medical thought chains to enhance the inferential ability during diagnosis, thereby alleviating hallucination problems and enhancing the diagnostic accuracy of MRG. The code and dataset have been released at https://github.com/FRENKIE-CHIANG/CoMT.

Engineering design intent is often communicated through rasterized orthographic drawings. However, downstream workflows require editable and parametrically defined 3D computer-aided design (CAD) models. To bridge this gap, we introduce vision language model (VLM) frameworks specifically designed to translate rasterized orthographic drawings into editable CadQuery code, which can then be converted into 3D CAD models. Firstly, due to unavailability of large scale orthographic drawing datasets, we create a pythonOCC-based drawing generator that renders first-angle orthographic projections from STEP models, with dashed hidden lines and bounding box dimensions, and generate over 1 million drawings from existing 3D CAD model datasets. We also create a dataset of 100 drawings with manually dimensioned features. We show that supervised fine-tuning applied on small open-source VLMs when paired CadQuery code is available improves reconstruction accuracy on corresponding test sets. For datasets without code labels, geometry-grounded reinforcement learning is performed which uses generated-solid intersection-over-union (IoU) with ground truth solid as the reward, improving code validity and cross-dataset generalization. Then, an inference time self-refinement framework for frontier VLMs is introduced which repeatedly repairs invalid codes and compares orthographic projections of generated 3D models with the input drawing to revise the CadQuery code. Our self-refinement framework with GPT 5.5 achieves 100% valid code generation and the highest mean IoU across all test sets, with an average relative improvement of more than 11% over the next-best method. We show that leveraging VLMs can effectively pave the way forward for orthographic drawing to 3D CAD reconstruction. Our implementation is available at https://github.com/AdityaJoglekar/Ortho2CAD.

The fine-grained localization of clinicians in the operating room (OR) is a key component to design the new generation of OR support systems. Computer vision models for person pixel-based segmentation and body-keypoints detection are needed to better understand the clinical activities and the spatial layout of the OR. This is challenging, not only because OR images are very different from traditional vision datasets, but also because data and annotations are hard to collect and generate in the OR due to privacy concerns. To address these concerns, we first study how joint person pose estimation and instance segmentation can be performed on low resolutions images with downsampling factors from 1x to 12x. Second, to address the domain shift and the lack of annotations, we propose a novel unsupervised domain adaptation method, called AdaptOR, to adapt a model from an in-the-wild labeled source domain to a statistically different unlabeled target domain. We propose to exploit explicit geometric constraints on the different augmentations of the unlabeled target domain image to generate accurate pseudo labels and use these pseudo labels to train the model on high- and low-resolution OR images in a self-training framework. Furthermore, we propose disentangled feature normalization to handle the statistically different source and target domain data. Extensive experimental results with detailed ablation studies on the two OR datasets MVOR+ and TUM-OR-test show the effectiveness of our approach against strongly constructed baselines, especially on the low-resolution privacy-preserving OR images. Finally, we show the generality of our method as a semi-supervised learning (SSL) method on the large-scale COCO dataset, where we achieve comparable results with as few as 1% of labeled supervision against a model trained with 100% labeled supervision.

Stroboscopic light stimulation (SLS) on closed eyes typically induces simple visual hallucinations (VHs), characterised by vivid, geometric and colourful patterns. A dataset of 862 sentences, extracted from 422 open subjective reports, was recently compiled as part of the Dreamachine programme (Collective Act, 2022), an immersive multisensory experience that combines SLS and spatial sound in a collective setting. Although open reports extend the range of reportable phenomenology, their analysis presents significant challenges, particularly in systematically identifying patterns. To address this challenge, we implemented a data-driven approach leveraging Large Language Models and Topic Modelling to uncover and interpret latent experiential topics directly from the Dreamachine's text-based reports. Our analysis confirmed the presence of simple VHs typically documented in scientific studies of SLS, while also revealing experiences of altered states of consciousness and complex hallucinations. Building on these findings, our computational approach expands the systematic study of subjective experience by enabling data-driven analyses of open-ended phenomenological reports, capturing experiences not readily identified through standard questionnaires. By revealing rich and multifaceted aspects of experiences, our study broadens our understanding of stroboscopically-induced phenomena while highlighting the potential of Natural Language Processing and Large Language Models in the emerging field of computational (neuro)phenomenology. More generally, this approach provides a practically applicable methodology for uncovering subtle hidden patterns of subjective experience across diverse research domains.

Continuous 6-DoF pose estimation is essential for autonomous UAV operations. Yet, existing visual odometry and SLAM methods accumulate drift and yield only relative, up-to-scale trajectories. Single-frame geo-localization, in turn, discards temporal continuity and remains too slow for real-time use. We present OrthoTrack, a training-free system that estimates continuous 6-DoF UAV trajectories using only publicly available orthophotos and surface models as a map prior. OrthoTrack matches keyframes against the orthophoto and lifts correspondences to metric 3D via the surface model. It then propagates these map-anchored correspondences to intermediate frames with optical flow, producing absolute, metrically scaled poses at every frame without GPS or post-hoc alignment. We also introduce the MovingDrone Dataset, a large-scale benchmark pairing photorealistic UAV sequences with dense 6-DoF ground truth and co-registered multi-modal geodata including multi-temporal orthophotos. On MovingDrone and real-world benchmarks, OrthoTrack runs in real time on a single GPU. It outperforms all baselines by a large margin, even those receiving oracle scale and alignment. By relying on publicly available geodata, OrthoTrack enables deployment to new regions without site-specific adaptation.

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

Vision-language models (VLMs) have great potential for medical image understanding, particularly in Visual Report Generation (VRG) and Visual Question Answering (VQA), but they may generate hallucinated responses that contradict visual evidence, limiting clinical deployment. Although uncertainty-based hallucination detection methods are intuitive and effective, they are limited in medical VLMs. Specifically, Semantic Entropy (SE), effective in text-only LLMs, becomes less reliable in medical VLMs due to their overconfidence from strong language priors. To address this challenge, we propose UniVRSE, a Unified Vision-conditioned Response Semantic Entropy framework for hallucination detection in medical VLMs. UniVRSE strengthens visual guidance during uncertainty estimation by contrasting the semantic predictive distributions derived from an original image-text pair and a visually distorted counterpart, with higher entropy indicating hallucination risk. For VQA, UniVRSE works on the image-question pair, while for VRG, it decomposes the report into claims, generates verification questions, and applies vision-conditioned entropy estimation at the claim level. To evaluate hallucination detection, we propose a unified pipeline that generates responses on medical datasets and derives hallucination labels via factual consistency assessment. However, current evaluation methods rely on subjective criteria or modality-specific rules. To improve reliability, we introduce Alignment Ratio of Atomic Facts (ALFA), a novel method that quantifies fine-grained factual consistency. ALFA-derived labels provide ground truth for robust benchmarking. Experiments on six medical VQA/VRG datasets and three VLMs show UniVRSE significantly outperforms existing methods with strong cross-modal generalization.

The field of Earth Observations (EO) offers a wealth of data from diverse sensors, presenting a great opportunity for advancing self-supervised multimodal learning. However, current multimodal EO datasets and models focus on a single data type, either mono-date images or time series, which limits their expressivity. We introduce OmniSat, a novel architecture that exploits the spatial alignment between multiple EO modalities to learn expressive multimodal representations without labels. To demonstrate the advantages of combining modalities of different natures, we augment two existing datasets with new modalities. As demonstrated on three downstream tasks: forestry, land cover classification, and crop mapping. OmniSat can learn rich representations in an unsupervised manner, leading to improved performance in the semi- and fully-supervised settings, even when only one modality is available for inference. The code and dataset are available at github.com/gastruc/OmniSat.

Anamorphosis refers to a category of images that are intentionally distorted, making them unrecognizable when viewed directly. Their true form only reveals itself when seen from a specific viewpoint, which can be through some catadioptric device like a mirror or a lens. While the construction of these mathematical devices can be traced back to as early as the 17th century, they are only interpretable when viewed from a specific vantage point and tend to lose meaning when seen normally. In this paper, we revisit these famous optical illusions with a generative twist. With the help of latent rectified flow models, we propose a method to create anamorphic images that still retain a valid interpretation when viewed directly. To this end, we introduce Laplacian Pyramid Warping, a frequency-aware image warping technique key to generating high-quality visuals. Our work extends Visual Anagrams (arXiv:2311.17919) to latent space models and to a wider range of spatial transforms, enabling the creation of novel generative perceptual illusions.

Vision-language models (VLMs) excel at multimodal understanding, yet their text-only decoding forces them to verbalize visual reasoning, limiting performance on tasks that demand visual imagination. Recent attempts train VLMs to render explicit images, but the heavy image-generation pre-training often hinders the reasoning ability. Inspired by the way humans reason with mental imagery-the internal construction and manipulation of visual cues-we investigate whether VLMs can reason through interleaved multimodal trajectories without producing explicit images. To this end, we present a Machine Mental Imagery framework, dubbed as Mirage, which augments VLM decoding with latent visual tokens alongside ordinary text. Concretely, whenever the model chooses to ``think visually'', it recasts its hidden states as next tokens, thereby continuing a multimodal trajectory without generating pixel-level images. Begin by supervising the latent tokens through distillation from ground-truth image embeddings, we then switch to text-only supervision to make the latent trajectory align tightly with the task objective. A subsequent reinforcement learning stage further enhances the multimodal reasoning capability. Experiments on diverse benchmarks demonstrate that Mirage unlocks stronger multimodal reasoning without explicit image generation.

We present Omni-I2C, a comprehensive benchmark designed to evaluate the capability of Large Multimodal Models (LMMs) in converting complex, structured digital graphics into executable code. We argue that this task represents a non-trivial challenge for the current generation of LMMs: it demands an unprecedented synergy between high-fidelity visual perception -- to parse intricate spatial hierarchies and symbolic details -- and precise generative expression -- to synthesize syntactically sound and logically consistent code. Unlike traditional descriptive tasks, Omni-I2C requires a holistic understanding where any minor perceptual hallucination or coding error leads to a complete failure in visual reconstruction. Omni-I2C features 1080 meticulously curated samples, defined by its breadth across subjects, image modalities, and programming languages. By incorporating authentic user-sourced cases, the benchmark spans a vast spectrum of digital content -- from scientific visualizations to complex symbolic notations -- each paired with executable reference code. To complement this diversity, our evaluation framework provides necessary depth; by decoupling performance into perceptual fidelity and symbolic precision, it transcends surface-level accuracy to expose the granular structural failures and reasoning bottlenecks of current LMMs. Our evaluation reveals a substantial performance gap among leading LMMs; even state-of-the-art models struggle to preserve structural integrity in complex scenarios, underscoring that multimodal code generation remains a formidable challenge. Data and code are available at https://github.com/MiliLab/Omni-I2C.

''Thinking with Images'' has emerged as an effective paradigm for fine-grained visual reasoning: by explicitly zooming into relevant regions and reasoning over crops, models can access local evidence that is difficult to recover from a single global image. However, this benefit comes with redundant tool invocations and longer inference traces. Moreover, when such behaviors are learned mainly from outcome reward, the resulting intermediate crops or visual cues can be noisy or fail to faithfully capture task-relevant visual evidence. In this work, we ask whether the reasoning benefits of ''Thinking with Images'' can be internalized through Thinking with Imagination: an internal process that decides where to look and imagines what visual cues closer inspection would reveal without actually invoking tools. We propose Imagine-OPD, an on-policy self-distillation framework in which a teacher plays the role of a ''Thinking with Images'' reasoner during training: it receives privileged zoomed evidence views derived from annotated regions, and supervises the model's own imagination reasoning trajectories. Imagine-OPD does not require an external teacher or high-quality imagination demonstrations. Experiments on vision-centric benchmarks show that Imagine-OPD achieves the best average performance among compared models while significantly reducing inference overhead compared with ''Thinking with Images'' methods.

3D generation guided by text-to-image diffusion models enables the creation of visually compelling assets. However previous methods explore generation based on image or text. The boundaries of creativity are limited by what can be expressed through words or the images that can be sourced. We present YouDream, a method to generate high-quality anatomically controllable animals. YouDream is guided using a text-to-image diffusion model controlled by 2D views of a 3D pose prior. Our method generates 3D animals that are not possible to create using previous text-to-3D generative methods. Additionally, our method is capable of preserving anatomic consistency in the generated animals, an area where prior text-to-3D approaches often struggle. Moreover, we design a fully automated pipeline for generating commonly found animals. To circumvent the need for human intervention to create a 3D pose, we propose a multi-agent LLM that adapts poses from a limited library of animal 3D poses to represent the desired animal. A user study conducted on the outcomes of YouDream demonstrates the preference of the animal models generated by our method over others. Turntable results and code are released at https://youdream3d.github.io/

Continuum robots are advancing bronchoscopy procedures by accessing complex lung airways and enabling targeted interventions. However, their development is limited by the lack of realistic training and test environments: Real data is difficult to collect due to ethical constraints and patient safety concerns, and developing autonomy algorithms requires realistic imaging and physical feedback. We present ROOM (Realistic Optical Observation in Medicine), a comprehensive simulation framework designed for generating photorealistic bronchoscopy training data. By leveraging patient CT scans, our pipeline renders multi-modal sensor data including RGB images with realistic noise and light specularities, metric depth maps, surface normals, optical flow and point clouds at medically relevant scales. We validate the data generated by ROOM in two canonical tasks for medical robotics -- multi-view pose estimation and monocular depth estimation, demonstrating diverse challenges that state-of-the-art methods must overcome to transfer to these medical settings. Furthermore, we show that the data produced by ROOM can be used to fine-tune existing depth estimation models to overcome these challenges, also enabling other downstream applications such as navigation. We expect that ROOM will enable large-scale data generation across diverse patient anatomies and procedural scenarios that are challenging to capture in clinical settings. Code and data: https://github.com/iamsalvatore/room.

Recent advancements in large multimodal models (LMMs) have significantly enhanced performance across diverse tasks, with ongoing efforts to further integrate additional modalities such as video and audio. However, most existing LMMs remain vulnerable to hallucinations, the discrepancy between the factual multimodal input and the generated textual output, which has limited their applicability in various real-world scenarios. This paper presents the first systematic investigation of hallucinations in LMMs involving the three most common modalities: language, visual, and audio. Our study reveals two key contributors to hallucinations: overreliance on unimodal priors and spurious inter-modality correlations. To address these challenges, we introduce the benchmark The Curse of Multi-Modalities (CMM), which comprehensively evaluates hallucinations in LMMs, providing a detailed analysis of their underlying issues. Our findings highlight key vulnerabilities, including imbalances in modality integration and biases from training data, underscoring the need for balanced cross-modal learning and enhanced hallucination mitigation strategies. Based on our observations and findings, we suggest potential research directions that could enhance the reliability of LMMs.

Current Large Language Models have achieved Olympiad-level logic, yet Vision-Language Models paradoxically falter on elementary spatial tasks like block counting. This capability mismatch reveals a critical ``spatial intelligence gap,'' where models fail to construct coherent 3D mental representations from 2D observations. We uncover this gap via diagnostic analyses showing the bottleneck is a missing view-consistent spatial interface rather than insufficient visual features or weak reasoning. To bridge this, we introduce 3ViewSense, a framework that grounds spatial reasoning in Orthographic Views. Drawing on engineering cognition, we propose a ``Simulate-and-Reason'' mechanism that decomposes complex scenes into canonical orthographic projections to resolve geometric ambiguities. By aligning egocentric perceptions with these allocentric references, our method facilitates explicit mental rotation and reconstruction. Empirical results on spatial reasoning benchmarks demonstrate that our method significantly outperforms existing baselines, with consistent gains on occlusion-heavy counting and view-consistent spatial reasoning. The framework also improves the stability and consistency of spatial descriptions, offering a scalable path toward stronger spatial intelligence in multimodal systems.

Recently, Omni-modal large language models (OLLMs) have sparked a new wave of research, achieving impressive results in tasks such as audio-video understanding and real-time environment perception. However, hallucination issues still persist. Similar to the bimodal setting, the priors from the text modality tend to dominate, leading OLLMs to rely more heavily on textual cues while neglecting visual and audio information. In addition, fully multimodal scenarios introduce new challenges. Most existing models align visual or auditory modalities with text independently during training, while ignoring the intrinsic correlations between video and its corresponding audio. This oversight results in hallucinations when reasoning requires interpreting hidden audio cues embedded in video content. To address these challenges, we propose OmniDPO, a preference-alignment framework designed to mitigate hallucinations in OLLMs. Specifically, OmniDPO incorporates two strategies: (1) constructing text-preference sample pairs to enhance the model's understanding of audio-video interactions; and (2) constructing multimodal-preference sample pairs to strengthen the model's attention to visual and auditory information. By tackling both challenges, OmniDPO effectively improves multimodal grounding and reduces hallucination. Experiments conducted on two OLLMs demonstrate that OmniDPO not only effectively mitigates multimodal hallucinations but also significantly enhances the models' reasoning capabilities across modalities. All code and datasets will be released upon paper acceptance.

Contextual entrainment is the tendency of a model to let auxiliary context in its input pull its output, independently of whether that context is relevant, true, or even meaningful. Recently, it has been identified and given a mechanistic account in unimodal language models. Whether and how it manifests in vision-language models (VLMs) is, by contrast, largely unexamined, and the field lacks a purpose-built instrument with which to investigate it. We take the position that studying contextual entrainment in VLMs requires more than porting an existing text-only benchmark to the multimodal setting: it requires a taxonomically structured, dual-modality instrument whose conditions are constructed around the item at hand (the depicted image in the textual stream, the textual query in the visual stream). We argue that the move to VLMs is substantive rather than incremental. It makes entrainment a dual phenomenon, drivable independently by textual and by visual context, and it opens a veracity distinction (context that is false of the depicted scene yet possible in the world) that has no counterpart in the unimodal, world-knowledge-only formulation of prior work. To make this position concrete and actionable, we introduce ENTRAP-VL (ENTRainment Assessment Probe for Vision and Language), a manually curated dataset of 1,500 items across eight categories, organized by a taxonomy that spans two axes, i.e., the association of context with the item and its relationship to truth, and split into a textual-entrainment stream (eight context conditions) and a visual-entrainment stream (three context conditions). We do not claim to measure entrainment in any particular model; we provide the instrument, the taxonomy that motivates it, and the evaluation protocols it enables, so that the community can investigate the phenomenon rigorously. We will release the dataset and its documentation publicly.

Automatic radiology report generation is booming due to its huge application potential for the healthcare industry. However, existing computer vision and natural language processing approaches to tackle this problem are limited in two aspects. First, when extracting image features, most of them neglect multi-view reasoning in vision and model single-view structure of medical images, such as space-view or channel-view. However, clinicians rely on multi-view imaging information for comprehensive judgment in daily clinical diagnosis. Second, when generating reports, they overlook context reasoning with multi-modal information and focus on pure textual optimization utilizing retrieval-based methods. We aim to address these two issues by proposing a model that better simulates clinicians' perspectives and generates more accurate reports. Given the above limitation in feature extraction, we propose a Globally-intensive Attention (GIA) module in the medical image encoder to simulate and integrate multi-view vision perception. GIA aims to learn three types of vision perception: depth view, space view, and pixel view. On the other hand, to address the above problem in report generation, we explore how to involve multi-modal signals to generate precisely matched reports, i.e., how to integrate previously predicted words with region-aware visual content in next word prediction. Specifically, we design a Visual Knowledge-guided Decoder (VKGD), which can adaptively consider how much the model needs to rely on visual information and previously predicted text to assist next word prediction. Hence, our final Intensive Vision-guided Network (IVGN) framework includes a GIA-guided Visual Encoder and the VKGD. Experiments on two commonly-used datasets IU X-Ray and MIMIC-CXR demonstrate the superior ability of our method compared with other state-of-the-art approaches.

Multimodal large language models (MLLMs) have advanced the integration of visual and linguistic modalities, establishing themselves as the dominant paradigm for visual-language tasks. Current approaches like chain of thought (CoT) reasoning have augmented the cognitive capabilities of large language models (LLMs), yet their adaptation to MLLMs is hindered by heightened risks of hallucination in cross-modality comprehension. In this paper, we find that the thinking while looking paradigm in current multimodal CoT approaches--where reasoning chains are generated alongside visual input--fails to mitigate hallucinations caused by misleading images. To address these limitations, we propose the Visual Inference Chain (VIC) framework, a novel approach that constructs reasoning chains using textual context alone before introducing visual input, effectively reducing cross-modal biases and enhancing multimodal reasoning accuracy. Comprehensive evaluations demonstrate that VIC significantly improves zero-shot performance across various vision-related tasks, mitigating hallucinations while refining the reasoning capabilities of MLLMs. Our code repository can be found at https://github.com/Terry-Xu-666/visual_inference_chain.

Recent advancements in Large Vision Language Models (LVLMs) have revolutionized how machines understand and generate textual responses based on visual inputs. Despite their impressive capabilities, they often produce "hallucinatory" outputs that do not accurately reflect the visual information, posing challenges in reliability and trustworthiness. Current methods such as contrastive decoding have made strides in addressing these issues by contrasting the original probability distribution of generated tokens with distorted counterparts; yet, generating visually-faithful outputs remains a challenge. In this work, we shift our focus to the opposite: What could serve as a complementary enhancement to the original probability distribution? We propose a simple, training-free method termed RITUAL to enhance robustness against hallucinations in LVLMs. Our approach employs random image transformations as complements to the original probability distribution, aiming to mitigate the likelihood of hallucinatory visual explanations by enriching the model's exposure to varied visual scenarios. Our empirical results show that while the isolated use of transformed images initially degrades performance, strategic implementation of these transformations can indeed serve as effective complements. Notably, our method is compatible with current contrastive decoding methods and does not require external models or costly self-feedback mechanisms, making it a practical addition. In experiments, RITUAL significantly outperforms existing contrastive decoding methods across several object hallucination benchmarks, including POPE, CHAIR, and MME.

Vision-language models (VLMs) adapted to the medical domain have shown strong performance on visual question answering benchmarks, yet their robustness against two critical failure modes, hallucination and sycophancy, remains poorly understood, particularly in combination. We evaluate six VLMs (three general-purpose, three medical-specialist) on three medical VQA datasets and uncover a grounding-sycophancy tradeoff: models with the lowest hallucination propensity are the most sycophantic, while the most pressure-resistant model hallucinates more than all medical-specialist models. To characterize this tradeoff, we propose three metrics: L-VASE, a logit-space reformulation of VASE that avoids its double-normalization; CCS, a confidence-calibrated sycophancy score that penalizes high-confidence capitulation; and Clinical Safety Index (CSI), a unified safety index that combines grounding, autonomy, and calibration via a geometric mean. Across 1,151 test cases, no model achieves a CSI above 0.35, indicating that none of the evaluated 7-8B parameter VLMs is simultaneously well-grounded and robust to social pressure. Our findings suggest that joint evaluation of both properties is necessary before these models can be considered for clinical use. Code is available at https://github.com/UTSA-VIRLab/AgreeOrRight

Deciphering oracle bone characters (OBCs), the oldest attested form of written Chinese, has remained the ultimate, unwavering goal of scholars, offering an irreplaceable key to understanding humanity's early modes of production. Current decipherment methodologies of OBC are primarily constrained by the sporadic nature of archaeological excavations and the limited corpus of inscriptions. With the powerful visual perception capability of large multimodal models (LMMs), the potential of using LMMs for visually deciphering OBCs has increased. In this paper, we introduce PictOBI-20k, a dataset designed to evaluate LMMs on the visual decipherment tasks of pictographic OBCs. It includes 20k meticulously collected OBC and real object images, forming over 15k multi-choice questions. We also conduct subjective annotations to investigate the consistency of the reference point between humans and LMMs in visual reasoning. Experiments indicate that general LMMs possess preliminary visual decipherment skills, and LMMs are not effectively using visual information, while most of the time they are limited by language priors. We hope that our dataset can facilitate the evaluation and optimization of visual attention in future OBC-oriented LMMs. The code and dataset will be available at https://github.com/OBI-Future/PictOBI-20k.

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

Dream2Image is the world's first dataset combining EEG signals, dream transcriptions, and AI-generated images. Based on 38 participants and more than 31 hours of dream EEG recordings, it contains 129 samples offering: the final seconds of brain activity preceding awakening (T-15, T-30, T-60, T-120), raw reports of dream experiences, and an approximate visual reconstruction of the dream. This dataset provides a novel resource for dream research, a unique resource to study the neural correlates of dreaming, to develop models for decoding dreams from brain activity, and to explore new approaches in neuroscience, psychology, and artificial intelligence. Available in open access on Hugging Face and GitHub, Dream2Image provides a multimodal resource designed to support research at the interface of artificial intelligence and neuroscience. It was designed to inspire researchers and extend the current approaches to brain activity decoding. Limitations include the relatively small sample size and the variability of dream recall, which may affect generalizability.

Realistic surgical simulation plays a crucial role in training novice surgeons and in the development of autonomous agents. World models can scale such simulation environments to realistic and diverse procedures by predicting future patient states conditioned on current observations and surgical actions. However, current state-of-the-art approaches often fail to satisfy key criteria required for clinical applicability, including visual realism, physically grounded interactions, and the ability to simulate scenarios beyond the training distribution. Hence, we introduce SWoMo, a neuro-symbolic world model for cataract surgery simulation that decouples motion generation from visual realism. The symbolic component, consisting of a rule-based simulator and scene graph representations, models motion dynamics and tool-tissue interactions, while a diffusion model produces realistic visual appearance, including textures and tissue deformations. We propose an inverse pairing strategy that reconstructs real surgical videos in the simulator to obtain paired simulated and real videos, which are then used to train our video diffusion model for the reverse objective of sim-to-real translation. Our experiments show both qualitative and quantitative improvements over prior work. We demonstrate that our simulator further satisfies the key criteria, including generalisation to unseen interaction geometries, improvements in downstream phase detection, and unsupervised video style transfer. The code, data, and model weights are available at: https://ssharvienkumar.github.io/SWoMo/

Recent advances in learning multi-modal representation have witnessed the success in biomedical domains. While established techniques enable handling multi-modal information, the challenges are posed when extended to various clinical modalities and practical modalitymissing setting due to the inherent modality gaps. To tackle these, we propose an innovative Modality-prompted Heterogeneous Graph for Omnimodal Learning (GTP-4o), which embeds the numerous disparate clinical modalities into a unified representation, completes the deficient embedding of missing modality and reformulates the cross-modal learning with a graph-based aggregation. Specially, we establish a heterogeneous graph embedding to explicitly capture the diverse semantic properties on both the modality-specific features (nodes) and the cross-modal relations (edges). Then, we design a modality-prompted completion that enables completing the inadequate graph representation of missing modality through a graph prompting mechanism, which generates hallucination graphic topologies to steer the missing embedding towards the intact representation. Through the completed graph, we meticulously develop a knowledge-guided hierarchical cross-modal aggregation consisting of a global meta-path neighbouring to uncover the potential heterogeneous neighbors along the pathways driven by domain knowledge, and a local multi-relation aggregation module for the comprehensive cross-modal interaction across various heterogeneous relations. We assess the efficacy of our methodology on rigorous benchmarking experiments against prior state-of-the-arts. In a nutshell, GTP-4o presents an initial foray into the intriguing realm of embedding, relating and perceiving the heterogeneous patterns from various clinical modalities holistically via a graph theory. Project page: https://gtp-4-o.github.io/.

Large vision-language models (VLMs) demonstrate strong performance in medical image understanding, but frequently generate clinically plausible yet incorrect statements, raising significant safety concerns. Existing medical hallucination benchmarks primarily focus on 2D imaging with one-shot diagnostic questions, offering limited insight into whether predictions are grounded in correct localization and abnormality identification, allowing critical reasoning errors to remain hidden behind seemingly correct diagnoses. We introduce Med-StepBench, the first large-scale benchmark for step-wise hallucination detection in 3D oncological PET/CT, comprising over 12,000 images and more than 1,000,000 image-statement pairs across volumetric and multi-view 2D data, which decomposes clinical reasoning into four expert-designed diagnostic stages. Using clinician-verified annotations, we perform the first step-level evaluation of general-purpose and medical VLMs, revealing systematic failure modes obscured by aggregate accuracy metrics. Furthermore, we show that current VLMs are highly susceptible to adversarial yet clinically plausible intermediate explanations, which significantly amplify hallucinations despite contradictory visual evidence. Together, our findings highlight fundamental limitations in grounding multi-step clinical reasoning and establish Med-StepBench as a rigorous benchmark for developing safer and more reliable medical VLMs.

We present a framework for perspective-aware reasoning in vision-language models (VLMs) through mental imagery simulation. Perspective-taking, the ability to perceive an environment or situation from an alternative viewpoint, is a key benchmark for human-level visual understanding, essential for environmental interaction and collaboration with autonomous agents. Despite advancements in spatial reasoning within VLMs, recent research has shown that modern VLMs significantly lack perspective-aware reasoning capabilities and exhibit a strong bias toward egocentric interpretations. To bridge the gap between VLMs and human perception, we focus on the role of mental imagery, where humans perceive the world through abstracted representations that facilitate perspective shifts. Motivated by this, we propose a framework for perspective-aware reasoning, named Abstract Perspective Change (APC), that effectively leverages vision foundation models, such as object detection, segmentation, and orientation estimation, to construct scene abstractions and enable perspective transformations. Our experiments on synthetic and real-image benchmarks, compared with various VLMs, demonstrate significant improvements in perspective-aware reasoning with our framework, further outperforming fine-tuned spatial reasoning models and novel-view-synthesis-based approaches.

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Large Multimodal Models (LMMs) have achieved remarkable progress in generating photorealistic and prompt-aligned images, but they often produce outputs that contradict verifiable knowledge, especially when prompts involve fine-grained attributes or time-sensitive events. Conventional retrieval-augmented approaches attempt to address this issue by introducing external information, yet they are fundamentally incapable of grounding generation in accurate and evolving knowledge due to their reliance on static sources and shallow evidence integration. To bridge this gap, we introduce ORIG, an agentic open multimodal retrieval-augmented framework for Factual Image Generation (FIG), a new task that requires both visual realism and factual grounding. ORIG iteratively retrieves and filters multimodal evidence from the web and incrementally integrates the refined knowledge into enriched prompts to guide generation. To support systematic evaluation, we build FIG-Eval, a benchmark spanning ten categories across perceptual, compositional, and temporal dimensions. Experiments demonstrate that ORIG substantially improves factual consistency and overall image quality over strong baselines, highlighting the potential of open multimodal retrieval for factual image generation.

Can warping tokens, rather than pixels, help multimodal large language models (MLLMs) understand how a scene appears from a nearby viewpoint? While MLLMs perform well on visual reasoning, they remain fragile to viewpoint changes, as pixel-wise warping is highly sensitive to small depth errors and often introduces geometric distortions. Drawing on theories of mental imagery that posit part-level structural representations as the basis for human perspective transformation, we examine whether image tokens in ViT-based MLLMs serve as an effective substrate for viewpoint changes. We compare forward and backward warping, finding that backward token warping, which defines a dense grid on the target view and retrieves a corresponding source-view token for each grid point, achieves greater stability and better preserves semantic coherence under viewpoint shifts. Experiments on our proposed ViewBench benchmark demonstrate that token-level warping enables MLLMs to reason reliably from nearby viewpoints, consistently outperforming all baselines including pixel-wise warping approaches, spatially fine-tuned MLLMs, and a generative warping method.

Interleaved thinking, where a unified multimodal model alternates between textual reasoning and visual generation, has shown promise on spatial and physical tasks. However, in complex long-chain scenarios, we identify a fundamental failure mode: generated images diverge from the textual context while subsequent text ignores the visual evidence, causing the two modalities to alternate without genuinely informing each other. We term this Modal Isolation and attribute it to compounding information loss at modality boundaries. We decompose each reasoning cycle into atomic operations and define modality transition loss, quantifying cross-modal hallucination (text-to-image) and visual utilization deficit (image-to-text) at each boundary. We propose MoTiF (Modality Tiransition Fidelity), a two-stage training framework that directly optimizes these transitions: Reflective SFT trains the model to detect and recover from erroneous visual outputs; Flow-GRPO improves image generation fidelity via reinforcement learning. All training signals in MoTiF derive from transition-level fidelity rather than end-task accuracy. Across four visual puzzle benchmarks, this transition-level supervision substantially improves both cross-modal coherence and final task accuracy. The results demonstrate that effective interleaved reasoning requires explicit structural supervision at modality boundaries, not merely scaling or end-task optimization.

Ordinal regression is a fundamental problem within the field of computer vision, with customised well-trained models on specific tasks. While pre-trained vision-language models (VLMs) have exhibited impressive performance on various vision tasks, their potential for ordinal regression has received less exploration. In this study, we first investigate CLIP's potential for ordinal regression, from which we expect the model could generalise to different ordinal regression tasks and scenarios. Unfortunately, vanilla CLIP fails on this task, since current VLMs have a well-documented limitation of encapsulating compositional concepts such as number sense. We propose a simple yet effective method called NumCLIP to improve the quantitative understanding of VLMs. We disassemble the exact image to number-specific text matching problem into coarse classification and fine prediction stages. We discretize and phrase each numerical bin with common language concept to better leverage the available pre-trained alignment in CLIP. To consider the inherent continuous property of ordinal regression, we propose a novel fine-grained cross-modal ranking-based regularisation loss specifically designed to keep both semantic and ordinal alignment in CLIP's feature space. Experimental results on three general ordinal regression tasks demonstrate the effectiveness of NumCLIP, with 10% and 3.83% accuracy improvement on historical image dating and image aesthetics assessment task, respectively. Code is publicly available at https://github.com/xmed-lab/NumCLIP.

Spatial intelligence remains a persistent challenge for Multimodal Large Language Models (MLLMs), as it requires coherent spatial scene representations beyond basic object recognition. Existing methods typically build such representations through textual reasoning or 3D reconstruction. However, they often falter during multi-step reasoning, particularly when required to dynamically re-anchor evidence to the specific camera-, object-, or direction-centric reference frames demanded by complex queries. To address this, we propose OmniView-Space, a framework designed to maintain spatial consistency through multimodal egocentric evidence. Our approach consists of three core components: (1) Multi-Perspective Spatial Mapping (MPSM), which re-anchors reconstructed geometry into a query-aligned visual cognitive map and a textual spatial graph; (2) Tool-Guided Egocentric Reasoning, an interleaved policy trained to actively select the ego anchor required by the query and request the corresponding MPSM evidence; and (3) Cognitive-Map Distillation, which uses MPSM-generated trajectories and ego-frame rewards to train the model to reason with self-generated cognitive maps. Experiments on single- and multi-image spatial reasoning benchmarks show that OmniView-Space achieves state-of-the-art performance. Furthermore, the distilled model maintains this performance while reducing reliance on external geometry pipelines.

This study reveals an unexpected parallel between instructible vision-language models (VLMs) and human cognitive disorders, specifically constructive apraxia. We tested 25 state-of-the-art VLMs, including GPT-4 Vision, DALL-E 3, and Midjourney v5, on their ability to generate images of the Ponzo illusion, a task that requires basic spatial reasoning and is often used in clinical assessments of constructive apraxia. Remarkably, 24 out of 25 models failed to correctly render two horizontal lines against a perspective background, mirroring the deficits seen in patients with parietal lobe damage. The models consistently misinterpreted spatial instructions, producing tilted or misaligned lines that followed the perspective of the background rather than remaining horizontal. This behavior is strikingly similar to how apraxia patients struggle to copy or construct simple figures despite intact visual perception and motor skills. Our findings suggest that current VLMs, despite their advanced capabilities in other domains, lack fundamental spatial reasoning abilities akin to those impaired in constructive apraxia. This limitation in AI systems provides a novel computational model for studying spatial cognition deficits and highlights a critical area for improvement in VLM architecture and training methodologies.

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

The large abundance of perspective camera datasets facilitated the emergence of novel learning-based strategies for various tasks, such as camera localization, single image depth estimation, or view synthesis. However, panoramic or omnidirectional image datasets, including essential information, such as pose and depth, are mostly made with synthetic scenes. In this work, we introduce a large scale 360^{circ} videos dataset in the wild. This dataset has been carefully scraped from the Internet and has been captured from various locations worldwide. Hence, this dataset exhibits very diversified environments (e.g., indoor and outdoor) and contexts (e.g., with and without moving objects). Each of the 25K images constituting our dataset is provided with its respective camera's pose and depth map. We illustrate the relevance of our dataset for two main tasks, namely, single image depth estimation and view synthesis.

Reliable spatial understanding is an important prerequisite for future medical vision-language systems that aim to support radiological report generation and structured image understanding. While modern vision-language models (VLMs) show promising performance on many medical imaging tasks, recent evidence suggests they remain weak in controlled spatial reasoning and often fail to reliably ground spatial relations in image evidence. Given that radiological reasoning hinges on understanding the relative positions of anatomical structures and findings, this spatial weakness poses risks to diagnostic accuracy. We present a modular medical imaging agent for binary spatial relation verification in axial CT slices. Instead of directly predicting spatial answers end-to-end, the system decomposes the task into explicit stages: language parsing, anatomical localization, and deterministic geometric verification. Natural-language queries are converted into structured relation tuples, queried organs are localized with a YOLO-based detector, and the final spatial decision is computed from object centers using deterministic geometric rules. We evaluate the approach on the held-out MIRP spatial QA benchmark and compare it against representative end-to-end VLM baselines. The best-performing hybrid configuration reaches 94.1% accuracy and 94.2% F1, outperforming direct Qwen2-VL prompting by 42.5 percentage points in accuracy, while preserving interpretable intermediate representations and auditable reasoning stages. The results suggest that explicit modular spatial verification can serve as a promising building block for future report-oriented medical imaging agents.

Hallucination is a common issue in Multimodal Large Language Models (MLLMs), yet the underlying principles remain poorly understood. In this paper, we investigate which components of MLLMs contribute to object hallucinations. To analyze image representations while completely avoiding the influence of all other factors other than the image representation itself, we propose a parametric-free representation alignment metric (Pfram) that can measure the similarities between any two representation systems without requiring additional training parameters. Notably, Pfram can also assess the alignment of a neural representation system with the human representation system, represented by ground-truth annotations of images. By evaluating the alignment with object annotations, we demonstrate that this metric shows strong and consistent correlations with object hallucination across a wide range of state-of-the-art MLLMs, spanning various model architectures and sizes. Furthermore, using this metric, we explore other key issues related to image representations in MLLMs, such as the role of different modules, the impact of textual instructions, and potential improvements including the use of alternative visual encoders. Our code is available at: https://github.com/yellow-binary-tree/Pfram.

Multimodal Large Language Models demonstrate strong performance on natural image understanding, yet exhibit limited capability in interpreting scientific images, including but not limited to schematic diagrams, experimental characterizations, and analytical charts. This limitation is particularly pronounced in open-source MLLMs. The gap largely stems from existing datasets with limited domain coverage, coarse structural annotations, and weak semantic grounding. We introduce OmniScience, a large-scale, high-fidelity multi-modal dataset comprising 1.5 million figure-caption-context triplets, spanning more than 10 major scientific disciplines. To obtain image caption data with higher information density and accuracy for multi-modal large-model training, we develop a dynamic model-routing re-captioning pipeline that leverages state-of-the-art multi-modal large language models to generate dense, self-contained descriptions by jointly synthesizing visual features, original figure captions, and corresponding in-text references authored by human scientists. The pipeline is further reinforced with rigorous quality filtering and alignment with human expert judgments, ensuring both factual accuracy and semantic completeness, and boosts the image-text multi-modal similarity score from 0.769 to 0.956. We further propose a caption QA protocol as a proxy task for evaluating visual understanding. Under this setting, Qwen2.5-VL-3B model finetuned on OmniScience show substantial gains over baselines, achieving a gain of 0.378 on MM-MT-Bench and a gain of 0.140 on MMMU.

Scientific archives now contain hundreds of petabytes of data across genomics, ecology, climate, and molecular biology that could reveal undiscovered patterns if systematically analyzed at scale. Large-scale, weakly-supervised datasets in language and vision have driven the development of foundation models whose internal representations encode structure (patterns, co-occurrences and statistical regularities) beyond their training objectives. Most existing methods extract structure only for pre-specified targets; they excel at confirmation but do not support open-ended discovery of unknown patterns. We ask whether sparse autoencoders (SAEs) can enable open-ended feature discovery from foundation model representations. We evaluate this question in controlled rediscovery studies, where the learned SAE features are tested for alignment with semantic concepts on a standard segmentation benchmark and compared against strong label-free alternatives on concept-alignment metrics. Applied to ecological imagery, the same procedure surfaces fine-grained anatomical structure without access to segmentation or part labels, providing a scientific case study with ground-truth validation. While our experiments focus on vision with an ecology case study, the method is domain-agnostic and applicable to models in other sciences (e.g., proteins, genomics, weather). Our results indicate that sparse decomposition provides a practical instrument for exploring what scientific foundation models have learned, an important prerequisite for moving from confirmation to genuine discovery.

Medical images and radiology reports are crucial for diagnosing medical conditions, highlighting the importance of quantitative analysis for clinical decision-making. However, the diversity and cross-source heterogeneity of these data challenge the generalizability of current data-mining methods. Multimodal large language models (MLLMs) have recently transformed many domains, significantly affecting the medical field. Notably, Gemini-Vision-series (Gemini) and GPT-4-series (GPT-4) models have epitomized a paradigm shift in Artificial General Intelligence (AGI) for computer vision, showcasing their potential in the biomedical domain. In this study, we evaluated the performance of the Gemini, GPT-4, and 4 popular large models for an exhaustive evaluation across 14 medical imaging datasets, including 5 medical imaging categories (dermatology, radiology, dentistry, ophthalmology, and endoscopy), and 3 radiology report datasets. The investigated tasks encompass disease classification, lesion segmentation, anatomical localization, disease diagnosis, report generation, and lesion detection. Our experimental results demonstrated that Gemini-series models excelled in report generation and lesion detection but faces challenges in disease classification and anatomical localization. Conversely, GPT-series models exhibited proficiency in lesion segmentation and anatomical localization but encountered difficulties in disease diagnosis and lesion detection. Additionally, both the Gemini series and GPT series contain models that have demonstrated commendable generation efficiency. While both models hold promise in reducing physician workload, alleviating pressure on limited healthcare resources, and fostering collaboration between clinical practitioners and artificial intelligence technologies, substantial enhancements and comprehensive validations remain imperative before clinical deployment.

While Text-to-Image (T2I) models have shown remarkable success in generating photorealistic visual content, they still struggle with the rigorous semantic alignment and logical reasoning required for scientific imagery. Inspired by Peirce's Semiotic Triad, we introduce Scientific Image Reasoning (SciIR), a comprehensive resource for training and evaluation of scientific image generation. We formalize scientific reasoning into three core dimensions: Entity Structure (Icon), Scientific Process (Index), and Scientific Law (Symbol). Specifically, to overcome the scarcity of training data in scientific image generation, we elaborately create SciIR-82k, a large-scale dataset containing over 80,000 high-quality scientific image-text pairs from cutting-edge publications. The dataset is hierarchically organized according to the semiotic dimensions and incorporates a Scientific Reasoning Chain-of-Thought (Sci-RCoT) to explicitly model underlying visual logic. For evaluation, we propose SciIR-Bench, which aligns with these three semiotic levels and employs an Atomic Checklist to convert the outcome-oriented scientific accuracy into process-oriented, verifiable, fine-grained questions. Our extensive experiments reveal significant deficiencies in current models' scientific reasoning capabilities. Furthermore, by fine-tuning on the SciIR-82k dataset, we developed the Qwen-Image-SciIR model, which achieves a substantial improvement on the SciIR-Bench, increasing the final score from 35\% to 43\%, laying a solid foundation for future advances in scientific image generation.

Understanding the workflow of surgical procedures in complex operating rooms requires a deep understanding of the interactions between clinicians and their environment. Surgical activity recognition (SAR) is a key computer vision task that detects activities or phases from multi-view camera recordings. Existing SAR models often fail to account for fine-grained clinician movements and multi-view knowledge, or they require calibrated multi-view camera setups and advanced point-cloud processing to obtain better results. In this work, we propose a novel calibration-free multi-view multi-modal pretraining framework called Multiview Pretraining for Video-Pose Surgical Activity Recognition PreViPS, which aligns 2D pose and vision embeddings across camera views. Our model follows CLIP-style dual-encoder architecture: one encoder processes visual features, while the other encodes human pose embeddings. To handle the continuous 2D human pose coordinates, we introduce a tokenized discrete representation to convert the continuous 2D pose coordinates into discrete pose embeddings, thereby enabling efficient integration within the dual-encoder framework. To bridge the gap between these two modalities, we propose several pretraining objectives using cross- and in-modality geometric constraints within the embedding space and incorporating masked pose token prediction strategy to enhance representation learning. Extensive experiments and ablation studies demonstrate improvements over the strong baselines, while data-efficiency experiments on two distinct operating room datasets further highlight the effectiveness of our approach. We highlight the benefits of our approach for surgical activity recognition in both multi-view and single-view settings, showcasing its practical applicability in complex surgical environments. Code will be made available at: https://github.com/CAMMA-public/PreViPS.

We introduce KorMedMCQA-V, a Korean medical licensing-exam-style multimodal multiple-choice question answering benchmark for evaluating vision-language models (VLMs). The dataset consists of 1,534 questions with 2,043 associated images from Korean Medical Licensing Examinations (2012-2023), with about 30% containing multiple images requiring cross-image evidence integration. Images cover clinical modalities including X-ray, computed tomography (CT), electrocardiography (ECG), ultrasound, endoscopy, and other medical visuals. We benchmark over 50 VLMs across proprietary and open-source categories-spanning general-purpose, medical-specialized, and Korean-specialized families-under a unified zero-shot evaluation protocol. The best proprietary model (Gemini-3.0-Pro) achieves 96.9% accuracy, the best open-source model (Qwen3-VL-32B-Thinking) 83.7%, and the best Korean-specialized model (VARCO-VISION-2.0-14B) only 43.2%. We further find that reasoning-oriented model variants gain up to +20 percentage points over instruction-tuned counterparts, medical domain specialization yields inconsistent gains over strong general-purpose baselines, all models degrade on multi-image questions, and performance varies notably across imaging modalities. By complementing the text-only KorMedMCQA benchmark, KorMedMCQA-V forms a unified evaluation suite for Korean medical reasoning across text-only and multimodal conditions. The dataset is available via Hugging Face Datasets: https://huggingface.co/datasets/seongsubae/KorMedMCQA-V.

Current multimodal models aim to transcend the limitations of single-modality representations by unifying understanding and generation, often using text-to-image (T2I) tasks to calibrate semantic consistency. However, their reliance on static, single-image generation in training and evaluation leads to overfitting to static pattern matching and semantic fusion, while fundamentally hindering their ability to model dynamic processes that unfold over time. To address these constraints, we propose Envision-a causal event progression benchmark for chained text-to-multi-image generation. Grounded in world knowledge and structured by spatiotemporal causality, it reorganizes existing evaluation dimensions and includes 1,000 four-stage prompts spanning six scientific and humanities domains. To transition evaluation from single images to sequential frames and assess whether models truly internalize world knowledge while adhering to causal-temporal constraints, we introduce Envision-Score, a holistic metric integrating multi-dimensional consistency, physicality, and aesthetics. Comprehensive evaluation of 15 models (10 specialized T2I models, 5 unified models) uncovers: specialized T2I models demonstrate proficiency in aesthetic rendering yet lack intrinsic world knowledge. Unified multimodal models bridge this gap, consistently outperforming specialized counterparts in causal narrative coherence. However, even these unified architectures remain subordinate to closed-source models and struggle to overcome the core challenge of spatiotemporal consistency. This demonstrates that a focus on causally-isolated single images impedes multi-frame reasoning and generation, promoting static pattern matching over dynamic world modeling-ultimately limiting world knowledge internalization, generation.

Multi-modal three-dimensional (3D) medical imaging data, derived from ultrasound, magnetic resonance imaging (MRI), and potentially computed tomography (CT), provide a widely adopted approach for non-invasive anatomical visualization. Accurate modeling, registration, and visualization in this setting depend on surface reconstruction and frame-to-frame interpolation. Traditional methods often face limitations due to image noise and incomplete information between frames. To address these challenges, we present MedGS, a semi-supervised neural implicit surface reconstruction framework that employs a Gaussian Splatting (GS)-based interpolation mechanism. In this framework, medical imaging data are represented as consecutive two-dimensional (2D) frames embedded in 3D space and modeled using Gaussian-based distributions. This representation enables robust frame interpolation and high-fidelity surface reconstruction across imaging modalities. As a result, MedGS offers more efficient training than traditional neural implicit methods. Its explicit GS-based representation enhances noise robustness, allows flexible editing, and supports precise modeling of complex anatomical structures with fewer artifacts. These features make MedGS highly suitable for scalable and practical applications in medical imaging.

Current video avatar generation methods excel at identity preservation and motion alignment but lack genuine agency, they cannot autonomously pursue long-term goals through adaptive environmental interaction. We address this by introducing L-IVA (Long-horizon Interactive Visual Avatar), a task and benchmark for evaluating goal-directed planning in stochastic generative environments, and ORCA (Online Reasoning and Cognitive Architecture), the first framework enabling active intelligence in video avatars. ORCA embodies Internal World Model (IWM) capabilities through two key innovations: (1) a closed-loop OTAR cycle (Observe-Think-Act-Reflect) that maintains robust state tracking under generative uncertainty by continuously verifying predicted outcomes against actual generations, and (2) a hierarchical dual-system architecture where System 2 performs strategic reasoning with state prediction while System 1 translates abstract plans into precise, model-specific action captions. By formulating avatar control as a POMDP and implementing continuous belief updating with outcome verification, ORCA enables autonomous multi-step task completion in open-domain scenarios. Extensive experiments demonstrate that ORCA significantly outperforms open-loop and non-reflective baselines in task success rate and behavioral coherence, validating our IWM-inspired design for advancing video avatar intelligence from passive animation to active, goal-oriented behavior.

We address the problem of synthesizing multi-view optical illusions: images that change appearance upon a transformation, such as a flip or rotation. We propose a simple, zero-shot method for obtaining these illusions from off-the-shelf text-to-image diffusion models. During the reverse diffusion process, we estimate the noise from different views of a noisy image, and then combine these noise estimates together and denoise the image. A theoretical analysis suggests that this method works precisely for views that can be written as orthogonal transformations, of which permutations are a subset. This leads to the idea of a visual anagram--an image that changes appearance under some rearrangement of pixels. This includes rotations and flips, but also more exotic pixel permutations such as a jigsaw rearrangement. Our approach also naturally extends to illusions with more than two views. We provide both qualitative and quantitative results demonstrating the effectiveness and flexibility of our method. Please see our project webpage for additional visualizations and results: https://dangeng.github.io/visual_anagrams/

We develop a learning framework for building deformable templates, which play a fundamental role in many image analysis and computational anatomy tasks. Conventional methods for template creation and image alignment to the template have undergone decades of rich technical development. In these frameworks, templates are constructed using an iterative process of template estimation and alignment, which is often computationally very expensive. Due in part to this shortcoming, most methods compute a single template for the entire population of images, or a few templates for specific sub-groups of the data. In this work, we present a probabilistic model and efficient learning strategy that yields either universal or conditional templates, jointly with a neural network that provides efficient alignment of the images to these templates. We demonstrate the usefulness of this method on a variety of domains, with a special focus on neuroimaging. This is particularly useful for clinical applications where a pre-existing template does not exist, or creating a new one with traditional methods can be prohibitively expensive. Our code and atlases are available online as part of the VoxelMorph library at http://voxelmorph.csail.mit.edu.

Large Multimodal Models (LMMs) often suffer from multimodal hallucinations, wherein they may create content that is not present in the visual inputs. In this paper, we explore a new angle of this issue: overly detailed training data hinders the model's ability to timely terminate generation, leading to continued outputs beyond visual perception limits. By investigating how the model decides to terminate generation with EOS, the special end-of-sentence token, we find that the model assesses the completeness of the entire sequence by comparing the generated text with the image. This observation suggests that the model possesses an inherent potential of making proper EOS decisions based on its visual perception to avoid overly lengthy outputs. To take advantage of such potential, we explore two methods to mitigate multimodal hallucinations: a training objective that enables the model to reduce hallucinations by learning from regular instruction data, and a data filtering strategy to prevent harmful training data from exacerbating model hallucinations. Both methods significantly improve the hallucination performance of LMMs, without requiring any additional data or knowledge.

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.

Knee osteoarthritis (KOA) diagnosis from radiographs remains challenging due to the subtle morphological details that standard deep learning models struggle to capture effectively. We propose a novel multimodal framework that combines anatomical structure with radiographic features by integrating a morphological graph representation - derived from Segment Anything Model (SAM) segmentations - with a vision encoder. Our approach enforces alignment between geometry-informed graph embeddings and radiographic features through mutual information maximization, significantly improving KOA classification accuracy. By constructing graphs from anatomical features, we introduce explicit morphological priors that mirror clinical assessment criteria, enriching the feature space and enhancing the model's inductive bias. Experiments on the Osteoarthritis Initiative dataset demonstrate that our approach surpasses single-modality baselines by up to 10\% in accuracy (reaching nearly 80\%), while outperforming existing state-of-the-art methods by 8\% in accuracy and 11\% in F1 score. These results underscore the critical importance of incorporating anatomical structure into radiographic analysis for accurate KOA severity grading.

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

Text-to-image generation has reached photorealistic quality, yet state-of-the-art systems remain unreliable at producing scientific diagrams, whose value depends not on appearance but on physical faithfulness: correct force directions, valid coordinate systems, consistent thermodynamic states, and equations matching the depicted scenario. Trained on web imagery with physically shallow captions, generic models produce diagrams that look plausible but are physically wrong, harmful in education and scientific communication. We present Princigram, a physics-faithful scientific-diagram generator, and its data pipeline. Our central advance is Structured Physical Chain-of-Thought (SP-CoT): a per-subdiscipline schema that decomposes a physics diagram into an explicit multi-step reasoning chain across six subdisciplines, from scene identification through force or process analysis to governing laws and synthesis. Unlike free-form chain-of-thought, SP-CoT follows a fixed schema with strict fidelity rules that separate visually grounded facts from physically inferred reasoning and type all mathematics symbolically; it serves both as dense training supervision and, at inference, as a structured "thinking" prompt. With it we curate and structurally annotate 4.3 million physics images, of which 115,037 carry expert-level annotation, and adapt a unified multimodal backbone. We further introduce VeriphyT2IBench, whose questions are derived from each held-out diagram's own structured annotation: each diagram becomes an item-specific bank of binary questions about its objects, forces, and states, so a judge model's score decomposes into named physical facts rather than one holistic number. On the physics subset of GenExam and on VeriphyT2IBench, Princigram shows that explicit physics-structured supervision improves the physical faithfulness of generated scientific diagrams.

While Vision-Language Models (VLMs) have shown strong visual reasoning capabilities, their spatial reasoning abilities remain largely constrained to the observed images and text-oriented chain-of-thought. They often struggle to infer unobserved layouts, maintain cross-view consistency, and reason from alternative viewpoints when only limited egocentric observations are available. In this work, we study this problem as thinking with imagination, where a VLM actively acquires imagined visual evidence by interacting with a world simulator during reasoning. We propose Astra, an agentic spatial reasoning framework that empowers VLMs with action-conditioned visual imagination. Specifically, Astra couples Astra-VL, an RL-trained VLM policy, with Astra-WM, a Bagel-based world simulator that generates novel-view observations from context images and natural-language camera motions. To provide reliable imagined evidence, Astra-WM is trained with view consistency tuning to improve pose and content consistency across views. In the RL stage, we propose a world-simulator-in-the-loop two-phase RL curriculum to stabilize tool-use exploration and advance the model's ability to invoke the simulator only when imagined observations improve over direct answering. Experiments demonstrate that both the world simulator and the agentic policy are necessary: Astra-WM improves simulator-augmented Gemini-3-Flash on MMSI-Bench from 45.1 to 49.5, while Astra-VL improves the Qwen3-VL backbone from 29.8 to 38.8 on MMSI-Bench and from 36.8 to 42.7 on MindCube. These results show that imagined observations can provide useful spatial evidence, but effective world-model-augmented reasoning requires learning when, where, and how to imagine.

In ordinal classification, misclassifying neighboring ranks is common, yet the consequences of these errors are not the same. For example, misclassifying benign tumor categories is less consequential, compared to an error at the pre-cancerous to cancerous threshold, which could profoundly influence treatment choices. Despite this, existing ordinal classification methods do not account for the varying importance of these margins, treating all neighboring classes as equally significant. To address this limitation, we propose CLOC, a new margin-based contrastive learning method for ordinal classification that learns an ordered representation based on the optimization of multiple margins with a novel multi-margin n-pair loss (MMNP). CLOC enables flexible decision boundaries across key adjacent categories, facilitating smooth transitions between classes and reducing the risk of overfitting to biases present in the training data. We provide empirical discussion regarding the properties of MMNP and show experimental results on five real-world image datasets (Adience, Historical Colour Image Dating, Knee Osteoarthritis, Indian Diabetic Retinopathy Image, and Breast Carcinoma Subtyping) and one synthetic dataset simulating clinical decision bias. Our results demonstrate that CLOC outperforms existing ordinal classification methods and show the interpretability and controllability of CLOC in learning meaningful, ordered representations that align with clinical and practical needs.

Medical Vision-Language Models (Med-VLMs) have achieved expert-level proficiency in interpreting diagnostic imaging. However, current models are predominantly trained on professional literature, limiting their ability to communicate findings in the lay register required for patient-centered care. While text-centric research has actively developed resources for simplifying medical jargon, there is a critical absence of large-scale multimodal benchmarks designed to facilitate lay-accessible medical image understanding. To bridge this resource gap, we introduce MedLayBench-V, the first large-scale multimodal benchmark dedicated to expert-lay semantic alignment. Unlike naive simplification approaches that risk hallucination, our dataset is constructed via a Structured Concept-Grounded Refinement (SCGR) pipeline. This method enforces strict semantic equivalence by integrating Unified Medical Language System (UMLS) Concept Unique Identifiers (CUIs) with micro-level entity constraints. MedLayBench-V provides a verified foundation for training and evaluating next-generation Med-VLMs capable of bridging the communication divide between clinical experts and patients.

While Multimodal Large Language Models (MLLMs) have demonstrated remarkable proficiency in tasks such as abnormality detection and report generation for anatomical modalities, their capability in functional imaging remains largely unexplored. In this work, we identify and quantify a fundamental functional perception gap: the inability of current vision encoders to decode functional tracer biodistribution independent of morphological priors. Identifying Positron Emission Tomography (PET) as the quintessential modality to investigate this disconnect, we introduce PET-Bench, the first large-scale functional imaging benchmark comprising 52,308 hierarchical QA pairs from 9,732 multi-site, multi-tracer PET studies. Extensive evaluation of 19 state-of-the-art MLLMs reveals a critical safety hazard termed the Chain-of-Thought (CoT) hallucination trap. We observe that standard CoT prompting, widely considered to enhance reasoning, paradoxically decouples linguistic generation from visual evidence in PET, producing clinically fluent but factually ungrounded diagnoses. To resolve this, we propose Atomic Visual Alignment (AVA), a simple fine-tuning strategy that enforces the mastery of low-level functional perception prior to high-level diagnostic reasoning. Our results demonstrate that AVA effectively bridges the perception gap, transforming CoT from a source of hallucination into a robust inference tool and improving diagnostic accuracy by up to 14.83%. Code and data are available at https://github.com/yezanting/PET-Bench.

Open-vocabulary segmentation enables pixel-level recognition from an open set of textual categories, allowing generalization beyond fixed classes. Despite great potential in remote sensing, progress in this area remains largely limited to clear-sky optical data and struggles under cloudy or haze-contaminated conditions. We present MM-OVSeg, a multimodal Optical-SAR fusion framework for resilient open-vocabulary segmentation under adverse weather conditions. MM-OVSeg leverages the complementary strengths of the two modalities--optical imagery provides rich spectral semantics, while synthetic aperture radar (SAR) offers cloud-penetrating structural cues. To address the cross-modal domain gap and the limited dense prediction capability of current vision-language models, we propose two key designs: a cross-modal unification process for multi-sensor representation alignment, and a dual-encoder fusion module that integrates hierarchical features from multiple vision foundation models for text-aligned multimodal segmentation. Extensive experiments demonstrate that MM-OVSeg achieves superior robustness and generalization across diverse cloud conditions. The source dataset and code are available at https://github.com/Jimmyxichen/MM-OVSeg.

Recent advances in modeling 3D objects mostly rely on synthetic datasets due to the lack of large-scale realscanned 3D databases. To facilitate the development of 3D perception, reconstruction, and generation in the real world, we propose OmniObject3D, a large vocabulary 3D object dataset with massive high-quality real-scanned 3D objects. OmniObject3D has several appealing properties: 1) Large Vocabulary: It comprises 6,000 scanned objects in 190 daily categories, sharing common classes with popular 2D datasets (e.g., ImageNet and LVIS), benefiting the pursuit of generalizable 3D representations. 2) Rich Annotations: Each 3D object is captured with both 2D and 3D sensors, providing textured meshes, point clouds, multiview rendered images, and multiple real-captured videos. 3) Realistic Scans: The professional scanners support highquality object scans with precise shapes and realistic appearances. With the vast exploration space offered by OmniObject3D, we carefully set up four evaluation tracks: a) robust 3D perception, b) novel-view synthesis, c) neural surface reconstruction, and d) 3D object generation. Extensive studies are performed on these four benchmarks, revealing new observations, challenges, and opportunities for future research in realistic 3D vision.

In this work, we present DreamDance, a novel method for animating human images using only skeleton pose sequences as conditional inputs. Existing approaches struggle with generating coherent, high-quality content in an efficient and user-friendly manner. Concretely, baseline methods relying on only 2D pose guidance lack the cues of 3D information, leading to suboptimal results, while methods using 3D representation as guidance achieve higher quality but involve a cumbersome and time-intensive process. To address these limitations, DreamDance enriches 3D geometry cues from 2D poses by introducing an efficient diffusion model, enabling high-quality human image animation with various guidance. Our key insight is that human images naturally exhibit multiple levels of correlation, progressing from coarse skeleton poses to fine-grained geometry cues, and further from these geometry cues to explicit appearance details. Capturing such correlations could enrich the guidance signals, facilitating intra-frame coherency and inter-frame consistency. Specifically, we construct the TikTok-Dance5K dataset, comprising 5K high-quality dance videos with detailed frame annotations, including human pose, depth, and normal maps. Next, we introduce a Mutually Aligned Geometry Diffusion Model to generate fine-grained depth and normal maps for enriched guidance. Finally, a Cross-domain Controller incorporates multi-level guidance to animate human images effectively with a video diffusion model. Extensive experiments demonstrate that our method achieves state-of-the-art performance in animating human images.