arXiv subjects

Songtao Jiang

Publications and source records attributed to Songtao Jiang.

At least 19 recordsLinked to original sources

arXiv2026

MedUAG: Unified Understanding and Generation for Medical Multimodal Models

Recent Multimodal Large Language Models (MLLMs) are rapidly evolving into unified understanding and generation (UAG) frameworks. However, extending these unified paradigms to the medical domain is hindered by: the absence of comprehensive training and evaluation benchmarks, and the lack of broadly validated unified medical model. To address these gaps, we present a comprehensive foundation for medical UAG. First, we construct MedUAGCorpus, the largest unified medical understanding and generation dataset to date, comprising over 6 million instances across 14 imaging modalities. Second, we introduce MedUAGBench, a systematic benchmark that expands medical generation evaluation to 12 diverse tasks under standardized protocols. Finally, leveraging these resources, we develop MedUAG, an end-to-end trained unified medical model. Extensive experiments demonstrate that MedUAG achieves strong performance across a wide array of understanding and generation tasks, establishing a competitive baseline and paving the way for next-generation medical multimodal systems.

cs.CL↗

arXiv2026

MedUP: Awakening Unified Understanding and Perception in Medical Vision-Language Models

Medical Vision-Language Models (Med-VLMs) excel at verbalizing visual content, yet precise visual perception, segmentation, and grounding remain challenging. Existing approaches either verbalize regions as coordinate strings or rely on external modules that decouple perception from understanding, creating representation gaps for region-language alignment. We present MedUP, a Med-VLM that natively unifies perception and understanding within a shared token space. At its core lies UniMedTok, a region tokenizer that encodes masks as discrete tokens in the LLM vocabulary, enabling the model to seamlessly interleave mask tokens with text. We curate UniMed-Train, a 1.84M-instance corpus spanning text-guided segmentation, region-grounded understanding, medical VQA and CoT-based segmentation, and introduce UniMed-Bench for unified evaluation. Extensive experiments show that MedUP outperforms native, agentic, and dual-decoder Med-VLMs across all tasks while remaining competitive with specialist segmentors, demonstrating the strong potential of unified understanding and perception modeling.

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arXiv2026

MedStreamBench: A Time-Aware Benchmark for Streaming and Proactive Medical Video Understanding

Existing medical video benchmarks primarily evaluate whether a model produces the correct answer, but rarely assess whether it answers at the right time. In real clinical settings, AI systems must decide not only what to predict, but also when to answer, defer judgment, or proactively raise alerts. This creates a critical gap between benchmark evaluation and deployment requirements. We present MedStreamBench, a benchmark for time-aware medical video understanding. MedStreamBench integrates 22 medical datasets and 5,419 QA instances across four temporal settings: retrospective, present, future, and proactive. Unlike conventional benchmarks that assume full-video access, MedStreamBench restricts models to temporally bounded evidence windows and supports both single-turn and streaming evaluation. We further introduce a proactive monitoring setting that requires models to determine whether and when clinically relevant alerts should be triggered. Beyond answer correctness, MedStreamBench evaluates temporal behavior through responsiveness and post-evidence stability. Experiments on leading general-purpose and medical vision-language models reveal a substantial gap between offline recognition and temporally grounded decision-making, with performance dropping markedly in streaming and proactive settings. Our benchmark is available at https://huggingface.co/datasets/Venn2024/MedStreamBench.

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arXiv2026

AtomiMed: Hierarchical Atomic Fact-Checking for Universal Clinical-Aware Medical Report Evaluation

Traditional metrics for Medical Report Generation (MRG) predominantly rely on surface-level n-gram overlap, which fails to capture clinical factual accuracy and often overlooks catastrophic diagnostic errors. We address this fundamental limitation by proposing \textbf{AtomiMed}, a universal, modality-agnostic evaluation framework that decomposes complex medical narratives into a standardized, multi-level hierarchy of Atomic Clinical Facts, encompassing Disease-level entities and Attribute-level descriptors, including location, morphology, and severity. By implementing an Agentic Cross-Verification loop between ground-truth and predicted reports, AtomiMed simulates a multi-radiologist peer-review process to verify clinical consistency, thus enabling the decoupled assessment of diagnostic detection and descriptive accuracy. To facilitate standardized evaluation, we introduce \textbf{MRGEvalKit}, an open-source toolkit for automated hierarchical extraction, and curate \textbf{OmniMRG-Bench}, a comprehensive multi-modal benchmark covering X-ray, CT, MRI, and Ultrasound. Extensive experiments on multiple expert-annotated reader studies demonstrate that AtomiMed achieves significantly higher correlation with human radiologist judgment compared to traditional and model-based metrics. Our code are release at https://github.com/Venn2336/MRGEvalkit

cs.CE↗

arXiv2026

CodePercept: Code-Grounded Visual STEM Perception for MLLMs

When MLLMs fail at Science, Technology, Engineering, and Mathematics (STEM) visual reasoning, a fundamental question arises: is it due to perceptual deficiencies or reasoning limitations? Through systematic scaling analysis that independently scales perception and reasoning components, we uncover a critical insight: scaling perception consistently outperforms scaling reasoning. This reveals perception as the true lever limiting current STEM visual reasoning. Motivated by this insight, our work focuses on systematically enhancing the perception capabilities of MLLMs by establishing code as a powerful perceptual medium--executable code provides precise semantics that naturally align with the structured nature of STEM visuals. Specifically, we construct ICC-1M, a large-scale dataset comprising 1M Image-Caption-Code triplets that materializes this code-as-perception paradigm through two complementary approaches: (1) Code-Grounded Caption Generation treats executable code as ground truth for image captions, eliminating the hallucinations inherent in existing knowledge distillation methods; (2) STEM Image-to-Code Translation prompts models to generate reconstruction code, mitigating the ambiguity of natural language for perception enhancement. To validate this paradigm, we further introduce STEM2Code-Eval, a novel benchmark that directly evaluates visual perception in STEM domains. Unlike existing work relying on problem-solving accuracy as a proxy that only measures problem-relevant understanding, our benchmark requires comprehensive visual comprehension through executable code generation for image reconstruction, providing deterministic and verifiable assessment. Code is available at https://github.com/TongkunGuan/Qwen-CodePercept.

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arXiv2026

How Far Are Video Models from True Multimodal Reasoning?

Despite remarkable progress toward general-purpose video models, a critical question remains unanswered: how far are these models from achieving true multimodal reasoning? Existing benchmarks fail to address this question rigorously, as they remain constrained by straightforward task designs and fragmented evaluation metrics that neglect complex multimodal reasoning. To bridge this gap, we introduce CLVG-Bench, an evaluation framework designed to probe video models' zero-shot reasoning capabilities via Context Learning in Video Generation. CLVG-Bench comprises more than 1,000 high-quality, manually annotated metadata across 6 categories and 47 subcategories, covering complex scenarios including physical simulation, logical reasoning, and interactive contexts. To enable rigorous and scalable assessment, we further propose an Adaptive Video Evaluator (AVE) that aligns with human expert perception using minimal annotations, delivering interpretable textual feedback across diverse video context tasks. Extensive experiments reveal a striking answer to our central question: while state-of-the-art (SOTA) video models, such as Seedance 2.0, demonstrate competence on certain understanding and reasoning subtasks, they fall substantially short with logically grounded and interactive generation tasks (achieving success rates <25% and ~0%, respectively), exposing multimodal reasoning and physical grounding as critical bottlenecks. By systematically quantifying these limitations, the proposed method provides actionable feedbacks and a clear roadmap toward truly robust, general-purpose video models. CLVG-Bench and code are released here.

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arXiv2026

Learning Transferable Temporal Primitives for Video Reasoning via Synthetic Videos

The transition from image to video understanding requires vision-language models (VLMs) to shift from recognizing static patterns to reasoning over temporal dynamics such as motion trajectories, speed changes, and state transitions. Yet current post-training methods fall short due to two critical limitations: (1) existing datasets often lack temporal-centricity, where answers can be inferred from isolated keyframes rather than requiring holistic temporal integration; and (2) training data generated by proprietary models contains systematic errors in fundamental temporal perception, such as confusing motion directions or misjudging speeds. We introduce SynRL, a post-training framework that teaches models temporal primitives, the fundamental building blocks of temporal understanding including direction, speed, and state tracking. Our key insight is that these abstract primitives, learned from programmatically generated synthetic videos, transfer effectively to real-world scenarios. We decompose temporal understanding into short-term perceptual primitives (speed, direction) and long-term cognitive primitives, constructing 7.7K CoT and 7K RL samples with ground-truth frame-level annotations through code-based video generation. Despite training on simple geometric shapes, SynRL achieves substantial improvements across 15 benchmarks spanning temporal grounding, complex reasoning, and general video understanding. Remarkably, our 7.7K synthetic CoT samples outperform Video-R1 with 165K real-world samples. We attribute this to fundamental temporal skills, such as tracking frame by frame changes and comparing velocity, that transfer effectively from abstract synthetic patterns to complex real-world scenarios. This establishes a new paradigm for video post-training: video temporal learning through carefully designed synthetic data provides a more cost efficient scaling path.

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arXiv2026

From Narrow to Panoramic Vision: Attention-Guided Cold-Start Reshapes Multimodal Reasoning

The cold-start initialization stage plays a pivotal role in training Multimodal Large Reasoning Models (MLRMs), yet its mechanisms remain insufficiently understood. To analyze this stage, we introduce the Visual Attention Score (VAS), an attention-based metric that quantifies how much a model attends to visual tokens. We find that reasoning performance is strongly correlated with VAS (r=0.9616): models with higher VAS achieve substantially stronger multimodal reasoning. Surprisingly, multimodal cold-start fails to elevate VAS, resulting in attention distributions close to the base model, whereas text-only cold-start leads to a clear increase. We term this counter-intuitive phenomenon Lazy Attention Localization. To validate its causal role, we design training-free interventions that directly modulate attention allocation during inference, performance gains of 1$-$2% without any retraining. Building on these insights, we further propose Attention-Guided Visual Anchoring and Reflection (AVAR), a comprehensive cold-start framework that integrates visual-anchored data synthesis, attention-guided objectives, and visual-anchored reward shaping. Applied to Qwen2.5-VL-7B, AVAR achieves an average gain of 7.0% across 7 multimodal reasoning benchmarks. Ablation studies further confirm that each component of AVAR contributes step-wise to the overall gains. The code, data, and models are available at https://github.com/lrlbbzl/Qwen-AVAR.

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arXiv2025

Beyond N-grams: A Hierarchical Reward Learning Framework for Clinically-Aware Medical Report Generation

Automatic medical report generation can greatly reduce the workload of doctors, but it is often unreliable for real-world deployment. Current methods can write formally fluent sentences but may be factually flawed, introducing serious medical errors known as clinical hallucinations, which make them untrustworthy for diagnosis. To bridge this gap, we introduce HiMed-RL, a Hierarchical Medical Reward Learning Framework designed to explicitly prioritize clinical quality. HiMed-RL moves beyond simple text matching by deconstructing reward learning into three synergistic levels: it first ensures linguistic fluency at the token-level, then enforces factual grounding at the concept-level by aligning key medical terms with expert knowledge, and finally assesses high-level diagnostic consistency at the semantic-level using a specialized LLM verifier. This hierarchical reward is implemented via a Human-inspired Dynamic Reward Adjustment, a strategy which first teaches the model to learn basic facts before progressing to more complex diagnostic reasoning. Experimentally, HiMed-3B achieves state-of-the-art performance on both in-domain and out-of-domain benchmarks, particularly on the latter, with an improvement of 12.1% over the second-best baseline. Our work provides a robust paradigm for generating reports that not only improve fluency but clinical fine-grained quality.

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arXiv2025

Med-GLIP: Advancing Medical Language-Image Pre-training with Large-scale Grounded Dataset

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

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arXiv2025

Hulu-Med: A Transparent Generalist Model towards Holistic Medical Vision-Language Understanding

Real-world clinical decision-making requires integrating heterogeneous data, including medical text, 2D images, 3D volumes, and videos, while existing AI systems fail to unify all these signals, limiting their utility. In this paper, we introduce Hulu-Med, a transparent, generalist medical Vision-Language Model (VLM) designed to unify language-only, 2D/3D vision-language, and video understanding within a single architecture. Hulu-Med is trained on a curated corpus of 16.7 million samples, comprising exclusively public or synthetic data, spanning 12 major anatomical systems and 14 medical imaging modalities. Hulu-Med employs a medical-aware token-reduction strategy that prunes redundant visual tokens, achieving up to a 55% reduction for 3D and video inputs, improving cross-modal efficiency, and enabling training at 7B-32B parameter scales in approximately 4,000-40,000 GPU hours. Across 30 public in-domain and out-of-domain medical benchmarks-covering text reasoning, visual question answering, report generation, multilingual dialogue, video understanding, and rare disease diagnosis-Hulu-Med surpasses existing open-source models on 27 of 30 benchmarks and outperforms proprietary systems such as GPT-4o on 16 benchmarks. Despite being a VLM, Hulu-Med outperforms GPT-4o and matches GPT-o1 on the text-only HealthBench. For the first time in the community, we provide a fully transparent, reproducible and cost-effective pipeline for holistic medical vision-language understanding by releasing our end-to-end data curation, training procedures, and model parameters. Code and models are available at https://github.com/ZJUI-AI4H/Hulu-Med.

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arXiv2025

Unlocking Multimodal Mathematical Reasoning via Process Reward Model

Process Reward Models (PRMs) have shown promise in enhancing the mathematical reasoning capabilities of Large Language Models (LLMs) through Test-Time Scaling (TTS). However, their integration into multimodal reasoning remains largely unexplored. In this work, we take the first step toward unlocking the potential of PRMs in multimodal mathematical reasoning. We identify three key challenges: (1) the scarcity of high-quality reasoning data constrains the capabilities of foundation Multimodal Large Language Models (MLLMs), which imposes further limitations on the upper bounds of TTS and reinforcement learning (RL); (2) a lack of automated methods for process labeling within multimodal contexts persists; (3) the employment of process rewards in unimodal RL faces issues like reward hacking, which may extend to multimodal scenarios. To address these issues, we introduce URSA, a three-stage Unfolding multimodal Process-Supervision Aided training framework. We first construct MMathCoT-1M, a high-quality large-scale multimodal Chain-of-Thought (CoT) reasoning dataset, to build a stronger math reasoning foundation MLLM, URSA-8B. Subsequently, we go through an automatic process to synthesize process supervision data, which emphasizes both logical correctness and perceptual consistency. We introduce DualMath-1.1M to facilitate the training of URSA-8B-RM. Finally, we propose Process-Supervised Group-Relative-Policy-Optimization (PS-GRPO), pioneering a multimodal PRM-aided online RL method that outperforms vanilla GRPO. With PS-GRPO application, URSA-8B-PS-GRPO outperforms Gemma3-12B and GPT-4o by 8.4% and 2.7% on average across 6 benchmarks. Code, data and checkpoint can be found at https://github.com/URSA-MATH.

cs.CL↗

arXiv2025

Knowing or Guessing? Robust Medical Visual Question Answering via Joint Consistency and Contrastive Learning

In high-stakes medical applications, consistent answering across diverse question phrasings is essential for reliable diagnosis. However, we reveal that current Medical Vision-Language Models (Med-VLMs) exhibit concerning fragility in Medical Visual Question Answering, as their answers fluctuate significantly when faced with semantically equivalent rephrasings of medical questions. We attribute this to two limitations: (1) insufficient alignment of medical concepts, leading to divergent reasoning patterns, and (2) hidden biases in training data that prioritize syntactic shortcuts over semantic understanding. To address these challenges, we construct RoMed, a dataset built upon original VQA datasets containing 144k questions with variations spanning word-level, sentence-level, and semantic-level perturbations. When evaluating state-of-the-art (SOTA) models like LLaVA-Med on RoMed, we observe alarming performance drops (e.g., a 40\% decline in Recall) compared to original VQA benchmarks, exposing critical robustness gaps. To bridge this gap, we propose Consistency and Contrastive Learning (CCL), which integrates two key components: (1) knowledge-anchored consistency learning, aligning Med-VLMs with medical knowledge rather than shallow feature patterns, and (2) bias-aware contrastive learning, mitigating data-specific priors through discriminative representation refinement. CCL achieves SOTA performance on three popular VQA benchmarks and notably improves answer consistency by 50\% on the challenging RoMed test set, demonstrating significantly enhanced robustness. Code will be released.

cs.CL↗

arXiv2025

CAPO: Reinforcing Consistent Reasoning in Medical Decision-Making

In medical visual question answering (Med-VQA), achieving accurate responses relies on three critical steps: precise perception of medical imaging data, logical reasoning grounded in visual input and textual questions, and coherent answer derivation from the reasoning process. Recent advances in general vision-language models (VLMs) show that large-scale reinforcement learning (RL) could significantly enhance both reasoning capabilities and overall model performance. However, their application in medical domains is hindered by two fundamental challenges: 1) misalignment between perceptual understanding and reasoning stages, and 2) inconsistency between reasoning pathways and answer generation, both compounded by the scarcity of high-quality medical datasets for effective large-scale RL. In this paper, we first introduce Med-Zero-17K, a curated dataset for pure RL-based training, encompassing over 30 medical image modalities and 24 clinical tasks. Moreover, we propose a novel large-scale RL framework for Med-VLMs, Consistency-Aware Preference Optimization (CAPO), which integrates rewards to ensure fidelity between perception and reasoning, consistency in reasoning-to-answer derivation, and rule-based accuracy for final responses. Extensive experiments on both in-domain and out-of-domain scenarios demonstrate the superiority of our method over strong VLM baselines, showcasing strong generalization capability to 3D Med-VQA benchmarks and R1-like training paradigms.

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arXiv2025

Modality-Fair Preference Optimization for Trustworthy MLLM Alignment

Multimodal large language models (MLLMs) have achieved remarkable success across various tasks. However, separate training of visual and textual encoders often results in a misalignment of the modality. Such misalignment may lead models to generate content that is absent from the input image, a phenomenon referred to as hallucination. These inaccuracies severely undermine the trustworthiness of MLLMs in real-world applications. Despite attempts to optimize text preferences to mitigate this issue, our initial investigation indicates that the trustworthiness of MLLMs remains inadequate. Specifically, these models tend to provide preferred answers even when the input image is heavily distorted. Analysis of visual token attention also indicates that the model focuses primarily on the surrounding context rather than the key object referenced in the question. These findings highlight a misalignment between the modalities, where answers inadequately leverage input images. Motivated by our findings, we propose Modality-Fair Preference Optimization (MFPO), which comprises three components: the construction of a multimodal preference dataset in which dispreferred images differ from originals solely in key regions; an image reward loss function encouraging the model to generate answers better aligned with the input images; and an easy-to-hard iterative alignment strategy to stabilize joint modality training. Extensive experiments on three trustworthiness benchmarks demonstrate that MFPO significantly enhances the trustworthiness of MLLMs. In particular, it enables the 7B models to attain trustworthiness levels on par with, or even surpass, those of the 13B, 34B, and larger models.

cs.CV↗

arXiv2025

HSCR: Hierarchical Self-Contrastive Rewarding for Aligning Medical Vision Language Models

Medical Vision-Language Models (Med-VLMs) have achieved success across various tasks, yet most existing methods overlook the modality misalignment issue that can lead to untrustworthy responses in clinical settings. In this paper, we propose Hierarchical Self-Contrastive Rewarding (HSCR), a novel approach that addresses two critical challenges in Med-VLM alignment: 1) Cost-effective generation of high-quality preference data; 2) Capturing nuanced and context-aware preferences for improved alignment. HSCR first leverages the inherent capability of Med-VLMs to generate dispreferred responses with higher sampling probability. By analyzing output logit shifts after visual token dropout, we identify modality-coupled tokens that induce misalignment and derive an implicit alignment reward function. This function guides token replacement with hallucinated ones during decoding, producing high-quality dispreferred data. Furthermore, HSCR introduces a multi-level preference optimization strategy, which extends beyond traditional adjacent-level optimization by incorporating nuanced implicit preferences, leveraging relative quality in dispreferred data to capture subtle alignment cues for more precise and context-aware optimization. Extensive experiments across multiple medical tasks, including Med-VQA, medical image captioning and instruction following, demonstrate that HSCR not only enhances zero-shot performance but also significantly improves modality alignment and trustworthiness with just 2,000 training entries.

cs.CV↗

arXiv2025

Fast or Slow? Integrating Fast Intuition and Deliberate Thinking for Enhancing Visual Question Answering

Multimodal large language models (MLLMs) still struggle with complex reasoning tasks in Visual Question Answering (VQA). While current methods have advanced by incorporating visual prompts, our study uncovers critical limitations: these approaches indiscriminately annotate all detected objects for every visual question, generating excessive visual markers that degrade task performance. This issue stems primarily from a lack of focus on key visual elements, raising two important questions: Are all objects equally important, and do all questions require visual prompts? Motivated by Dual Process Theory, which distinguishes between instinctive and deliberate cognitive modes in human reasoning, we propose FOCUS, a plug-and-play approach that dynamically adapts to the complexity of questions, combining fast intuitive judgments with deliberate analytical reasoning to enhance the vision-language reasoning capability of the MLLM. For straightforward questions, FOCUS supports efficient zero-shot reasoning. For more complex tasks, it employs the conceptualizing before observation strategy to highlight critical elements. Extensive experiments on four benchmarks, ScienceQA, TextQA, VizWiz, and MME, demonstrate that FOCUS consistently improves the performance of both open-source and black-box MLLMs, achieving significant gains across all datasets. Ablation studies further validate the importance of combining diverse cognitive strategies with refined visual information for superior performance. Code will be released.

cs.CL↗

arXiv2025

OmniV-Med: Scaling Medical Vision-Language Model for Universal Visual Understanding

The practical deployment of medical vision-language models (Med-VLMs) necessitates seamless integration of textual data with diverse visual modalities, including 2D/3D images and videos, yet existing models typically employ separate encoders for different modalities. To address this limitation, we present OmniV-Med, a unified framework for multimodal medical understanding. Our technical contributions are threefold: First, we construct OmniV-Med-Instruct, a comprehensive multimodal medical dataset containing 252K instructional samples spanning 14 medical image modalities and 11 clinical tasks. Second, we devise a rotary position-adaptive encoder that processes multi-resolution 2D/3D images and videos within a unified architecture, diverging from conventional modality-specific encoders. Third, we introduce a medical-aware token pruning mechanism that exploits spatial-temporal redundancy in volumetric data (e.g., consecutive CT slices) and medical videos, effectively reducing 60\% of visual tokens without performance degradation. Empirical evaluations demonstrate that OmniV-Med-7B achieves state-of-the-art performance on 7 benchmarks spanning 2D/3D medical imaging and video understanding tasks. Notably, our lightweight variant (OmniV-Med-1.5B) attains comparable performance while requiring only 8 RTX3090 GPUs for training and supporting efficient long-video inference. Data, code and model will be released.

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