Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...

LocoTouch: Learning Dexterous Quadrupedal Transport with Tactile Sensing

Quadrupedal robots have demonstrated remarkable agility and robustness in traversing complex terrains. However, they remain limited in performing object interactions that require sustained contact. In this work, we present LocoTouch, a system that equips quadrupedal robots with tactile sensing to address a challenging task in this category: long-distance transport of unsecured cylindrical objects, which typically requires custom mounting mechanisms to maintain stability. For efficient large-area tactile sensing, we design a high-density distributed tactile sensor array that covers the entire back of the robot. To effectively leverage tactile feedback for locomotion control, we develop a simulation environment with high-fidelity tactile signals, and train tactile-aware transport policies using a two-stage learning pipeline. Furthermore, we design a novel reward function to promote stable, symmetric, and frequency-adaptive locomotion gaits. After training in simulation, LocoTouch transfers zero-shot to the real world, reliably balancing and transporting a wide range of unsecured, cylindrical everyday objects with broadly varying sizes and weights. Thanks to the responsiveness of the tactile sensor and the adaptive gait reward, LocoTouch can robustly balance objects with slippery surfaces over long distances, or even under severe external perturbations.

Chain-of-Modality: Learning Manipulation Programs from Multimodal Human Videos with Vision-Language-Models

Learning to perform manipulation tasks from human videos is a promising approach for teaching robots. However, many manipulation tasks require changing control parameters during task execution, such as force, which visual data alone cannot capture. In this work, we leverage sensing devices such as armbands that measure human muscle activities and microphones that record sound, to capture the details in the human manipulation process, and enable robots to extract task plans and control parameters to perform the same task. To achieve this, we introduce Chain-of-Modality (CoM), a prompting strategy that enables Vision Language Models to reason about multimodal human demonstration data -- videos coupled with muscle or audio signals. By progressively integrating information from each modality, CoM refines a task plan and generates detailed control parameters, enabling robots to perform manipulation tasks based on a single multimodal human video prompt. Our experiments show that CoM delivers a threefold improvement in accuracy for extracting task plans and control parameters compared to baselines, with strong generalization to new task setups and objects in real-world robot experiments. Videos and code are available at https://chain-of-modality.github.io

Gemini Robotics: Bringing AI into the Physical World

Recent advancements in large multimodal models have led to the emergence of remarkable generalist capabilities in digital domains, yet their translation to physical agents such as robots remains a significant challenge. This report introduces a new family of AI models purposefully designed for robotics and built upon the foundation of Gemini 2.0. We present Gemini Robotics, an advanced Vision-Language-Action (VLA) generalist model capable of directly controlling robots. Gemini Robotics executes smooth and reactive movements to tackle a wide range of complex manipulation tasks while also being robust to variations in object types and positions, handling unseen environments as well as following diverse, open vocabulary instructions. We show that with additional fine-tuning, Gemini Robotics can be specialized to new capabilities including solving long-horizon, highly dexterous tasks, learning new short-horizon tasks from as few as 100 demonstrations and adapting to completely novel robot embodiments. This is made possible because Gemini Robotics builds on top of the Gemini Robotics-ER model, the second model we introduce in this work. Gemini Robotics-ER (Embodied Reasoning) extends Gemini's multimodal reasoning capabilities into the physical world, with enhanced spatial and temporal understanding. This enables capabilities relevant to robotics including object detection, pointing, trajectory and grasp prediction, as well as multi-view correspondence and 3D bounding box predictions. We show how this novel combination can support a variety of robotics applications. We also discuss and address important safety considerations related to this new class of robotics foundation models. The Gemini Robotics family marks a substantial step towards developing general-purpose robots that realizes AI's potential in the physical world.

QuietPaw: Learning Quadrupedal Locomotion with Versatile Noise Preference Alignment

When operating at their full capacity, quadrupedal robots can produce loud footstep noise, which can be disruptive in human-centered environments like homes, offices, and hospitals. As a result, balancing locomotion performance with noise constraints is crucial for the successful real-world deployment of quadrupedal robots. However, achieving adaptive noise control is challenging due to (a) the trade-off between agility and noise minimization, (b) the need for generalization across diverse deployment conditions, and (c) the difficulty of effectively adjusting policies based on noise requirements. We propose QuietPaw, a framework incorporating our Conditional Noise-Constrained Policy (CNCP), a constrained learning-based algorithm that enables flexible, noise-aware locomotion by conditioning policy behavior on noise-reduction levels. We leverage value representation decomposition in the critics, disentangling state representations from condition-dependent representations and this allows a single versatile policy to generalize across noise levels without retraining while improving the Pareto trade-off between agility and noise reduction. We validate our approach in simulation and the real world, demonstrating that CNCP can effectively balance locomotion performance and noise constraints, achieving continuously adjustable noise reduction.

A2Perf: Real-World Autonomous Agents Benchmark

Autonomous agents and systems cover a number of application areas, from robotics and digital assistants to combinatorial optimization, all sharing common, unresolved research challenges. It is not sufficient for agents to merely solve a given task; they must generalize to out-of-distribution tasks, perform reliably, and use hardware resources efficiently during training and inference, among other requirements. Several methods, such as reinforcement learning and imitation learning, are commonly used to tackle these problems, each with different trade-offs. However, there is a lack of benchmarking suites that define the environments, datasets, and metrics which can be used to provide a meaningful way for the community to compare progress on applying these methods to real-world problems. We introduce A2Perf--a benchmark with three environments that closely resemble real-world domains: computer chip floorplanning, web navigation, and quadruped locomotion. A2Perf provides metrics that track task performance, generalization, system resource efficiency, and reliability, which are all critical to real-world applications. Using A2Perf, we demonstrate that web navigation agents can achieve latencies comparable to human reaction times on consumer hardware, reveal reliability trade-offs between algorithms for quadruped locomotion, and quantify the energy costs of different learning approaches for computer chip-design. In addition, we propose a data cost metric to account for the cost incurred acquiring offline data for imitation learning and hybrid algorithms, which allows us to better compare these approaches. A2Perf also contains several standard baselines, enabling apples-to-apples comparisons across methods and facilitating progress in real-world autonomy. As an open-source benchmark, A2Perf is designed to remain accessible, up-to-date, and useful to the research community over the long term.

Natural Language-Assisted Multi-modal Medication Recommendation

Combinatorial medication recommendation(CMR) is a fundamental task of healthcare, which offers opportunities for clinical physicians to provide more precise prescriptions for patients with intricate health conditions, particularly in the scenarios of long-term medical care. Previous research efforts have sought to extract meaningful information from electronic health records (EHRs) to facilitate combinatorial medication recommendations. Existing learning-based approaches further consider the chemical structures of medications, but ignore the textual medication descriptions in which the functionalities are clearly described. Furthermore, the textual knowledge derived from the EHRs of patients remains largely underutilized. To address these issues, we introduce the Natural Language-Assisted Multi-modal Medication Recommendation(NLA-MMR), a multi-modal alignment framework designed to learn knowledge from the patient view and medication view jointly. Specifically, NLA-MMR formulates CMR as an alignment problem from patient and medication modalities. In this vein, we employ pretrained language models(PLMs) to extract in-domain knowledge regarding patients and medications, serving as the foundational representation for both modalities. In the medication modality, we exploit both chemical structures and textual descriptions to create medication representations. In the patient modality, we generate the patient representations based on textual descriptions of diagnosis, procedure, and symptom. Extensive experiments conducted on three publicly accessible datasets demonstrate that NLA-MMR achieves new state-of-the-art performance, with a notable average improvement of 4.72% in Jaccard score. Our source code is publicly available on https://github.com/jtan1102/NLA-MMR_CIKM_2024.

Learning Multi-Agent Loco-Manipulation for Long-Horizon Quadrupedal Pushing

Recently, quadrupedal locomotion has achieved significant success, but their manipulation capabilities, particularly in handling large objects, remain limited, restricting their usefulness in demanding real-world applications such as search and rescue, construction, industrial automation, and room organization. This paper tackles the task of obstacle-aware, long-horizon pushing by multiple quadrupedal robots. We propose a hierarchical multi-agent reinforcement learning framework with three levels of control. The high-level controller integrates an RRT planner and a centralized adaptive policy to generate subgoals, while the mid-level controller uses a decentralized goal-conditioned policy to guide the robots toward these sub-goals. A pre-trained low-level locomotion policy executes the movement commands. We evaluate our method against several baselines in simulation, demonstrating significant improvements over baseline approaches, with 36.0% higher success rates and 24.5% reduction in completion time than the best baseline. Our framework successfully enables long-horizon, obstacle-aware manipulation tasks like Push-Cuboid and Push-T on Go1 robots in the real world.

IPPON: Common Sense Guided Informative Path Planning for Object Goal Navigation

Navigating efficiently to an object in an unexplored environment is a critical skill for general-purpose intelligent robots. Recent approaches to this object goal navigation problem have embraced a modular strategy, integrating classical exploration algorithms-notably frontier exploration-with a learned semantic mapping/exploration module. This paper introduces a novel informative path planning and 3D object probability mapping approach. The mapping module computes the probability of the object of interest through semantic segmentation and a Bayes filter. Additionally, it stores probabilities for common objects, which semantically guides the exploration based on common sense priors from a large language model. The planner terminates when the current viewpoint captures enough voxels identified with high confidence as the object of interest. Although our planner follows a zero-shot approach, it achieves state-of-the-art performance as measured by the Success weighted by Path Length (SPL) and Soft SPL in the Habitat ObjectNav Challenge 2023, outperforming other works by more than 20%. Furthermore, we validate its effectiveness on real robots. Project webpage: https://ippon-paper.github.io/

Adaptive Coordinators and Prompts on Heterogeneous Graphs for Cross-Domain Recommendations

In the online digital world, users frequently engage with diverse items across multiple domains (e.g., e-commerce platforms, streaming services, and social media networks), forming complex heterogeneous interaction graphs. Leveraging this multi-domain information can undoubtedly enhance the performance of recommendation systems by providing more comprehensive user insights and alleviating data sparsity in individual domains. However, integrating multi-domain knowledge for the cross-domain recommendation is very hard due to inherent disparities in user behavior and item characteristics and the risk of negative transfer, where irrelevant or conflicting information from the source domains adversely impacts the target domain's performance. To address these challenges, we offer HAGO, a novel framework with $\textbf{H}$eterogeneous $\textbf{A}$daptive $\textbf{G}$raph co$\textbf{O}$rdinators, which dynamically integrate multi-domain graphs into a cohesive structure by adaptively adjusting the connections between coordinators and multi-domain graph nodes, thereby enhancing beneficial inter-domain interactions while mitigating negative transfer effects. Additionally, we develop a universal multi-domain graph pre-training strategy alongside HAGO to collaboratively learn high-quality node representations across domains. To effectively transfer the learned multi-domain knowledge to the target domain, we design an effective graph prompting method, which incorporates pre-trained embeddings with learnable prompts for the recommendation task. Our framework is compatible with various graph-based models and pre-training techniques, demonstrating broad applicability and effectiveness. Further experimental results show that our solutions outperform state-of-the-art methods in multi-domain recommendation scenarios and highlight their potential for real-world applications.