GMAI-VL-R1: Harnessing Reinforcement Learning for Multimodal Medical Reasoning

Recent advances in general medical AI have made significant strides, but existing models often lack the reasoning capabilities needed for complex medical decision-making. This paper presents GMAI-VL-R1, a multimodal medical reasoning model enhanced by reinforcement learning (RL) to improve its reasoning abilities. Through iterative training, GMAI-VL-R1 optimizes decision-making, significantly boosting diagnostic accuracy and clinical support. We also develop a reasoning data synthesis method, generating step-by-step reasoning data via rejection sampling, which further enhances the model's generalization. Experimental results show that after RL training, GMAI-VL-R1 excels in tasks such as medical image diagnosis and visual question answering. While the model demonstrates basic memorization with supervised fine-tuning, RL is crucial for true generalization. Our work establishes new evaluation benchmarks and paves the way for future advancements in medical reasoning models. Code, data, and model will be released at \href{https://github.com/uni-medical/GMAI-VL-R1}{this link}.

ScalingNoise: Scaling Inference-Time Search for Generating Infinite Videos

Video diffusion models (VDMs) facilitate the generation of high-quality videos, with current research predominantly concentrated on scaling efforts during training through improvements in data quality, computational resources, and model complexity. However, inference-time scaling has received less attention, with most approaches restricting models to a single generation attempt. Recent studies have uncovered the existence of "golden noises" that can enhance video quality during generation. Building on this, we find that guiding the scaling inference-time search of VDMs to identify better noise candidates not only evaluates the quality of the frames generated in the current step but also preserves the high-level object features by referencing the anchor frame from previous multi-chunks, thereby delivering long-term value. Our analysis reveals that diffusion models inherently possess flexible adjustments of computation by varying denoising steps, and even a one-step denoising approach, when guided by a reward signal, yields significant long-term benefits. Based on the observation, we proposeScalingNoise, a plug-and-play inference-time search strategy that identifies golden initial noises for the diffusion sampling process to improve global content consistency and visual diversity. Specifically, we perform one-step denoising to convert initial noises into a clip and subsequently evaluate its long-term value, leveraging a reward model anchored by previously generated content. Moreover, to preserve diversity, we sample candidates from a tilted noise distribution that up-weights promising noises. In this way, ScalingNoise significantly reduces noise-induced errors, ensuring more coherent and spatiotemporally consistent video generation. Extensive experiments on benchmark datasets demonstrate that the proposed ScalingNoise effectively improves long video generation.

Derm1M: A Million-scale Vision-Language Dataset Aligned with Clinical Ontology Knowledge for Dermatology

The emergence of vision-language models has transformed medical AI, enabling unprecedented advances in diagnostic capability and clinical applications. However, progress in dermatology has lagged behind other medical domains due to the lack of standard image-text pairs. Existing dermatological datasets are limited in both scale and depth, offering only single-label annotations across a narrow range of diseases instead of rich textual descriptions, and lacking the crucial clinical context needed for real-world applications. To address these limitations, we present Derm1M, the first large-scale vision-language dataset for dermatology, comprising 1,029,761 image-text pairs. Built from diverse educational resources and structured around a standard ontology collaboratively developed by experts, Derm1M provides comprehensive coverage for over 390 skin conditions across four hierarchical levels and 130 clinical concepts with rich contextual information such as medical history, symptoms, and skin tone. To demonstrate Derm1M potential in advancing both AI research and clinical application, we pretrained a series of CLIP-like models, collectively called DermLIP, on this dataset. The DermLIP family significantly outperforms state-of-the-art foundation models on eight diverse datasets across multiple tasks, including zero-shot skin disease classification, clinical and artifacts concept identification, few-shot/full-shot learning, and cross-modal retrieval. Our dataset and code will be public.

MSWAL: 3D Multi-class Segmentation of Whole Abdominal Lesions Dataset

With the significantly increasing incidence and prevalence of abdominal diseases, there is a need to embrace greater use of new innovations and technology for the diagnosis and treatment of patients. Although deep-learning methods have notably been developed to assist radiologists in diagnosing abdominal diseases, existing models have the restricted ability to segment common lesions in the abdomen due to missing annotations for typical abdominal pathologies in their training datasets. To address the limitation, we introduce MSWAL, the first 3D Multi-class Segmentation of the Whole Abdominal Lesions dataset, which broadens the coverage of various common lesion types, such as gallstones, kidney stones, liver tumors, kidney tumors, pancreatic cancer, liver cysts, and kidney cysts. With CT scans collected from 694 patients (191,417 slices) of different genders across various scanning phases, MSWAL demonstrates strong robustness and generalizability. The transfer learning experiment from MSWAL to two public datasets, LiTS and KiTS, effectively demonstrates consistent improvements, with Dice Similarity Coefficient (DSC) increase of 3.00% for liver tumors and 0.89% for kidney tumors, demonstrating that the comprehensive annotations and diverse lesion types in MSWAL facilitate effective learning across different domains and data distributions. Furthermore, we propose Inception nnU-Net, a novel segmentation framework that effectively integrates an Inception module with the nnU-Net architecture to extract information from different receptive fields, achieving significant enhancement in both voxel-level DSC and region-level F1 compared to the cutting-edge public algorithms on MSWAL. Our dataset will be released after being accepted, and the code is publicly released at https://github.com/tiuxuxsh76075/MSWAL-.

Robust Multimodal Learning for Ophthalmic Disease Grading via Disentangled Representation

This paper discusses how ophthalmologists often rely on multimodal data to improve diagnostic accuracy. However, complete multimodal data is rare in real-world applications due to a lack of medical equipment and concerns about data privacy. Traditional deep learning methods typically address these issues by learning representations in latent space. However, the paper highlights two key limitations of these approaches: (i) Task-irrelevant redundant information (e.g., numerous slices) in complex modalities leads to significant redundancy in latent space representations. (ii) Overlapping multimodal representations make it difficult to extract unique features for each modality. To overcome these challenges, the authors propose the Essence-Point and Disentangle Representation Learning (EDRL) strategy, which integrates a self-distillation mechanism into an end-to-end framework to enhance feature selection and disentanglement for more robust multimodal learning. Specifically, the Essence-Point Representation Learning module selects discriminative features that improve disease grading performance. The Disentangled Representation Learning module separates multimodal data into modality-common and modality-unique representations, reducing feature entanglement and enhancing both robustness and interpretability in ophthalmic disease diagnosis. Experiments on multimodal ophthalmology datasets show that the proposed EDRL strategy significantly outperforms current state-of-the-art methods.

Towards Visual Discrimination and Reasoning of Real-World Physical Dynamics: Physics-Grounded Anomaly Detection

Humans detect real-world object anomalies by perceiving, interacting, and reasoning based on object-conditioned physical knowledge. The long-term goal of Industrial Anomaly Detection (IAD) is to enable machines to autonomously replicate this skill. However, current IAD algorithms are largely developed and tested on static, semantically simple datasets, which diverge from real-world scenarios where physical understanding and reasoning are essential. To bridge this gap, we introduce the Physics Anomaly Detection (Phys-AD) dataset, the first large-scale, real-world, physics-grounded video dataset for industrial anomaly detection. Collected using a real robot arm and motor, Phys-AD provides a diverse set of dynamic, semantically rich scenarios. The dataset includes more than 6400 videos across 22 real-world object categories, interacting with robot arms and motors, and exhibits 47 types of anomalies. Anomaly detection in Phys-AD requires visual reasoning, combining both physical knowledge and video content to determine object abnormality. We benchmark state-of-the-art anomaly detection methods under three settings: unsupervised AD, weakly-supervised AD, and video-understanding AD, highlighting their limitations in handling physics-grounded anomalies. Additionally, we introduce the Physics Anomaly Explanation (PAEval) metric, designed to assess the ability of visual-language foundation models to not only detect anomalies but also provide accurate explanations for their underlying physical causes. Our dataset and benchmark will be publicly available.

MCTS-Judge: Test-Time Scaling in LLM-as-a-Judge for Code Correctness Evaluation

The LLM-as-a-Judge paradigm shows promise for evaluating generative content but lacks reliability in reasoning-intensive scenarios, such as programming. Inspired by recent advances in reasoning models and shifts in scaling laws, we pioneer bringing test-time computation into LLM-as-a-Judge, proposing MCTS-Judge, a resource-efficient, System-2 thinking framework for code correctness evaluation. MCTS-Judge leverages Monte Carlo Tree Search (MCTS) to decompose problems into simpler, multi-perspective evaluations. Through a node-selection strategy that combines self-assessment based on historical actions in the current trajectory and the Upper Confidence Bound for Trees based on prior rollouts, MCTS-Judge balances global optimization and refinement of the current trajectory. We further designed a high-precision, unit-test-level reward mechanism to encourage the Large Language Model (LLM) to perform line-by-line analysis. Extensive experiments on three benchmarks and five LLMs demonstrate the effectiveness of MCTS-Judge, which improves the base model's accuracy from 41% to 80%, surpassing the o1-series models with 3x fewer tokens. Further evaluations validate the superiority of its reasoning trajectory in logic, analytics, thoroughness, and overall quality, while revealing the test-time scaling law of the LLM-as-a-Judge paradigm.

MMRC: A Large-Scale Benchmark for Understanding Multimodal Large Language Model in Real-World Conversation

Recent multimodal large language models (MLLMs) have demonstrated significant potential in open-ended conversation, generating more accurate and personalized responses. However, their abilities to memorize, recall, and reason in sustained interactions within real-world scenarios remain underexplored. This paper introduces MMRC, a Multi-Modal Real-world Conversation benchmark for evaluating six core open-ended abilities of MLLMs: information extraction, multi-turn reasoning, information update, image management, memory recall, and answer refusal. With data collected from real-world scenarios, MMRC comprises 5,120 conversations and 28,720 corresponding manually labeled questions, posing a significant challenge to existing MLLMs. Evaluations on 20 MLLMs in MMRC indicate an accuracy drop during open-ended interactions. We identify four common failure patterns: long-term memory degradation, inadequacies in updating factual knowledge, accumulated assumption of error propagation, and reluctance to say no. To mitigate these issues, we propose a simple yet effective NOTE-TAKING strategy, which can record key information from the conversation and remind the model during its responses, enhancing conversational capabilities. Experiments across six MLLMs demonstrate significant performance improvements.

Neighbor Does Matter: Density-Aware Contrastive Learning for Medical Semi-supervised Segmentation

In medical image analysis, multi-organ semi-supervised segmentation faces challenges such as insufficient labels and low contrast in soft tissues. To address these issues, existing studies typically employ semi-supervised segmentation techniques using pseudo-labeling and consistency regularization. However, these methods mainly rely on individual data samples for training, ignoring the rich neighborhood information present in the feature space. In this work, we argue that supervisory information can be directly extracted from the geometry of the feature space. Inspired by the density-based clustering hypothesis, we propose using feature density to locate sparse regions within feature clusters. Our goal is to increase intra-class compactness by addressing sparsity issues. To achieve this, we propose a Density-Aware Contrastive Learning (DACL) strategy, pushing anchored features in sparse regions towards cluster centers approximated by high-density positive samples, resulting in more compact clusters. Specifically, our method constructs density-aware neighbor graphs using labeled and unlabeled data samples to estimate feature density and locate sparse regions. We also combine label-guided co-training with density-guided geometric regularization to form complementary supervision for unlabeled data. Experiments on the Multi-Organ Segmentation Challenge dataset demonstrate that our proposed method outperforms state-of-the-art methods, highlighting its efficacy in medical image segmentation tasks.

NebulaFL: Effective Asynchronous Federated Learning for JointCloud Computing

With advancements in AI infrastructure and Trusted Execution Environment (TEE) technology, Federated Learning as a Service (FLaaS) through JointCloud Computing (JCC) is promising to break through the resource constraints caused by heterogeneous edge devices in the traditional Federated Learning (FL) paradigm. Specifically, with the protection from TEE, data owners can achieve efficient model training with high-performance AI services in the cloud. By providing additional FL services, cloud service providers can achieve collaborative learning among data owners. However, FLaaS still faces three challenges, i.e., i) low training performance caused by heterogeneous data among data owners, ii) high communication overhead among different clouds (i.e., data centers), and iii) lack of efficient resource scheduling strategies to balance training time and cost. To address these challenges, this paper presents a novel asynchronous FL approach named NebulaFL for collaborative model training among multiple clouds. To address data heterogeneity issues, NebulaFL adopts a version control-based asynchronous FL training scheme in each data center to balance training time among data owners. To reduce communication overhead, NebulaFL adopts a decentralized model rotation mechanism to achieve effective knowledge sharing among data centers. To balance training time and cost, NebulaFL integrates a reward-guided strategy for data owners selection and resource scheduling. The experimental results demonstrate that, compared to the state-of-the-art FL methods, NebulaFL can achieve up to 5.71\% accuracy improvement. In addition, NebulaFL can reduce up to 50% communication overhead and 61.94% costs under a target accuracy.