Quantifying the Reasoning Abilities of LLMs on Real-world Clinical Cases

The latest reasoning-enhanced large language models (reasoning LLMs), such as DeepSeek-R1 and OpenAI-o3, have demonstrated remarkable success. However, the application of such reasoning enhancements to the highly professional medical domain has not been clearly evaluated, particularly regarding with not only assessing the final generation but also examining the quality of their reasoning processes. In this study, we present MedR-Bench, a reasoning-focused medical evaluation benchmark comprising 1,453 structured patient cases with reasoning references mined from case reports. Our benchmark spans 13 body systems and 10 specialty disorders, encompassing both common and rare diseases. In our evaluation, we introduce a versatile framework consisting of three critical clinical stages: assessment recommendation, diagnostic decision-making, and treatment planning, comprehensively capturing the LLMs' performance across the entire patient journey in healthcare. For metrics, we propose a novel agentic system, Reasoning Evaluator, designed to automate and objectively quantify free-text reasoning responses in a scalable manner from the perspectives of efficiency, factuality, and completeness by dynamically searching and performing cross-referencing checks. As a result, we assess five state-of-the-art reasoning LLMs, including DeepSeek-R1, OpenAI-o3-mini, and others. Our results reveal that current LLMs can handle relatively simple diagnostic tasks with sufficient critical assessment results, achieving accuracy generally over 85%. However, they still struggle with more complex tasks, such as assessment recommendation and treatment planning. In reasoning, their reasoning processes are generally reliable, with factuality scores exceeding 90%, though they often omit critical reasoning steps. Our study clearly reveals further development directions for current clinical LLMs.

RadIR: A Scalable Framework for Multi-Grained Medical Image Retrieval via Radiology Report Mining

Developing advanced medical imaging retrieval systems is challenging due to the varying definitions of `similar images' across different medical contexts. This challenge is compounded by the lack of large-scale, high-quality medical imaging retrieval datasets and benchmarks. In this paper, we propose a novel methodology that leverages dense radiology reports to define image-wise similarity ordering at multiple granularities in a scalable and fully automatic manner. Using this approach, we construct two comprehensive medical imaging retrieval datasets: MIMIC-IR for Chest X-rays and CTRATE-IR for CT scans, providing detailed image-image ranking annotations conditioned on diverse anatomical structures. Furthermore, we develop two retrieval systems, RadIR-CXR and model-ChestCT, which demonstrate superior performance in traditional image-image and image-report retrieval tasks. These systems also enable flexible, effective image retrieval conditioned on specific anatomical structures described in text, achieving state-of-the-art results on 77 out of 78 metrics.

Modeling Fine-Grained Hand-Object Dynamics for Egocentric Video Representation Learning

In egocentric video understanding, the motion of hands and objects as well as their interactions play a significant role by nature. However, existing egocentric video representation learning methods mainly focus on aligning video representation with high-level narrations, overlooking the intricate dynamics between hands and objects. In this work, we aim to integrate the modeling of fine-grained hand-object dynamics into the video representation learning process. Since no suitable data is available, we introduce HOD, a novel pipeline employing a hand-object detector and a large language model to generate high-quality narrations with detailed descriptions of hand-object dynamics. To learn these fine-grained dynamics, we propose EgoVideo, a model with a new lightweight motion adapter to capture fine-grained hand-object motion information. Through our co-training strategy, EgoVideo effectively and efficiently leverages the fine-grained hand-object dynamics in the HOD data. Extensive experiments demonstrate that our method achieves state-of-the-art performance across multiple egocentric downstream tasks, including improvements of 6.3% in EK-100 multi-instance retrieval, 5.7% in EK-100 classification, and 16.3% in EGTEA classification in zero-shot settings. Furthermore, our model exhibits robust generalization capabilities in hand-object interaction and robot manipulation tasks. Code and data are available at https://github.com/OpenRobotLab/EgoHOD/.

M^3Builder: A Multi-Agent System for Automated Machine Learning in Medical Imaging

Agentic AI systems have gained significant attention for their ability to autonomously perform complex tasks. However, their reliance on well-prepared tools limits their applicability in the medical domain, which requires to train specialized models. In this paper, we make three contributions: (i) We present M3Builder, a novel multi-agent system designed to automate machine learning (ML) in medical imaging. At its core, M3Builder employs four specialized agents that collaborate to tackle complex, multi-step medical ML workflows, from automated data processing and environment configuration to self-contained auto debugging and model training. These agents operate within a medical imaging ML workspace, a structured environment designed to provide agents with free-text descriptions of datasets, training codes, and interaction tools, enabling seamless communication and task execution. (ii) To evaluate progress in automated medical imaging ML, we propose M3Bench, a benchmark comprising four general tasks on 14 training datasets, across five anatomies and three imaging modalities, covering both 2D and 3D data. (iii) We experiment with seven state-of-the-art large language models serving as agent cores for our system, such as Claude series, GPT-4o, and DeepSeek-V3. Compared to existing ML agentic designs, M3Builder shows superior performance on completing ML tasks in medical imaging, achieving a 94.29% success rate using Claude-3.7-Sonnet as the agent core, showing huge potential towards fully automated machine learning in medical imaging.

ELIP: Enhanced Visual-Language Foundation Models for Image Retrieval

The objective in this paper is to improve the performance of text-to-image retrieval. To this end, we introduce a new framework that can boost the performance of large-scale pre-trained vision-language models, so that they can be used for text-to-image re-ranking. The approach, Enhanced Language-Image Pre-training (ELIP), uses the text query to predict a set of visual prompts to condition the ViT image encoding. ELIP can easily be applied to the commonly used CLIP/SigLIP and the state-of-the-art BLIP-2 architectures. To train the architecture with limited computing resources, we develop a 'student friendly' best practice involving global hard sample mining, and selection and curation of a large-scale dataset. On the evaluation side, we set up two new out-of-distribution benchmarks, Occluded COCO and ImageNet-R, to assess the zero-shot generalisation of the models to different domains. Benefiting from the novel architecture and data curation, experiments show our enhanced network significantly boosts CLIP/SigLIP performance and outperforms the state-of-the-art BLIP-2 model on text-to-image retrieval.

WorldSense: Evaluating Real-world Omnimodal Understanding for Multimodal LLMs

In this paper, we introduce WorldSense, the first benchmark to assess the multi-modal video understanding, that simultaneously encompasses visual, audio, and text inputs. In contrast to existing benchmarks, our WorldSense has several features: (i) collaboration of omni-modality, we design the evaluation tasks to feature a strong coupling of audio and video, requiring models to effectively utilize the synergistic perception of omni-modality; (ii) diversity of videos and tasks, WorldSense encompasses a diverse collection of 1,662 audio-visual synchronised videos, systematically categorized into 8 primary domains and 67 fine-grained subcategories to cover the broad scenarios, and 3,172 multi-choice QA pairs across 26 distinct tasks to enable the comprehensive evaluation; (iii) high-quality annotations, all the QA pairs are manually labeled by 80 expert annotators with multiple rounds of correction to ensure quality. Based on our WorldSense, we extensively evaluate various state-of-the-art models. The experimental results indicate that existing models face significant challenges in understanding real-world scenarios (48.0% best accuracy). We hope our WorldSense can provide a platform for evaluating the ability in constructing and understanding coherent contexts from omni-modality.

Track-On: Transformer-based Online Point Tracking with Memory

In this paper, we consider the problem of long-term point tracking, which requires consistent identification of points across multiple frames in a video, despite changes in appearance, lighting, perspective, and occlusions. We target online tracking on a frame-by-frame basis, making it suitable for real-world, streaming scenarios. Specifically, we introduce Track-On, a simple transformer-based model designed for online long-term point tracking. Unlike prior methods that depend on full temporal modeling, our model processes video frames causally without access to future frames, leveraging two memory modules -- spatial memory and context memory -- to capture temporal information and maintain reliable point tracking over long time horizons. At inference time, it employs patch classification and refinement to identify correspondences and track points with high accuracy. Through extensive experiments, we demonstrate that Track-On sets a new state-of-the-art for online models and delivers superior or competitive results compared to offline approaches on seven datasets, including the TAP-Vid benchmark. Our method offers a robust and scalable solution for real-time tracking in diverse applications. Project page: https://kuis-ai.github.io/track_on

A Knowledge-enhanced Pathology Vision-language Foundation Model for Cancer Diagnosis

Deep learning has enabled the development of highly robust foundation models for various pathological tasks across diverse diseases and patient cohorts. Among these models, vision-language pre-training, which leverages large-scale paired data to align pathology image and text embedding spaces, and provides a novel zero-shot paradigm for downstream tasks. However, existing models have been primarily data-driven and lack the incorporation of domain-specific knowledge, which limits their performance in cancer diagnosis, especially for rare tumor subtypes. To address this limitation, we establish a Knowledge-enhanced Pathology (KEEP) foundation model that harnesses disease knowledge to facilitate vision-language pre-training. Specifically, we first construct a disease knowledge graph (KG) that covers 11,454 human diseases with 139,143 disease attributes, including synonyms, definitions, and hypernym relations. We then systematically reorganize the millions of publicly available noisy pathology image-text pairs, into 143K well-structured semantic groups linked through the hierarchical relations of the disease KG. To derive more nuanced image and text representations, we propose a novel knowledge-enhanced vision-language pre-training approach that integrates disease knowledge into the alignment within hierarchical semantic groups instead of unstructured image-text pairs. Validated on 18 diverse benchmarks with more than 14,000 whole slide images (WSIs), KEEP achieves state-of-the-art performance in zero-shot cancer diagnostic tasks. Notably, for cancer detection, KEEP demonstrates an average sensitivity of 89.8% at a specificity of 95.0% across 7 cancer types. For cancer subtyping, KEEP achieves a median balanced accuracy of 0.456 in subtyping 30 rare brain cancers, indicating strong generalizability for diagnosing rare tumors.

Can Modern LLMs Act as Agent Cores in Radiology~Environments?

Advancements in large language models (LLMs) have paved the way for LLM-based agent systems that offer enhanced accuracy and interpretability across various domains. Radiology, with its complex analytical requirements, is an ideal field for the application of these agents. This paper aims to investigate the pre-requisite question for building concrete radiology agents which is, `Can modern LLMs act as agent cores in radiology environments?' To investigate it, we introduce RadABench with three-fold contributions: First, we present RadABench-Data, a comprehensive synthetic evaluation dataset for LLM-based agents, generated from an extensive taxonomy encompassing 6 anatomies, 5 imaging modalities, 10 tool categories, and 11 radiology tasks. Second, we propose RadABench-EvalPlat, a novel evaluation platform for agents featuring a prompt-driven workflow and the capability to simulate a wide range of radiology toolsets. Third, we assess the performance of 7 leading LLMs on our benchmark from 5 perspectives with multiple metrics. Our findings indicate that while current LLMs demonstrate strong capabilities in many areas, they are still not sufficiently advanced to serve as the central agent core in a fully operational radiology agent system. Additionally, we identify key factors influencing the performance of LLM-based agent cores, offering insights for clinicians on how to apply agent systems in real-world radiology practices effectively. All of our code and data are open-sourced in https://github.com/MAGIC-AI4Med/RadABench.

MRGen: Diffusion-based Controllable Data Engine for MRI Segmentation towards Unannotated Modalities

Medical image segmentation has recently demonstrated impressive progress with deep neural networks, yet the heterogeneous modalities and scarcity of mask annotations limit the development of segmentation models on unannotated modalities. This paper investigates a new paradigm for leveraging generative models in medical applications: controllably synthesizing data for unannotated modalities, without requiring registered data pairs. Specifically, we make the following contributions in this paper: (i) we collect and curate a large-scale radiology image-text dataset, MedGen-1M, comprising modality labels, attributes, region, and organ information, along with a subset of organ mask annotations, to support research in controllable medical image generation; (ii) we propose a diffusion-based data engine, termed MRGen, which enables generation conditioned on text prompts and masks, synthesizing MR images for diverse modalities lacking mask annotations, to train segmentation models on unannotated modalities; (iii) we conduct extensive experiments across various modalities, illustrating that our data engine can effectively synthesize training samples and extend MRI segmentation towards unannotated modalities.