Abstract:We introduce Multilingual Document Parsing Benchmark, the first benchmark for multilingual digital and photographed document parsing. Document parsing has made remarkable strides, yet almost exclusively on clean, digital, well-formatted pages in a handful of dominant languages. No systematic benchmark exists to evaluate how models perform on digital and photographed documents across diverse scripts and low-resource languages. MDPBench comprises 3,400 document images spanning 17 languages, diverse scripts, and varied photographic conditions, with high-quality annotations produced through a rigorous pipeline of expert model labeling, manual correction, and human verification. To ensure fair comparison and prevent data leakage, we maintain separate public and private evaluation splits. Our comprehensive evaluation of both open-source and closed-source models uncovers a striking finding: while closed-source models (notably Gemini3-Pro) prove relatively robust, open-source alternatives suffer dramatic performance collapse, particularly on non-Latin scripts and real-world photographed documents, with an average drop of 17.8% on photographed documents and 14.0% on non-Latin scripts. These results reveal significant performance imbalances across languages and conditions, and point to concrete directions for building more inclusive, deployment-ready parsing systems. Source available at https://github.com/Yuliang-Liu/MultimodalOCR.
Abstract:Evidence-based medicine (EBM) is central to high-quality care, but remains difficult to implement in fast-paced primary care settings. Physicians face short consultations, increasing patient loads, and lengthy guideline documents that are impractical to consult in real time. To address this gap, we investigate the feasibility of using large language models (LLMs) as ambient assistants that surface targeted, evidence-based questions during physician-patient encounters. Our study focuses on question generation rather than question answering, with the aim of scaffolding physician reasoning and integrating guideline-based practice into brief consultations. We implemented two prompting strategies, a zero-shot baseline and a multi-stage reasoning variant, using Gemini 2.5 as the backbone model. We evaluated on a benchmark of 80 de-identified transcripts from real clinical encounters, with six experienced physicians contributing over 90 hours of structured review. Results indicate that while general-purpose LLMs are not yet fully reliable, they can produce clinically meaningful and guideline-relevant questions, suggesting significant potential to reduce cognitive burden and make EBM more actionable at the point of care.
Abstract:Deploying deep neural networks (DNNs) on power-sensitive edge devices presents a formidable challenge. While Dynamic Voltage and Frequency Scaling (DVFS) is widely employed for energy optimization, traditional model-level scaling is often too coarse to capture intra-inference variations, whereas fine-grained operator-level scaling suffers from prohibitive performance degradation due to significant hardware switching latency. This paper presents SparseDVFS, a fine-grained, sparse-aware DVFS framework designed for energy-efficient edge inference. Our key insight is that operator sparsity is a primary metric for hardware frequency modulation. By distinguishing between compute-bound dense operators and memory-bound sparse operators, the system can apply specialized frequency triplets to maximize energy efficiency. To overcome switching overheads and component interference, SparseDVFS incorporates three key innovations: (1) an offline modeler that established a deterministic mapping between operator sparsity and optimal frequency triplets (CPU/GPU/EMC) via white-box timeline analysis; (2) a runtime graph partitioner that utilizes a greedy merging heuristic to aggregate operators into super-blocks, balancing scaling granularity and DVFS switching latency through a latency amortization constraint; and (3) a unified co-governor that employs a frequency unified scaling engine (FUSE) and a look-ahead instruction queue to eliminate antagonistic effects between independent controllers and hide hardware transition latencies. Extensive evaluations show that SparseDVFS achieves an average 78.17% energy efficiency gain over state-of-the-art solutions while maintaining a superior 14% cost-gain ratio.
Abstract:Real-time recommender systems execute multi-stage cascades (retrieval, pre-processing, fine-grained ranking) under strict tail-latency SLOs, leaving only tens of milliseconds for ranking. Generative recommendation (GR) models can improve quality by consuming long user-behavior sequences, but in production their online sequence length is tightly capped by the ranking-stage P99 budget. We observe that the majority of GR tokens encode user behaviors that are independent of the item candidates, suggesting an opportunity to pre-infer a user-behavior prefix once and reuse it during ranking rather than recomputing it on the critical path. Realizing this idea at industrial scale is non-trivial: the prefix cache must survive across multiple pipeline stages before the final ranking instance is determined, the user population implies cache footprints far beyond a single device, and indiscriminate pre-inference would overload shared resources under high QPS. We present RelayGR, a production system that enables in-HBM relay-race inference for GR. RelayGR selectively pre-infers long-term user prefixes, keeps their KV caches resident in HBM over the request lifecycle, and ensures the subsequent ranking can consume them without remote fetches. RelayGR combines three techniques: 1) a sequence-aware trigger that admits only at-risk requests under a bounded cache footprint and pre-inference load, 2) an affinity-aware router that co-locates cache production and consumption by routing both the auxiliary pre-infer signal and the ranking request to the same instance, and 3) a memory-aware expander that uses server-local DRAM to capture short-term cross-request reuse while avoiding redundant reloads. We implement RelayGR on Huawei Ascend NPUs and evaluate it with real queries. Under a fixed P99 SLO, RelayGR supports up to 1.5$\times$ longer sequences and improves SLO-compliant throughput by up to 3.6$\times$.
Abstract:Document parsing is a core task in document intelligence, supporting applications such as information extraction, retrieval-augmented generation, and automated document analysis. However, real-world documents often feature complex layouts with multi-level tables, embedded images or formulas, and cross-page structures, which remain challenging for existing OCR systems. We introduce MonkeyOCR v1.5, a unified vision-language framework that enhances both layout understanding and content recognition through a two-stage pipeline. The first stage employs a large multimodal model to jointly predict layout and reading order, leveraging visual information to ensure sequential consistency. The second stage performs localized recognition of text, formulas, and tables within detected regions, maintaining high visual fidelity while reducing error propagation. To address complex table structures, we propose a visual consistency-based reinforcement learning scheme that evaluates recognition quality via render-and-compare alignment, improving structural accuracy without manual annotations. Additionally, two specialized modules, Image-Decoupled Table Parsing and Type-Guided Table Merging, are introduced to enable reliable parsing of tables containing embedded images and reconstruction of tables crossing pages or columns. Comprehensive experiments on OmniDocBench v1.5 demonstrate that MonkeyOCR v1.5 achieves state-of-the-art performance, outperforming PPOCR-VL and MinerU 2.5 while showing exceptional robustness in visually complex document scenarios. A trial link can be found at https://github.com/Yuliang-Liu/MonkeyOCR .
Abstract:Tongue imaging serves as a valuable diagnostic tool, particularly in Traditional Chinese Medicine (TCM). The quality of tongue surface segmentation significantly affects the accuracy of tongue image classification and subsequent diagnosis in intelligent tongue diagnosis systems. However, existing research on tongue image segmentation faces notable limitations, and there is a lack of robust and user-friendly segmentation tools. This paper proposes a tongue image segmentation model (TOM) based on multi-teacher knowledge distillation. By incorporating a novel diffusion-based data augmentation method, we enhanced the generalization ability of the segmentation model while reducing its parameter size. Notably, after reducing the parameter count by 96.6% compared to the teacher models, the student model still achieves an impressive segmentation performance of 95.22% mIoU. Furthermore, we packaged and deployed the trained model as both an online and offline segmentation tool (available at https://itongue.cn/), allowing TCM practitioners and researchers to use it without any programming experience. We also present a case study on TCM constitution classification using segmented tongue patches. Experimental results demonstrate that training with tongue patches yields higher classification performance and better interpretability than original tongue images. To our knowledge, this is the first open-source and freely available tongue image segmentation tool.




Abstract:Medical diagnosis prediction plays a critical role in disease detection and personalized healthcare. While machine learning (ML) models have been widely adopted for this task, their reliance on supervised training limits their ability to generalize to unseen cases, particularly given the high cost of acquiring large, labeled datasets. Large language models (LLMs) have shown promise in leveraging language abilities and biomedical knowledge for diagnosis prediction. However, they often suffer from hallucinations, lack structured medical reasoning, and produce useless outputs. To address these challenges, we propose KERAP, a knowledge graph (KG)-enhanced reasoning approach that improves LLM-based diagnosis prediction through a multi-agent architecture. Our framework consists of a linkage agent for attribute mapping, a retrieval agent for structured knowledge extraction, and a prediction agent that iteratively refines diagnosis predictions. Experimental results demonstrate that KERAP enhances diagnostic reliability efficiently, offering a scalable and interpretable solution for zero-shot medical diagnosis prediction.
Abstract:We introduce MonkeyOCR, a vision-language model for document parsing that advances the state of the art by leveraging a Structure-Recognition-Relation (SRR) triplet paradigm. This design simplifies what would otherwise be a complex multi-tool pipeline (as in MinerU's modular approach) and avoids the inefficiencies of processing full pages with giant end-to-end models (e.g., large multimodal LLMs like Qwen-VL). In SRR, document parsing is abstracted into three fundamental questions - "Where is it?" (structure), "What is it?" (recognition), and "How is it organized?" (relation) - corresponding to layout analysis, content identification, and logical ordering. This focused decomposition balances accuracy and speed: it enables efficient, scalable processing without sacrificing precision. To train and evaluate this approach, we introduce the MonkeyDoc (the most comprehensive document parsing dataset to date), with 3.9 million instances spanning over ten document types in both Chinese and English. Experiments show that MonkeyOCR outperforms MinerU by an average of 5.1%, with particularly notable improvements on challenging content such as formulas (+15.0%) and tables (+8.6%). Remarkably, our 3B-parameter model surpasses much larger and top-performing models, including Qwen2.5-VL (72B) and Gemini 2.5 Pro, achieving state-of-the-art average performance on English document parsing tasks. In addition, MonkeyOCR processes multi-page documents significantly faster (0.84 pages per second compared to 0.65 for MinerU and 0.12 for Qwen2.5-VL-7B). The 3B model can be efficiently deployed for inference on a single NVIDIA 3090 GPU. Code and models will be released at https://github.com/Yuliang-Liu/MonkeyOCR.




Abstract:Large Language Models (LLMs) have significantly advanced the field of Artificial Intelligence. However, their deployment is resource-intensive, not only due to the large number of model parameters but also because the (Key-Value) KV cache consumes a lot of memory during inference. While several works propose reducing the KV cache by evicting the unnecessary tokens, these approaches rely on accumulated attention score as eviction score to quantify the importance of the token. We identify the accumulated attention score is biased and it decreases with the position of the tokens in the mathematical expectation. As a result, the retained tokens concentrate on the initial positions, limiting model's access to global contextual information. To address this issue, we propose Adaptive holistic attention KV (AhaKV), it addresses the bias of the accumulated attention score by adaptively tuning the scale of softmax according the expectation of information entropy of attention scores. To make use of the holistic attention information in self-attention mechanism, AhaKV utilize the information of value vectors, which is overlooked in previous works, to refine the adaptive score. We show theoretically that our method is well suited for bias reduction. We deployed AhaKV on different models with a fixed cache budget. Experiments show that AhaKV successfully mitigates bias and retains crucial tokens across global context and achieve state-of-the-art results against other related work on several benchmark tasks.
Abstract:Traditional Chinese Medicine (TCM), as an effective alternative medicine, has been receiving increasing attention. In recent years, the rapid development of large language models (LLMs) tailored for TCM has underscored the need for an objective and comprehensive evaluation framework to assess their performance on real-world tasks. However, existing evaluation datasets are limited in scope and primarily text-based, lacking a unified and standardized multimodal question-answering (QA) benchmark. To address this issue, we introduce TCM-Ladder, the first multimodal QA dataset specifically designed for evaluating large TCM language models. The dataset spans multiple core disciplines of TCM, including fundamental theory, diagnostics, herbal formulas, internal medicine, surgery, pharmacognosy, and pediatrics. In addition to textual content, TCM-Ladder incorporates various modalities such as images and videos. The datasets were constructed using a combination of automated and manual filtering processes and comprise 52,000+ questions in total. These questions include single-choice, multiple-choice, fill-in-the-blank, diagnostic dialogue, and visual comprehension tasks. We trained a reasoning model on TCM-Ladder and conducted comparative experiments against 9 state-of-the-art general domain and 5 leading TCM-specific LLMs to evaluate their performance on the datasets. Moreover, we propose Ladder-Score, an evaluation method specifically designed for TCM question answering that effectively assesses answer quality regarding terminology usage and semantic expression. To our knowledge, this is the first work to evaluate mainstream general domain and TCM-specific LLMs on a unified multimodal benchmark. The datasets and leaderboard are publicly available at https://tcmladder.com or https://54.211.107.106 and will be continuously updated.