Overview of the NLPCC 2026 Shared Task 1: Difficulty-Aware Multilingual and Multimodal Medical Instructional Video Understanding Evaluation
Authors: Shenxi Liu, Kan Li, Mingyang Zhao, Yuhang Tian, Bin Li
Organizations: School of Computer Science and Technology, Beijing Institute of Technology · Department of Computing, The Hong Kong Polytechnic University · Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences
Following the CMIVQA, MMI-VQA, and M4IVQA challenges in NLPCC 2023--2025, we introduce the Difficulty-Aware Medical Instructional Video Question Answering (DA-MIVQA) shared task for NLPCC 2026. DA-MIVQA extends previous multilingual and multimodal medical video benchmarks by explicitly distinguishing questions according to the type and complexity of evidence required for answering. Specifically, simple questions can often be answered from subtitle-based textual cues, whereas complex questions require visual grounding, procedural understanding, and cross-modal evidence integration. The challenge contains three tracks: Difficulty-Aware Temporal Answer Grounding in Single Video (DA-TAGSV), Difficulty-Aware Video Corpus Retrieval (DA-VCR), and Difficulty-Aware Temporal Answer Grounding in Video Corpus (DA-TAGVC). The dataset is collected from public medical instructional channels, covers diverse scenarios such as first aid, emergency response, rehabilitation, nursing, and general medical education, and is manually verified with difficulty annotations. This paper presents the task motivation, dataset construction, evaluation protocol, participation overview, competition results, and representative systems of DA-MIVQA. DA-MIVQA provides a practical benchmark for evaluating medical instructional video question answering systems under varying textual, visual, temporal, and procedural reasoning requirements.
We describe DAEP, team BIGC's submission to NLPCC 2026 Shared Task 1 Track 3: Difficulty-Aware Temporal Answer Grounding in Video Corpus (DA-TAGVC). The task requires retrieving the target video from 50 candidates and localizing the answer-supporting span. DAEP ranks videos with subtitle, visual, and procedural-context evidence, expands high-scoring anchors into temporal spans, and reranks spans for final output. Its main design is to convert the task-provided simple/complex input label into an inference-time evidence plan controlling modality weights, Top-K aggregation, boundary threshold, expansion length, and reranking strength. In the official evaluation, BIGC ranks first among ten systems with an Average score of 0.2728. Validation ablations show that visual evidence, procedural context, and difficulty-aware planning improve ranking quality, with the largest gain on complex questions.
Multimodal large language models have made rapid progress in video understanding, yet existing benchmarks largely rely on simple prompts and provide limited evidence about whether models can satisfy explicit output constraints. We introduce VCIFBench, a benchmark for evaluating complex instruction following in video understanding. VCIFBench constructs constraint-rich instructions from both benchmark-adapted and directly video-grounded prompts, covering content, format, style, and structure requirements, and evaluates model outputs with a hybrid verification pipeline. The benchmark contains 306 satisfiable test instructions, a 540-pair DPO preference dataset, and a 30-item conflict diagnostic subset. Experiments on 10 MLLMs show that joint constraint satisfaction remains challenging. We further show that DPO training on VCIFBench data can improve instruction-following performance.
Medical multimodal large language models (MLLMs) have advanced image understanding and short-video analysis, but real clinical review often requires full-procedure video understanding. Unlike general long videos, medical procedures contain highly redundant anatomical views, while decisive evidence is temporally sparse, spatially subtle, and context dependent. Existing benchmarks often assume this evidence has already been localized through images, short clips, or pre-segmented videos, leaving the retrieval-before-reasoning problem under-tested. We introduce MedHorizon, an in-the-wild benchmark for long-context medical video understanding. MedHorizon preserves 759 hours of full-length clinical procedures and provides 1,253 evidence-grounded multiple-choice questionsthat jointly evaluate sparse evidence understanding and multi-hop clinical reasoning. Its evidence is extremely sparse, with only 0.166% evidence frames on average, requiring models to search noisy procedural streams before interpreting and aggregating findings. We evaluate representative general-domain, medical-domain, and long-video MLLMs. The best model reaches only 41.1% accuracy, showing that current systems remain far from robust full-procedure understanding. Further analysis yields four key findings: performance does not scale reliably with more frames, evidence retrieval and clinical interpretation remain primary bottlenecks; these bottlenecks are rooted in weak procedural reasoning and attention drift under redundancy, and generic sampling methods only partially balances local detail with global coverage. MedHorizon provides a rigorous testbed for MLLMs that retrieve sparse evidence and reason over complete clinical workflows.