DAEP: Difficulty-Aware Evidence Planning for Medical Video Corpus Temporal Answer Grounding

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.

Current Video Large Language Models (Video LLMs) excel in question answering (QA) but largely operate as black boxes, providing textual answers without verifiable visual grounding. Existing explainability efforts rely on textual rationales or sparse bounding boxes, which struggle to capture complex video dynamics such as occlusions and non-rigid deformations. We propose Evidence-Backed Video Question Answering (E-VQA), a novel task requiring models to jointly output a semantic answer and precise spatio-temporal evidence: temporal segments and dense, tracked object segmentation masklets. To support this, we introduce ST-Evidence, the first human-verified benchmark for both discriminative and generative pixel-level grounding. Evaluations of state-of-the-art models reveal a critical decoupling between QA accuracy and true visual perception that scaling alone fails to bridge. To address this, we develop scalable, automated generation pipelines to create ST-Evidence-Instruct, a 160k-scale dataset bridging high-level reasoning with fine-grained grounding. Fine-tuning grounded Video LLMs on this data yields substantial gains over the corresponding size-matched UniPixel baselines (e.g., +27.2 t-mean and +13.8 J&F on a 7B model), establishing a robust baseline for explainable, evidence-backed video understanding. Code and data are available at https://github.com/SalesforceAIResearch/EVQA.

TimeLogicQA evaluates whether video question answering systems can reason over temporal relations such as event existence, ordering, persistence, boundary conditions, and overlap. We address this task with a visual evidence routing pipeline that separates perception from symbolic temporal reasoning. The system first parses each question into event targets, answer mode, candidate options, and temporal operators. It then routes videos according to duration and operator difficulty, using ordered full-frame evidence for short clips and event-focused candidate windows for long videos. A multimodal large language model produces structured visual evidence for the relevant events, while programmatic verifiers recover dense action intervals and a deterministic reducer applies operator-specific temporal rules to produce the final answer. Conservative fusion accepts an answer only when the visual evidence, temporal program, and confidence checks agree, reducing noisy answer flips. On the official test evaluation, our final system achieves an AvgAcc of 81.8.