Multimodal QA

While Large Language Models (LLMs) have demonstrated high proficiency on English-centric medical examinations, their performance often declines when faced with non-English languages and multimodal diagnostic tasks. This study protocol describes the development of EuropeMedQA, the first comprehensive, multilingual, and multimodal medical examination dataset sourced from official regulatory exams in Italy, France, Spain, and Portugal. Following FAIR data principles and SPIRIT-AI guidelines, we describe a rigorous curation process and an automated translation pipeline for comparative analysis. We evaluate contemporary multimodal LLMs using a zero-shot, strictly constrained prompting strategy to assess cross-lingual transfer and visual reasoning. EuropeMedQA aims to provide a contamination-resistant benchmark that reflects the complexity of European clinical practices and fosters the development of more generalizable medical AI.

RAG-based QA has emerged as a powerful method for processing long industrial documents. However, conventional text chunking approaches often neglect complex and long industrial document structures, causing information loss and reduced answer quality. To address this, we introduce MultiDocFusion, a multimodal chunking pipeline that integrates: (i) detection of document regions using vision-based document parsing, (ii) text extraction from these regions via OCR, (iii) reconstruction of document structure into a hierarchical tree using large language model (LLM)-based document section hierarchical parsing (DSHP-LLM), and (iv) construction of hierarchical chunks through DFS-based grouping. Extensive experiments across industrial benchmarks demonstrate that MultiDocFusion improves retrieval precision by 8-15% and ANLS QA scores by 2-3% compared to baselines, emphasizing the critical role of explicitly leveraging document hierarchy for multimodal document-based QA. These significant performance gains underscore the necessity of structure-aware chunking in enhancing the fidelity of RAG-based QA systems.

Training multimodal large language models (MLLMs) for video understanding requires large-scale annotated data spanning diverse tasks such as object counting, question answering, and segmentation. However, collecting and annotating multimodal video data in real-world is costly, slow, and inherently limited in diversity and coverage. To address this challenge, we propose~SynMulti dataset, along with a unified synthetic data generation pipeline capable of automatically producing unlimited multimodal video data with rich and diverse supervision. Our framework supports multiple task formats within a single pipeline, enabling scalable and consistent data creation across tasks. To further enhance reasoning ability, we introduce a VQA-based fine-tuning strategy that trains models to answer structured questions about visual content rather than relying solely on captions or simple instructions. This formulation encourages deeper visual grounding and reasoning. We evaluate our approach in three challenging tasks: video object counting, video-based visual question answering, and video object segmentation. Experimental results demonstrate that models trained predominantly on synthetic data generalize effectively to real-world datasets, often outperforming traditionally trained counterparts. Our findings highlight the potential of unified synthetic data pipelines as a scalable alternative to expensive real-world annotation for multimodal video understanding.

Leveraging Multi-modal Large Language Models (MLLMs) to accelerate frontier scientific research is promising, yet how to rigorously evaluate such systems remains unclear. Existing benchmarks mainly focus on single-document understanding, whereas real scientific workflows require integrating evidence from multiple papers, including their text, tables, and figures. As a result, multi-modal, multi-document scientific reasoning remains underexplored and lacks systematic evaluation. To address this gap, we introduce PaperScope, a multi-modal multi-document benchmark designed for agentic deep research. PaperScope presents three advantages: (1) Structured scientific grounding. It is built on a knowledge graph of over 2,000 AI papers spanning three years, providing a structured foundation for research-oriented queries. (2) Semantically dense evidence construction. It integrates semantically related key information nodes and employs optimized random-walk article selector to sample thematically coherent paper sets, thereby ensuring adequate semantic density and task complexity. (3) Multi-task evaluation of scientific reasoning. It contains over 2,000 QA pairs across reasoning, retrieval, summarization, and problem solving, enabling evaluation of multi-step scientific reasoning. Experimental results show that even advanced systems such as OpenAI Deep Research and Tongyi Deep Research achieve limited scores on PaperScope, highlighting the difficulty of long-context retrieval and deep multi-source reasoning. PaperScope thus provides a rigorous benchmark alongside a scalable pipeline for constructing large-scale multi-modal, multi-source deep research datasets.

Object-level spatial-temporal understanding is essential for video question answering, yet existing multimodal large language models (MLLMs) encode frames holistically and lack explicit mechanisms for fine-grained object grounding. Recent work addresses this by serializing bounding box coordinates as text tokens, but this text-coordinate paradigm suffers from a fundamental modality mismatch: object information is inherently visual, yet encoding it as text incurs a high token cost that forces aggressive temporal downsampling. We propose BoxTuning, which resolves this mismatch by injecting object spatial-temporal information directly into the visual modality. Colored bounding boxes and trajectory trails are rendered onto video frames as visual prompts, with only a concise color-to-object legend retained as text. This reduces the token cost significantly, achieving 87-93% text token reduction in practice. It also preserves full temporal resolution, where the trajectory trails further encode inter-frame motion direction and speed within each keyframe, recovering fine-grained dynamics that text-coordinate methods are forced to discard. Experimental results on five video QA benchmarks (CLEVRER, Perception Test, STAR, NExT-QA, IntentQA) show that BoxTuning surpasses text-coordinate baselines on spatially oriented tasks and nearly eliminates the accuracy degradation observed on reasoning-centric tasks, establishing visual prompting as a more natural and efficient paradigm for conveying object information to video MLLMs.

Long-horizon memory question answering often requires sparse evidence from heterogeneous histories, including events, object states, visual observations, temporal relations, and causal steps. Existing memory interfaces expand reader context, retrieve semantically related chunks, or expose graph neighborhoods, but they are not explicitly designed to select compact evidence for a fixed reader. We propose Structured Spatiotemporal Scene--Event Memory (S3Mem), a query-time memory interface that writes textual, visual, and agent-use histories into structured scene--event units and routes compact evidence packs to the reader. Its router scores candidate units, query anchors, and anchor--support links, enabling both single-hop selection and short multi-hop evidence chains without reader fine-tuning or test-time training. Across LoCoMo, EMemBench Visual Games, and AMA-Bench, S3Mem provides a strong score--token trade-off, with the clearest gains on localized event, state, temporal, causal, or provenance evidence. On LoCoMo, S3Mem reaches $0.48$ F1 and $0.40$ BLEU with (1{,}073) evidence tokens per question, about $15.8\times$ fewer than the LoCoMo reference. On EMemBench Visual Games, it obtains the best F1 and second-best accuracy with only $189$tokens.On AMA-Bench, it is not the highest-scoring method, but remains competitive while using the fewest reader-visible evidence tokens.

Multimodal large language models (MLLMs) have demonstrated strong capabilities in visual understanding, yet they remain limited in complex, multi-step reasoning that requires deep searching and integrating visual evidence with external knowledge. In this work, we address this challenge by constructing high-quality, verified multi-hop vision-language training data for multimodal deep-search agents. We propose a Multi-hop Tool-Augmented Agent for Evidence-based QA Synthesis (MTA-Agent), which automatically selects tools and their parameters to retrieve and validate evidence from both visual and textual sources and generates structured multi-hop question-answer trajectories. Starting from diverse VQA seed datasets, our pipeline produces a large-scale training dataset, MTA-Vision-DeepSearch, containing 21K high-quality multi-hop examples. The data is filtered through a multi-stage verification process to ensure factual consistency and answer uniqueness. Using MTA-Vision-DeepSearch, a 32B open-source multimodal search agent achieves state-of-the-art performance, reaching an average of 54.63% across six challenging benchmarks, outperforming GPT-5 (51.86%), Gemini-2.5-Pro (50.98%), and Gemini-3-Pro (54.46%) under the same tool settings. We further show that training on our data improves both reasoning depth and tool-use behavior, increasing the average number of steps from 2.27 to 4.28, and leading to more systematic and persistent search strategies. Additionally, we demonstrate that training can be performed without real-time tool calls by replaying cached interactions, significantly reducing training cost. Importantly, we present MTA-Agent as a fully open recipe for multimodal deep search: we release the entire dataset, training trajectories, and implementation details to enable reproducibility and future research on open multimodal search agents.

We present HippoCamp, a new benchmark designed to evaluate agents' capabilities on multimodal file management. Unlike existing agent benchmarks that focus on tasks like web interaction, tool use, or software automation in generic settings, HippoCamp evaluates agents in user-centric environments to model individual user profiles and search massive personal files for context-aware reasoning. Our benchmark instantiates device-scale file systems over real-world profiles spanning diverse modalities, comprising 42.4 GB of data across over 2K real-world files. Building upon the raw files, we construct 581 QA pairs to assess agents' capabilities in search, evidence perception, and multi-step reasoning. To facilitate fine-grained analysis, we provide 46.1K densely annotated structured trajectories for step-wise failure diagnosis. We evaluate a wide range of state-of-the-art multimodal large language models (MLLMs) and agentic methods on HippoCamp. Our comprehensive experiments reveal a significant performance gap: even the most advanced commercial models achieve only 48.3% accuracy in user profiling, struggling particularly with long-horizon retrieval and cross-modal reasoning within dense personal file systems. Furthermore, our step-wise failure diagnosis identifies multimodal perception and evidence grounding as the primary bottlenecks. Ultimately, HippoCamp exposes the critical limitations of current agents in realistic, user-centric environments and provides a robust foundation for developing next-generation personal AI assistants.

The connoisseurship of antique Chinese porcelain demands extensive historical expertise, material understanding, and aesthetic sensitivity, making it difficult for non-specialists to engage. To democratize cultural-heritage understanding and assist expert connoisseurship, we introduce CiQi-Agent -- a domain-specific Porcelain Connoisseurship Agent for intelligent analysis of antique Chinese porcelain. CiQi-Agent supports multi-image porcelain inputs and enables vision tool invocation and multimodal retrieval-augmented generation, performing fine-grained connoisseurship analysis across six attributes: dynasty, reign period, kiln site, glaze color, decorative motif, and vessel shape. Beyond attribute classification, it captures subtle visual details, retrieves relevant domain knowledge, and integrates visual and textual evidence to produce coherent, explainable connoisseurship descriptions. To achieve this capability, we construct a large-scale, expert-annotated dataset CiQi-VQA, comprising 29,596 porcelain specimens, 51,553 images, and 557,940 visual question--answering pairs, and further establish a comprehensive benchmark CiQi-Bench aligned with the previously mentioned six attributes. CiQi-Agent is trained through supervised fine-tuning, reinforcement learning, and a tool-augmented reasoning framework that integrates two categories of tools: a vision tool and multimodal retrieval tools. Experimental results show that CiQi-Agent (7B) outperforms all competitive open- and closed-source models across all six attributes on CiQi-Bench, achieving on average 12.2% higher accuracy than GPT-5. The model and dataset have been released and are publicly available at https://huggingface.co/datasets/SII-Monument-Valley/CiQi-VQA.

Multimodal multiple-choice question answering (MCQA) provides a standardized and objectively measurable setting for evaluating vision-language models (VLMs). However, because the MCQA format incorporates the candidate choices into the input context, it introduces several unintended biases. Previous work has primarily focused on structural biases, such as preferences for certain choices. Instead, we argue that the choices act as textual priors, causing models to favor linguistically plausible options regardless of the visual content. We hypothesize and empirically verify that a model genuinely relies on visual evidence only when its multimodal distribution significantly diverges from its text-only distribution. Based on this observation we propose BUZZY,a training-free decoding method that corrects multimodal predictions by subtracting the text-only distribution. Experiments with five VLMs on five multimodal MCQA benchmarks demonstrate that BUZZY achieves the highest average accuracy among state-of-the-art methods while reducing inference latency by over 28% compared to prior contrastive decoding approaches. Overall, these results suggest that amplifying the visual signal by penalizing text-only preferences is key to efficient and robust multimodal MCQA reasoning. Code and additional resources are provided https://txxnrd.github.io/buzzy/.

We present EuraGovExam, a multilingual and multimodal benchmark sourced from real-world civil service examinations across five representative Eurasian regions: South Korea, Japan, Taiwan, India, and the European Union. Designed to reflect the authentic complexity of public-sector assessments, the dataset contains over 8,000 high-resolution scanned multiple-choice questions covering 17 diverse academic and administrative domains. Unlike existing benchmarks, EuraGovExam embeds all question content--including problem statements, answer choices, and visual elements--within a single image, providing only a minimal standardized instruction for answer formatting. This design demands that models perform layout-aware, cross-lingual reasoning directly from visual input. All items are drawn from real exam documents, preserving rich visual structures such as tables, multilingual typography, and form-like layouts. Evaluation results show that even state-of-the-art vision-language models (VLMs) achieve only 86% accuracy, underscoring the benchmark's difficulty and its power to diagnose the limitations of current models. By emphasizing cultural realism, visual complexity, and linguistic diversity, EuraGovExam establishes a new standard for evaluating VLMs in high-stakes, multilingual, image-grounded settings. It also supports practical applications in e-governance, public-sector document analysis, and equitable exam preparation.

Alzheimer's disease (AD) diagnosis requires integrating neuroimaging with heterogeneous clinical evidence and reasoning under established criteria, yet most multimodal models remain opaque and weakly guideline-aligned. We present AD-Reasoning, a multimodal framework that couples structural MRI with six clinical modalities and a rule-based verifier to generate structured, NIA-AA-consistent diagnoses. AD-Reasoning combines modality-specific encoders, bidirectional cross-attention fusion, and reinforcement fine-tuning with verifiable rewards that enforce output format, guideline evidence coverage, and reasoning--decision consistency. We also release AD-MultiSense, a 10,378-visit multimodal QA dataset with guideline-validated rationales built from ADNI/AIBL. On AD-MultiSense, AD-Reasoning achieves state-of-the-art diagnostic accuracy and produces structured rationales that improve transparency over recent baselines, while providing transparent rationales.

Live streaming commerce has become a prominent form of broadcasting in the modern era. To facilitate more efficient and convenient product promotions for streamers, we present Click-to-Ask, an AI-driven assistant for live streaming commerce with complementary offline and online components. The offline module processes diverse multimodal product information, transforming complex inputs into structured product data and generating compliant promotional copywriting. During live broadcasts, the online module enables real-time responses to viewer inquiries by allowing streamers to click on questions and leveraging both the structured product information generated by the offline module and an event-level historical memory maintained in a streaming architecture. This system significantly reduces the time needed for promotional preparation, enhances content engagement, and enables prompt interaction with audience inquiries, ultimately improving the effectiveness of live streaming commerce. On our collected dataset of TikTok live stream frames, the proposed method achieves a Question Recognition Accuracy of 0.913 and a Response Quality score of 0.876, demonstrating considerable potential for practical application. The video demonstration can be viewed here: https://www.youtube.com/shorts/mWIXK-SWhiE.

Long-form video question answering requires reasoning over extended temporal contexts, making frame selection a critical bottleneck for multi-modal large language models (MLLMs) bound by finite context windows. Within the controlled frame-budget regime that governs practical deployment, prior selectors score frames against a single global query embedding; as a result, compositional multimodal questions that involve temporal ordering or cross-modal cues such as "what happens on screen right after the narrator mentions the reaction?" are flattened into a representation that loses sub-event ordering and modality bindings. We introduce HiMu, a training-free framework for compositional multimodal frame selection. A single text-only LLM call decomposes the query into a hierarchical logic tree whose leaves are atomic predicates, each routed to a lightweight expert spanning vision (CLIP, open-vocabulary detection, OCR) and audio (speech recognition and non-speech sound matching). Expert signals are normalized, smoothed to align across modalities, and composed bottom-up through fuzzy-logic operators that enforce temporal sequencing and adjacency, yielding a continuous per-frame satisfaction curve. Under the standard 16-frame budget on Video-MME, LongVideoBench, and HERBench-Lite, HiMu achieves state-of-the-art accuracy among frame selection methods and improves over uniform sampling across seven diverse MLLMs as a drop-in module, matching the accuracy of uniform sampling at 4x its frame budget, without retraining and without multiple iterative MLLM calls during selection.

Multimodal large language models (MLLMs) have achieved rapid progress, yet their scaling behavior remains less clearly characterized and often less predictable than that of text-only LLMs. Increasing model size and task diversity often yields diminishing returns. In this work, we argue that the primary bottleneck in multimodal scaling is not task format, but knowledge density in training data. We first show that task-specific supervision such as Visual Question Answering (VQA) contributes little incremental semantic information beyond image captions: VQA signals can be reconstructed from captions with negligible performance loss. We then demonstrate that increasing knowledge density -- through structured caption enrichment and cross-modal knowledge injection -- leads to consistent performance improvements across multimodal and downstream benchmarks. Across controlled experiments, performance correlates more strongly with semantic coverage than with task diversity. These findings suggest that current MLLMs fail to scale primarily because training data lacks sufficient knowledge coverage. We advocate for knowledge-centric multimodal training as a principled foundation for scalable multimodal models.

Spoken Question Answering (Spoken QA) presents a challenging cross-modal problem: effectively aligning acoustic queries with textual knowledge while avoiding the latency and error propagation inherent in cascaded ASR-based systems. In this paper, we introduce Attention-guided Evidence Grounding (AEG), a novel end-to-end framework that leverages the internal cross-modal attention of Speech Large Language Models (SpeechLLMs) to explicitly locate and ground key evidence in the model's latent space. To address the diffuse attention distribution in pre-trained models, we propose Learning to Focus on Evidence (LFE), a supervised fine-tuning paradigm that calibrates the model's attention mechanism to distinguish query-relevant segments from irrelevant context. Experiments on SQuAD, HotpotQA, and MuSiQue demonstrate that AEG reduces hallucinations and achieves strong efficiency gains, outperforming large-scale cascaded baselines (Whisper-Large-v3 + Reranker) while reducing inference latency by approximately 62%.

Multimodal Large Language Models have achieved strong performance in single-video understanding, yet their ability to reason across multiple videos remains limited. Existing approaches typically concatenate multiple videos into a single input and perform direct inference, which introduces training-inference mismatch, information loss from frame compression, and a lack of explicit cross-video coordination. Meanwhile, current multi-video benchmarks primarily emphasize event-level comparison, leaving identity-level matching, fine-grained discrimination, and structured multi-step reasoning underexplored. To address these gaps, we introduce MVX-Bench, a Multi-Video Cross-Dimension Benchmark that reformulates 11 classical computer vision tasks into a unified multi-video question-answering framework, comprising 1,442 questions over 4,255 videos from diverse real-world datasets. We further propose SAMA, a Skill-Augmented Agentic Framework for Multi-Video Understanding, which integrates visual tools, task-specific skills, and a conflict-aware verification mechanism to enable iterative and structured reasoning. Experimental results show that SAMA outperforms strong open-source baselines and GPT on MVX-Bench, and ablations validate the effectiveness of skill design and conflict resolution.

Enterprises increasingly need natural language (NL) question answering over hybrid data lakes that combine structured tables and unstructured documents. Current deployed solutions, including RAG-based systems, typically rely on brute-force retrieval from each store and post-hoc merging. Such approaches are inefficient and leaky, and more critically, they lack explicit support for multi-hop reasoning, where a query is decomposed into successive steps (hops) that may traverse back and forth between structured and unstructured sources. We present Agentic DAG-Orchestrated Transformer (A.DOT) Planner, a framework for multi-modal, multi-hop question answering, that compiles user NL queries into directed acyclic graph (DAG) execution plans spanning both structured and unstructured stores. The system decomposes queries into parallelizable sub-queries, incorporates schema-aware reasoning, and applies both structural and semantic validation before execution. The execution engine adheres to the generated DAG plan to coordinate concurrent retrieval across heterogeneous sources, route intermediate outputs to dependent sub-queries, and merge final results in strict accordance with the plan's logical dependencies. Advanced caching mechanisms, incorporating paraphrase-aware template matching, enable the system to detect equivalent queries and reuse prior DAG execution plans for rapid re-execution, while the DataOps System addresses validation feedback or execution errors. The proposed framework not only improves accuracy and latency, but also produces explicit evidence trails, enabling verification of retrieved content, tracing of data lineage, and fostering user trust in the system's outputs. On benchmark dataset, A.DOT achieves 14.8% absolute gain in correctness and 10.7% in completeness over baselines.

Multimodal Large Language Models (MLLMs) have shown strong performance in visual and audio understanding when evaluated in isolation. However, their ability to jointly reason over omni-modal (visual, audio, and textual) signals in long and complex videos remains largely unexplored. We introduce MMOU, a new benchmark designed to systematically evaluate multimodal understanding and reasoning under these challenging, real-world conditions. MMOU consists of 20,000 carefully curated questions paired with 11877 web-collected videos of varying length, spanning diverse domains and exhibiting rich, tightly coupled audio-visual content. The benchmark covers 13 fundamental skill categories, all of which require integrating evidence across modalities and time. All questions are manually annotated across multiple turns by professional annotators, ensuring high quality and reasoning fidelity. We evaluate 20+ state-of-the-art open-source and proprietary multimodal models on MMOU. The results expose substantial performance gaps: the best closed-source model achieves only 64.2% accuracy, while the strongest open-source model reaches just 46.8%. Our results highlight the challenges of long-form omni-modal understanding, revealing that current models frequently fail to apply even fundamental skills in long videos. Through detailed analysis, we further identify systematic failure modes and provide insights into where and why current models break.

Constructing scientific multimodal document reasoning datasets for foundation model training involves an inherent trade-off among scale, faithfulness, and realism. To address this challenge, we introduce the synthesize-and-reground framework, a two-stage pipeline comprising: (1) Claim-Centric QA Synthesis, which generates faithful, isolated QA pairs and reasoning on focused segments, and (2) Document-Scale Regrounding, which programmatically re-embeds these pairs into full-document tasks to ensure realistic complexity. Using this framework, we construct SciMDR, a large-scale training dataset for cross-modal comprehension, comprising 300K QA pairs with explicit reasoning chains across 20K scientific papers. We further construct SciMDR-Eval, an expert-annotated benchmark to evaluate multimodal comprehension within full-length scientific workflows. Experiments demonstrate that models fine-tuned on SciMDR achieve significant improvements across multiple scientific QA benchmarks, particularly in those tasks requiring complex document-level reasoning.

Visual Question Answering (VQA) is a fundamental multimodal task that requires models to jointly understand visual and textual information. Early VQA systems relied heavily on language biases, motivating subsequent work to emphasize visual grounding and balanced datasets. With the success of large-scale pre-trained transformers for both text and vision domains -- such as PhoBERT for Vietnamese language understanding and Vision Transformers (ViT) for image representation learning -- multimodal fusion has achieved remarkable progress. For Vietnamese VQA, several datasets have been introduced to promote research in low-resource multimodal learning, including ViVQA, OpenViVQA, and the recently proposed ViTextVQA. These resources enable benchmarking of models that integrate linguistic and visual features in the Vietnamese context. Evaluation of VQA systems often employs automatic metrics originally designed for image captioning or machine translation, such as BLEU, METEOR, CIDEr, Recall, Precision, and F1-score. However, recent research suggests that large language models can further improve the alignment between automatic evaluation and human judgment in VQA tasks. In this work, we explore Vietnamese Visual Question Answering using transformer-based architectures, leveraging both textual and visual pre-training while systematically comparing automatic evaluation metrics under multilingual settings.

Facial micro-expressions (MEs) are involuntary movements of the face that occur spontaneously when a person experiences an emotion but attempts to suppress or repress the facial expression, typically found in a high-stakes environment. In recent years, substantial advancements have been made in the areas of ME recognition, spotting, and generation. The emergence of multimodal large language models (MLLMs) and large vision-language models (LVLMs) offers promising new avenues for enhancing ME analysis through their powerful multimodal reasoning capabilities. The ME grand challenge (MEGC) 2026 introduces two tasks that reflect these evolving research directions: (1) ME video question answering (ME-VQA), which explores ME understanding through visual question answering on relatively short video sequences, leveraging MLLMs or LVLMs to address diverse question types related to MEs; and (2) ME long-video question answering (ME-LVQA), which extends VQA to long-duration video sequences in realistic settings, requiring models to handle temporal reasoning and subtle micro-expression detection across extended time periods. All participating algorithms are required to submit their results on a public leaderboard. More details are available at https://megc2026.github.io.

Multi-hop question answering (QA) is widely used to evaluate the reasoning capabilities of large language models, yet most benchmarks focus on final answer correctness and overlook intermediate reasoning, especially in long multimodal documents. We introduce BRIDGE, a benchmark for multi-hop reasoning over long scientific papers that require integrating evidence across text, tables, and figures. The dataset supports both chain-like and fan-out structures and provides explicit multi-hop reasoning annotations for step-level evaluation beyond answer accuracy. Experiments with state-of-the-art LLMs and multimodal retrieval-augmented generation (RAG) systems reveal systematic deficiencies in evidence aggregation and grounding that remain hidden under conventional answer-only evaluation. BRIDGE provides a targeted testbed for diagnosing reasoning failures in long multimodal documents.

Fine-grained understanding and species-specific multimodal question answering are vital for advancing biodiversity conservation and ecological monitoring. However, existing multimodal large language models face challenges when it comes to specialized topics like avian species, making it harder to provide accurate and contextually relevant information in these areas. To address this limitation, we introduce the MAviS-Dataset, a large-scale multimodal avian species dataset that integrates image, audio, and text modalities for over 1,000 bird species, comprising both pretraining and instruction-tuning subsets enriched with structured question-answer pairs. Building on the MAviS-Dataset, we introduce MAviS-Chat, a multimodal LLM that supports audio, vision, and text and is designed for fine-grained species understanding, multimodal question answering, and scene-specific description generation. Finally, for quantitative evaluation, we present MAviS-Bench, a benchmark of over 25,000 QA pairs designed to assess avian species-specific perceptual and reasoning abilities across modalities. Experimental results show that MAviS-Chat outperforms the baseline MiniCPM-o-2.6 by a large margin, achieving state-of-the-art open-source results and demonstrating the effectiveness of our instruction-tuned MAviS-Dataset. Our findings highlight the necessity of domain-adaptive multimodal LLMs for ecological applications.

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT) reasoning is particularly important in this setting because it enables step-by-step interpretation from imaging findings to clinical impressions and pathology conclusions, improving traceability and reducing diagnostic errors. Here, we target the clinical tumor analysis task and build a large-scale benchmark that operationalizes a multimodal reasoning pipeline, spanning findings, impressions, and pathology predictions. We curate TumorCoT, a large-scale dataset of 1.5M CoT-labeled VQA instructions paired with 3D CT scans, with step-aligned rationales and cross-modal alignments along the trajectory from findings to impression to pathology, enabling evaluation of both answer accuracy and reasoning consistency. We further propose TumorChain, a multimodal interleaved reasoning framework that tightly couples 3D imaging encoders, clinical text understanding, and organ-level vision-language alignment. Through cross-modal alignment and iterative interleaved causal reasoning, TumorChain grounds visual evidence, aggregates conclusions, and issues pathology predictions after multiple rounds of self-refinement, improving traceability and reducing hallucination risk. Experiments show consistent improvements over strong baselines in lesion detection, impression generation, and pathology classification, and demonstrate strong generalization on the DeepTumorVQA benchmark. These results highlight the potential of multimodal reasoning for reliable and interpretable tumor analysis in clinical practice. Detailed information about our project can be found on our project homepage at https://github.com/ZJU4HealthCare/TumorChain.

The transition from task-specific artificial intelligence toward general-purpose foundation models raises fundamental questions about their capacity to support the integrated reasoning required in clinical medicine, where diagnosis demands synthesis of ambiguous patient narratives, laboratory data, and multimodal imaging. This landscape commentary provides the first controlled, cross-sectional evaluation of the GPT-5 family (GPT-5, GPT-5 Mini, GPT-5 Nano) against its predecessor GPT-4o across a diverse spectrum of clinically grounded tasks, including medical education examinations, text-based reasoning benchmarks, and visual question-answering in neuroradiology, digital pathology, and mammography using a standardized zero-shot chain-of-thought protocol. GPT-5 demonstrated substantial gains in expert-level textual reasoning, with absolute improvements exceeding 25 percentage-points on MedXpertQA. When tasked with multimodal synthesis, GPT-5 effectively leveraged this enhanced reasoning capacity to ground uncertain clinical narratives in concrete imaging evidence, achieving state-of-the-art or competitive performance across most VQA benchmarks and outperforming GPT-4o by margins of 10-40% in mammography tasks requiring fine-grained lesion characterization. However, performance remained moderate in neuroradiology (44% macro-average accuracy) and lagged behind domain-specific models in mammography, where specialized systems exceed 80% accuracy compared to GPT-5's 52-64%. These findings indicate that while GPT-5 represents a meaningful advance toward integrated multimodal clinical reasoning, mirroring the clinician's cognitive process of biasing uncertain information with objective findings, generalist models are not yet substitutes for purpose-built systems in highly specialized, perception-critical tasks.

Multimodal document question answering requires retrieving dispersed evidence from visually rich long documents and performing reliable reasoning over heterogeneous information. Existing multimodal RAG systems remain limited by two bottlenecks: static retrieval that ignores query complexity, and end-to-end Vision-Language Models (VLMs) that couple visual perception with logical reasoning, leading to inefficient computation and unstable answer generation. We propose AutoThinkRAG, a complexity-aware inference architecture for multimodal document QA. It has two components: (1) a Query Complexity Router that analyzes query difficulty and structure to adaptively select retrieval and reasoning paths; and (2) a Perception--Reasoning Decoupling architecture that uses a lightweight VLM as a high-fidelity visual interpreter to convert query-relevant visual cues into textual representations, which are then passed to an LLM for logical reasoning and answer synthesis. This design improves both efficiency and robustness, especially on long-document and unanswerable queries. Experiments on DocBench and MMLongBench show that AutoThinkRAG achieves 82.13% and 51.29% overall accuracy, respectively, while reducing per-query token consumption by 18.9% and monetary cost by 18.2%. Further analyses show that the gains are most pronounced on complex queries requiring adaptive retrieval and multi-step reasoning.

The nicotine addiction public health crisis continues to be pervasive. In this century alone, the tobacco industry has released and marketed new products in an aggressive effort to lure new and young customers for life. Such innovations and product development, namely flavored nicotine or tobacco such as nicotine pouches, have undone years of anti-tobacco campaign work. Past work is limited both in scope and in its ability to connect large-scale data points. Thus, we introduce the Nicotine Innovation Counter-Offensive (NICO) Dataset to provide public health researchers with over 200,000 multimodal samples, including images and text descriptions, on 55 tobacco and nicotine product brands. In addition, to provide public health researchers with factual connections across a large-scale dataset, we propose NICO-RAG, a retrieval-augmented generation (RAG) framework that can retrieve image features without incurring the high-cost of language models, as well as the added cost of processing image tokens with large-scale datasets such as NICO. At construction time, NICO-RAG organizes image- and text-extracted entities and relations into hypergraphs to produce as factual responses as possible. This joint multimodal knowledge representation enables NICO-RAG to retrieve images for query answering not only by visual similarity but also by the semantic similarity of image descriptions. Experimentals show that without needing to process additional tokens from images for over 100 questions, NICO-RAG performs comparably to the state-of-the-art RAG method adapted for images.

Personalized AI assistants must recall and reason over long-term user memory, which naturally spans multiple modalities and sources such as images, videos, and emails. However, existing Long-term Memory benchmarks focus primarily on dialogue history, failing to capture realistic personalized references grounded in lived experience. We introduce ATM-Bench, the first benchmark for multimodal, multi-source personalized referential Memory QA. ATM-Bench contains approximately four years of privacy-preserving personal memory data and human-annotated question-answer pairs with ground-truth memory evidence, including queries that require resolving personal references, multi-evidence reasoning from multi-source and handling conflicting evidence. We propose Schema-Guided Memory (SGM) to structurally represent memory items originated from different sources. In experiments, we implement 5 state-of-the-art memory systems along with a standard RAG baseline and evaluate variants with different memory ingestion, retrieval, and answer generation techniques. We find poor performance (under 20% accuracy) on the ATM-Bench-Hard set, and that SGM improves performance over Descriptive Memory commonly adopted in prior works. Code available at: https://github.com/JingbiaoMei/ATM-Bench

We aim to develop a multimodal research agent capable of explicit reasoning and planning, multi-tool invocation, and cross-modal information synthesis, enabling it to conduct deep research tasks. However, we observe three main challenges in developing such agents: (1) scarcity of search-intensive multimodal QA data, (2) lack of effective search trajectories, and (3) prohibitive cost of training with online search APIs. To tackle them, we first propose Hyper-Search, a hypergraph-based QA generation method that models and connects visual and textual nodes within and across modalities, enabling to generate search-intensive multimodal QA pairs that require invoking various search tools to solve. Second, we introduce DR-TTS, which first decomposes search-involved tasks into several categories according to search tool types, and respectively optimize specialized search tool experts for each tool. It then recomposes tool experts to jointly explore search trajectories via tree search, producing trajectories that successfully solve complex tasks using various search tools. Third, we build an offline search engine supporting multiple search tools, enabling agentic reinforcement learning without using costly online search APIs. With the three designs, we develop MM-DeepResearch, a powerful multimodal deep research agent, and extensive results shows its superiority across benchmarks. Code is available at https://github.com/HJYao00/MM-DeepResearch