While large language models show promise in medical applications, achieving expert-level clinical reasoning efficiently remains challenging due to the need for massive amounts of manually labeled data and large-scale models. To address this challenge, we propose Clinical-Oriented Reinforcement Learning (CORL), the first fully open-source, end-to-end reinforcement learning training pipeline in the clinical reasoning domain, incorporating a Reasoning-Oriented Data Strategy (RODS) based on topological synthesis, CoT cold-start, and two-stage reinforcement learning. Through CORL, we trained the Fleming-R1 series of models. Among them, Fleming-R1-7B significantly outperforms models of comparable size while approaching or even surpassing certain 32B and 72B models. Fleming-R1-32B achieves near-parity with GPT-4o and outperforms the strongest open-source alternatives up to 671B in MedXpertQA. This demonstrates that in clinical reasoning field, a meticulously designed training pipeline holds greater importance than scaling model size alone. Data and Models are available at https://github.com/UbiquantAI/Fleming-R1 and https://huggingface.co/collections/IQuestLab/fleming.

Deep research and agent evolution serve as de-facto tasks for AI agents in real-world applications toward artificial general intelligence. The former enables autonomous retrieval and integration of information in open-ended environments to tackle open-ended research tasks, yet it is constrained by the static parametric deep research capabilities of agent systems. The latter allows agents to autonomously interact with the environment to gain experiences that evolve model capabilities. However, its effectiveness has been widely validated only on verifiable tasks with standard answers, leaving a gap with open-ended research tasks. To bridge these two critical tasks, we propose the Hybrid Open-Ended Tri-Evolution (HOTE) framework, which leverages hybrid-mode reinforcement learning to facilitate the collaborative evolution of a proposer, solver and judge based on web-scale knowledge, moving toward autonomous evolving agents in open-ended tasks and environments. Extensive experiments on three long-form deep research benchmarks demonstrate that the 8B model trained via HOTE surpasses the strongest static open 8-32B models as well as those trained by state-of-the-art deep research training methods with less time overhead, and further verify that the evolution of all three modules in HOTE is indispensable.

We study whether grounded reasoning supervision from abundant 2D medical images can improve 3D medical VQA when both input types are aligned through a common reasoning interface. We introduce UniReason-Med, a single-checkpoint framework that processes either a 2D image or a slice-serialized 3D volume at inference time, generating interleaved textual reasoning and localized visual evidence through shared box syntax, region-token injection, and a common grounded reasoning policy. To train this interface, we construct UniMed-CoT, a 220K instruction-tuning dataset with interleaved textual reasoning and grounded visual evidence, including 170K 2D and 50K 3D samples. Through supervised fine-tuning followed by outcome-level reinforcement learning, UniReason-Med learns to generate grounded reasoning traces without IoU/Dice-based localization rewards during RL. Data-mixture and component ablations show that joint 2D+3D grounded supervision substantially improves 3D reasoning over 3D-only training, while grounding and region-token injection consistently benefit both 2D and 3D tasks. These results suggest that a shared grounded reasoning interface can transfer reasoning structure from 2D images to slice-serialized volumetric medical understanding.

Decoding text stimuli from cognitive signals (e.g. fMRI) enhances our understanding of the human language system, paving the way for building versatile Brain-Computer Interface. However, existing studies largely focus on decoding individual word-level fMRI volumes from a restricted vocabulary, which is far too idealized for real-world application. In this paper, we propose fMRI2text, the first open-vocabulary task aiming to bridge fMRI time series and human language. Furthermore, to explore the potential of this new task, we present a baseline solution, UniCoRN: the Unified Cognitive Signal ReconstructioN for Brain Decoding. By reconstructing both individual time points and time series, UniCoRN establishes a robust encoder for cognitive signals (fMRI & EEG). Leveraging a pre-trained language model as decoder, UniCoRN proves its efficacy in decoding coherent text from fMRI series across various split settings. Our model achieves a 34.77% BLEU score on fMRI2text, and a 37.04% BLEU when generalized to EEG-to-text decoding, thereby surpassing the former baseline. Experimental results indicate the feasibility of decoding consecutive fMRI volumes, and the effectiveness of decoding different cognitive signals using a unified structure.

Prompt-based fine-tuning for pre-trained models has proven effective for many natural language processing tasks under few-shot settings in general domain. However, tuning with prompt in biomedical domain has not been investigated thoroughly. Biomedical words are often rare in general domain, but quite ubiquitous in biomedical contexts, which dramatically deteriorates the performance of pre-trained models on downstream biomedical applications even after fine-tuning, especially in low-resource scenarios. We propose a simple yet effective approach to helping models learn rare biomedical words during tuning with prompt. Experimental results show that our method can achieve up to 6% improvement in biomedical natural language inference task without any extra parameters or training steps using few-shot vanilla prompt settings.