Diagnosing pulmonary diseases requires integrating heterogeneous evidence amid phenotypic variability and cross-disease overlap. Although large language models (LLMs) have shown progress on pulmonary knowledge question answering (QA) and information-processing tasks, reliable pulmonary diagnosis requires patient-specific, relation-aware reasoning over electronic medical record (EMR) evidence rather than isolated knowledge recall. We define this gap between pulmonary knowledge and case-level diagnostic reasoning as the Pulmonary Knowledge-to-Diagnosis Gap. To address it, we introduce LungKG, the first structured pulmonary knowledge graph for diagnostic knowledge organization and record-grounded reasoning. LungKG contains 59,038 nodes and 164,308 edges across 15 entity types and 112 relation types, serving as both a reusable pulmonary knowledge resource and the foundation for LungKG-guided model adaptation. Built on LungKG, we propose Lung-R1, a LungKG-guided pulmonary LLM trained through KG-constrained reasoning-chain construction and KG-guided reinforcement learning. In a 20-system evaluation, Lung-R1-14B achieves state-of-the-art performance across Choice, Pulmonary-QA, and EMR Diagnosis, reaching an EMR Diagnosis score of 4.3583 and surpassing the strongest non-Lung-R1 baseline by 0.1476 points. These results demonstrate the value of LungKG-guided training for EMR-based pulmonary diagnosis. The dataset and code are available at GitHub repository.

Mental health disorders represent a burgeoning global public health challenge. While Large Language Models (LLMs) have demonstrated potential in psychiatric assessment, their clinical utility is severely constrained by benchmarks that lack ecological validity and fine-grained diagnostic supervision. To bridge this gap, we introduce MentalDx Bench, the first benchmark dedicated to disorder-level psychiatric diagnosis within real-world clinical settings. Comprising 712 de-identified electronic health records annotated by board-certified psychiatrists under ICD-11 guidelines, the benchmark covers 76 disorders across 16 diagnostic categories. Evaluation of 18 LLMs reveals a critical paradigm misalignment: strong performance at coarse diagnostic categorization contrasts with systematic failure at disorder-level diagnosis, underscoring a gap between pattern-based modeling and clinical hypothetico-deductive reasoning.In response, we propose MentalSeek-Dx, a medical-specialized LLM trained to internalize this clinical reasoning process through supervised trajectory construction and curriculum-based reinforcement learning. Experiments on MentalDx Bench demonstrate that MentalSeek-Dx achieves state-of-the-art (SOTA) performance with only 14B parameters, establishing a clinically grounded framework for reliable psychiatric diagnosis. The dataset and code are available.

Multimodal Retrieval-Augmented Generation (MRAG) enhances reasoning capabilities by integrating external knowledge. However, existing benchmarks primarily focus on simple image-text interactions, overlooking complex visual formats like charts that are prevalent in real-world applications. In this work, we introduce a novel task, Chart-based MRAG, to address this limitation. To generate high-quality evaluation samples, we propose CHARGE (CHARt-based document question-answering GEneration), a semi-automatic framework for generating evaluation samples through multi-modal keypoint extraction, knowledge graph construction, and qa pair synthesis.By combining CHARGE with expert validation, we construct Chart-MRAG Bench, a comprehensive benchmark for chart-based MRAG evaluation, featuring 4,738 question-answering pairs across 8 domains from real-world documents.Our experiments reveal three critical limitations in current approaches: (1) unified multimodal embedding retrieval methods struggles in chart-based scenarios, (2) even with ground-truth retrieval, state-of-the-art Multimodal Large Language Models (MLLMs) achieve only 71.15% Correctness and 80.74% Coverage scores, and (3) Widely-used MLLMs demonstrate consistent text-over-visual modality bias. These findings highlight great challenges in processing information-dense visual formats. We will make our code and dataset publicly available.

Multimodal multi-label emotion recognition (MMER) aims to identify the concurrent presence of multiple emotions in multimodal data. Existing studies primarily focus on improving fusion strategies and modeling modality-to-label dependencies. However, they often overlook the impact of aleatoric uncertainty, which is the inherent noise in the multimodal data and hinders the effectiveness of modality fusion by introducing ambiguity into feature representations.To address this issue and effectively model aleatoric uncertainty, this paper proposes Latent emotional Distribution Decomposition with Uncertainty perception (LDDU) framework from a novel perspective of latent emotional space probabilistic modeling. Specifically, we introduce a contrastive disentangled distribution mechanism within the emotion space to model the multimodal data, allowing for the extraction of semantic features and uncertainty. Furthermore, we design an uncertainty-aware fusion multimodal method that accounts for the dispersed distribution of uncertainty and integrates distribution information. Experimental results show that LDDU achieves state-of-the-art performance on the CMU-MOSEI and M³ED datasets, highlighting the importance of uncertainty modeling in MMER. Code is available at https://github.com/201983290498/lddu_mmer.git.