The application of Large Language Models (LLMs) to diagnostic decision-making has garnered growing interest. However, existing benchmarks largely focus on textual reasoning or isolated visual question-answering (VQA) tasks, lacking holistic integration of clinical narratives and medical imaging, and thus failing to assess the multimodal diagnostic synthesis capability central to expert clinical judgment. To bridge this gap, we introduce **MedReaMM**, a benchmark specifically designed to evaluate models’ ability to synthesize heterogeneous clinical evidence consisting of detailed patient histories alongside multiple medical images into accurate differential diagnoses under a complete-information paradigm. Constructed from case reports sourced from top-tier medical journals and curated clinical case databases, MedReaMM comprises 625 expert-validated cases with an average of 2.79 medical images per case and a total of 1,042 standardized diagnoses annotated with ICD-11 codes. These cases predominantly represent rare, atypical, or multi-system presentations that demand expert-level evidence integration beyond routine pattern recognition. We evaluate 23 Large Multimodal Models (LMMs) and find that most achieve diagnostic accuracy scores below 50%, underscoring a substantial gap in multimodal diagnostic synthesis capability. Further analysis reveals that medical knowledge proficiency, medical image understanding, and evidence integration are all highly correlated with diagnostic performance.

Multimodal Large Language Models (MLLMs) often struggle with complex mathematical visual reasoning primarily due to a lack of fine-grained perception, causing initial visual hallucinations to directly trigger cascading reasoning failures. In traditional end-to-end reinforcement learning (RL), sparse rewards fail to decouple perceptual hallucinations from logical missteps, hindering targeted perception optimization. Alternatively, fine-tuning with perception-enhanced CoT data incurs high costs and hallucinations. In this paper, we address these challenges by proposing UniCAR-RL, an annotation-free RL framework. By explicitly decoupling the optimization of perception and reasoning during the training process, it achieves isolation and optimization of both capabilities. Specifically, UniCAR-RL consists of three synergistic branches: 1) a Caption-RL branch that optimizes perception capabilities through verifier-guided reasoning validation; 2) a Reasoning-RL branch that performs logical reasoning based on a gold image description to halt cascading errors; 3) a QA-RL branch that retains native end-to-end alignment to ensure robust question-answering performance. Experiments show that UniCAR-RL substantially improves MLLMs’ mathematical and visual reasoning using only raw short-answer data. Furthermore, it demonstrates strong generalization across diverse architectures and scales.

Long videos contain far more visual content than Large Vision-Language Models (LVLMs) can process under a fixed visual-token budget, making frame selection essential. Existing query-aware selectors usually estimate frame-query relevance and build a compact subset from high-scoring frames. Although their mechanisms differ, the similarity sequence is still often treated primarily as values to rank or sample from, rather than as an ordered signal whose shape reflects how query-relevant evidence emerges, peaks, and fades over time. This can obscure frames that explain, contextualize, or follow an event, because such evidence may lie on the rising or falling sides of a nearby relevance peak and receive lower absolute scores. We propose RIDGE, a frame selection framework that reads the frame-query similarity curve as a temporal signal. By using local changes and curvature, RIDGE partitions the timeline into structural regions and applies region-specific selection to preserve event cores, transitions, buildup, aftermath, and contextual frames under a fixed budget. It is a lightweight post-processing step on precomputed frame-query scores and requires neither training nor iterative LVLM calls. Across four long-video benchmarks and three backbones, RIDGE achieves the best performance in most settings and remains competitive in the others.

Multi-Agent Systems (MAS) have recently moved from static workflows toward dynamically generated collaboration topologies. However, existing topology generation methods rely primarily on the parametric knowledge of large language models, with external search or retrieval used only as a reactive tool rather than an explicit determinant of collaboration structure. This leads to structure–knowledge misalignment, where systems exhibit redundant interactions or insufficient verification in knowledge-intensive tasks.

We propose K-GAT (Knowledge-Guided Agent Topology Generator), a neuro-symbolic framework that formulates collaboration topology design as a knowledge-conditioned structure learning problem, integrating external evidence directly into autoregressive graph generation. Extensive experiments on knowledge-intensive benchmarks demonstrate K-GAT’s efficiency and effectiveness. Notably, on the expert-level GPQA dataset, K-GAT outperforms the LLM-Debate baseline by a substantial margin of +15.7% in accuracy, while consuming less than half the computational tokens.

The application of large language models (LLMs) to personalized medical assistants has garnered growing interest. However, existing medical benchmarks largely rely on static question answering with pre-selected evidence, leaving unclear whether LLMs can make reliable clinical decisions from real longitudinal electronic health records (EHRs). To bridge this gap, we introduce ObGynLongBench, a rule-grounded long-context EHR benchmark for obstetric and gynecologic decision-making, comprising 1,500 clinical decision-point cases from 976 real pregnancy EHR histories and traceable rules. Each case is anchored to a patient, a pregnancy-timeline point, and a pre-decision information boundary, enabling Evidence-only, Visit-level EHR, and History-level EHR evaluation. Evaluating 17 LLMs reveals a substantial Evidence-to-EHR Gap: models perform well when evidence is directly provided, but accuracy drops when evidence must be extracted from same-day records or full pre-decision EHR histories. Further analyses identify evidence utilization as a key bottleneck: performance decreases with longer EHR contexts and more complex evidence requirements, and earlier failures often predict later failures within the same patient history. Finally, active-search agents perform best among EHR access strategies, highlighting patient-specific evidence utilization as a central challenge for reliable personalized medical assistants.

The gap between existing benchmarks and the dynamic nature of real-world legal practice poses a key barrier to advancing legal intelligence. To this end, we introduce J1-ENVS, the first interactive and dynamic legal environment tailored for LLM-based agents. Guided by legal experts, it comprises six representative scenarios from Chinese legal practices at three levels of environmental complexity. We further introduce J1-EVAL, a dual-metric evaluation framework, designed to assess both task performance and procedural compliance across varying levels of legal proficiency. Extensive experiments on 17 LLM agents reveal that while many models demonstrate solid legal knowledge, they struggle with procedural execution in dynamic settings. Even the SOTA model is below 60% overall performance . These findings highlight persistent challenges in achieving dynamic legal intelligence and offer valuable insights to guide future research.

Multi-page Document Visual Question Answering requires reasoning over semantics, layouts, and visual elements in long, visually dense documents. Existing OCR-free methods face a trade-off between capacity and precision: end-to-end models scale poorly with document length, while visual retrieval-based pipelines are brittle and passive. We propose Doc-V^*, an OCR-free agentic framework that casts multi-page DocVQA as sequential evidence aggregation. Doc-V^* begins with a thumbnail overview, then actively navigates via semantic retrieval and targeted page fetching, and aggregates evidence in a structured working memory for grounded reasoning. Trained by imitation learning from expert trajectories and further optimized with Group Relative Policy Optimization, Doc-V^* balances answer accuracy with evidence-seeking efficiency. Across five benchmarks, Doc-V^* outperforms open-source baselines and approaches proprietary models, improving out-of-domain performance by up to 47.9% over RAG baseline. Other results reveal effective evidence aggregation with selective attention, not increased input pages.

Medical consultations are intrinsically speech-centric. However, most prior works focus on long-text-based interactions, which are cumbersome and patient-unfriendly. Recent advances in speech language models (SpeechLMs) have enabled more natural speech-based interaction, yet the scarcity of medical speech data and the inefficiency of directly fine-tuning on speech data jointly hinder the adoption of SpeechLMs in medical consultation. In this paper, we propose SpeechMedAssist, a SpeechLM natively capable of conducting speech-based multi-turn interactions with patients. By exploiting the architectural properties of SpeechLMs, we decouple the conventional one-stage training into a two-stage paradigm consisting of (1) Knowledge Capability Injection via Text and (2) Modality Re-alignment with Limited Speech Data, thereby reducing the requirement for medical speech data to only 10k synthesized samples. To evaluate SpeechLMs for medical consultation scenarios, we design a benchmark comprising both single-turn question answering and multi-turn simulated interactions. Experimental results show that our model outperforms all baselines in both effectiveness and robustness in most evaluation settings.

Electromyography (EMG) tables are crucial for diagnosing muscle and nerve disorders, and advancing the automation of EMG diagnostics is significant for improving medical efficiency. EMG tables contain extensive continuous numerical data, which current Large Language Models (LLMs) often struggle to interpret effectively. To address this issue, we propose EMGLLM, a data-to-text model specifically designed for medical examination tables. EMGLLM employs the EMG Alignment Encoder to simulate the process that doctors compare test values with reference values, aligning the data into word embeddings that reflect health degree. Additionally, we construct ETM, a dataset comprising 17,250 real cases and their corresponding diagnostic results, to support medical data-to-text tasks. Experimental results on ETM demonstrate that EMGLLM outperforms various baseline models in understanding EMG tables and generating high-quality diagnoses, which represents an effective paradigm for automatic diagnosis generation from medical examination table.

Symptom diagnosis in medical conversations aims to correctly extract both symptom entities and their status from the doctor-patient dialogue. In this paper, we propose a novel framework called KNSE for symptom status recognition (SSR), where the SSR is formulated as a natural language inference (NLI) task. For each mentioned symptom in a dialogue window, we first generate knowledge about the symptom and hypothesis about status of the symptom, to form a (premise, knowledge, hypothesis) triplet. The BERT model is then used to encode the triplet, which is further processed by modules including utterance aggregation, self-attention, cross-attention, and GRU to predict the symptom status. Benefiting from the NLI formalization, the proposed framework can encode more informative prior knowledge to better localize and track symptom status, which can effectively improve the performance of symptom status recognition. Preliminary experiments on Chinese medical dialogue datasets show that KNSE outperforms previous competitive baselines and has advantages in cross-disease and cross-symptom scenarios.

We study the problem of coarse-grained response selection in retrieval-based dialogue systems. The problem is equally important with fine-grained response selection, but is less explored in existing literature. In this paper, we propose a Contextual Fine-to-Coarse (CFC) distilled model for coarse-grained response selection in open-domain conversations. In our CFC model, dense representations of query, candidate contexts and responses is learned based on the multi-tower architecture using contextual matching, and richer knowledge learned from the one-tower architecture (fine-grained) is distilled into the multi-tower architecture (coarse-grained) to enhance the performance of the retriever. To evaluate the performance of the proposed model, we construct two new datasets based on the Reddit comments dump and Twitter corpus. Extensive experimental results on the two datasets show that the proposed method achieves huge improvement over all evaluation metrics compared with traditional baseline methods.

Dialog response generation in open domain is an important research topic where the main challenge is to generate relevant and diverse responses. In this paper, we propose a new dialog pre-training framework called DialogVED, which introduces continuous latent variables into the enhanced encoder-decoder pre-training framework to increase the relevance and diversity of responses. With the help of a large dialog corpus (Reddit), we pre-train the model using the following 4 tasks, used in training language models (LMs) and Variational Autoencoders (VAEs) literature: 1) masked language model; 2) response generation; 3) bag-of-words prediction; and 4) KL divergence reduction. We also add additional parameters to model the turn structure in dialogs to improve the performance of the pre-trained model. We conduct experiments on PersonaChat, DailyDialog, and DSTC7-AVSD benchmarks for response generation. Experimental results show that our model achieves the new state-of-the-art results on all these datasets.