Radiology, with its heterogeneous modalities, anatomies, and evolving protocols, is a natural yet high-stakes testbed for agentic AI. As LLMs grow more capable and tool ecosystems such as MCP and Agent Skills more complex, their capability boundaries in radiology remain unclear. We introduce RadA-BenchPlat, a two-layer benchmark spanning idealized reasoning and real-world execution: a synthetic layer with 2.2k clinician-verified records, 24.2k QA pairs, and 10 tool categories under diverse availability settings; and a real-environment layer pairing 165 2D/3D cases with executable tools for grounding, diagnosis, and report generation. We find that high completion rates under idealized settings do not carry over to real environments, where the best agents trail their upper bound by ∼15% and drop to 0.327 on long-chain tasks. Prompting strategies (few-shot exemplars, multi-agent coordination) and AutoTB (on-the-fly synthesis of missing tools) mitigate execution drift and breakdowns in difficult scenarios—lifting execution success to 94.5%—yet remain not fully reliable. Overall, our findings suggest that radiology agents are no longer limited to conceptual demonstrations, but are beginning to show potential for real-world applications.

Knowledge-based Visual Question Answering (KVQA) tasks require answering questions about images using extensive background knowledge. Despite significant advancements, generative models often struggle with these tasks due to the limited integration of external knowledge. In this paper, we introduce EchoSight, a novel multimodal Retrieval-Augmented Generation (RAG) framework that enables large language models (LLMs) to answer visual questions requiring fine-grained encyclopedic knowledge. To strive for high-performing retrieval, EchoSight first searches wiki articles by using visual-only information, subsequently, these candidate articles are further reranked according to their relevance to the combined text-image query. This approach significantly improves the integration of multimodal knowledge, leading to enhanced retrieval outcomes and more accurate VQA responses. Our experimental results on the E-VQA and InfoSeek datasets demonstrate that EchoSight establishes new state-of-the-art results in knowledge-based VQA, achieving an accuracy of 41.8% on E-VQA and 31.3% on InfoSeek.

Soccer is a globally popular sport with a vast audience, in this paper, we consider constructing an automatic soccer game commentary model to improve the audiences’ viewing experience. In general, we make the following contributions: First, observing the prevalent video-text misalignment in existing datasets, we manually annotate timestamps for 49 matches, establishing a more robust benchmark for soccer game commentary generation, termed as SN-Caption-test-align; Second, we propose a multi-modal temporal alignment pipeline to automatically correct and filter the existing dataset at scale, creating a higher-quality soccer game commentary dataset for training, denoted as MatchTime; Third, based on our curated dataset, we train an automatic commentary generation model, named MatchVoice. Extensive experiments and ablation studies have demonstrated the effectiveness of our alignment pipeline, and training model on the curated datasets achieves state-of-the-art performance for commentary generation, showcasing that better alignment can lead to significant performance improvements in downstream tasks.

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.