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.

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.

Recent Multimodal Large Language Models (MLLMs) excel in precise entity recognition and powerful reasoning, significantly boosting performance and efficiency in complex vision-language tasks. Despite these gains, this advanced reasoning process introduces a subtle yet critical vulnerability. We identify an underexplored relational reasoning failure mode in which models over-prioritize semantic coherence, thereby inferring ungrounded interactions from mere object entities. We term this phenomenon Relation Evidence Amnesia (REA), wherein MLLMs correctly localize individual entities but fail to enforce true visual dependencies as the generative process becomes hijacked by semantic rationalization. To mitigate REA, we propose Relation-Grounded Faithful Reasoning (RGFR), an inference-time decoding intervention that operates without modifying target model parameters. Adopting a decoupled verification philosophy, RGFR employs a semantic-driven soft-gating mechanism to simultaneously incorporate explicit entity constraints and extract counterfactual causal evidence, followed by a Unified Schema-Aware Rectifier that rigorously mediates these visual-causal constraints during the decoding process. Extensive experiments across relation benchmarks demonstrate that RGFR improves relation recognition accuracy by over 8.1% compared to baselines, while largely preserving task utility. These results highlight the critical role of decoupled, evidence-grounded rectification in achieving faithful relational reasoning for multimodal models.

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.

Recent advances in Multimodal Large Reasoning Models (MLRMs) have enabled explicit chain-of-thought inference across vision and language, substantially improving performance on complex reasoning tasks. Despite these gains, the reasoning process introduces a subtle yet critical vulnerability. We identify an underexplored multimodal safety failure mode in which harmful objectives are embedded within ostensibly benign contexts, leading models to over-prioritize narrative coherence during reasoning. We term this phenomenon Safety Context Amnesia (SCA), wherein models correctly perceive risk-relevant visual cues but fail to enforce safety constraints as the reasoning process becomes dominated by contextual alignment. To mitigate SCA, we propose Intent-Guided Safety Reasoning (IGSR), an inference-time defense that operates without modifying target model parameters. IGSR employs a Perception Decoupler to extract objective visual evidence into a structured intent output, followed by a Cognitive Arbiter that enforces explicit safety constraints prior to generation. Extensive experiments across multiple multimodal safety benchmarks demonstrate that IGSR improves defense success rates by over 62% compared to baselines, while largely preserving task utility. These results highlight the critical role of structured, intent-aware reasoning in achieving robust safety reasoning for multimodal reasoning models.

With the rise of multi-modal large language models, accurately extracting and understanding textual information from video content—referred to as video-based optical character recognition (Video OCR)—has become a crucial capability. This paper introduces a novel benchmark designed to evaluate the video OCR performance of multi-modal models in videos. Comprising 1,028 videos and 2,961 question-answer pairs, this benchmark proposes several key challenges through 6 distinct sub-tasks: (1) Recognition of text content itself and its basic visual attributes, (2) Semantic and Spatial Comprehension of OCR objects in videos (3) Dynamic Motion detection and Temporal Localization. We developed this benchmark using a semi-automated approach that integrates the OCR ability of image LLMs with manual refinement, balancing efficiency, cost, and data quality. Our resource aims to help advance research in video LLMs and underscores the need for improving OCR ability for video LLMs. The benchmark will be released on https://github.com/YuHuiGao/FG-Bench.git.