Yingjing Xu

Junbo Cui, Bokai Xu, Chongyi Wang et al.

Recent progress in multimodal large language models (MLLMs) has brought AI capabilities from static offline data processing to real-time streaming interaction, yet they still remain far from human-level multimodal interaction. The key bottlenecks are no longer modality coverage or latency alone, but the interaction paradigm itself. First, perception and response are still separated into alternating phases, preventing models from incorporating new inputs for timely adjustment during generation. Second, most current models remain reactive, responding only to explicit user requests instead of acting proactively in the evolving multimodal environment. We present MiniCPM-o 4.5, our latest effort towards human-like multimodal interaction, which mitigates these gaps by real-time full-duplex omni-modal interaction. It can see, listen, and speak simultaneously in real-time, while also exhibiting proactive behaviors such as issuing reminders or comments based on its continuous understanding of the live scene. The key technique behind MiniCPM-o 4.5 is Omni-Flow, a unified streaming framework that aligns omni-modal inputs and outputs along a shared temporal axis. This formulation converts conventional turn-based interaction into a full-duplex, time-aligned process, enabling simultaneous perception and response and allowing proactive behavior to arise within the same framework. With a total of 9B parameters, MiniCPM-o 4.5 approaches Gemini 2.5 Flash in vision-language capabilities, delivering state-of-the-art open-source performance at its scale. It also surpasses Qwen3-Omni-30B-A3B in omni-modal understanding and delivers better speech generation, with significantly higher computation efficiency. Driven by its efficient architecture design and inference optimization, the model can perform real-time full-duplex omni-modal interaction on edge devices with less than 12GB RAM cost.

Chaoqun He, Mingyang Xiang, Yingjing Xu et al.

Real-time duplex interaction is essential for multimodal AI systems operating in real-world scenarios, where models must continuously process streaming inputs and respond at appropriate moments. However, most existing multimodal large language models (MLLMs) are evaluated in offline settings, where the entire video input is processed before any response is generated. While recent work has started to explore real-time duplex MLLMs, there is still no comprehensive benchmark or automatic evaluation method for this setting. To address this gap, we propose Omni-DuplexEval, a benchmark for systematically evaluating real-time duplex interaction. The benchmark consists of two complementary scenarios: (1) Real-Time Description, which evaluates the ability to generate continuous, time-aligned responses that track evolving multimodal inputs, and (2) Proactive Reminder, which evaluates the ability to identify salient events and respond at appropriate moments. Omni-DuplexEval contains 660 videos with fine-grained, human-annotated labels and precise temporal metadata, spanning 9 tasks grounded in real-world scenarios, where all questions are formulated as open-ended queries. We further introduce an automatic evaluation framework based on LLM-as-a-Judge, which enables systematic assessment by jointly evaluating response-content alignment and response timing through timestamp-aware and sequential reasoning, achieving strong alignment with human judgments. Experiments on state-of-the-art duplex MLLMs reveal substantial limitations. The best-performing model achieves only 39.6% overall, while scoring only 20.0% on Proactive Reminder. Our analysis identifies two key challenges: models struggle to balance timely responses with coherent, holistic content generation, and they often fail to determine both when to respond and what to produce. We hope our work facilitates further progress in MLLMs.

Tianyu Yu, Zefan Wang, Chongyi Wang et al. · tsinghua

Multimodal Large Language Models (MLLMs) are undergoing rapid progress and represent the frontier of AI development. However, their training and inference efficiency have emerged as a core bottleneck in making MLLMs more accessible and scalable. To address the challenges, we present MiniCPM-V 4.5, an 8B parameter model designed for high efficiency and strong performance. We introduce three core improvements in model architecture, data strategy and training method: a unified 3D-Resampler model architecture for highly compact encoding over images and videos, a unified learning paradigm for document knowledge and text recognition without heavy data engineering, and a hybrid reinforcement learning strategy for proficiency in both short and long reasoning modes. Comprehensive experimental results in OpenCompass evaluation show that MiniCPM-V 4.5 surpasses widely used proprietary models such as GPT-4o-latest, and significantly larger open-source models such as Qwen2.5-VL 72B. Notably, the strong performance is achieved with remarkable efficiency. For example, on the widely adopted VideoMME benchmark, MiniCPM-V 4.5 achieves state-of-the-art performance among models under 30B size, using just 46.7\% GPU memory cost and 8.7\% inference time of Qwen2.5-VL 7B.

Yingjing Xu, Jie Kong, Jiazhi Wang et al.

In this paper, we focus on the task of instruction-based image editing. Previous works like InstructPix2Pix, InstructDiffusion, and SmartEdit have explored end-to-end editing. However, two limitations still remain: First, existing datasets suffer from low resolution, poor background consistency, and overly simplistic instructions. Second, current approaches mainly condition on the text while the rich image information is underexplored, therefore inferior in complex instruction following and maintaining background consistency. Targeting these issues, we first curated the AdvancedEdit dataset using a novel data construction pipeline, formulating a large-scale dataset with high visual quality, complex instructions, and good background consistency. Then, to further inject the rich image information, we introduce a two-stream bridging mechanism utilizing both the textual and visual features reasoned by the powerful Multimodal Large Language Models (MLLM) to guide the image editing process more precisely. Extensive results demonstrate that our approach, InsightEdit, achieves state-of-the-art performance, excelling in complex instruction following and maintaining high background consistency with the original image.

Bo Lin, Yingjing Xu, Xuanwen Bao et al.

With the continuous advancement of vision language models (VLMs) technology, remarkable research achievements have emerged in the dermatology field, the fourth most prevalent human disease category. However, despite these advancements, VLM still faces explainable problems to user in diagnosis due to the inherent complexity of dermatological conditions, existing tools offer relatively limited support for user comprehension. We propose SkinGEN, a diagnosis-to-generation framework that leverages the stable diffusion(SD) model to generate reference demonstrations from diagnosis results provided by VLM, thereby enhancing the visual explainability for users. Through extensive experiments with Low-Rank Adaptation (LoRA), we identify optimal strategies for skin condition image generation. We conduct a user study with 32 participants evaluating both the system performance and explainability. Results demonstrate that SkinGEN significantly improves users' comprehension of VLM predictions and fosters increased trust in the diagnostic process. This work paves the way for more transparent and user-centric VLM applications in dermatology and beyond.

Zhifang Gong, Shuo Gao, Ben Zhao et al.

Contrast-enhanced computed tomography (CECT) is the primary imaging technique that provides valuable spatial-temporal information about lesions, enabling the accurate diagnosis and subclassification of pancreatic tumors. However, the high heterogeneity and variability of pancreatic tumors still pose substantial challenges for precise subtyping diagnosis. Previous methods fail to effectively explore the contextual information across multiple CECT phases commonly used in radiologists' diagnostic workflows, thereby limiting their performance. In this paper, we introduce, for the first time, an automatic way to combine the multi-phase CECT data to discriminate between pancreatic tumor subtypes, among which the key is using Mamba with promising learnability and simplicity to encourage both temporal and spatial modeling from multi-phase CECT. Specifically, we propose a dual hierarchical contrast-enhanced-aware Mamba module incorporating two novel spatial and temporal sampling sequences to explore intra and inter-phase contrast variations of lesions. A similarity-guided refinement module is also imposed into the temporal scanning modeling to emphasize the learning on local tumor regions with more obvious temporal variations. Moreover, we design the space complementary integrator and multi-granularity fusion module to encode and aggregate the semantics across different scales, achieving more efficient learning for subtyping pancreatic tumors. The experimental results on an in-house dataset of 270 clinical cases achieve an accuracy of 97.4% and an AUC of 98.6% in distinguishing between pancreatic ductal adenocarcinoma (PDAC) and pancreatic neuroendocrine tumors (PNETs), demonstrating its potential as a more accurate and efficient tool.

Yingjing Xu, Xueyan Cai, Zihong Zhou et al.

Hypomimia is a non-motor symptom of Parkinson's disease that manifests as delayed facial movements and expressions, along with challenges in articulation and emotion. Currently, subjective evaluation by neurologists is the primary method for hypomimia detection, and conventional rehabilitation approaches heavily rely on verbal prompts from rehabilitation physicians. There remains a deficiency in accessible, user-friendly and scientifically rigorous assistive tools for hypomimia treatments. To investigate this, we developed HypomimaCoach, an Action Unit (AU)-based digital therapy system for hypomimia detection and rehabilitation in Parkinson's disease. The HypomimaCoach system was designed to facilitate engagement through the incorporation of both relaxed and controlled rehabilitation exercises, while also stimulating initiative through the integration of digital therapies that incorporated traditional face training methods. We extract action unit(AU) features and their relationship for hypomimia detection. In order to facilitate rehabilitation, a series of training programmes have been devised based on the Action Units (AUs) and patients are provided with real-time feedback through an additional AU recognition model, which guides them through their training routines. A pilot study was conducted with seven participants in China, all of whom exhibited symptoms of Parkinson's disease hypomimia. The results of the pilot study demonstrated a positive impact on participants' self-efficacy, with favourable feedback received. Furthermore, physician evaluations validated the system's applicability in a therapeutic setting for patients with Parkinson's disease, as well as its potential value in clinical applications.