Hongjun Liu

Hongjun Liu, Yinghao Zhu, Yuhui Wang et al.

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure mode: instability in early evidence interpretation precedes hallucination, creating branching reasoning trajectories that cascade into globally inconsistent conclusions. This highlights the need for clinical reasoning agents that constrain stochasticity and hallucination while producing auditable decision flows. We introduce MedMMV, a controllable multimodal multi-agent framework for reliable and verifiable clinical reasoning. MedMMV stabilizes reasoning through diversified short rollouts, grounds intermediate steps in a structured evidence graph under the supervision of a Hallucination Detector, and aggregates candidate paths with a Combined Uncertainty scorer. On six medical benchmarks, MedMMV improves accuracy by up to 12.7% and, more critically, demonstrates superior reliability. Blind physician evaluations confirm that MedMMV substantially increases reasoning truthfulness without sacrificing informational content. By controlling instability through a verifiable, multi-agent process, our framework provides a robust path toward deploying trustworthy AI systems in high-stakes domains like clinical decision support.

Hongjun Liu, Changwei Song, Jiaqi Qiang et al.

Cushing's syndrome is a condition caused by excessive glucocorticoid secretion from the adrenal cortex, often manifesting with moon facies and plethora, making facial data crucial for diagnosis. Previous studies have used pre-trained convolutional neural networks (CNNs) for diagnosing Cushing's syndrome using frontal facial images. However, CNNs are better at capturing local features, while Cushing's syndrome often presents with global facial features. Transformer-based models like ViT and SWIN, which utilize self-attention mechanisms, can better capture long-range dependencies and global features. Recently, DINOv2, a foundation model based on visual Transformers, has gained interest. This study compares the performance of various pre-trained models, including CNNs, Transformer-based models, and DINOv2, in diagnosing Cushing's syndrome. We also analyze gender bias and the impact of freezing mechanisms on DINOv2. Our results show that Transformer-based models and DINOv2 outperformed CNNs, with ViT achieving the highest F1 score of 85.74%. Both the pre-trained model and DINOv2 had higher accuracy for female samples. DINOv2 also showed improved performance when freezing parameters. In conclusion, Transformer-based models and DINOv2 are effective for Cushing's syndrome classification.

Yitao Long, Yuru Jiang, Hongjun Liu et al.

This work investigates the reasoning and planning capabilities of foundation models and their scalability in complex, dynamic environments. We introduce PuzzlePlex, a benchmark designed to assess these capabilities through a diverse set of puzzles. PuzzlePlex consists of 15 types of puzzles, including deterministic and stochastic games of varying difficulty, as well as single-player and two-player scenarios. The PuzzlePlex framework provides a comprehensive environment for each game, and supports extensibility to generate more challenging instances as foundation models evolve. Additionally, we implement customized game-playing strategies for comparison. Building on this benchmark, we develop fine-grained metrics to measure performance and conduct an in-depth analysis of frontier foundation models across two settings: instruction-based and code-based. Furthermore, we systematically investigate their scaling limits. Our findings show that reasoning models outperform others in instruction-based settings, while code-based execution presents greater challenges but offers a scalable and efficient alternative. PuzzlePlex enables targeted evaluation and guides future improvements in reasoning, planning, and generalization for foundation models.