Zijie Meng

CL
h-index41
19papers
112citations
Novelty49%
AI Score57

19 Papers

CLAug 6, 2024Code
EC-Guide: A Comprehensive E-Commerce Guide for Instruction Tuning and Quantization

Zhaopeng Feng, Zijie Meng, Zuozhu Liu

Large language models (LLMs) have attracted considerable attention in various fields for their cost-effective solutions to diverse challenges, especially with advancements in instruction tuning and quantization. E-commerce, with its complex tasks and extensive product-user interactions, presents a promising application area for LLMs. However, the domain-specific concepts and knowledge inherent in e-commerce pose significant challenges for adapting general LLMs. To address this issue, we developed EC-Guide \href{https://github.com/fzp0424/EC-Guide-KDDUP-2024}, a comprehensive e-commerce guide for instruction tuning and quantization of LLMs. We also heuristically integrated Chain-of-Thought (CoT) during inference to enhance arithmetic performance. Our approach achieved the 2nd place in Track 2 and 5th place in Track 5 at the Amazon KDD Cup'24 \href{https://www.aicrowd.com/challenges/amazon-kdd-cup-2024-multi-task-online-shopping-challenge-for-llms}. Additionally, our solution is model-agnostic, enabling effective scalability across larger systems.

74.6CVMar 10
When to Lock Attention: Training-Free KV Control in Video Diffusion

Tianyi Zeng, Jincheng Gao, Tianyi Wang et al.

Maintaining background consistency while enhancing foreground quality remains a core challenge in video editing. Injecting full-image information often leads to background artifacts, whereas rigid background locking severely constrains the model's capacity for foreground generation. To address this issue, we propose KV-Lock, a training-free framework tailored for DiT-based video diffusion models. Our core insight is that the hallucination metric (variance of denoising prediction) directly quantifies generation diversity, which is inherently linked to the classifier-free guidance (CFG) scale. Building upon this, KV-Lock leverages diffusion hallucination detection to dynamically schedule two key components: the fusion ratio between cached background key-values (KVs) and newly generated KVs, and the CFG scale. When hallucination risk is detected, KV-Lock strengthens background KV locking and simultaneously amplifies conditional guidance for foreground generation, thereby mitigating artifacts and improving generation fidelity. As a training-free, plug-and-play module, KV-Lock can be easily integrated into any pre-trained DiT-based models. Extensive experiments validate that our method outperforms existing approaches in improved foreground quality with high background fidelity across various video editing tasks.

CLJan 10, 2024Code
DCR: Divide-and-Conquer Reasoning for Multi-choice Question Answering with LLMs

Zijie Meng, Yan Zhang, Zhaopeng Feng et al.

Large language models (LLMs) have shown impressive performance in reasoning benchmarks with the emergence of Chain-of-Thought (CoT), particularly in multi-choice question (MCQ). However, current works equally resolve questions regardless of the problem-solving difficulty, leading to an excessive focus on simple items while insufficient attention on intricate ones. To address this challenge, we propose a simple yet effective strategy, Divide and Conquer Reasoning (DCR), to enhance the reasoning capability of LLMs for MCQs, as inspired by human beings using heuristics to first categorize tasks and then handle them separately. In particular, we first categorize questions into two subsets based on confidence score ($\mathcal{CS}$), which is estimated by statistical frequency of generated answers. Subsequently, we propose Filter Choices based Reasoning (FCR) to improve model performance on MCQs with low ($\mathcal{CS}$). Our experiments demonstrate that the proposed strategy only costs 85% of SOTA, while still achieves average accuracy improvement of 1.56% across nine datasets including arithmetic, commonsense, and logic reasoning tasks. The code is at \url{https://github.com/AiMijie/Divide-and-Conquer}

82.1CVMar 17
IOSVLM: A 3D Vision-Language Model for Unified Dental Diagnosis from Intraoral Scans

Huimin Xiong, Zijie Meng, Tianxiang Hu et al.

3D intraoral scans (IOS) are increasingly adopted in routine dentistry due to abundant geometric evidence, and unified multi-disease diagnosis is desirable for clinical documentation and communication. While recent works introduce dental vision-language models (VLMs) to enable unified diagnosis and report generation on 2D images or multi-view images rendered from IOS, they do not fully leverage native 3D geometry. Such work is necessary and also challenging, due to: (i) heterogeneous scan forms and the complex IOS topology, (ii) multi-disease co-occurrence with class imbalance and fine-grained morphological ambiguity, (iii) limited paired 3D IOS-text data. Thus, we present IOSVLM, an end-to-end 3D VLM that represents scans as point clouds and follows a 3D encoder-projector-LLM design for unified diagnosis and generative visual question-answering (VQA), together with IOSVQA, a large-scale multi-source IOS diagnosis VQA dataset comprising 19,002 cases and 249,055 VQA pairs over 23 oral diseases and heterogeneous scan types. To address the distribution gap between color-free IOS data and color-dependent 3D pre-training, we propose a geometry-to-chromatic proxy that stabilizes fine-grained geometric perception and cross-modal alignment. A two-stage curriculum training strategy further enhances robustness. IOSVLM consistently outperforms strong baselines, achieving gains of at least +9.58% macro accuracy and +1.46% macro F1, indicating the effectiveness of direct 3D geometry modeling for IOS-based diagnosis.

CVSep 27, 2025Code
DentVLM: A Multimodal Vision-Language Model for Comprehensive Dental Diagnosis and Enhanced Clinical Practice

Zijie Meng, Jin Hao, Xiwei Dai et al.

Diagnosing and managing oral diseases necessitate advanced visual interpretation across diverse imaging modalities and integrated information synthesis. While current AI models excel at isolated tasks, they often fall short in addressing the complex, multimodal requirements of comprehensive clinical dental practice. Here we introduce DentVLM, a multimodal vision-language model engineered for expert-level oral disease diagnosis. DentVLM was developed using a comprehensive, large-scale, bilingual dataset of 110,447 images and 2.46 million visual question-answering (VQA) pairs. The model is capable of interpreting seven 2D oral imaging modalities across 36 diagnostic tasks, significantly outperforming leading proprietary and open-source models by 19.6% higher accuracy for oral diseases and 27.9% for malocclusions. In a clinical study involving 25 dentists, evaluating 1,946 patients and encompassing 3,105 QA pairs, DentVLM surpassed the diagnostic performance of 13 junior dentists on 21 of 36 tasks and exceeded that of 12 senior dentists on 12 of 36 tasks. When integrated into a collaborative workflow, DentVLM elevated junior dentists' performance to senior levels and reduced diagnostic time for all practitioners by 15-22%. Furthermore, DentVLM exhibited promising performance across three practical utility scenarios, including home-based dental health management, hospital-based intelligent diagnosis and multi-agent collaborative interaction. These findings establish DentVLM as a robust clinical decision support tool, poised to enhance primary dental care, mitigate provider-patient imbalances, and democratize access to specialized medical expertise within the field of dentistry.

CLJun 28, 2025Code
MedEthicsQA: A Comprehensive Question Answering Benchmark for Medical Ethics Evaluation of LLMs

Jianhui Wei, Zijie Meng, Zikai Xiao et al.

While Medical Large Language Models (MedLLMs) have demonstrated remarkable potential in clinical tasks, their ethical safety remains insufficiently explored. This paper introduces $\textbf{MedEthicsQA}$, a comprehensive benchmark comprising $\textbf{5,623}$ multiple-choice questions and $\textbf{5,351}$ open-ended questions for evaluation of medical ethics in LLMs. We systematically establish a hierarchical taxonomy integrating global medical ethical standards. The benchmark encompasses widely used medical datasets, authoritative question banks, and scenarios derived from PubMed literature. Rigorous quality control involving multi-stage filtering and multi-faceted expert validation ensures the reliability of the dataset with a low error rate ($2.72\%$). Evaluation of state-of-the-art MedLLMs exhibit declined performance in answering medical ethics questions compared to their foundation counterparts, elucidating the deficiencies of medical ethics alignment. The dataset, registered under CC BY-NC 4.0 license, is available at https://github.com/JianhuiWei7/MedEthicsQA.

CVJun 11, 2025Code
3D-RAD: A Comprehensive 3D Radiology Med-VQA Dataset with Multi-Temporal Analysis and Diverse Diagnostic Tasks

Xiaotang Gai, Jiaxiang Liu, Yichen Li et al.

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset designed to advance 3D Med-VQA using radiology CT scans. The 3D-RAD dataset encompasses six diverse VQA tasks: anomaly detection, image observation, medical computation, existence detection, static temporal diagnosis, and longitudinal temporal diagnosis. It supports both open- and closed-ended questions while introducing complex reasoning challenges, including computational tasks and multi-stage temporal analysis, to enable comprehensive benchmarking. Extensive evaluations demonstrate that existing vision-language models (VLMs), especially medical VLMs exhibit limited generalization, particularly in multi-temporal tasks, underscoring the challenges of real-world 3D diagnostic reasoning. To drive future advancements, we release a high-quality training set 3D-RAD-T of 136,195 expert-aligned samples, showing that fine-tuning on this dataset could significantly enhance model performance. Our dataset and code, aiming to catalyze multimodal medical AI research and establish a robust foundation for 3D medical visual understanding, are publicly available at https://github.com/Tang-xiaoxiao/3D-RAD.

67.6LGMay 11
Equilibrium Residuals Expose Three Regimes of Matrix-Game Strategic Reasoning in Language Models

Wenhua Nie, Binhan Luo, Zijie Meng et al.

Large language models can score well on named game-theory benchmarks while failing on the same strategic computation once semantic cues are removed. We show this gap with procedurally generated zero-sum matrix games: a model that recognizes familiar games drops to 34%, 18%, and 2% success on anonymous $2{\times}2$, $3{\times}3$, and $5{\times}5$ payoff matrices. The benchmark separates semantic recall, learned approximate Nash computation, and an output-interface bottleneck that limits scale. Training only on $2{\times}2$ and $3{\times}3$ games, supervised fine-tuning raises unseen $5{\times}5$--$7{\times}7$ success from 2% to 61%, while exploitability-reward training averages 37% with high seed variance. We prove that the exploitability residual is $2$-Lipschitz in payoff perturbations, unlike discontinuous vertex-returning LP equilibrium selectors, explaining why residual training can transfer under payoff shifts even when formatting instability limits mean performance. A dominated-action padding experiment provides causal evidence: trained models solve $3{\times}3$ games embedded in much larger matrices, while random-padded controls fail and dense $12{\times}12$ games remain near failure. Procedural evaluation is therefore necessary for measuring strategic reasoning, and residual rewards expose a real but format-limited route to approximate equilibrium computation.

CLAug 28, 2025Code
DentalBench: Benchmarking and Advancing LLMs Capability for Bilingual Dentistry Understanding

Hengchuan Zhu, Yihuan Xu, Yichen Li et al.

Recent advances in large language models (LLMs) and medical LLMs (Med-LLMs) have demonstrated strong performance on general medical benchmarks. However, their capabilities in specialized medical fields, such as dentistry which require deeper domain-specific knowledge, remain underexplored due to the lack of targeted evaluation resources. In this paper, we introduce DentalBench, the first comprehensive bilingual benchmark designed to evaluate and advance LLMs in the dental domain. DentalBench consists of two main components: DentalQA, an English-Chinese question-answering (QA) benchmark with 36,597 questions spanning 4 tasks and 16 dental subfields; and DentalCorpus, a large-scale, high-quality corpus with 337.35 million tokens curated for dental domain adaptation, supporting both supervised fine-tuning (SFT) and retrieval-augmented generation (RAG). We evaluate 14 LLMs, covering proprietary, open-source, and medical-specific models, and reveal significant performance gaps across task types and languages. Further experiments with Qwen-2.5-3B demonstrate that domain adaptation substantially improves model performance, particularly on knowledge-intensive and terminology-focused tasks, and highlight the importance of domain-specific benchmarks for developing trustworthy and effective LLMs tailored to healthcare applications.

CLJun 22, 2024Code
Ladder: A Model-Agnostic Framework Boosting LLM-based Machine Translation to the Next Level

Zhaopeng Feng, Ruizhe Chen, Yan Zhang et al.

General-purpose Large Language Models (LLMs) like GPT-4 have achieved remarkable advancements in machine translation (MT) by leveraging extensive web content. On the other hand, translation-specific LLMs are built by pre-training on domain-specific monolingual corpora and fine-tuning with human-annotated translation data. Despite the superior performance, these methods either demand an unprecedented scale of computing and data or substantial human editing and annotation efforts. In this paper, we develop MT-Ladder, a novel model-agnostic and cost-effective tool to refine the performance of general LLMs for MT. MT-Ladder is trained on pseudo-refinement triplets which can be easily obtained from existing LLMs without additional human cost. During training, we propose a hierarchical fine-tuning strategy with an easy-to-hard schema, improving MT-Ladder's refining performance progressively. The trained MT-Ladder can be seamlessly integrated with any general-purpose LLMs to boost their translation performance. By utilizing Gemma-2B/7B as the backbone, MT-Ladder-2B can elevate raw translations to the level of top-tier open-source models (e.g., refining BigTranslate-13B with +6.91 BLEU and +3.52 COMET for XX-En), and MT-Ladder-7B can further enhance model performance to be on par with the state-of-the-art GPT-4. Extensive ablation and analysis corroborate the effectiveness of MT-Ladder in diverse settings. Our code is available at https://github.com/fzp0424/MT-Ladder

79.4LGMay 8
Future Validity is the Missing Statistic: From Impossibility to $Φ$-Estimation for Grammar-Faithful Speculative Decoding

Wenhua Nie, Zijie Meng, Kun Zou et al.

Grammar-constrained generation is often combined with local vocabulary masking and speculative decoding, but the resulting sampling law is not the grammar-conditional distribution users usually intend. We show that any speculative decoder with local mask access, Leviathan rejection, and rollback soundness samples from the locally projected distribution $μ^{\mathrm{proj}}$ rather than the grammar-conditional distribution $μ^\star$. This extends the GAD impossibility result to speculative decoding; on Dyck grammars with Qwen3-8B, the total-variation gap can reach 0.996. We identify the future-validity function $Φ_t(y)=\Pr_p[\mathrm{valid\ completion}\mid y]$ as the missing correction statistic. The target distribution is a Doob transform of the base model with $h=Φ$, while local masking corresponds to setting $h$ to one. With exact $Φ$, our oracle decoder FVO-Spec samples exactly from $μ^\star$; with approximate $Φ$, we bound the resulting total-variation error. Because exact future validity is hard for general context-free grammars, we evaluate estimator hierarchies on tractable Dyck and finite JSON languages. OneStep reduces Dyck TV by 14% with under 1% throughput overhead, exact dynamic programming reduces it by 97%, and finite-language correction closes JSON gaps to numerical precision. All fidelity claims are scoped to enumerable grammars and token tries.

71.9LGMay 8
The Coupling Tax: How Shared Token Budgets Undermine Visible Chain-of-Thought Under Fixed Output Limits

Wenhua Nie, Junlin Liu, Jianan Wu et al.

Chain-of-thought reasoning is often treated as a monotone way to improve language-model accuracy by letting a model think longer. We identify a countervailing effect, the coupling tax: when reasoning traces and final answers share one output-token budget, long traces can crowd out the answer they are meant to support. Across GSM8K, MATH-500, and five BIG-Bench Hard tasks with Qwen3 models at three scales, non-thinking mode matches or outperforms thinking mode on GSM8K and MATH-500 at every budget up to 2048 tokens, while harder tasks shift the crossover to larger budgets. We derive a truncation-waste decomposition, $\mathrm{Acc}_{\mathrm{think}}(b)=α_c F_L(b)+α_t(1-F_L(b))$, that predicts this crossover from chain-length and accuracy statistics and explains inverse scaling within the Qwen family. A DeepSeek-R1-Distill-Llama-8B replication shows the same pattern under a different thinking interface. As a mitigation, split-budget generation decouples reasoning and answer budgets; on full MATH-500, IRIS reaches 74.0% accuracy, a strengthened extraction variant reaches 78.8%, and a fixed non-oracle SC+IRIS gate reaches 83.6%. The results show that test-time reasoning should be evaluated as a budget-allocation problem, not only as a question of whether longer traces are available.

AINov 10, 2025
RedOne 2.0: Rethinking Domain-specific LLM Post-Training in Social Networking Services

Fei Zhao, Chonggang Lu, Haofu Qian et al.

As a key medium for human interaction and information exchange, social networking services (SNS) pose unique challenges for large language models (LLMs): heterogeneous workloads, fast-shifting norms and slang, and multilingual, culturally diverse corpora that induce sharp distribution shift. Supervised fine-tuning (SFT) can specialize models but often triggers a ``seesaw'' between in-distribution gains and out-of-distribution robustness, especially for smaller models. To address these challenges, we introduce RedOne 2.0, an SNS-oriented LLM trained with a progressive, RL-prioritized post-training paradigm designed for rapid and stable adaptation. The pipeline consist in three stages: (1) Exploratory Learning on curated SNS corpora to establish initial alignment and identify systematic weaknesses; (2) Targeted Fine-Tuning that selectively applies SFT to the diagnosed gaps while mixing a small fraction of general data to mitigate forgetting; and (3) Refinement Learning that re-applies RL with SNS-centric signals to consolidate improvements and harmonize trade-offs across tasks. Across various tasks spanning three categories, our 4B scale model delivers an average improvements about 2.41 over the 7B sub-optimal baseline. Additionally, RedOne 2.0 achieves average performance lift about 8.74 from the base model with less than half the data required by SFT-centric method RedOne, evidencing superior data efficiency and stability at compact scales. Overall, RedOne 2.0 establishes a competitive, cost-effective baseline for domain-specific LLMs in SNS scenario, advancing capability without sacrificing robustness.

CLApr 20, 2025
OmniV-Med: Scaling Medical Vision-Language Model for Universal Visual Understanding

Songtao Jiang, Yuan Wang, Sibo Song et al.

The practical deployment of medical vision-language models (Med-VLMs) necessitates seamless integration of textual data with diverse visual modalities, including 2D/3D images and videos, yet existing models typically employ separate encoders for different modalities. To address this limitation, we present OmniV-Med, a unified framework for multimodal medical understanding. Our technical contributions are threefold: First, we construct OmniV-Med-Instruct, a comprehensive multimodal medical dataset containing 252K instructional samples spanning 14 medical image modalities and 11 clinical tasks. Second, we devise a rotary position-adaptive encoder that processes multi-resolution 2D/3D images and videos within a unified architecture, diverging from conventional modality-specific encoders. Third, we introduce a medical-aware token pruning mechanism that exploits spatial-temporal redundancy in volumetric data (e.g., consecutive CT slices) and medical videos, effectively reducing 60\% of visual tokens without performance degradation. Empirical evaluations demonstrate that OmniV-Med-7B achieves state-of-the-art performance on 7 benchmarks spanning 2D/3D medical imaging and video understanding tasks. Notably, our lightweight variant (OmniV-Med-1.5B) attains comparable performance while requiring only 8 RTX3090 GPUs for training and supporting efficient long-video inference. Data, code and model will be released.

AIMar 5
GCAgent: Enhancing Group Chat Communication through Dialogue Agents System

Zijie Meng, Zheyong Xie, Zheyu Ye et al.

As a key form in online social platforms, group chat is a popular space for interest exchange or problem-solving, but its effectiveness is often hindered by inactivity and management challenges. While recent large language models (LLMs) have powered impressive one-to-one conversational agents, their seamlessly integration into multi-participant conversations remains unexplored. To address this gap, we introduce GCAgent, an LLM-driven system for enhancing group chats communication with both entertainment- and utility-oriented dialogue agents. The system comprises three tightly integrated modules: Agent Builder, which customizes agents to align with users' interests; Dialogue Manager, which coordinates dialogue states and manage agent invocations; and Interface Plugins, which reduce interaction barriers by three distinct tools. Through extensive experiment, GCAgent achieved an average score of 4.68 across various criteria and was preferred in 51.04\% of cases compared to its base model. Additionally, in real-world deployments over 350 days, it increased message volume by 28.80\%, significantly improving group activity and engagement. Overall, this work presents a practical blueprint for extending LLM-based dialogue agent from one-party chats to multi-party group scenarios.

AISep 29, 2025
TimeOmni-1: Incentivizing Complex Reasoning with Time Series in Large Language Models

Tong Guan, Zijie Meng, Dianqi Li et al. · gatech

Recent advances in multimodal time series learning underscore a paradigm shift from analytics centered on basic patterns toward advanced time series understanding and reasoning. However, existing multimodal time series datasets mostly remain at the level of surface alignment and question answering, without reaching the depth of genuine reasoning. The absence of well-defined tasks that genuinely require time series reasoning, along with the scarcity of high-quality data, has limited progress in building practical time series reasoning models (TSRMs). To this end, we introduce Time Series Reasoning Suite (TSR-Suite), which formalizes four atomic tasks that span three fundamental capabilities for reasoning with time series: (1) perception, acquired through scenario understanding and causality discovery; (2) extrapolation, realized via event-aware forecasting; and (3) decision-making, developed through deliberation over perception and extrapolation. TSR-Suite is the first comprehensive time series reasoning suite that supports not only thorough evaluation but also the data pipeline and training of TSRMs. It contains more than 23K samples, of which 2.3K are carefully curated through a human-guided hierarchical annotation process. Building on this foundation, we introduce TimeOmni-1, the first unified reasoning model designed to address diverse real-world problems demanding time series reasoning. The model is trained in multiple stages, integrating a mixture of task scenarios, novel reward functions, and tailored optimizations. Experiments show that TimeOmni-1 delivers strong out-of-distribution generalization across all tasks and achieves a high rate of valid responses. It significantly improves causality discovery accuracy (64.0% vs. 35.9% with GPT-4.1) and raises the valid response rate by over 6% compared to GPT-4.1 on the event-aware forecasting task.

CVAug 14, 2025
Med-GLIP: Advancing Medical Language-Image Pre-training with Large-scale Grounded Dataset

Ziye Deng, Ruihan He, Jiaxiang Liu et al.

Medical image grounding aims to align natural language phrases with specific regions in medical images, serving as a foundational task for intelligent diagnosis, visual question answering (VQA), and automated report generation (MRG). However, existing research is constrained by limited modality coverage, coarse-grained annotations, and the absence of a unified, generalizable grounding framework. To address these challenges, we construct a large-scale medical grounding dataset Med-GLIP-5M comprising over 5.3 million region-level annotations across seven imaging modalities, covering diverse anatomical structures and pathological findings. The dataset supports both segmentation and grounding tasks with hierarchical region labels, ranging from organ-level boundaries to fine-grained lesions. Based on this foundation, we propose Med-GLIP, a modality-aware grounding framework trained on Med-GLIP-5M. Rather than relying on explicitly designed expert modules, Med-GLIP implicitly acquires hierarchical semantic understanding from diverse training data -- enabling it to recognize multi-granularity structures, such as distinguishing lungs from pneumonia lesions. Extensive experiments demonstrate that Med-GLIP consistently outperforms state-of-the-art baselines across multiple grounding benchmarks. Furthermore, integrating its spatial outputs into downstream tasks, including medical VQA and report generation, leads to substantial performance gains. Our dataset will be released soon.

LGJul 13, 2025
RedOne: Revealing Domain-specific LLM Post-Training in Social Networking Services

Fei Zhao, Chonggang Lu, Yue Wang et al.

As a primary medium for modern information dissemination, social networking services (SNS) have experienced rapid growth, which has proposed significant challenges for platform content management and interaction quality improvement. Recently, the development of large language models (LLMs) has offered potential solutions but existing studies focus on isolated tasks, which not only encounter diminishing benefit from the data scaling within individual scenarios but also fail to flexibly adapt to diverse real-world context. To address these challenges, we introduce RedOne, a domain-specific LLM designed to break the performance bottleneck of single-task baselines and establish a comprehensive foundation for the SNS. RedOne was developed through a three-stage training strategy consisting of continue pretraining, supervised fine-tuning, and preference optimization, using a large-scale real-world dataset. Through extensive experiments, RedOne maintains strong general capabilities, and achieves an average improvement up to 14.02% across 8 major SNS tasks and 7.56% in SNS bilingual evaluation benchmark, compared with base models. Furthermore, through online testing, RedOne reduced the exposure rate in harmful content detection by 11.23% and improved the click page rate in post-view search by 14.95% compared with single-tasks finetuned baseline models. These results establish RedOne as a robust domain-specific LLM for SNS, demonstrating excellent generalization across various tasks and promising applicability in real-world scenarios.

CVJun 18, 2025
SynPo: Boosting Training-Free Few-Shot Medical Segmentation via High-Quality Negative Prompts

Yufei Liu, Haoke Xiao, Jiaxing Chai et al.

The advent of Large Vision Models (LVMs) offers new opportunities for few-shot medical image segmentation. However, existing training-free methods based on LVMs fail to effectively utilize negative prompts, leading to poor performance on low-contrast medical images. To address this issue, we propose SynPo, a training-free few-shot method based on LVMs (e.g., SAM), with the core insight: improving the quality of negative prompts. To select point prompts in a more reliable confidence map, we design a novel Confidence Map Synergy Module by combining the strengths of DINOv2 and SAM. Based on the confidence map, we select the top-k pixels as the positive points set and choose the negative points set using a Gaussian distribution, followed by independent K-means clustering for both sets. Then, these selected points are leveraged as high-quality prompts for SAM to get the segmentation results. Extensive experiments demonstrate that SynPo achieves performance comparable to state-of-the-art training-based few-shot methods.