Yusheng Liao

Hongcheng Liu, Yusheng Liao, Siqv Ou et al.

The application of the Multi-modal Large Language Models (MLLMs) in medical clinical scenarios remains underexplored. Previous benchmarks only focus on the capacity of the MLLMs in medical visual question-answering (VQA) or report generation and fail to assess the performance of the MLLMs on complex clinical multi-modal tasks. In this paper, we propose a novel Medical Personalized Multi-modal Consultation (Med-PMC) paradigm to evaluate the clinical capacity of the MLLMs. Med-PMC builds a simulated clinical environment where the MLLMs are required to interact with a patient simulator to complete the multi-modal information-gathering and decision-making task. Specifically, the patient simulator is decorated with personalized actors to simulate diverse patients in real scenarios. We conduct extensive experiments to access 12 types of MLLMs, providing a comprehensive view of the MLLMs' clinical performance. We found that current MLLMs fail to gather multimodal information and show potential bias in the decision-making task when consulted with the personalized patient simulators. Further analysis demonstrates the effectiveness of Med-PMC, showing the potential to guide the development of robust and reliable clinical MLLMs. Code and data are available at https://github.com/LiuHC0428/Med-PMC.

Yusheng Liao, Yutong Meng, Hongcheng Liu et al.

Large language models (LLMs) have achieved significant success in interacting with human. However, recent studies have revealed that these models often suffer from hallucinations, leading to overly confident but incorrect judgments. This limits their application in the medical domain, where tasks require the utmost accuracy. This paper introduces an automated evaluation framework that assesses the practical capabilities of LLMs as virtual doctors during multi-turn consultations. Consultation tasks are designed to require LLMs to be aware of what they do not know, to inquire about missing medical information from patients, and to ultimately make diagnoses. To evaluate the performance of LLMs for these tasks, a benchmark is proposed by reformulating medical multiple-choice questions from the United States Medical Licensing Examinations (USMLE), and comprehensive evaluation metrics are developed and evaluated on three constructed test sets. A medical consultation training set is further constructed to improve the consultation ability of LLMs. The results of the experiments show that fine-tuning with the training set can alleviate hallucinations and improve LLMs' performance on the proposed benchmark. Extensive experiments and ablation studies are conducted to validate the effectiveness and robustness of the proposed framework.

Yuhao Wang, Yusheng Liao, Heyang Liu et al.

Recent advancements in Multimodal Large Language Models (MLLMs) have demonstrated exceptional capabilities in visual perception and understanding. However, these models also suffer from hallucinations, which limit their reliability as AI systems. We believe that these hallucinations are partially due to the models' struggle with understanding what they can and cannot perceive from images, a capability we refer to as self-awareness in perception. Despite its importance, this aspect of MLLMs has been overlooked in prior studies. In this paper, we aim to define and evaluate the self-awareness of MLLMs in perception. To do this, we first introduce the knowledge quadrant in perception, which helps define what MLLMs know and do not know about images. Using this framework, we propose a novel benchmark, the Self-Awareness in Perception for MLLMs (MM-SAP), specifically designed to assess this capability. We apply MM-SAP to a variety of popular MLLMs, offering a comprehensive analysis of their self-awareness and providing detailed insights. The experiment results reveal that current MLLMs possess limited self-awareness capabilities, pointing to a crucial area for future advancement in the development of trustworthy MLLMs. Code and data are available at https://github.com/YHWmz/MM-SAP.

Yu Wang, Heyang Liu, Yuhao Wang et al.

Language, as an information medium created by advanced organisms, has always been a concern of neuroscience regarding how it is represented in the brain. Decoding linguistic representations in the evoked brain has shown groundbreaking achievements, thanks to the rapid improvement of neuroimaging, medical technology, life sciences and artificial intelligence. In this work, we present a taxonomy of brain-to-language decoding of both textual and speech formats. This work integrates two types of research: neuroscience focusing on language understanding and deep learning-based brain decoding. Generating discernible language information from brain activity could not only help those with limited articulation, especially amyotrophic lateral sclerosis (ALS) patients but also open up a new way for the next generation's brain-computer interface (BCI). This article will help brain scientists and deep-learning researchers to gain a bird's eye view of fine-grained language perception, and thus facilitate their further investigation and research of neural process and language decoding.

Yusheng Liao, Chuan Xuan, Yutong Cai et al.

Large Language Models have demonstrated profound utility in the medical domain. However, their application to autonomous Electronic Health Records~(EHRs) navigation remains constrained by a reliance on curated inputs and simplified retrieval tasks. To bridge the gap between idealized experimental settings and realistic clinical environments, we present AgentEHR. This benchmark challenges agents to execute complex decision-making tasks, such as diagnosis and treatment planning, requiring long-range interactive reasoning directly within raw and high-noise databases. In tackling these tasks, we identify that existing summarization methods inevitably suffer from critical information loss and fractured reasoning continuity. To address this, we propose RetroSum, a novel framework that unifies a retrospective summarization mechanism with an evolving experience strategy. By dynamically re-evaluating interaction history, the retrospective mechanism prevents long-context information loss and ensures unbroken logical coherence. Additionally, the evolving strategy bridges the domain gap by retrieving accumulated experience from a memory bank. Extensive empirical evaluations demonstrate that RetroSum achieves performance gains of up to 29.16% over competitive baselines, while significantly decreasing total interaction errors by up to 92.3%.

Pingjie Wang, Hongcheng Liu, Yusheng Liao et al.

Large language models (LLMs) have achieved remarkable success across widespread tasks, yet their application in low-resource domains remains a significant challenge due to data scarcity and the high risk of overfitting. While in-domain data is limited, there exist vast amounts of similar general-domain data, and our initial findings reveal that they could potentially serve as auxiliary supervision for domain enhancement. This observation leads us to our central research question: \textbf{\textit{how to effectively select the most valuable auxiliary data to maximize domain-specific performance}}, particularly when traditional methods are inapplicable due to a lack of large in-domain data pools or validation sets. To address this, we propose \textbf{NTK-Selector}, a principled and efficient framework for selecting general-domain auxiliary data to enhance domain-specific performance via neural tangent kernels (NTK). Our method tackles two challenges of directly applying NTK to LLMs, theoretical assumptions and prohibitive computational cost, by empirically demonstrating a stable NTK-like behavior in LLMs during LoRA fine-tuning and proposing a Jacobian-free approximation method. Extensive experiments across four low-resource domains (medical, financial, legal, and psychological) demonstrate that NTK-Selector consistently improves downstream performance. Specifically, fine-tuning on 1,000 in-domain samples alone only yielded +0.8 points for Llama3-8B-Instruct and +0.9 points for Qwen3-8B. In contrast, enriching with 9,000 auxiliary samples selected by NTK-Selector led to substantial \textbf{gains of +8.7 and +5.1 points}, which corresponds to a \textbf{10.9x and 5.7x improvement} over the domain-only setting.

Siqu Ou, Hongcheng Liu, Pingjie Wang et al.

While chains-of-thought (CoT) have advanced complex reasoning in multimodal large language models (MLLMs), existing methods remain confined to text or static visual domains, often faltering in dynamic spatial reasoning tasks. To bridge this gap, we present GRASSLAND, a novel maze navigation benchmark designed to evaluate dynamic spatial reasoning. Our experiments show that augmenting textual reasoning chains with dynamic visual drafts, overlaid on input images, significantly outperforms conventional approaches, offering new insights into spatial reasoning in evolving environments. To generalize this capability, we propose D2R (Dynamic Draft-Augmented Reasoning), a training-free framework that seamlessly integrates textual CoT with corresponding visual drafts into MLLMs. Extensive evaluations demonstrate that D2R consistently enhances performance across diverse tasks, establishing a robust baseline for dynamic spatial reasoning without requiring model fine-tuning. Project is open at https://github.com/Cratileo/D2R.

Yusheng Liao, Chaoyi Wu, Junwei Liu et al.

Electronic Health Records (EHRs) contain rich yet complex information, and their automated analysis is critical for clinical decision-making. Despite recent advances of large language models (LLMs) in clinical workflows, their ability to analyze EHRs remains limited due to narrow task coverage and lack of EHR-oriented reasoning capabilities. This paper aims to bridge the gap, specifically, we present EHR-Ins, a large-scale, comprehensive EHR reasoning instruction dataset, comprising 300k high-quality reasoning cases and 4M non-reasoning cases across 42 distinct EHR tasks. Its core innovation is a thinking-graph-driven framework that enables to generate high-quality reasoning data at scale. Based on it, we develop EHR-R1, a series of reasoning-enhanced LLMs with up to 72B parameters tailored for EHR analysis. Through a multi-stage training paradigm, including domain adaptation, reasoning enhancement, and reinforcement learning, EHR-R1 systematically acquires domain knowledge and diverse reasoning capabilities, enabling accurate and robust EHR analysis. Lastly, we introduce EHR-Bench, a new benchmark curated from MIMIC-IV, spanning 42 tasks, to comprehensively assess reasoning and prediction across EHR scenarios. In experiments, we show that the resulting EHR-R1 consistently outperforms state-of-the-art commercial and open-source LLMs (including DeepSeek-V3 and GPT-4o), surpassing GPT-4o by over 30 points on MIMIC-Bench and achieving a 10\% higher zero-shot AUROC on EHRSHOT. Collectively, EHR-Ins, EHR-R1, and EHR-Bench have significantly advanced the development for more reliable and clinically relevant EHR analysis.

Yusheng Liao, Yutong Meng, Yuhao Wang et al.

Large Language Models (LLMs) have demonstrated remarkable proficiency in human interactions, yet their application within the medical field remains insufficiently explored. Previous works mainly focus on the performance of medical knowledge with examinations, which is far from the realistic scenarios, falling short in assessing the abilities of LLMs on clinical tasks. In the quest to enhance the application of Large Language Models (LLMs) in healthcare, this paper introduces the Automated Interactive Evaluation (AIE) framework and the State-Aware Patient Simulator (SAPS), targeting the gap between traditional LLM evaluations and the nuanced demands of clinical practice. Unlike prior methods that rely on static medical knowledge assessments, AIE and SAPS provide a dynamic, realistic platform for assessing LLMs through multi-turn doctor-patient simulations. This approach offers a closer approximation to real clinical scenarios and allows for a detailed analysis of LLM behaviors in response to complex patient interactions. Our extensive experimental validation demonstrates the effectiveness of the AIE framework, with outcomes that align well with human evaluations, underscoring its potential to revolutionize medical LLM testing for improved healthcare delivery.

Zhe Chen, Yusheng Liao, Shuyang Jiang et al.

Large language models hold promise for addressing medical challenges, such as medical diagnosis reasoning, research knowledge acquisition, clinical decision-making, and consumer health inquiry support. However, they often generate hallucinations due to limited medical knowledge. Incorporating external knowledge is therefore critical, which necessitates multi-source knowledge acquisition. We address this challenge by framing it as a source planning problem, which is to formulate context-appropriate queries tailored to the attributes of diverse sources. Existing approaches either overlook source planning or fail to achieve it effectively due to misalignment between the model's expectation of the sources and their actual content. To bridge this gap, we present MedOmniKB, a repository comprising multigenre and multi-structured medical knowledge sources. Leveraging these sources, we propose the Source Planning Optimisation method, which enhances multi-source utilisation. Our approach involves enabling an expert model to explore and evaluate potential plans while training a smaller model to learn source alignment. Experimental results demonstrate that our method substantially improves multi-source planning performance, enabling the optimised small model to achieve state-of-the-art results in leveraging diverse medical knowledge sources.

Shuyang Jiang, Yusheng Liao, Zhe Chen et al.

Medical language models face critical barriers to real-world clinical reasoning applications. However, mainstream efforts, which fall short in task coverage, lack fine-grained supervision for intermediate reasoning steps, and rely on proprietary systems, are still far from a versatile, credible and efficient language model for clinical reasoning usage. To this end, we propose \mone, a self-evolving framework that imparts robust reasoning capabilities to small, deployable models. Starting with 8,000 curated instances sampled via a curriculum strategy across five medical domains and 16 datasets, we use a small base policy model to conduct Monte Carlo Tree Search (MCTS) for constructing rule-verifiable reasoning trajectories. Self-explored reasoning trajectories ranked by node values are used to bootstrap the policy model via reinforcement fine-tuning and preference learning. Moreover, we introduce a soft dual process reward model that incorporates value dynamics: steps that degrade node value are penalized, enabling fine-grained identification of reasoning errors even when the final answer is correct. Experiments on eleven benchmarks show that \mone outperforms the previous state-of-the-art medical model by +6.45 accuracy points and surpasses 32B-scale general-purpose reasoning models by +8.57 points. Additional empirical analysis further demonstrates that \mone achieves robust and faithful reasoning behavior.

Yusheng Liao, Shuyang Jiang, Yanfeng Wang et al.

Large Language Models (LLMs) have shown promising potential in the medical domain, assisting with tasks like clinical note generation and patient communication. However, current LLMs are limited to text-based communication, hindering their ability to interact with diverse forms of information in clinical environments. Despite clinical agents succeeding in diverse signal interaction, they are oriented to a single clinical scenario and hence fail for broader applications. To evaluate clinical agents holistically, we propose ClinicalAgent Bench~(CAB), a comprehensive medical agent benchmark consisting of 18 tasks across five key realistic clinical dimensions. Building on this, we introduce ReflecTool, a novel framework that excels at utilizing domain-specific tools within two stages. The first optimization stage progressively enlarges a long-term memory by saving successful solving processes and tool-wise experience of agents in a tiny pre-defined training set. In the following inference stage, ReflecTool can search for supportive successful demonstrations from already built long-term memory to guide the tool selection strategy, and a verifier improves the tool usage according to the tool-wise experience with two verification methods--iterative refinement and candidate selection. Extensive experiments on ClinicalAgent Benchmark demonstrate that ReflecTool surpasses the pure LLMs with more than 10 points and the well-established agent-based methods with 3 points, highlighting its adaptability and effectiveness in solving complex clinical tasks.

Yusheng Liao, Shuyang Jiang, Yu Wang et al.

Large language models like ChatGPT have shown substantial progress in natural language understanding and generation, proving valuable across various disciplines, including the medical field. Despite advancements, challenges persist due to the complexity and diversity inherent in medical tasks which often require multi-task learning capabilities. Previous approaches, although beneficial, fall short in real-world applications because they necessitate task-specific annotations at inference time, limiting broader generalization. This paper introduces MING-MOE, a novel Mixture-of-Expert~(MOE)-based medical large language model designed to manage diverse and complex medical tasks without requiring task-specific annotations, thus enhancing its usability across extensive datasets. MING-MOE employs a Mixture of Low-Rank Adaptation (MoLoRA) technique, allowing for efficient parameter usage by maintaining base model parameters static while adapting through a minimal set of trainable parameters. We demonstrate that MING-MOE achieves state-of-the-art (SOTA) performance on over 20 medical tasks, illustrating a significant improvement over existing models. This approach not only extends the capabilities of medical language models but also improves inference efficiency.

YiQiu Guo, Yuchen Yang, Zhe Chen et al.

The reliability of large language models remains a critical challenge, particularly due to their susceptibility to hallucinations and factual inaccuracies during text generation. Existing solutions either underutilize models' self-correction with preemptive strategies or use costly post-hoc verification. To further explore the potential of real-time self-verification and correction, we present Dynamic Self-Verify Decoding (DSVD), a novel decoding framework that enhances generation reliability through real-time hallucination detection and efficient error correction. DSVD integrates two key components: (1) parallel self-verification architecture for continuous quality assessment, (2) dynamic rollback mechanism for targeted error recovery. Extensive experiments across five benchmarks demonstrate DSVD's effectiveness, achieving significant improvement in truthfulness (Quesetion-Answering) and factual accuracy (FActScore). Results show the DSVD can be further incorporated with existing faithful decoding methods to achieve stronger performance. Our work establishes that real-time self-verification during generation offers a viable path toward more trustworthy language models without sacrificing practical deployability.

Yusheng Liao, Yanfeng Wang, Yu Wang

Autoregressive (AR) and Non-autoregressive (NAR) models are two types of generative models for Neural Machine Translation (NMT). AR models predict tokens in a word-by-word manner and can effectively capture the distribution of real translations. NAR models predict tokens by extracting bidirectional contextual information which can improve the inference speed but they suffer from performance degradation. Previous works utilized AR models to enhance NAR models by reducing the training data's complexity or incorporating the global information into AR models by virtue of NAR models. However, those investigated methods only take advantage of the contextual information of a single type of model while neglecting the diversity in the contextual information that can be provided by different types of models. In this paper, we propose a novel generic collaborative learning method, DCMCL, where AR and NAR models are treated as collaborators instead of teachers and students. To hierarchically leverage the bilateral contextual information, token-level mutual learning and sequence-level contrastive learning are adopted between AR and NAR models. Extensive experiments on four widely used benchmarks show that the proposed DCMCL method can simultaneously improve both AR and NAR models with up to 1.38 and 2.98 BLEU scores respectively, and can also outperform the current best-unified model with up to 0.97 BLEU scores for both AR and NAR decoding.

Pengcheng Qiu, Chaoyi Wu, Junwei Liu et al.

In this paper, we present a framework for training large language models (LLMs) as diagnostic agents with reinforcement learning, enabling them to manage multi-turn diagnostic processes, adaptively select examinations, and commit to final diagnoses. Unlike instruction-tuned models trained on static case summaries, our method acquires diagnostic strategies through interactive exploration and outcome-based feedback. Our contributions are fourfold: (i) We present DiagGym, a diagnostics world model trained with electronic health records that emits examination outcomes conditioned on patient history and recommended examination, serving as a virtual clinical environment for realistic diagnosis training and evaluation; (ii) We train DiagAgent via end-to-end, multi-turn reinforcement learning to learn diagnostic policies that optimize both information yield and diagnostic accuracy; (iii) We introduce DiagBench, a diagnostic benchmark comprising 750 cases with physician-validated examination recommendations and 99 cases annotated with 973 physician-written rubrics on diagnosis process; (iv) we demonstrate superior performance across diverse diagnostic settings. DiagAgent significantly outperforms 10 state-of-the-art LLMs, including DeepSeek-v3 and GPT-4o, as well as two prompt-engineered agents. In single-turn settings, DiagAgent achieves 9.34% higher diagnostic accuracy and 44.03% improvement in examination recommendation hit ratio. In end-to-end settings, it delivers 15.12% increase in diagnostic accuracy and 23.09% boost in examination recommendation F1 score. In rubric-based evaluation, it surpasses the next-best model, Claude-sonnet-4, by 7.1% in weighted rubric score. These findings indicate that learning policies in interactive clinical environments confers dynamic and clinically meaningful diagnostic management abilities unattainable through passive training alone.

Yiqi Li, Yusheng Liao, Zhe Chen et al.

When performing reasoning tasks with user-specific requirements, such as strict output formats, large language models (LLMs) often prioritize reasoning over adherence to detailed instructions. Fine-tuning LLMs on supervised datasets to address this is impractical due to high computational costs and limited parameter access. To tackle this, we propose DICE, a lightweight framework that guides small language models (SLMs) to refine LLMs' outputs through chain-of-thought (CoT) correction. DICE decouples the process by first prompting LLMs to generate natural language responses, then using trained SLMs to analyze and refine these outputs to meet structured output specifications. This framework preserves LLMs' broad knowledge and reasoning capabilities while ensuring the outputs conform to user demands. Specifically, DICE first constructs structured CoT adaptation datasets via a two-stage method and subsequently applies a dual-tuning strategy to fine-tune SLMs for generating structured outputs in an analyze-then-answer pattern. Experiments demonstrate that DICE improves the average format accuracy and content correctness of LLM outputs by 35.4\% and 29.4\%, respectively, achieving state-of-the-art (SOTA) performance over other competitive baselines.

Shuyang Jiang, Yusheng Liao, Ya Zhang et al.

While large reasoning models trained with critic-free reinforcement learning and verifiable rewards (RLVR) represent the state-of-the-art, their practical utility is hampered by ``overthinking'', a critical issue where models generate excessively long reasoning paths without any performance benefit. Existing solutions that penalize length often fail, inducing performance degradation due to a fundamental misalignment between trajectory-level rewards and token-level optimization. In this work, we introduce a novel framework, DECS, built on our theoretical discovery of two previously unaddressed flaws in current length rewards: (1) the erroneous penalization of essential exploratory tokens and (2) the inadvertent rewarding of partial redundancy. Our framework's innovations include (i) a first-of-its-kind decoupled token-level reward mechanism that surgically distinguishes and penalizes redundant tokens, and (ii) a novel curriculum batch scheduling strategy to master the efficiency-efficacy equilibrium. Experimental results show DECS can achieve a dramatic reduction in reasoning tokens by over 50\% across seven benchmarks while simultaneously maintaining or even improving performance. It demonstrates conclusively that substantial gains in reasoning efficiency can be achieved without compromising a model's underlying reasoning power.

Zhe Chen, Yusheng Liao, Shuyang Jiang et al.

Medical large vision-language Models (Med-LVLMs) have shown promise in clinical applications but suffer from factual inaccuracies and unreliable outputs, posing risks in real-world diagnostics. While retrieval-augmented generation has emerged as a potential solution, current medical multimodal RAG systems are unable to perform effective retrieval across heterogeneous sources. The irrelevance of retrieved reports affects the factuality of analysis, while insufficient knowledge affects the credibility of clinical decision-making. To bridge the gap, we construct MedAtlas, which includes extensive multimodal report repositories and diverse text corpora. Based on it, we present HeteroRAG, a novel framework that enhances Med-LVLMs through heterogeneous knowledge sources. The framework introduces Modality-specific CLIPs for effective report retrieval and a Multi-corpora Query Generator for dynamically constructing queries for diverse corpora. Incorporating knowledge from such multifaceted sources, Med-LVLM is then trained with Heterogeneous Knowledge Preference Tuning to achieve cross-modality and multi-source knowledge alignment. Extensive experiments across 12 datasets and 3 modalities demonstrate that the proposed HeteroRAG achieves state-of-the-art performance in most medical vision language benchmarks, significantly improving factual accuracy and reliability of Med-LVLMs.

Yuhao Wang, Zhiyuan Zhu, Heyang Liu et al.

Multimodal large language models (MLLMs) excel at multimodal perception and understanding, yet their tendency to generate hallucinated or inaccurate responses undermines their trustworthiness. Existing methods have largely overlooked the importance of refusal responses as a means of enhancing MLLMs reliability. To bridge this gap, we present the Information Boundary-aware Learning Framework (InBoL), a novel approach that empowers MLLMs to refuse to answer user queries when encountering insufficient information. To the best of our knowledge, InBoL is the first framework that systematically defines the conditions under which refusal is appropriate for MLLMs using the concept of information boundaries proposed in our paper. This framework introduces a comprehensive data generation pipeline and tailored training strategies to improve the model's ability to deliver appropriate refusal responses. To evaluate the trustworthiness of MLLMs, we further propose a user-centric alignment goal along with corresponding metrics. Experimental results demonstrate a significant improvement in refusal accuracy without noticeably compromising the model's helpfulness, establishing InBoL as a pivotal advancement in building more trustworthy MLLMs.

Yusheng Liao, Shuyang Jiang, Zhe Chen et al.

Large language models (LLMs) have shown substantial progress in natural language understanding and generation, proving valuable especially in the medical field. Despite advancements, challenges persist due to the complexity and diversity inherent in medical tasks, which can be categorized as knowledge-intensive tasks and alignment-required tasks. Previous approaches either ignore the latter task or focus on a minority of tasks and hence lose generalization. To address these drawbacks, we propose a progressive fine-tuning pipeline. This pipeline employs a Knowledge Aggregator and a Noise aggregator to encode diverse knowledge in the first stage and filter out detrimental information. In the second stage, we drop the Noise Aggregator to avoid the interference of suboptimal representation and leverage an additional alignment module optimized towards an orthogonal direction to the knowledge space to mitigate knowledge forgetting. Based on this two-stage paradigm, we proposed a Medical LLM through decoupling Clinical Alignment and Knowledge Aggregation (MedCare), which is designed to achieve state-of-the-art (SOTA) performance on over 20 medical tasks, as well as SOTA results on specific medical alignment tasks. Various model sizes of MedCare (1.8B, 7B, 14B) all demonstrate significant improvements over existing models with similar model sizes.

Sharib Ali, Mariia Dmitrieva, Noha Ghatwary et al.

The Endoscopy Computer Vision Challenge (EndoCV) is a crowd-sourcing initiative to address eminent problems in developing reliable computer aided detection and diagnosis endoscopy systems and suggest a pathway for clinical translation of technologies. Whilst endoscopy is a widely used diagnostic and treatment tool for hollow-organs, there are several core challenges often faced by endoscopists, mainly: 1) presence of multi-class artefacts that hinder their visual interpretation, and 2) difficulty in identifying subtle precancerous precursors and cancer abnormalities. Artefacts often affect the robustness of deep learning methods applied to the gastrointestinal tract organs as they can be confused with tissue of interest. EndoCV2020 challenges are designed to address research questions in these remits. In this paper, we present a summary of methods developed by the top 17 teams and provide an objective comparison of state-of-the-art methods and methods designed by the participants for two sub-challenges: i) artefact detection and segmentation (EAD2020), and ii) disease detection and segmentation (EDD2020). Multi-center, multi-organ, multi-class, and multi-modal clinical endoscopy datasets were compiled for both EAD2020 and EDD2020 sub-challenges. The out-of-sample generalization ability of detection algorithms was also evaluated. Whilst most teams focused on accuracy improvements, only a few methods hold credibility for clinical usability. The best performing teams provided solutions to tackle class imbalance, and variabilities in size, origin, modality and occurrences by exploring data augmentation, data fusion, and optimal class thresholding techniques.