Xiaoxiao Yan

Haozhen Gong, Xiaozhong Ji, Yuansen Liu et al.

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.

Peng Tang, Xiaoxiao Yan, Xiaobin Hu et al. · tencent-ai

Multi-class unsupervised anomaly detection (MUAD) has garnered growing research interest, as it seeks to develop a unified model for anomaly detection across multiple classes, i.e., eliminating the need to train separate models for distinct objects and thereby saving substantial computational resources. Under the MUAD setting, while advanced Transformer-based architectures have brought significant performance improvements, identity shortcuts persist: they directly copy inputs to outputs, narrowing the gap in reconstruction errors between normal and abnormal cases, and thereby making the two harder to distinguish. Therefore, we propose ShortcutBreaker, a novel unified feature-reconstruction framework for MUAD tasks, featuring two key innovations to address the issue of shortcuts. First, drawing on matrix rank inequality, we design a low-rank noisy bottleneck (LRNB) to project highdimensional features into a low-rank latent space, and theoretically demonstrate its capacity to prevent trivial identity reproduction. Second, leveraging ViTs global modeling capability instead of merely focusing on local features, we incorporate a global perturbation attention to prevent information shortcuts in the decoders. Extensive experiments are performed on four widely used anomaly detection benchmarks, including three industrial datasets (MVTec-AD, ViSA, and Real-IAD) and one medical dataset (Universal Medical). The proposed method achieves a remarkable image-level AUROC of 99.8%, 98.9%, 90.6%, and 87.8% on these four datasets, respectively, consistently outperforming previous MUAD methods across different scenarios.