Yichen Li

Yankai Jiang, Yujie Zhang, Peng Zhang et al.

Recent reasoning based medical MLLMs have made progress in generating step by step textual reasoning chains. However, they still struggle with complex tasks that necessitate dynamic and iterative focusing on fine-grained visual regions to achieve precise grounding and diagnosis. We introduce Ophiuchus, a versatile, tool-augmented framework that equips an MLLM to (i) decide when additional visual evidence is needed, (ii) determine where to probe and ground within the medical image, and (iii) seamlessly weave the relevant sub-image content back into an interleaved, multimodal chain of thought. In contrast to prior approaches limited by the performance ceiling of specialized tools, Ophiuchus integrates the model's inherent grounding and perception capabilities with external tools, thereby fostering higher-level reasoning. The core of our method is a three-stage training strategy: cold-start training with tool-integrated reasoning data to achieve basic tool selection and adaptation for inspecting key regions; self-reflection fine-tuning to strengthen reflective reasoning and encourage revisiting tool outputs; and Agentic Tool Reinforcement Learning to directly optimize task-specific rewards and emulate expert-like diagnostic behavior. Extensive experiments show that Ophiuchus consistently outperforms both closed-source and open-source SOTA methods across diverse medical benchmarks, including VQA, detection, and reasoning-based segmentation. Our approach illuminates a path toward medical AI agents that can genuinely "think with images" through tool-integrated reasoning. Datasets, codes, and trained models will be released publicly.

Yichen Li, Yuying Wang, Jiahua Dong et al.

Federated Continual Learning (FCL) aims to enable sequentially privacy-preserving model training on streams of incoming data that vary in edge devices by preserving previous knowledge while adapting to new data. Current FCL literature focuses on restricted data privacy and access to previously seen data while imposing no constraints on the training overhead. This is unreasonable for FCL applications in real-world scenarios, where edge devices are primarily constrained by resources such as storage, computational budget, and label rate. We revisit this problem with a large-scale benchmark and analyze the performance of state-of-the-art FCL approaches under different resource-constrained settings. Various typical FCL techniques and six datasets in two incremental learning scenarios (Class-IL and Domain-IL) are involved in our experiments. Through extensive experiments amounting to a total of over 1,000+ GPU hours, we find that, under limited resource-constrained settings, existing FCL approaches, with no exception, fail to achieve the expected performance. Our conclusions are consistent in the sensitivity analysis. This suggests that most existing FCL methods are particularly too resource-dependent for real-world deployment. Moreover, we study the performance of typical FCL techniques with resource constraints and shed light on future research directions in FCL.