Peng Xia

Peng Xia, Jinglu Wang, Yibo Peng et al.

Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy that progressively teaches the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL not only outperforms both open-source and proprietary Med-LVLMs, but also exhibits human-like reasoning patterns. Notably, it achieves an average performance gain of 20.7% over supervised fine-tuning baselines.

Yifan Zhang, Liang Hu, Haofeng Sun et al.

Despite recent progress in multimodal agentic systems, existing approaches often treat image manipulation and web search as disjoint capabilities, rely heavily on costly reinforcement learning, and lack planning grounded in real tool-execution traces. To address these limitations, we present Skywork-R1V4, a 30B (A3B) parameter multimodal agentic model that unifies multimodal planning, active image manipulation ("thinking with images"), deep multimodal search, and, most critically, interleaved reasoning that dynamically alternates between visual operations and external knowledge retrieval. Trained solely via supervised fine-tuning on fewer than 30,000 high-quality, planning-execution-consistent trajectories and validated through stepwise consistency filtering, Skywork-R1V4 achieves state-of-the-art results across perception and multimodal search benchmarks: it scores 66.1 on MMSearch and 67.2 on FVQA, surpassing Gemini 2.5 Flash on all 11 metrics. Skywork-R1V4 exhibits emergent long-horizon reasoning at inference time, successfully orchestrating more than 10 tool calls to solve complex, multi-step tasks. Our results demonstrate that sophisticated agentic multimodal intelligence can be achieved through carefully curated supervised learning alone, without any reliance on reinforcement learning.

Jiaqi Liu, Kaiwen Xiong, Peng Xia et al.

Vision-language agents have achieved remarkable progress in a variety of multimodal reasoning tasks; however, their learning remains constrained by the limitations of human-annotated supervision. Recent self-rewarding approaches attempt to overcome this constraint by allowing models to act as their own critics or reward providers. Yet, purely text-based self-evaluation struggles to verify complex visual reasoning steps and often suffers from evaluation hallucinations. To address these challenges, inspired by recent advances in tool-integrated reasoning, we propose Agent0-VL, a self-evolving vision-language agent that achieves continual improvement with tool-integrated reasoning. Agent0-VL incorporates tool usage not only into reasoning but also into self-evaluation and self-repair, enabling the model to introspect, verify, and refine its reasoning through evidence-grounded analysis. It unifies two synergistic roles within a single LVLM: a Solver that performs multi-turn tool-integrated reasoning, and a Verifier that generates structured feedback and fine-grained self-rewards through tool-grounded critique. These roles interact through a Self-Evolving Reasoning Cycle, where tool-based verification and reinforcement learning jointly align the reasoning and evaluation distributions for stable self-improvement. Through this zero-external-reward evolution, Agent0-VL aligns its reasoning and verification behaviors without any human annotation or external reward models, achieving continual self-improvement. Experiments on geometric problem solving and visual scientific analysis show that Agent0-VL achieves an 12.5% improvement over the base model. Our code is available at https://github.com/aiming-lab/Agent0.

Wenxue Li, Xinyu Xiong, Peng Xia et al.

Recent advances in large foundation models, such as the Segment Anything Model (SAM), have demonstrated considerable promise across various tasks. Despite their progress, these models still encounter challenges in specialized medical image analysis, especially in recognizing subtle inter-class differences in Diabetic Retinopathy (DR) lesion segmentation. In this paper, we propose a novel framework that customizes SAM for text-prompted DR lesion segmentation, termed TP-DRSeg. Our core idea involves exploiting language cues to inject medical prior knowledge into the vision-only segmentation network, thereby combining the advantages of different foundation models and enhancing the credibility of segmentation. Specifically, to unleash the potential of vision-language models in the recognition of medical concepts, we propose an explicit prior encoder that transfers implicit medical concepts into explicit prior knowledge, providing explainable clues to excavate low-level features associated with lesions. Furthermore, we design a prior-aligned injector to inject explicit priors into the segmentation process, which can facilitate knowledge sharing across multi-modality features and allow our framework to be trained in a parameter-efficient fashion. Experimental results demonstrate the superiority of our framework over other traditional models and foundation model variants.