Zizheng Wang

Hsin-Ling Hsu, Zizheng Wang, Donghua Zhang et al.

Most existing LLM diagnoses are evaluated on static, single-turn settings where complete patient information is provided upfront, an oversimplification of real clinical practice. We study active diagnosis: the real-life clinical process of starting from initial observation, ordering tests, interpreting results, and updating a differential diagnosis across multiple turns. Through systematic analysis, we identify three recurring failure modes in current LLMs: ungrounded test ordering, unreliable diagnostic update, and degraded multi-turn coherence. Together, these failures reveal a core deficit: existing medical training data teaches models to reason from complete information but not to act under evolving, partial evidence. To address this gap, we introduce MedAction, a tree-structured distillation pipeline that synthesizes diverse and high-quality multi-turn diagnostic trajectories via LLM-environment interaction. We propose two knowledge-graph-grounded metrics to filter trajectory quality: Disease Trajectory Consistency (DTC), which tracks whether the model's hypothesis converges toward the correct diagnosis, and Reasoning-Action Consistency (RAC), which verifies that belief updates are driven by gathered evidence. Using this pipeline, we construct MedAction-32K, a dataset of 32,681 trajectories from 2,896 PMC cases. Fine-tuning an 8B model on MedAction-32K achieves state-of-the-art performance among open-source models on both MedR-Bench and our curated MedAction-300-Hard benchmark, pushing the edge for open-source medical LLMs.

Zhengxu Tang, Zizheng Wang, Luning Wang et al.

Text-to-video (T2V) generation models have made significant progress in creating visually appealing videos. However, they struggle with generating coherent sequential narratives that require logical progression through multiple events. Existing T2V benchmarks primarily focus on visual quality metrics but fail to evaluate narrative coherence over extended sequences. To bridge this gap, we present SeqBench, a comprehensive benchmark for evaluating sequential narrative coherence in T2V generation. SeqBench includes a carefully designed dataset of 320 prompts spanning various narrative complexities, with 2,560 human-annotated videos generated from 8 state-of-the-art T2V models. Additionally, we design a Dynamic Temporal Graphs (DTG)-based automatic evaluation metric, which can efficiently capture long-range dependencies and temporal ordering while maintaining computational efficiency. Our DTG-based metric demonstrates a strong correlation with human annotations. Through systematic evaluation using SeqBench, we reveal critical limitations in current T2V models: failure to maintain consistent object states across multi-action sequences, physically implausible results in multi-object scenarios, and difficulties in preserving realistic timing and ordering relationships between sequential actions. SeqBench provides the first systematic framework for evaluating narrative coherence in T2V generation and offers concrete insights for improving sequential reasoning capabilities in future models. Please refer to https://videobench.github.io/SeqBench.github.io/ for more details.