Yazhuo Qian

Yunhang Qian, Jiaquan Yu, Jiawei Liu et al.

Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions. On-Policy Distillation (OPD) offers dense token-level supervision on student-generated trajectories and provides a privacy-compatible means of capability transfer without requiring the redistribution of raw patient data. However, standard OPD uniformly distills all tokens, causing sparse evidence-dependent tokens to be diluted by abundant clinical narrative tokens. Inspired by the success of OPD in the large language model community, we propose \textbf{Med-OPD}, to our knowledge the first unified post-training framework that integrates on-policy distillation with medical evidence-aware supervision for Med-VLMs. We introduce \textbf{Medical Evidence Advantage} (MEA), a teacher-grounded counterfactual signal that uses an answer-aware hint to focus teacher scoring on evidence supporting the target diagnosis, and measures each token's dependence on medical visual evidence by comparing teacher likelihoods under the original and evidence-degraded imaging modalities. Based on MEA, Med-OPD redistributes the distillation signal at both the token and trajectory levels, emphasizing diagnosis-critical tokens and evidence-reliant rollouts. Experiments on OmniMedVQA subsets show that Med-OPD consistently outperforms SFT and standard OPD across CT, MRI, Disease Diagnosis, and Lesion Grading. These results demonstrate that evidence-aware distillation can better strengthen medical VLMs' reliance on key visual evidence and improve reliable multimodal medical reasoning. The source code and data is publicly available at: https://github.com/yunhang8658/MedOPD.git

Yunhang Qian, Xiaobin Hu, Jiaquan Yu et al.

While Multi-Agent Systems (MAS) show potential for complex clinical decision support, the field remains hindered by architectural fragmentation and the lack of standardized multimodal integration. Current medical MAS research suffers from non-uniform data ingestion pipelines, inconsistent visual-reasoning evaluation, and a lack of cross-specialty benchmarking. To address these challenges, we present MedMASLab, a unified framework and benchmarking platform for multimodal medical multi-agent systems. MedMASLab introduces: (1) A standardized multimodal agent communication protocol that enables seamless integration of 11 heterogeneous MAS architectures across 24 medical modalities. (2) An automated clinical reasoning evaluator, a zero-shot semantic evaluation paradigm that overcomes the limitations of lexical string-matching by leveraging large vision-language models to verify diagnostic logic and visual grounding. (3) The most extensive benchmark to date, spanning 11 organ systems and 473 diseases, standardizing data from 11 clinical benchmarks. Our systematic evaluation reveals a critical domain-specific performance gap: while MAS improves reasoning depth, current architectures exhibit significant fragility when transitioning between specialized medical sub-domains. We provide a rigorous ablation of interaction mechanisms and cost-performance trade-offs, establishing a new technical baseline for future autonomous clinical systems. The source code and data is publicly available at: https://github.com/NUS-Project/MedMASLab/

Wei Yu, Yunhang Qian

Recent event-based image reconstruction methods predominantly rely on Convolutional Neural Networks (CNNs) and Vision Transformers (ViTs) to process complementary event information. However, these architectures face fundamental limitations: CNNs often fail to capture global feature correlations, whereas ViTs incur quadratic computational complexity (e.g., $O(n^2)$), hindering their application in high-resolution scenarios. To address these bottlenecks, we introduce EmambaIR, an Efficient visual State Space Model designed for image reconstruction using spatially sparse and temporally continuous event streams. Our framework introduces two key components: the cross-modal Top-k Sparse Attention Module (TSAM) and the Gated State-Space Module (GSSM). TSAM efficiently performs pixel-level top-k sparse attention to guide cross-modal interactions, yielding rich yet sparse fusion features. Subsequently, GSSM utilizes a nonlinear gated unit to enhance the temporal representation of vanilla linear-complexity ($O(n)$) SSMs, effectively capturing global contextual dependencies without the typical computational overhead. Extensive experiments on six datasets across three diverse image reconstruction tasks - motion deblurring, deraining, and High Dynamic Range (HDR) enhancement - demonstrate that EmambaIR significantly outperforms state-of-the-art methods while offering substantial reductions in memory consumption and computational cost. The source code and data are publicly available at: https://github.com/YunhangWickert/EmambaIR