Bo Liu

Jiarui Jin, Haoyu Wang, Xingliang Wu et al.

Electrocardiography (ECG) serves as an indispensable diagnostic tool in clinical practice, yet existing multimodal large language models (MLLMs) remain unreliable for ECG interpretation, often producing plausible but clinically incorrect analyses. To address this, we propose ECG-R1, the first reasoning MLLM designed for reliable ECG interpretation via three innovations. First, we construct the interpretation corpus using \textit{Protocol-Guided Instruction Data Generation}, grounding interpretation in measurable ECG features and monograph-defined quantitative thresholds and diagnostic logic. Second, we present a modality-decoupled architecture with \textit{Interleaved Modality Dropout} to improve robustness and cross-modal consistency when either the ECG signal or ECG image is missing. Third, we present \textit{Reinforcement Learning with ECG Diagnostic Evidence Rewards} to strengthen evidence-grounded ECG interpretation. Additionally, we systematically evaluate the ECG interpretation capabilities of proprietary, open-source, and medical MLLMs, and provide the first quantitative evidence that severe hallucinations are widespread, suggesting that the public should not directly trust these outputs without independent verification. Code and data are publicly available at \href{https://github.com/PKUDigitalHealth/ECG-R1}{here}, and an online platform can be accessed at \href{http://ai.heartvoice.com.cn/ECG-R1/}{here}.

Gabriel de Souza P. Moreira, Ronay Ak, Mengyao Xu et al.

Retrieval-Augmented Generation (RAG) systems have been popular for generative applications, powering language models by injecting external knowledge. Companies have been trying to leverage their large catalog of documents (e.g. PDFs, presentation slides) in such RAG pipelines, whose first step is the retrieval component. Dense retrieval has been a popular approach, where embedding models are used to generate a dense representation of the user query that is closer to relevant content embeddings. More recently, VLM-based embedding models have become popular for visual document retrieval, as they preserve visual information and simplify the indexing pipeline compared to OCR text extraction. Motivated by the growing demand for visual document retrieval, we introduce Nemotron ColEmbed V2, a family of models that achieve state-of-the-art performance on the ViDoRe benchmarks. We release three variants - with 3B, 4B, and 8B parameters - based on pre-trained VLMs: NVIDIA Eagle 2 with Llama 3.2 3B backbone, Qwen3-VL-4B-Instruct and Qwen3-VL-8B-Instruct, respectively. The 8B model ranks first on the ViDoRe V3 leaderboard as of February 03, 2026, achieving an average NDCG@10 of 63.42. We describe the main techniques used across data processing, training, and post-training - such as cluster-based sampling, hard-negative mining, bidirectional attention, late interaction, and model merging - that helped us build our top-performing models. We also discuss compute and storage engineering challenges posed by the late interaction mechanism and present experiments on how to balance accuracy and storage with lower dimension embeddings.