Yijun He

Baorong Shi, Bo Cui, Boyuan Jiang et al.

We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse medical benchmarks and surpasses leading closed-source multimodal systems on multiple capabilities. To achieve this, we propose an entity-aware continual pretraining framework that organizes heterogeneous medical corpora to broaden knowledge coverage and reduce long-tail gaps (e.g., rare diseases). For medical expert-level reasoning and interaction, MedXIAOHE incorporates diverse medical reasoning patterns via reinforcement learning and tool-augmented agentic training, enabling multi-step diagnostic reasoning with verifiable decision traces. To improve reliability in real-world use, MedXIAOHE integrates user-preference rubrics, evidence-grounded reasoning, and low-hallucination long-form report generation, with improved adherence to medical instructions. We release this report to document our practical design choices, scaling insights, and evaluation framework, hoping to inspire further research.

Jindong Hong, Tianjie Chen, Lingjie Luo et al.

A recent advancement in Multimodal Large Language Models (MLLMs) research is the emergence of "reasoning MLLMs" that offer explicit control over their internal thinking processes (normally referred as the "thinking mode") alongside the standard "non-thinking mode". This capability allows these models to engage in a step-by-step process of internal deliberation before generating a final response. With the rapid transition to and adoption of these "dual-state" MLLMs, this work rigorously evaluated how the enhanced reasoning processes of these MLLMs impact model performance and reliability in clinical tasks. This paper evaluates the active "thinking mode" capabilities of two leading MLLMs, Seed1.5-VL and Gemini-2.5-Flash, for medical applications. We assessed their performance on four visual medical tasks using VQA-RAD and ROCOv2 datasets. Our findings reveal that the improvement from activating the thinking mode remains marginal compared to the standard non-thinking mode for the majority of the tasks. Their performance on complex medical tasks such as open-ended VQA and medical image interpretation remains suboptimal, highlighting the need for domain-specific medical data and more advanced methods for medical knowledge integration.

Wencheng Zhang, Shiqin Qiao, Lingjie Luo et al.

With the widespread adoption of large language models (LLMs) in practical applications, selecting an appropriate model requires balancing not only performance but also operational cost. The emergence of reasoning-capable models has further widened the cost gap between "thinking" (high reasoning) and "non-thinking" (fast, low-cost) modes. In this work, we reveal that approximately 58% of medical questions can be accurately answered by the non-thinking mode alone, without requiring the high-cost reasoning process. This highlights a clear dichotomy in problem complexity and suggests that dynamically routing queries to the appropriate mode based on complexity could optimize accuracy, cost-efficiency, and overall user experience. Based on this, we further propose SynapseRoute, a machine learning-based dynamic routing framework that intelligently assigns input queries to either thinking or non-thinking modes. Experimental results on several medical datasets demonstrate that SynapseRoute not only improves overall accuracy (0.8390 vs. 0.8272) compared to the thinking mode alone but also reduces inference time by 36.8% and token consumption by 39.66%. Importantly, qualitative analysis indicates that over-reasoning on simpler queries can lead to unnecessary delays and even decreased accuracy, a pitfall avoided by our adaptive routing. Finally, this work further introduces the Accuracy-Inference-Token (AIT) index to comprehensively evaluate the trade-offs among accuracy, latency, and token cost.

Jindong Hong, Wencheng Zhang, Shiqin Qiao et al.

Shoulder disorders, such as frozen shoulder (a.k.a., adhesive capsulitis), are common conditions affecting the health of people worldwide, and have a high incidence rate among the elderly and workers engaged in repetitive shoulder tasks. In regions with scarce medical resources, achieving early and accurate diagnosis poses significant challenges, and there is an urgent need for low-cost and easily scalable auxiliary diagnostic solutions. This research introduces videos captured by consumer-grade devices as the basis for diagnosis, reducing the cost for users. We focus on the innovative application of Multimodal Large Language Models (MLLMs) in the preliminary diagnosis of shoulder disorders and propose a Hybrid Motion Video Diagnosis framework (HMVDx). This framework divides the two tasks of action understanding and disease diagnosis, which are respectively completed by two MLLMs. In addition to traditional evaluation indicators, this work proposes a novel metric called Usability Index by the logical process of medical decision-making (action recognition, movement diagnosis, and final diagnosis). This index evaluates the effectiveness of MLLMs in the medical field from the perspective of the entire medical diagnostic pathway, revealing the potential value of low-cost MLLMs in medical applications for medical practitioners. In experimental comparisons, the accuracy of HMVDx in diagnosing shoulder joint injuries has increased by 79.6\% compared with direct video diagnosis, a significant technical contribution to future research on the application of MLLMs for video understanding in the medical field.

Ruolin Shen, Xiaozhong Ji, Kai WU et al.

Current multi-modal models exhibit a notable misalignment with the human visual system when identifying objects that are visually assimilated into the background. Our observations reveal that these multi-modal models cannot distinguish concealed objects, demonstrating an inability to emulate human cognitive processes which effectively utilize foreground-background similarity principles for visual analysis. To analyze this hidden human-model visual thinking discrepancy, we build a visual system that mimicks human visual camouflaged perception to progressively and iteratively `refocus' visual concealed content. The refocus is a progressive guidance mechanism enabling models to logically localize objects in visual images through stepwise reasoning. The localization process of concealed objects requires hierarchical attention shifting with dynamic adjustment and refinement of prior cognitive knowledge. In this paper, we propose a visual refocus reinforcement framework via the policy optimization algorithm to encourage multi-modal models to think and refocus more before answering, and achieve excellent reasoning abilities to align and even surpass human camouflaged perception systems. Our extensive experiments on camouflaged perception successfully demonstrate the emergence of refocus visual phenomena, characterized by multiple reasoning tokens and dynamic adjustment of the detection box. Besides, experimental results on both camouflaged object classification and detection tasks exhibit significantly superior performance compared to Supervised Fine-Tuning (SFT) baselines.

Nicholas Hyldmar, Yijun He, Amanda Prorok

We introduce a unique experimental testbed that consists of a fleet of 16 miniature Ackermann-steering vehicles. We are motivated by a lack of available low-cost platforms to support research and education in multi-car navigation and trajectory planning. This article elaborates the design of our miniature robotic car, the Cambridge Minicar, as well as the fleet's control architecture. Our experimental testbed allows us to implement state-of-the-art driver models as well as autonomous control strategies, and test their validity in a real, physical multi-lane setup. Through experiments on our miniature highway, we are able to tangibly demonstrate the benefits of cooperative driving on multi-lane road topographies. Our setup paves the way for indoor large-fleet experimental research.