Yang Li

Baochen Fu, Wenzhi Deng, Baihao Jin et al.

Optical coherence tomography (OCT) imaging is essential for the diagnosis and treatment of retinal diseases. Although multimodal large language models (MLLMs) have demonstrated considerable potential in medical image analysis, existing benchmarks largely reduce OCT understanding to coarse-grained disease classification or isolated visual question answering, leaving the complete cognitive process from visual perception to clinical reasoning insufficiently evaluated. To address this limitation, we introduce OCT-Bench, a comprehensive benchmark dedicated to OCT image understanding. OCT-Bench comprises 10,076 high-quality multiple-choice questions constructed from 4,137 OCT images across seven public datasets. Following the real-world clinical interpretation workflow, we establish a hierarchical capability taxonomy consisting of 20 fine-grained tasks across three dimensions: Perception, Cognition, and Reasoning. These tasks cover a broad range of capabilities, including imaging attributes, retinal anatomy, lesion characteristics, spatial relationships, disease assessment, therapeutic decision-making, and prognostic management. We systematically evaluate 20 representative MLLMs, including proprietary models, open-source general-purpose models, and medical-domain models. Experimental results demonstrate that current models remain substantially short of reliable OCT understanding. Moreover, neither medical-domain adaptation nor increased model scale consistently improves performance across capability levels. OCT-Bench enables comprehensive and fine-grained evaluation of MLLMs, providing a foundation for identifying capability bottlenecks and advancing clinically grounded OCT understanding.

Shuhan Huang, Naifan Zhang, Yuanbo Tang et al.

Mixture-of-Experts (MoE) enables efficient scaling of Transformer models by routing tokens to a small subset of experts. However, existing routers typically condition expert selection on shallow or isolated token representations, which often produce unstable and semantically inconsistent routing decisions across layers. In this work, we revisit expert selection from a representation perspective and identify context incompleteness as a key bottleneck limiting effective expert specialization. To address this issue, we propose Multi-level Context Fusion MOE (MCF-MOE), a framework that constructs context-aware representations by integrating complementary signals from cross-layer semantic aggregation and local token-level interactions, enabling more informative and consistent expert selection. Experiments on language modeling and understanding benchmarks demonstrate that MCF-MOE consistently improves routing consistency and downstream performance over strong MoE baselines, highlighting the importance of contextual completeness in expert routing. The code is available at https://anonymous.4open.science/r/MCFMOE.