Xiao Li

Senqiao Yang, Kaichen Zhang, Zhaoyang Jia et al. · pku

Standard vision-language models (VLMs) suffer from Moravec's paradox: they excel at complex offline visual reasoning but struggle with simple streaming perception tasks and process them inefficiently. We present Mage-VL, an efficient codec-native streaming foundation model for real-time multimodal understanding and interaction. At its core, our custom tokenizer, Mage-ViT, replaces uniform frame sampling by selectively encoding dynamic, entropy-rich regions using motion vectors and residual energy across sparse anchor (I) and predicted (P) frames. Operating at a 16 x 16 patch level, this reduces visual token consumption by over 75% while preserving spatiotemporal context. Trained from scratch on approximately 560M unlabeled images and 100M unlabeled video frames, Mage-ViT matches or outperforms flagship encoders trained on billions of image-text pairs. We establish AI4AI data pipelines encompassing prompt-code joint optimization for multimodal captioning and AI-driven performance diagnosis to guide training recipes. Furthermore, through a bio-inspired dual-system architecture - a lightweight System 1 event gate and a causal System 2 decoder - Mage-VL enables proactive streaming perception. Extensive evaluations show that Mage-VL-4B matches Qwen3-VL-4B on static tasks while achieving strong gains in video understanding and 2D/3D spatial reasoning, with up to a 3.5x wall-clock inference speedup, and comprehensively surpasses the 15B Phi-4-reasoning-vision baseline. Beyond model artifacts, we deliver seven key empirical findings covering pre-training data efficiency, variable-resolution scaling, codec system acceleration, VideoQA SFT redundancy, motion-spatial synergy, AI4AI data pipelines, and Zero-Vision SFT for multimodal RL.

Xiao Li, Mouxiao Bian, Zhaodi Wu et al.

Background: Most medical large language model (LLM) benchmarks focus on examination knowledge or isolated tasks and may not reflect the longitudinal, multimodal, and safety-critical workflow of cardiovascular care. Objective: To develop MyoCardBench, a real-world benchmark spanning the cardiovascular care continuum, and assess LLM performance across clinical dimensions and specialist tasks. Methods: MyoCardBench includes 2,263 items from 13 task-specific datasets derived from de-identified cardiovascular records and examination data. Sixteen cardiology physicians conducted annotation and reference construction, followed by cross-review from two senior cardiologists. Seven LLMs generated 15,841 outputs under standardized zero-shot settings. Open-ended tasks were evaluated using key-point coverage and holistic clinical quality, while CardioEthics was scored by accuracy. Results: GPT-5.4 achieved the highest macro-average (62.55) and item-weighted mean (62.19), followed by Gemini 3.1 Pro (59.95) and Qwen 3.6 27B (59.72). GPT-5.4 ranked first in all three dimensions. CardioAuxReport performed best (86.38), whereas CardioECGRead (17.25) and CardioEthics (17.34) were lowest. The largest gaps between holistic clinical quality and key-point coverage occurred in CardioComm (52.71), CardioEmergRescue (52.05), and CardioTreatPlan (48.80). Conclusions: To our knowledge, MyoCardBench is the largest real-world, multi-task benchmark for LLM evaluation across the cardiovascular care continuum and offers the broadest coverage of clinically authentic cardiology scenarios reported to date. It provides a rigorous framework for identifying model strengths, clinically important omissions, and priorities for future development.