Daily Papers

Recently, the visual generation ability by GPT-4o(mni) has been unlocked by OpenAI. It demonstrates a very remarkable generation capability with excellent multimodal condition understanding and varied task instructions. In this paper, we aim to explore the capabilities of GPT-4o across various tasks. Inspired by previous study, we constructed a task taxonomy along with a carefully curated set of test samples to conduct a comprehensive qualitative test. Benefiting from GPT-4o's powerful multimodal comprehension, its image-generation process demonstrates abilities surpassing those of traditional image-generation tasks. Thus, regarding the dimensions of model capabilities, we evaluate its performance across six task categories: traditional image generation tasks, discriminative tasks, knowledge-based generation, commonsense-based generation, spatially-aware image generation, and temporally-aware image generation. These tasks not only assess the quality and conditional alignment of the model's outputs but also probe deeper into GPT-4o's understanding of real-world concepts. Our results reveal that GPT-4o performs impressively well in general-purpose synthesis tasks, showing strong capabilities in text-to-image generation, visual stylization, and low-level image processing. However, significant limitations remain in its ability to perform precise spatial reasoning, instruction-grounded generation, and consistent temporal prediction. Furthermore, when faced with knowledge-intensive or domain-specific scenarios, such as scientific illustrations or mathematical plots, the model often exhibits hallucinations, factual errors, or structural inconsistencies. These findings suggest that while GPT-4o marks a substantial advancement in unified multimodal generation, there is still a long way to go before it can be reliably applied to professional or safety-critical domains.

Bridging the gap between ego-centric and exo-centric views has been a long-standing question in computer vision. In this paper, we focus on the emerging Ego-Exo object correspondence task, which aims to understand object relations across ego-exo perspectives through segmentation. While numerous segmentation models have been proposed, most operate on a single image (view), making them impractical for cross-view scenarios. PSALM, a recently proposed segmentation method, stands out as a notable exception with its demonstrated zero-shot ability on this task. However, due to the drastic viewpoint change between ego and exo, PSALM fails to accurately locate and segment objects, especially in complex backgrounds or when object appearances change significantly. To address these issues, we propose ObjectRelator, a novel approach featuring two key modules: Multimodal Condition Fusion (MCFuse) and SSL-based Cross-View Object Alignment (XObjAlign). MCFuse introduces language as an additional cue, integrating both visual masks and textual descriptions to improve object localization and prevent incorrect associations. XObjAlign enforces cross-view consistency through self-supervised alignment, enhancing robustness to object appearance variations. Extensive experiments demonstrate ObjectRelator's effectiveness on the large-scale Ego-Exo4D benchmark and HANDAL-X (an adapted dataset for cross-view segmentation) with state-of-the-art performance. Code is made available at: http://yuqianfu.com/ObjectRelator.

In this paper, we propose UniLIP, which extends CLIP to reconstruction, generation and editing, thereby building a unified tokenizer upon its exceptional comprehension capabilities. Previous CLIP-based unified methods often require additional diffusion decoders or quantization to support reconstruction and generation tasks, leading to inconsistent reconstruction or degradation of original comprehension performance.In contrast, we introduce a two-stage training scheme and a self-distillation strategy that progressively integrates reconstruction capabilities into CLIP, allowing it to maintain original comprehension performance while achieving effective image reconstruction. Furthermore, we propose a dual-condition architecture to connect the MLLM and diffusion transformer, using both learnable queries and the last layer multimodal hidden states as joint conditions. This method not only enables the utilization of the MLLM's strong reasoning capabilities in generation tasks, but also maximizes the exploitation of the rich information in UniLIP features during editing tasks. In text-to-image generation tasks, UniLIP obtains scores of 0.87 and 0.53 on GenEval and WISE benchmark respectively, surpassing all previous unified models of similar scale. In image editing, UniLIP also achieves a score of 3.62 on the ImgEdit Benchmark, surpassing recent state-of-the-art models such as BAGEL and UniWorld-V1. UniLIP effectively expand the application scope of CLIP, enabling continuous CLIP features to not only serve as the optimal choice for understanding tasks but also achieve highly competitive performance in generation and editing tasks.

With the rapid advancement of image generation, visual text editing using natural language instructions has received increasing attention. The main challenge of this task is to fully understand the instruction and reference image, and thus generate visual text that is style-consistent with the image. Previous methods often involve complex steps of specifying the text content and attributes, such as font size, color, and layout, without considering the stylistic consistency with the reference image. To address this, we propose UM-Text, a unified multimodal model for context understanding and visual text editing by natural language instructions. Specifically, we introduce a Visual Language Model (VLM) to process the instruction and reference image, so that the text content and layout can be elaborately designed according to the context information. To generate an accurate and harmonious visual text image, we further propose the UM-Encoder to combine the embeddings of various condition information, where the combination is automatically configured by VLM according to the input instruction. During training, we propose a regional consistency loss to offer more effective supervision for glyph generation on both latent and RGB space, and design a tailored three-stage training strategy to further enhance model performance. In addition, we contribute the UM-DATA-200K, a large-scale visual text image dataset on diverse scenes for model training. Extensive qualitative and quantitative results on multiple public benchmarks demonstrate that our method achieves state-of-the-art performance.

Unified multimodal models aim to integrate understanding and generation within a single framework, yet bridging the gap between discrete semantic reasoning and high-fidelity visual synthesis remains challenging. We present MammothModa2 (Mammoth2), a unified autoregressive-diffusion (AR-Diffusion) framework designed to effectively couple autoregressive semantic planning with diffusion-based generation. Mammoth2 adopts a serial design: an AR path equipped with generation experts performs global semantic modeling over discrete tokens, while a single-stream Diffusion Transformer (DiT) decoder handles high-fidelity image synthesis. A carefully designed AR-Diffusion feature alignment module combines multi-layer feature aggregation, unified condition encoding, and in-context conditioning to stably align AR's representations with the diffusion decoder's continuous latents. Mammoth2 is trained end-to-end with joint Next-Token Prediction and Flow Matching objectives, followed by supervised fine-tuning and reinforcement learning over both generation and editing. With roughly 60M supervised generation samples and no reliance on pre-trained generators, Mammoth2 delivers strong text-to-image and instruction-based editing performance on public benchmarks, achieving 0.87 on GenEval, 87.2 on DPGBench, and 4.06 on ImgEdit, while remaining competitive with understanding-only backbones (e.g., Qwen3-VL-8B) on multimodal understanding tasks. These results suggest that a carefully coupled AR-Diffusion architecture can provide high-fidelity generation and editing while maintaining strong multimodal comprehension within a single, parameter- and data-efficient model.

Unlike bitmap images, scalable vector graphics (SVG) maintain quality when scaled, frequently employed in computer vision and artistic design in the representation of SVG code. In this era of proliferating AI-powered systems, enabling AI to understand and generate SVG has become increasingly urgent. However, AI-driven SVG understanding and generation (U&G) remain significant challenges. SVG code, equivalent to a set of curves and lines controlled by floating-point parameters, demands high precision in SVG U&G. Besides, SVG generation operates under diverse conditional constraints, including textual prompts and visual references, which requires powerful multi-modal processing for condition-to-SVG transformation. Recently, the rapid growth of Multi-modal Large Language Models (MLLMs) have demonstrated capabilities to process multi-modal inputs and generate complex vector controlling parameters, suggesting the potential to address SVG U&G tasks within a unified model. To unlock MLLM's capabilities in the SVG area, we propose an SVG-centric dataset called UniSVG, comprising 525k data items, tailored for MLLM training and evaluation. To our best knowledge, it is the first comprehensive dataset designed for unified SVG generation (from textual prompts and images) and SVG understanding (color, category, usage, etc.). As expected, learning on the proposed dataset boosts open-source MLLMs' performance on various SVG U&G tasks, surpassing SOTA close-source MLLMs like GPT-4V. We release dataset, benchmark, weights, codes and experiment details on https://ryanlijinke.github.io/.

Generating lifelike human motions from descriptive texts has experienced remarkable research focus in the recent years, propelled by the emerging requirements of digital humans.Despite impressive advances, existing approaches are often constrained by limited control modalities, task specificity, and focus solely on body motion representations.In this paper, we present MotionGPT-2, a unified Large Motion-Language Model (LMLM) that addresses these limitations. MotionGPT-2 accommodates multiple motion-relevant tasks and supporting multimodal control conditions through pre-trained Large Language Models (LLMs). It quantizes multimodal inputs-such as text and single-frame poses-into discrete, LLM-interpretable tokens, seamlessly integrating them into the LLM's vocabulary. These tokens are then organized into unified prompts, guiding the LLM to generate motion outputs through a pretraining-then-finetuning paradigm. We also show that the proposed MotionGPT-2 is highly adaptable to the challenging 3D holistic motion generation task, enabled by the innovative motion discretization framework, Part-Aware VQVAE, which ensures fine-grained representations of body and hand movements. Extensive experiments and visualizations validate the effectiveness of our method, demonstrating the adaptability of MotionGPT-2 across motion generation, motion captioning, and generalized motion completion tasks.

Most existing benchmarks for egocentric vision understanding focus primarily on daytime scenarios, overlooking the low-light conditions that are inevitable in real-world applications. To investigate this gap, we present EgoNight, the first comprehensive benchmark for nighttime egocentric vision, with visual question answering (VQA) as the core task. A key feature of EgoNight is the introduction of day-night aligned videos, which enhance night annotation quality using the daytime data and reveal clear performance gaps between lighting conditions. To achieve this, we collect both synthetic videos rendered by Blender and real-world recordings, ensuring that scenes and actions are visually and temporally aligned. Leveraging these paired videos, we construct EgoNight-VQA, supported by a novel day-augmented night auto-labeling engine and refinement through extensive human verification. Each QA pair is double-checked by annotators for reliability. In total, EgoNight-VQA contains 3658 QA pairs across 90 videos, spanning 12 diverse QA types, with more than 300 hours of human work. Evaluations of state-of-the-art multimodal large language models (MLLMs) reveal substantial performance drops when transferring from day to night, underscoring the challenges of reasoning under low-light conditions. Beyond VQA, EgoNight also introduces two auxiliary tasks, day-night correspondence retrieval and egocentric depth estimation at night, that further explore the boundaries of existing models. We believe EgoNight-VQA provides a strong foundation for advancing application-driven egocentric vision research and for developing models that generalize across illumination domains. All the data and code will be made available upon acceptance.

In this study, we present Colon-X, an open initiative aimed at advancing multimodal intelligence in colonoscopy. We begin by constructing ColonVQA, the most comprehensive multimodal dataset ever built for colonoscopy, featuring over 1.1M+ visual question answering entries across 76 clinical findings and 18 multimodal tasks. Beyond serving as a community-wide data foundation, we further investigate a critical yet underexplored transition in colonoscopy - evolving from multimodal understanding to clinical reasoning: (a) To capture the current landscape of multimodal understanding behaviors, we systematically assess the generalizability of 22 multimodal large language models and examine their reliability under human-induced perturbations. The results reveal that clinical outputs from leading MLLMs remain far from robust and trustworthy. (b) To narrow this gap, we further explore reasoning-centric intelligence tailored for colonoscopy. Specifically, we curate ColonReason, a clinically grounded reasoning dataset annotated through a multi-expert debating pipeline, and develop ColonR1, the first R1-styled model incorporating task-adaptive rewarding and gradient-stable optimization techniques. Under data-scarce conditions, our ColonR1 achieves 56.61% overall accuracy, outperforming supervised fine-tuning by 25.22%, and sets a new reasoning-enabled baseline for multimodal colonoscopy analysis. All data and model resources are publicly available at https://github.com/ai4colonoscopy/Colon-X.

Driving World Models (DWMs) have been developing rapidly with the advances of generative models. However, existing DWMs lack 3D scene understanding capabilities and can only generate content conditioned on input data, without the ability to interpret or reason about the driving environment. Moreover, current approaches represent 3D spatial information with point cloud or BEV features do not accurately align textual information with the underlying 3D scene. To address these limitations, we propose a novel unified DWM framework based on 3D Gaussian scene representation, which enables both 3D scene understanding and multi-modal scene generation, while also enabling contextual enrichment for understanding and generation tasks. Our approach directly aligns textual information with the 3D scene by embedding rich linguistic features into each Gaussian primitive, thereby achieving early modality alignment. In addition, we design a novel task-aware language-guided sampling strategy that removes redundant 3D Gaussians and injects accurate and compact 3D tokens into LLM. Furthermore, we design a dual-condition multi-modal generation model, where the information captured by our vision-language model is leveraged as a high-level language condition in combination with a low-level image condition, jointly guiding the multi-modal generation process. We conduct comprehensive studies on the nuScenes, and NuInteract datasets to validate the effectiveness of our framework. Our method achieves state-of-the-art performance. We will release the code publicly on GitHub https://github.com/dtc111111/GaussianDWM.

Vision-language-action models (VLAs) have shown generalization capabilities in robotic manipulation tasks by inheriting from vision-language models (VLMs) and learning action generation. Most VLA models focus on interpreting vision and language to generate actions, whereas robots must perceive and interact within the spatial-physical world. This gap highlights the need for a comprehensive understanding of robotic-specific multisensory information, which is crucial for achieving complex and contact-rich control. To this end, we introduce a multisensory language-action (MLA) model that collaboratively perceives heterogeneous sensory modalities and predicts future multisensory objectives to facilitate physical world modeling. Specifically, to enhance perceptual representations, we propose an encoder-free multimodal alignment scheme that innovatively repurposes the large language model itself as a perception module, directly interpreting multimodal cues by aligning 2D images, 3D point clouds, and tactile tokens through positional correspondence. To further enhance MLA's understanding of physical dynamics, we design a future multisensory generation post-training strategy that enables MLA to reason about semantic, geometric, and interaction information, providing more robust conditions for action generation. For evaluation, the MLA model outperforms the previous state-of-the-art 2D and 3D VLA methods by 12% and 24% in complex, contact-rich real-world tasks, respectively, while also demonstrating improved generalization to unseen configurations. Project website: https://sites.google.com/view/open-mla

Real-world objects are composed of distinctive, object-specific parts. Identifying these parts is key to performing fine-grained, compositional reasoning-yet, large multimodal models (LMMs) struggle to perform this seemingly straightforward task. In this work, we introduce PARTONOMY, an LMM benchmark designed for pixel-level part grounding. We construct PARTONOMY from existing part datasets and our own rigorously annotated set of images, encompassing 862 part labels and 534 object labels for evaluation. Unlike existing datasets that simply ask models to identify generic parts, PARTONOMY uses specialized concepts (e.g., agricultural airplane), and challenges models to compare objects' parts, consider part-whole relationships, and justify textual predictions with visual segmentations. Our experiments demonstrate significant limitations in state-of-the-art LMMs (e.g., LISA-13B achieves only 5.9% gIoU), highlighting a critical gap in their part grounding abilities. We note that existing segmentation-enabled LMMs (segmenting LMMs) have two key architectural shortcomings: they use special [SEG] tokens not seen during pretraining which induce distribution shift, and they discard predicted segmentations instead of using past predictions to guide future ones. To address these deficiencies, we train several part-centric LMMs and propose PLUM, a novel segmenting LMM that uses span tagging instead of segmentation tokens and that conditions on prior predictions in a feedback loop. We find that pretrained PLUM outperforms existing segmenting LMMs on reasoning segmentation, VQA, and visual hallucination benchmarks. In addition, PLUM finetuned on our proposed Explanatory Part Segmentation task is competitive with segmenting LMMs trained on significantly more segmentation data. Our work opens up new avenues towards enabling fine-grained, grounded visual understanding in LMMs.

Reliable interpretation of multimodal data in dentistry is essential for automated oral healthcare, yet current multimodal large language models (MLLMs) struggle to capture fine-grained dental visual details and lack sufficient reasoning ability for precise diagnosis. To address these limitations, we present DentalGPT, a specialized dental MLLM developed through high-quality domain knowledge injection and reinforcement learning. Specifically, the largest annotated multimodal dataset for dentistry to date was constructed by aggregating over 120k dental images paired with detailed descriptions that highlight diagnostically relevant visual features, making it the multimodal dataset with the most extensive collection of dental images to date. Training on this dataset significantly enhances the MLLM's visual understanding of dental conditions, while the subsequent reinforcement learning stage further strengthens its capability for multimodal complex reasoning. Comprehensive evaluations on intraoral and panoramic benchmarks, along with dental subsets of medical VQA benchmarks, show that DentalGPT achieves superior performance in disease classification and dental VQA tasks, outperforming many state-of-the-art MLLMs despite having only 7B parameters. These results demonstrate that high-quality dental data combined with staged adaptation provides an effective pathway for building capable and domain-specialized dental MLLMs.

Unified multimodal models (UMMs) unify visual understanding and generation within a single architecture. However, conventional training relies on image-text pairs (or sequences) whose captions are typically sparse and miss fine-grained visual details--even when they use hundreds of words to describe a simple image. We introduce Reconstruction Alignment (RecA), a resource-efficient post-training method that leverages visual understanding encoder embeddings as dense "text prompts," providing rich supervision without captions. Concretely, RecA conditions a UMM on its own visual understanding embeddings and optimizes it to reconstruct the input image with a self-supervised reconstruction loss, thereby realigning understanding and generation. Despite its simplicity, RecA is broadly applicable: across autoregressive, masked-autoregressive, and diffusion-based UMMs, it consistently improves generation and editing fidelity. With only 27 GPU-hours, post-training with RecA substantially improves image generation performance on GenEval (0.73rightarrow0.90) and DPGBench (80.93rightarrow88.15), while also boosting editing benchmarks (ImgEdit 3.38rightarrow3.75, GEdit 6.94rightarrow7.25). Notably, RecA surpasses much larger open-source models and applies broadly across diverse UMM architectures, establishing it as an efficient and general post-training alignment strategy for UMMs

Vision Large Language Models (VLLMs) have demonstrated impressive capabilities in general visual tasks such as image captioning and visual question answering. However, their effectiveness in specialized, safety-critical domains like autonomous driving remains largely unexplored. Autonomous driving systems require sophisticated scene understanding in complex environments, yet existing multimodal benchmarks primarily focus on normal driving conditions, failing to adequately assess VLLMs' performance in safety-critical scenarios. To address this, we introduce DVBench, a pioneering benchmark designed to evaluate the performance of VLLMs in understanding safety-critical driving videos. Built around a hierarchical ability taxonomy that aligns with widely adopted frameworks for describing driving scenarios used in assessing highly automated driving systems, DVBench features 10,000 multiple-choice questions with human-annotated ground-truth answers, enabling a comprehensive evaluation of VLLMs' capabilities in perception and reasoning. Experiments on 14 SOTA VLLMs, ranging from 0.5B to 72B parameters, reveal significant performance gaps, with no model achieving over 40% accuracy, highlighting critical limitations in understanding complex driving scenarios. To probe adaptability, we fine-tuned selected models using domain-specific data from DVBench, achieving accuracy gains ranging from 5.24 to 10.94 percentage points, with relative improvements of up to 43.59%. This improvement underscores the necessity of targeted adaptation to bridge the gap between general-purpose VLLMs and mission-critical driving applications. DVBench establishes an essential evaluation framework and research roadmap for developing VLLMs that meet the safety and robustness requirements for real-world autonomous systems. We released the benchmark toolbox and the fine-tuned model at: https://github.com/tong-zeng/DVBench.git.

Vision-Language Models (VLMs) have advanced across multimodal benchmarks but still show clear gaps in ordinal number understanding, i.e., the ability to track relative positions and generalize to large indices. We present OrdinalBench, a diagnostic benchmark that standardizes ordinal number understanding as an evaluation task for VLMs. The core task is N-th object identification, defined by a starting reference and traversal rule. Task difficulty is controlled along three axes: (i) ordinal magnitude, from small numbers to extreme cases up to 300; (ii) arrangement complexity, from single loops to maze-like paths; and (iii) object count. The benchmark provides 39,000 question-answer pairs, each annotated with a ground-truth reasoning trajectory and balanced across difficulty levels for controlled large-scale testing. Beyond answer-only evaluation, our framework requires models to generate structured stepwise traces of the counting process and provides an open evaluation toolkit that measures both final accuracy and step-level path consistency. Zero-shot evaluations of GPT-5, Gemini 2.5 Flash Lite, Qwen2.5-VL, InternVL3.5, and Molmo reveal sharp degradation under large-ordinal and complex-path conditions, highlighting weak generalization despite strong scores on standard multimodal tasks. By framing ordinal number understanding as a core target, OrdinalBench provides a reproducible benchmark and diagnostic framework for developing VLMs with stronger sequential reasoning. All data and code are available at https://ordinalbench.github.io/

Integrating event cameras with Multimodal Large Language Models (MLLMs) promises general scene understanding in challenging visual conditions, yet requires navigating a trade-off between preserving the unique advantages of event data and ensuring compatibility with frame-based models. We address this challenge by using reconstruction as a bridge, proposing a straightforward Frame-based Reconstruction and Tokenization (FRT) method and designing an efficient Adaptive Reconstruction and Tokenization (ART) method that leverages event sparsity. For robust evaluation, we introduce EvQA, the first objective, real-world benchmark for event-based MLLMs, comprising 1,000 event-Q&A pairs from 22 public datasets. Our experiments demonstrate that our methods achieve state-of-the-art performance on EvQA, highlighting the significant potential of MLLMs in event-based vision.

Large language models allocate uniform computation across all tokens, ignoring that some sequences are trivially predictable while others require deep reasoning. We introduce ConceptMoE, which dynamically merges semantically similar tokens into concept representations, performing implicit token-level compute allocation. A learnable chunk module identifies optimal boundaries by measuring inter-token similarity, compressing sequences by a target ratio R before they enter the compute-intensive concept model. Crucially, the MoE architecture enables controlled evaluation: we reallocate saved computation to match baseline activated FLOPs (excluding attention map computation) and total parameters, isolating genuine architectural benefits. Under these conditions, ConceptMoE consistently outperforms standard MoE across language and vision-language tasks, achieving +0.9 points on language pretraining, +2.3 points on long context understanding, and +0.6 points on multimodal benchmarks. When converting pretrained MoE during continual training with layer looping, gains reach +5.5 points, demonstrating practical applicability. Beyond performance, ConceptMoE reduces attention computation by up to R^2times and KV cache by Rtimes. At R=2, empirical measurements show prefill speedups reaching 175\% and decoding speedups up to 117\% on long sequences. The minimal architectural modifications enable straightforward integration into existing MoE, demonstrating that adaptive concept-level processing fundamentally improves both effectiveness and efficiency of large language models.

We address a challenging and practical task of labeling questions in speech in real time during telephone calls to emergency medical services in English, which embeds within a broader decision support system for emergency call-takers. We propose a novel multimodal approach to real-time sequence labeling in speech. Our model treats speech and its own textual representation as two separate modalities or views, as it jointly learns from streamed audio and its noisy transcription into text via automatic speech recognition. Our results show significant gains of jointly learning from the two modalities when compared to text or audio only, under adverse noise and limited volume of training data. The results generalize to medical symptoms detection where we observe a similar pattern of improvements with multimodal learning.

Audio-visual understanding is a rapidly evolving field that seeks to integrate and interpret information from both auditory and visual modalities. Despite recent advances in multi-modal learning, existing benchmarks often suffer from strong visual bias -- where answers can be inferred from visual data alone -- and provide only aggregate scores that conflate multiple sources of error. This makes it difficult to determine whether models struggle with visual understanding, audio interpretation, or audio-visual alignment. In this work, we introduce DAVE (Diagnostic Audio Visual Evaluation), a novel benchmark dataset designed to systematically evaluate audio-visual models across controlled challenges. DAVE alleviates existing limitations by (i) ensuring both modalities are necessary to answer correctly and (ii) decoupling evaluation into atomic subcategories. Our detailed analysis of state-of-the-art models reveals specific failure modes and provides targeted insights for improvement. By offering this standardized diagnostic framework, we aim to facilitate more robust development of audio-visual models. The dataset is released: https://github.com/gorjanradevski/dave

Our experience of the world is multimodal - we see objects, hear sounds, feel texture, smell odors, and taste flavors. Modality refers to the way in which something happens or is experienced and a research problem is characterized as multimodal when it includes multiple such modalities. In order for Artificial Intelligence to make progress in understanding the world around us, it needs to be able to interpret such multimodal signals together. Multimodal machine learning aims to build models that can process and relate information from multiple modalities. It is a vibrant multi-disciplinary field of increasing importance and with extraordinary potential. Instead of focusing on specific multimodal applications, this paper surveys the recent advances in multimodal machine learning itself and presents them in a common taxonomy. We go beyond the typical early and late fusion categorization and identify broader challenges that are faced by multimodal machine learning, namely: representation, translation, alignment, fusion, and co-learning. This new taxonomy will enable researchers to better understand the state of the field and identify directions for future research.

Accurate and interpretable multi-disease diagnosis remains a critical challenge in medical research, particularly when leveraging heterogeneous multimodal medical data. Current approaches often rely on single-modal data, limiting their ability to comprehensively understand complex diseases. To address this, we propose MedTVT-R1, a novel Multimodal Large Language Model (MLLM) framework designed to integrate clinical multimodal data for reasoning and diagnosing multiple diseases. We construct MedTVT-QA, a curated instruction dataset that provides question-answer pairs for physiological-level interpretations and disease-level diagnoses with a Chain of Evidence approach. MedTVT-R1 incorporates a modality perception layer to capture inter-modal dependencies and adaptively weight modality contributions. Additionally, we employ Group Relative Policy Optimization (GRPO)-based Reinforcement Fine-Tuning with a Jaccard Reward function to enhance diagnostic reasoning. Experimental results demonstrate MedTVT-R1's superiority in multimodal feature utilization and multi-disease diagnosis, offering significant potential for clinical applications such as diagnostic report generation and comorbidity reasoning. The dataset and code are available at https://github.com/keke-nice/MedTVT-R1.

Multimodal Large Language Models have demonstrated impressive capabilities across tasks, yet they often exhibit difficulty in distinguishing task-relevant from irrelevant signals -- particularly in tasks like Visual Question Answering -- which can lead to susceptibility to misleading or spurious inputs. We refer to this broader limitation as the Cross-Modality Competency Problem -- the model's inability to fairly evaluate all modalities. This vulnerability becomes more evident in modality-specific tasks -- such as image classification or pure text question answering -- where models are expected to rely solely on one modality. In such tasks, spurious information from irrelevant modalities often leads to significant performance degradation. We refer to this failure as Modality Interference, which serves as a concrete and measurable instance of the cross-modality competency problem, and we further design a perturbation-based causal diagnostic experiment to verify and quantify this problem. To mitigate modality interference, we propose a novel framework to finetune MLLMs, including perturbation-based data augmentations with both heuristic perturbations and adversarial perturbations, and a consistency regularization strategy applying on model outputs with original and perturbed inputs. Experiments on multiple benchmark datasets (image-heavy, text-heavy and multimodal tasks) and multiple model families with different scales demonstrate significant improvements in robustness and cross-modality competency, indicating our method's effectiveness in boosting unimodal reasoning ability while enhancing performance on multimodal tasks.

Deep models that are both effective and explainable are desirable in many settings; prior explainable models have been unimodal, offering either image-based visualization of attention weights or text-based generation of post-hoc justifications. We propose a multimodal approach to explanation, and argue that the two modalities provide complementary explanatory strengths. We collect two new datasets to define and evaluate this task, and propose a novel model which can provide joint textual rationale generation and attention visualization. Our datasets define visual and textual justifications of a classification decision for activity recognition tasks (ACT-X) and for visual question answering tasks (VQA-X). We quantitatively show that training with the textual explanations not only yields better textual justification models, but also better localizes the evidence that supports the decision. We also qualitatively show cases where visual explanation is more insightful than textual explanation, and vice versa, supporting our thesis that multimodal explanation models offer significant benefits over unimodal approaches.

Multimodal large language models (MLLMs), built on large-scale pre-trained vision towers and language models, have shown great capabilities in multimodal understanding. However, most existing MLLMs are trained on single-turn vision question-answering tasks, which do not accurately reflect real-world human conversations. In this paper, we introduce MMDiag, a multi-turn multimodal dialogue dataset. This dataset is collaboratively generated through deliberately designed rules and GPT assistance, featuring strong correlations between questions, between questions and images, and among different image regions; thus aligning more closely with real-world scenarios. MMDiag serves as a strong benchmark for multi-turn multimodal dialogue learning and brings more challenges to the grounding and reasoning capabilities of MLLMs. Further, inspired by human vision processing, we present DiagNote, an MLLM equipped with multimodal grounding and reasoning capabilities. DiagNote consists of two modules (Deliberate and Gaze) interacting with each other to perform Chain-of-Thought and annotations respectively, throughout multi-turn dialogues. We empirically demonstrate the advantages of DiagNote in both grounding and jointly processing and reasoning with vision and language information over existing MLLMs.

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guideline-enhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at https://github.com/tdlhl/RAD.

The rapid development of Artificial Intelligence (AI) has revolutionized numerous fields, with large language models (LLMs) and computer vision (CV) systems driving advancements in natural language understanding and visual processing, respectively. The convergence of these technologies has catalyzed the rise of multimodal AI, enabling richer, cross-modal understanding that spans text, vision, audio, and video modalities. Multimodal large language models (MLLMs), in particular, have emerged as a powerful framework, demonstrating impressive capabilities in tasks like image-text generation, visual question answering, and cross-modal retrieval. Despite these advancements, the complexity and scale of MLLMs introduce significant challenges in interpretability and explainability, essential for establishing transparency, trustworthiness, and reliability in high-stakes applications. This paper provides a comprehensive survey on the interpretability and explainability of MLLMs, proposing a novel framework that categorizes existing research across three perspectives: (I) Data, (II) Model, (III) Training \& Inference. We systematically analyze interpretability from token-level to embedding-level representations, assess approaches related to both architecture analysis and design, and explore training and inference strategies that enhance transparency. By comparing various methodologies, we identify their strengths and limitations and propose future research directions to address unresolved challenges in multimodal explainability. This survey offers a foundational resource for advancing interpretability and transparency in MLLMs, guiding researchers and practitioners toward developing more accountable and robust multimodal AI systems.

In this paper, we introduce a novel Multi-Modal Contrastive Pre-training Framework that synergistically combines X-rays, electrocardiograms (ECGs), and radiology/cardiology reports. Our approach leverages transformers to encode these diverse modalities into a unified representation space, aiming to enhance diagnostic accuracy and facilitate comprehensive patient assessments. We utilize LoRA-Peft to significantly reduce trainable parameters in the LLM and incorporate recent linear attention dropping strategy in the Vision Transformer(ViT) for smoother attention. Furthermore, we provide novel multimodal attention explanations and retrieval for our model. To the best of our knowledge, we are the first to propose an integrated model that combines X-ray, ECG, and Radiology/Cardiology Report with this approach. By utilizing contrastive loss, MoRE effectively aligns modality-specific features into a coherent embedding, which supports various downstream tasks such as zero-shot classification and multimodal retrieval. Employing our proposed methodology, we achieve state-of-the-art (SOTA) on the Mimic-IV, CheXpert, Edema Severity, and PtbXl downstream datasets, surpassing existing multimodal approaches. Our proposed framework shows significant improvements in capturing intricate inter-modal relationships and its robustness in medical diagnosis that establishes a framework for future research in multimodal learning in the healthcare sector.

While existing large vision-language multimodal models focus on whole image understanding, there is a prominent gap in achieving region-specific comprehension. Current approaches that use textual coordinates or spatial encodings often fail to provide a user-friendly interface for visual prompting. To address this challenge, we introduce a novel multimodal model capable of decoding arbitrary visual prompts. This allows users to intuitively mark images and interact with the model using natural cues like a "red bounding box" or "pointed arrow". Our simple design directly overlays visual markers onto the RGB image, eliminating the need for complex region encodings, yet achieves state-of-the-art performance on region-understanding tasks like Visual7W, PointQA, and Visual Commonsense Reasoning benchmark. Furthermore, we present ViP-Bench, a comprehensive benchmark to assess the capability of models in understanding visual prompts across multiple dimensions, enabling future research in this domain. Code, data, and model are publicly available.

Large multimodal models (LMMs) combine unimodal encoders and large language models (LLMs) to perform multimodal tasks. Despite recent advancements towards the interpretability of these models, understanding internal representations of LMMs remains largely a mystery. In this paper, we present a novel framework for the interpretation of LMMs. We propose a dictionary learning based approach, applied to the representation of tokens. The elements of the learned dictionary correspond to our proposed concepts. We show that these concepts are well semantically grounded in both vision and text. Thus we refer to these as ``multi-modal concepts''. We qualitatively and quantitatively evaluate the results of the learnt concepts. We show that the extracted multimodal concepts are useful to interpret representations of test samples. Finally, we evaluate the disentanglement between different concepts and the quality of grounding concepts visually and textually. Our code is publicly available at https://github.com/mshukor/xl-vlms

Medical diagnostic applications require models that can process multimodal medical inputs (images, patient histories, lab results) and generate diverse outputs including both textual reports and visual content (annotations, segmentation masks, and images). Despite this need, existing medical AI systems disrupt this unified process: medical image understanding models interpret images but cannot generate visual outputs, while medical image generation models synthesize images but cannot provide textual explanations. This leads to gaps in data representation, feature integration, and task-level multimodal capabilities. To this end, we propose a multi-level framework that draws inspiration from diagnostic workflows through the Observation-Knowledge-Analysis (OKA) paradigm. Specifically, at the observation level, we construct UniMed-5M, a dataset comprising over 5.6M samples that reformat diverse unimodal data into multimodal pairs for foundational observation. At the knowledge level, we propose Progressive Curriculum Learning that systematically introduces medical multimodal knowledge. At the analysis level, we introduce UniMedVL, the first medical unified multimodal model for the simultaneous analysis of image understanding and generation tasks within a single architecture. UniMedVL achieves superior performance on five medical image understanding benchmarks, while matching specialized models in generation quality across eight medical imaging modalities. Crucially, our unified architecture enables bidirectional knowledge sharing: generation tasks enhance visual understanding features, demonstrating that integrating traditionally separate capabilities within a single medical framework unlocks improvements across diverse medical vision-language tasks. Code is available at https://github.com/uni-medical/UniMedVL.

Predicting multiple real-world tasks in a single model often requires a particularly diverse feature space. Multimodal (MM) models aim to extract the synergistic predictive potential of multiple data types to create a shared feature space with aligned semantic meaning across inputs of drastically varying sizes (i.e. images, text, sound). Most current MM architectures fuse these representations in parallel, which not only limits their interpretability but also creates a dependency on modality availability. We present MultiModN, a multimodal, modular network that fuses latent representations in a sequence of any number, combination, or type of modality while providing granular real-time predictive feedback on any number or combination of predictive tasks. MultiModN's composable pipeline is interpretable-by-design, as well as innately multi-task and robust to the fundamental issue of biased missingness. We perform four experiments on several benchmark MM datasets across 10 real-world tasks (predicting medical diagnoses, academic performance, and weather), and show that MultiModN's sequential MM fusion does not compromise performance compared with a baseline of parallel fusion. By simulating the challenging bias of missing not-at-random (MNAR), this work shows that, contrary to MultiModN, parallel fusion baselines erroneously learn MNAR and suffer catastrophic failure when faced with different patterns of MNAR at inference. To the best of our knowledge, this is the first inherently MNAR-resistant approach to MM modeling. In conclusion, MultiModN provides granular insights, robustness, and flexibility without compromising performance.

Reasoning is central to human intelligence, enabling structured problem-solving across diverse tasks. Recent advances in large language models (LLMs) have greatly enhanced their reasoning abilities in arithmetic, commonsense, and symbolic domains. However, effectively extending these capabilities into multimodal contexts-where models must integrate both visual and textual inputs-continues to be a significant challenge. Multimodal reasoning introduces complexities, such as handling conflicting information across modalities, which require models to adopt advanced interpretative strategies. Addressing these challenges involves not only sophisticated algorithms but also robust methodologies for evaluating reasoning accuracy and coherence. This paper offers a concise yet insightful overview of reasoning techniques in both textual and multimodal LLMs. Through a thorough and up-to-date comparison, we clearly formulate core reasoning challenges and opportunities, highlighting practical methods for post-training optimization and test-time inference. Our work provides valuable insights and guidance, bridging theoretical frameworks and practical implementations, and sets clear directions for future research.

Multimodal models have gained significant success in recent years. Standard multimodal approaches often assume unchanged modalities from training stage to inference stage. In practice, however, many scenarios fail to satisfy such assumptions with missing modalities during inference, leading to limitations on where multimodal models can be applied. While existing methods mitigate the problem through reconstructing the missing modalities, it increases unnecessary computational cost, which could be just as critical, especially for large, deployed systems. To solve the problem from both sides, we propose a novel guidance network that promotes knowledge sharing during training, taking advantage of the multimodal representations to train better single-modality models for inference. Real-life experiment in violence detection shows that our proposed framework trains single-modality models that significantly outperform its traditionally trained counterparts while maintaining the same inference cost.

Multimodal large language models (MLLMs) have made significant progress in vision-language understanding, yet effectively aligning different modalities remains a fundamental challenge. We present a framework that unifies multimodal understanding by applying byte-pair encoding to visual tokens. Unlike conventional approaches that rely on modality-specific encoders, our method directly incorporates structural information into visual tokens, mirroring successful tokenization strategies in text-only language models. We introduce a priority-guided encoding scheme that considers both frequency and spatial consistency, coupled with a multi-stage training procedure based on curriculum-driven data composition. These enhancements enable the transformer model to better capture cross-modal relationships and reason with visual information. Comprehensive experiments demonstrate improved performance across diverse vision-language tasks. By bridging the gap between visual and textual representations, our approach contributes to the advancement of more capable and efficient multimodal foundation models.

Despite an exciting new wave of multimodal machine learning models, current approaches still struggle to interpret the complex contextual relationships between the different modalities present in videos. Going beyond existing methods that emphasize simple activities or objects, we propose a new model-agnostic approach for generating detailed textual descriptions that captures multimodal video information. Our method leverages the extensive knowledge learnt by large language models, such as GPT-3.5 or Llama2, to reason about textual descriptions of the visual and aural modalities, obtained from BLIP-2, Whisper and ImageBind. Without needing additional finetuning of video-text models or datasets, we demonstrate that available LLMs have the ability to use these multimodal textual descriptions as proxies for ``sight'' or ``hearing'' and perform zero-shot multimodal classification of videos in-context. Our evaluations on popular action recognition benchmarks, such as UCF-101 or Kinetics, show these context-rich descriptions can be successfully used in video understanding tasks. This method points towards a promising new research direction in multimodal classification, demonstrating how an interplay between textual, visual and auditory machine learning models can enable more holistic video understanding.

Motivated by in-context learning (ICL) capabilities of Large Language models (LLMs), multimodal LLMs with additional visual modality are also exhibited with similar ICL abilities when multiple image-text pairs are provided as demonstrations. However, relatively less work has been done to investigate the principles behind how and why multimodal ICL works. We conduct a systematic and principled evaluation of multimodal ICL for models of different scales on a broad spectrum of new yet critical tasks. Through perturbations over different modality information, we show that modalities matter differently across tasks in multimodal ICL. Considering such modality impact, we further utilize modality-driven demonstration strategies to boost ICL performance. We also identify that demonstration selection is closely related to the models' ability to capture task inductive biases from multimodal ICL. Our principled analysis provides a comprehensive way of understanding the role of demonstrations in multimodal in-context learning, and sheds light on effectively improving multimodal ICL on a wide range of tasks even if those tasks are not seen in or even contradict pretraining data.

People perceive the world with multiple senses (e.g., through hearing sounds, reading words and seeing objects). However, most existing AI systems only process an individual modality. This paper presents an approach that excels at handling multiple modalities of information with a single model. In our "{SkillNet}" model, different parts of the parameters are specialized for processing different modalities. Unlike traditional dense models that always activate all the model parameters, our model sparsely activates parts of the parameters whose skills are relevant to the task. Such model design enables SkillNet to learn skills in a more interpretable way. We develop our model for five modalities including text, image, sound, video and code. Results show that, SkillNet performs comparably to five modality-specific fine-tuned models. Moreover, our model supports self-supervised pretraining with the same sparsely activated way, resulting in better initialized parameters for different modalities. We find that pretraining significantly improves the performance of SkillNet on five modalities, on par with or even better than baselines with modality-specific pretraining. On the task of Chinese text-to-image retrieval, our final system achieves higher accuracy than existing leading systems including Wukong{ViT-B} and Wenlan 2.0 while using less number of activated parameters.

Image-text multimodal representation learning aligns data across modalities and enables important medical applications, e.g., image classification, visual grounding, and cross-modal retrieval. In this work, we establish a connection between multimodal representation learning and multiple instance learning. Based on this connection, we propose a generic framework for constructing permutation-invariant score functions with many existing multimodal representation learning approaches as special cases. Furthermore, we use the framework to derive a novel contrastive learning approach and demonstrate that our method achieves state-of-the-art results in several downstream tasks.

In most Vision-Language models (VL), the understanding of the image structure is enabled by injecting the position information (PI) about objects in the image. In our case study of LXMERT, a state-of-the-art VL model, we probe the use of the PI in the representation and study its effect on Visual Question Answering. We show that the model is not capable of leveraging the PI for the image-text matching task on a challenge set where only position differs. Yet, our experiments with probing confirm that the PI is indeed present in the representation. We introduce two strategies to tackle this: (i) Positional Information Pre-training and (ii) Contrastive Learning on PI using Cross-Modality Matching. Doing so, the model can correctly classify if images with detailed PI statements match. Additionally to the 2D information from bounding boxes, we introduce the object's depth as new feature for a better object localization in the space. Even though we were able to improve the model properties as defined by our probes, it only has a negligible effect on the downstream performance. Our results thus highlight an important issue of multimodal modeling: the mere presence of information detectable by a probing classifier is not a guarantee that the information is available in a cross-modal setup.

Multimodal learning with incomplete modality is practical and challenging. Recently, researchers have focused on enhancing the robustness of pre-trained MultiModal Transformers (MMTs) under missing modality conditions by applying learnable prompts. However, these prompt-based methods face several limitations: (1) incomplete modalities provide restricted modal cues for task-specific inference, (2) dummy imputation for missing content causes information loss and introduces noise, and (3) static prompts are instance-agnostic, offering limited knowledge for instances with various missing conditions. To address these issues, we propose RAGPT, a novel Retrieval-AuGmented dynamic Prompt Tuning framework. RAGPT comprises three modules: (I) the multi-channel retriever, which identifies similar instances through a within-modality retrieval strategy, (II) the missing modality generator, which recovers missing information using retrieved contexts, and (III) the context-aware prompter, which captures contextual knowledge from relevant instances and generates dynamic prompts to largely enhance the MMT's robustness. Extensive experiments conducted on three real-world datasets show that RAGPT consistently outperforms all competitive baselines in handling incomplete modality problems. The code of our work and prompt-based baselines is available at https://github.com/Jian-Lang/RAGPT.

Understanding the interplay between intra-modality dependencies (the contribution of an individual modality to a target task) and inter-modality dependencies (the relationships between modalities and the target task) is fundamental to advancing multi-modal learning. However, the nature of and interaction between these dependencies within current benchmark evaluations remains poorly characterized. In this work, we present a large-scale empirical study to quantify these dependencies across 23 visual question-answering benchmarks using multi-modal large language models (MLLMs) covering domains such as general and expert knowledge reasoning, optical character recognition, and document understanding. Our findings show that the reliance on vision, question (text), and their interaction varies significantly, both across and within benchmarks. We discover that numerous benchmarks intended to mitigate text-only biases have inadvertently amplified image-only dependencies. This characterization persists across model sizes and types, with models often obtaining high performance by using each modality independently and showing limited dependence on their interaction. We provide a quantitative characterization of multi-modal datasets, enabling a principled approach to multi-modal benchmark design and evaluation.

Recent advances in Large Multimodal Models (LMMs) lead to significant breakthroughs in both academia and industry. One question that arises is how we, as humans, can understand their internal neural representations. This paper takes an initial step towards addressing this question by presenting a versatile framework to identify and interpret the semantics within LMMs. Specifically, 1) we first apply a Sparse Autoencoder(SAE) to disentangle the representations into human understandable features. 2) We then present an automatic interpretation framework to interpreted the open-semantic features learned in SAE by the LMMs themselves. We employ this framework to analyze the LLaVA-NeXT-8B model using the LLaVA-OV-72B model, demonstrating that these features can effectively steer the model's behavior. Our results contribute to a deeper understanding of why LMMs excel in specific tasks, including EQ tests, and illuminate the nature of their mistakes along with potential strategies for their rectification. These findings offer new insights into the internal mechanisms of LMMs and suggest parallels with the cognitive processes of the human brain.

Multimodal large language models (MLLMs) can process text presented as images, yet they often perform worse than when the same content is provided as textual tokens. We systematically diagnose this "modality gap" by evaluating seven MLLMs across seven benchmarks in five input modes, spanning both synthetically rendered text and realistic document images from arXiv PDFs to Wikipedia pages. We find that the modality gap is task- and data-dependent. For example, math tasks degrade by over 60 points on synthetic renderings, while natural document images often match or exceed text-mode performance. Rendering choices such as font and resolution are strong confounds, with font alone swinging accuracy by up to 47 percentage points. To understand this, we conduct a grounded-theory error analysis of over 4,000 examples, revealing that image mode selectively amplifies reading errors (calculation and formatting failures) while leaving knowledge and reasoning errors largely unchanged, and that some models exhibit a chain-of-thought reasoning collapse under visual input. Motivated by these findings, we propose a self-distillation method that trains the model on its own pure text reasoning traces paired with image inputs, raising image-mode accuracy on GSM8K from 30.71% to 92.72% and transferring to unseen benchmarks without catastrophic forgetting. Overall, our study provides a systematic understanding of the modality gap and suggests a practical path toward improving visual text understanding in multimodal language models.

Through a controlled study, we identify a systematic deficiency in the multimodal grounding of Vision Language Models (VLMs). While VLMs can recall factual associations when provided a textual reference to an entity; their ability to do so is significantly diminished when the reference is visual instead. Forcing VLMs to rely on image representations of an entity halves their ability to recall factual knowledge, suggesting that VLMs struggle to link their internal knowledge of an entity with its image representation. We show that such linking failures are correlated with the expression of distinct patterns in model internal states, and that probes on these internal states achieve over 92% accuracy at flagging cases where the VLM response is unreliable. These probes can be applied, without retraining, to identify when a VLM will fail to correctly answer a question that requires an understanding of multimodal input. When used to facilitate selective prediction on a visual question answering task, the probes increase coverage by 7.87% (absolute) while also reducing the risk of error by 0.9% (absolute). Addressing the systematic, detectable deficiency is an important avenue in language grounding, and we provide informed recommendations for future directions.

Supervised multi-modal learning involves mapping multiple modalities to a target label. Previous studies in this field have concentrated on capturing in isolation either the inter-modality dependencies (the relationships between different modalities and the label) or the intra-modality dependencies (the relationships within a single modality and the label). We argue that these conventional approaches that rely solely on either inter- or intra-modality dependencies may not be optimal in general. We view the multi-modal learning problem from the lens of generative models where we consider the target as a source of multiple modalities and the interaction between them. Towards that end, we propose inter- & intra-modality modeling (I2M2) framework, which captures and integrates both the inter- and intra-modality dependencies, leading to more accurate predictions. We evaluate our approach using real-world healthcare and vision-and-language datasets with state-of-the-art models, demonstrating superior performance over traditional methods focusing only on one type of modality dependency.

Multimodal large language models (MLLMs) recently showed strong capacity in integrating data among multiple modalities, empowered by a generalizable attention architecture. Advanced methods predominantly focus on language-centric tuning while less exploring multimodal tokens mixed through attention, posing challenges in high-level tasks that require fine-grained cognition and emotion understanding. In this work, we identify the attention deficit disorder problem in multimodal learning, caused by inconsistent cross-modal attention and layer-by-layer decayed attention activation. To address this, we propose a novel attention mechanism, termed MOdular Duplex Attention (MODA), simultaneously conducting the inner-modal refinement and inter-modal interaction. MODA employs a correct-after-align strategy to effectively decouple modality alignment from cross-layer token mixing. In the alignment phase, tokens are mapped to duplex modality spaces based on the basis vectors, enabling the interaction between visual and language modality. Further, the correctness of attention scores is ensured through adaptive masked attention, which enhances the model's flexibility by allowing customizable masking patterns for different modalities. Extensive experiments on 21 benchmark datasets verify the effectiveness of MODA in perception, cognition, and emotion tasks. Source code and demo are available in https://zzcheng.top/MODA.

Multimodal large language models (MLLMs) can simultaneously process visual, textual, and auditory data, capturing insights that complement human analysis. However, existing video question-answering (VidQA) benchmarks and datasets often exhibit a bias toward a single modality, despite the goal of requiring advanced reasoning skills that integrate diverse modalities to answer the queries. In this work, we introduce the modality importance score (MIS) to identify such bias. It is designed to assess which modality embeds the necessary information to answer the question. Additionally, we propose an innovative method using state-of-the-art MLLMs to estimate the modality importance, which can serve as a proxy for human judgments of modality perception. With this MIS, we demonstrate the presence of unimodal bias and the scarcity of genuinely multimodal questions in existing datasets. We further validate the modality importance score with multiple ablation studies to evaluate the performance of MLLMs on permuted feature sets. Our results indicate that current models do not effectively integrate information due to modality imbalance in existing datasets. Our proposed MLLM-derived MIS can guide the curation of modality-balanced datasets that advance multimodal learning and enhance MLLMs' capabilities to understand and utilize synergistic relations across modalities.

Despite remarkable advancements in Multimodal Large Language Models (MLLMs), a fundamental question remains: are MLLMs robust to contradicting modalities? To rigorously study this, we introduce MMA-Bench comprising videos and tasks that probe a model's reliance on specific modalities. Using black-box and white-box interpretability techniques, we provide a critical analysis of the brittleness of both open- and closed-sourced MLLMs. We show that current MLLMs struggle under misaligned audio-visual pairs and simple misleading text, thereby lacking robust multi-modal reasoning. Building on these findings, we propose a modality alignment tuning strategy to teach the model when to prioritize, leverage, or ignore specific modality cues. Through extensive experiments and analysis, we show that our alignment tuning yields demonstrably stronger multimodal grounding. This work provides both interpretability tools and a clear path toward developing MLLMs with intrinsically reliable cross-modal reasoning. Code and dataset will be publicly available.

This study delves into the realm of multi-modality (i.e., video and motion modalities) human behavior understanding by leveraging the powerful capabilities of Large Language Models (LLMs). Diverging from recent LLMs designed for video-only or motion-only understanding, we argue that understanding human behavior necessitates joint modeling from both videos and motion sequences (e.g., SMPL sequences) to capture nuanced body part dynamics and semantics effectively. In light of this, we present MotionLLM, a straightforward yet effective framework for human motion understanding, captioning, and reasoning. Specifically, MotionLLM adopts a unified video-motion training strategy that leverages the complementary advantages of existing coarse video-text data and fine-grained motion-text data to glean rich spatial-temporal insights. Furthermore, we collect a substantial dataset, MoVid, comprising diverse videos, motions, captions, and instructions. Additionally, we propose the MoVid-Bench, with carefully manual annotations, for better evaluation of human behavior understanding on video and motion. Extensive experiments show the superiority of MotionLLM in the caption, spatial-temporal comprehension, and reasoning ability.

Vision-language models in pathology enable multimodal case retrieval and automated report generation. Many of the models developed so far, however, have been trained on pathology reports that include information which cannot be inferred from paired whole slide images (e.g., patient history), potentially leading to hallucinated sentences in generated reports. To this end, we investigate how the selection of information from pathology reports for vision-language modeling affects the quality of the multimodal representations and generated reports. More concretely, we compare a model trained on full reports against a model trained on preprocessed reports that only include sentences describing the cell and tissue appearances based on the H&E-stained slides. For the experiments, we built upon the BLIP-2 framework and used a cutaneous melanocytic lesion dataset of 42,433 H&E-stained whole slide images and 19,636 corresponding pathology reports. Model performance was assessed using image-to-text and text-to-image retrieval, as well as qualitative evaluation of the generated reports by an expert pathologist. Our results demonstrate that text preprocessing prevents hallucination in report generation. Despite the improvement in the quality of the generated reports, training the vision-language model on full reports showed better cross-modal retrieval performance.

The integration of multimodal data including pathology images and gene profiles is widely applied in precise survival prediction. Despite recent advances in multimodal survival models, collecting complete modalities for multimodal fusion still poses a significant challenge, hindering their application in clinical settings. Current approaches tackling incomplete modalities often fall short, as they typically compensate for only a limited part of the knowledge of missing modalities. To address this issue, we propose a Distilled Prompt Learning framework (DisPro) to utilize the strong robustness of Large Language Models (LLMs) to missing modalities, which employs two-stage prompting for compensation of comprehensive information for missing modalities. In the first stage, Unimodal Prompting (UniPro) distills the knowledge distribution of each modality, preparing for supplementing modality-specific knowledge of the missing modality in the subsequent stage. In the second stage, Multimodal Prompting (MultiPro) leverages available modalities as prompts for LLMs to infer the missing modality, which provides modality-common information. Simultaneously, the unimodal knowledge acquired in the first stage is injected into multimodal inference to compensate for the modality-specific knowledge of the missing modality. Extensive experiments covering various missing scenarios demonstrated the superiority of the proposed method. The code is available at https://github.com/Innse/DisPro.

Healthcare data now span EHRs, medical imaging, genomics, and wearable sensors, but most diagnostic models still process these modalities in isolation. This limits their ability to capture early, cross-modal disease signatures. This paper introduces a multimodal foundation model built on a transformer architecture that integrates heterogeneous clinical data through modality-specific encoders and cross-modal attention. Each modality is mapped into a shared latent space and fused using multi-head attention with residual normalization. We implement the framework using a multimodal dataset that simulates early-stage disease patterns across EHR sequences, imaging patches, genomic profiles, and wearable signals, including missing-modality scenarios and label noise. The model is trained using supervised classification together with self-supervised reconstruction and contrastive alignment to improve robustness. Experimental evaluation demonstrates strong performance in early-detection settings, with stable classification metrics, reliable uncertainty estimates, and interpretable attention patterns. The approach moves toward a flexible, pretrain-and-fine-tune foundation model that supports precision diagnostics, handles incomplete inputs, and improves early disease detection across oncology, cardiology, and neurology applications.

Human perception integrates multiple modalities, such as vision, hearing, and language, into a unified understanding of the surrounding reality. While recent multimodal models have achieved significant progress by aligning pairs of modalities via contrastive learning, their solutions are unsuitable when scaling to multiple modalities. These models typically align each modality to a designated anchor without ensuring the alignment of all modalities with each other, leading to suboptimal performance in tasks requiring a joint understanding of multiple modalities. In this paper, we structurally rethink the pairwise conventional approach to multimodal learning and we present the novel Gramian Representation Alignment Measure (GRAM), which overcomes the above-mentioned limitations. GRAM learns and then aligns n modalities directly in the higher-dimensional space in which modality embeddings lie by minimizing the Gramian volume of the k-dimensional parallelotope spanned by the modality vectors, ensuring the geometric alignment of all modalities simultaneously. GRAM can replace cosine similarity in any downstream method, holding for 2 to n modalities and providing more meaningful alignment with respect to previous similarity measures. The novel GRAM-based contrastive loss function enhances the alignment of multimodal models in the higher-dimensional embedding space, leading to new state-of-the-art performance in downstream tasks such as video-audio-text retrieval and audio-video classification. The project page, the code, and the pretrained models are available at https://ispamm.github.io/GRAM/.

Hallucinations in large vision-language models (LVLMs) pose significant challenges for real-world applications, as LVLMs may generate responses that appear plausible yet remain inconsistent with the associated visual content. This issue rarely occurs in human cognition. We argue that this discrepancy arises from humans' ability to effectively leverage multimodal interaction information in data samples. Specifically, humans typically first gather multimodal information, analyze the interactions across modalities for understanding, and then express their understanding through language. Motivated by this observation, we conduct extensive experiments on popular LVLMs and obtained insights that surprisingly reveal human-like, though less pronounced, cognitive behavior of LVLMs on multimodal samples. Building on these findings, we further propose INTER: Interaction Guidance Sampling, a novel training-free algorithm that mitigate hallucinations without requiring additional data. Specifically, INTER explicitly guides LVLMs to effectively reapply their understanding of multimodal interaction information when generating responses, thereby reducing potential hallucinations. On six benchmarks including VQA and image captioning tasks, INTER achieves an average improvement of up to 3.4\% on five LVLMs compared to the state-of-the-art decoding strategy. The code will be released when the paper is accepted.

Multimodal Large Language Models (MLLMs) suffer from cross-modal hallucinations, where one modality inappropriately influences generation about another, leading to fabricated output. This exposes a more fundamental deficiency in modality-interaction control. To address this, we propose Modality-Adaptive Decoding (MAD), a training-free method that adaptively weights modality-specific decoding branches based on task requirements. MAD leverages the model's inherent ability to self-assess modality relevance by querying which modalities are needed for each task. The extracted modality probabilities are then used to adaptively weight contrastive decoding branches, enabling the model to focus on relevant information while suppressing cross-modal interference. Extensive experiments on CMM and AVHBench demonstrate that MAD significantly reduces cross-modal hallucinations across multiple audio-visual language models (7.8\% and 2.0\% improvements for VideoLLaMA2-AV, 8.7\% and 4.7\% improvements for Qwen2.5-Omni). Our approach demonstrates that explicit modality awareness through self-assessment is crucial for robust multimodal reasoning, offering a principled extension to existing contrastive decoding methods. Our code is available at https://github.com/top-yun/MAD{https://github.com/top-yun/MAD}

With the bloom of Large Language Models (LLMs), Multimodal Large Language Models (MLLMs) that incorporate LLMs with pre-trained vision models have recently demonstrated impressive performance across diverse vision-language tasks. However, they fall short to comprehend context involving multiple images. A primary reason for this shortcoming is that the visual features for each images are encoded individually by frozen encoders before feeding into the LLM backbone, lacking awareness of other images and the multimodal instructions. We term this issue as prior-LLM modality isolation and propose a two phase paradigm, browse-and-concentrate, to enable in-depth multimodal context fusion prior to feeding the features into LLMs. This paradigm initially "browses" through the inputs for essential insights, and then revisits the inputs to "concentrate" on crucial details, guided by these insights, to achieve a more comprehensive understanding of the multimodal inputs. Additionally, we develop training strategies specifically to enhance the understanding of multi-image inputs. Our method markedly boosts the performance on 7 multi-image scenarios, contributing to increments on average accuracy by 2.13% and 7.60% against strong MLLMs baselines with 3B and 11B LLMs, respectively.

Recent advancements in Multimodal Large Language Models (MLLMs) have demonstrated remarkable progress in visual understanding. This impressive leap raises a compelling question: how can language models, initially trained solely on linguistic data, effectively interpret and process visual content? This paper aims to address this question with systematic investigation across 4 model families and 4 model scales, uncovering a unique class of attention heads that focus specifically on visual content. Our analysis reveals a strong correlation between the behavior of these attention heads, the distribution of attention weights, and their concentration on visual tokens within the input. These findings enhance our understanding of how LLMs adapt to multimodal tasks, demonstrating their potential to bridge the gap between textual and visual understanding. This work paves the way for the development of AI systems capable of engaging with diverse modalities.

Multimodal learning typically relies on the assumption that all modalities are fully available during both the training and inference phases. However, in real-world scenarios, consistently acquiring complete multimodal data presents significant challenges due to various factors. This often leads to the issue of missing modalities, where data for certain modalities are absent, posing considerable obstacles not only for the availability of multimodal pretrained models but also for their fine-tuning and the preservation of robustness in downstream tasks. To address these challenges, we propose a novel framework integrating parameter-efficient fine-tuning of unimodal pretrained models with a self-supervised joint-embedding learning method. This framework enables the model to predict the embedding of a missing modality in the representation space during inference. Our method effectively predicts the missing embedding through prompt tuning, leveraging information from available modalities. We evaluate our approach on several multimodal benchmark datasets and demonstrate its effectiveness and robustness across various scenarios of missing modalities.

Medical Visual Language Models have shown great potential in various healthcare applications, including medical image captioning and diagnostic assistance. However, most existing models rely on text-based instructions, limiting their usability in real-world clinical environments especially in scenarios such as surgery, text-based interaction is often impractical for physicians. In addition, current medical image analysis models typically lack comprehensive reasoning behind their predictions, which reduces their reliability for clinical decision-making. Given that medical diagnosis errors can have life-changing consequences, there is a critical need for interpretable and rational medical assistance. To address these challenges, we introduce an end-to-end speech-driven medical VLM, SilVar-Med, a multimodal medical image assistant that integrates speech interaction with VLMs, pioneering the task of voice-based communication for medical image analysis. In addition, we focus on the interpretation of the reasoning behind each prediction of medical abnormalities with a proposed reasoning dataset. Through extensive experiments, we demonstrate a proof-of-concept study for reasoning-driven medical image interpretation with end-to-end speech interaction. We believe this work will advance the field of medical AI by fostering more transparent, interactive, and clinically viable diagnostic support systems. Our code and dataset are publicly available at SiVar-Med.

In this survey, we systematically analyze techniques used to adapt large multimodal models (LMMs) for low-resource (LR) languages, examining approaches ranging from visual enhancement and data creation to cross-modal transfer and fusion strategies. Through a comprehensive analysis of 106 studies across 75 LR languages, we identify key patterns in how researchers tackle the challenges of limited data and computational resources. We find that visual information often serves as a crucial bridge for improving model performance in LR settings, though significant challenges remain in areas such as hallucination mitigation and computational efficiency. We aim to provide researchers with a clear understanding of current approaches and remaining challenges in making LMMs more accessible to speakers of LR (understudied) languages. We complement our survey with an open-source repository available at: https://github.com/marianlupascu/LMM4LRL-Survey.

The capability to process multiple images is crucial for Large Vision-Language Models (LVLMs) to develop a more thorough and nuanced understanding of a scene. Recent multi-image LVLMs have begun to address this need. However, their evaluation has not kept pace with their development. To fill this gap, we introduce the Multimodal Multi-image Understanding (MMIU) benchmark, a comprehensive evaluation suite designed to assess LVLMs across a wide range of multi-image tasks. MMIU encompasses 7 types of multi-image relationships, 52 tasks, 77K images, and 11K meticulously curated multiple-choice questions, making it the most extensive benchmark of its kind. Our evaluation of 24 popular LVLMs, including both open-source and proprietary models, reveals significant challenges in multi-image comprehension, particularly in tasks involving spatial understanding. Even the most advanced models, such as GPT-4o, achieve only 55.7% accuracy on MMIU. Through multi-faceted analytical experiments, we identify key performance gaps and limitations, providing valuable insights for future model and data improvements. We aim for MMIU to advance the frontier of LVLM research and development, moving us toward achieving sophisticated multimodal multi-image user interactions.

In many machine learning systems that jointly learn from multiple modalities, a core research question is to understand the nature of multimodal interactions: the emergence of new task-relevant information during learning from both modalities that was not present in either alone. We study this challenge of interaction quantification in a semi-supervised setting with only labeled unimodal data and naturally co-occurring multimodal data (e.g., unlabeled images and captions, video and corresponding audio) but when labeling them is time-consuming. Using a precise information-theoretic definition of interactions, our key contributions are the derivations of lower and upper bounds to quantify the amount of multimodal interactions in this semi-supervised setting. We propose two lower bounds based on the amount of shared information between modalities and the disagreement between separately trained unimodal classifiers, and derive an upper bound through connections to approximate algorithms for min-entropy couplings. We validate these estimated bounds and show how they accurately track true interactions. Finally, two semi-supervised multimodal applications are explored based on these theoretical results: (1) analyzing the relationship between multimodal performance and estimated interactions, and (2) self-supervised learning that embraces disagreement between modalities beyond agreement as is typically done.

There is increasing interest in the use of multimodal data in various web applications, such as digital advertising and e-commerce. Typical methods for extracting important information from multimodal data rely on a mid-fusion architecture that combines the feature representations from multiple encoders. However, as the number of modalities increases, several potential problems with the mid-fusion model structure arise, such as an increase in the dimensionality of the concatenated multimodal features and missing modalities. To address these problems, we propose a new concept that considers multimodal inputs as a set of sequences, namely, deep multimodal sequence sets (DM^2S^2). Our set-aware concept consists of three components that capture the relationships among multiple modalities: (a) a BERT-based encoder to handle the inter- and intra-order of elements in the sequences, (b) intra-modality residual attention (IntraMRA) to capture the importance of the elements in a modality, and (c) inter-modality residual attention (InterMRA) to enhance the importance of elements with modality-level granularity further. Our concept exhibits performance that is comparable to or better than the previous set-aware models. Furthermore, we demonstrate that the visualization of the learned InterMRA and IntraMRA weights can provide an interpretation of the prediction results.

The ability to use natural language to talk about visual events is at the core of human intelligence and a crucial feature of any artificial intelligence system. In recent years, a substantial body of work in visually grounded NLP has focused on describing content depicted in single images. By contrast, comparatively less attention has been devoted to exhaustively modeling scenarios in which natural language is employed to interpret and talk about events presented through videos or sequences of images. In this position paper, we argue that any NLG task dealing with sequences of images or frames is an instance of the broader, more general problem of modeling the intricate relationships between visual events unfolding over time and the features of the language used to interpret, describe, or narrate them. Therefore, solving these tasks requires models to be capable of identifying and managing such intricacies. We consider five seemingly different tasks, which we argue are compelling instances of this broader multimodal problem. Consistently, we claim that these tasks pose a common set of challenges and share similarities in terms of modeling and evaluation approaches. Building on this perspective, we identify key open questions and propose several research directions for future investigation. We claim that improving language-and-vision models' understanding of visual events is both timely and essential, given their growing applications. Additionally, this challenge offers significant scientific insight, advancing model development through principles of human cognition and language use.

Existing Multimodal Large Language Models (MLLMs) are predominantly trained and tested on consistent visual-textual inputs, leaving open the question of whether they can handle inconsistencies in real-world, layout-rich content. To bridge this gap, we propose the Multimodal Inconsistency Reasoning (MMIR) benchmark to assess MLLMs' ability to detect and reason about semantic mismatches in artifacts such as webpages, presentation slides, and posters. MMIR comprises 534 challenging samples, each containing synthetically injected errors across five reasoning-heavy categories: Factual Contradiction, Identity Misattribution, Contextual Mismatch, Quantitative Discrepancy, and Temporal/Spatial Incoherence. We evaluate six state-of-the-art MLLMs, showing that models with dedicated multimodal reasoning capabilities, such as o1, substantially outperform their counterparts while open-source models remain particularly vulnerable to inconsistency errors. Detailed error analyses further show that models excel in detecting inconsistencies confined to a single modality, particularly in text, but struggle with cross-modal conflicts and complex layouts. Probing experiments reveal that single-modality prompting, including Chain-of-Thought (CoT) and Set-of-Mark (SoM) methods, yields marginal gains, revealing a key bottleneck in cross-modal reasoning. Our findings highlight the need for advanced multimodal reasoning and point to future research on multimodal inconsistency.

Understanding how the brain represents visual information is a fundamental challenge in neuroscience and artificial intelligence. While AI-driven decoding of neural data has provided insights into the human visual system, integrating multimodal neuroimaging signals, such as EEG, MEG, and fMRI, remains a critical hurdle due to their inherent spatiotemporal misalignment. Current approaches often analyze these modalities in isolation, limiting a holistic view of neural representation. In this study, we introduce BrainFLORA, a unified framework for integrating cross-modal neuroimaging data to construct a shared neural representation. Our approach leverages multimodal large language models (MLLMs) augmented with modality-specific adapters and task decoders, achieving state-of-the-art performance in joint-subject visual retrieval task and has the potential to extend multitasking. Combining neuroimaging analysis methods, we further reveal how visual concept representations align across neural modalities and with real world object perception. We demonstrate that the brain's structured visual concept representations exhibit an implicit mapping to physical-world stimuli, bridging neuroscience and machine learning from different modalities of neural imaging. Beyond methodological advancements, BrainFLORA offers novel implications for cognitive neuroscience and brain-computer interfaces (BCIs). Our code is available at https://github.com/ncclab-sustech/BrainFLORA.

Large vision-language models (LVLMs) have shown great promise in medical applications, particularly in visual question answering (MedVQA) and diagnosis from medical images. However, existing datasets and models often fail to consider critical aspects of medical diagnostics, such as the integration of historical records and the analysis of disease progression over time. In this paper, we introduce MMXU (Multimodal and MultiX-ray Understanding), a novel dataset for MedVQA that focuses on identifying changes in specific regions between two patient visits. Unlike previous datasets that primarily address single-image questions, MMXU enables multi-image questions, incorporating both current and historical patient data. We demonstrate the limitations of current LVLMs in identifying disease progression on MMXU-test, even those that perform well on traditional benchmarks. To address this, we propose a MedRecord-Augmented Generation (MAG) approach, incorporating both global and regional historical records. Our experiments show that integrating historical records significantly enhances diagnostic accuracy by at least 20\%, bridging the gap between current LVLMs and human expert performance. Additionally, we fine-tune models with MAG on MMXU-dev, which demonstrates notable improvements. We hope this work could illuminate the avenue of advancing the use of LVLMs in medical diagnostics by emphasizing the importance of historical context in interpreting medical images. Our dataset is released at https://github.com/linjiemu/MMXU{https://github.com/linjiemu/MMXU}.

While Multimodal Large Language Models (MLLMs) are widely used for a variety of vision-language tasks, one observation is that they sometimes misinterpret visual inputs or fail to follow textual instructions even in straightforward cases, leading to irrelevant responses, mistakes, and ungrounded claims. This observation is analogous to a phenomenon in neuropsychology known as Agnosia, an inability to correctly process sensory modalities and recognize things (e.g., objects, colors, relations). In our study, we adapt this similar concept to define "agnosia in MLLMs", and our goal is to comprehensively evaluate and mitigate such agnosia in MLLMs. Inspired by the diagnosis and treatment process in neuropsychology, we propose a novel framework EMMA (Evaluation and Mitigation of Multimodal Agnosia). In EMMA, we develop an evaluation module that automatically creates fine-grained and diverse visual question answering examples to assess the extent of agnosia in MLLMs comprehensively. We also develop a mitigation module to reduce agnosia in MLLMs through multimodal instruction tuning on fine-grained conversations. To verify the effectiveness of our framework, we evaluate and analyze agnosia in seven state-of-the-art MLLMs using 9K test samples. The results reveal that most of them exhibit agnosia across various aspects and degrees. We further develop a fine-grained instruction set and tune MLLMs to mitigate agnosia, which led to notable improvement in accuracy.

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

Recent advancements in large multimodal models (LMMs) have significantly enhanced performance across diverse tasks, with ongoing efforts to further integrate additional modalities such as video and audio. However, most existing LMMs remain vulnerable to hallucinations, the discrepancy between the factual multimodal input and the generated textual output, which has limited their applicability in various real-world scenarios. This paper presents the first systematic investigation of hallucinations in LMMs involving the three most common modalities: language, visual, and audio. Our study reveals two key contributors to hallucinations: overreliance on unimodal priors and spurious inter-modality correlations. To address these challenges, we introduce the benchmark The Curse of Multi-Modalities (CMM), which comprehensively evaluates hallucinations in LMMs, providing a detailed analysis of their underlying issues. Our findings highlight key vulnerabilities, including imbalances in modality integration and biases from training data, underscoring the need for balanced cross-modal learning and enhanced hallucination mitigation strategies. Based on our observations and findings, we suggest potential research directions that could enhance the reliability of LMMs.

The emergence of multimodal large models (MLMs) has significantly advanced the field of visual understanding, offering remarkable capabilities in the realm of visual question answering (VQA). Yet, the true challenge lies in the domain of knowledge-intensive VQA tasks, which necessitate not just recognition of visual elements, but also a deep comprehension of the visual information in conjunction with a vast repository of learned knowledge. To uncover such capabilities of MLMs, particularly the newly introduced GPT-4V and Gemini, we provide an in-depth evaluation from three perspectives: 1) Commonsense Knowledge, which assesses how well models can understand visual cues and connect to general knowledge; 2) Fine-grained World Knowledge, which tests the model's skill in reasoning out specific knowledge from images, showcasing their proficiency across various specialized fields; 3) Comprehensive Knowledge with Decision-making Rationales, which examines model's capability to provide logical explanations for its inference, facilitating a deeper analysis from the interpretability perspective. Additionally, we utilize a visual knowledge-enhanced training strategy and multimodal retrieval-augmented generation approach to enhance MLMs, highlighting the future need for advancements in this research direction. Extensive experiments indicate that: a) GPT-4V demonstrates enhanced explanation generation when using composite images as few-shots; b) GPT-4V and other MLMs produce severe hallucinations when dealing with world knowledge; c) Visual knowledge enhanced training and prompting technicals present potential to improve performance. Codes: https://github.com/HITsz-TMG/Cognitive-Visual-Language-Mapper

There has been a long-standing quest for a unified audio-visual-text model to enable various multimodal understanding tasks, which mimics the listening, seeing and reading process of human beings. Humans tends to represent knowledge using two separate systems: one for representing verbal (textual) information and one for representing non-verbal (visual and auditory) information. These two systems can operate independently but can also interact with each other. Motivated by this understanding of human cognition, in this paper, we introduce CoAVT -- a novel cognition-inspired Correlated Audio-Visual-Text pre-training model to connect the three modalities. It contains a joint audio-visual encoder that learns to encode audio-visual synchronization information together with the audio and visual content for non-verbal information, and a text encoder to handle textual input for verbal information. To bridge the gap between modalities, CoAVT employs a query encoder, which contains a set of learnable query embeddings, and extracts the most informative audiovisual features of the corresponding text. Additionally, to leverage the correspondences between audio and vision with language respectively, we also establish the audio-text and visual-text bi-modal alignments upon the foundational audiovisual-text tri-modal alignment to enhance the multimodal representation learning. Finally, we jointly optimize CoAVT model with three multimodal objectives: contrastive loss, matching loss and language modeling loss. Extensive experiments show that CoAVT can learn strong multimodal correlations and be generalized to various downstream tasks. CoAVT establishes new state-of-the-art performance on text-video retrieval task on AudioCaps for both zero-shot and fine-tuning settings, audio-visual event classification and audio-visual retrieval tasks on AudioSet and VGGSound.

Most humans use visual imagination to understand and reason about language, but models such as BERT reason about language using knowledge acquired during text-only pretraining. In this work, we investigate whether vision-and-language pretraining can improve performance on text-only tasks that involve implicit visual reasoning, focusing primarily on zero-shot probing methods. We propose a suite of visual language understanding (VLU) tasks for probing the visual reasoning abilities of text encoder models, as well as various non-visual natural language understanding (NLU) tasks for comparison. We also contribute a novel zero-shot knowledge probing method, Stroop probing, for applying models such as CLIP to text-only tasks without needing a prediction head such as the masked language modelling head of models like BERT. We show that SOTA multimodally trained text encoders outperform unimodally trained text encoders on the VLU tasks while being underperformed by them on the NLU tasks, lending new context to previously mixed results regarding the NLU capabilities of multimodal models. We conclude that exposure to images during pretraining affords inherent visual reasoning knowledge that is reflected in language-only tasks that require implicit visual reasoning. Our findings bear importance in the broader context of multimodal learning, providing principled guidelines for the choice of text encoders used in such contexts.

Recent Multimodal Large Language Models (MLLMs) have demonstrated significant progress in perceiving and reasoning over multimodal inquiries, ushering in a new research era for foundation models. However, vision-language misalignment in MLLMs has emerged as a critical challenge, where the textual responses generated by these models are not factually aligned with the given text-image inputs. Existing efforts to address vision-language misalignment have focused on developing specialized vision-language connectors or leveraging visual instruction tuning from diverse domains. In this paper, we tackle this issue from a fundamental yet unexplored perspective by revisiting the core architecture of MLLMs. Most MLLMs are typically built on decoder-only LLMs consisting of a causal attention mechanism, which limits the ability of earlier modalities (e.g., images) to incorporate information from later modalities (e.g., text). To address this problem, we propose AKI, a novel MLLM that unlocks causal attention into modality-mutual attention (MMA) to enable image tokens to attend to text tokens. This simple yet effective design allows AKI to achieve superior performance in 12 multimodal understanding benchmarks (+7.2% on average) without introducing additional parameters and increasing training time. Our MMA design is intended to be generic, allowing for application across various modalities, and scalable to accommodate diverse multimodal scenarios. The code is publicly available at https://github.com/sony/aki, and we will release our AKI-4B model to encourage further advancements in MLLMs across various directions.

Medical decision-making requires integrating diverse medical information, from imaging to clinical narratives. These medical modalities are often acquired in a many-to-many manner. However, current medical vision-language pretraining models (Med-VLPMs) fail to directly account for this many-to-many mapping in their model training and embeddings. To address this, we present Probabilistic Modality-Enhanced Diagnosis (ProbMED), a multimodal Med-VLPM that employs probabilistic contrastive learning to model distributions over embeddings rather than deterministic estimates. ProbMED aligns four distinct modalities -- chest X-rays, electrocardiograms, echocardiograms, and clinical text -- into a unified probabilistic embedding space. We use InfoNCE loss with Hellinger distance to integrate inter-modality distributions. We introduce a probabilistic synthetic sampling loss that captures modality-specific mean and variance to improve intra-modality binding. Extensive experiments across 13 medical datasets demonstrate that our model outperforms current Med-VLPMs in cross-modality retrieval, zero-shot, and few-shot classification. We also demonstrate the robust integration of multiple modalities for prognostication, showing improved intra- and inter-medical modality binding.

This paper presents our winning submission to Subtask 2 of SemEval 2024 Task 3 on multimodal emotion cause analysis in conversations. We propose a novel Multimodal Emotion Recognition and Multimodal Emotion Cause Extraction (MER-MCE) framework that integrates text, audio, and visual modalities using specialized emotion encoders. Our approach sets itself apart from top-performing teams by leveraging modality-specific features for enhanced emotion understanding and causality inference. Experimental evaluation demonstrates the advantages of our multimodal approach, with our submission achieving a competitive weighted F1 score of 0.3435, ranking third with a margin of only 0.0339 behind the 1st team and 0.0025 behind the 2nd team. Project: https://github.com/MIPS-COLT/MER-MCE.git

Large vision-language models (LVLMs) have witnessed significant progress on visual understanding tasks. However, they often prioritize language knowledge over image information on visual reasoning tasks, incurring performance degradation. To tackle this issue, we first identify the drawbacks of existing solutions (i.e., insufficient and irrelevant visual descriptions, and limited multi-modal capacities). We then decompose visual reasoning process into two stages: visual perception (i.e., eyesight) and textual reasoning (i.e., wisdom), and introduce a novel visual reasoning framework named ProReason. This framework features multi-run proactive perception and decoupled vision-reasoning capabilities. Briefly, given a multi-modal question, ProReason iterates proactive information collection and reasoning until the answer can be concluded with necessary and sufficient visual descriptions. Notably, the disassociation of capabilities allows seamless integration of existing large language models (LLMs) to compensate for the reasoning deficits of LVLMs. Our extensive experiments demonstrate that ProReason outperforms both existing multi-step reasoning frameworks and passive peer methods on a wide range of benchmarks for both open-source and closed-source models. In addition, with the assistance of LLMs, ProReason achieves a performance improvement of up to 15% on MMMU benchmark. Our insights into existing solutions and the decoupled perspective for feasible integration of LLMs illuminate future research on visual reasoning techniques, especially LLM-assisted ones.

Artificial intelligence (AI) is vital in ophthalmology, tackling tasks like diagnosis, classification, and visual question answering (VQA). However, existing AI models in this domain often require extensive annotation and are task-specific, limiting their clinical utility. While recent developments have brought about foundation models for ophthalmology, they are limited by the need to train separate weights for each imaging modality, preventing a comprehensive representation of multi-modal features. This highlights the need for versatile foundation models capable of handling various tasks and modalities in ophthalmology. To address this gap, we present EyeFound, a multimodal foundation model for ophthalmic images. Unlike existing models, EyeFound learns generalizable representations from unlabeled multimodal retinal images, enabling efficient model adaptation across multiple applications. Trained on 2.78 million images from 227 hospitals across 11 ophthalmic modalities, EyeFound facilitates generalist representations and diverse multimodal downstream tasks, even for detecting challenging rare diseases. It outperforms previous work RETFound in diagnosing eye diseases, predicting systemic disease incidents, and zero-shot multimodal VQA. EyeFound provides a generalizable solution to improve model performance and lessen the annotation burden on experts, facilitating widespread clinical AI applications for retinal imaging.

This book is the result of a seminar in which we reviewed multimodal approaches and attempted to create a solid overview of the field, starting with the current state-of-the-art approaches in the two subfields of Deep Learning individually. Further, modeling frameworks are discussed where one modality is transformed into the other, as well as models in which one modality is utilized to enhance representation learning for the other. To conclude the second part, architectures with a focus on handling both modalities simultaneously are introduced. Finally, we also cover other modalities as well as general-purpose multi-modal models, which are able to handle different tasks on different modalities within one unified architecture. One interesting application (Generative Art) eventually caps off this booklet.

LLMs have demonstrated remarkable abilities at interacting with humans through language, especially with the usage of instruction-following data. Recent advancements in LLMs, such as MiniGPT-4, LLaVA, and X-LLM, further enlarge their abilities by incorporating multi-modal inputs, including image, video, and speech. Despite their effectiveness at generating precise and detailed language understanding of the given modality signal, these LLMs give up the ability to ground specific parts of inputs, thus only constructing a coarse-grained mapping. However, explicit and informative correspondence between text and other modalities will not only improve the user experience but also help to expand the application scenario of multi-modal LLMs. Therefore, we propose BuboGPT, a multi-modal LLM with visual grounding that can perform cross-modal interaction between vision, audio and language, providing fine-grained understanding of visual objects and other given modalities. As a result, BuboGPT is able to point out the specific location of an object in the image, when it is generating response or description for that object. Our contributions are two-fold: 1) An off-the-shelf visual grounding module based on SAM that extracts entities in a sentence and find corresponding masks in the image. 2) A two-stage training scheme and instruction dataset to endow joint text-image-audio understanding. Our experiments show that BuboGPT achieves impressive multi-modality understanding and visual grounding abilities during the interaction with human. It performs consistently well when provided by arbitrary modality combinations (either aligned or unaligned). Our code, model and dataset are available at https://bubo-gpt.github.io .

Google's Bard has emerged as a formidable competitor to OpenAI's ChatGPT in the field of conversational AI. Notably, Bard has recently been updated to handle visual inputs alongside text prompts during conversations. Given Bard's impressive track record in handling textual inputs, we explore its capabilities in understanding and interpreting visual data (images) conditioned by text questions. This exploration holds the potential to unveil new insights and challenges for Bard and other forthcoming multi-modal Generative models, especially in addressing complex computer vision problems that demand accurate visual and language understanding. Specifically, in this study, we focus on 15 diverse task scenarios encompassing regular, camouflaged, medical, under-water and remote sensing data to comprehensively evaluate Bard's performance. Our primary finding indicates that Bard still struggles in these vision scenarios, highlighting the significant gap in vision-based understanding that needs to be bridged in future developments. We expect that this empirical study will prove valuable in advancing future models, leading to enhanced capabilities in comprehending and interpreting fine-grained visual data. Our project is released on https://github.com/htqin/GoogleBard-VisUnderstand

Massive multi-modality datasets play a significant role in facilitating the success of large video-language models. However, current video-language datasets primarily provide text descriptions for visual frames, considering audio to be weakly related information. They usually overlook exploring the potential of inherent audio-visual correlation, leading to monotonous annotation within each modality instead of comprehensive and precise descriptions. Such ignorance results in the difficulty of multiple cross-modality studies. To fulfill this gap, we present MMTrail, a large-scale multi-modality video-language dataset incorporating more than 20M trailer clips with visual captions, and 2M high-quality clips with multimodal captions. Trailers preview full-length video works and integrate context, visual frames, and background music. In particular, the trailer has two main advantages: (1) the topics are diverse, and the content characters are of various types, e.g., film, news, and gaming. (2) the corresponding background music is custom-designed, making it more coherent with the visual context. Upon these insights, we propose a systemic captioning framework, achieving various modality annotations with more than 27.1k hours of trailer videos. Here, to ensure the caption retains music perspective while preserving the authority of visual context, we leverage the advanced LLM to merge all annotations adaptively. In this fashion, our MMtrail dataset potentially paves the path for fine-grained large multimodal-language model training. In experiments, we provide evaluation metrics and benchmark results on our dataset, demonstrating the high quality of our annotation and its effectiveness for model training.

Multimodal LLMs have reached remarkable levels of proficiency in understanding multimodal inputs, driving extensive research to develop increasingly powerful models. However, much less attention has been paid to understanding and explaining the underlying mechanisms of these models. Most existing explainability research examines these models only in their final states, overlooking the dynamic representational shifts that occur during training. In this work, we systematically analyze the evolution of hidden state representations to reveal how fine-tuning alters the internal structure of a model to specialize in new multimodal tasks. Using a concept-based approach, we map hidden states to interpretable visual and textual concepts, enabling us to trace changes in encoded concepts across modalities as training progresses. We also demonstrate the use of shift vectors to capture these concepts changes. These shift vectors allow us to recover fine-tuned concepts by shifting those in the original model. Finally, we explore the practical impact of our findings on model steering, showing that we can adjust multimodal LLMs behaviors without any training, such as modifying answer types, captions style, or biasing the model toward specific responses. Our work sheds light on how multimodal representations evolve through fine-tuning and offers a new perspective for interpreting model adaptation in multimodal tasks. The code for this project is publicly available at https://github.com/mshukor/xl-vlms.

Large multimodal language models have demonstrated impressive capabilities in understanding and manipulating images. However, many of these models struggle with comprehending intensive textual contents embedded within the images, primarily due to the limited text recognition and layout understanding ability. To understand the sources of these limitations, we perform an exploratory analysis showing the drawbacks of classical visual encoders on visual text understanding. Hence, we present LLaVA-Read, a multimodal large language model that utilizes dual visual encoders along with a visual text encoder. Our model surpasses existing state-of-the-art models in various text-rich image understanding tasks, showcasing enhanced comprehension of textual content within images. Together, our research suggests visual text understanding remains an open challenge and an efficient visual text encoder is crucial for future successful multimodal systems.

This paper introduces MedTrinity-25M, a comprehensive, large-scale multimodal dataset for medicine, covering over 25 million images across 10 modalities, with multigranular annotations for more than 65 diseases. These enriched annotations encompass both global textual information, such as disease/lesion type, modality, region-specific descriptions, and inter-regional relationships, as well as detailed local annotations for regions of interest (ROIs), including bounding boxes, segmentation masks. Unlike existing approach which is limited by the availability of image-text pairs, we have developed the first automated pipeline that scales up multimodal data by generating multigranular visual and texual annotations (in the form of image-ROI-description triplets) without the need for any paired text descriptions. Specifically, data from over 90 different sources have been collected, preprocessed, and grounded using domain-specific expert models to identify ROIs related to abnormal regions. We then build a comprehensive knowledge base and prompt multimodal large language models to perform retrieval-augmented generation with the identified ROIs as guidance, resulting in multigranular texual descriptions. Compared to existing datasets, MedTrinity-25M provides the most enriched annotations, supporting a comprehensive range of multimodal tasks such as captioning and report generation, as well as vision-centric tasks like classification and segmentation. Pretraining on MedTrinity-25M, our model achieves state-of-the-art performance on VQA-RAD and PathVQA, surpassing both multimodal large language models and other representative SoTA approaches. This dataset can also be utilized to support large-scale pre-training of multimodal medical AI models, contributing to the development of future foundation models in the medical domain.

While recent advancements in vision-language models have revolutionized multi-modal understanding, it remains unclear whether they possess the capabilities of comprehending the generated images. Compared to real data, synthetic images exhibit a higher degree of diversity in both content and style, for which there are significant difficulties for the models to fully apprehend. To this end, we present a large-scale dataset, JourneyDB, for multi-modal visual understanding in generative images. Our curated dataset covers 4 million diverse and high-quality generated images paired with the text prompts used to produce them. We further design 4 benchmarks to quantify the performance of generated image understanding in terms of both content and style interpretation. These benchmarks include prompt inversion, style retrieval, image captioning and visual question answering. Lastly, we assess the performance of current state-of-the-art multi-modal models when applied to JourneyDB, and provide an in-depth analysis of their strengths and limitations in generated content understanding. We hope the proposed dataset and benchmarks will facilitate the research in the field of generative content understanding. The dataset will be available on https://journeydb.github.io.

Social interactions form the foundation of human societies. Artificial intelligence has made significant progress in certain areas, but enabling machines to seamlessly understand social interactions remains an open challenge. It is important to address this gap by endowing machines with social capabilities. We identify three key capabilities needed for effective social understanding: 1) understanding multimodal social cues, 2) understanding multi-party dynamics, and 3) understanding beliefs. Building upon these foundations, we classify and review existing machine learning works on social understanding from the perspectives of verbal, non-verbal, and multimodal social cues. The verbal branch focuses on understanding linguistic signals such as speaker intent, dialogue sentiment, and commonsense reasoning. The non-verbal branch addresses techniques for perceiving social meaning from visual behaviors such as body gestures, gaze patterns, and facial expressions. The multimodal branch covers approaches that integrate verbal and non-verbal multimodal cues to holistically interpret social interactions such as recognizing emotions, conversational dynamics, and social situations. By reviewing the scope and limitations of current approaches and benchmarks, we aim to clarify the development trajectory and illuminate the path towards more comprehensive intelligence for social understanding. We hope this survey will spur further research interest and insights into this area.

This paper presents a multimodal framework that attempts to unify visual understanding and generation within a shared discrete semantic representation. At its core is the Text-Aligned Tokenizer (TA-Tok), which converts images into discrete tokens using a text-aligned codebook projected from a large language model's (LLM) vocabulary. By integrating vision and text into a unified space with an expanded vocabulary, our multimodal LLM, Tar, enables cross-modal input and output through a shared interface, without the need for modality-specific designs. Additionally, we propose scale-adaptive encoding and decoding to balance efficiency and visual detail, along with a generative de-tokenizer to produce high-fidelity visual outputs. To address diverse decoding needs, we utilize two complementary de-tokenizers: a fast autoregressive model and a diffusion-based model. To enhance modality fusion, we investigate advanced pre-training tasks, demonstrating improvements in both visual understanding and generation. Experiments across benchmarks show that Tar matches or surpasses existing multimodal LLM methods, achieving faster convergence and greater training efficiency. Code, models, and data are available at https://tar.csuhan.com

In an effort to create a more efficient AI system, we introduce a new multi-modality learning framework that leverages a modality-agnostic concept space possessing abstract knowledge and a set of modality-specific projection models tailored to process distinct modality inputs and map them onto the concept space. Decoupled from specific modalities and their associated projection models, the concept space focuses on learning abstract knowledge that is universally applicable across modalities. Subsequently, the knowledge embedded into the concept space streamlines the learning processes of modality-specific projection models. We evaluate our framework on two popular tasks: Image-Text Matching and Visual Question Answering. Our framework achieves performance on par with benchmark models while demonstrating more efficient learning curves.

While Unified Multimodal Models (UMMs) have achieved remarkable success in cross-modal comprehension, a significant gap persists in their ability to leverage such internal knowledge for high-quality generation. We formalize this discrepancy as Conduction Aphasia, a phenomenon where models accurately interpret multimodal inputs but struggle to translate that understanding into faithful and controllable synthesis. To address this, we propose UniCorn, a simple yet elegant self-improvement framework that eliminates the need for external data or teacher supervision. By partitioning a single UMM into three collaborative roles: Proposer, Solver, and Judge, UniCorn generates high-quality interactions via self-play and employs cognitive pattern reconstruction to distill latent understanding into explicit generative signals. To validate the restoration of multimodal coherence, we introduce UniCycle, a cycle-consistency benchmark based on a Text to Image to Text reconstruction loop. Extensive experiments demonstrate that UniCorn achieves comprehensive and substantial improvements over the base model across six general image generation benchmarks. Notably, it achieves SOTA performance on TIIF(73.8), DPG(86.8), CompBench(88.5), and UniCycle while further delivering substantial gains of +5.0 on WISE and +6.5 on OneIG. These results highlight that our method significantly enhances T2I generation while maintaining robust comprehension, demonstrating the scalability of fully self-supervised refinement for unified multimodal intelligence.

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

Training Large Multimodality Models (LMMs) relies on descriptive image caption that connects image and language. Existing methods either distill the caption from the LMM models or construct the captions from the internet images or by human. We propose to leverage off-the-shelf visual specialists, which were trained from annotated images initially not for image captioning, for enhancing the image caption. Our approach, named DCE, explores object low-level and fine-grained attributes (e.g., depth, emotion and fine-grained categories) and object relations (e.g., relative location and human-object-interaction (HOI)), and combine the attributes into the descriptive caption. Experiments demonstrate that such visual specialists are able to improve the performance for visual understanding tasks as well as reasoning that benefits from more accurate visual understanding. We will release the source code and the pipeline so that other visual specialists are easily combined into the pipeline. The complete source code of DCE pipeline and datasets will be available at https://github.com/syp2ysy/DCE.

Multimodal foundation models that can holistically process text alongside images, video, audio, and other sensory modalities are increasingly used in a variety of real-world applications. However, it is challenging to characterize and study progress in multimodal foundation models, given the range of possible modeling decisions, tasks, and domains. In this paper, we introduce Holistic Evaluation of Multimodal Models (HEMM) to systematically evaluate the capabilities of multimodal foundation models across a set of 3 dimensions: basic skills, information flow, and real-world use cases. Basic multimodal skills are internal abilities required to solve problems, such as learning interactions across modalities, fine-grained alignment, multi-step reasoning, and the ability to handle external knowledge. Information flow studies how multimodal content changes during a task through querying, translation, editing, and fusion. Use cases span domain-specific challenges introduced in real-world multimedia, affective computing, natural sciences, healthcare, and human-computer interaction applications. Through comprehensive experiments across the 30 tasks in HEMM, we (1) identify key dataset dimensions (e.g., basic skills, information flows, and use cases) that pose challenges to today's models, and (2) distill performance trends regarding how different modeling dimensions (e.g., scale, pre-training data, multimodal alignment, pre-training, and instruction tuning objectives) influence performance. Our conclusions regarding challenging multimodal interactions, use cases, and tasks requiring reasoning and external knowledge, the benefits of data and model scale, and the impacts of instruction tuning yield actionable insights for future work in multimodal foundation models.

Although Vision Language Models (VLMs) have shown strong generalization in medical imaging, pathology presents unique challenges due to ultra-high resolution, complex tissue structures, and nuanced clinical semantics. These factors make pathology VLMs prone to hallucinations, i.e., generating outputs inconsistent with visual evidence, which undermines clinical trust. Existing RAG approaches in this domain largely depend on text-based knowledge bases, limiting their ability to leverage diagnostic visual cues. To address this, we propose Patho-AgenticRAG, a multimodal RAG framework with a database built on page-level embeddings from authoritative pathology textbooks. Unlike traditional text-only retrieval systems, it supports joint text-image search, enabling direct retrieval of textbook pages that contain both the queried text and relevant visual cues, thus avoiding the loss of critical image-based information. Patho-AgenticRAG also supports reasoning, task decomposition, and multi-turn search interactions, improving accuracy in complex diagnostic scenarios. Experiments show that Patho-AgenticRAG significantly outperforms existing multimodal models in complex pathology tasks like multiple-choice diagnosis and visual question answering. Our project is available at the Patho-AgenticRAG repository: https://github.com/Wenchuan-Zhang/Patho-AgenticRAG.

The multimedia community has shown a significant interest in perceiving and representing the physical world with multimodal pretrained neural network models, and among them, the visual-language pertaining (VLP) is, currently, the most captivating topic. However, there have been few endeavors dedicated to the exploration of 1) whether essential linguistic knowledge (e.g., semantics and syntax) can be extracted during VLP, and 2) how such linguistic knowledge impact or enhance the multimodal alignment. In response, here we aim to elucidate the impact of comprehensive linguistic knowledge, including semantic expression and syntactic structure, on multimodal alignment. Specifically, we design and release the SNARE, the first large-scale multimodal alignment probing benchmark, to detect the vital linguistic components, e.g., lexical, semantic, and syntax knowledge, containing four tasks: Semantic structure, Negation logic, Attribute ownership, and Relationship composition. Based on our proposed probing benchmarks, our holistic analyses of five advanced VLP models illustrate that the VLP model: i) shows insensitivity towards complex syntax structures and relies on content words for sentence comprehension; ii) demonstrates limited comprehension of combinations between sentences and negations; iii) faces challenges in determining the presence of actions or spatial relationships within visual information and struggles with verifying the correctness of triple combinations. We make our benchmark and code available at https://github.com/WangFei-2019/SNARE/.

Vision-Language Models (VLMs) can process visual and textual information in multiple formats: texts, images, interleaved texts and images, or even hour-long videos. In this work, we conduct fine-grained quantitative and qualitative analyses of automatic summarization of multimodal presentations using VLMs with various representations as input. From these experiments, we suggest cost-effective strategies for generating summaries from text-heavy multimodal documents under different input-length budgets using VLMs. We show that slides extracted from the video stream can be beneficially used as input against the raw video, and that a structured representation from interleaved slides and transcript provides the best performance. Finally, we reflect and comment on the nature of cross-modal interactions in multimodal presentations and share suggestions to improve the capabilities of VLMs to understand documents of this nature.

Multi-modality promises to unlock further uses for large language models. Recently, the state-of-the-art language model GPT-4 was enhanced with vision capabilities. We carry out a prompting evaluation of GPT-4V and five other baselines on structured reasoning tasks, such as mathematical reasoning, visual data analysis, and code generation. We show that visual Chain-of-Thought, an extension of Chain-of-Thought to multi-modal LLMs, yields significant improvements over the vanilla model. We also present a categorized analysis of scenarios where these models perform well and where they struggle, highlighting challenges associated with coherent multimodal reasoning.

Recent advances in unified multimodal models (UMM) have demonstrated remarkable progress in both understanding and generation tasks. However, whether these two capabilities are genuinely aligned and integrated within a single model remains unclear. To investigate this question, we introduce GapEval, a bidirectional benchmark designed to quantify the gap between understanding and generation capabilities, and quantitatively measure the cognitive coherence of the two "unified" directions. Each question can be answered in both modalities (image and text), enabling a symmetric evaluation of a model's bidirectional inference capability and cross-modal consistency. Experiments reveal a persistent gap between the two directions across a wide range of UMMs with different architectures, suggesting that current models achieve only surface-level unification rather than deep cognitive convergence of the two. To further explore the underlying mechanism, we conduct an empirical study from the perspective of knowledge manipulation to illustrate the underlying limitations. Our findings indicate that knowledge within UMMs often remains disjoint. The capability emergence and knowledge across modalities are unsynchronized, paving the way for further exploration.

Multimodal Large Language Models (MLLMs) inherit the superior text understanding capabilities of LLMs and extend these capabilities to multimodal scenarios. These models achieve excellent results in the general domain of multimodal tasks. However, in the medical domain, the substantial training costs and the requirement for extensive medical data pose challenges to the development of medical MLLMs. Furthermore, due to the free-text form of answers, tasks such as visual grounding that need to produce output in a prescribed form become difficult for MLLMs. So far, there have been no medical MLLMs works in medical visual grounding area. For the medical vision grounding task, which involves identifying locations in medical images based on short text descriptions, we propose Parameter-efficient Fine-tuning medical multimodal large language models for Medcial Visual Grounding (PFMVG). To validate the performance of the model, we evaluate it on a public benchmark dataset for medical visual grounding, where it achieves competitive results, and significantly outperforming GPT-4v. Our code will be open sourced after peer review.

Large Language Models (LLMs) have showcased exceptional ability in causal reasoning from textual information. However, will these causalities remain straightforward for Vision Large Language Models (VLLMs) when only visual hints are provided? Motivated by this, we propose a novel Multimodal Causal Reasoning benchmark, namely MuCR, to challenge VLLMs to infer semantic cause-and-effect relationship when solely relying on visual cues such as action, appearance, clothing, and environment. Specifically, we introduce a prompt-driven image synthesis approach to create siamese images with embedded semantic causality and visual cues, which can effectively evaluate VLLMs' causal reasoning capabilities. Additionally, we develop tailored metrics from multiple perspectives, including image-level match, phrase-level understanding, and sentence-level explanation, to comprehensively assess VLLMs' comprehension abilities. Our extensive experiments reveal that the current state-of-the-art VLLMs are not as skilled at multimodal causal reasoning as we might have hoped. Furthermore, we perform a comprehensive analysis to understand these models' shortcomings from different views and suggest directions for future research. We hope MuCR can serve as a valuable resource and foundational benchmark in multimodal causal reasoning research. The project is available at: https://github.com/Zhiyuan-Li-John/MuCR

Evaluating whether vision-language models (VLMs) reason consistently across representations is challenging because modality comparisons are typically confounded by task differences and asymmetric information. We introduce SEAM, a benchmark that pairs semantically equivalent inputs across four domains that have existing standardized textual and visual notations. By employing distinct notation systems across modalities, in contrast to OCR-based image-text pairing, SEAM provides a rigorous comparative assessment of the textual-symbolic and visual-spatial reasoning capabilities of VLMs. Across 21 contemporary models, we observe systematic modality imbalance: vision frequently lags language in overall performance, despite the problems containing semantically equivalent information, and cross-modal agreement is relatively low. Our error analysis reveals two main drivers: textual perception failures from tokenization in domain notation and visual perception failures that induce hallucinations. We also show that our results are largely robust to visual transformations. SEAM establishes a controlled, semantically equivalent setting for measuring and improving modality-agnostic reasoning.

Language models have recently advanced into the realm of reasoning, yet it is through multimodal reasoning that we can fully unlock the potential to achieve more comprehensive, human-like cognitive capabilities. This survey provides a systematic overview of the recent multimodal reasoning approaches, categorizing them into two levels: language-centric multimodal reasoning and collaborative multimodal reasoning. The former encompasses one-pass visual perception and active visual perception, where vision primarily serves a supporting role in language reasoning. The latter involves action generation and state update within reasoning process, enabling a more dynamic interaction between modalities. Furthermore, we analyze the technical evolution of these methods, discuss their inherent challenges, and introduce key benchmark tasks and evaluation metrics for assessing multimodal reasoning performance. Finally, we provide insights into future research directions from the following two perspectives: (i) from visual-language reasoning to omnimodal reasoning and (ii) from multimodal reasoning to multimodal agents. This survey aims to provide a structured overview that will inspire further advancements in multimodal reasoning research.

Language models demonstrate remarkable capacity to generalize representations learned in one modality to downstream tasks in other modalities. Can we trace this ability to individual neurons? We study the case where a frozen text transformer is augmented with vision using a self-supervised visual encoder and a single linear projection learned on an image-to-text task. Outputs of the projection layer are not immediately decodable into language describing image content; instead, we find that translation between modalities occurs deeper within the transformer. We introduce a procedure for identifying "multimodal neurons" that convert visual representations into corresponding text, and decoding the concepts they inject into the model's residual stream. In a series of experiments, we show that multimodal neurons operate on specific visual concepts across inputs, and have a systematic causal effect on image captioning.

Conditional inference on joint textual and visual clues is a multi-modal reasoning task that textual clues provide prior permutation or external knowledge, which are complementary with visual content and pivotal to deducing the correct option. Previous methods utilizing pretrained vision-language models (VLMs) have achieved impressive performances, yet they show a lack of multimodal context reasoning capability, especially for text-modal information. To address this issue, we propose a Multi-modal Context Reasoning approach, named ModCR. Compared to VLMs performing reasoning via cross modal semantic alignment, it regards the given textual abstract semantic and objective image information as the pre-context information and embeds them into the language model to perform context reasoning. Different from recent vision-aided language models used in natural language processing, ModCR incorporates the multi-view semantic alignment information between language and vision by introducing the learnable alignment prefix between image and text in the pretrained language model. This makes the language model well-suitable for such multi-modal reasoning scenario on joint textual and visual clues. We conduct extensive experiments on two corresponding data sets and experimental results show significantly improved performance (exact gain by 4.8% on PMR test set) compared to previous strong baselines. Code Link: https://github.com/YunxinLi/Multimodal-Context-Reasoning.

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where doctors typically refer to a patient's historical conditions to provide a comprehensive assessment by tracking their changes over time. In this paper, we introduce TemMed-Bench, the first benchmark designed for analyzing changes in patients' conditions between different clinical visits, which challenges large vision-language models (LVLMs) to reason over temporal medical images. TemMed-Bench consists of a test set comprising three tasks - visual question-answering (VQA), report generation, and image-pair selection - and a supplementary knowledge corpus of over 17,000 instances. With TemMed-Bench, we conduct an evaluation of six proprietary and six open-source LVLMs. Our results show that most LVLMs lack the ability to analyze patients' condition changes over temporal medical images, and a large proportion perform only at a random-guessing level in the closed-book setting. In contrast, GPT o3, o4-mini and Claude 3.5 Sonnet demonstrate comparatively decent performance, though they have yet to reach the desired level. Furthermore, we explore augmenting the input with both retrieved visual and textual modalities in the medical domain. We also show that multi-modal retrieval augmentation yields notably higher performance gains than no retrieval and textual retrieval alone across most models on our benchmark, with the VQA task showing an average improvement of 2.59%. Overall, we compose a benchmark grounded on real-world clinical practice, and it reveals LVLMs' limitations in temporal medical image reasoning, as well as highlighting the use of multi-modal retrieval augmentation as a potentially promising direction worth exploring to address this challenge.

Different medical imaging modalities capture diagnostic information at varying spatial resolutions, from coarse global patterns to fine-grained localized structures. However, most existing vision-language frameworks in the medical domain apply a uniform strategy for local feature extraction, overlooking the modality-specific demands. In this work, we present MedMoE, a modular and extensible vision-language processing framework that dynamically adapts visual representation based on the diagnostic context. MedMoE incorporates a Mixture-of-Experts (MoE) module conditioned on the report type, which routes multi-scale image features through specialized expert branches trained to capture modality-specific visual semantics. These experts operate over feature pyramids derived from a Swin Transformer backbone, enabling spatially adaptive attention to clinically relevant regions. This framework produces localized visual representations aligned with textual descriptions, without requiring modality-specific supervision at inference. Empirical results on diverse medical benchmarks demonstrate that MedMoE improves alignment and retrieval performance across imaging modalities, underscoring the value of modality-specialized visual representations in clinical vision-language systems.

Recent advances in Multimodal Large Language Models (MLLMs) have shown promising results in integrating diverse modalities such as texts and images. MLLMs are heavily influenced by modality bias, often relying on language while under-utilizing other modalities like visual inputs. This position paper argues that MLLMs are deeply affected by modality bias. Firstly, we diagnose the current state of modality bias, highlighting its manifestations across various tasks. Secondly, we propose a systematic research road-map related to modality bias in MLLMs. Thirdly, we identify key factors of modality bias in MLLMs and offer actionable suggestions for future research to mitigate it. To substantiate these findings, we conduct experiments that demonstrate the influence of each factor: 1. Data Characteristics: Language data is compact and abstract, while visual data is redundant and complex, creating an inherent imbalance in learning dynamics. 2. Imbalanced Backbone Capabilities: The dominance of pretrained language models in MLLMs leads to overreliance on language and neglect of visual information. 3. Training Objectives: Current objectives often fail to promote balanced cross-modal alignment, resulting in shortcut learning biased toward language. These findings highlight the need for balanced training strategies and model architectures to better integrate multiple modalities in MLLMs. We call for interdisciplinary efforts to tackle these challenges and drive innovation in MLLM research. Our work provides a fresh perspective on modality bias in MLLMs and offers insights for developing more robust and generalizable multimodal systems-advancing progress toward Artificial General Intelligence.

Referring Expression Comprehension (REC) is a popular multimodal task that aims to accurately detect target objects within a single image based on a given textual expression. However, due to the limitations of earlier models, traditional REC benchmarks either rely solely on intra-image cues or lack sufficiently fine-grained instance annotations, making them inadequate for evaluating the reasoning capabilities of Multi-modal Large Language Models (MLLMs). To address this gap, we propose a new benchmark, KnowDR-REC, characterized by three key features: Firstly, it is built upon real-world knowledge, requiring fine-grained multimodal reasoning across text and image. Secondly, the dataset includes elaborately constructed negative samples via fine-grained expression editing, designed to evaluate a model's robustness and anti-hallucination ability. Lastly, we introduce three novel evaluation metrics to systematically explore the model's internal reasoning process. We evaluate 16 state-of-the-art multimodal models on KnowDR-REC, with experimental results showing that existing MLLMs still struggle with knowledge-driven visual grounding tasks. Furthermore, we observe a decoupling between textual understanding and visual grounding in MLLMs, where many models are significantly influenced by memorized shortcut correlations, which severely affect their behavior on our benchmark and hinder genuine multimodal reasoning. We anticipate that the proposed benchmark will inspire future research towards developing more robust, interpretable, and knowledge-intensive visual grounding frameworks, driving the development of more reliable and robust multimodal systems for complex real-world scenarios.

Multimodal learning combines multiple data modalities, broadening the types and complexity of data our models can utilize: for example, from plain text to image-caption pairs. Most multimodal learning algorithms focus on modeling simple one-to-one pairs of data from two modalities, such as image-caption pairs, or audio-text pairs. However, in most real-world settings, entities of different modalities interact with each other in more complex and multifaceted ways, going beyond one-to-one mappings. We propose to represent these complex relationships as graphs, allowing us to capture data with any number of modalities, and with complex relationships between modalities that can flexibly vary from one sample to another. Toward this goal, we propose Multimodal Graph Learning (MMGL), a general and systematic framework for capturing information from multiple multimodal neighbors with relational structures among them. In particular, we focus on MMGL for generative tasks, building upon pretrained Language Models (LMs), aiming to augment their text generation with multimodal neighbor contexts. We study three research questions raised by MMGL: (1) how can we infuse multiple neighbor information into the pretrained LMs, while avoiding scalability issues? (2) how can we infuse the graph structure information among multimodal neighbors into the LMs? and (3) how can we finetune the pretrained LMs to learn from the neighbor context in a parameter-efficient manner? We conduct extensive experiments to answer these three questions on MMGL and analyze the empirical results to pave the way for future MMGL research.

Multimodal large language models (MLLMs) have achieved remarkable performance on complex tasks with multimodal context. However, it is still understudied whether they exhibit modality preference when processing multimodal contexts. To study this question, we first build a MC\textsuperscript{2} benchmark under controlled evidence conflict scenarios to systematically evaluate modality preference, which is the tendency to favor one modality over another when making decisions based on multimodal conflicting evidence. Our extensive evaluation reveals that all 18 tested MLLMs generally demonstrate clear modality bias, and modality preference can be influenced by external interventions. An in-depth analysis reveals that the preference direction can be captured within the latent representations of MLLMs. Built on this, we propose a probing and steering method based on representation engineering to explicitly control modality preference without additional fine-tuning or carefully crafted prompts. Our method effectively amplifies modality preference toward a desired direction and applies to downstream tasks such as hallucination mitigation and multimodal machine translation, yielding promising improvements.

Expanding multimodal representations to novel modalities is constrained by reliance on large-scale paired datasets (e.g., text-image, text-audio, text-3D, text-molecule), which are costly and often infeasible in domains requiring expert annotation such as medical imaging and molecular analysis. We introduce TextME, the first text-only modality expansion framework, to the best of our knowledge, projecting diverse modalities into LLM embedding space as a unified anchor. Our approach exploits the geometric structure of pretrained contrastive encoders to enable zero-shot cross-modal transfer using only text descriptions, without paired supervision. We empirically validate that such consistent modality gaps exist across image, video, audio, 3D, X-ray, and molecular domains, demonstrating that text-only training can preserve substantial performance of pretrained encoders. We further show that our framework enables emergent cross-modal retrieval between modality pairs not explicitly aligned during training (e.g., audio-to-image, 3D-to-image). These results establish text-only training as a practical alternative to paired supervision for modality expansion.

Large vision-language models (LVLMs) augment language models with visual understanding, enabling multimodal reasoning. However, due to the modality gap between textual and visual data, they often face significant challenges, such as over-reliance on text priors, hallucinations, and limited capacity for complex visual reasoning. Existing benchmarks to evaluate visual reasoning in LVLMs often rely on schematic or synthetic images and on imprecise machine-generated explanations. To bridge the modality gap, we present DrivingVQA, a new benchmark derived from driving theory tests to evaluate visual chain-of-thought reasoning in complex real-world scenarios. It offers 3,931 expert-crafted multiple-choice problems and interleaved explanations grounded with entities relevant to the reasoning process. We leverage this dataset to perform an extensive study of LVLMs' ability to reason about complex visual scenarios. Our experiments reveal that open-source and proprietary LVLMs struggle with visual chain-of-thought reasoning under zero-shot settings. We investigate training strategies that leverage relevant entities to improve visual reasoning. Notably, we observe a performance boost of up to 7\% when reasoning over image tokens of cropped regions tied to these entities.

This paper presents a novel multimodal framework to distinguish between different symptom classes of subjects in the schizophrenia spectrum and healthy controls using audio, video, and text modalities. We implemented Convolution Neural Network and Long Short Term Memory based unimodal models and experimented on various multimodal fusion approaches to come up with the proposed framework. We utilized a minimal Gated multimodal unit (mGMU) to obtain a bi-modal intermediate fusion of the features extracted from the input modalities before finally fusing the outputs of the bimodal fusions to perform subject-wise classifications. The use of mGMU units in the multimodal framework improved the performance in both weighted f1-score and weighted AUC-ROC scores.

Multimodal machine learning has achieved remarkable progress in a wide range of scenarios. However, the reliability of multimodal learning remains largely unexplored. In this paper, through extensive empirical studies, we identify current multimodal classification methods suffer from unreliable predictive confidence that tend to rely on partial modalities when estimating confidence. Specifically, we find that the confidence estimated by current models could even increase when some modalities are corrupted. To address the issue, we introduce an intuitive principle for multimodal learning, i.e., the confidence should not increase when one modality is removed. Accordingly, we propose a novel regularization technique, i.e., Calibrating Multimodal Learning (CML) regularization, to calibrate the predictive confidence of previous methods. This technique could be flexibly equipped by existing models and improve the performance in terms of confidence calibration, classification accuracy, and model robustness.

Multimodal learning, a rapidly evolving field in artificial intelligence, seeks to construct more versatile and robust systems by integrating and analyzing diverse types of data, including text, images, audio, and video. Inspired by the human ability to assimilate information through many senses, this method enables applications such as text-to-video conversion, visual question answering, and image captioning. Recent developments in datasets that support multimodal language models (MLLMs) are highlighted in this overview. Large-scale multimodal datasets are essential because they allow for thorough testing and training of these models. With an emphasis on their contributions to the discipline, the study examines a variety of datasets, including those for training, domain-specific tasks, and real-world applications. It also emphasizes how crucial benchmark datasets are for assessing models' performance in a range of scenarios, scalability, and applicability. Since multimodal learning is always changing, overcoming these obstacles will help AI research and applications reach new heights.

Following the success of Large Language Models (LLMs), expanding their boundaries to new modalities represents a significant paradigm shift in multimodal understanding. Human perception is inherently multimodal, relying not only on text but also on auditory and visual cues for a complete understanding of the world. In recognition of this fact, audio-visual LLMs have recently emerged. Despite promising developments, the lack of dedicated benchmarks poses challenges for understanding and evaluating models. In this work, we show that audio-visual LLMs struggle to discern subtle relationships between audio and visual signals, leading to hallucinations, underscoring the need for reliable benchmarks. To address this, we introduce AVHBench, the first comprehensive benchmark specifically designed to evaluate the perception and comprehension capabilities of audio-visual LLMs. Our benchmark includes tests for assessing hallucinations, as well as the cross-modal matching and reasoning abilities of these models. Our results reveal that most existing audio-visual LLMs struggle with hallucinations caused by cross-interactions between modalities, due to their limited capacity to perceive complex multimodal signals and their relationships. Additionally, we demonstrate that simple training with our AVHBench improves robustness of audio-visual LLMs against hallucinations.

Multimodal semantic understanding often has to deal with uncertainty, which means the obtained messages tend to refer to multiple targets. Such uncertainty is problematic for our interpretation, including inter- and intra-modal uncertainty. Little effort has studied the modeling of this uncertainty, particularly in pre-training on unlabeled datasets and fine-tuning in task-specific downstream datasets. In this paper, we project the representations of all modalities as probabilistic distributions via a Probability Distribution Encoder (PDE) by utilizing sequence-level interactions. Compared to the existing deterministic methods, such uncertainty modeling can convey richer multimodal semantic information and more complex relationships. Furthermore, we integrate uncertainty modeling with popular pre-training frameworks and propose suitable pre-training tasks: Distribution-based Vision-Language Contrastive learning (D-VLC), Distribution-based Masked Language Modeling (D-MLM), and Distribution-based Image-Text Matching (D-ITM). The fine-tuned models are applied to challenging downstream tasks, including image-text retrieval, visual question answering, visual reasoning, and visual entailment, and achieve state-of-the-art results.

Existing text-driven motion generation methods often treat synthesis as a bidirectional mapping between language and motion, but remain limited in capturing the causal logic of action execution and the human intentions that drive behavior. The absence of visual grounding further restricts precision and personalization, as language alone cannot specify fine-grained spatiotemporal details. We propose MoGIC, a unified framework that integrates intention modeling and visual priors into multimodal motion synthesis. By jointly optimizing multimodal-conditioned motion generation and intention prediction, MoGIC uncovers latent human goals, leverages visual priors to enhance generation, and exhibits versatile multimodal generative capability. We further introduce a mixture-of-attention mechanism with adaptive scope to enable effective local alignment between conditional tokens and motion subsequences. To support this paradigm, we curate Mo440H, a 440-hour benchmark from 21 high-quality motion datasets. Experiments show that after finetuning, MoGIC reduces FID by 38.6\% on HumanML3D and 34.6\% on Mo440H, surpasses LLM-based methods in motion captioning with a lightweight text head, and further enables intention prediction and vision-conditioned generation, advancing controllable motion synthesis and intention understanding. The code is available at https://github.com/JunyuShi02/MoGIC

Multimodal Large Language Models (MLLMs) have demonstrated profound capabilities in understanding multimodal information, covering from Image LLMs to the more complex Video LLMs. Numerous studies have illustrated their exceptional cross-modal comprehension. Recently, integrating video foundation models with large language models to build a comprehensive video understanding system has been proposed to overcome the limitations of specific pre-defined vision tasks. However, the current advancements in Video LLMs tend to overlook the foundational contributions of Image LLMs, often opting for more complicated structures and a wide variety of multimodal data for pre-training. This approach significantly increases the costs associated with these methods.In response to these challenges, this work introduces an efficient method that strategically leverages the priors of Image LLMs, facilitating a resource-efficient transition from Image to Video LLMs. We propose RED-VILLM, a Resource-Efficient Development pipeline for Video LLMs from Image LLMs, which utilizes a temporal adaptation plug-and-play structure within the image fusion module of Image LLMs. This adaptation extends their understanding capabilities to include temporal information, enabling the development of Video LLMs that not only surpass baseline performances but also do so with minimal instructional data and training resources. Our approach highlights the potential for a more cost-effective and scalable advancement in multimodal models, effectively building upon the foundational work of Image LLMs.