Daily Papers

Long-sequence processing is a critical capability for modern large language models. However, the self-attention mechanism in the standard Transformer architecture faces severe computational and memory bottlenecks when processing long sequences. While trainable sparse attention methods offer a promising solution, existing approaches such as NSA introduce excessive extra parameters and disrupt the conventional pretrain-on-short, finetune-on-long workflow, resulting in slow convergence and difficulty in acceleration. To overcome these limitations, we introduce dense-sparse switchable attention framework, termed as InfLLM-V2. InfLLM-V2 is a trainable sparse attention that seamlessly adapts models from short to long sequences. Specifically, InfLLM-V2 reuses dense attention parameters through parameter-free architecture modification, maintaining consistency between short and long sequence processing. Additionally, InfLLM-V2 ensures computational efficiency across all sequence lengths, by using dense attention for short inputs and smoothly transitioning to sparse attention for long sequences. To achieve practical acceleration, we further introduce an efficient implementation of InfLLM-V2 that significantly reduces the computational overhead. Our experiments on long-context understanding and chain-of-thought reasoning demonstrate that InfLLM-V2 is 4times faster than dense attention while retaining 98.1% and 99.7% of the performance, respectively. Based on the InfLLM-V2 framework, we have trained and open-sourced MiniCPM4.1 (https://huggingface.co/openbmb/MiniCPM4.1-8B), a hybrid reasoning model, providing a reproducible implementation for the research community.

This paper introduces MiniCPM4, a highly efficient large language model (LLM) designed explicitly for end-side devices. We achieve this efficiency through systematic innovation in four key dimensions: model architecture, training data, training algorithms, and inference systems. Specifically, in terms of model architecture, we propose InfLLM v2, a trainable sparse attention mechanism that accelerates both prefilling and decoding phases for long-context processing. Regarding training data, we propose UltraClean, an efficient and accurate pre-training data filtering and generation strategy, and UltraChat v2, a comprehensive supervised fine-tuning dataset. These datasets enable satisfactory model performance to be achieved using just 8 trillion training tokens. Regarding training algorithms, we propose ModelTunnel v2 for efficient pre-training strategy search, and improve existing post-training methods by introducing chunk-wise rollout for load-balanced reinforcement learning and data-efficient tenary LLM, BitCPM. Regarding inference systems, we propose CPM.cu that integrates sparse attention, model quantization, and speculative sampling to achieve efficient prefilling and decoding. To meet diverse on-device requirements, MiniCPM4 is available in two versions, with 0.5B and 8B parameters, respectively. Sufficient evaluation results show that MiniCPM4 outperforms open-source models of similar size across multiple benchmarks, highlighting both its efficiency and effectiveness. Notably, MiniCPM4-8B demonstrates significant speed improvements over Qwen3-8B when processing long sequences. Through further adaptation, MiniCPM4 successfully powers diverse applications, including trustworthy survey generation and tool use with model context protocol, clearly showcasing its broad usability.

The evolution of large language models (LLMs) towards applications with ultra-long contexts faces challenges posed by the high computational and memory costs of the Transformer architecture. While existing sparse and linear attention mechanisms attempt to mitigate these issues, they typically involve a trade-off between memory efficiency and model performance. This paper introduces MiniCPM-SALA, a 9B-parameter hybrid architecture that integrates the high-fidelity long-context modeling of sparse attention (InfLLM-V2) with the global efficiency of linear attention (Lightning Attention). By employing a layer selection algorithm to integrate these mechanisms in a 1:3 ratio and utilizing a hybrid positional encoding (HyPE), the model maintains efficiency and performance for long-context tasks. Furthermore, we introduce a cost-effective continual training framework that transforms pre-trained Transformer-based models into hybrid models, which reduces training costs by approximately 75% compared to training from scratch. Extensive experiments show that MiniCPM-SALA maintains general capabilities comparable to full-attention models while offering improved efficiency. On a single NVIDIA A6000D GPU, the model achieves up to 3.5x the inference speed of the full-attention model at the sequence length of 256K tokens and supports context lengths of up to 1M tokens, a scale where traditional full-attention 8B models fail because of memory constraints.

Trainable sparse attention has emerged as a promising solution to address the decoding efficiency bottleneck of LLMs in long-context processing, significantly saving memory accesses while minimally impacting task performance. However, existing sparse attention methods leave a crucial limitation unresolved: the size of the key-value (KV) cache remains unreduced, which constrains on-GPU batch sizes and throttles decoding throughput, especially in large-scale batched inference. In this paper, we show that trainable sparse attention naturally exhibits strong locality in token selection across adjacent decoding steps, thereby enabling KV cache offloading without altering the underlying attention computation. However, the inherent locality remains insufficient to achieve efficient offloading, as the transfer of selected KV pairs between the CPU and GPU continues to dominate the overall decoding cost. Building on this insight, we present NOSA, a trainable sparse attention framework designed to natively support KV cache offloading. NOSA introduces explicit locality constraints by decomposing token selection into query-aware and query-agnostic components, thereby reducing KV transfers while preserving the same attention computation as used during training. We pretrain a 1B-parameter model with NOSA and conduct extensive benchmarks, showing that it preserves near-lossless performance while achieving up to a 2.3x improvement in decoding throughput compared with the vanilla trainable sparse attention baseline (InfLLM-V2).

Large language models (LLMs) have emerged as a cornerstone in real-world applications with lengthy streaming inputs, such as LLM-driven agents. However, existing LLMs, pre-trained on sequences with restricted maximum length, cannot generalize to longer sequences due to the out-of-domain and distraction issues. To alleviate these issues, existing efforts employ sliding attention windows and discard distant tokens to achieve the processing of extremely long sequences. Unfortunately, these approaches inevitably fail to capture long-distance dependencies within sequences to deeply understand semantics. This paper introduces a training-free memory-based method, InfLLM, to unveil the intrinsic ability of LLMs to process streaming long sequences. Specifically, InfLLM stores distant contexts into additional memory units and employs an efficient mechanism to lookup token-relevant units for attention computation. Thereby, InfLLM allows LLMs to efficiently process long sequences while maintaining the ability to capture long-distance dependencies. Without any training, InfLLM enables LLMs pre-trained on sequences of a few thousand tokens to achieve superior performance than competitive baselines continually training these LLMs on long sequences. Even when the sequence length is scaled to 1,024K, InfLLM still effectively captures long-distance dependencies.

Beginning with VisualGLM and CogVLM, we are continuously exploring VLMs in pursuit of enhanced vision-language fusion, efficient higher-resolution architecture, and broader modalities and applications. Here we propose the CogVLM2 family, a new generation of visual language models for image and video understanding including CogVLM2, CogVLM2-Video and GLM-4V. As an image understanding model, CogVLM2 inherits the visual expert architecture with improved training recipes in both pre-training and post-training stages, supporting input resolution up to 1344 times 1344 pixels. As a video understanding model, CogVLM2-Video integrates multi-frame input with timestamps and proposes automated temporal grounding data construction. Notably, CogVLM2 family has achieved state-of-the-art results on benchmarks like MMBench, MM-Vet, TextVQA, MVBench and VCGBench. All models are open-sourced in https://github.com/THUDM/CogVLM2 and https://github.com/THUDM/GLM-4, contributing to the advancement of the field.

We introduce MobileVLM V2, a family of significantly improved vision language models upon MobileVLM, which proves that a delicate orchestration of novel architectural design, an improved training scheme tailored for mobile VLMs, and rich high-quality dataset curation can substantially benefit VLMs' performance. Specifically, MobileVLM V2 1.7B achieves better or on-par performance on standard VLM benchmarks compared with much larger VLMs at the 3B scale. Notably, our 3B model outperforms a large variety of VLMs at the 7B+ scale. Our models will be released at https://github.com/Meituan-AutoML/MobileVLM .

We present F2LLM-v2, a new family of general-purpose, multilingual embedding models in 8 distinct sizes ranging from 80M to 14B. Trained on a newly curated composite of 60 million publicly available high-quality data samples, F2LLM-v2 supports more than 200 languages, with a particular emphasis on previously underserved mid- and low-resource languages. By integrating a two-stage LLM-based embedding training pipeline with matryoshka learning, model pruning, and knowledge distillation techniques, we present models that are far more efficient than previous LLM-based embedding models while retaining competitive performances. Extensive evaluations confirm that F2LLM-v2-14B ranks first on 11 MTEB benchmarks, while the smaller models in the family also set a new state of the art for resource-constrained applications. To facilitate open-source embedding model research, we release all models, data, code, and intermediate checkpoints.

Med42-v2 introduces a suite of clinical large language models (LLMs) designed to address the limitations of generic models in healthcare settings. These models are built on Llama3 architecture and fine-tuned using specialized clinical data. They underwent multi-stage preference alignment to effectively respond to natural prompts. While generic models are often preference-aligned to avoid answering clinical queries as a precaution, Med42-v2 is specifically trained to overcome this limitation, enabling its use in clinical settings. Med42-v2 models demonstrate superior performance compared to the original Llama3 models in both 8B and 70B parameter configurations and GPT-4 across various medical benchmarks. These LLMs are developed to understand clinical queries, perform reasoning tasks, and provide valuable assistance in clinical environments. The models are now publicly available at https://huggingface.co/m42-health{https://huggingface.co/m42-health}.

Multimodal large language models (MLLMs) have shown remarkable potential in various domains, yet their application in the medical field is hindered by several challenges. General-purpose MLLMs often lack the specialized knowledge required for medical tasks, leading to uncertain or hallucinatory responses. Knowledge distillation from advanced models struggles to capture domain-specific expertise in radiology and pharmacology. Additionally, the computational cost of continual pretraining with large-scale medical data poses significant efficiency challenges. To address these issues, we propose InfiMed-Foundation-1.7B and InfiMed-Foundation-4B, two medical-specific MLLMs designed to deliver state-of-the-art performance in medical applications. We combined high-quality general-purpose and medical multimodal data and proposed a novel five-dimensional quality assessment framework to curate high-quality multimodal medical datasets. We employ low-to-high image resolution and multimodal sequence packing to enhance training efficiency, enabling the integration of extensive medical data. Furthermore, a three-stage supervised fine-tuning process ensures effective knowledge extraction for complex medical tasks. Evaluated on the MedEvalKit framework, InfiMed-Foundation-1.7B outperforms Qwen2.5VL-3B, while InfiMed-Foundation-4B surpasses HuatuoGPT-V-7B and MedGemma-27B-IT, demonstrating superior performance in medical visual question answering and diagnostic tasks. By addressing key challenges in data quality, training efficiency, and domain-specific knowledge extraction, our work paves the way for more reliable and effective AI-driven solutions in healthcare. InfiMed-Foundation-4B model is available at https://huggingface.co/InfiX-ai/InfiMed-Foundation-4B{InfiMed-Foundation-4B}.

We present ReaderLM-v2, a compact 1.5 billion parameter language model designed for efficient web content extraction. Our model processes documents up to 512K tokens, transforming messy HTML into clean Markdown or JSON formats with high accuracy -- making it an ideal tool for grounding large language models. The model's effectiveness results from two key innovations: (1) a three-stage data synthesis pipeline that generates high quality, diverse training data by iteratively drafting, refining, and critiquing web content extraction; and (2) a unified training framework combining continuous pre-training with multi-objective optimization. Intensive evaluation demonstrates that ReaderLM-v2 outperforms GPT-4o-2024-08-06 and other larger models by 15-20\% on carefully curated benchmarks, particularly excelling at documents exceeding 100K tokens, while maintaining significantly lower computational requirements.

This study evaluates the performance of large language models (LLMs) as medical agents in Portuguese, aiming to develop a reliable and relevant virtual assistant for healthcare professionals. The HealthCareMagic-100k-en and MedQuAD datasets, translated from English using GPT-3.5, were used to fine-tune the ChatBode-7B model using the PEFT-QLoRA method. The InternLM2 model, with initial training on medical data, presented the best overall performance, with high precision and adequacy in metrics such as accuracy, completeness and safety. However, DrBode models, derived from ChatBode, exhibited a phenomenon of catastrophic forgetting of acquired medical knowledge. Despite this, these models performed frequently or even better in aspects such as grammaticality and coherence. A significant challenge was low inter-rater agreement, highlighting the need for more robust assessment protocols. This work paves the way for future research, such as evaluating multilingual models specific to the medical field, improving the quality of training data, and developing more consistent evaluation methodologies for the medical field.

Autoregressive (AR) large language models (LLMs) have achieved remarkable performance across a wide range of natural language tasks, yet their inherent sequential decoding limits inference efficiency. In this work, we propose Fast-dLLM v2, a carefully designed block diffusion language model (dLLM) that efficiently adapts pretrained AR models into dLLMs for parallel text generation, requiring only approximately 1B tokens of fine-tuning. This represents a 500x reduction in training data compared to full-attention diffusion LLMs such as Dream (580B tokens), while preserving the original model's performance. Our approach introduces a novel training recipe that combines a block diffusion mechanism with a complementary attention mask, enabling blockwise bidirectional context modeling without sacrificing AR training objectives. To further accelerate decoding, we design a hierarchical caching mechanism: a block-level cache that stores historical context representations across blocks, and a sub-block cache that enables efficient parallel generation within partially decoded blocks. Coupled with our parallel decoding pipeline, Fast-dLLM v2 achieves up to 2.5x speedup over standard AR decoding without compromising generation quality. Extensive experiments across diverse benchmarks demonstrate that Fast-dLLM v2 matches or surpasses AR baselines in accuracy, while delivering state-of-the-art efficiency among dLLMs - marking a significant step toward the practical deployment of fast and accurate LLMs. Code and model will be publicly released.

Open-source, multilingual medical large language models (LLMs) have the potential to serve linguistically diverse populations across different regions. Adapting generic LLMs for healthcare often requires continual pretraining, but this approach is computationally expensive and sometimes impractical. Instruction fine-tuning on a specific task may not always guarantee optimal performance due to the lack of broader domain knowledge that the model needs to understand and reason effectively in diverse scenarios. To address these challenges, we introduce two multilingual instruction fine-tuning datasets, MMed-IFT and MMed-IFT-MC, containing over 200k high-quality medical samples in six languages. We propose a two-stage training paradigm: the first stage injects general medical knowledge using MMed-IFT, while the second stage fine-tunes task-specific multiple-choice questions with MMed-IFT-MC. Our method achieves competitive results on both English and multilingual benchmarks, striking a balance between computational efficiency and performance. We plan to make our dataset and model weights public at https://github.com/SpassMed/Med-Llama3 in the future.

Multimodal large language models (MLLMs) have demonstrated promising prospects in healthcare, particularly for addressing complex medical tasks, supporting multidisciplinary treatment (MDT), and enabling personalized precision medicine. However, their practical deployment faces critical challenges in resource efficiency, diagnostic accuracy, clinical considerations, and ethical privacy. To address these limitations, we propose Infi-Med, a comprehensive framework for medical MLLMs that introduces three key innovations: (1) a resource-efficient approach through curating and constructing high-quality supervised fine-tuning (SFT) datasets with minimal sample requirements, with a forward-looking design that extends to both pretraining and posttraining phases; (2) enhanced multimodal reasoning capabilities for cross-modal integration and clinical task understanding; and (3) a systematic evaluation system that assesses model performance across medical modalities and task types. Our experiments demonstrate that Infi-Med achieves state-of-the-art (SOTA) performance in general medical reasoning while maintaining rapid adaptability to clinical scenarios. The framework establishes a solid foundation for deploying MLLMs in real-world healthcare settings by balancing model effectiveness with operational constraints.

We introduce InternVL 2.5, an advanced multimodal large language model (MLLM) series that builds upon InternVL 2.0, maintaining its core model architecture while introducing significant enhancements in training and testing strategies as well as data quality. In this work, we delve into the relationship between model scaling and performance, systematically exploring the performance trends in vision encoders, language models, dataset sizes, and test-time configurations. Through extensive evaluations on a wide range of benchmarks, including multi-discipline reasoning, document understanding, multi-image / video understanding, real-world comprehension, multimodal hallucination detection, visual grounding, multilingual capabilities, and pure language processing, InternVL 2.5 exhibits competitive performance, rivaling leading commercial models such as GPT-4o and Claude-3.5-Sonnet. Notably, our model is the first open-source MLLMs to surpass 70% on the MMMU benchmark, achieving a 3.7-point improvement through Chain-of-Thought (CoT) reasoning and showcasing strong potential for test-time scaling. We hope this model contributes to the open-source community by setting new standards for developing and applying multimodal AI systems. HuggingFace demo see https://huggingface.co/spaces/OpenGVLab/InternVL

Medical image analysis is a fundamental component. As deep learning progresses, the focus has shifted from single-task applications, such as classification and segmentation, to more complex multimodal tasks, including medical visual question answering and report generation. Traditional shallow and task-specific models are increasingly limited in addressing the complexity and scalability required in clinical practice. The emergence of large language models (LLMs) has driven the development of medical Large Vision-Language Models (LVLMs), offering a unified solution for diverse vision-language tasks. In this study, we investigate various architectural designs for medical LVLMs based on the widely adopted LLaVA framework, which follows an encoder-connector-LLM paradigm. We construct two distinct models targeting 2D and 3D modalities, respectively. These models are designed to support both general-purpose medical tasks and domain-specific fine-tuning, thereby serving as effective foundation models. To facilitate reproducibility and further research, we develop a modular and extensible codebase, MedM-VL, and release two LVLM variants: MedM-VL-2D for 2D medical image analysis and MedM-VL-CT-Chest for 3D CT-based applications. The code and models are available at: https://github.com/MSIIP/MedM-VL

The evolution of Large Language Models (LLMs) like ChatGPT and GPT-4 has sparked discussions on the advent of Artificial General Intelligence (AGI). However, replicating such advancements in open-source models has been challenging. This paper introduces InternLM2, an open-source LLM that outperforms its predecessors in comprehensive evaluations across 6 dimensions and 30 benchmarks, long-context modeling, and open-ended subjective evaluations through innovative pre-training and optimization techniques. The pre-training process of InternLM2 is meticulously detailed, highlighting the preparation of diverse data types including text, code, and long-context data. InternLM2 efficiently captures long-term dependencies, initially trained on 4k tokens before advancing to 32k tokens in pre-training and fine-tuning stages, exhibiting remarkable performance on the 200k ``Needle-in-a-Haystack" test. InternLM2 is further aligned using Supervised Fine-Tuning (SFT) and a novel Conditional Online Reinforcement Learning from Human Feedback (COOL RLHF) strategy that addresses conflicting human preferences and reward hacking. By releasing InternLM2 models in different training stages and model sizes, we provide the community with insights into the model's evolution.

Efforts to align Large Language Models (LLMs) are mainly conducted via Reinforcement Learning from Human Feedback (RLHF) methods. However, RLHF encounters major challenges including training reward models, actor-critic engineering, and importantly, it requires access to LLM parameters. Here we introduce Aligner, a new efficient alignment paradigm that bypasses the whole RLHF process by learning the correctional residuals between the aligned and the unaligned answers. Our Aligner offers several key advantages. Firstly, it is an autoregressive seq2seq model that is trained on the query-answer-correction dataset via supervised learning; this offers a parameter-efficient alignment solution with minimal resources. Secondly, the Aligner facilitates weak-to-strong generalization; finetuning large pretrained models by Aligner's supervisory signals demonstrates strong performance boost. Thirdly, Aligner functions as a model-agnostic plug-and-play module, allowing for its direct application on different open-source and API-based models. Remarkably, Aligner-7B improves 11 different LLMs by 21.9% in helpfulness and 23.8% in harmlessness on average (GPT-4 by 17.5% and 26.9%). When finetuning (strong) Llama2-70B with (weak) Aligner-13B's supervision, we can improve Llama2 by 8.2% in helpfulness and 61.6% in harmlessness. See our dataset and code at https://aligner2024.github.io

This paper presents LLaDA2.0 -- a tuple of discrete diffusion large language models (dLLM) scaling up to 100B total parameters through systematic conversion from auto-regressive (AR) models -- establishing a new paradigm for frontier-scale deployment. Instead of costly training from scratch, LLaDA2.0 upholds knowledge inheritance, progressive adaption and efficiency-aware design principle, and seamless converts a pre-trained AR model into dLLM with a novel 3-phase block-level WSD based training scheme: progressive increasing block-size in block diffusion (warm-up), large-scale full-sequence diffusion (stable) and reverting back to compact-size block diffusion (decay). Along with post-training alignment with SFT and DPO, we obtain LLaDA2.0-mini (16B) and LLaDA2.0-flash (100B), two instruction-tuned Mixture-of-Experts (MoE) variants optimized for practical deployment. By preserving the advantages of parallel decoding, these models deliver superior performance and efficiency at the frontier scale. Both models were open-sourced.

Large Language Models (LLMs) and Multimodal Large Language Models (MLLMs) have made significant advancements in reasoning capabilities. However, they still face challenges such as high computational demands and privacy concerns. This paper focuses on developing efficient Small Language Models (SLMs) and Multimodal Small Language Models (MSLMs) that retain competitive reasoning abilities. We introduce a novel training pipeline that enhances reasoning capabilities and facilitates deployment on edge devices, achieving state-of-the-art performance while minimizing development costs. \InfR~ aims to advance AI systems by improving reasoning, reducing adoption barriers, and addressing privacy concerns through smaller model sizes. Resources are available at https://github. com/Reallm-Labs/InfiR.

Multimodal Large Language Models (MLLMs) have experienced significant advancements recently. Nevertheless, challenges persist in the accurate recognition and comprehension of intricate details within high-resolution images. Despite being indispensable for the development of robust MLLMs, this area remains underinvestigated. To tackle this challenge, our work introduces InfiMM-HD, a novel architecture specifically designed for processing images of different resolutions with low computational overhead. This innovation facilitates the enlargement of MLLMs to higher-resolution capabilities. InfiMM-HD incorporates a cross-attention module and visual windows to reduce computation costs. By integrating this architectural design with a four-stage training pipeline, our model attains improved visual perception efficiently and cost-effectively. Empirical study underscores the robustness and effectiveness of InfiMM-HD, opening new avenues for exploration in related areas. Codes and models can be found at https://huggingface.co/Infi-MM/infimm-hd

Text-to-Image (T2I) generation has made significant advancements with diffusion models, yet challenges persist in handling complex instructions, ensuring fine-grained content control, and maintaining deep semantic consistency. Existing T2I models often struggle with tasks like accurate text rendering, precise pose generation, or intricate compositional coherence. Concurrently, Vision-Language Models (LVLMs) have demonstrated powerful capabilities in cross-modal understanding and instruction following. We propose LumiGen, a novel LVLM-enhanced iterative framework designed to elevate T2I model performance, particularly in areas requiring fine-grained control, through a closed-loop, LVLM-driven feedback mechanism. LumiGen comprises an Intelligent Prompt Parsing & Augmentation (IPPA) module for proactive prompt enhancement and an Iterative Visual Feedback & Refinement (IVFR) module, which acts as a "visual critic" to iteratively correct and optimize generated images. Evaluated on the challenging LongBench-T2I Benchmark, LumiGen achieves a superior average score of 3.08, outperforming state-of-the-art baselines. Notably, our framework demonstrates significant improvements in critical dimensions such as text rendering and pose expression, validating the effectiveness of LVLM integration for more controllable and higher-quality image generation.

Multimodal large language models (MLLMs) represent an evolutionary expansion in the capabilities of traditional large language models, enabling them to tackle challenges that surpass the scope of purely text-based applications. It leverages the knowledge previously encoded within these language models, thereby enhancing their applicability and functionality in the reign of multimodal contexts. Recent works investigate the adaptation of MLLMs to predict free-form answers as a generative task to solve medical visual question answering (Med-VQA) tasks. In this paper, we propose a parameter efficient framework for fine-tuning MLLM specifically tailored to Med-VQA applications, and empirically validate it on a public benchmark dataset. To accurately measure the performance, we employ human evaluation and the results reveal that our model achieves an overall accuracy of 81.9%, and outperforms the GPT-4v model by a significant margin of 26% absolute accuracy on closed-ended questions. The code will be available here: https://github.com/jinlHe/PeFoMed.

We introduce LLaVA-MoD, a novel framework designed to enable the efficient training of small-scale Multimodal Language Models (s-MLLM) by distilling knowledge from large-scale MLLM (l-MLLM). Our approach tackles two fundamental challenges in MLLM distillation. First, we optimize the network structure of s-MLLM by integrating a sparse Mixture of Experts (MoE) architecture into the language model, striking a balance between computational efficiency and model expressiveness. Second, we propose a progressive knowledge transfer strategy to ensure comprehensive knowledge migration. This strategy begins with mimic distillation, where we minimize the Kullback-Leibler (KL) divergence between output distributions to enable the student model to emulate the teacher network's understanding. Following this, we introduce preference distillation via Direct Preference Optimization (DPO), where the key lies in treating l-MLLM as the reference model. During this phase, the s-MLLM's ability to discriminate between superior and inferior examples is significantly enhanced beyond l-MLLM, leading to a better student that surpasses its teacher, particularly in hallucination benchmarks. Extensive experiments demonstrate that LLaVA-MoD outperforms existing models across various multimodal benchmarks while maintaining a minimal number of activated parameters and low computational costs. Remarkably, LLaVA-MoD, with only 2B activated parameters, surpasses Qwen-VL-Chat-7B by an average of 8.8% across benchmarks, using merely 0.3% of the training data and 23% trainable parameters. These results underscore LLaVA-MoD's ability to effectively distill comprehensive knowledge from its teacher model, paving the way for the development of more efficient MLLMs. The code will be available on: https://github.com/shufangxun/LLaVA-MoD.

For clinical data integration and healthcare services, the HL7 FHIR standard has established itself as a desirable format for interoperability between complex health data. Previous attempts at automating the translation from free-form clinical notes into structured FHIR resources rely on modular, rule-based systems or LLMs with instruction tuning and constrained decoding. Since they frequently suffer from limited generalizability and structural inconformity, we propose an end-to-end framework powered by LLM agents, code execution, and healthcare terminology database tools to address these issues. Our solution, called Infherno, is designed to adhere to the FHIR document schema and competes well with a human baseline in predicting FHIR resources from unstructured text. The implementation features a front end for custom and synthetic data and both local and proprietary models, supporting clinical data integration processes and interoperability across institutions.

Predicting protein function from sequence is a central challenge in computational biology. While existing methods rely heavily on structured ontologies or similarity-based techniques, they often lack the flexibility to express structure-free functional descriptions and novel biological functions. In this work, we introduce Prot2Text-V2, a novel multimodal sequence-to-text model that generates free-form natural language descriptions of protein function directly from amino acid sequences. Our method combines a protein language model as a sequence encoder (ESM-3B) and a decoder-only language model (LLaMA-3.1-8B-Instruct) through a lightweight nonlinear modality projector. A key innovation is our Hybrid Sequence-level Contrastive Alignment Learning (H-SCALE), which improves cross-modal learning by matching mean- and std-pooled protein embeddings with text representations via contrastive loss. After the alignment phase, we apply instruction-based fine-tuning using LoRA on the decoder to teach the model how to generate accurate protein function descriptions conditioned on the protein sequence. We train Prot2Text-V2 on about 250K curated entries from SwissProt and evaluate it under low-homology conditions, where test sequences have low similarity with training samples. Prot2Text-V2 consistently outperforms traditional and LLM-based baselines across various metrics.

In multimodal large language models (MLLMs), vision transformers (ViTs) are widely employed for visual encoding. However, their performance in solving universal MLLM tasks is not satisfactory. We attribute it to a lack of information from diverse visual levels, impeding alignment with the various semantic granularity required for language generation. To address this issue, we present LLaVA-UHD v2, an advanced MLLM centered around a Hierarchical window transformer that enables capturing diverse visual granularity by constructing and integrating a high-resolution feature pyramid. As a vision-language projector, Hiwin transformer comprises two primary modules: (i) an inverse feature pyramid, constructed by a ViT-derived feature up-sampling process utilizing high-frequency details from an image pyramid, and (ii) hierarchical window attention, focusing on a set of key sampling features within cross-scale windows to condense multi-level feature maps. Extensive experiments demonstrate that LLaVA-UHD v2 achieves superior performance over existing MLLMs on popular benchmarks. Notably, our design brings an average boost of 3.7% across 14 benchmarks compared with the baseline method, 9.3% on DocVQA for instance. We make all the data, model checkpoint, and code publicly available to facilitate future research.

Sailor2 is a family of cutting-edge multilingual language models for South-East Asian (SEA) languages, available in 1B, 8B, and 20B sizes to suit diverse applications. Building on Qwen2.5, Sailor2 undergoes continuous pre-training on 500B tokens (400B SEA-specific and 100B replay tokens) to support 13 SEA languages while retaining proficiency in Chinese and English. Sailor2-20B model achieves a 50-50 win rate against GPT-4o across SEA languages. We also deliver a comprehensive cookbook on how to develop the multilingual model in an efficient manner, including five key aspects: data curation, pre-training, post-training, model customization and evaluation. We hope that Sailor2 model (Apache 2.0 license) will drive language development in the SEA region, and Sailor2 cookbook will inspire researchers to build more inclusive LLMs for other under-served languages.

The rapid development of multimodal large language models (MLLMs), such as GPT-4V, has led to significant advancements. However, these models still face challenges in medical multimodal capabilities due to limitations in the quantity and quality of medical vision-text data, stemming from data privacy concerns and high annotation costs. While pioneering approaches utilize PubMed's large-scale, de-identified medical image-text pairs to address these limitations, they still fall short due to inherent data noise. To tackle this, we refined medical image-text pairs from PubMed and employed MLLMs (GPT-4V) in an 'unblinded' capacity to denoise and reformat the data, resulting in the creation of the PubMedVision dataset with 1.3 million medical VQA samples. Our validation demonstrates that: (1) PubMedVision can significantly enhance the medical multimodal capabilities of current MLLMs, showing significant improvement in benchmarks including the MMMU Health & Medicine track; (2) manual checks by medical experts and empirical results validate the superior data quality of our dataset compared to other data construction methods. Using PubMedVision, we train a 34B medical MLLM HuatuoGPT-Vision, which shows superior performance in medical multimodal scenarios among open-source MLLMs.

Objectives: We aim to dynamically retrieve informative demonstrations, enhancing in-context learning in multimodal large language models (MLLMs) for disease classification. Methods: We propose a Retrieval-Augmented In-Context Learning (RAICL) framework, which integrates retrieval-augmented generation (RAG) and in-context learning (ICL) to adaptively select demonstrations with similar disease patterns, enabling more effective ICL in MLLMs. Specifically, RAICL examines embeddings from diverse encoders, including ResNet, BERT, BioBERT, and ClinicalBERT, to retrieve appropriate demonstrations, and constructs conversational prompts optimized for ICL. We evaluated the framework on two real-world multi-modal datasets (TCGA and IU Chest X-ray), assessing its performance across multiple MLLMs (Qwen, Llava, Gemma), embedding strategies, similarity metrics, and varying numbers of demonstrations. Results: RAICL consistently improved classification performance. Accuracy increased from 0.7854 to 0.8368 on TCGA and from 0.7924 to 0.8658 on IU Chest X-ray. Multi-modal inputs outperformed single-modal ones, with text-only inputs being stronger than images alone. The richness of information embedded in each modality will determine which embedding model can be used to get better results. Few-shot experiments showed that increasing the number of retrieved examples further enhanced performance. Across different similarity metrics, Euclidean distance achieved the highest accuracy while cosine similarity yielded better macro-F1 scores. RAICL demonstrated consistent improvements across various MLLMs, confirming its robustness and versatility. Conclusions: RAICL provides an efficient and scalable approach to enhance in-context learning in MLLMs for multimodal disease classification.

Security concerns related to Large Language Models (LLMs) have been extensively explored, yet the safety implications for Multimodal Large Language Models (MLLMs), particularly in medical contexts (MedMLLMs), remain insufficiently studied. This paper delves into the underexplored security vulnerabilities of MedMLLMs, especially when deployed in clinical environments where the accuracy and relevance of question-and-answer interactions are critically tested against complex medical challenges. By combining existing clinical medical data with atypical natural phenomena, we redefine two types of attacks: mismatched malicious attack (2M-attack) and optimized mismatched malicious attack (O2M-attack). Using our own constructed voluminous 3MAD dataset, which covers a wide range of medical image modalities and harmful medical scenarios, we conduct a comprehensive analysis and propose the MCM optimization method, which significantly enhances the attack success rate on MedMLLMs. Evaluations with this dataset and novel attack methods, including white-box attacks on LLaVA-Med and transfer attacks on four other state-of-the-art models, indicate that even MedMLLMs designed with enhanced security features are vulnerable to security breaches. Our work underscores the urgent need for a concerted effort to implement robust security measures and enhance the safety and efficacy of open-source MedMLLMs, particularly given the potential severity of jailbreak attacks and other malicious or clinically significant exploits in medical settings. For further research and replication, anonymous access to our code is available at https://github.com/dirtycomputer/O2M_attack. Warning: Medical large model jailbreaking may generate content that includes unverified diagnoses and treatment recommendations. Always consult professional medical advice.

Multimodal large language models (MLLMs) have demonstrated impressive performance in vision-language tasks across a broad spectrum of domains. However, the large model scale and associated high computational costs pose significant challenges for training and deploying MLLMs on consumer-grade GPUs or edge devices, thereby hindering their widespread application. In this work, we introduce Mini-InternVL, a series of MLLMs with parameters ranging from 1B to 4B, which achieves 90% of the performance with only 5% of the parameters. This significant improvement in efficiency and effectiveness makes our models more accessible and applicable in various real-world scenarios. To further promote the adoption of our models, we develop a unified adaptation framework for Mini-InternVL, which enables our models to transfer and outperform specialized models in downstream tasks, including autonomous driving, medical images, and remote sensing. We believe that our study can provide valuable insights and resources to advance the development of efficient and effective MLLMs. Code is available at https://github.com/OpenGVLab/InternVL.

Multimodal Large Language Models (MLLMs) have demonstrated remarkable effectiveness in various general-domain scenarios, such as visual question answering and image captioning. Recently, researchers have increasingly focused on empowering MLLMs with medical conversational abilities, which hold significant promise for clinical applications. However, medical data presents unique challenges due to its heterogeneous nature -- encompassing diverse modalities including 2D images, 3D volumetric scans, and temporal video sequences. The substantial domain gap and data format inconsistencies across these modalities have hindered the development of unified medical MLLMs. To address these challenges, we propose Fleming-VL, a unified end-to-end framework for comprehensive medical visual understanding across heterogeneous modalities. Fleming-VL tackles this problem from a data-centric perspective through three key strategies: (1) scaling up pretraining by integrating long-context data from both natural and medical-specific domains; (2) complementing fine-tuning with rare medical data, including holistic video analysis and underrepresented 2D modalities such as ultrasound and dermoscopy images; (3) extending existing evaluation frameworks to incorporate 3D volumetric and video understanding benchmarks. Through supervised fine-tuning (SFT) and group relative policy optimization (GRPO), we develop Fleming-VL in multiple model scales. Extensive experiments demonstrate that Fleming-VL achieves state-of-the-art performance across multiple benchmarks, including medical VQA, video QA, and 3D medical image understanding. We publicly release Fleming-VL to promote transparent, reproducible, and auditable progress in medical AI.

This study presents a comprehensive analysis and comparison of two predominant fine-tuning methodologies - full-parameter fine-tuning and parameter-efficient tuning - within the context of medical Large Language Models (LLMs). We developed and refined a series of LLMs, based on the Llama-2 architecture, specifically designed to enhance medical knowledge retrieval, reasoning, and question-answering capabilities. Our experiments systematically evaluate the effectiveness of these tuning strategies across various well-known medical benchmarks. Notably, our medical LLM Med42 showed an accuracy level of 72% on the US Medical Licensing Examination (USMLE) datasets, setting a new standard in performance for openly available medical LLMs. Through this comparative analysis, we aim to identify the most effective and efficient method for fine-tuning LLMs in the medical domain, thereby contributing significantly to the advancement of AI-driven healthcare applications.

Endoscopic procedures are essential for diagnosing and treating internal diseases, and multi-modal large language models (MLLMs) are increasingly applied to assist in endoscopy analysis. However, current benchmarks are limited, as they typically cover specific endoscopic scenarios and a small set of clinical tasks, failing to capture the real-world diversity of endoscopic scenarios and the full range of skills needed in clinical workflows. To address these issues, we introduce EndoBench, the first comprehensive benchmark specifically designed to assess MLLMs across the full spectrum of endoscopic practice with multi-dimensional capacities. EndoBench encompasses 4 distinct endoscopic scenarios, 12 specialized clinical tasks with 12 secondary subtasks, and 5 levels of visual prompting granularities, resulting in 6,832 rigorously validated VQA pairs from 21 diverse datasets. Our multi-dimensional evaluation framework mirrors the clinical workflow--spanning anatomical recognition, lesion analysis, spatial localization, and surgical operations--to holistically gauge the perceptual and diagnostic abilities of MLLMs in realistic scenarios. We benchmark 23 state-of-the-art models, including general-purpose, medical-specialized, and proprietary MLLMs, and establish human clinician performance as a reference standard. Our extensive experiments reveal: (1) proprietary MLLMs outperform open-source and medical-specialized models overall, but still trail human experts; (2) medical-domain supervised fine-tuning substantially boosts task-specific accuracy; and (3) model performance remains sensitive to prompt format and clinical task complexity. EndoBench establishes a new standard for evaluating and advancing MLLMs in endoscopy, highlighting both progress and persistent gaps between current models and expert clinical reasoning. We publicly release our benchmark and code.

We introduce F2LLM - Foundation to Feature Large Language Models, a suite of state-of-the-art embedding models in three sizes: 0.6B, 1.7B, and 4B. Unlike previous top-ranking embedding models that require massive contrastive pretraining, sophisticated training pipelines, and costly synthetic training data, F2LLM is directly finetuned from foundation models on 6 million query-document-negative tuples curated from open-source, non-synthetic datasets, striking a strong balance between training cost, model size, and embedding performance. On the MTEB English leaderboard, F2LLM-4B ranks 2nd among models with approximately 4B parameters and 7th overall, while F2LLM-1.7B ranks 1st among models in the 1B-2B size range. To facilitate future research in the field, we release the models, training dataset, and code, positioning F2LLM as a strong, reproducible, and budget-friendly baseline for future works.

As the research of Multimodal Large Language Models (MLLMs) becomes popular, an advancing MLLM model is typically required to handle various textual and visual tasks (e.g., VQA, Detection, OCR, and ChartQA) simultaneously for real-world applications. However, due to the significant differences in representation and distribution among data from various tasks, simply mixing data of all tasks together leads to the well-known``multi-task conflict" issue, resulting in performance degradation across various tasks. To address this issue, we propose Awaker2.5-VL, a Mixture of Experts~(MoE) architecture suitable for MLLM, which acquires the multi-task capabilities through multiple sparsely activated experts. To speed up the training and inference of Awaker2.5-VL, each expert in our model is devised as a low-rank adaptation (LoRA) structure. Extensive experiments on multiple latest benchmarks demonstrate the effectiveness of Awaker2.5-VL. The code and model weight are released in our Project Page: https://github.com/MetabrainAGI/Awaker.

Diffusion Large Language Models (dLLMs) have emerged as a promising alternative to autoregressive (AR) LLMs for text generation, with the potential to decode multiple tokens in a single iteration. However, none of the existing open-source dLLMs have achieved superior inference speed over AR LLMs of similar size. This paper breaks this barrier based on a simple and effective strategy named discrete diffusion forcing (D2F). D2F equips dLLMs with two key capabilities: (1) block-wise autoregressive generation to enable KV cache utilization; (2) prediction of following tokens without requiring completion of prior blocks for inter-block parallel decoding. In this way, the vanilla dLLMs are refurbished into an AR-diffusion hybrid paradigm for efficient inference. D2F can be implemented with an asymmetric distillation process based on pre-trained dLLMs. We further propose a pipelined parallel decoding algorithm, which enables a trade-off between efficiency and efficacy. Empirically, D2F dLLMs achieve more than 2.5times inference speed than LLaMA3 and Qwen2.5 on GSM8K. Compared to vanilla dLLMs like LLaDA and Dream, the acceleration can be more than 50times while maintaining comparable output quality. The code is available at https://github.com/zhijie-group/Discrete-Diffusion-Forcing.

Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.

Current Multimodal Large Language Models exhibit very strong performance for several demanding tasks. While commercial MLLMs deliver acceptable performance in low-resource languages, comparable results remain unattained within the open science community. In this paper, we aim to develop a strong MLLM for a low-resource language, namely Basque. For that purpose, we develop our own training and evaluation image-text datasets. Using two different Large Language Models as backbones, the Llama-3.1-Instruct model and a Basque-adapted variant called Latxa, we explore several data mixtures for training. We show that: i) low ratios of Basque multimodal data (around 20%) are already enough to obtain solid results on Basque benchmarks, and ii) contrary to expected, a Basque instructed backbone LLM is not required to obtain a strong MLLM in Basque. Our results pave the way to develop MLLMs for other low-resource languages by openly releasing our resources.

With advancements in data availability and computing resources, Multimodal Large Language Models (MLLMs) have showcased capabilities across various fields. However, the quadratic complexity of the vision encoder in MLLMs constrains the resolution of input images. Most current approaches mitigate this issue by cropping high-resolution images into smaller sub-images, which are then processed independently by the vision encoder. Despite capturing sufficient local details, these sub-images lack global context and fail to interact with one another. To address this limitation, we propose a novel MLLM, INF-LLaVA, designed for effective high-resolution image perception. INF-LLaVA incorporates two innovative components. First, we introduce a Dual-perspective Cropping Module (DCM), which ensures that each sub-image contains continuous details from a local perspective and comprehensive information from a global perspective. Second, we introduce Dual-perspective Enhancement Module (DEM) to enable the mutual enhancement of global and local features, allowing INF-LLaVA to effectively process high-resolution images by simultaneously capturing detailed local information and comprehensive global context. Extensive ablation studies validate the effectiveness of these components, and experiments on a diverse set of benchmarks demonstrate that INF-LLaVA outperforms existing MLLMs. Code and pretrained model are available at https://github.com/WeihuangLin/INF-LLaVA.

This paper focuses on monolithic Multimodal Large Language Models (MLLMs), which integrate visual encoding and language decoding into a single model. Existing structures and pre-training strategies for monolithic MLLMs often suffer from unstable optimization and catastrophic forgetting. To address these challenges, our key idea is to embed a new visual parameter space into a pre-trained LLM, enabling stable learning of visual knowledge from noisy data via delta tuning. Based on this principle, we first introduce Mono-InternVL, an advanced monolithic MLLM that incorporates a set of visual experts through a multimodal mixture-of-experts architecture. In addition, we design an innovative Endogenous Visual Pre-training (EViP) for Mono-InternVL to maximize its visual capabilities via progressive learning. Mono-InternVL achieves competitive performance against existing MLLMs but also leads to relatively expensive data cost. Therefore, we further present Mono-InternVL-1.5, a cheaper and stronger monolithic MLLM equipped with an improved EViP (EViP++). EViP++ introduces additional visual attention experts to Mono-InternVL-1.5 and re-organizes the pre-training process in an efficient manner. During inference, it includes a fused CUDA kernel to speed up its MoE operations. With these designs, Mono-InternVL-1.5 significantly reduces training and inference costs, while still maintaining competitive performance with Mono-InternVL. To evaluate our approach, we conduct extensive experiments across 15 benchmarks. Results demonstrate that Mono-InternVL outperforms existing monolithic MLLMs on 12 out of 15 benchmarks, e.g., +114-point improvement over Emu3 on OCRBench. Compared to its modular counterpart, i.e., InternVL-1.5, Mono-InternVL-1.5 achieves similar multimodal performance while reducing first-token latency by up to 69%. Code and models are released at https://github.com/OpenGVLab/Mono-InternVL.

In this technical report, we propose ChemVLM, the first open-source multimodal large language model dedicated to the fields of chemistry, designed to address the incompatibility between chemical image understanding and text analysis. Built upon the VIT-MLP-LLM architecture, we leverage ChemLLM-20B as the foundational large model, endowing our model with robust capabilities in understanding and utilizing chemical text knowledge. Additionally, we employ InternVIT-6B as a powerful image encoder. We have curated high-quality data from the chemical domain, including molecules, reaction formulas, and chemistry examination data, and compiled these into a bilingual multimodal question-answering dataset. We test the performance of our model on multiple open-source benchmarks and three custom evaluation sets. Experimental results demonstrate that our model achieves excellent performance, securing state-of-the-art results in five out of six involved tasks. Our model can be found at https://huggingface.co/AI4Chem/ChemVLM-26B.

This paper introduces BiMediX2, a bilingual (Arabic-English) Bio-Medical EXpert Large Multimodal Model (LMM) with a unified architecture that integrates text and visual modalities, enabling advanced image understanding and medical applications. BiMediX2 leverages the Llama3.1 architecture and integrates text and visual capabilities to facilitate seamless interactions in both English and Arabic, supporting text-based inputs and multi-turn conversations involving medical images. The model is trained on an extensive bilingual healthcare dataset consisting of 1.6M samples of diverse medical interactions for both text and image modalities, mixed in Arabic and English. We also propose the first bilingual GPT-4o based medical LMM benchmark named BiMed-MBench. BiMediX2 is benchmarked on both text-based and image-based tasks, achieving state-of-the-art performance across several medical benchmarks. It outperforms recent state-of-the-art models in medical LLM evaluation benchmarks. Our model also sets a new benchmark in multimodal medical evaluations with over 9% improvement in English and over 20% in Arabic evaluations. Additionally, it surpasses GPT-4 by around 9% in UPHILL factual accuracy evaluations and excels in various medical Visual Question Answering, Report Generation, and Report Summarization tasks. The project page including source code and the trained model, is available at https://github.com/mbzuai-oryx/BiMediX2.

We introduce GLM-130B, a bilingual (English and Chinese) pre-trained language model with 130 billion parameters. It is an attempt to open-source a 100B-scale model at least as good as GPT-3 and unveil how models of such a scale can be successfully pre-trained. Over the course of this effort, we face numerous unexpected technical and engineering challenges, particularly on loss spikes and disconvergence. In this paper, we introduce the training process of GLM-130B including its design choices, training strategies for both efficiency and stability, and engineering efforts. The resultant GLM-130B model offers significant outperformance over GPT-3 175B on a wide range of popular English benchmarks while the performance advantage is not observed in OPT-175B and BLOOM-176B. It also consistently and significantly outperforms ERNIE TITAN 3.0 260B -- the largest Chinese language model -- across related benchmarks. Finally, we leverage a unique scaling property of GLM-130B to reach INT4 quantization, without quantization aware training and with almost no performance loss, making it the first among 100B-scale models. More importantly, the property allows its effective inference on 4timesRTX 3090 (24G) or 8timesRTX 2080 Ti (11G) GPUs, the most ever affordable GPUs required for using 100B-scale models. The GLM-130B model weights are publicly accessible and its code, training logs, related toolkit, and lessons learned are open-sourced at https://github.com/THUDM/GLM-130B .

Recently, InPars introduced a method to efficiently use large language models (LLMs) in information retrieval tasks: via few-shot examples, an LLM is induced to generate relevant queries for documents. These synthetic query-document pairs can then be used to train a retriever. However, InPars and, more recently, Promptagator, rely on proprietary LLMs such as GPT-3 and FLAN to generate such datasets. In this work we introduce InPars-v2, a dataset generator that uses open-source LLMs and existing powerful rerankers to select synthetic query-document pairs for training. A simple BM25 retrieval pipeline followed by a monoT5 reranker finetuned on InPars-v2 data achieves new state-of-the-art results on the BEIR benchmark. To allow researchers to further improve our method, we open source the code, synthetic data, and finetuned models: https://github.com/zetaalphavector/inPars/tree/master/tpu

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.

Chronic Obstructive Pulmonary Disease (COPD), a major chronic respiratory disease with persistent airflow limitation, is a leading global cause of disability and mortality. Respiratory spirogram time series, routinely collected during pulmonary function tests (PFTs), play a critical role in the early detection of repsiratory diseases and in monitoring lung function over time. However, most current AI models for COPD diagnosis are limited to outputting classification results without providing a rationale for their diagnostic process, while current Large Language Models (LLMs) cannot understand spirograms yet, which severely limits their clinical trust and adoption. To tackle this challenge, we leverage a cohort of 234,028 individuals from the UK Biobank (UKB) to propose SpiroLLM, the first multimodal large language model that can understand spirogram. The model extracts morphological features from respiratory curves via a SpiroEncoder and aligns them with PFT numerical values in a unified latent space using a SpiroProjector, ultimately empowering a large language model to generate a comprehensive diagnostic report. Experimental results confirm that SpiroLLM achieved a diagnostic AUROC of 0.8980 (95% CI: 0.8820-0.9132). In a robustness test with missing core data, it maintained a 100% valid response rate, far surpassing the 13.4% of a text-only model and showcasing the superiority of its multimodal design. This work demonstrates the substantial potential of deeply fusing physiological signals with large language models, establishing a new paradigm for the next generation of interpretable and reliable clinical decision support tools.

Advanced Multimodal Large Language Models (MLLMs) struggle with recent Knowledge-based VQA tasks, such as INFOSEEK and Encyclopedic-VQA, due to their limited and frozen knowledge scope, often leading to ambiguous and inaccurate responses. Thus, multimodal Retrieval-Augmented Generation (mRAG) is naturally introduced to provide MLLMs with comprehensive and up-to-date knowledge, effectively expanding the knowledge scope. However, current mRAG methods have inherent drawbacks, including: 1) Performing retrieval even when external knowledge is not needed. 2) Lacking of identification of evidence that supports the query. 3) Increasing model complexity due to additional information filtering modules or rules. To address these shortcomings, we propose a novel generalized framework called multimodal Retrieval-Reflection-Augmented Generation (mR^2AG), which achieves adaptive retrieval and useful information localization to enable answers through two easy-to-implement reflection operations, preventing high model complexity. In mR^2AG, Retrieval-Reflection is designed to distinguish different user queries and avoids redundant retrieval calls, and Relevance-Reflection is introduced to guide the MLLM in locating beneficial evidence of the retrieved content and generating answers accordingly. In addition, mR^2AG can be integrated into any well-trained MLLM with efficient fine-tuning on the proposed mR^2AG Instruction-Tuning dataset (mR^2AG-IT). mR^2AG significantly outperforms state-of-the-art MLLMs (e.g., GPT-4v/o) and RAG-based MLLMs on INFOSEEK and Encyclopedic-VQA, while maintaining the exceptional capabilities of base MLLMs across a wide range of Visual-dependent tasks.

The success of Multimodal Large Language Models (MLLMs) in the image domain has garnered wide attention from the research community. Drawing on previous successful experiences, researchers have recently explored extending the success to the video understanding realms. Apart from training from scratch, an efficient way is to utilize the pre-trained image-LLMs, leading to two mainstream approaches, i.e. zero-shot inference and further fine-tuning with video data. In this work, our study of these approaches harvests an effective data augmentation method. We first make a deeper inspection of the zero-shot inference way and identify two limitations, i.e. limited generalization and lack of temporal understanding capabilities. Thus, we further investigate the fine-tuning approach and find a low learning efficiency when simply using all the video data samples, which can be attributed to a lack of instruction diversity. Aiming at this issue, we develop a method called T2Vid to synthesize video-like samples to enrich the instruction diversity in the training corpus. Integrating these data enables a simple and efficient training scheme, which achieves performance comparable to or even superior to using full video datasets by training with just 15% the sample size. Meanwhile, we find that the proposed scheme can boost the performance of long video understanding without training with long video samples. We hope our study will spark more thinking about using MLLMs for video understanding and curation of high-quality data. The code is released at https://github.com/xjtupanda/T2Vid.

The reproduction of state-of-the-art multimodal LLM pre-training faces barriers at every stage of the pipeline, including high-quality data filtering, multimodal data mixture strategies, sequence packing techniques, and training frameworks. We introduce Open-Qwen2VL, a fully open-source 2B-parameter Multimodal Large Language Model pre-trained efficiently on 29M image-text pairs using only 442 A100-40G GPU hours. Our approach employs low-to-high dynamic image resolution and multimodal sequence packing to significantly enhance pre-training efficiency. The training dataset was carefully curated using both MLLM-based filtering techniques (e.g., MLM-Filter) and conventional CLIP-based filtering methods, substantially improving data quality and training efficiency. The Open-Qwen2VL pre-training is conducted on academic level 8xA100-40G GPUs at UCSB on 5B packed multimodal tokens, which is 0.36\% of 1.4T multimodal pre-training tokens of Qwen2-VL. The final instruction-tuned Open-Qwen2VL outperforms partially-open state-of-the-art MLLM Qwen2-VL-2B on various multimodal benchmarks of MMBench, SEEDBench, MMstar, and MathVista, indicating the remarkable training efficiency of Open-Qwen2VL. We open-source all aspects of our work, including compute-efficient and data-efficient training details, data filtering methods, sequence packing scripts, pre-training data in WebDataset format, FSDP-based training codebase, and both base and instruction-tuned model checkpoints. We redefine "fully open" for multimodal LLMs as the complete release of: 1) the training codebase, 2) detailed data filtering techniques, and 3) all pre-training and supervised fine-tuning data used to develop the model.

Text-to-image (T2I) models are well known for their ability to produce highly realistic images, while multimodal large language models (MLLMs) are renowned for their proficiency in understanding and integrating multiple modalities. However, currently there is no straightforward and efficient framework to transfer the multimodal comprehension abilities of MLLMs to T2I models to enable them to understand multimodal inputs. In this paper, we propose the X2I framework, which endows Diffusion Transformer (DiT) models with the capability to comprehend various modalities, including multilingual text, screenshot documents, images, videos, and audio. X2I is trained using merely 100K English corpus with 160 GPU hours. Building on the DiT teacher model, we adopt an innovative distillation method to extract the inference capabilities of the teacher model and design a lightweight AlignNet structure to serve as an intermediate bridge. Compared to the teacher model, X2I shows a decrease in performance degradation of less than 1\% while gaining various multimodal understanding abilities, including multilingual to image, image to image, image-text to image, video to image, audio to image, and utilizing creative fusion to enhance imagery. Furthermore, it is applicable for LoRA training in the context of image-text to image generation, filling a void in the industry in this area. We further design a simple LightControl to enhance the fidelity of instructional image editing. Finally, extensive experiments demonstrate the effectiveness, efficiency, multifunctionality, and transferability of our X2I. The open-source code and checkpoints for X2I can be found at the following link: https://github.com/OPPO-Mente-Lab/X2I.

The performance of deep learning-based natural language processing systems is based on large amounts of labeled training data which, in the clinical domain, are not easily available or affordable. Weak supervision and in-context learning offer partial solutions to this issue, particularly using large language models (LLMs), but their performance still trails traditional supervised methods with moderate amounts of gold-standard data. In particular, inferencing with LLMs is computationally heavy. We propose an approach leveraging fine-tuning LLMs and weak supervision with virtually no domain knowledge that still achieves consistently dominant performance. Using a prompt-based approach, the LLM is used to generate weakly-labeled data for training a downstream BERT model. The weakly supervised model is then further fine-tuned on small amounts of gold standard data. We evaluate this approach using Llama2 on three different n2c2 datasets. With no more than 10 gold standard notes, our final BERT models weakly supervised by fine-tuned Llama2-13B consistently outperformed out-of-the-box PubMedBERT by 4.7% to 47.9% in F1 scores. With only 50 gold standard notes, our models achieved close performance to fully fine-tuned systems.

We introduce InternVL3, a significant advancement in the InternVL series featuring a native multimodal pre-training paradigm. Rather than adapting a text-only large language model (LLM) into a multimodal large language model (MLLM) that supports visual inputs, InternVL3 jointly acquires multimodal and linguistic capabilities from both diverse multimodal data and pure-text corpora during a single pre-training stage. This unified training paradigm effectively addresses the complexities and alignment challenges commonly encountered in conventional post-hoc training pipelines for MLLMs. To further improve performance and scalability, InternVL3 incorporates variable visual position encoding (V2PE) to support extended multimodal contexts, employs advanced post-training techniques such as supervised fine-tuning (SFT) and mixed preference optimization (MPO), and adopts test-time scaling strategies alongside an optimized training infrastructure. Extensive empirical evaluations demonstrate that InternVL3 delivers superior performance across a wide range of multi-modal tasks. In particular, InternVL3-78B achieves a score of 72.2 on the MMMU benchmark, setting a new state-of-the-art among open-source MLLMs. Its capabilities remain highly competitive with leading proprietary models, including ChatGPT-4o, Claude 3.5 Sonnet, and Gemini 2.5 Pro, while also maintaining strong pure-language proficiency. In pursuit of open-science principles, we will publicly release both the training data and model weights to foster further research and development in next-generation MLLMs.

LLMs are multilingual by training, yet their lingua franca is often English, reflecting English language dominance in pretraining. Other languages remain in parametric memory but are systematically suppressed. We argue that language defaultness is governed by a sparse, low-rank control circuit, language neurons, that can be mechanistically isolated and safely steered. We introduce Neural FOXP2, that makes a chosen language (Hindi or Spanish) primary in a model by steering language-specific neurons. Neural FOXP2 proceeds in three stages: (i) Localize: We train per-layer SAEs so each activation decomposes into a small set of active feature components. For every feature, we quantify English vs. Hindi/Spanish selectivity overall logit-mass lift toward the target-language token set. Tracing the top-ranked features back to their strongest contributing units yields a compact language-neuron set. (ii) Steering directions: We localize controllable language-shift geometry via a spectral low-rank analysis. For each layer, we build English to target activation-difference matrices and perform layerwise SVD to extract the dominant singular directions governing language change. The eigengap and effective-rank spectra identify a compact steering subspace and an empirically chosen intervention window (where these directions are strongest and most stable). (iii) Steer: We apply a signed, sparse activation shift targeted to the language neurons. Concretely, within low to mid layers we add a positive steering along the target-language dominant directions and a compensating negative shift toward the null space for the English neurons, yielding controllable target-language defaultness.

We introduce StableLM 2 1.6B, the first in a new generation of our language model series. In this technical report, we present in detail the data and training procedure leading to the base and instruction-tuned versions of StableLM 2 1.6B. The weights for both models are available via Hugging Face for anyone to download and use. The report contains thorough evaluations of these models, including zero- and few-shot benchmarks, multilingual benchmarks, and the MT benchmark focusing on multi-turn dialogues. At the time of publishing this report, StableLM 2 1.6B was the state-of-the-art open model under 2B parameters by a significant margin. Given its appealing small size, we also provide throughput measurements on a number of edge devices. In addition, we open source several quantized checkpoints and provide their performance metrics compared to the original model.

The evolution from Large Language Models (LLMs) to Multimodal Large Language Models (MLLMs) has spurred research into extending In-Context Learning (ICL) to its multimodal counterpart. Existing such studies have primarily concentrated on image-to-text ICL. However, the Text-to-Image ICL (T2I-ICL), with its unique characteristics and potential applications, remains underexplored. To address this gap, we formally define the task of T2I-ICL and present CoBSAT, the first T2I-ICL benchmark dataset, encompassing ten tasks. Utilizing our dataset to benchmark six state-of-the-art MLLMs, we uncover considerable difficulties MLLMs encounter in solving T2I-ICL. We identify the primary challenges as the inherent complexity of multimodality and image generation. To overcome these challenges, we explore strategies like fine-tuning and Chain-of-Thought prompting, demonstrating notable improvements. Our code and dataset are available at https://github.com/UW-Madison-Lee-Lab/CoBSAT.

We present LFM2, a family of Liquid Foundation Models designed for efficient on-device deployment and strong task capabilities. Using hardware-in-the-loop architecture search under edge latency and memory constraints, we obtain a compact hybrid backbone that combines gated short convolutions with a small number of grouped query attention blocks, delivering up to 2x faster prefill and decode on CPUs compared to similarly sized models. The LFM2 family covers 350M-8.3B parameters, including dense models (350M, 700M, 1.2B, 2.6B) and a mixture-of-experts variant (8.3B total, 1.5B active), all with 32K context length. LFM2's training pipeline includes a tempered, decoupled Top-K knowledge distillation objective that avoids support mismatch; curriculum learning with difficulty-ordered data; and a three-stage post-training recipe of supervised fine-tuning, length-normalized preference optimization, and model merging. Pre-trained on 10-12T tokens, LFM2 models achieve strong results across diverse benchmarks; for example, LFM2-2.6B reaches 79.56% on IFEval and 82.41% on GSM8K. We further build multimodal and retrieval variants: LFM2-VL for vision-language tasks, LFM2-Audio for speech, and LFM2-ColBERT for retrieval. LFM2-VL supports tunable accuracy-latency tradeoffs via token-efficient visual processing, while LFM2-Audio separates audio input and output pathways to enable real-time speech-to-speech interaction competitive with models 3x larger. LFM2-ColBERT provides a low-latency encoder for queries and documents, enabling high-performance retrieval across multiple languages. All models are released with open weights and deployment packages for ExecuTorch, llama.cpp, and vLLM, making LFM2 a practical base for edge applications that need fast, memory-efficient inference and strong task capabilities.

PaliGemma 2 is an upgrade of the PaliGemma open Vision-Language Model (VLM) based on the Gemma 2 family of language models. We combine the SigLIP-So400m vision encoder that was also used by PaliGemma with the whole range of Gemma 2 models, from the 2B one all the way up to the 27B model. We train these models at three resolutions (224px, 448px, and 896px) in multiple stages to equip them with broad knowledge for transfer via fine-tuning. The resulting family of base models covering different model sizes and resolutions allows us to investigate factors impacting transfer performance (such as learning rate) and to analyze the interplay between the type of task, model size, and resolution. We further increase the number and breadth of transfer tasks beyond the scope of PaliGemma including different OCR-related tasks such as table structure recognition, molecular structure recognition, music score recognition, as well as long fine-grained captioning and radiography report generation, on which PaliGemma 2 obtains state-of-the-art results.

Embedding models have been crucial in enabling various downstream tasks such as semantic similarity, information retrieval, and clustering. Recently, there has been a surge of interest in developing universal text embedding models that can generalize across tasks (e.g., MTEB). However, progress in learning universal multimodal embedding models has been relatively slow despite their importance. In this work, we aim to explore the potential for building universal embeddings capable of handling a wide range of downstream tasks. Our contributions are twofold: (1) MMEB (Massive Multimodal Embedding Benchmark), which covers 4 meta-tasks (i.e. classification, visual question answering, multimodal retrieval, and visual grounding) and 36 datasets, including 20 training and 16 evaluation datasets, and (2) VLM2Vec (Vision-Language Model -> Vector), a contrastive training framework that converts any state-of-the-art vision-language model into an embedding model via training on MMEB. Unlike previous models such as CLIP and BLIP, VLM2Vec can process any combination of images and text to generate a fixed-dimensional vector based on task instructions. We build a series of VLM2Vec models on Phi-3.5-V and evaluate them on MMEB's evaluation split. Our results show that \model achieves an absolute average improvement of 10% to 20% over existing multimodal embedding models on both in-distribution and out-of-distribution datasets in MMEB.

In this paper, we aim to develop an open-source, multilingual language model for medicine, that the benefits a wider, linguistically diverse audience from different regions. In general, we present the contribution from the following aspects: first, for multilingual medical-specific adaptation, we construct a new multilingual medical corpus, that contains approximately 25.5B tokens encompassing 6 main languages, termed as MMedC, that enables auto-regressive training for existing general LLMs. second, to monitor the development of multilingual LLMs in medicine, we propose a new multilingual medical multi-choice question-answering benchmark with rationale, termed as MMedBench; third, we have assessed a number of popular, opensource large language models (LLMs) on our benchmark, along with those further auto-regressive trained on MMedC, as a result, our final model, termed as MMedLM 2, with only 7B parameters, achieves superior performance compared to all other open-source models, even rivaling GPT-4 on MMedBench. We will make the resources publicly available, including code, model weights, and datasets.

Multimodal Large Language Models (MLLMs) have made significant advancements, demonstrating powerful capabilities in processing and understanding multimodal data. Fine-tuning MLLMs with Federated Learning (FL) allows for expanding the training data scope by including private data sources, thereby enhancing their practical applicability in privacy-sensitive domains. However, current research remains in the early stage, particularly in addressing the multimodal heterogeneities in real-world applications. In this paper, we introduce a benchmark to evaluate the performance of federated fine-tuning of MLLMs across various multimodal heterogeneous scenarios, laying the groundwork for future research in the field. Our benchmark includes two lightweight MLLMs, two downstream tasks, three evaluation metrics, and five datasets across three domains, along with six comparison baselines, covering over ten types of modality heterogeneities across four multimodal scenarios. To address the challenges posed by multimodal heterogeneity, we develop a general FedMLLM framework that integrates classic FL methods alongside two modality-agnostic strategies. Extensive experimental results show that our proposed FL paradigm improves the performance of MLLMs by broadening the range of training data and mitigating multimodal heterogeneity. Code is available in supplementary materials.

Despite remarkable progress, existing multimodal large language models (MLLMs) are still inferior in granular visual recognition. Contrary to previous works, we study this problem from the perspective of image resolution, and reveal that a combination of low- and high-resolution visual features can effectively mitigate this shortcoming. Based on this observation, we propose a novel and efficient method for MLLMs, termed Mixture-of-Resolution Adaptation (MRA). In particular, MRA adopts two visual pathways for images with different resolutions, where high-resolution visual information is embedded into the low-resolution pathway via the novel mixture-of-resolution adapters (MR-Adapters). This design also greatly reduces the input sequence length of MLLMs. To validate MRA, we apply it to a recent MLLM called LLaVA, and term the new model LLaVA-HR. We conduct extensive experiments on 11 vision-language (VL) tasks, which show that LLaVA-HR outperforms existing MLLMs on 8 VL tasks, e.g., +9.4% on TextVQA. More importantly, both training and inference of LLaVA-HR remain efficient with MRA, e.g., 20 training hours and 3times inference speed than LLaVA-1.5. Source codes are released at: https://github.com/luogen1996/LLaVA-HR.

Transformer-based text embedding models have improved their performance on benchmarks like MIRACL and BEIR by increasing their parameter counts. However, this scaling approach introduces significant deployment challenges, including increased inference latency and memory usage. These challenges are particularly severe in retrieval-augmented generation (RAG) applications, where large models' increased memory requirements constrain dataset ingestion capacity, and their higher latency directly impacts query-time performance. While causal language models have addressed similar efficiency challenges using Mixture of Experts (MoE) architectures, this approach hasn't been successfully adapted to the general text embedding setting. In this paper, we introduce Nomic Embed v2, the first general purpose MoE text embedding model. Our model outperforms models in the same parameter class on both monolingual and multilingual benchmarks while also maintaining competitive performance with models twice its size. We open-source all code, models, and evaluation data to ensure full reproducibility of our training pipeline.

The analysis of 3D medical images is crucial for modern healthcare, yet traditional task-specific models are becoming increasingly inadequate due to limited generalizability across diverse clinical scenarios. Multimodal large language models (MLLMs) offer a promising solution to these challenges. However, existing MLLMs have limitations in fully leveraging the rich, hierarchical information embedded in 3D medical images. Inspired by clinical practice, where radiologists focus on both 3D spatial structure and 2D planar content, we propose Med-2E3, a novel MLLM for 3D medical image analysis that integrates 3D and 2D encoders. To aggregate 2D features more effectively, we design a Text-Guided Inter-Slice (TG-IS) scoring module, which scores the attention of each 2D slice based on slice contents and task instructions. To the best of our knowledge, Med-2E3 is the first MLLM to integrate both 3D and 2D features for 3D medical image analysis. Experiments on a large-scale, open-source 3D medical multimodal benchmark demonstrate that Med-2E3 exhibits task-specific attention distribution and significantly outperforms current state-of-the-art models, with a 14% improvement in report generation and a 5% gain in medical visual question answering (VQA), highlighting the model's potential in addressing complex multimodal clinical tasks. The code will be released upon acceptance.

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

Despite notable advancements in Multimodal Large Language Models (MLLMs), most state-of-the-art models have not undergone thorough alignment with human preferences. This gap exists because current alignment research has primarily achieved progress in specific areas (e.g., hallucination reduction), while the broader question of whether aligning models with human preferences can systematically enhance MLLM capability remains largely unexplored. To this end, we introduce MM-RLHF, a dataset containing 120k fine-grained, human-annotated preference comparison pairs. This dataset represents a substantial advancement over existing resources, offering superior size, diversity, annotation granularity, and quality. Leveraging this dataset, we propose several key innovations to improve both the quality of reward models and the efficiency of alignment algorithms. Notably, we introduce a Critique-Based Reward Model, which generates critiques of model outputs before assigning scores, offering enhanced interpretability and more informative feedback compared to traditional scalar reward mechanisms. Additionally, we propose Dynamic Reward Scaling, a method that adjusts the loss weight of each sample according to the reward signal, thereby optimizing the use of high-quality comparison pairs. Our approach is rigorously evaluated across 10 distinct dimensions and 27 benchmarks, with results demonstrating significant and consistent improvements in model performance. Specifically, fine-tuning LLaVA-ov-7B with MM-RLHF and our alignment algorithm leads to a 19.5% increase in conversational abilities and a 60% improvement in safety. We have open-sourced the preference dataset, reward model, training and evaluation code, as well as reward modeling and safety benchmarks. For more details, please visit our project page: https://mm-rlhf.github.io.

Early screening via colonoscopy is critical for colon cancer prevention, yet developing robust AI systems for this domain is hindered by the lack of densely annotated, long-sequence video datasets. Existing datasets predominantly focus on single-class polyp detection and lack the rich spatial, temporal, and linguistic annotations required to evaluate modern Multimodal Large Language Models (MLLMs). To address this critical gap, we introduce Colon-Bench, generated via a novel multi-stage agentic workflow. Our pipeline seamlessly integrates temporal proposals, bounding-box tracking, AI-driven visual confirmation, and human-in-the-loop review to scalably annotate full-procedure videos. The resulting verified benchmark is unprecedented in scope, encompassing 528 videos, 14 distinct lesion categories (including polyps, ulcers, and bleeding), over 300,000 bounding boxes, 213,000 segmentation masks, and 133,000 words of clinical descriptions. We utilize Colon-Bench to rigorously evaluate state-of-the-art MLLMs across lesion classification, Open-Vocabulary Video Object Segmentation (OV-VOS), and video Visual Question Answering (VQA). The MLLM results demonstrate surprisingly high localization performance in medical domains compared to SAM-3. Finally, we analyze common VQA errors from MLLMs to introduce a novel "colon-skill" prompting strategy, improving zero-shot MLLM performance by up to 9.7% across most MLLMs. The dataset and the code are available at https://abdullahamdi.com/colon-bench .

In this work, we introduce LLaDA-V, a purely diffusion-based Multimodal Large Language Model (MLLM) that integrates visual instruction tuning with masked diffusion models, representing a departure from the autoregressive paradigms dominant in current multimodal approaches. Built upon LLaDA, a representative large language diffusion model, LLaDA-V incorporates a vision encoder and MLP connector that projects visual features into the language embedding space, enabling effective multimodal alignment. Our empirical investigation reveals several intriguing results: First, LLaDA-V demonstrates promising multimodal performance despite its language model being weaker on purely textual tasks than counterparts like LLaMA3-8B and Qwen2-7B. When trained on the same instruction data, LLaDA-V is highly competitive to LLaMA3-V across multimodal tasks with better data scalability. It also narrows the performance gap to Qwen2-VL, suggesting the effectiveness of its architecture for multimodal tasks. Second, LLaDA-V achieves state-of-the-art performance in multimodal understanding compared to existing hybrid autoregressive-diffusion and purely diffusion-based MLLMs. Our findings suggest that large language diffusion models show promise in multimodal contexts and warrant further investigation in future research. Project page and codes: https://ml-gsai.github.io/LLaDA-V-demo/.

Embedding models are a cornerstone of modern AI. Driven by Multimodal Large Language Models (MLLMs), they have made great progress in architecture and data curation, while the holistic paradigm is still limited to SSC, i.e., single input, singular embedding, contrastive supervision, which collapses rich, multifaceted inputs into monolithic embeddings and fails to fully exploit MLLM capabilities. In this paper, we tailor one Parallel Decoupling Framework (PDF) for multimodal embedding learning, by utilizing the proprietary steerability of MLLMs, i.e., their ability to flexibly generate quite differentiated response under explicit instructions. Concretely, PDF conditions a shared MLLM backbone on distinct, learnable prefixes to roll out multiple parallel paths for one input, then relies on these paths to obtain parallel embeddings. To promote full parallel diversity, we employ Mutual Information Minimization (MIM) as an explicit constraint, coupled with per-path contrastive supervision to maintain semantic alignment. Such dual-objectives force PDF to yield robust semantic coverage and a generalizable embedding space. Ultimately, the remarkable embedding space are accessible at inference via one single forward pass, incurring negligible computational overhead. We instantiate PDF on multiple MLLM backbones and prove its effectiveness on MMEB benchmark. Significant gains are consistently achieved across various resolutions and model sizes, e.g., boosting the VLM2Vec-LLaVA-1.6-LR model by a remarkable +8.9% (7B), while the VLM2Vec-Qwen2VL models by +4.2% (2B) and +3.1% (7B). In terms of efficiency, our 2B model surpasses its baseline by +2.6% using only half the computational budget.

Vision-and-language pretraining (VLP) in the medical field utilizes contrastive learning on image-text pairs to achieve effective transfer across tasks. Yet, current VLP approaches with the masked modeling strategy face two challenges when applied to the medical domain. First, current models struggle to accurately reconstruct key pathological features due to the scarcity of medical data. Second, most methods only adopt either paired image-text or image-only data, failing to exploit the combination of both paired and unpaired data. To this end, this paper proposes the MMCLIP (Masked Medical Contrastive Language-Image Pre-Training) framework to enhance pathological learning and feature learning via unpaired data. First, we introduce the attention-masked image modeling (AttMIM) and entity-driven masked language modeling module (EntMLM), which learns to reconstruct pathological visual and textual tokens via multi-modal feature interaction, thus improving medical-enhanced features. The AttMIM module masks a portion of the image features that are highly responsive to textual features. This allows MMCLIP to improve the reconstruction of highly similar image data in medicine efficiency. Second, our MMCLIP capitalizes unpaired data to enhance multimodal learning by introducing disease-kind prompts. The experimental results show that MMCLIP achieves SOTA for zero-shot and fine-tuning classification performance on five datasets. Our code will be available at https://github.com/AIGeeksGroup/MMCLIP.

Expanding the long-context capabilities of Multi-modal Large Language Models~(MLLMs) is crucial for video understanding, high-resolution image understanding, and multi-modal agents. This involves a series of systematic optimizations, including model architecture, data construction and training strategy, particularly addressing challenges such as degraded performance with more images and high computational costs. In this paper, we adapt the model architecture to a hybrid of Mamba and Transformer blocks, approach data construction with both temporal and spatial dependencies among multiple images and employ a progressive training strategy. The released model LongLLaVA~(Long-Context Large Language and Vision Assistant) is the first hybrid MLLM, which achieved a better balance between efficiency and effectiveness. LongLLaVA not only achieves competitive results across various benchmarks, but also maintains high throughput and low memory consumption. Especially, it could process nearly a thousand images on a single A100 80GB GPU, showing promising application prospects for a wide range of tasks.

Multimodal Large Language Models (MLLMs) have achieved great success in Speech-to-Text Translation (S2TT) tasks. However, current research is constrained by two key challenges: language coverage and efficiency. Most of the popular S2TT datasets are substantially English-centric, which restricts the scaling-up of MLLMs' many-to-many translation capabilities. Moreover, the inference speed of MLLMs degrades dramatically when the speech is converted into long sequences (e.g., 750 tokens). To address these limitations, we propose a Multilingual Cost-effective Accelerated Speech-to-Text Translator (MCAT) framework, which includes two innovations. First, a language scaling method that leverages curriculum learning and a data balancing strategy is introduced to extend the language coverage supported by MLLMs to 70 languages and achieve mutual translation among these languages. Second, an optimized speech adapter module is designed to reduce the length of the speech sequence to only 30 tokens. Extensive experiments were conducted on MLLMs of different scales (9B and 27B). The experimental results demonstrate that MCAT not only surpasses state-of-the-art end-to-end models on the FLEURS dataset across 70x69 directions but also enhances batch inference efficiency. This is achieved with only ~100M trainable parameters and by using only 10 hours of S2TT data per language. Furthermore, we have released MCAT as open-source to promote the development of MLLMs for robust S2TT capabilities. The code and models are released at https://github.com/yxduir/m2m-70.

Detoxifying multilingual Large Language Models (LLMs) has become crucial due to their increasing global use. In this work, we explore zero-shot cross-lingual generalization of preference tuning in detoxifying LLMs. Unlike previous studies that show limited cross-lingual generalization for other safety tasks, we demonstrate that Direct Preference Optimization (DPO) training with only English data can significantly reduce toxicity in multilingual open-ended generations. For example, the probability of mGPT-1.3B generating toxic continuations drops from 46.8% to 3.9% across 17 different languages after training. Our results also extend to other multilingual LLMs, such as BLOOM, Llama3, and Aya-23. Using mechanistic interpretability tools like causal intervention and activation analysis, we identified the dual multilinguality property of MLP layers in LLMs, which explains the cross-lingual generalization of DPO. Finally, we show that bilingual sentence retrieval can predict the cross-lingual transferability of DPO preference tuning.

MM-Vet, with open-ended vision-language questions targeting at evaluating integrated capabilities, has become one of the most popular benchmarks for large multimodal model evaluation. MM-Vet assesses six core vision-language (VL) capabilities: recognition, knowledge, spatial awareness, language generation, OCR, and math. However, its question format is restricted to single image-text pairs, lacking the interleaved image and text sequences prevalent in real-world scenarios. To address this limitation, we introduce MM-Vet v2, which includes a new VL capability called "image-text sequence understanding", evaluating models' ability to process VL sequences. Furthermore, we maintain the high quality of evaluation samples while further expanding the evaluation set size. Using MM-Vet v2 to benchmark large multimodal models, we found that Claude 3.5 Sonnet is the best model with a score of 71.8, slightly outperforming GPT-4o which scored 71.0. Among open-weight models, InternVL2-Llama3-76B leads with a score of 68.4.

Multimodal embedding models have been crucial in enabling various downstream tasks such as semantic similarity, information retrieval, and clustering over different modalities. However, existing multimodal embeddings like VLM2Vec, E5-V, GME are predominantly focused on natural images, with limited support for other visual forms such as videos and visual documents. This restricts their applicability in real-world scenarios, including AI agents, multi-modal search and recommendation, and retrieval-augmented generation (RAG). To close this gap, we propose VLM2Vec-V2, a unified framework for learning embeddings across diverse visual forms. First, we introduce MMEB-V2, a comprehensive benchmark that extends MMEB with five new task types: visual document retrieval, video retrieval, temporal grounding, video classification and video question answering - spanning text, image, video, and visual document inputs. Next, we train VLM2Vec-V2, a general-purpose embedding model that supports text, image, video, and visual document inputs. Extensive experiments show that VLM2Vec-V2 achieves strong performance not only on the newly introduced video and document retrieval tasks, but also improves over prior baselines on the original image benchmarks. Through extensive evaluation, our study offers insights into the generalizability of various multimodal embedding models and highlights effective strategies for unified embedding learning, laying the groundwork for more scalable and adaptable representation learning in both research and real-world settings.

Despite impressive performance on standard benchmarks, multimodal large language models (MLLMs) face critical challenges in real-world clinical environments where medical images inevitably suffer various quality degradations. Existing benchmarks exhibit two key limitations: (1) absence of large-scale, multidimensional assessment across medical image quality gradients and (2) no systematic confidence calibration analysis. To address these gaps, we present MedQ-Deg, a comprehensive benchmark for evaluating medical MLLMs under image quality degradations. MedQ-Deg provides multi-dimensional evaluation spanning 18 distinct degradation types, 30 fine-grained capability dimensions, and 7 imaging modalities, with 24,894 question-answer pairs. Each degradation is implemented at 3 severity degrees, calibrated by expert radiologists. We further introduce Calibration Shift metric, which quantifies the gap between a model's perceived confidence and actual performance to assess metacognitive reliability under degradation. Our comprehensive evaluation of 40 mainstream MLLMs reveals several critical findings: (1) overall model performance degrades systematically as degradation severity increases, (2) models universally exhibit the AI Dunning-Kruger Effect, maintaining inappropriately high confidence despite severe accuracy collapse, and (3) models display markedly differentiated behavioral patterns across capability dimensions, imaging modalities, and degradation types. We hope MedQ-Deg drives progress toward medical MLLMs that are robust and trustworthy in real clinical practice.

Multilingual Large Language Models are capable of using powerful Large Language Models to handle and respond to queries in multiple languages, which achieves remarkable success in multilingual natural language processing tasks. Despite these breakthroughs, there still remains a lack of a comprehensive survey to summarize existing approaches and recent developments in this field. To this end, in this paper, we present a thorough review and provide a unified perspective to summarize the recent progress as well as emerging trends in multilingual large language models (MLLMs) literature. The contributions of this paper can be summarized: (1) First survey: to our knowledge, we take the first step and present a thorough review in MLLMs research field according to multi-lingual alignment; (2) New taxonomy: we offer a new and unified perspective to summarize the current progress of MLLMs; (3) New frontiers: we highlight several emerging frontiers and discuss the corresponding challenges; (4) Abundant resources: we collect abundant open-source resources, including relevant papers, data corpora, and leaderboards. We hope our work can provide the community with quick access and spur breakthrough research in MLLMs.

Multimodal Large Language Model (MLLM) relies on the powerful LLM to perform multimodal tasks, showing amazing emergent abilities in recent studies, such as writing poems based on an image. However, it is difficult for these case studies to fully reflect the performance of MLLM, lacking a comprehensive evaluation. In this paper, we fill in this blank, presenting the first MLLM Evaluation benchmark MME. It measures both perception and cognition abilities on a total of 14 subtasks. In order to avoid data leakage that may arise from direct use of public datasets for evaluation, the annotations of instruction-answer pairs are all manually designed. The concise instruction design allows us to fairly compare MLLMs, instead of struggling in prompt engineering. Besides, with such an instruction, we can also easily carry out quantitative statistics. A total of 12 advanced MLLMs are comprehensively evaluated on our MME, which not only suggests that existing MLLMs still have a large room for improvement, but also reveals the potential directions for the subsequent model optimization.

Multimodal large language models (MLLMs) hold significant potential in medical applications, including disease diagnosis and clinical decision-making. However, these tasks require highly accurate, context-sensitive, and professionally aligned responses, making reliable reward models and judges critical. Despite their importance, medical reward models (MRMs) and judges remain underexplored, with no dedicated benchmarks addressing clinical requirements. Existing benchmarks focus on general MLLM capabilities or evaluate models as solvers, neglecting essential evaluation dimensions like diagnostic accuracy and clinical relevance. To address this, we introduce Med-RewardBench, the first benchmark specifically designed to evaluate MRMs and judges in medical scenarios. Med-RewardBench features a multimodal dataset spanning 13 organ systems and 8 clinical departments, with 1,026 expert-annotated cases. A rigorous three-step process ensures high-quality evaluation data across six clinically critical dimensions. We evaluate 32 state-of-the-art MLLMs, including open-source, proprietary, and medical-specific models, revealing substantial challenges in aligning outputs with expert judgment. Additionally, we develop baseline models that demonstrate substantial performance improvements through fine-tuning.

In recent multimodal research, the diffusion paradigm has emerged as a promising alternative to the autoregressive paradigm (AR), owing to its unique decoding advantages. However, due to the capability limitations of the base diffusion language model, the performance of the diffusion vision language model (dVLM) still lags significantly behind that of mainstream models. This leads to a simple yet fundamental question: Is it possible to construct dVLMs based on existing powerful AR models? In response, we propose DiffusionVL, a dVLM family that could be translated from any powerful AR models. Through simple fine-tuning, we successfully adapt AR pre-trained models into the diffusion paradigm. This approach yields two key observations: (1) The paradigm shift from AR-based multimodal models to diffusion is remarkably effective. (2) Direct conversion of an AR language model to a dVLM is also feasible, achieving performance competitive with LLaVA-style visual-instruction-tuning. Further, we introduce a block-decoding design into dVLMs that supports arbitrary-length generation and KV cache reuse, achieving a significant inference speedup. We conduct a large number of experiments. Despite training with less than 5% of the data required by prior methods, DiffusionVL achieves a comprehensive performance improvement-a 34.4% gain on the MMMU-Pro (vision) bench and 37.5% gain on the MME (Cog.) bench-alongside a 2x inference speedup. The model and code are released at https://github.com/hustvl/DiffusionVL.

Despite making significant progress in multi-modal tasks, current Multi-modal Large Language Models (MLLMs) encounter the significant challenge of hallucinations, which may lead to harmful consequences. Therefore, evaluating MLLMs' hallucinations is becoming increasingly important in model improvement and practical application deployment. Previous works are limited in high evaluation costs (e.g., relying on humans or advanced LLMs) and insufficient evaluation dimensions (e.g., types of tasks and hallucinations). In this paper, we propose an LLM-free multi-dimensional benchmark AMBER, which can be used to evaluate both generative task and discriminative task including existence, attribute and relation hallucination. Based on AMBER, we design a low-cost and efficient evaluation pipeline. Additionally, we conduct a comprehensive evaluation and detailed analysis of mainstream MLLMs including GPT-4V(ision), and also give guideline suggestions for mitigating hallucinations. The data and code of AMBER are available at https://github.com/junyangwang0410/AMBER.

Large decoder-only language models (LLMs) are the state-of-the-art models on most of today's NLP tasks and benchmarks. Yet, the community is only slowly adopting these models for text embedding tasks, which require rich contextualized representations. In this work, we introduce LLM2Vec, a simple unsupervised approach that can transform any decoder-only LLM into a strong text encoder. LLM2Vec consists of three simple steps: 1) enabling bidirectional attention, 2) masked next token prediction, and 3) unsupervised contrastive learning. We demonstrate the effectiveness of LLM2Vec by applying it to 3 popular LLMs ranging from 1.3B to 7B parameters and evaluate the transformed models on English word- and sequence-level tasks. We outperform encoder-only models by a large margin on word-level tasks and reach a new unsupervised state-of-the-art performance on the Massive Text Embeddings Benchmark (MTEB). Moreover, when combining LLM2Vec with supervised contrastive learning, we achieve state-of-the-art performance on MTEB among models that train only on publicly available data. Our strong empirical results and extensive analysis demonstrate that LLMs can be effectively transformed into universal text encoders in a parameter-efficient manner without the need for expensive adaptation or synthetic GPT-4 generated data.

In this paper, we introduce InMD-X, a collection of multiple large language models specifically designed to cater to the unique characteristics and demands of Internal Medicine Doctors (IMD). InMD-X represents a groundbreaking development in natural language processing, offering a suite of language models fine-tuned for various aspects of the internal medicine field. These models encompass a wide range of medical sub-specialties, enabling IMDs to perform more efficient and accurate research, diagnosis, and documentation. InMD-X's versatility and adaptability make it a valuable tool for improving the healthcare industry, enhancing communication between healthcare professionals, and advancing medical research. Each model within InMD-X is meticulously tailored to address specific challenges faced by IMDs, ensuring the highest level of precision and comprehensiveness in clinical text analysis and decision support. This paper provides an overview of the design, development, and evaluation of InMD-X, showcasing its potential to revolutionize the way internal medicine practitioners interact with medical data and information. We present results from extensive testing, demonstrating the effectiveness and practical utility of InMD-X in real-world medical scenarios.

Multimodal in-context learning (ICL) remains underexplored despite significant potential for domains such as medicine. Clinicians routinely encounter diverse, specialized tasks requiring adaptation from limited examples, such as drawing insights from a few relevant prior cases or considering a constrained set of differential diagnoses. While multimodal large language models (MLLMs) have shown advances in medical visual question answering (VQA), their ability to learn multimodal tasks from context is largely unknown. We introduce SMMILE, the first expert-driven multimodal ICL benchmark for medical tasks. Eleven medical experts curated problems, each including a multimodal query and multimodal in-context examples as task demonstrations. SMMILE encompasses 111 problems (517 question-image-answer triplets) covering 6 medical specialties and 13 imaging modalities. We further introduce SMMILE++, an augmented variant with 1038 permuted problems. A comprehensive evaluation of 15 MLLMs demonstrates that most models exhibit moderate to poor multimodal ICL ability in medical tasks. In open-ended evaluations, ICL contributes only 8% average improvement over zero-shot on SMMILE and 9.4% on SMMILE++. We observe a susceptibility for irrelevant in-context examples: even a single noisy or irrelevant example can degrade performance by up to 9.5%. Moreover, example ordering exhibits a recency bias, i.e., placing the most relevant example last can lead to substantial performance improvements by up to 71%. Our findings highlight critical limitations and biases in current MLLMs when learning multimodal medical tasks from context.

While Large Language Models (LLMs) excel in world knowledge understanding, adapting them to specific subfields requires precise adjustments. Due to the model's vast scale, traditional global fine-tuning methods for large models can be computationally expensive and impact generalization. To address this challenge, a range of innovative Parameters-Efficient Fine-Tuning (PEFT) methods have emerged and achieved remarkable success in both LLMs and Large Vision-Language Models (LVLMs). In the medical domain, fine-tuning a medical Vision-Language Pretrained (VLP) model is essential for adapting it to specific tasks. Can the fine-tuning methods for large models be transferred to the medical field to enhance transfer learning efficiency? In this paper, we delve into the fine-tuning methods of LLMs and conduct extensive experiments to investigate the impact of fine-tuning methods for large models on the existing multimodal model in the medical domain from the training data level and the model structure level. We show the different impacts of fine-tuning methods for large models on medical VLMs and develop the most efficient ways to fine-tune medical VLP models. We hope this research can guide medical domain researchers in optimizing VLMs' training costs, fostering the broader application of VLMs in healthcare fields. The code and dataset have been released at https://github.com/TIMMY-CHAN/MILE.

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise for radiological tasks, most existing VLMs merely produce final answers without revealing the underlying reasoning. To address this gap, we introduce MedVLM-R1, a medical VLM that explicitly generates natural language reasoning to enhance transparency and trustworthiness. Instead of relying on supervised fine-tuning (SFT), which often suffers from overfitting to training distributions and fails to foster genuine reasoning, MedVLM-R1 employs a reinforcement learning framework that incentivizes the model to discover human-interpretable reasoning paths without using any reasoning references. Despite limited training data (600 visual question answering samples) and model parameters (2B), MedVLM-R1 boosts accuracy from 55.11% to 78.22% across MRI, CT, and X-ray benchmarks, outperforming larger models trained on over a million samples. It also demonstrates robust domain generalization under out-of-distribution tasks. By unifying medical image analysis with explicit reasoning, MedVLM-R1 marks a pivotal step toward trustworthy and interpretable AI in clinical practice. Inference model is available at: https://huggingface.co/JZPeterPan/MedVLM-R1.

Safety concerns of Multimodal large language models (MLLMs) have gradually become an important problem in various applications. Surprisingly, previous works indicate a counter-intuitive phenomenon that using textual unlearning to align MLLMs achieves comparable safety performances with MLLMs trained with image-text pairs. To explain such a counter-intuitive phenomenon, we discover a visual safety information leakage (VSIL) problem in existing multimodal safety benchmarks, i.e., the potentially risky and sensitive content in the image has been revealed in the textual query. In this way, MLLMs can easily refuse these sensitive text-image queries according to textual queries. However, image-text pairs without VSIL are common in real-world scenarios and are overlooked by existing multimodal safety benchmarks. To this end, we construct multimodal visual leakless safety benchmark (VLSBench) preventing visual safety leakage from image to textual query with 2.4k image-text pairs. Experimental results indicate that VLSBench poses a significant challenge to both open-source and close-source MLLMs, including LLaVA, Qwen2-VL, Llama3.2-Vision, and GPT-4o. This study demonstrates that textual alignment is enough for multimodal safety scenarios with VSIL, while multimodal alignment is a more promising solution for multimodal safety scenarios without VSIL. Please see our code and data at: http://hxhcreate.github.io/VLSBench

Vision-Language Models (VLMs) have shown promising capabilities in handling various multimodal tasks, yet they struggle in long-context scenarios, particularly in tasks involving videos, high-resolution images, or lengthy image-text documents. In our work, we first conduct an empirical analysis of the long-context capabilities of VLMs using our augmented long-context multimodal datasets. Our findings reveal that directly applying the positional encoding mechanism used for textual tokens to visual tokens is suboptimal, and VLM performance degrades sharply when the position encoding exceeds the model's context window. To address this, we propose Variable Visual Position Encoding (V2PE), a novel positional encoding approach that employs variable and smaller increments for visual tokens, enabling more efficient management of long multimodal sequences. Our experiments demonstrate the effectiveness of V2PE to enhances VLMs' ability to effectively understand and reason over long multimodal contexts. We further integrate V2PE with our augmented long-context multimodal datasets to fine-tune the open-source VLM, InternVL2. The fine-tuned model achieves strong performance on both standard and long-context multimodal tasks. Notably, when the sequence length of the training dataset is increased to 256K tokens, the model is capable of processing multimodal sequences up to 1M tokens, highlighting its potential for real-world long-context applications.

Recent advancements in open-source multi-modal large language models (MLLMs) have primarily focused on enhancing foundational capabilities, leaving a significant gap in human preference alignment. This paper introduces OmniAlign-V, a comprehensive dataset of 200K high-quality training samples featuring diverse images, complex questions, and varied response formats to improve MLLMs' alignment with human preferences. We also present MM-AlignBench, a human-annotated benchmark specifically designed to evaluate MLLMs' alignment with human values. Experimental results show that finetuning MLLMs with OmniAlign-V, using Supervised Fine-Tuning (SFT) or Direct Preference Optimization (DPO), significantly enhances human preference alignment while maintaining or enhancing performance on standard VQA benchmarks, preserving their fundamental capabilities. Our datasets, benchmark, code and checkpoints have been released at https://github.com/PhoenixZ810/OmniAlign-V.

Large Language Models (LLMs) have demonstrated significant enhancements in instruction-following abilities through instruction tuning, achieving notable performances across various tasks. Previous research has focused on fine-tuning medical domain-specific LLMs using an extensive array of medical-specific data, incorporating millions of pieces of biomedical literature to augment their medical capabilities. However, existing medical instruction-tuned LLMs have been constrained by the limited scope of tasks and instructions available, restricting the efficacy of instruction tuning and adversely affecting performance in the general domain. In this paper, we fine-tune LLaMA-series models using 52k diverse, machine-generated, medical instruction-following data, MedInstruct-52k, resulting in the model AlpaCare. Comprehensive experimental results on both general and medical-specific domain free-form instruction evaluations showcase AlpaCare's strong medical proficiency and generalizability compared to previous instruction-tuned models in both medical and general domains. We provide public access to our MedInstruct-52k dataset and a clinician-crafted free-form instruction test set, MedInstruct-test, along with our codebase, to foster further research and development. Our project page is available at https://github.com/XZhang97666/AlpaCare.

In this work, we compare the domain-specific translation performance of open-source autoregressive decoder-only large language models (LLMs) with task-oriented machine translation (MT) models. Our experiments focus on the medical domain and cover four language pairs with varied resource availability: English-to-French, English-to-Portuguese, English-to-Swahili, and Swahili-to-English. Despite recent advancements, LLMs exhibit a clear gap in specialized translation quality compared to multilingual encoder-decoder MT models such as NLLB-200. In three out of four language directions in our study, NLLB-200 3.3B outperforms all LLMs in the size range of 8B parameters in medical translation. While fine-tuning LLMs such as Mistral and Llama improves their performance at medical translation, these models still fall short compared to fine-tuned NLLB-200 3.3B models. Our findings highlight the ongoing need for specialized MT models to achieve higher-quality domain-specific translation, especially in medium-resource and low-resource settings. As larger LLMs outperform their 8B variants, this also encourages pre-training domain-specific medium-sized LMs to improve quality and efficiency in specialized translation tasks.

The success of Large Language Models (LLM) has led researchers to explore Multimodal Large Language Models (MLLM) for unified visual and linguistic understanding. However, the increasing model size and computational complexity of MLLM limit their use in resource-constrained environments. Small-scale MLLM (s-MLLM) aims to retain the capabilities of the large-scale model (l-MLLM) while reducing computational demands, but resulting in a significant decline in performance. To address the aforementioned issues, we propose a novel LLaVA-KD framework to transfer knowledge from l-MLLM to s-MLLM. Specifically, we introduce Multimodal Distillation (MDist) to minimize the divergence between the visual-textual output distributions of l-MLLM and s-MLLM, and Relation Distillation (RDist) to transfer l-MLLM's ability to model correlations between visual features. Additionally, we propose a three-stage training scheme to fully exploit the potential of s-MLLM: 1) Distilled Pre-Training to align visual-textual representations, 2) Supervised Fine-Tuning to equip the model with multimodal understanding, and 3) Distilled Fine-Tuning to further transfer l-MLLM capabilities. Our approach significantly improves performance without altering the small model's architecture. Extensive experiments and ablation studies validate the effectiveness of each proposed component. Code will be available at https://github.com/caiyuxuan1120/LLaVA-KD.

Recent progress in Multimodal Large Language Models (MLLMs) has highlighted the critical roles of both the visual backbone and the underlying language model. While prior work has primarily focused on scaling these components to billions of parameters, the trade-offs between model size, architecture, and performance remain underexplored. Additionally, inconsistencies in training data and evaluation protocols have hindered direct comparisons, making it difficult to derive optimal design choices. In this paper, we introduce LLaVA-MORE, a new family of MLLMs that integrates recent language models with diverse visual backbones. To ensure fair comparisons, we employ a unified training protocol applied consistently across all architectures. Our analysis systematically explores both small- and medium-scale LLMs -- including Phi-4, LLaMA-3.1, and Gemma-2 -- to evaluate multimodal reasoning, generation, and instruction following, while examining the relationship between model size and performance. Beyond evaluating the LLM impact on final results, we conduct a comprehensive study of various visual encoders, ranging from CLIP-based architectures to alternatives such as DINOv2, SigLIP, and SigLIP2. Additional experiments investigate the effects of increased image resolution and variations in pre-training datasets. Overall, our results provide insights into the design of more effective MLLMs, offering a reproducible evaluation framework that facilitates direct comparisons and can guide future model development. Our source code and trained models are publicly available at: https://github.com/aimagelab/LLaVA-MORE.

Generation capabilities and language coverage of multilingual large language models (mLLMs) are advancing rapidly. However, evaluation practices for generative abilities of mLLMs are still lacking comprehensiveness, scientific rigor, and consistent adoption across research labs, which undermines their potential to meaningfully guide mLLM development. We draw parallels with machine translation (MT) evaluation, a field that faced similar challenges and has, over decades, developed transparent reporting standards and reliable evaluations for multilingual generative models. Through targeted experiments across key stages of the generative evaluation pipeline, we demonstrate how best practices from MT evaluation can deepen the understanding of quality differences between models. Additionally, we identify essential components for robust meta-evaluation of mLLMs, ensuring the evaluation methods themselves are rigorously assessed. We distill these insights into a checklist of actionable recommendations for mLLM research and development.

Multimodal large language models (MLLMs) like LLaVA and GPT-4(V) enable general-purpose conversations about images with the language modality. As off-the-shelf MLLMs may have limited capabilities on images from domains like dermatology and agriculture, they must be fine-tuned to unlock domain-specific applications. The prevalent architecture of current open-source MLLMs comprises two major modules: an image-language (cross-modal) projection network and a large language model. It is desirable to understand the roles of these two modules in modeling domain-specific visual attributes to inform the design of future models and streamline the interpretability efforts on the current models. To this end, via experiments on 4 datasets and under 2 fine-tuning settings, we find that as the MLLM is fine-tuned, it indeed gains domain-specific visual capabilities, but the updates do not lead to the projection extracting relevant domain-specific visual attributes. Our results indicate that the domain-specific visual attributes are modeled by the LLM, even when only the projection is fine-tuned. Through this study, we offer a potential reinterpretation of the role of cross-modal projections in MLLM architectures. Projection webpage: https://claws-lab.github.io/projection-in-MLLMs/

Multimodal large language models (MLLMs) have shown promising capabilities but struggle under distribution shifts, where evaluation data differ from instruction tuning distributions. Although previous works have provided empirical evaluations, we argue that establishing a formal framework that can characterize and quantify the risk of MLLMs is necessary to ensure the safe and reliable application of MLLMs in the real world. By taking an information-theoretic perspective, we propose the first theoretical framework that enables the quantification of the maximum risk of MLLMs under distribution shifts. Central to our framework is the introduction of Effective Mutual Information (EMI), a principled metric that quantifies the relevance between input queries and model responses. We derive an upper bound for the EMI difference between in-distribution (ID) and out-of-distribution (OOD) data, connecting it to visual and textual distributional discrepancies. Extensive experiments on real benchmark datasets, spanning 61 shift scenarios empirically validate our theoretical insights.

Vision-Language Foundation Models (VLMs), trained on large-scale multimodal datasets, have driven significant advances in Artificial Intelligence (AI) by enabling rich cross-modal reasoning. Despite their success in general domains, applying these models to medical imaging remains challenging due to the limited availability of diverse imaging modalities and multilingual clinical data. Most existing medical VLMs are trained on a subset of imaging modalities and focus primarily on high-resource languages, thus limiting their generalizability and clinical utility. To address these limitations, we introduce a novel Vietnamese-language multimodal medical dataset consisting of 2,757 whole-body PET/CT volumes from independent patients and their corresponding full-length clinical reports. This dataset is designed to fill two pressing gaps in medical AI development: (1) the lack of PET/CT imaging data in existing VLMs training corpora, which hinders the development of models capable of handling functional imaging tasks; and (2) the underrepresentation of low-resource languages, particularly the Vietnamese language, in medical vision-language research. To the best of our knowledge, this is the first dataset to provide comprehensive PET/CT-report pairs in Vietnamese. We further introduce a training framework to enhance VLMs' learning, including data augmentation and expert-validated test sets. We conduct comprehensive experiments benchmarking state-of-the-art VLMs on downstream tasks. The experimental results show that incorporating our dataset significantly improves the performance of existing VLMs. We believe this dataset and benchmark will serve as a pivotal step in advancing the development of more robust VLMs for medical imaging, especially for low-resource languages and clinical use in Vietnamese healthcare. The source code is available at https://github.com/AIoT-Lab-BKAI/ViPET-ReportGen.

Existing open-source multimodal large language models (MLLMs) generally follow a training process involving pre-training and supervised fine-tuning. However, these models suffer from distribution shifts, which limit their multimodal reasoning, particularly in the Chain-of-Thought (CoT) performance. To address this, we introduce a preference optimization (PO) process to enhance the multimodal reasoning capabilities of MLLMs. Specifically, (1) on the data side, we design an automated preference data construction pipeline to create MMPR, a high-quality, large-scale multimodal reasoning preference dataset. and (2) on the model side, we explore integrating PO with MLLMs, developing a simple yet effective method, termed Mixed Preference Optimization (MPO), which boosts multimodal CoT performance. Our approach demonstrates improved performance across multiple benchmarks, particularly in multimodal reasoning tasks. Notably, our model, InternVL2-8B-MPO, achieves an accuracy of 67.0 on MathVista, outperforming InternVL2-8B by 8.7 points and achieving performance comparable to the 10x larger InternVL2-76B. We hope this study could inspire further advancements in MLLMs. Code, data, and model shall be publicly released.

Objective: The reading level of health educational materials significantly influences the understandability and accessibility of the information, particularly for minoritized populations. Many patient educational resources surpass the reading level and complexity of widely accepted standards. There is a critical need for high-performing text simplification models in health information to enhance dissemination and literacy. This need is particularly acute in cancer education, where effective prevention and screening education can substantially reduce morbidity and mortality. Methods: We introduce Simplified Digestive Cancer (SimpleDC), a parallel corpus of cancer education materials tailored for health text simplification research, comprising educational content from the American Cancer Society, Centers for Disease Control and Prevention, and National Cancer Institute. Utilizing SimpleDC alongside the existing Med-EASi corpus, we explore Large Language Model (LLM)-based simplification methods, including fine-tuning, reinforcement learning (RL), reinforcement learning with human feedback (RLHF), domain adaptation, and prompt-based approaches. Our experimentation encompasses Llama 2 and GPT-4. A novel RLHF reward function is introduced, featuring a lightweight model adept at distinguishing between original and simplified texts, thereby enhancing the model's effectiveness with unlabeled data. Results: Fine-tuned Llama 2 models demonstrated high performance across various metrics. Our innovative RLHF reward function surpassed existing RL text simplification reward functions in effectiveness. The results underscore that RL/RLHF can augment fine-tuning, facilitating model training on unlabeled text and improving performance.

In this paper, we propose KaLM-Embedding-V2, a versatile and compact embedding model, which achieves impressive performance in general-purpose text embedding tasks by leveraging superior training techniques and data. Our key innovations include: (1) To better align the architecture with representation learning, we remove the causal attention mask and adopt a fully bidirectional transformer with simple yet effective mean-pooling to produce fixed-length embeddings; (2) We employ a multi-stage training pipeline: (i) pre-training on large-scale weakly supervised open-source corpora; (ii) fine-tuning on high-quality retrieval and non-retrieval datasets; and (iii) model-soup parameter averaging for robust generalization. Besides, we introduce a focal-style reweighting mechanism that concentrates learning on difficult samples and an online hard-negative mixing strategy to continuously enrich hard negatives without expensive offline mining; (3) We collect over 20 categories of data for pre-training and 100 categories of data for fine-tuning, to boost both the performance and generalization of the embedding model. Extensive evaluations on the Massive Text Embedding Benchmark (MTEB) Chinese and English show that our model significantly outperforms others of comparable size, and competes with 3x, 14x, 18x, and 26x larger embedding models, setting a new standard for a versatile and compact embedding model with less than 1B parameters.

We carried out a reproducibility study of InPars recipe for unsupervised training of neural rankers. As a by-product of this study, we developed a simple-yet-effective modification of InPars, which we called InPars-light. Unlike InPars, InPars-light uses only a freely available language model BLOOM and 7x-100x smaller ranking models. On all five English retrieval collections (used in the original InPars study) we obtained substantial (7-30%) and statistically significant improvements over BM25 in nDCG or MRR using only a 30M parameter six-layer MiniLM ranker. In contrast, in the InPars study only a 100x larger MonoT5-3B model consistently outperformed BM25, whereas their smaller MonoT5-220M model (which is still 7x larger than our MiniLM ranker), outperformed BM25 only on MS MARCO and TREC DL 2020. In a purely unsupervised setting, our 435M parameter DeBERTA v3 ranker was roughly at par with the 7x larger MonoT5-3B: In fact, on three out of five datasets, it slightly outperformed MonoT5-3B. Finally, these good results were achieved by re-ranking only 100 candidate documents compared to 1000 used in InPars. We believe that InPars-light is the first truly cost-effective prompt-based unsupervised recipe to train and deploy neural ranking models that outperform BM25.

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

In production, multi-modal large language models (MLLMs) are expected to support multi-turn queries of interchanging image and text modalities. However, the current MLLMs trained with visual-question-answering (VQA) datasets could suffer from degradation, as VQA datasets lack the diversity and complexity of the original text instruction datasets which the underlying language model had been trained with. To address this challenging degradation, we first collect a lightweight (6k entries) VQA preference dataset where answers were annotated by Gemini for 5 quality metrics in a granular fashion, and investigate standard Supervised Fine-tuning, rejection sampling, Direct Preference Optimization (DPO), and SteerLM. Our findings indicate that the with DPO we are able to surpass instruction-following capabilities of the language model, achieving a 6.73 score on MT-Bench, compared to Vicuna's 6.57 and LLaVA's 5.99 despite small data scale. This enhancement in textual instruction proficiency correlates with boosted visual instruction performance (+4.9\% on MM-Vet, +6\% on LLaVA-Bench), with minimal alignment tax on visual knowledge benchmarks compared to previous RLHF approach. In conclusion, we propose a distillation-based multi-modal alignment model with fine-grained annotations on a small dataset that reconciles the textual and visual performance of MLLMs, restoring and boosting language capability after visual instruction tuning.

LongRoPE2 is a novel approach that extends the effective context window of pre-trained large language models (LLMs) to the target length, while preserving the performance on the original shorter context window. This is achieved by three contributions: (1) a hypothesis that insufficient training in higher RoPE dimensions contributes to the persistent out-of-distribution (OOD) issues observed in existing methods; (2) an effective RoPE rescaling algorithm that adopts evolutionary search guided by "needle-driven" perplexity to address the insufficient training problem; (3) a mixed context window training approach that fine-tunes model weights to adopt rescaled RoPE for long-context sequences while preserving the short-context performance with the original RoPE. Extensive experiments on LLaMA3-8B and Phi3-mini-3.8B across various benchmarks validate the hypothesis and demonstrate the effectiveness of LongRoPE2. Remarkably, LongRoPE2 extends LLaMA3-8B to achieve a 128K effective context length while retaining over 98.5% of short-context performance, using only 10B tokens -- 80x fewer than Meta's approach, which fails to reach the target effective context length. Code will be available at https://github.com/microsoft/LongRoPE.

This paper presents a study on strategies to enhance the translation capabilities of large language models (LLMs) in the context of machine translation (MT) tasks. The paper proposes a novel paradigm consisting of three stages: Secondary Pre-training using Extensive Monolingual Data, Continual Pre-training with Interlinear Text Format Documents, and Leveraging Source-Language Consistent Instruction for Supervised Fine-Tuning. Previous research on LLMs focused on various strategies for supervised fine-tuning (SFT), but their effectiveness has been limited. While traditional machine translation approaches rely on vast amounts of parallel bilingual data, our paradigm highlights the importance of using smaller sets of high-quality bilingual data. We argue that the focus should be on augmenting LLMs' cross-lingual alignment abilities during pre-training rather than solely relying on extensive bilingual data during SFT. Experimental results conducted using the Llama2 model, particularly on Chinese-Llama2 after monolingual augmentation, demonstrate the improved translation capabilities of LLMs. A significant contribution of our approach lies in Stage2: Continual Pre-training with Interlinear Text Format Documents, which requires less than 1B training data, making our method highly efficient. Additionally, in Stage3, we observed that setting instructions consistent with the source language benefits the supervised fine-tuning process. Experimental results demonstrate that our approach surpasses previous work and achieves superior performance compared to models such as NLLB-54B and GPT3.5-text-davinci-003, despite having a significantly smaller parameter count of only 7B or 13B. This achievement establishes our method as a pioneering strategy in the field of machine translation.

In recent years, pre-trained Multilingual Language Models (MLLMs) have shown a strong ability to transfer knowledge across different languages. However, given that the aspiration for such an ability has not been explicitly incorporated in the design of the majority of MLLMs, it is challenging to obtain a unique and straightforward explanation for its emergence. In this review paper, we survey literature that investigates different factors contributing to the capacity of MLLMs to perform zero-shot cross-lingual transfer and subsequently outline and discuss these factors in detail. To enhance the structure of this review and to facilitate consolidation with future studies, we identify five categories of such factors. In addition to providing a summary of empirical evidence from past studies, we identify consensuses among studies with consistent findings and resolve conflicts among contradictory ones. Our work contextualizes and unifies existing research streams which aim at explaining the cross-lingual potential of MLLMs. This review provides, first, an aligned reference point for future research and, second, guidance for a better-informed and more efficient way of leveraging the cross-lingual capacity of MLLMs.

Mixture of Expert Tuning (MoE-Tuning) has effectively enhanced the performance of general MLLMs with fewer parameters, yet its application in resource-limited medical settings has not been fully explored. To address this gap, we developed MoE-TinyMed, a model tailored for medical applications that significantly lowers parameter demands. In evaluations on the VQA-RAD, SLAKE, and Path-VQA datasets, MoE-TinyMed outperformed LLaVA-Med in all Med-VQA closed settings with just 3.6B parameters. Additionally, a streamlined version with 2B parameters surpassed LLaVA-Med's performance in PathVQA, showcasing its effectiveness in resource-limited healthcare settings.

We introduce MIA-Bench, a new benchmark designed to evaluate multimodal large language models (MLLMs) on their ability to strictly adhere to complex instructions. Our benchmark comprises a diverse set of 400 image-prompt pairs, each crafted to challenge the models' compliance with layered instructions in generating accurate responses that satisfy specific requested patterns. Evaluation results from a wide array of state-of-the-art MLLMs reveal significant variations in performance, highlighting areas for improvement in instruction fidelity. Additionally, we create extra training data and explore supervised fine-tuning to enhance the models' ability to strictly follow instructions without compromising performance on other tasks. We hope this benchmark not only serves as a tool for measuring MLLM adherence to instructions, but also guides future developments in MLLM training methods.

Multimodal Large Language Models (MLLMs) hold promise for accelerating scientific discovery by interpreting complex experimental procedures. However, their true capabilities are poorly understood, as existing benchmarks neglect the fine-grained and long-horizon nature of authentic laboratory work, especially in wet-lab settings. To bridge this gap, we introduce ExpVid, the first benchmark designed to systematically evaluate MLLMs on scientific experiment videos. Curated from peer-reviewed video publications, ExpVid features a new three-level task hierarchy that mirrors the scientific process: (1) Fine-grained Perception of tools, materials, and actions; (2) Procedural Understanding of step order and completeness; and (3) Scientific Reasoning that connects the full experiment to its published conclusions. Our vision-centric annotation pipeline, combining automated generation with multi-disciplinary expert validation, ensures that tasks require visual grounding. We evaluate 19 leading MLLMs on ExpVid and find that while they excel at coarse-grained recognition, they struggle with disambiguating fine details, tracking state changes over time, and linking experimental procedures to scientific outcomes. Our results reveal a notable performance gap between proprietary and open-source models, particularly in high-order reasoning. ExpVid not only provides a diagnostic tool but also charts a roadmap for developing MLLMs capable of becoming trustworthy partners in scientific experimentation.

Purpose: With advancements in Large Language Models (LLMs) for healthcare, the need arises for competitive open-source models to protect the public interest. This work contributes to the field of open medical LLMs by optimizing key stages of data preprocessing and training, while showing how to improve model safety (through DPO) and efficacy (through RAG). The evaluation methodology used, which includes four different types of tests, defines a new standard for the field. The resultant models, shown to be competitive with the best private alternatives, are released with a permisive license. Methods: Building on top of strong base models like Llama 3.1 and Qwen 2.5, Aloe Beta uses a custom dataset to enhance public data with synthetic Chain of Thought examples. The models undergo alignment with Direct Preference Optimization, emphasizing ethical and policy-aligned performance in the presence of jailbreaking attacks. Evaluation includes close-ended, open-ended, safety and human assessments, to maximize the reliability of results. Results: Recommendations are made across the entire pipeline, backed by the solid performance of the Aloe Family. These models deliver competitive performance across healthcare benchmarks and medical fields, and are often preferred by healthcare professionals. On bias and toxicity, the Aloe Beta models significantly improve safety, showing resilience to unseen jailbreaking attacks. For a responsible release, a detailed risk assessment specific to healthcare is attached to the Aloe Family models. Conclusion: The Aloe Beta models, and the recipe that leads to them, are a significant contribution to the open-source medical LLM field, offering top-of-the-line performance while maintaining high ethical requirements. This work sets a new standard for developing and reporting aligned LLMs in healthcare.

The rapid advancement of Large Language Models (LLMs) has led to an influx of efforts to extend their capabilities to multimodal tasks. Among them, growing attention has been focused on monolithic Multimodal Large Language Models (MLLMs) that integrate visual encoding and language decoding into a single LLM. Despite the structural simplicity and deployment-friendliness, training a monolithic MLLM with promising performance still remains challenging. In particular, the popular approaches adopt continuous pre-training to extend a pre-trained LLM to a monolithic MLLM, which suffers from catastrophic forgetting and leads to performance degeneration. In this paper, we aim to overcome this limitation from the perspective of delta tuning. Specifically, our core idea is to embed visual parameters into a pre-trained LLM, thereby incrementally learning visual knowledge from massive data via delta tuning, i.e., freezing the LLM when optimizing the visual parameters. Based on this principle, we present Mono-InternVL, a novel monolithic MLLM that seamlessly integrates a set of visual experts via a multimodal mixture-of-experts structure. Moreover, we propose an innovative pre-training strategy to maximize the visual capability of Mono-InternVL, namely Endogenous Visual Pre-training (EViP). In particular, EViP is designed as a progressive learning process for visual experts, which aims to fully exploit the visual knowledge from noisy data to high-quality data. To validate our approach, we conduct extensive experiments on 16 benchmarks. Experimental results not only validate the superior performance of Mono-InternVL compared to the state-of-the-art MLLM on 6 multimodal benchmarks, e.g., +113 points over InternVL-1.5 on OCRBench, but also confirm its better deployment efficiency, with first token latency reduced by up to 67%.

Self-improvement in multimodal large language models (MLLMs) is crucial for enhancing their reliability and robustness. However, current methods often rely heavily on MLLMs themselves as judges, leading to high computational costs and potential pitfalls like reward hacking and model collapse. This paper introduces a novel, model-level judge-free self-improvement framework. Our approach employs a controlled feedback mechanism while eliminating the need for MLLMs in the verification loop. We generate preference learning pairs using a controllable hallucination mechanism and optimize data quality by leveraging lightweight, contrastive language-image encoders to evaluate and reverse pairs when necessary. Evaluations across public benchmarks and our newly introduced IC dataset designed to challenge hallucination control demonstrate that our model outperforms conventional techniques. We achieve superior precision and recall with significantly lower computational demands. This method offers an efficient pathway to scalable self-improvement in MLLMs, balancing performance gains with reduced resource requirements.

Multimodal large language models (MLLMs) demonstrate significant potential in the field of medical diagnosis. However, they face critical challenges in specialized domains such as ophthalmology, particularly the fragmentation of annotation granularity and inconsistencies in clinical reasoning logic, which hinder precise cross-modal understanding. This paper introduces FundusExpert, an ophthalmology-specific MLLM with integrated positioning-diagnosis reasoning capabilities, along with FundusGen, a dataset constructed through the intelligent Fundus-Engine system. Fundus-Engine automates localization and leverages MLLM-based semantic expansion to integrate global disease classification, local object detection, and fine-grained feature analysis within a single fundus image. Additionally, by constructing a clinically aligned cognitive chain, it guides the model to generate interpretable reasoning paths. FundusExpert, fine-tuned with instruction data from FundusGen, achieves the best performance in ophthalmic question-answering tasks, surpassing the average accuracy of the 40B MedRegA by 26.6%. It also excels in zero-shot report generation tasks, achieving a clinical consistency of 77.0%, significantly outperforming GPT-4o's 47.6%. Furthermore, we reveal a scaling law between data quality and model capability (L propto N^{0.068}), demonstrating that the cognitive alignment annotations in FundusGen enhance data utilization efficiency. By integrating region-level localization with diagnostic reasoning chains, our work develops a scalable, clinically-aligned MLLM and explores a pathway toward bridging the visual-language gap in specific MLLMs. Our project can be found at https://github.com/MeteorElf/FundusExpert.

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.

Elucidating the functional effect of missense variants is of crucial importance, yet challenging. To understand the impact of such variants, we fine-tuned the ESM2 protein language model to classify 20 protein features at amino acid resolution. We used the resulting models to: 1) identify protein features that are enriched in either pathogenic or benign missense variants, 2) compare the characteristics of proteins with reference or alternate alleles to understand how missense variants affect protein functionality. We show that our model can be used to reclassify some variants of unknown significance. We also demonstrate the usage of our models for understanding the potential effect of variants on protein features.

Medical visual question answering (Med-VQA) aims to answer clinically relevant questions grounded in medical images. However, existing multimodal large language models (MLLMs) often exhibit shortcut answering, producing plausible responses by exploiting language priors or dataset biases while insufficiently attending to visual evidence. This behavior undermines clinical reliability, especially when subtle imaging findings are decisive. We propose a lightweight plug-in framework, termed Intent-aware Visual Cues (InViC), to explicitly enhance image-based answer generation in medical VQA. InViC introduces a Cue Tokens Extraction (CTE) module that distills dense visual tokens into a compact set of K question-conditioned cue tokens, which serve as structured visual intermediaries injected into the LLM decoder to promote intent-aligned visual evidence. To discourage bypassing of visual information, we further design a two-stage fine-tuning strategy with a cue-bottleneck attention mask. In Stage I, we employ an attention mask to block the LLM's direct view of raw visual features, thereby funneling all visual evidence through the cue pathway. In Stage II, standard causal attention is restored to train the LLM to jointly exploit the visual and cue tokens. We evaluate InViC on three public Med-VQA benchmarks (VQA-RAD, SLAKE, and ImageCLEF VQA-Med 2019) across multiple representative MLLMs. InViC consistently improves over zero-shot inference and standard LoRA fine-tuning, demonstrating that intent-aware visual cues with bottlenecked training is a practical and effective strategy for improving trustworthy Med-VQA.

Diffusion-based large language models (dLLMs) have emerged as a promising alternative to autoregressive (AR) LLMs, leveraging denoising-based generation to enable inherent parallelism. Even more and more open-sourced dLLM models emerge, yet their widespread adoption remains constrained by the lack of a standardized and efficient inference framework. We present dInfer, an efficient and extensible framework for dLLM inference. dInfer decomposes the inference pipeline into four modular components--model, diffusion iteration manager, decoding strategy, and KV-cache manager--and integrates novel algorithms for each component alongside system-level optimizations. Through this combination of algorithmic innovations and system enhancements, dInfer achieves substantial efficiency gains without compromising output quality on LLaDA-MoE. At batch size 1, it surpasses 1,100 tokens per second on HumanEval and averages over 800 tokens per second across six benchmarks on 8times H800 GPUs. Compared to prior systems, dInfer delivers a 10times speedup over Fast-dLLM while maintaining similar model performance. Even compared to the AR model (with a comparable number of activation parameters and performance) QWen2.5-3B, which is highly optimized with the latest vLLM inference engine, dInfer still delivers a 2-3times speedup. The implementation of dInfer is open-sourced at https://github.com/inclusionAI/dInfer.

We introduce Falcon2-11B, a foundation model trained on over five trillion tokens, and its multimodal counterpart, Falcon2-11B-vlm, which is a vision-to-text model. We report our findings during the training of the Falcon2-11B which follows a multi-stage approach where the early stages are distinguished by their context length and a final stage where we use a curated, high-quality dataset. Additionally, we report the effect of doubling the batch size mid-training and how training loss spikes are affected by the learning rate. The downstream performance of the foundation model is evaluated on established benchmarks, including multilingual and code datasets. The foundation model shows strong generalization across all the tasks which makes it suitable for downstream finetuning use cases. For the vision language model, we report the performance on several benchmarks and show that our model achieves a higher average score compared to open-source models of similar size. The model weights and code of both Falcon2-11B and Falcon2-11B-vlm are made available under a permissive license.