arXiv:2609.39566v1 Announce Type: new
Abstract: Foundation models can serve as clinical agents through tool-use harnesses. However, conventional medical benchmarks assess reasoning over preselected e...
By Minye Shao, Chaohui Yu, Yixuan Wu, Fan Wang, Ling Shao, Yang Long
arXiv:2609.36838v1 Announce Type: cross
Abstract: Visual agents solve problems by interleaving reasoning with image operations, and on-policy distillation (OPD) provides guidance from a strong teache...
By Shaohang Wei, Feifan Song, Guangyue Peng, Wenhao Yu, Wei Li, Wen Luo, Yang Xu, Yufan Shen, Luke Mao, Yang Du, Asher Qin, Houfeng Wang
Beacon is a new agentic visual reasoning model that improves multimodal large language models (MLLMs) by better deciding when to use tools and how to use them. It introduces two key concepts—Mode Adaptiveness, which ensures tools are invoked only when necessary, and Tool Effect, which measures the net benefit of tool use— and trains the model with supervised fine‑tuning and reinforcement learning that rewards necessity-aware decisions and expands capability through expert hints. Across 13 benchmarks, Beacon outperforms other open‑source models, achieving the highest average score and the largest net tool‑gain on diagnostic tests.
By Qixun Wang, Yang Shi, Letian Cheng, Zhuoran Zhang, Yan He, Yuqi Tang, Qi Zhang, Xinlei Yu, Ruizhe Chen, Tianrun Xu, Yuanxing Zhang, Pengfei Wan, Haotian Wang, Xianghua Ying
Whole-slide image (WSI) reasoning requires an agent to sequentially acquire visual evidence before answering a diagnostic question. Existing training-free agentic frameworks formulate this process as iterative patch retrieval based on semantic relevance to the question.
arXiv:2608. 14015v1 Announce Type: cross Abstract: Understanding tens-of-minutes surgical videos requires long-horizon temporal reasoning, answering what happens before, after, or across stages of a procedure by grounding the question in visual evidence spread across time.
By Yingying Fan, Penghui Du, Leyan Zhu, Runze He, Zimeng Wu, Yuxuan Zhang, Liang Chen, Jiahao Xie, Jiangtang Wang, Shuai Shao, Anchao Yang, Yutong Bai, Yan Wang
arXiv:2512. 14157v2 Announce Type: replace Abstract: Recent medical MLLMs have made significant progress in generating step-by-step textual reasoning chains.
By Yankai Jiang, Yujie Zhang, Peng Zhang, Wenjie Li, Yichen Li, Jintai Chen, Xiaoming Shi, Shihui Zhen
arXiv:2609.14823v1 Announce Type: new
Abstract: Multimodal clinical decision-making requires reliable reasoning over heterogeneous evidence from electronic health records, medical images, and physiol...
By Ji Lu, Lifei Liu, Haoran Yu, Xianglong Wang, Yiru Fang, Kuo Yang, Huiran Duan, Jianping Gou
The paper introduces the Necessary Tool‑Evidence Path (NTEP) annotation scheme and its associated reward mechanism (NTEP‑R) to better supervise vision‑language models that use external tools. By explicitly specifying which evidence is needed and penalizing redundant tool calls, the authors train an 8B‑parameter model that shows improved accuracy and tool‑use efficiency across seven image‑grounded benchmarks. The approach demonstrates that fine‑grained supervision of tool‑evidence paths is essential for robust agentic VLM performance.
By Xingming Long, Yu Liu, Zhiwei Yang, Hanqi Feng, Shaojie Zhang, Barnabas Poczos, Chao Jiang, Zhenbo Luo, Lei Jiang, Pei Fu
WeAgent-MMSearch introduces a multimodal search agent that preserves retrieved images as persistent references, enabling the model to inspect, process, and cite them throughout a search trajectory. The system includes a harness (WeAgent-Harness), a post‑training method (FA‑GSPO) that recovers salvageable rollouts, and a new benchmark (VisTarget‑Bench) to evaluate image‑retrieval versus visual‑perception failures. Evaluation shows that agentic post‑training boosts performance by 19.22 points, allowing the model to outperform similarly sized open‑source models and compete with much larger ones.
By Zongkai Liu, Hui Zhang, Liqiang Niu, Zhen Cao, Han Li, Juntao Liu, Wenchao Chen, Chengduo Zhao, Chao Yu, Fandong Meng
arXiv:2508.07292v4 Announce Type: replace-cross
Abstract: Endoscopic diagnosis is an iterative process in which clinicians acquire, compare, and verify local visual evidence before reaching a conclus...
By Yi Tang, Kai-Ni Wang, Liang-Peng Pu, Hui Tang, Xiaopu He, Guang-Quan Zhou
MultiViewDx is a physician‑validated multimodal instruction dataset that links medical imaging studies with patient context and normalizes heterogeneous reports into an evidence‑linked workflow (evidence → findings → differential discussion → diagnosis). The dataset covers a wide range of imaging modalities and uses a unified image‑text retriever to ensure that instruction synthesis is grounded in source‑supported evidence. Fine‑tuned models on MultiViewDx achieve the highest average accuracy on four MedVQA benchmarks and receive the strongest overall rating on JAMA Clinical Challenge cases, with ablations confirming the importance of case‑level multi‑view organization and evidence‑linked reasoning.
By Junda Wang, Zonghai Yao, Yujan Ting, Eric Z. Chen, Hieu Tran, Hong Yu, Weijing Huang, Terrence Chen
LiteMedCoT-VL is a parameter‑efficient pipeline that transfers chain‑of‑thought reasoning from a 235B teacher model to a 2B student model using LoRA fine‑tuning on explanation‑enriched data. The approach enables a compact vision‑language model to perform medical visual question answering without relying on image captions, achieving 64.9% accuracy on the PMC‑VQA benchmark—an 11‑point improvement over the zero‑shot Qwen3‑VL‑4B baseline. Visual grounding analysis confirms that the model bases its predictions on image content rather than textual priors.
By Runze Ma, Shunbo Jia, Haonan Lyu, Guo Liu, Caizhi Liao