Daily Papers

The lack of object-level annotations poses a significant challenge for object detection in remote sensing images (RSIs). To address this issue, active learning (AL) and semi-supervised learning (SSL) techniques have been proposed to enhance the quality and quantity of annotations. AL focuses on selecting the most informative samples for annotation, while SSL leverages the knowledge from unlabeled samples. In this letter, we propose a novel AL method to boost semi-supervised object detection (SSOD) for remote sensing images with a teacher student network, called SSOD-AT. The proposed method incorporates an RoI comparison module (RoICM) to generate high-confidence pseudo-labels for regions of interest (RoIs). Meanwhile, the RoICM is utilized to identify the top-K uncertain images. To reduce redundancy in the top-K uncertain images for human labeling, a diversity criterion is introduced based on object-level prototypes of different categories using both labeled and pseudo-labeled images. Extensive experiments on DOTA and DIOR, two popular datasets, demonstrate that our proposed method outperforms state-of-the-art methods for object detection in RSIs. Compared with the best performance in the SOTA methods, the proposed method achieves 1 percent improvement in most cases in the whole AL.

Natural language often struggles to accurately associate positional and attribute information with multiple instances, which limits current text-based visual generation models to simpler compositions featuring only a few dominant instances. To address this limitation, this work enhances diffusion models by introducing regional instance control, where each instance is governed by a bounding box paired with a free-form caption. Previous methods in this area typically rely on implicit position encoding or explicit attention masks to separate regions of interest (ROIs), resulting in either inaccurate coordinate injection or large computational overhead. Inspired by ROI-Align in object detection, we introduce a complementary operation called ROI-Unpool. Together, ROI-Align and ROI-Unpool enable explicit, efficient, and accurate ROI manipulation on high-resolution feature maps for visual generation. Building on ROI-Unpool, we propose ROICtrl, an adapter for pretrained diffusion models that enables precise regional instance control. ROICtrl is compatible with community-finetuned diffusion models, as well as with existing spatial-based add-ons (\eg, ControlNet, T2I-Adapter) and embedding-based add-ons (\eg, IP-Adapter, ED-LoRA), extending their applications to multi-instance generation. Experiments show that ROICtrl achieves superior performance in regional instance control while significantly reducing computational costs.

Many new proposals for scene text recognition (STR) models have been introduced in recent years. While each claim to have pushed the boundary of the technology, a holistic and fair comparison has been largely missing in the field due to the inconsistent choices of training and evaluation datasets. This paper addresses this difficulty with three major contributions. First, we examine the inconsistencies of training and evaluation datasets, and the performance gap results from inconsistencies. Second, we introduce a unified four-stage STR framework that most existing STR models fit into. Using this framework allows for the extensive evaluation of previously proposed STR modules and the discovery of previously unexplored module combinations. Third, we analyze the module-wise contributions to performance in terms of accuracy, speed, and memory demand, under one consistent set of training and evaluation datasets. Such analyses clean up the hindrance on the current comparisons to understand the performance gain of the existing modules.

While recent advancements in large multimodal models (LMMs) have significantly improved their abilities in image quality assessment (IQA) relying on absolute quality rating, how to transfer reliable relative quality comparison outputs to continuous perceptual quality scores remains largely unexplored. To address this gap, we introduce Compare2Score-an all-around LMM-based no-reference IQA (NR-IQA) model, which is capable of producing qualitatively comparative responses and effectively translating these discrete comparative levels into a continuous quality score. Specifically, during training, we present to generate scaled-up comparative instructions by comparing images from the same IQA dataset, allowing for more flexible integration of diverse IQA datasets. Utilizing the established large-scale training corpus, we develop a human-like visual quality comparator. During inference, moving beyond binary choices, we propose a soft comparison method that calculates the likelihood of the test image being preferred over multiple predefined anchor images. The quality score is further optimized by maximum a posteriori estimation with the resulting probability matrix. Extensive experiments on nine IQA datasets validate that the Compare2Score effectively bridges text-defined comparative levels during training with converted single image quality score for inference, surpassing state-of-the-art IQA models across diverse scenarios. Moreover, we verify that the probability-matrix-based inference conversion not only improves the rating accuracy of Compare2Score but also zero-shot general-purpose LMMs, suggesting its intrinsic effectiveness.

Comparative settings (e.g. pairwise choice, listwise ranking) have been adopted by a wide range of subjective studies for image quality assessment (IQA), as it inherently standardizes the evaluation criteria across different observers and offer more clear-cut responses. In this work, we extend the edge of emerging large multi-modality models (LMMs) to further advance visual quality comparison into open-ended settings, that 1) can respond to open-range questions on quality comparison; 2) can provide detailed reasonings beyond direct answers. To this end, we propose the Co-Instruct. To train this first-of-its-kind open-source open-ended visual quality comparer, we collect the Co-Instruct-562K dataset, from two sources: (a) LMM-merged single image quality description, (b) GPT-4V "teacher" responses on unlabeled data. Furthermore, to better evaluate this setting, we propose the MICBench, the first benchmark on multi-image comparison for LMMs. We demonstrate that Co-Instruct not only achieves 30% higher superior accuracy than state-of-the-art open-source LMMs, but also outperforms GPT-4V (its teacher), on both existing related benchmarks and the proposed MICBench. Our model is published at https://huggingface.co/q-future/co-instruct.

We introduce CompareBench, a benchmark for evaluating visual comparison reasoning in vision-language models (VLMs), a fundamental yet understudied skill. CompareBench consists of 1000 QA pairs across four tasks: quantity (600), temporal (100), geometric (200), and spatial (100). It is derived from two auxiliary datasets that we constructed: TallyBench (2000 counting images with QA) and HistCaps (515 historical images with bilingual captions). We evaluate both closed-source APIs (OpenAI, Gemini, Claude) and open-source models (Qwen2.5-VL and Qwen3-VL series). Results show clear scaling trends but also reveal critical limitations: even the strongest models consistently fail at temporal ordering and spatial relations, and they often make mistakes in basic counting and geometric comparisons that are trivial for humans. These findings demonstrate that visual comparison remains a systematic blind spot for current VLMs. By providing controlled, diverse, and diagnostic evaluation, CompareBench establishes a foundation for advancing more reliable multimodal reasoning.

Models based on convolutional neural networks (CNN) and transformers have steadily been improved. They also have been applied in various computer vision downstream tasks. However, in object detection tasks, accurately localizing and classifying almost infinite categories of foods in images remains challenging. To address these problems, we first segmented the food as the region-of-interest (ROI) by using the segment-anything model (SAM) and masked the rest of the region except ROI as black pixels. This process simplified the problems into a single classification for which annotation and training were much simpler than object detection. The images in which only the ROI was preserved were fed as inputs to fine-tune various off-the-shelf models that encoded their own inductive biases. Among them, Data-efficient image Transformers (DeiTs) had the best classification performance. Nonetheless, when foods' shapes and textures were similar, the contextual features of the ROI-only images were not enough for accurate classification. Therefore, we introduced a novel type of combined architecture, RveRNet, which consisted of ROI, extra-ROI, and integration modules that allowed it to account for both the ROI's and global contexts. The RveRNet's F1 score was 10% better than other individual models when classifying ambiguous food images. If the RveRNet's modules were DeiT with the knowledge distillation from the CNN, performed the best. We investigated how architectures can be made robust against input noise caused by permutation and translocation. The results indicated that there was a trade-off between how much the CNN teacher's knowledge could be distilled to DeiT and DeiT's innate strength. Code is publicly available at: https://github.com/Seonwhee-Genome/RveRNet.

BEIR is a benchmark dataset for zero-shot evaluation of information retrieval models across 18 different domain/task combinations. In recent years, we have witnessed the growing popularity of a representation learning approach to building retrieval models, typically using pretrained transformers in a supervised setting. This naturally begs the question: How effective are these models when presented with queries and documents that differ from the training data? Examples include searching in different domains (e.g., medical or legal text) and with different types of queries (e.g., keywords vs. well-formed questions). While BEIR was designed to answer these questions, our work addresses two shortcomings that prevent the benchmark from achieving its full potential: First, the sophistication of modern neural methods and the complexity of current software infrastructure create barriers to entry for newcomers. To this end, we provide reproducible reference implementations that cover the two main classes of approaches: learned dense and sparse models. Second, there does not exist a single authoritative nexus for reporting the effectiveness of different models on BEIR, which has led to difficulty in comparing different methods. To remedy this, we present an official self-service BEIR leaderboard that provides fair and consistent comparisons of retrieval models. By addressing both shortcomings, our work facilitates future explorations in a range of interesting research questions that BEIR enables.

Vision-Language Instruction Tuning (VLIT) is a critical training phase for Large Vision-Language Models (LVLMs). With the improving capabilities of open-source LVLMs, researchers have increasingly turned to generate VLIT data by using open-source LVLMs and achieved significant progress. However, such data generation approaches are bottlenecked by the following challenges: 1) Since multi-modal models tend to be influenced by prior language knowledge, directly using LVLMs to generate VLIT data would inevitably lead to low content relevance between generated data and images. 2) To improve the ability of the models to generate VLIT data, previous methods have incorporated an additional training phase to boost the generative capacity. This process hurts the generalization of the models to unseen inputs (i.e., "exposure bias" problem). In this paper, we propose a new Content Correlated VLIT data generation via Contrastive Learning (C3L). Specifically, we design a new content relevance module which enhances the content relevance between VLIT data and images by computing Image Instruction Correspondence Scores S(I2C). Moreover, a contrastive learning module is introduced to further boost the VLIT data generation capability of the LVLMs. A large number of automatic measures on four benchmarks show the effectiveness of our method.

In this paper, we address the text and image matching in cross-modal retrieval of the fashion industry. Different from the matching in the general domain, the fashion matching is required to pay much more attention to the fine-grained information in the fashion images and texts. Pioneer approaches detect the region of interests (i.e., RoIs) from images and use the RoI embeddings as image representations. In general, RoIs tend to represent the "object-level" information in the fashion images, while fashion texts are prone to describe more detailed information, e.g. styles, attributes. RoIs are thus not fine-grained enough for fashion text and image matching. To this end, we propose FashionBERT, which leverages patches as image features. With the pre-trained BERT model as the backbone network, FashionBERT learns high level representations of texts and images. Meanwhile, we propose an adaptive loss to trade off multitask learning in the FashionBERT modeling. Two tasks (i.e., text and image matching and cross-modal retrieval) are incorporated to evaluate FashionBERT. On the public dataset, experiments demonstrate FashionBERT achieves significant improvements in performances than the baseline and state-of-the-art approaches. In practice, FashionBERT is applied in a concrete cross-modal retrieval application. We provide the detailed matching performance and inference efficiency analysis.

We introduce RadEval, a unified, open-source framework for evaluating radiology texts. RadEval consolidates a diverse range of metrics, from classic n-gram overlap (BLEU, ROUGE) and contextual measures (BERTScore) to clinical concept-based scores (F1CheXbert, F1RadGraph, RaTEScore, SRR-BERT, TemporalEntityF1) and advanced LLM-based evaluators (GREEN). We refine and standardize implementations, extend GREEN to support multiple imaging modalities with a more lightweight model, and pretrain a domain-specific radiology encoder, demonstrating strong zero-shot retrieval performance. We also release a richly annotated expert dataset with over 450 clinically significant error labels and show how different metrics correlate with radiologist judgment. Finally, RadEval provides statistical testing tools and baseline model evaluations across multiple publicly available datasets, facilitating reproducibility and robust benchmarking in radiology report generation.

Image Difference Captioning (IDC) aims to generate natural language descriptions of subtle differences between image pairs, requiring both precise visual change localization and coherent semantic expression. Despite recent advancements, existing datasets often lack breadth and depth, limiting their applicability in complex and dynamic environments: (1) from a breadth perspective, current datasets are constrained to limited variations of objects in specific scenes, and (2) from a depth perspective, prior benchmarks often provide overly simplistic descriptions. To address these challenges, we introduce OmniDiff, a comprehensive dataset comprising 324 diverse scenarios-spanning real-world complex environments and 3D synthetic settings-with fine-grained human annotations averaging 60 words in length and covering 12 distinct change types. Building on this foundation, we propose M^3Diff, a MultiModal large language model enhanced by a plug-and-play Multi-scale Differential Perception (MDP) module. This module improves the model's ability to accurately identify and describe inter-image differences while maintaining the foundational model's generalization capabilities. With the addition of the OmniDiff dataset, M^3Diff achieves state-of-the-art performance across multiple benchmarks, including Spot-the-Diff, IEdit, CLEVR-Change, CLEVR-DC, and OmniDiff, demonstrating significant improvements in cross-scenario difference recognition accuracy compared to existing methods. The dataset, code, and models will be made publicly available to support further research.

Modern computer vision offers a great variety of models to practitioners, and selecting a model from multiple options for specific applications can be challenging. Conventionally, competing model architectures and training protocols are compared by their classification accuracy on ImageNet. However, this single metric does not fully capture performance nuances critical for specialized tasks. In this work, we conduct an in-depth comparative analysis of model behaviors beyond ImageNet accuracy, for both ConvNet and Vision Transformer architectures, each across supervised and CLIP training paradigms. Although our selected models have similar ImageNet accuracies and compute requirements, we find that they differ in many other aspects: types of mistakes, output calibration, transferability, and feature invariance, among others. This diversity in model characteristics, not captured by traditional metrics, highlights the need for more nuanced analysis when choosing among different models. Our code is available at https://github.com/kirill-vish/Beyond-INet.

Comparing two images in terms of Commonalities and Differences (CaD) is a fundamental human capability that forms the basis of advanced visual reasoning and interpretation. It is essential for the generation of detailed and contextually relevant descriptions, performing comparative analysis, novelty detection, and making informed decisions based on visual data. However, surprisingly, little attention has been given to these fundamental concepts in the best current mimic of human visual intelligence - Large Multimodal Models (LMMs). We develop and contribute a new two-phase approach CaD-VI for collecting synthetic visual instructions, together with an instruction-following dataset CaD-Inst containing 349K image pairs with CaD instructions collected using CaD-VI. Our approach significantly improves the CaD spotting capabilities in LMMs, advancing the SOTA on a diverse set of related tasks by up to 17.5%. It is also complementary to existing difference-only instruction datasets, allowing automatic targeted refinement of those resources increasing their effectiveness for CaD tuning by up to 10%. Additionally, we propose an evaluation benchmark with 7.5K open-ended QAs to assess the CaD understanding abilities of LMMs.

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

Current text-to-image (T2I) generation models achieve promising results, but they fail on the scenarios where the knowledge implied in the text prompt is uncertain. For example, a T2I model released in February would struggle to generate a suitable poster for a movie premiering in April, because the character designs and styles are uncertain to the model. To solve this problem, we propose an Internet-Augmented text-to-image generation (IA-T2I) framework to compel T2I models clear about such uncertain knowledge by providing them with reference images. Specifically, an active retrieval module is designed to determine whether a reference image is needed based on the given text prompt; a hierarchical image selection module is introduced to find the most suitable image returned by an image search engine to enhance the T2I model; a self-reflection mechanism is presented to continuously evaluate and refine the generated image to ensure faithful alignment with the text prompt. To evaluate the proposed framework's performance, we collect a dataset named Img-Ref-T2I, where text prompts include three types of uncertain knowledge: (1) known but rare. (2) unknown. (3) ambiguous. Moreover, we carefully craft a complex prompt to guide GPT-4o in making preference evaluation, which has been shown to have an evaluation accuracy similar to that of human preference evaluation. Experimental results demonstrate the effectiveness of our framework, outperforming GPT-4o by about 30% in human evaluation.

We perform a comprehensive benchmarking of contrastive frameworks for learning multimodal representations in the medical domain. Through this study, we aim to answer the following research questions: (i) How transferable are general-domain representations to the medical domain? (ii) Is multimodal contrastive training sufficient, or does it benefit from unimodal training as well? (iii) What is the impact of feature granularity on the effectiveness of multimodal medical representation learning? To answer these questions, we investigate eight contrastive learning approaches under identical training setups, and train them on 2.8 million image-text pairs from four datasets, and evaluate them on 25 downstream tasks, including classification (zero-shot and linear probing), image-to-text and text-to-image retrieval, and visual question-answering. Our findings suggest a positive answer to the first question, a negative answer to the second question, and the benefit of learning fine-grained features. Finally, we make our code publicly available.

We present the Benchmark of Information Retrieval (IR) tasks with Complex Objectives (BIRCO). BIRCO evaluates the ability of IR systems to retrieve documents given multi-faceted user objectives. The benchmark's complexity and compact size make it suitable for evaluating large language model (LLM)-based information retrieval systems. We present a modular framework for investigating factors that may influence LLM performance on retrieval tasks, and identify a simple baseline model which matches or outperforms existing approaches and more complex alternatives. No approach achieves satisfactory performance on all benchmark tasks, suggesting that stronger models and new retrieval protocols are necessary to address complex user needs.

Existing Image Quality Assessment (IQA) methods achieve remarkable success in analyzing quality for overall image, but few works explore quality analysis for Regions of Interest (ROIs). The quality analysis of ROIs can provide fine-grained guidance for image quality improvement and is crucial for scenarios focusing on region-level quality. This paper proposes a novel network, SEAGULL, which can SEe and Assess ROIs quality with GUidance from a Large vision-Language model. SEAGULL incorporates a vision-language model (VLM), masks generated by Segment Anything Model (SAM) to specify ROIs, and a meticulously designed Mask-based Feature Extractor (MFE) to extract global and local tokens for specified ROIs, enabling accurate fine-grained IQA for ROIs. Moreover, this paper constructs two ROI-based IQA datasets, SEAGULL-100w and SEAGULL-3k, for training and evaluating ROI-based IQA. SEAGULL-100w comprises about 100w synthetic distortion images with 33 million ROIs for pre-training to improve the model's ability of regional quality perception, and SEAGULL-3k contains about 3k authentic distortion ROIs to enhance the model's ability to perceive real world distortions. After pre-training on SEAGULL-100w and fine-tuning on SEAGULL-3k, SEAGULL shows remarkable performance on fine-grained ROI quality assessment. Code and datasets are publicly available at the https://github.com/chencn2020/Seagull.

Pretraining methods are typically compared by evaluating the accuracy of linear classifiers, transfer learning performance, or visually inspecting the representation manifold's (RM) lower-dimensional projections. We show that the differences between methods can be understood more clearly by investigating the RM directly, which allows for a more detailed comparison. To this end, we propose a framework and new metric to measure and compare different RMs. We also investigate and report on the RM characteristics for various pretraining methods. These characteristics are measured by applying sequentially larger local alterations to the input data, using white noise injections and Projected Gradient Descent (PGD) adversarial attacks, and then tracking each datapoint. We calculate the total distance moved for each datapoint and the relative change in distance between successive alterations. We show that self-supervised methods learn an RM where alterations lead to large but constant size changes, indicating a smoother RM than fully supervised methods. We then combine these measurements into one metric, the Representation Manifold Quality Metric (RMQM), where larger values indicate larger and less variable step sizes, and show that RMQM correlates positively with performance on downstream tasks.

Dataset summarisation is a fruitful approach to dataset inspection. However, when applied to a single dataset the discovery of visual concepts is restricted to those most prominent. We argue that a comparative approach can expand upon this paradigm to enable richer forms of dataset inspection that go beyond the most prominent concepts. To enable dataset comparison we present a module that learns concept-level prototypes across datasets. We leverage self-supervised learning to discover these prototypes without supervision, and we demonstrate the benefits of our approach in two case-studies. Our findings show that dataset comparison extends dataset inspection and we hope to encourage more works in this direction. Code and usage instructions available at https://github.com/Nanne/ProtoSim

Same-style products retrieval plays an important role in e-commerce platforms, aiming to identify the same products which may have different text descriptions or images. It can be used for similar products retrieval from different suppliers or duplicate products detection of one supplier. Common methods use the image as the detected object, but they only consider the visual features and overlook the attribute information contained in the textual descriptions, and perform weakly for products in image less important industries like machinery, hardware tools and electronic component, even if an additional text matching module is added. In this paper, we propose a unified vision-language modeling method for e-commerce same-style products retrieval, which is designed to represent one product with its textual descriptions and visual contents. It contains one sampling skill to collect positive pairs from user click log with category and relevance constrained, and a novel contrastive loss unit to model the image, text, and image+text representations into one joint embedding space. It is capable of cross-modal product-to-product retrieval, as well as style transfer and user-interactive search. Offline evaluations on annotated data demonstrate its superior retrieval performance, and online testings show it can attract more clicks and conversions. Moreover, this model has already been deployed online for similar products retrieval in alibaba.com, the largest B2B e-commerce platform in the world.

Current benchmarks for assessing vision-language models (VLMs) often focus on their perception or problem-solving capabilities and neglect other critical aspects such as fairness, multilinguality, or toxicity. Furthermore, they differ in their evaluation procedures and the scope of the evaluation, making it difficult to compare models. To address these issues, we extend the HELM framework to VLMs to present the Holistic Evaluation of Vision Language Models (VHELM). VHELM aggregates various datasets to cover one or more of the 9 aspects: visual perception, knowledge, reasoning, bias, fairness, multilinguality, robustness, toxicity, and safety. In doing so, we produce a comprehensive, multi-dimensional view of the capabilities of the VLMs across these important factors. In addition, we standardize the standard inference parameters, methods of prompting, and evaluation metrics to enable fair comparisons across models. Our framework is designed to be lightweight and automatic so that evaluation runs are cheap and fast. Our initial run evaluates 22 VLMs on 21 existing datasets to provide a holistic snapshot of the models. We uncover new key findings, such as the fact that efficiency-focused models (e.g., Claude 3 Haiku or Gemini 1.5 Flash) perform significantly worse than their full models (e.g., Claude 3 Opus or Gemini 1.5 Pro) on the bias benchmark but not when evaluated on the other aspects. For transparency, we release the raw model generations and complete results on our website (https://crfm.stanford.edu/helm/vhelm/v2.0.1). VHELM is intended to be a living benchmark, and we hope to continue adding new datasets and models over time.

Scene text removal (STR), a task of erasing text from natural scene images, has recently attracted attention as an important component of editing text or concealing private information such as ID, telephone, and license plate numbers. While there are a variety of different methods for STR actively being researched, it is difficult to evaluate superiority because previously proposed methods do not use the same standardized training/evaluation dataset. We use the same standardized training/testing dataset to evaluate the performance of several previous methods after standardized re-implementation. We also introduce a simple yet extremely effective Gated Attention (GA) and Region-of-Interest Generation (RoIG) methodology in this paper. GA uses attention to focus on the text stroke as well as the textures and colors of the surrounding regions to remove text from the input image much more precisely. RoIG is applied to focus on only the region with text instead of the entire image to train the model more efficiently. Experimental results on the benchmark dataset show that our method significantly outperforms existing state-of-the-art methods in almost all metrics with remarkably higher-quality results. Furthermore, because our model does not generate a text stroke mask explicitly, there is no need for additional refinement steps or sub-models, making our model extremely fast with fewer parameters. The dataset and code are available at this https://github.com/naver/garnet.

With the increasing use of RetrievalAugmented Generation (RAG), strong retrieval models have become more important than ever. In healthcare, multimodal retrieval models that combine information from both text and images offer major advantages for many downstream tasks such as question answering, cross-modal retrieval, and multimodal summarization, since medical data often includes both formats. However, there is currently no standard benchmark to evaluate how well these models perform in medical settings. To address this gap, we introduce M3Retrieve, a Multimodal Medical Retrieval Benchmark. M3Retrieve, spans 5 domains,16 medical fields, and 4 distinct tasks, with over 1.2 Million text documents and 164K multimodal queries, all collected under approved licenses. We evaluate leading multimodal retrieval models on this benchmark to explore the challenges specific to different medical specialities and to understand their impact on retrieval performance. By releasing M3Retrieve, we aim to enable systematic evaluation, foster model innovation, and accelerate research toward building more capable and reliable multimodal retrieval systems for medical applications. The dataset and the baselines code are available in this github page https://github.com/AkashGhosh/M3Retrieve.

Developing advanced medical imaging retrieval systems is challenging due to the varying definitions of `similar images' across different medical contexts. This challenge is compounded by the lack of large-scale, high-quality medical imaging retrieval datasets and benchmarks. In this paper, we propose a novel methodology that leverages dense radiology reports to define image-wise similarity ordering at multiple granularities in a scalable and fully automatic manner. Using this approach, we construct two comprehensive medical imaging retrieval datasets: MIMIC-IR for Chest X-rays and CTRATE-IR for CT scans, providing detailed image-image ranking annotations conditioned on diverse anatomical structures. Furthermore, we develop two retrieval systems, RadIR-CXR and model-ChestCT, which demonstrate superior performance in traditional image-image and image-report retrieval tasks. These systems also enable flexible, effective image retrieval conditioned on specific anatomical structures described in text, achieving state-of-the-art results on 77 out of 78 metrics.

This work introduces ILIAS, a new test dataset for Instance-Level Image retrieval At Scale. It is designed to evaluate the ability of current and future foundation models and retrieval techniques to recognize particular objects. The key benefits over existing datasets include large scale, domain diversity, accurate ground truth, and a performance that is far from saturated. ILIAS includes query and positive images for 1,000 object instances, manually collected to capture challenging conditions and diverse domains. Large-scale retrieval is conducted against 100 million distractor images from YFCC100M. To avoid false negatives without extra annotation effort, we include only query objects confirmed to have emerged after 2014, i.e. the compilation date of YFCC100M. An extensive benchmarking is performed with the following observations: i) models fine-tuned on specific domains, such as landmarks or products, excel in that domain but fail on ILIAS ii) learning a linear adaptation layer using multi-domain class supervision results in performance improvements, especially for vision-language models iii) local descriptors in retrieval re-ranking are still a key ingredient, especially in the presence of severe background clutter iv) the text-to-image performance of the vision-language foundation models is surprisingly close to the corresponding image-to-image case. website: https://vrg.fel.cvut.cz/ilias/

Anomaly detection (AD) aims at detecting abnormal samples that deviate from the expected normal patterns. Generally, it can be trained merely on normal data, without a requirement for abnormal samples, and thereby plays an important role in rare disease recognition and health screening in the medical domain. Despite the emergence of numerous methods for medical AD, the lack of a fair and comprehensive evaluation causes ambiguous conclusions and hinders the development of this field. To address this problem, this paper builds a benchmark with unified comparison. Seven medical datasets with five image modalities, including chest X-rays, brain MRIs, retinal fundus images, dermatoscopic images, and histopathology images, are curated for extensive evaluation. Thirty typical AD methods, including reconstruction and self-supervised learning-based methods, are involved in comparison of image-level anomaly classification and pixel-level anomaly segmentation. Furthermore, for the first time, we systematically investigate the effect of key components in existing methods, revealing unresolved challenges and potential future directions. The datasets and code are available at https://github.com/caiyu6666/MedIAnomaly.

Power batteries are essential components in electric vehicles, where internal structural defects can pose serious safety risks. We conduct a comprehensive study on a new task, power battery detection (PBD), which aims to localize the dense endpoints of cathode and anode plates from industrial X-ray images for quality inspection. Manual inspection is inefficient and error-prone, while traditional vision algorithms struggle with densely packed plates, low contrast, scale variation, and imaging artifacts. To address this issue and drive more attention into this meaningful task, we present PBD5K, the first large-scale benchmark for this task, consisting of 5,000 X-ray images from nine battery types with fine-grained annotations and eight types of real-world visual interference. To support scalable and consistent labeling, we develop an intelligent annotation pipeline that combines image filtering, model-assisted pre-labeling, cross-verification, and layered quality evaluation. We formulate PBD as a point-level segmentation problem and propose MDCNeXt, a model designed to extract and integrate multi-dimensional structure clues including point, line, and count information from the plate itself. To improve discrimination between plates and suppress visual interference, MDCNeXt incorporates two state space modules. The first is a prompt-filtered module that learns contrastive relationships guided by task-specific prompts. The second is a density-aware reordering module that refines segmentation in regions with high plate density. In addition, we propose a distance-adaptive mask generation strategy to provide robust supervision under varying spatial distributions of anode and cathode positions. The source code and datasets will be publicly available at https://github.com/Xiaoqi-Zhao-DLUT/X-ray-PBD{PBD5K}.

We introduce MRMR, the first expert-level multidisciplinary multimodal retrieval benchmark requiring intensive reasoning. MRMR contains 1,502 queries spanning 23 domains, with positive documents carefully verified by human experts. Compared to prior benchmarks, MRMR introduces three key advancements. First, it challenges retrieval systems across diverse areas of expertise, enabling fine-grained model comparison across domains. Second, queries are reasoning-intensive, with images requiring deeper interpretation such as diagnosing microscopic slides. We further introduce Contradiction Retrieval, a novel task requiring models to identify conflicting concepts. Finally, queries and documents are constructed as image-text interleaved sequences. Unlike earlier benchmarks restricted to single images or unimodal documents, MRMR offers a realistic setting with multi-image queries and mixed-modality corpus documents. We conduct an extensive evaluation of 4 categories of multimodal retrieval systems and 14 frontier models on MRMR. The text embedding model Qwen3-Embedding with LLM-generated image captions achieves the highest performance, highlighting substantial room for improving multimodal retrieval models. Although latest multimodal models such as Ops-MM-Embedding perform competitively on expert-domain queries, they fall short on reasoning-intensive tasks. We believe that MRMR paves the way for advancing multimodal retrieval in more realistic and challenging scenarios.

The burgeoning integration of 3D medical imaging into healthcare has led to a substantial increase in the workload of medical professionals. To assist clinicians in their diagnostic processes and alleviate their workload, the development of a robust system for retrieving similar case studies presents a viable solution. While the concept holds great promise, the field of 3D medical text-image retrieval is currently limited by the absence of robust evaluation benchmarks and curated datasets. To remedy this, our study presents a groundbreaking dataset, BIMCV-R (This dataset will be released upon acceptance.), which includes an extensive collection of 8,069 3D CT volumes, encompassing over 2 million slices, paired with their respective radiological reports. Expanding upon the foundational work of our dataset, we craft a retrieval strategy, MedFinder. This approach employs a dual-stream network architecture, harnessing the potential of large language models to advance the field of medical image retrieval beyond existing text-image retrieval solutions. It marks our preliminary step towards developing a system capable of facilitating text-to-image, image-to-text, and keyword-based retrieval tasks.

The stunning qualitative improvement of recent text-to-image models has led to their widespread attention and adoption. However, we lack a comprehensive quantitative understanding of their capabilities and risks. To fill this gap, we introduce a new benchmark, Holistic Evaluation of Text-to-Image Models (HEIM). Whereas previous evaluations focus mostly on text-image alignment and image quality, we identify 12 aspects, including text-image alignment, image quality, aesthetics, originality, reasoning, knowledge, bias, toxicity, fairness, robustness, multilinguality, and efficiency. We curate 62 scenarios encompassing these aspects and evaluate 26 state-of-the-art text-to-image models on this benchmark. Our results reveal that no single model excels in all aspects, with different models demonstrating different strengths. We release the generated images and human evaluation results for full transparency at https://crfm.stanford.edu/heim/v1.1.0 and the code at https://github.com/stanford-crfm/helm, which is integrated with the HELM codebase.

Devising indicative evaluation metrics for the image generation task remains an open problem. The most widely used metric for measuring the similarity between real and generated images has been the Fr\'echet Inception Distance (FID) score. Because it does not differentiate the fidelity and diversity aspects of the generated images, recent papers have introduced variants of precision and recall metrics to diagnose those properties separately. In this paper, we show that even the latest version of the precision and recall metrics are not reliable yet. For example, they fail to detect the match between two identical distributions, they are not robust against outliers, and the evaluation hyperparameters are selected arbitrarily. We propose density and coverage metrics that solve the above issues. We analytically and experimentally show that density and coverage provide more interpretable and reliable signals for practitioners than the existing metrics. Code: https://github.com/clovaai/generative-evaluation-prdc.

Recent advances in visual anomaly detection research have seen AUROC and AUPRO scores on public benchmark datasets such as MVTec and VisA converge towards perfect recall, giving the impression that these benchmarks are near-solved. However, high AUROC and AUPRO scores do not always reflect qualitative performance, which limits the validity of these metrics in real-world applications. We argue that the artificial ceiling imposed by the lack of an adequate evaluation metric restrains progression of the field, and it is crucial that we revisit the evaluation metrics used to rate our algorithms. In response, we introduce Per-IMage Overlap (PIMO), a novel metric that addresses the shortcomings of AUROC and AUPRO. PIMO retains the recall-based nature of the existing metrics but introduces two distinctions: the assignment of curves (and respective area under the curve) is per-image, and its X-axis relies solely on normal images. Measuring recall per image simplifies instance score indexing and is more robust to noisy annotations. As we show, it also accelerates computation and enables the usage of statistical tests to compare models. By imposing low tolerance for false positives on normal images, PIMO provides an enhanced model validation procedure and highlights performance variations across datasets. Our experiments demonstrate that PIMO offers practical advantages and nuanced performance insights that redefine anomaly detection benchmarks -- notably challenging the perception that MVTec AD and VisA datasets have been solved by contemporary models. Available on GitHub: https://github.com/jpcbertoldo/aupimo.

In e-commerce, accurately extracting product attribute values from multimodal data is crucial for improving user experience and operational efficiency of retailers. However, previous approaches to multimodal attribute value extraction often struggle with implicit attribute values embedded in images or text, rely heavily on extensive labeled data, and can easily confuse similar attribute values. To address these issues, we introduce EIVEN, a data- and parameter-efficient generative framework that pioneers the use of multimodal LLM for implicit attribute value extraction. EIVEN leverages the rich inherent knowledge of a pre-trained LLM and vision encoder to reduce reliance on labeled data. We also introduce a novel Learning-by-Comparison technique to reduce model confusion by enforcing attribute value comparison and difference identification. Additionally, we construct initial open-source datasets for multimodal implicit attribute value extraction. Our extensive experiments reveal that EIVEN significantly outperforms existing methods in extracting implicit attribute values while requiring less labeled data.

Recently, vision-language models (e.g. CLIP) have demonstrated remarkable performance in zero-shot anomaly detection (ZSAD). By leveraging auxiliary data during training, these models can directly perform cross-category anomaly detection on target datasets, such as detecting defects on industrial product surfaces or identifying tumors in organ tissues. Existing approaches typically construct text prompts through either manual design or the optimization of learnable prompt vectors. However, these methods face several challenges: 1) handcrafted prompts require extensive expert knowledge and trial-and-error; 2) single-form learnable prompts struggle to capture complex anomaly semantics; and 3) an unconstrained prompt space limits generalization to unseen categories. To address these issues, we propose Bayesian Prompt Flow Learning (Bayes-PFL), which models the prompt space as a learnable probability distribution from a Bayesian perspective. Specifically, a prompt flow module is designed to learn both image-specific and image-agnostic distributions, which are jointly utilized to regularize the text prompt space and improve the model's generalization on unseen categories. These learned distributions are then sampled to generate diverse text prompts, effectively covering the prompt space. Additionally, a residual cross-model attention (RCA) module is introduced to better align dynamic text embeddings with fine-grained image features. Extensive experiments on 15 industrial and medical datasets demonstrate our method's superior performance. The code is available at https://github.com/xiaozhen228/Bayes-PFL.

We present MEGA-Bench, an evaluation suite that scales multimodal evaluation to over 500 real-world tasks, to address the highly heterogeneous daily use cases of end users. Our objective is to optimize for a set of high-quality data samples that cover a highly diverse and rich set of multimodal tasks, while enabling cost-effective and accurate model evaluation. In particular, we collected 505 realistic tasks encompassing over 8,000 samples from 16 expert annotators to extensively cover the multimodal task space. Instead of unifying these problems into standard multi-choice questions (like MMMU, MMBench, and MMT-Bench), we embrace a wide range of output formats like numbers, phrases, code, \LaTeX, coordinates, JSON, free-form, etc. To accommodate these formats, we developed over 40 metrics to evaluate these tasks. Unlike existing benchmarks, MEGA-Bench offers a fine-grained capability report across multiple dimensions (e.g., application, input type, output format, skill), allowing users to interact with and visualize model capabilities in depth. We evaluate a wide variety of frontier vision-language models on MEGA-Bench to understand their capabilities across these dimensions.

Existing object detection frameworks are usually built on a single format of object/part representation, i.e., anchor/proposal rectangle boxes in RetinaNet and Faster R-CNN, center points in FCOS and RepPoints, and corner points in CornerNet. While these different representations usually drive the frameworks to perform well in different aspects, e.g., better classification or finer localization, it is in general difficult to combine these representations in a single framework to make good use of each strength, due to the heterogeneous or non-grid feature extraction by different representations. This paper presents an attention-based decoder module similar as that in Transformer~vaswani2017attention to bridge other representations into a typical object detector built on a single representation format, in an end-to-end fashion. The other representations act as a set of key instances to strengthen the main query representation features in the vanilla detectors. Novel techniques are proposed towards efficient computation of the decoder module, including a key sampling approach and a shared location embedding approach. The proposed module is named bridging visual representations (BVR). It can perform in-place and we demonstrate its broad effectiveness in bridging other representations into prevalent object detection frameworks, including RetinaNet, Faster R-CNN, FCOS and ATSS, where about 1.5sim3.0 AP improvements are achieved. In particular, we improve a state-of-the-art framework with a strong backbone by about 2.0 AP, reaching 52.7 AP on COCO test-dev. The resulting network is named RelationNet++. The code will be available at https://github.com/microsoft/RelationNet2.

Recent advances in multimodal large language models (MLLMs) have led to impressive progress across various benchmarks. However, their capability in understanding infrared images remains unexplored. To address this gap, we introduce IF-Bench, the first high-quality benchmark designed for evaluating multimodal understanding of infrared images. IF-Bench consists of 499 images sourced from 23 infrared datasets and 680 carefully curated visual question-answer pairs, covering 10 essential dimensions of image understanding. Based on this benchmark, we systematically evaluate over 40 open-source and closed-source MLLMs, employing cyclic evaluation, bilingual assessment, and hybrid judgment strategies to enhance the reliability of the results. Our analysis reveals how model scale, architecture, and inference paradigms affect infrared image comprehension, providing valuable insights for this area. Furthermore, we propose a training-free generative visual prompting (GenViP) method, which leverages advanced image editing models to translate infrared images into semantically and spatially aligned RGB counterparts, thereby mitigating domain distribution shifts. Extensive experiments demonstrate that our method consistently yields significant performance improvements across a wide range of MLLMs. The benchmark and code are available at https://github.com/casiatao/IF-Bench.

Estimating the difficulty of a dataset typically involves comparing state-of-the-art models to humans; the bigger the performance gap, the harder the dataset is said to be. However, this comparison provides little understanding of how difficult each instance in a given distribution is, or what attributes make the dataset difficult for a given model. To address these questions, we frame dataset difficulty -- w.r.t. a model V -- as the lack of V-usable information (Xu et al., 2019), where a lower value indicates a more difficult dataset for V. We further introduce pointwise \mathcal{V-information} (PVI) for measuring the difficulty of individual instances w.r.t. a given distribution. While standard evaluation metrics typically only compare different models for the same dataset, V-usable information and PVI also permit the converse: for a given model V, we can compare different datasets, as well as different instances/slices of the same dataset. Furthermore, our framework allows for the interpretability of different input attributes via transformations of the input, which we use to discover annotation artefacts in widely-used NLP benchmarks.

Multimodal retrieval-augmented generation (MM-RAG) is a key approach for applying large language models (LLMs) and agents to real-world knowledge bases, yet current evaluations are fragmented, focusing on either text or images in isolation or on simplified multimodal setups that fail to capture document-centric multimodal use cases. In this paper, we introduce UniDoc-Bench, the first large-scale, realistic benchmark for MM-RAG built from 70k real-world PDF pages across eight domains. Our pipeline extracts and links evidence from text, tables, and figures, then generates 1,600 multimodal QA pairs spanning factual retrieval, comparison, summarization, and logical reasoning queries. To ensure reliability, 20% of QA pairs are validated by multiple annotators and expert adjudication. UniDoc-Bench supports apples-to-apples comparison across four paradigms: (1) text-only, (2) image-only, (3) multimodal text-image fusion, and (4) multimodal joint retrieval -- under a unified protocol with standardized candidate pools, prompts, and evaluation metrics. Our experiments show that multimodal text-image fusion RAG systems consistently outperform both unimodal and jointly multimodal embedding-based retrieval, indicating that neither text nor images alone are sufficient and that current multimodal embeddings remain inadequate. Beyond benchmarking, our analysis reveals when and how visual context complements textual evidence, uncovers systematic failure modes, and offers actionable guidance for developing more robust MM-RAG pipelines.

Image retrieval, i.e., finding desired images given a reference image, inherently encompasses rich, multi-faceted search intents that are difficult to capture solely using image-based measures. Recent work leverages text instructions to allow users to more freely express their search intents. However, existing work primarily focuses on image pairs that are visually similar and/or can be characterized by a small set of pre-defined relations. The core thesis of this paper is that text instructions can enable retrieving images with richer relations beyond visual similarity. To show this, we introduce MagicLens, a series of self-supervised image retrieval models that support open-ended instructions. MagicLens is built on a key novel insight: image pairs that naturally occur on the same web pages contain a wide range of implicit relations (e.g., inside view of), and we can bring those implicit relations explicit by synthesizing instructions via large multimodal models (LMMs) and large language models (LLMs). Trained on 36.7M (query image, instruction, target image) triplets with rich semantic relations mined from the web, MagicLens achieves comparable or better results on eight benchmarks of various image retrieval tasks than prior state-of-the-art (SOTA) methods. Remarkably, it outperforms previous SOTA but with a 50X smaller model size on multiple benchmarks. Additional human analyses on a 1.4M-image unseen corpus further demonstrate the diversity of search intents supported by MagicLens.

Gathering histopathology slides from over 100 publicly available cohorts, we compile a diverse dataset of 460 million pathology tiles covering more than 30 cancer sites. Using this dataset, we train a large self-supervised vision transformer using DINOv2 and publicly release one iteration of this model for further experimentation, coined Phikon-v2. While trained on publicly available histology slides, Phikon-v2 surpasses our previously released model (Phikon) and performs on par with other histopathology foundation models (FM) trained on proprietary data. Our benchmarks include eight slide-level tasks with results reported on external validation cohorts avoiding any data contamination between pre-training and evaluation datasets. Our downstream training procedure follows a simple yet robust ensembling strategy yielding a +1.75 AUC increase across tasks and models compared to one-shot retraining (p<0.001). We compare Phikon (ViT-B) and Phikon-v2 (ViT-L) against 14 different histology feature extractors, making our evaluation the most comprehensive to date. Our result support evidences that DINOv2 handles joint model and data scaling better than iBOT. Also, we show that recent scaling efforts are overall beneficial to downstream performance in the context of biomarker prediction with GigaPath and H-Optimus-0 (two ViT-g with 1.1B parameters each) standing out. However, the statistical margins between the latest top-performing FMs remain mostly non-significant; some even underperform on specific indications or tasks such as MSI prediction - deposed by a 13x smaller model developed internally. While latest foundation models may exhibit limitations for clinical deployment, they nonetheless offer excellent grounds for the development of more specialized and cost-efficient histology encoders fueling AI-guided diagnostic tools.

Objective: To enhance automated de-identification of radiology reports by scaling transformer-based models through extensive training datasets and benchmarking performance against commercial cloud vendor systems for protected health information (PHI) detection. Materials and Methods: In this retrospective study, we built upon a state-of-the-art, transformer-based, PHI de-identification pipeline by fine-tuning on two large annotated radiology corpora from Stanford University, encompassing chest X-ray, chest CT, abdomen/pelvis CT, and brain MR reports and introducing an additional PHI category (AGE) into the architecture. Model performance was evaluated on test sets from Stanford and the University of Pennsylvania (Penn) for token-level PHI detection. We further assessed (1) the stability of synthetic PHI generation using a "hide-in-plain-sight" method and (2) performance against commercial systems. Precision, recall, and F1 scores were computed across all PHI categories. Results: Our model achieved overall F1 scores of 0.973 on the Penn dataset and 0.996 on the Stanford dataset, outperforming or maintaining the previous state-of-the-art model performance. Synthetic PHI evaluation showed consistent detectability (overall F1: 0.959 [0.958-0.960]) across 50 independently de-identified Penn datasets. Our model outperformed all vendor systems on synthetic Penn reports (overall F1: 0.960 vs. 0.632-0.754). Discussion: Large-scale, multimodal training improved cross-institutional generalization and robustness. Synthetic PHI generation preserved data utility while ensuring privacy. Conclusion: A transformer-based de-identification model trained on diverse radiology datasets outperforms prior academic and commercial systems in PHI detection and establishes a new benchmark for secure clinical text processing.

Despite recent advances in text-to-3D generative methods, there is a notable absence of reliable evaluation metrics. Existing metrics usually focus on a single criterion each, such as how well the asset aligned with the input text. These metrics lack the flexibility to generalize to different evaluation criteria and might not align well with human preferences. Conducting user preference studies is an alternative that offers both adaptability and human-aligned results. User studies, however, can be very expensive to scale. This paper presents an automatic, versatile, and human-aligned evaluation metric for text-to-3D generative models. To this end, we first develop a prompt generator using GPT-4V to generate evaluating prompts, which serve as input to compare text-to-3D models. We further design a method instructing GPT-4V to compare two 3D assets according to user-defined criteria. Finally, we use these pairwise comparison results to assign these models Elo ratings. Experimental results suggest our metric strongly align with human preference across different evaluation criteria.

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

The integration of neural-network-based systems into clinical practice is limited by challenges related to domain generalization and robustness. The computer vision community established benchmarks such as ImageNet-C as a fundamental prerequisite to measure progress towards those challenges. Similar datasets are largely absent in the medical imaging community which lacks a comprehensive benchmark that spans across imaging modalities and applications. To address this gap, we create and open-source MedMNIST-C, a benchmark dataset based on the MedMNIST+ collection covering 12 datasets and 9 imaging modalities. We simulate task and modality-specific image corruptions of varying severity to comprehensively evaluate the robustness of established algorithms against real-world artifacts and distribution shifts. We further provide quantitative evidence that our simple-to-use artificial corruptions allow for highly performant, lightweight data augmentation to enhance model robustness. Unlike traditional, generic augmentation strategies, our approach leverages domain knowledge, exhibiting significantly higher robustness when compared to widely adopted methods. By introducing MedMNIST-C and open-sourcing the corresponding library allowing for targeted data augmentations, we contribute to the development of increasingly robust methods tailored to the challenges of medical imaging. The code is available at https://github.com/francescodisalvo05/medmnistc-api .

We study the problem of (learning) algorithm comparison, where the goal is to find differences between models trained with two different learning algorithms. We begin by formalizing this goal as one of finding distinguishing feature transformations, i.e., input transformations that change the predictions of models trained with one learning algorithm but not the other. We then present ModelDiff, a method that leverages the datamodels framework (Ilyas et al., 2022) to compare learning algorithms based on how they use their training data. We demonstrate ModelDiff through three case studies, comparing models trained with/without data augmentation, with/without pre-training, and with different SGD hyperparameters. Our code is available at https://github.com/MadryLab/modeldiff .

In contrastive learning, two views of an original image, generated by different augmentations, are considered a positive pair, and their similarity is required to be high. Similarly, two views of distinct images form a negative pair, with encouraged low similarity. Typically, a single similarity measure, provided by a lone projection head, evaluates positive and negative sample pairs. However, due to diverse augmentation strategies and varying intra-sample similarity, views from the same image may not always be similar. Additionally, owing to inter-sample similarity, views from different images may be more akin than those from the same image. Consequently, enforcing high similarity for positive pairs and low similarity for negative pairs may be unattainable, and in some cases, such enforcement could detrimentally impact performance. To address this challenge, we propose using multiple projection heads, each producing a distinct set of features. Our pre-training loss function emerges from a solution to the maximum likelihood estimation over head-wise posterior distributions of positive samples given observations. This loss incorporates the similarity measure over positive and negative pairs, each re-weighted by an individual adaptive temperature, regulated to prevent ill solutions. Our approach, Adaptive Multi-Head Contrastive Learning (AMCL), can be applied to and experimentally enhances several popular contrastive learning methods such as SimCLR, MoCo, and Barlow Twins. The improvement remains consistent across various backbones and linear probing epochs, and becomes more significant when employing multiple augmentation methods.

Application developers advertise their Apps by creating product pages with App images, and bidding on search terms. It is then crucial for App images to be highly relevant with the search terms. Solutions to this problem require an image-text matching model to predict the quality of the match between the chosen image and the search terms. In this work, we present a novel approach to matching an App image to search terms based on fine-tuning a pre-trained LXMERT model. We show that compared to the CLIP model and a baseline using a Transformer model for search terms, and a ResNet model for images, we significantly improve the matching accuracy. We evaluate our approach using two sets of labels: advertiser associated (image, search term) pairs for a given application, and human ratings for the relevance between (image, search term) pairs. Our approach achieves 0.96 AUC score for advertiser associated ground truth, outperforming the transformer+ResNet baseline and the fine-tuned CLIP model by 8% and 14%. For human labeled ground truth, our approach achieves 0.95 AUC score, outperforming the transformer+ResNet baseline and the fine-tuned CLIP model by 16% and 17%.

How can we test AI performance? This question seems trivial, but it isn't. Standard benchmarks often have problems such as in-distribution and small-size test sets, oversimplified metrics, unfair comparisons, and short-term outcome pressure. As a consequence, good performance on standard benchmarks does not guarantee success in real-world scenarios. To address these problems, we present Touchstone, a large-scale collaborative segmentation benchmark of 9 types of abdominal organs. This benchmark is based on 5,195 training CT scans from 76 hospitals around the world and 5,903 testing CT scans from 11 additional hospitals. This diverse test set enhances the statistical significance of benchmark results and rigorously evaluates AI algorithms across various out-of-distribution scenarios. We invited 14 inventors of 19 AI algorithms to train their algorithms, while our team, as a third party, independently evaluated these algorithms on three test sets. In addition, we also evaluated pre-existing AI frameworks--which, differing from algorithms, are more flexible and can support different algorithms--including MONAI from NVIDIA, nnU-Net from DKFZ, and numerous other open-source frameworks. We are committed to expanding this benchmark to encourage more innovation of AI algorithms for the medical domain.

We introduce MURA, a large dataset of musculoskeletal radiographs containing 40,561 images from 14,863 studies, where each study is manually labeled by radiologists as either normal or abnormal. To evaluate models robustly and to get an estimate of radiologist performance, we collect additional labels from six board-certified Stanford radiologists on the test set, consisting of 207 musculoskeletal studies. On this test set, the majority vote of a group of three radiologists serves as gold standard. We train a 169-layer DenseNet baseline model to detect and localize abnormalities. Our model achieves an AUROC of 0.929, with an operating point of 0.815 sensitivity and 0.887 specificity. We compare our model and radiologists on the Cohen's kappa statistic, which expresses the agreement of our model and of each radiologist with the gold standard. Model performance is comparable to the best radiologist performance in detecting abnormalities on finger and wrist studies. However, model performance is lower than best radiologist performance in detecting abnormalities on elbow, forearm, hand, humerus, and shoulder studies. We believe that the task is a good challenge for future research. To encourage advances, we have made our dataset freely available at https://stanfordmlgroup.github.io/competitions/mura .

The rapid advancement of text-to-image (T2I) models has increased the need for reliable human preference modeling, a demand further amplified by recent progress in reinforcement learning for preference alignment. However, existing approaches typically quantify the quality of a generated image using a single scalar, limiting their ability to provide comprehensive and interpretable feedback on image quality. To address this, we introduce ImageDoctor, a unified multi-aspect T2I model evaluation framework that assesses image quality across four complementary dimensions: plausibility, semantic alignment, aesthetics, and overall quality. ImageDoctor also provides pixel-level flaw indicators in the form of heatmaps, which highlight misaligned or implausible regions, and can be used as a dense reward for T2I model preference alignment. Inspired by the diagnostic process, we improve the detail sensitivity and reasoning capability of ImageDoctor by introducing a "look-think-predict" paradigm, where the model first localizes potential flaws, then generates reasoning, and finally concludes the evaluation with quantitative scores. Built on top of a vision-language model and trained through a combination of supervised fine-tuning and reinforcement learning, ImageDoctor demonstrates strong alignment with human preference across multiple datasets, establishing its effectiveness as an evaluation metric. Furthermore, when used as a reward model for preference tuning, ImageDoctor significantly improves generation quality -- achieving an improvement of 10% over scalar-based reward models.

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

As with many machine learning problems, the progress of image generation methods hinges on good evaluation metrics. One of the most popular is the Frechet Inception Distance (FID). FID estimates the distance between a distribution of Inception-v3 features of real images, and those of images generated by the algorithm. We highlight important drawbacks of FID: Inception's poor representation of the rich and varied content generated by modern text-to-image models, incorrect normality assumptions, and poor sample complexity. We call for a reevaluation of FID's use as the primary quality metric for generated images. We empirically demonstrate that FID contradicts human raters, it does not reflect gradual improvement of iterative text-to-image models, it does not capture distortion levels, and that it produces inconsistent results when varying the sample size. We also propose an alternative new metric, CMMD, based on richer CLIP embeddings and the maximum mean discrepancy distance with the Gaussian RBF kernel. It is an unbiased estimator that does not make any assumptions on the probability distribution of the embeddings and is sample efficient. Through extensive experiments and analysis, we demonstrate that FID-based evaluations of text-to-image models may be unreliable, and that CMMD offers a more robust and reliable assessment of image quality.

Despite their impressive capabilities, diffusion-based text-to-image (T2I) models can lack faithfulness to the text prompt, where generated images may not contain all the mentioned objects, attributes or relations. To alleviate these issues, recent works proposed post-hoc methods to improve model faithfulness without costly retraining, by modifying how the model utilizes the input prompt. In this work, we take a step back and show that large T2I diffusion models are more faithful than usually assumed, and can generate images faithful to even complex prompts without the need to manipulate the generative process. Based on that, we show how faithfulness can be simply treated as a candidate selection problem instead, and introduce a straightforward pipeline that generates candidate images for a text prompt and picks the best one according to an automatic scoring system that can leverage already existing T2I evaluation metrics. Quantitative comparisons alongside user studies on diverse benchmarks show consistently improved faithfulness over post-hoc enhancement methods, with comparable or lower computational cost. Code is available at https://github.com/ExplainableML/ImageSelect.

While text-to-image (T2I) generative models have become ubiquitous, they do not necessarily generate images that align with a given prompt. While previous work has evaluated T2I alignment by proposing metrics, benchmarks, and templates for collecting human judgements, the quality of these components is not systematically measured. Human-rated prompt sets are generally small and the reliability of the ratings -- and thereby the prompt set used to compare models -- is not evaluated. We address this gap by performing an extensive study evaluating auto-eval metrics and human templates. We provide three main contributions: (1) We introduce a comprehensive skills-based benchmark that can discriminate models across different human templates. This skills-based benchmark categorises prompts into sub-skills, allowing a practitioner to pinpoint not only which skills are challenging, but at what level of complexity a skill becomes challenging. (2) We gather human ratings across four templates and four T2I models for a total of >100K annotations. This allows us to understand where differences arise due to inherent ambiguity in the prompt and where they arise due to differences in metric and model quality. (3) Finally, we introduce a new QA-based auto-eval metric that is better correlated with human ratings than existing metrics for our new dataset, across different human templates, and on TIFA160.

This paper describes our system developed for SemEval-2024 Task 8, "Multigenerator, Multidomain, and Multilingual Black-Box Machine-Generated Text Detection." Machine-generated texts have been one of the main concerns due to the use of large language models (LLM) in fake text generation, phishing, cheating in exams, or even plagiarizing copyright materials. A lot of systems have been developed to detect machine-generated text. Nonetheless, the majority of these systems rely on the text-generating model, a limitation that is impractical in real-world scenarios, as it's often impossible to know which specific model the user has used for text generation. In this work, we propose a single model based on contrastive learning, which uses ~40% of the baseline's parameters (149M vs. 355M) but shows a comparable performance on the test dataset (21st out of 137 participants). Our key finding is that even without an ensemble of multiple models, a single base model can have comparable performance with the help of data augmentation and contrastive learning.

Histology review is often used as the `gold standard' for disease diagnosis. Computer aided diagnosis tools can potentially help improve current pathology workflows by reducing examination time and interobserver variability. Previous work in cancer grading has focused mainly on classifying pre-defined regions of interest (ROIs), or relied on large amounts of fine-grained labels. In this paper, we propose a two-stage attention-based multiple instance learning model for slide-level cancer grading and weakly-supervised ROI detection and demonstrate its use in prostate cancer. Compared with existing Gleason classification models, our model goes a step further by utilizing visualized saliency maps to select informative tiles for fine-grained grade classification. The model was primarily developed on a large-scale whole slide dataset consisting of 3,521 prostate biopsy slides with only slide-level labels from 718 patients. The model achieved state-of-the-art performance for prostate cancer grading with an accuracy of 85.11\% for classifying benign, low-grade (Gleason grade 3+3 or 3+4), and high-grade (Gleason grade 4+3 or higher) slides on an independent test set.

We introduce IFIR, the first comprehensive benchmark designed to evaluate instruction-following information retrieval (IR) in expert domains. IFIR includes 2,426 high-quality examples and covers eight subsets across four specialized domains: finance, law, healthcare, and science literature. Each subset addresses one or more domain-specific retrieval tasks, replicating real-world scenarios where customized instructions are critical. IFIR enables a detailed analysis of instruction-following retrieval capabilities by incorporating instructions at different levels of complexity. We also propose a novel LLM-based evaluation method to provide a more precise and reliable assessment of model performance in following instructions. Through extensive experiments on 15 frontier retrieval models, including those based on LLMs, our results reveal that current models face significant challenges in effectively following complex, domain-specific instructions. We further provide in-depth analyses to highlight these limitations, offering valuable insights to guide future advancements in retriever development.

High-performance Multimodal Large Language Models (MLLMs) rely heavily on data quality. This study introduces a novel dataset named Img-Diff, designed to enhance fine-grained image recognition in MLLMs by leveraging insights from contrastive learning and image difference captioning. By analyzing object differences between similar images, we challenge models to identify both matching and distinct components. We utilize the Stable-Diffusion-XL model and advanced image editing techniques to create pairs of similar images that highlight object replacements. Our methodology includes a Difference Area Generator for object differences identifying, followed by a Difference Captions Generator for detailed difference descriptions. The result is a relatively small but high-quality dataset of "object replacement" samples. We use the the proposed dataset to fine-tune state-of-the-art (SOTA) MLLMs such as MGM-7B, yielding comprehensive improvements of performance scores over SOTA models that trained with larger-scale datasets, in numerous image difference and Visual Question Answering tasks. For instance, our trained models notably surpass the SOTA models GPT-4V and Gemini on the MMVP benchmark. Besides, we investigate alternative methods for generating image difference data through "object removal" and conduct thorough evaluation to confirm the dataset's diversity, quality, and robustness, presenting several insights on synthesis of such contrastive dataset. To encourage further research and advance the field of multimodal data synthesis and enhancement of MLLMs' fundamental capabilities for image understanding, we release our codes and dataset at https://github.com/modelscope/data-juicer/tree/ImgDiff.

Retrieval-augmented learning based on radiology reports has emerged as a promising direction to improve performance on long-tail medical imaging tasks, such as rare disease detection in chest X-rays. Most existing methods rely on comparing high-dimensional text embeddings from models like CLIP or CXR-BERT, which are often difficult to interpret, computationally expensive, and not well-aligned with the structured nature of medical knowledge. We propose a novel, ontology-driven alternative for comparing radiology report texts based on clinically grounded concepts from the Unified Medical Language System (UMLS). Our method extracts standardised medical entities from free-text reports using an enhanced pipeline built on RadGraph-XL and SapBERT. These entities are linked to UMLS concepts (CUIs), enabling a transparent, interpretable set-based representation of each report. We then define a task-adaptive similarity measure based on a modified and weighted version of the Tversky Index that accounts for synonymy, negation, and hierarchical relationships between medical entities. This allows efficient and semantically meaningful similarity comparisons between reports. We demonstrate that our approach outperforms state-of-the-art embedding-based retrieval methods in a radiograph classification task on MIMIC-CXR, particularly in long-tail settings. Additionally, we use our pipeline to generate ontology-backed disease labels for MIMIC-CXR, offering a valuable new resource for downstream learning tasks. Our work provides more explainable, reliable, and task-specific retrieval strategies in clinical AI systems, especially when interpretability and domain knowledge integration are essential. Our code is available at https://github.com/Felix-012/ontology-concept-distillation

Text-to-image (T2I) models have garnered significant attention for generating high-quality images aligned with text prompts. However, rapid T2I model advancements reveal limitations in early benchmarks, lacking comprehensive evaluations, for example, the evaluation on reasoning, text rendering and style. Notably, recent state-of-the-art models, with their rich knowledge modeling capabilities, show promising results on the image generation problems requiring strong reasoning ability, yet existing evaluation systems have not adequately addressed this frontier. To systematically address these gaps, we introduce OneIG-Bench, a meticulously designed comprehensive benchmark framework for fine-grained evaluation of T2I models across multiple dimensions, including prompt-image alignment, text rendering precision, reasoning-generated content, stylization, and diversity. By structuring the evaluation, this benchmark enables in-depth analysis of model performance, helping researchers and practitioners pinpoint strengths and bottlenecks in the full pipeline of image generation. Specifically, OneIG-Bench enables flexible evaluation by allowing users to focus on a particular evaluation subset. Instead of generating images for the entire set of prompts, users can generate images only for the prompts associated with the selected dimension and complete the corresponding evaluation accordingly. Our codebase and dataset are now publicly available to facilitate reproducible evaluation studies and cross-model comparisons within the T2I research community.

Reward models (RMs) are at the crux of successful RLHF to align pretrained models to human preferences, yet there has been relatively little study that focuses on evaluation of those reward models. Evaluating reward models presents an opportunity to understand the opaque technologies used for alignment of language models and which values are embedded in them. To date, very few descriptors of capabilities, training methods, or open-source reward models exist. In this paper, we present RewardBench, a benchmark dataset and code-base for evaluation, to enhance scientific understanding of reward models. The RewardBench dataset is a collection of prompt-win-lose trios spanning chat, reasoning, and safety, to benchmark how reward models perform on challenging, structured and out-of-distribution queries. We created specific comparison datasets for RMs that have subtle, but verifiable reasons (e.g. bugs, incorrect facts) why one answer should be preferred to another. On the RewardBench leaderboard, we evaluate reward models trained with a variety of methods, such as the direct MLE training of classifiers and the implicit reward modeling of Direct Preference Optimization (DPO), and on a spectrum of datasets. We present many findings on propensity for refusals, reasoning limitations, and instruction following shortcomings of various reward models towards a better understanding of the RLHF process.

The choice of embedding model is a crucial step in the design of Retrieval Augmented Generation (RAG) systems. Given the sheer volume of available options, identifying clusters of similar models streamlines this model selection process. Relying solely on benchmark performance scores only allows for a weak assessment of model similarity. Thus, in this study, we evaluate the similarity of embedding models within the context of RAG systems. Our assessment is two-fold: We use Centered Kernel Alignment to compare embeddings on a pair-wise level. Additionally, as it is especially pertinent to RAG systems, we evaluate the similarity of retrieval results between these models using Jaccard and rank similarity. We compare different families of embedding models, including proprietary ones, across five datasets from the popular Benchmark Information Retrieval (BEIR). Through our experiments we identify clusters of models corresponding to model families, but interestingly, also some inter-family clusters. Furthermore, our analysis of top-k retrieval similarity reveals high-variance at low k values. We also identify possible open-source alternatives to proprietary models, with Mistral exhibiting the highest similarity to OpenAI models.

Contrastive learning based vision-language joint pre-training has emerged as a successful representation learning strategy. In this paper, we present a prototype representation learning framework incorporating both global and local alignment between medical images and reports. In contrast to standard global multi-modality alignment methods, we employ a local alignment module for fine-grained representation. Furthermore, a cross-modality conditional reconstruction module is designed to interchange information across modalities in the training phase by reconstructing masked images and reports. For reconstructing long reports, a sentence-wise prototype memory bank is constructed, enabling the network to focus on low-level localized visual and high-level clinical linguistic features. Additionally, a non-auto-regressive generation paradigm is proposed for reconstructing non-sequential reports. Experimental results on five downstream tasks, including supervised classification, zero-shot classification, image-to-text retrieval, semantic segmentation, and object detection, show the proposed method outperforms other state-of-the-art methods across multiple datasets and under different dataset size settings. The code is available at https://github.com/QtacierP/PRIOR.

Millions of melanocytic skin lesions are examined by pathologists each year, the majority of which concern common nevi (i.e., ordinary moles). While most of these lesions can be diagnosed in seconds, writing the corresponding pathology report is much more time-consuming. Automating part of the report writing could, therefore, alleviate the increasing workload of pathologists. In this work, we develop a vision-language model specifically for the pathology domain of cutaneous melanocytic lesions. The model follows the Contrastive Captioner framework and was trained and evaluated using a melanocytic lesion dataset of 42,512 H&E-stained whole slide images and 19,645 corresponding pathology reports. Our results show that the quality scores of model-generated reports were on par with pathologist-written reports for common nevi, assessed by an expert pathologist in a reader study. While report generation revealed to be more difficult for rare melanocytic lesion subtypes, the cross-modal retrieval performance for these cases was considerably better.

This study compares the performance of AI-generated and human-written product descriptions using a multifaceted evaluation model. We analyze descriptions for 100 products generated by four AI models (Gemma 2B, LLAMA, GPT2, and ChatGPT 4) with and without sample descriptions, against human-written descriptions. Our evaluation metrics include sentiment, readability, persuasiveness, Search Engine Optimization(SEO), clarity, emotional appeal, and call-to-action effectiveness. The results indicate that ChatGPT 4 performs the best. In contrast, other models demonstrate significant shortcomings, producing incoherent and illogical output that lacks logical structure and contextual relevance. These models struggle to maintain focus on the product being described, resulting in disjointed sentences that do not convey meaningful information. This research provides insights into the current capabilities and limitations of AI in the creation of content for e-Commerce.

In the realm of subject-driven text-to-image (T2I) generative models, recent developments like DreamBooth and BLIP-Diffusion have led to impressive results yet encounter limitations due to their intensive fine-tuning demands and substantial parameter requirements. While the low-rank adaptation (LoRA) module within DreamBooth offers a reduction in trainable parameters, it introduces a pronounced sensitivity to hyperparameters, leading to a compromise between parameter efficiency and the quality of T2I personalized image synthesis. Addressing these constraints, we introduce \textit{DiffuseKronA}, a novel Kronecker product-based adaptation module that not only significantly reduces the parameter count by 35\% and 99.947\% compared to LoRA-DreamBooth and the original DreamBooth, respectively, but also enhances the quality of image synthesis. Crucially, DiffuseKronA mitigates the issue of hyperparameter sensitivity, delivering consistent high-quality generations across a wide range of hyperparameters, thereby diminishing the necessity for extensive fine-tuning. Furthermore, a more controllable decomposition makes DiffuseKronA more interpretable and even can achieve up to a 50\% reduction with results comparable to LoRA-Dreambooth. Evaluated against diverse and complex input images and text prompts, DiffuseKronA consistently outperforms existing models, producing diverse images of higher quality with improved fidelity and a more accurate color distribution of objects, all the while upholding exceptional parameter efficiency, thus presenting a substantial advancement in the field of T2I generative modeling. Our project page, consisting of links to the code, and pre-trained checkpoints, is available at https://diffusekrona.github.io/{https://diffusekrona.github.io/}.

This article aims to provide the information retrieval community with some reflections on recent advances in retrieval learning by analyzing the reproducibility of image-text retrieval models. Due to the increase of multimodal data over the last decade, image-text retrieval has steadily become a major research direction in the field of information retrieval. Numerous researchers train and evaluate image-text retrieval algorithms using benchmark datasets such as MS-COCO and Flickr30k. Research in the past has mostly focused on performance, with multiple state-of-the-art methodologies being suggested in a variety of ways. According to their assertions, these techniques provide improved modality interactions and hence more precise multimodal representations. In contrast to previous works, we focus on the reproducibility of the approaches and the examination of the elements that lead to improved performance by pretrained and nonpretrained models in retrieving images and text. To be more specific, we first examine the related reproducibility concerns and explain why our focus is on image-text retrieval tasks. Second, we systematically summarize the current paradigm of image-text retrieval models and the stated contributions of those approaches. Third, we analyze various aspects of the reproduction of pretrained and nonpretrained retrieval models. To complete this, we conducted ablation experiments and obtained some influencing factors that affect retrieval recall more than the improvement claimed in the original paper. Finally, we present some reflections and challenges that the retrieval community should consider in the future. Our source code is publicly available at https://github.com/WangFei-2019/Image-text-Retrieval.

Text-to-Image (T2I) models have made significant advancements in recent years, but they still struggle to accurately capture intricate details specified in complex compositional prompts. While fine-tuning T2I models with reward objectives has shown promise, it suffers from "reward hacking" and may not generalize well to unseen prompt distributions. In this work, we propose Reward-based Noise Optimization (ReNO), a novel approach that enhances T2I models at inference by optimizing the initial noise based on the signal from one or multiple human preference reward models. Remarkably, solving this optimization problem with gradient ascent for 50 iterations yields impressive results on four different one-step models across two competitive benchmarks, T2I-CompBench and GenEval. Within a computational budget of 20-50 seconds, ReNO-enhanced one-step models consistently surpass the performance of all current open-source Text-to-Image models. Extensive user studies demonstrate that our model is preferred nearly twice as often compared to the popular SDXL model and is on par with the proprietary Stable Diffusion 3 with 8B parameters. Moreover, given the same computational resources, a ReNO-optimized one-step model outperforms widely-used open-source models such as SDXL and PixArt-alpha, highlighting the efficiency and effectiveness of ReNO in enhancing T2I model performance at inference time. Code is available at https://github.com/ExplainableML/ReNO.

How do two sets of images differ? Discerning set-level differences is crucial for understanding model behaviors and analyzing datasets, yet manually sifting through thousands of images is impractical. To aid in this discovery process, we explore the task of automatically describing the differences between two sets of images, which we term Set Difference Captioning. This task takes in image sets D_A and D_B, and outputs a description that is more often true on D_A than D_B. We outline a two-stage approach that first proposes candidate difference descriptions from image sets and then re-ranks the candidates by checking how well they can differentiate the two sets. We introduce VisDiff, which first captions the images and prompts a language model to propose candidate descriptions, then re-ranks these descriptions using CLIP. To evaluate VisDiff, we collect VisDiffBench, a dataset with 187 paired image sets with ground truth difference descriptions. We apply VisDiff to various domains, such as comparing datasets (e.g., ImageNet vs. ImageNetV2), comparing classification models (e.g., zero-shot CLIP vs. supervised ResNet), summarizing model failure modes (supervised ResNet), characterizing differences between generative models (e.g., StableDiffusionV1 and V2), and discovering what makes images memorable. Using VisDiff, we are able to find interesting and previously unknown differences in datasets and models, demonstrating its utility in revealing nuanced insights.

In controllable image synthesis, generating coherent and consistent images from multiple references with spatial layout awareness remains an open challenge. We present LAMIC, a Layout-Aware Multi-Image Composition framework that, for the first time, extends single-reference diffusion models to multi-reference scenarios in a training-free manner. Built upon the MMDiT model, LAMIC introduces two plug-and-play attention mechanisms: 1) Group Isolation Attention (GIA) to enhance entity disentanglement; and 2) Region-Modulated Attention (RMA) to enable layout-aware generation. To comprehensively evaluate model capabilities, we further introduce three metrics: 1) Inclusion Ratio (IN-R) and Fill Ratio (FI-R) for assessing layout control; and 2) Background Similarity (BG-S) for measuring background consistency. Extensive experiments show that LAMIC achieves state-of-the-art performance across most major metrics: it consistently outperforms existing multi-reference baselines in ID-S, BG-S, IN-R and AVG scores across all settings, and achieves the best DPG in complex composition tasks. These results demonstrate LAMIC's superior abilities in identity keeping, background preservation, layout control, and prompt-following, all achieved without any training or fine-tuning, showcasing strong zero-shot generalization ability. By inheriting the strengths of advanced single-reference models and enabling seamless extension to multi-image scenarios, LAMIC establishes a new training-free paradigm for controllable multi-image composition. As foundation models continue to evolve, LAMIC's performance is expected to scale accordingly. Our implementation is available at: https://github.com/Suchenl/LAMIC.

Motivated by the growing demand for retrieval systems that operate across modalities, we introduce llama-nemoretriever-colembed, a unified text-image retrieval model that delivers state-of-the-art performance across multiple benchmarks. We release two model variants, 1B and 3B. The 3B model achieves state of the art performance, scoring NDCG@5 91.0 on ViDoRe V1 and 63.5 on ViDoRe V2, placing first on both leaderboards as of June 27, 2025. Our approach leverages the NVIDIA Eagle2 Vision-Language model (VLM), modifies its architecture by replacing causal attention with bidirectional attention, and integrates a ColBERT-style late interaction mechanism to enable fine-grained multimodal retrieval in a shared embedding space. While this mechanism delivers superior retrieval accuracy, it introduces trade-offs in storage and efficiency. We provide a comprehensive analysis of these trade-offs. Additionally, we adopt a two-stage training strategy to enhance the model's retrieval capabilities.

The BEIR dataset is a large, heterogeneous benchmark for Information Retrieval (IR) in zero-shot settings, garnering considerable attention within the research community. However, BEIR and analogous datasets are predominantly restricted to the English language. Our objective is to establish extensive large-scale resources for IR in the Polish language, thereby advancing the research in this NLP area. In this work, inspired by mMARCO and Mr.~TyDi datasets, we translated all accessible open IR datasets into Polish, and we introduced the BEIR-PL benchmark -- a new benchmark which comprises 13 datasets, facilitating further development, training and evaluation of modern Polish language models for IR tasks. We executed an evaluation and comparison of numerous IR models on the newly introduced BEIR-PL benchmark. Furthermore, we publish pre-trained open IR models for Polish language,d marking a pioneering development in this field. Additionally, the evaluation revealed that BM25 achieved significantly lower scores for Polish than for English, which can be attributed to high inflection and intricate morphological structure of the Polish language. Finally, we trained various re-ranking models to enhance the BM25 retrieval, and we compared their performance to identify their unique characteristic features. To ensure accurate model comparisons, it is necessary to scrutinise individual results rather than to average across the entire benchmark. Thus, we thoroughly analysed the outcomes of IR models in relation to each individual data subset encompassed by the BEIR benchmark. The benchmark data is available at URL {\bf https://huggingface.co/clarin-knext}.

We present the Modality Integration Rate (MIR), an effective, robust, and generalized metric to indicate the multi-modal pre-training quality of Large Vision Language Models (LVLMs). Large-scale pre-training plays a critical role in building capable LVLMs, while evaluating its training quality without the costly supervised fine-tuning stage is under-explored. Loss, perplexity, and in-context evaluation results are commonly used pre-training metrics for Large Language Models (LLMs), while we observed that these metrics are less indicative when aligning a well-trained LLM with a new modality. Due to the lack of proper metrics, the research of LVLMs in the critical pre-training stage is hindered greatly, including the training data choice, efficient module design, etc. In this paper, we propose evaluating the pre-training quality from the inter-modal distribution distance perspective and present MIR, the Modality Integration Rate, which is 1) Effective to represent the pre-training quality and show a positive relation with the benchmark performance after supervised fine-tuning. 2) Robust toward different training/evaluation data. 3) Generalize across training configurations and architecture choices. We conduct a series of pre-training experiments to explore the effectiveness of MIR and observe satisfactory results that MIR is indicative about training data selection, training strategy schedule, and model architecture design to get better pre-training results. We hope MIR could be a helpful metric for building capable LVLMs and inspire the following research about modality alignment in different areas. Our code is at: https://github.com/shikiw/Modality-Integration-Rate.

Hierarchical vision transformers (ViTs) have two advantages over conventional ViTs. First, hierarchical ViTs achieve linear computational complexity with respect to image size by local self-attention. Second, hierarchical ViTs create hierarchical feature maps by merging image patches in deeper layers for dense prediction. However, existing pruning methods ignore the unique properties of hierarchical ViTs and use the magnitude value as the weight importance. This approach leads to two main drawbacks. First, the "local" attention weights are compared at a "global" level, which may cause some "locally" important weights to be pruned due to their relatively small magnitude "globally". The second issue with magnitude pruning is that it fails to consider the distinct weight distributions of the network, which are essential for extracting coarse to fine-grained features at various hierarchical levels. To solve the aforementioned issues, we have developed a Data-independent Module-Aware Pruning method (DIMAP) to compress hierarchical ViTs. To ensure that "local" attention weights at different hierarchical levels are compared fairly in terms of their contribution, we treat them as a module and examine their contribution by analyzing their information distortion. Furthermore, we introduce a novel weight metric that is solely based on weights and does not require input images, thereby eliminating the dependence on the patch merging process. Our method validates its usefulness and strengths on Swin Transformers of different sizes on ImageNet-1k classification. Notably, the top-5 accuracy drop is only 0.07% when we remove 52.5% FLOPs and 52.7% parameters of Swin-B. When we reduce 33.2% FLOPs and 33.2% parameters of Swin-S, we can even achieve a 0.8% higher relative top-5 accuracy than the original model. Code is available at: https://github.com/he-y/Data-independent-Module-Aware-Pruning

Multimodal language models (MLMs) show promise for clinical decision support and diagnostic reasoning, raising the prospect of end-to-end automated medical image interpretation. However, clinicians are highly selective in adopting AI tools; a model that makes errors on seemingly simple perception tasks such as determining image orientation or identifying whether a CT scan is contrast-enhance are unlikely to be adopted for clinical tasks. We introduce Medblink, a benchmark designed to probe these models for such perceptual abilities. Medblink spans eight clinically meaningful tasks across multiple imaging modalities and anatomical regions, totaling 1,429 multiple-choice questions over 1,605 images. We evaluate 19 state-of-the-art MLMs, including general purpose (GPT4o, Claude 3.5 Sonnet) and domain specific (Med Flamingo, LLaVA Med, RadFM) models. While human annotators achieve 96.4% accuracy, the best-performing model reaches only 65%. These results show that current MLMs frequently fail at routine perceptual checks, suggesting the need to strengthen their visual grounding to support clinical adoption. Data is available on our project page.

The rapid advancements of Text-to-Image (T2I) models have ushered in a new phase of AI-generated content, marked by their growing ability to interpret and follow user instructions. However, existing T2I model evaluation benchmarks fall short in limited prompt diversity and complexity, as well as coarse evaluation metrics, making it difficult to evaluate the fine-grained alignment performance between textual instructions and generated images. In this paper, we present TIIF-Bench (Text-to-Image Instruction Following Benchmark), aiming to systematically assess T2I models' ability in interpreting and following intricate textual instructions. TIIF-Bench comprises a set of 5000 prompts organized along multiple dimensions, which are categorized into three levels of difficulties and complexities. To rigorously evaluate model robustness to varying prompt lengths, we provide a short and a long version for each prompt with identical core semantics. Two critical attributes, i.e., text rendering and style control, are introduced to evaluate the precision of text synthesis and the aesthetic coherence of T2I models. In addition, we collect 100 high-quality designer level prompts that encompass various scenarios to comprehensively assess model performance. Leveraging the world knowledge encoded in large vision language models, we propose a novel computable framework to discern subtle variations in T2I model outputs. Through meticulous benchmarking of mainstream T2I models on TIIF-Bench, we analyze the pros and cons of current T2I models and reveal the limitations of current T2I benchmarks. Project Page: https://a113n-w3i.github.io/TIIF_Bench/.

In response to the limitations of manual ad creation, significant research has been conducted in the field of automatic ad text generation (ATG). However, the lack of comprehensive benchmarks and well-defined problem sets has made comparing different methods challenging. To tackle these challenges, we standardize the task of ATG and propose a first benchmark dataset, CAMERA, carefully designed and enabling the utilization of multi-modal information and facilitating industry-wise evaluations. Our extensive experiments with a variety of nine baselines, from classical methods to state-of-the-art models including large language models (LLMs), show the current state and the remaining challenges. We also explore how existing metrics in ATG and an LLM-based evaluator align with human evaluations.

The accelerating development of general medical artificial intelligence (GMAI), powered by multimodal large language models (MLLMs), offers transformative potential for addressing persistent healthcare challenges, including workforce deficits and escalating costs. The parallel development of systematic evaluation benchmarks emerges as a critical imperative to enable performance assessment and provide technological guidance. Meanwhile, as an invaluable knowledge source, the potential of medical textbooks for benchmark development remains underexploited. Here, we present MedBookVQA, a systematic and comprehensive multimodal benchmark derived from open-access medical textbooks. To curate this benchmark, we propose a standardized pipeline for automated extraction of medical figures while contextually aligning them with corresponding medical narratives. Based on this curated data, we generate 5,000 clinically relevant questions spanning modality recognition, disease classification, anatomical identification, symptom diagnosis, and surgical procedures. A multi-tier annotation system categorizes queries through hierarchical taxonomies encompassing medical imaging modalities (42 categories), body anatomies (125 structures), and clinical specialties (31 departments), enabling nuanced analysis across medical subdomains. We evaluate a wide array of MLLMs, including proprietary, open-sourced, medical, and reasoning models, revealing significant performance disparities across task types and model categories. Our findings highlight critical capability gaps in current GMAI systems while establishing textbook-derived multimodal benchmarks as essential evaluation tools. MedBookVQA establishes textbook-derived benchmarking as a critical paradigm for advancing clinical AI, exposing limitations in GMAI systems while providing anatomically structured performance metrics across specialties.

In this paper, we propose a novel text promptable surgical instrument segmentation approach to overcome challenges associated with diversity and differentiation of surgical instruments in minimally invasive surgeries. We redefine the task as text promptable, thereby enabling a more nuanced comprehension of surgical instruments and adaptability to new instrument types. Inspired by recent advancements in vision-language models, we leverage pretrained image and text encoders as our model backbone and design a text promptable mask decoder consisting of attention- and convolution-based prompting schemes for surgical instrument segmentation prediction. Our model leverages multiple text prompts for each surgical instrument through a new mixture of prompts mechanism, resulting in enhanced segmentation performance. Additionally, we introduce a hard instrument area reinforcement module to improve image feature comprehension and segmentation precision. Extensive experiments on EndoVis2017 and EndoVis2018 datasets demonstrate our model's superior performance and promising generalization capability. To our knowledge, this is the first implementation of a promptable approach to surgical instrument segmentation, offering significant potential for practical application in the field of robotic-assisted surgery.

Conventional multimodal recommender systems predominantly leverage Bayesian Personalized Ranking (BPR) optimization to learn item representations by amalgamating item identity (ID) embeddings with multimodal features. Nevertheless, our empirical and theoretical findings unequivocally demonstrate a pronounced optimization gradient bias in favor of acquiring representations from multimodal features over item ID embeddings. As a consequence, item ID embeddings frequently exhibit suboptimal characteristics despite the convergence of multimodal feature parameters. Given the rich informational content inherent in multimodal features, in this paper, we propose a novel model (i.e., LIRDRec) that learns item representations directly from these features to augment recommendation performance. Recognizing that features derived from each modality may capture disparate yet correlated aspects of items, we propose a multimodal transformation mechanism, integrated with modality-specific encoders, to effectively fuse features from all modalities. Moreover, to differentiate the influence of diverse modality types, we devise a progressive weight copying fusion module within LIRDRec. This module incrementally learns the weight assigned to each modality in synthesizing the final user or item representations. Finally, we utilize the powerful visual understanding of Multimodal Large Language Models (MLLMs) to convert the item images into texts and extract semantics embeddings upon the texts via LLMs. Empirical evaluations conducted on five real-world datasets validate the superiority of our approach relative to competing baselines. It is worth noting the proposed model, equipped with embeddings extracted from MLLMs and LLMs, can further improve the recommendation accuracy of NDCG@20 by an average of 4.21% compared to the original embeddings.

Contrastive unsupervised learning has recently shown encouraging progress, e.g., in Momentum Contrast (MoCo) and SimCLR. In this note, we verify the effectiveness of two of SimCLR's design improvements by implementing them in the MoCo framework. With simple modifications to MoCo---namely, using an MLP projection head and more data augmentation---we establish stronger baselines that outperform SimCLR and do not require large training batches. We hope this will make state-of-the-art unsupervised learning research more accessible. Code will be made public.

We propose a simple yet effective image captioning framework that can determine the quality of an image and notify the user of the reasons for any flaws in the image. Our framework first determines the quality of images and then generates captions using only those images that are determined to be of high quality. The user is notified by the flaws feature to retake if image quality is low, and this cycle is repeated until the input image is deemed to be of high quality. As a component of the framework, we trained and evaluated a low-quality image detection model that simultaneously learns difficulty in recognizing images and individual flaws, and we demonstrated that our proposal can explain the reasons for flaws with a sufficient score. We also evaluated a dataset with low-quality images removed by our framework and found improved values for all four common metrics (e.g., BLEU-4, METEOR, ROUGE-L, CIDEr), confirming an improvement in general-purpose image captioning capability. Our framework would assist the visually impaired, who have difficulty judging image quality.

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

Development of multimodal interactive systems is hindered by the lack of rich, multimodal (text, images) conversational data, which is needed in large quantities for LLMs. Previous approaches augment textual dialogues with retrieved images, posing privacy, diversity, and quality constraints. In this work, we introduce Multimodal Augmented Generative Images Dialogues (MAGID), a framework to augment text-only dialogues with diverse and high-quality images. Subsequently, a diffusion model is applied to craft corresponding images, ensuring alignment with the identified text. Finally, MAGID incorporates an innovative feedback loop between an image description generation module (textual LLM) and image quality modules (addressing aesthetics, image-text matching, and safety), that work in tandem to generate high-quality and multi-modal dialogues. We compare MAGID to other SOTA baselines on three dialogue datasets, using automated and human evaluation. Our results show that MAGID is comparable to or better than baselines, with significant improvements in human evaluation, especially against retrieval baselines where the image database is small.

AI text-to-app tools promise high quality applications and websites in minutes, yet no public benchmark rigorously verifies those claims. We introduce UI-Bench, the first large-scale benchmark that evaluates visual excellence across competing AI text-to-app tools through expert pairwise comparison. Spanning 10 tools, 30 prompts, 300 generated sites, and 4,000+ expert judgments, UI-Bench ranks systems with a TrueSkill-derived model that yields calibrated confidence intervals. UI-Bench establishes a reproducible standard for advancing AI-driven web design. We release (i) the complete prompt set, (ii) an open-source evaluation framework, and (iii) a public leaderboard. The generated sites rated by participants will be released soon. View the UI-Bench leaderboard at https://uibench.ai/leaderboard.

The rapid advancement of Large Language Models (LLMs) necessitates robust evaluation methodologies. Current benchmarking approaches often rely on comparing model outputs against predefined prompts and reference outputs. Relying on predefined reference outputs hinders flexible adaptation of benchmarks to the rapidly evolving capabilities of LLMs. This limitation necessitates periodic efforts to prepare new benchmarks. To keep pace with rapidly evolving LLM capabilities, we propose a more flexible benchmarking approach. Our method, \textbf{Varco Arena}, provides reference-free benchmarking of LLMs in tournament style. \textbf{Varco Arena} directly compares LLM outputs across a diverse set of prompts, determining model rankings through a single-elimination tournament structure. This direct pairwise comparison offers two key advantages: (1) Direct comparison, unmediated by reference text, more effectively orders competing LLMs, resulting in more reliable rankings, and (2) reference-free approach to benchmarking adds flexibility in updating benchmark prompts by eliminating the need for quality references. Our empirical results, supported by simulation experiments, demonstrate that the \textbf{Varco Arena} tournament approach aligns better with the current Elo model for benchmarking LLMs. The alignment is measured in terms of Spearman correlation, showing improvement over current practice of benchmarking that use reference outputs as comparison anchors.

Visual retrieval systems face significant challenges when updating models with improved representations due to misalignment between the old and new representations. The costly and resource-intensive backfilling process involves recalculating feature vectors for images in the gallery set whenever a new model is introduced. To address this, prior research has explored backward-compatible training methods that enable direct comparisons between new and old representations without backfilling. Despite these advancements, achieving a balance between backward compatibility and the performance of independently trained models remains an open problem. In this paper, we address it by expanding the representation space with additional dimensions and learning an orthogonal transformation to achieve compatibility with old models and, at the same time, integrate new information. This transformation preserves the original feature space's geometry, ensuring that our model aligns with previous versions while also learning new data. Our Orthogonal Compatible Aligned (OCA) approach eliminates the need for re-indexing during model updates and ensures that features can be compared directly across different model updates without additional mapping functions. Experimental results on CIFAR-100 and ImageNet-1k demonstrate that our method not only maintains compatibility with previous models but also achieves state-of-the-art accuracy, outperforming several existing methods.

Recently, the success of pre-training in text domain has been fully extended to vision, audio, and cross-modal scenarios. The proposed pre-training models of different modalities are showing a rising trend of homogeneity in their model structures, which brings the opportunity to implement different pre-training models within a uniform framework. In this paper, we present TencentPretrain, a toolkit supporting pre-training models of different modalities. The core feature of TencentPretrain is the modular design. The toolkit uniformly divides pre-training models into 5 components: embedding, encoder, target embedding, decoder, and target. As almost all of common modules are provided in each component, users can choose the desired modules from different components to build a complete pre-training model. The modular design enables users to efficiently reproduce existing pre-training models or build brand-new one. We test the toolkit on text, vision, and audio benchmarks and show that it can match the performance of the original implementations.

This paper introduces a novel, entity-aware metric, termed as Radiological Report (Text) Evaluation (RaTEScore), to assess the quality of medical reports generated by AI models. RaTEScore emphasizes crucial medical entities such as diagnostic outcomes and anatomical details, and is robust against complex medical synonyms and sensitive to negation expressions. Technically, we developed a comprehensive medical NER dataset, RaTE-NER, and trained an NER model specifically for this purpose. This model enables the decomposition of complex radiological reports into constituent medical entities. The metric itself is derived by comparing the similarity of entity embeddings, obtained from a language model, based on their types and relevance to clinical significance. Our evaluations demonstrate that RaTEScore aligns more closely with human preference than existing metrics, validated both on established public benchmarks and our newly proposed RaTE-Eval benchmark.

Large Language Models (LLMs) have succeeded considerably in In-Context-Learning (ICL) based summarization. However, saliency is subject to the users' specific preference histories. Hence, we need reliable In-Context Personalization Learning (ICPL) capabilities within such LLMs. For any arbitrary LLM to exhibit ICPL, it needs to have the ability to discern contrast in user profiles. A recent study proposed a measure for degree-of-personalization called EGISES for the first time. EGISES measures a model's responsiveness to user profile differences. However, it cannot test if a model utilizes all three types of cues provided in ICPL prompts: (i) example summaries, (ii) user's reading histories, and (iii) contrast in user profiles. To address this, we propose the iCOPERNICUS framework, a novel In-COntext PERsonalization learNIng sCrUtiny of Summarization capability in LLMs that uses EGISES as a comparative measure. As a case-study, we evaluate 17 state-of-the-art LLMs based on their reported ICL performances and observe that 15 models' ICPL degrades (min: 1.6%; max: 3.6%) when probed with richer prompts, thereby showing lack of true ICPL.

Large Multimodal Models (LMMs) demonstrate impressive capabilities. However, current benchmarks predominantly focus on image comprehension in specific domains, and these benchmarks are labor-intensive to construct. Moreover, their answers tend to be brief, making it difficult to assess the ability of LMMs to generate detailed descriptions of images. To address these limitations, we propose the MMGenBench-Pipeline, a straightforward and fully automated evaluation pipeline. This involves generating textual descriptions from input images, using these descriptions to create auxiliary images via text-to-image generative models, and then comparing the original and generated images. Furthermore, to ensure the effectiveness of MMGenBench-Pipeline, we design MMGenBench-Test, evaluating LMMs across 13 distinct image patterns, and MMGenBench-Domain, focusing on generative image performance. A thorough evaluation involving over 50 popular LMMs demonstrates the effectiveness and reliability of both the pipeline and benchmark. Our observations indicate that numerous LMMs excelling in existing benchmarks fail to adequately complete the basic tasks related to image understanding and description. This finding highlights the substantial potential for performance improvement in current LMMs and suggests avenues for future model optimization. Concurrently, MMGenBench-Pipeline can efficiently assess the performance of LMMs across diverse domains using only image inputs.

Extraction of relevant pathological terms from radiology reports is important for correct image label generation and disease population studies. In this letter, we compare the performance of some known application program interface (APIs) for the task of thoracic abnormality extraction from radiology reports. We explored several medical domain specific annotation tools like Medical Text Indexer(MTI) with Non-MEDLINE and Mesh On Demand(MOD) options and generic Natural Language Understanding (NLU) API provided by the IBM cloud. Our results show that although MTI and MOD are intended for extracting medical terms, their performance is worst compared to generic extraction API like IBM NLU. Finally, we trained a DNN-based Named Entity Recognition (NER) model to extract the key concept words from radiology reports. Our model outperforms the medical specific and generic API performance by a large margin. Our results demonstrate the inadequacy of generic APIs for pathology extraction task and establish the importance of domain specific model training for improved results. We hope that these results motivate the research community to release larger de-identified radiology reports corpus for building high accuracy machine learning models for the important task of pathology extraction.

In this paper we address issues with image retrieval benchmarking on standard and popular Oxford 5k and Paris 6k datasets. In particular, annotation errors, the size of the dataset, and the level of challenge are addressed: new annotation for both datasets is created with an extra attention to the reliability of the ground truth. Three new protocols of varying difficulty are introduced. The protocols allow fair comparison between different methods, including those using a dataset pre-processing stage. For each dataset, 15 new challenging queries are introduced. Finally, a new set of 1M hard, semi-automatically cleaned distractors is selected. An extensive comparison of the state-of-the-art methods is performed on the new benchmark. Different types of methods are evaluated, ranging from local-feature-based to modern CNN based methods. The best results are achieved by taking the best of the two worlds. Most importantly, image retrieval appears far from being solved.

We introduce VisIT-Bench (Visual InsTruction Benchmark), a benchmark for evaluation of instruction-following vision-language models for real-world use. Our starting point is curating 70 'instruction families' that we envision instruction tuned vision-language models should be able to address. Extending beyond evaluations like VQAv2 and COCO, tasks range from basic recognition to game playing and creative generation. Following curation, our dataset comprises 592 test queries, each with a human-authored instruction-conditioned caption. These descriptions surface instruction-specific factors, e.g., for an instruction asking about the accessibility of a storefront for wheelchair users, the instruction-conditioned caption describes ramps/potential obstacles. These descriptions enable 1) collecting human-verified reference outputs for each instance; and 2) automatic evaluation of candidate multimodal generations using a text-only LLM, aligning with human judgment. We quantify quality gaps between models and references using both human and automatic evaluations; e.g., the top-performing instruction-following model wins against the GPT-4 reference in just 27% of the comparison. VisIT-Bench is dynamic to participate, practitioners simply submit their model's response on the project website; Data, code and leaderboard is available at visit-bench.github.io.

Recent progress in text-to-image (T2I) generation underscores the importance of reliable benchmarks in evaluating how accurately generated images reflect the semantics of their textual prompt. However, (1) existing benchmarks lack the diversity of prompt scenarios and multilingual support, both essential for real-world applicability; (2) they offer only coarse evaluations across primary dimensions, covering a narrow range of sub-dimensions, and fall short in fine-grained sub-dimension assessment. To address these limitations, we introduce UniGenBench++, a unified semantic assessment benchmark for T2I generation. Specifically, it comprises 600 prompts organized hierarchically to ensure both coverage and efficiency: (1) spans across diverse real-world scenarios, i.e., 5 main prompt themes and 20 subthemes; (2) comprehensively probes T2I models' semantic consistency over 10 primary and 27 sub evaluation criteria, with each prompt assessing multiple testpoints. To rigorously assess model robustness to variations in language and prompt length, we provide both English and Chinese versions of each prompt in short and long forms. Leveraging the general world knowledge and fine-grained image understanding capabilities of a closed-source Multi-modal Large Language Model (MLLM), i.e., Gemini-2.5-Pro, an effective pipeline is developed for reliable benchmark construction and streamlined model assessment. Moreover, to further facilitate community use, we train a robust evaluation model that enables offline assessment of T2I model outputs. Through comprehensive benchmarking of both open- and closed-sourced T2I models, we systematically reveal their strengths and weaknesses across various aspects.

Multimodal entity linking (MEL) aims to link ambiguous mentions within multimodal contexts to corresponding entities in a multimodal knowledge base. Most existing approaches to MEL are based on representation learning or vision-and-language pre-training mechanisms for exploring the complementary effect among multiple modalities. However, these methods suffer from two limitations. On the one hand, they overlook the possibility of considering negative samples from the same modality. On the other hand, they lack mechanisms to capture bidirectional cross-modal interaction. To address these issues, we propose a Multi-level Matching network for Multimodal Entity Linking (M3EL). Specifically, M3EL is composed of three different modules: (i) a Multimodal Feature Extraction module, which extracts modality-specific representations with a multimodal encoder and introduces an intra-modal contrastive learning sub-module to obtain better discriminative embeddings based on uni-modal differences; (ii) an Intra-modal Matching Network module, which contains two levels of matching granularity: Coarse-grained Global-to-Global and Fine-grained Global-to-Local, to achieve local and global level intra-modal interaction; (iii) a Cross-modal Matching Network module, which applies bidirectional strategies, Textual-to-Visual and Visual-to-Textual matching, to implement bidirectional cross-modal interaction. Extensive experiments conducted on WikiMEL, RichpediaMEL, and WikiDiverse datasets demonstrate the outstanding performance of M3EL when compared to the state-of-the-art baselines.

Face identification (FI) is ubiquitous and drives many high-stake decisions made by law enforcement. State-of-the-art FI approaches compare two images by taking the cosine similarity between their image embeddings. Yet, such an approach suffers from poor out-of-distribution (OOD) generalization to new types of images (e.g., when a query face is masked, cropped, or rotated) not included in the training set or the gallery. Here, we propose a re-ranking approach that compares two faces using the Earth Mover's Distance on the deep, spatial features of image patches. Our extra comparison stage explicitly examines image similarity at a fine-grained level (e.g., eyes to eyes) and is more robust to OOD perturbations and occlusions than traditional FI. Interestingly, without finetuning feature extractors, our method consistently improves the accuracy on all tested OOD queries: masked, cropped, rotated, and adversarial while obtaining similar results on in-distribution images.

We introduce Image2Struct, a benchmark to evaluate vision-language models (VLMs) on extracting structure from images. Our benchmark 1) captures real-world use cases, 2) is fully automatic and does not require human judgment, and 3) is based on a renewable stream of fresh data. In Image2Struct, VLMs are prompted to generate the underlying structure (e.g., LaTeX code or HTML) from an input image (e.g., webpage screenshot). The structure is then rendered to produce an output image (e.g., rendered webpage), which is compared against the input image to produce a similarity score. This round-trip evaluation allows us to quantitatively evaluate VLMs on tasks with multiple valid structures. We create a pipeline that downloads fresh data from active online communities upon execution and evaluates the VLMs without human intervention. We introduce three domains (Webpages, LaTeX, and Musical Scores) and use five image metrics (pixel similarity, cosine similarity between the Inception vectors, learned perceptual image patch similarity, structural similarity index measure, and earth mover similarity) that allow efficient and automatic comparison between pairs of images. We evaluate Image2Struct on 14 prominent VLMs and find that scores vary widely, indicating that Image2Struct can differentiate between the performances of different VLMs. Additionally, the best score varies considerably across domains (e.g., 0.402 on sheet music vs. 0.830 on LaTeX equations), indicating that Image2Struct contains tasks of varying difficulty. For transparency, we release the full results at https://crfm.stanford.edu/helm/image2struct/v1.0.1/.

Frontier language model quality increasingly hinges on our ability to organize web-scale text corpora for training. Today's dominant tools trade off speed and flexibility: lexical classifiers (e.g., FastText) are fast but limited to producing classification output scores, while the vector-valued outputs of transformer text embedding models flexibly support numerous workflows (e.g., clustering, classification, and retrieval) but are computationally expensive to produce. We introduce Luxical, a library for high-speed "lexical-dense" text embeddings that aims to recover the best properties of both approaches for web-scale text organization. Luxical combines sparse TF--IDF features, a small ReLU network, and a knowledge distillation training regimen to approximate large transformer embedding models at a fraction of their operational cost. In this technical report, we describe the Luxical architecture and training objective and evaluate a concrete Luxical model in two disparate applications: a targeted webcrawl document retrieval test and an end-to-end language model data curation task grounded in text classification. In these tasks we demonstrate speedups ranging from 3x to 100x over varying-sized neural baselines, and comparable to FastText model inference during the data curation task. On these evaluations, the tested Luxical model illustrates favorable compute/quality trade-offs for large-scale text organization, matching the quality of neural baselines. Luxical is available as open-source software at https://github.com/datologyai/luxical.

We introduce a Depicted image Quality Assessment method (DepictQA), overcoming the constraints of traditional score-based approaches. DepictQA leverages Multi-modal Large Language Models (MLLMs), allowing for detailed, language-based, human-like evaluation of image quality. Unlike conventional Image Quality Assessment (IQA) methods relying on scores, DepictQA interprets image content and distortions descriptively and comparatively, aligning closely with humans' reasoning process. To build the DepictQA model, we establish a hierarchical task framework, and collect a multi-modal IQA training dataset, named M-BAPPS. To navigate the challenges in limited training data and processing multiple images, we propose to use multi-source training data and specialized image tags. Our DepictQA demonstrates a better performance than score-based methods on the BAPPS benchmark. Moreover, compared with general MLLMs, our DepictQA can generate more accurate reasoning descriptive languages. Our research indicates that language-based IQA methods have the potential to be customized for individual preferences. Datasets and codes will be released publicly.

Multimodal retrieval is becoming a crucial component of modern AI applications, yet its evaluation lags behind the demands of more realistic and challenging scenarios. Existing benchmarks primarily probe surface-level semantic correspondence (e.g., object-text matching) while failing to assess the deeper reasoning required to capture complex relationships between visual and textual information. To address this gap, we introduce MR^2-Bench, a reasoning-intensive benchmark for multimodal retrieval. MR^2-Bench presents the following critical values: 1) all tasks are reasoning-driven, going beyond shallow matching to effectively assess models' capacity for logical, spatial, and causal inference; 2) it features diverse multimodal data, such as natural images, diagrams, and visual puzzles, enabling comprehensive evaluation across content types; 3) it supports complex queries and documents containing multiple images and covers diverse retrieval scenarios, more accurately reflecting real-world applications. Our benchmark contains 1,309 curated queries, derived either from manual collection and annotation or from selective consolidation of public datasets. Despite achieving strong results on existing benchmarks, current state-of-the-art models still struggle on MR^2-Bench: for example, the leading Seed1.6-Embedding model attains a Recall@1 of 77.78 on MMEB, but only 9.91 on MR^2-Bench. This substantial performance gap highlights both the increased challenge posed by our benchmark and the pressing need for further advances in reasoning-intensive multimodal retrieval. The dataset and evaluation code will be made publicly available at https://github.com/VectorSpaceLab/MR2-Bench.

We propose a novel method for unsupervised image-to-image translation, which incorporates a new attention module and a new learnable normalization function in an end-to-end manner. The attention module guides our model to focus on more important regions distinguishing between source and target domains based on the attention map obtained by the auxiliary classifier. Unlike previous attention-based method which cannot handle the geometric changes between domains, our model can translate both images requiring holistic changes and images requiring large shape changes. Moreover, our new AdaLIN (Adaptive Layer-Instance Normalization) function helps our attention-guided model to flexibly control the amount of change in shape and texture by learned parameters depending on datasets. Experimental results show the superiority of the proposed method compared to the existing state-of-the-art models with a fixed network architecture and hyper-parameters. Our code and datasets are available at https://github.com/taki0112/UGATIT or https://github.com/znxlwm/UGATIT-pytorch.

Denoising diffusion models have enabled high-quality image generation and editing. We present a method to localize the desired edit region implicit in a text instruction. We leverage InstructPix2Pix (IP2P) and identify the discrepancy between IP2P predictions with and without the instruction. This discrepancy is referred to as the relevance map. The relevance map conveys the importance of changing each pixel to achieve the edits, and is used to to guide the modifications. This guidance ensures that the irrelevant pixels remain unchanged. Relevance maps are further used to enhance the quality of text-guided editing of 3D scenes in the form of neural radiance fields. A field is trained on relevance maps of training views, denoted as the relevance field, defining the 3D region within which modifications should be made. We perform iterative updates on the training views guided by rendered relevance maps from the relevance field. Our method achieves state-of-the-art performance on both image and NeRF editing tasks. Project page: https://ashmrz.github.io/WatchYourSteps/

Accurate prostate cancer diagnosis remains challenging. Even when using MRI, radiologists exhibit low specificity and significant inter-observer variability, leading to potential delays or inaccuracies in identifying clinically significant cancers. This leads to numerous unnecessary biopsies and risks of missing clinically significant cancers. Here we present prostate vision contrastive network (ProViCNet), prostate organ-specific vision foundation models for Magnetic Resonance Imaging (MRI) and Trans-Rectal Ultrasound imaging (TRUS) for comprehensive cancer detection. ProViCNet was trained and validated using 4,401 patients across six institutions, as a prostate cancer detection model on radiology images relying on patch-level contrastive learning guided by biopsy confirmed radiologist annotations. ProViCNet demonstrated consistent performance across multiple internal and external validation cohorts with area under the receiver operating curve values ranging from 0.875 to 0.966, significantly outperforming radiologists in the reader study (0.907 versus 0.805, p<0.001) for mpMRI, while achieving 0.670 to 0.740 for TRUS. We also integrated ProViCNet with standard PSA to develop a virtual screening test, and we showed that we can maintain the high sensitivity for detecting clinically significant cancers while more than doubling specificity from 15% to 38% (p<0.001), thereby substantially reducing unnecessary biopsies. These findings highlight that ProViCNet's potential for enhancing prostate cancer diagnosis accuracy and reduce unnecessary biopsies, thereby optimizing diagnostic pathways.

In some medical imaging tasks and other settings where only small parts of the image are informative for the classification task, traditional CNNs can sometimes struggle to generalise. Manually annotated Regions of Interest (ROI) are sometimes used to isolate the most informative parts of the image. However, these are expensive to collect and may vary significantly across annotators. To overcome these issues, we propose a framework that employs saliency maps to obtain soft spatial attention masks that modulate the image features at different scales. We refer to our method as Adversarial Counterfactual Attention (ACAT). ACAT increases the baseline classification accuracy of lesions in brain CT scans from 71.39% to 72.55% and of COVID-19 related findings in lung CT scans from 67.71% to 70.84% and exceeds the performance of competing methods. We investigate the best way to generate the saliency maps employed in our architecture and propose a way to obtain them from adversarially generated counterfactual images. They are able to isolate the area of interest in brain and lung CT scans without using any manual annotations. In the task of localising the lesion location out of 6 possible regions, they obtain a score of 65.05% on brain CT scans, improving the score of 61.29% obtained with the best competing method.

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.

The integration of artificial intelligence (AI) with radiology marks a transformative era in medicine. Vision foundation models have been adopted to enhance radiologic imaging analysis. However, the distinct complexities of radiologic 2D and 3D radiologic data pose unique challenges that existing models, pre-trained on general non-medical images, fail to address adequately. To bridge this gap and capitalize on the diagnostic precision required in radiologic imaging, we introduce Radiologic Contrastive Language-Image Pre-training (RadCLIP): a cross-modal vision-language foundational model that harnesses Vision Language Pre-training (VLP) framework to improve radiologic image analysis. Building upon Contrastive Language-Image Pre-training (CLIP), RadCLIP incorporates a slice pooling mechanism tailored for volumetric image analysis and is pre-trained using a large and diverse dataset of radiologic image-text pairs. The RadCLIP was pre-trained to effectively align radiologic images with their corresponding text annotations, creating a robust vision backbone for radiologic images. Extensive experiments demonstrate RadCLIP's superior performance in both uni-modal radiologic image classification and cross-modal image-text matching, highlighting its significant promise for improving diagnostic accuracy and efficiency in clinical settings. Our Key contributions include curating a large dataset with diverse radiologic 2D/3D radiologic image-text pairs, a slice pooling adapter using an attention mechanism for integrating 2D images, and comprehensive evaluations of RadCLIP on various radiologic downstream tasks.

Self-attention in Transformers comes with a high computational cost because of their quadratic computational complexity, but their effectiveness in addressing problems in language and vision has sparked extensive research aimed at enhancing their efficiency. However, diverse experimental conditions, spanning multiple input domains, prevent a fair comparison based solely on reported results, posing challenges for model selection. To address this gap in comparability, we perform a large-scale benchmark of more than 45 models for image classification, evaluating key efficiency aspects, including accuracy, speed, and memory usage. Our benchmark provides a standardized baseline for efficiency-oriented transformers. We analyze the results based on the Pareto front -- the boundary of optimal models. Surprisingly, despite claims of other models being more efficient, ViT remains Pareto optimal across multiple metrics. We observe that hybrid attention-CNN models exhibit remarkable inference memory- and parameter-efficiency. Moreover, our benchmark shows that using a larger model in general is more efficient than using higher resolution images. Thanks to our holistic evaluation, we provide a centralized resource for practitioners and researchers, facilitating informed decisions when selecting or developing efficient transformers.

Text-driven infrared and visible image fusion has gained attention for enabling natural language to guide the fusion process. However, existing methods lack a goal-aligned task to supervise and evaluate how effectively the input text contributes to the fusion outcome. We observe that referring image segmentation (RIS) and text-driven fusion share a common objective: highlighting the object referred to by the text. Motivated by this, we propose RIS-FUSION, a cascaded framework that unifies fusion and RIS through joint optimization. At its core is the LangGatedFusion module, which injects textual features into the fusion backbone to enhance semantic alignment. To support multimodal referring image segmentation task, we introduce MM-RIS, a large-scale benchmark with 12.5k training and 3.5k testing triplets, each consisting of an infrared-visible image pair, a segmentation mask, and a referring expression. Extensive experiments show that RIS-FUSION achieves state-of-the-art performance, outperforming existing methods by over 11% in mIoU. Code and dataset will be released at https://github.com/SijuMa2003/RIS-FUSION.

The ability to describe images with natural language sentences is the hallmark for image and language understanding. Such a system has wide ranging applications such as annotating images and using natural sentences to search for images.In this project we focus on the task of bidirectional image retrieval: such asystem is capable of retrieving an image based on a sentence (image search) andretrieve sentence based on an image query (image annotation). We present asystem based on a global ranking objective function which uses a combinationof convolutional neural networks (CNN) and multi layer perceptrons (MLP).It takes a pair of image and sentence and processes them in different channels,finally embedding it into a common multimodal vector space. These embeddingsencode abstract semantic information about the two inputs and can be comparedusing traditional information retrieval approaches. For each such pair, the modelreturns a score which is interpretted as a similarity metric. If this score is high,the image and sentence are likely to convey similar meaning, and if the score is low then they are likely not to. The visual input is modeled via deep convolutional neural network. On theother hand we explore three models for the textual module. The first one isbag of words with an MLP. The second one uses n-grams (bigram, trigrams,and a combination of trigram & skip-grams) with an MLP. The third is morespecialized deep network specific for modeling variable length sequences (SSE).We report comparable performance to recent work in the field, even though ouroverall model is simpler. We also show that the training time choice of how wecan generate our negative samples has a significant impact on performance, and can be used to specialize the bi-directional system in one particular task.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

Evaluating the quality of automatically generated image descriptions is challenging, requiring metrics that capture various aspects such as grammaticality, coverage, correctness, and truthfulness. While human evaluation offers valuable insights, its cost and time-consuming nature pose limitations. Existing automated metrics like BLEU, ROUGE, METEOR, and CIDEr aim to bridge this gap but often show weak correlations with human judgment. We address this challenge by introducing a novel evaluation framework rooted in a modern large language model (LLM), such as GPT-4 or Gemini, capable of image generation. In our proposed framework, we begin by feeding an input image into a designated image captioning model, chosen for evaluation, to generate a textual description. Using this description, an LLM then creates a new image. By extracting features from both the original and LLM-created images, we measure their similarity using a designated similarity metric. A high similarity score suggests that the image captioning model has accurately generated textual descriptions, while a low similarity score indicates discrepancies, revealing potential shortcomings in the model's performance. Human-annotated reference captions are not required in our proposed evaluation framework, which serves as a valuable tool for evaluating the effectiveness of image captioning models. Its efficacy is confirmed through human evaluation.

Foundation models trained with self-supervised learning (SSL) on large-scale histological images have significantly accelerated the development of computational pathology. These models can serve as backbones for region-of-interest (ROI) image analysis or patch-level feature extractors in whole-slide images (WSIs) based on multiple instance learning (MIL). Existing pathology foundation models (PFMs) are typically pre-trained on Hematoxylin-Eosin (H&E) stained pathology images. However, images with special stains, such as immunohistochemistry, are also frequently used in clinical practice. PFMs pre-trained mainly on H\&E-stained images may be limited in clinical applications involving special stains. To address this issue, we propose StainNet, a specialized foundation model for special stains based on the vision transformer (ViT) architecture. StainNet adopts a self-distillation SSL approach and is trained on over 1.4 million patch images cropping from 20,231 publicly available special staining WSIs in the HISTAI database. To evaluate StainNet, we conduct experiments on an in-house slide-level liver malignancy classification task and two public ROI-level datasets to demonstrate its strong ability. We also perform few-ratio learning and retrieval evaluations, and compare StainNet with recently larger PFMs to further highlight its strengths. We have released the StainNet model weights at: https://huggingface.co/JWonderLand/StainNet.

GRAFT is a structured multimodal benchmark for evaluating models on instruction-following, visual reasoning, and visual-textual alignment tasks. It features programmatically generated charts and synthetically rendered tables, created with Python visualization libraries to ensure control over data semantics, structure, and clarity. Each GRAFT instance pairs a chart or table image with a systematically generated, multi-step analytical question based solely on visual content. Answers are provided in structured formats such as JSON or YAML, supporting consistent evaluation of both reasoning and output format. The benchmark introduces a taxonomy of reasoning types including comparison, trend identification, ranking, aggregation, proportion estimation, and anomaly detection to enable comprehensive assessment. Reference answers follow strict factual and formatting guidelines for precise, aspect-based evaluation. GRAFT offers a unified, scalable framework for fine-grained benchmarking of multimodal models on visually grounded, structured reasoning tasks, setting a new evaluation standard in this field.

Current foundation models exhibit impressive capabilities when prompted either with text only or with both image and text inputs. But do their capabilities change depending on the input modality? In this work, we propose IsoBench, a benchmark dataset containing problems from four major areas: math, science, algorithms, and games. Each example is presented with multiple isomorphic representations of inputs, such as visual, textual, and mathematical presentations. IsoBench provides fine-grained feedback to diagnose performance gaps caused by the form of the representation. Across various foundation models, we observe that on the same problem, models have a consistent preference towards textual representations. Most prominently, when evaluated on all IsoBench problems, Claude-3 Opus performs 28.7 points worse when provided with images instead of text; similarly, GPT-4 Turbo is 18.7 points worse and Gemini Pro is 14.9 points worse. Finally, we present two prompting techniques, IsoCombination and IsoScratchPad, which improve model performance by considering combinations of, and translations between, different input representations.

Large deep learning models have achieved remarkable success in many scenarios. However, training large models is usually challenging, e.g., due to the high computational cost, the unstable and painfully slow optimization procedure, and the vulnerability to overfitting. To alleviate these problems, this work studies a divide-and-conquer strategy, i.e., dividing a large model into smaller modules, training them independently, and reassembling the trained modules to obtain the target model. This approach is promising since it avoids directly training large models from scratch. Nevertheless, implementing this idea is non-trivial, as it is difficult to ensure the compatibility of the independently trained modules. In this paper, we present an elegant solution to address this issue, i.e., we introduce a global, shared meta model to implicitly link all the modules together. This enables us to train highly compatible modules that collaborate effectively when they are assembled together. We further propose a module incubation mechanism that enables the meta model to be designed as an extremely shallow network. As a result, the additional overhead introduced by the meta model is minimalized. Though conceptually simple, our method significantly outperforms end-to-end (E2E) training in terms of both final accuracy and training efficiency. For example, on top of ViT-Huge, it improves the accuracy by 2.7% compared to the E2E baseline on ImageNet-1K, while saving the training cost by 43% in the meantime. Code is available at https://github.com/LeapLabTHU/Model-Assembling.

Large Vision-Language Models (LVLMs) are increasingly being explored for applications in telemedicine, yet their ability to engage with diverse patient behaviors remains underexplored. We introduce 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source evaluation framework designed to assess LLM-driven medical consultations. Unlike existing benchmarks, 3MDBench simulates real-world patient variability by incorporating four temperament-driven Patient Agents and an Assessor Agent that evaluates diagnostic accuracy and dialogue quality. The benchmark integrates textual and image-based patient data across 34 common diagnoses, mirroring real-world telemedicine interactions. Under different diagnostic strategies, we evaluate state-of-the-art LVLMs. Our findings demonstrate that incorporating dialogue improves the F1 score from 50.4 to 54.2 compared to non-dialogue settings, underscoring the value of context-driven, information-seeking questioning. Additionally, we demonstrate that multimodal inputs enhance diagnostic efficiency. Image-supported models outperform text-only counterparts by raising the diagnostic F1 score from 52.8 to 54.2 in a similar dialogue setting. Finally, we suggest an approach that improves the diagnostic F1-score to 70.3 by training the CNN model on the diagnosis prediction task and incorporating its top-3 predictions into the LVLM context. 3MDBench provides a reproducible and extendable evaluation framework for AI-driven medical assistants. It offers insights into how patient temperament, dialogue strategies, and multimodal reasoning influence diagnosis quality. By addressing real-world complexities in telemedicine, our benchmark paves the way for more empathetic, reliable, and context-aware AI-driven healthcare solutions. The source code of our benchmark is publicly available: https://github.com/univanxx/3mdbench