Seizure-Semiology-Suite (S3): A Clinically Multimodal Dataset, Benchmark, and Models for Seizure Semiology Understanding

While Multimodal Large Language Models (MLLMs) have demonstrated remarkable proficiency in general video understanding, their capacity to interpret involuntary, and spatio-temporally evolving pathologic motor behaviors such as seizure semiology remains largely untested. To address this gap, we introduce Seizure-Semiology-Suite, a clinically grounded dataset and benchmark for fine-grained, structured seizure semiology understanding. The dataset includes 438 seizure videos annotated with over 35,000 dense labels covering 20 ILAE-defined semiological features. Building on this dataset, we propose a seven-task hierarchical benchmark that systematically evaluates MLLMs from low-level visual perception to temporal sequencing, narrative report generation, and seizure diagnosis. To enable clinically meaningful evaluation of generated reports, we further introduce the Report Quality Index for Seizure Semiology (Seizure-RQI). Extensive baselines across 11 open-weight MLLMs reveal systematic weaknesses in laterality reasoning, temporal localization, symptom sequencing, and clinically faithful reporting. We show that seizure-specific fine-tuning substantially improves performance across tasks, and that a two-stage neuro-symbolic framework achieves an F1 score of 0.96 on epileptic versus non-epileptic seizure classification. Seizure-Semiology-Suite establishes a rigorous benchmark for evaluating multimodal models in safety-critical medical video understanding and guides the development of clinically reliable, domain-adaptive multimodal intelligence.

coDrawAgents: A Multi-Agent Dialogue Framework for Compositional Image Generation

Text-to-image generation has advanced rapidly, but existing models still struggle with faithfully composing multiple objects and preserving their attributes in complex scenes. We propose coDrawAgents, an interactive multi-agent dialogue framework with four specialized agents: Interpreter, Planner, Checker, and Painter that collaborate to improve compositional generation. The Interpreter adaptively decides between a direct text-to-image pathway and a layout-aware multi-agent process. In the layout-aware mode, it parses the prompt into attribute-rich object descriptors, ranks them by semantic salience, and groups objects with the same semantic priority level for joint generation. Guided by the Interpreter, the Planner adopts a divide-and-conquer strategy, incrementally proposing layouts for objects with the same semantic priority level while grounding decisions in the evolving visual context of the canvas. The Checker introduces an explicit error-correction mechanism by validating spatial consistency and attribute alignment, and refining layouts before they are rendered. Finally, the Painter synthesizes the image step by step, incorporating newly planned objects into the canvas to provide richer context for subsequent iterations. Together, these agents address three key challenges: reducing layout complexity, grounding planning in visual context, and enabling explicit error correction. Extensive experiments on benchmarks GenEval and DPG-Bench demonstrate that coDrawAgents substantially improves text-image alignment, spatial accuracy, and attribute binding compared to existing methods.