Abstract:Building trustworthy medical multimodal large language models (MLLMs) is critical for reliable clinical decision support. Existing medical hallucination benchmarks mainly focus on data collection, but often ignore where hallucinations originate within the reasoning process. We find that hallucination sources vary across samples: errors may arise from visual misrecognition, incorrect medical knowledge recall, or flawed reasoning integration. To enable source-level hallucination diagnosis, we introduce ClinHallu, a benchmark for stage-wise hallucination diagnosis in medical MLLM reasoning. ClinHallu contains 7,031 validated instances, where each instance is augmented with a structured reasoning trace decomposed into Visual Recognition, Knowledge Recall, and Reasoning Integration. We also use stage-replacement interventions to measure how correcting specific stages affects the final answer. Beyond evaluation, we show that trace-supervised fine-tuning reduces stage-wise hallucinations. ClinHallu provides a fine-grained hallucination testbed for diagnosing and mitigating reasoning failures in medical MLLMs. The benchmark is publicly available at https://github.com/alibaba-damo-academy/ClinHallu.
Abstract:Autoregressive (AR) language modeling is the dominant paradigm for text generation, yet its sequential token-by-token decoding makes inference memory-bound and inefficient. Existing acceleration approaches, such as speculative decoding and diffusion language models, can yield speedups under certain conditions but do not directly address high-load batch serving--the scenario most critical for industrial-scale deployment. We introduce K-Forcing, a push-forward language modeling paradigm for joint next-k-token decoding. K-Forcing distills an existing AR model into a conditional push-forward mapping--one that transforms independent uniform noise variables into a joint sample of multiple future tokens in a single forward pass. This design preserves fixed-length outputs, reuses the AR teacher backbone, and remains compatible with standard AR serving infrastructure. We train this mapping via progressive self-forcing distillation, which gradually expands the prediction window while enabling the student to closely match the sequence distribution of the AR teacher. We evaluate K-Forcing on LM1B and OpenWebText using a standard causal Transformer backbone. When aggressively configured to generate k = 4 tokens per forward pass, K-Forcing delivers approximately 2.4-3.5x speedup across different batch sizes, while incurring modest quality degradation relative to its AR teacher. As inference increasingly dominates the lifetime compute cost of modern LLMs, K-Forcing offers a promising route toward accelerating AR generation under real-world high-load deployment.
Abstract:We introduce WorldOlympiad, a benchmark for diagnosing video-based world models across physical faithfulness, geometric consistency, and interaction fidelity. While existing benchmarks often focus on visual quality, semantic alignment, or short-term temporal coherence, they provide limited insight into whether generated videos obey physical rules, preserve coherent 3D structure, and sustain controllable interactions over long horizons. To address this gap, WorldOlympiad decomposes world-model evaluation into three complementary dimensions. The physical track uses object segmentation and MLLM-as-judge to assess whether generated videos follow interpretable rules in mechanics, thermal phenomena, and material properties. The geometry track reconstructs generated videos with Gaussian splatting and evaluates structural consistency, cross-view coherence, and camera-trajectory alignment. The interaction track assesses whether generated rollouts follow complex action prompts and maintain smooth, coherent transitions across consecutive video chunks. WorldOlympiad further covers three major downstream scenarios, including gaming, robotics, and general real-world videos, capturing diverse challenges from interactive control and embodied manipulation to open-domain motion and camera dynamics. Together, these tracks and scenarios form a scalable and interpretable evaluation suite that exposes failure modes beyond generic video quality. Experiments on state-of-the-art models reveal substantial gaps in physical reasoning, 3D consistency, and long-horizon interaction, underscoring the need for more structured evaluation protocols for generative world models.
Abstract:CT interpretation requires radiologists to review hundreds of volumetric slices per examination, making reporting time-consuming and highly expertise-dependent. Automated CT report generation offers a promising route to improving clinical efficiency, yet the field still lacks a generalizable CT report generation foundation model that supports multi-region reporting and remains robust across external real-world cohorts. Intrinsic inconsistencies in reporting style and diagnostic terminology across cohorts make naive joint training prone to noisy textual supervision, thereby limiting model generalizability. Here we present Astra, a generalizable CT report generation foundation model trained on 90,678 thoracoabdominal CT-report pairs (CTRgDB) with 353,671 abnormalities spanning eight organ systems. By harmonizing report style and further refining diagnostic consistency via reinforcement learning, Astra achieves style-consistent and diagnostically accurate report generation across diverse anatomical regions and institutions. Evaluating on CTRgDB and six external cohorts, Astra achieves state-of-the-art performance with a 44.1% average improvement in fine-grained diagnostic metrics (P<0.001). In real-world clinical workflows, Astra assistance accelerates chest report drafting by 29.6% and improves abdominal report completeness by 11.3% (P<0.001). Furthermore, Astra also demonstrates broad utility as a foundation for CT AI development, improving downstream diagnostic performance and scaling vision-language pretrain through high-quality report synthesis. Overall, Astra serves as a broadly accessible clinical assistant and a pivotal infrastructure for the next generation of AI-powered healthcare.
Abstract:Diffusion models have shown remarkable success in video generation. However, whether such models are truly aware of the 3D structure underlying visual observations, rather than simply reproducing plausible 2D projections, remains an open question. In this work, we investigate this question through human motion control, a task that requires precise modelling of 3D human geometry, motion, camera viewpoint, and scene context. Unlike prior methods that rely on rendered 2D motion guidance videos, we propose a render-free framework that conditions video generation directly on compressed 3D human mesh tokens. This representation preserves full 3D geometric information while enabling a unified token-based generation pipeline that processes video tokens jointly with motion tokens in a DiT-based architecture. This design requires the model to reason jointly about appearance, 3D structure, and camera viewpoint during video generation. Experimental results demonstrate strong performance on human motion control benchmarks, while reducing artifacts induced by view-dependent 2D guidance and trajectory-pose mismatches during editing. These findings suggest that video diffusion models, when equipped with mesh tokenization, can better capture complex 3D human structures and their interactions with the surrounding environment.
Abstract:Connector-based video unified models have demonstrated strong capability in instruction-grounded video synthesis, but integrating a large high-fidelity generator into the unified training loop is computationally prohibitive, limiting achievable visual quality. We therefore propose Lumos-Nexus, a training-efficient unified video generation framework that facilitates the development of strong reasoning-driven generation capabilities while significantly enhancing visual fidelity. Lumos-Nexus adopts a two-stage design: 1) During training, only a lightweight generator is aligned with the understanding block to learn to take in reasoning-driven semantic control. 2) During inference, we introduce Unified Progressive Frequency Bridging (UPFB) to progressively hand off generation to a high-capacity pretrained generator in the shared latent space, enabling coarse-to-fine refinement and producing high-fidelity videos without compromising reasoning quality. To fill the gap in reasoning-driven video generation benchmarks, we introduce VR-Bench, which assesses a model's capability to translate inferred intent into coherent and semantically aligned video content. Extensive experiments demonstrate that Lumos-Nexus achieves substantial gains in visual realism and temporal coherence on VBench, while exhibiting strong reasoning-based generative performance on VR-Bench. Code and models are available at https://jiazheng-xing.github.io/nexus-lumos-home/.
Abstract:Parameter-efficient fine-tuning (PEFT) has emerged as a crucial paradigm for adapting large language models (LLMs) under constrained computational budgets. However, standard PEFT methods often struggle in multi-task fine-tuning settings, where diverse optimization objectives induce task interference and limited parameter budgets lead to representational deficiency. While recent approaches incorporate mixture-of-experts (MoE) to alleviate these issues, they predominantly operate in the spatial domain, which may introduce structural redundancy and parameter overhead. To overcome these limitations, we reformulate adaptation in the spectral domain. Our spectral analysis reveals that different tasks exhibit distinct frequency energy distributions, and that LLM layers display heterogeneous frequency sensitivities. Motivated by these insights, we propose FourierMoE, which integrates the MoE architecture with the inverse discrete Fourier transform (IDFT) for frequency-aware adaptation. Specifically, FourierMoE employs a frequency-adaptive router to dispatch tokens to experts specialized in distinct frequency bands. Each expert learns a set of conjugate-symmetric complex coefficients, preserving complete phase and amplitude information while theoretically guaranteeing lossless IDFT reconstruction into real-valued spatial weights. Extensive evaluations across 28 benchmarks, multiple model architectures, and scales demonstrate that FourierMoE consistently outperforms competitive baselines in both single-task and multi-task settings while using significantly fewer trainable parameters. These results highlight the promise of spectral-domain expert adaptation as an effective and parameter-efficient paradigm for LLM fine-tuning.
Abstract:Contrast-enhanced computed tomography (CECT) is pivotal for highlighting tissue perfusion and vascularity, yet its clinical ubiquity is impeded by the invasive nature of contrast agents and radiation risks. While virtual contrast enhancement (VCE) offers an alternative to synthesizing CECT from non-contrast CT (NCCT), existing methods struggle with anatomical heterogeneity and spatial misalignment, leading to inconsistent enhancement patterns and incorrect details. This paper introduces PHASOR, a volumetric diffusion framework for high-fidelity CT VCE. By treating CT volumes as coherent sequences, we leverage a video diffusion model to enhance structural coherence and volumetric accuracy. To ensure anatomy-phase consistent synthesis, we introduce two complementary modules. First, anatomy-routed mixture-of-experts (AR-MoE) anchors distinct enhancement patterns to anatomical semantics, with organ-specific memory to capture salient details. Second, intensity-phase aware representation alignment (IP-REPA) highlights intricate contrast signals while mitigating the impact of imperfect spatial alignment. Extensive experiments across three datasets demonstrate that PHASOR significantly outperforms state-of-the-art methods in both synthesis quality and enhancement accuracy.
Abstract:Effective navigation intelligence relies on long-term memory to support both immediate generalization and sustained adaptation. However, existing approaches face a dilemma: modular systems rely on explicit mapping but lack flexibility, while Transformer-based end-to-end models are constrained by fixed context windows, limiting persistent memory across extended interactions. We introduce StateLinFormer, a linear-attention navigation model trained with a stateful memory mechanism that preserves recurrent memory states across consecutive training segments instead of reinitializing them at each batch boundary. This training paradigm effectively approximates learning on infinitely long sequences, enabling the model to achieve long-horizon memory retention. Experiments across both MAZE and ProcTHOR environments demonstrate that StateLinFormer significantly outperforms its stateless linear-attention counterpart and standard Transformer baselines with fixed context windows. Notably, as interaction length increases, persistent stateful training substantially improves context-dependent adaptation, suggesting an enhancement in the model's In-Context Learning (ICL) capabilities for navigation tasks.
Abstract:Recent advances in diffusion models have significantly improved text-to-video generation, enabling personalized content creation with fine-grained control over both foreground and background elements. However, precise face-attribute alignment across subjects remains challenging, as existing methods lack explicit mechanisms to ensure intra-group consistency. Addressing this gap requires both explicit modeling strategies and face-attribute-aware data resources. We therefore propose LumosX, a framework that advances both data and model design. On the data side, a tailored collection pipeline orchestrates captions and visual cues from independent videos, while multimodal large language models (MLLMs) infer and assign subject-specific dependencies. These extracted relational priors impose a finer-grained structure that amplifies the expressive control of personalized video generation and enables the construction of a comprehensive benchmark. On the modeling side, Relational Self-Attention and Relational Cross-Attention intertwine position-aware embeddings with refined attention dynamics to inscribe explicit subject-attribute dependencies, enforcing disciplined intra-group cohesion and amplifying the separation between distinct subject clusters. Comprehensive evaluations on our benchmark demonstrate that LumosX achieves state-of-the-art performance in fine-grained, identity-consistent, and semantically aligned personalized multi-subject video generation. Code and models are available at https://jiazheng-xing.github.io/lumosx-home/.