MedQ-UNI: Toward Unified Medical Image Quality Assessment and Restoration via Vision-Language Modeling

Existing medical image restoration (Med-IR) methods are typically modality-specific or degradation-specific, failing to generalize across the heterogeneous degradations encountered in clinical practice. We argue this limitation stems from the isolation of Med-IR from medical image quality assessment (Med-IQA), as restoration models without explicit quality understanding struggle to adapt to diverse degradation types across modalities. To address these challenges, we propose MedQ-UNI, a unified vision-language model that follows an assess-then-restore paradigm, explicitly leveraging Med-IQA to guide Med-IR across arbitrary modalities and degradation types. MedQ-UNI adopts a multimodal autoregressive dual-expert architecture with shared attention: a quality assessment expert first identifies degradation issues through structured natural language descriptions, and a restoration expert then conditions on these descriptions to perform targeted image restoration. To support this paradigm, we construct a large-scale dataset of approximately 50K paired samples spanning three imaging modalities and five restoration tasks, each annotated with structured quality descriptions for joint Med-IQA and Med-IR training, along with a 2K-sample benchmark for evaluation. Extensive experiments demonstrate that a single MedQ-UNI model, without any task-specific adaptation, achieves state-of-the-art restoration performance across all tasks while generating superior descriptions, confirming that explicit quality understanding meaningfully improves restoration fidelity and interpretability.

Open World MRI Reconstruction with Bias-Calibrated Adaptation

Real-world MRI reconstruction systems face the open-world challenge: test data from unseen imaging centers, anatomical structures, or acquisition protocols can differ drastically from training data, causing severe performance degradation. Existing methods struggle with this challenge. To address this, we propose BiasRecon, a bias-calibrated adaptation framework grounded in the minimal intervention principle: preserve what transfers, calibrate what does not. Concretely, BiasRecon formulates open-world adaptation as an alternating optimization framework that jointly optimizes three components: (1) frequency-guided prior calibration that introduces layer-wise calibration variables to selectively modulate frequency-specific features of the pre-trained score network via self-supervised k-space signals, (2) score-based denoising that leverages the calibrated generative prior for high-fidelity image reconstruction, and (3) adaptive regularization that employs Stein's Unbiased Risk Estimator to dynamically balance the prior-measurement trade-off, matching test-time noise characteristics without requiring ground truth. By intervening minimally and precisely through this alternating scheme, BiasRecon achieves robust adaptation with fewer than 100 tunable parameters. Extensive experiments across four datasets demonstrate state-of-the-art performance on open-world reconstruction tasks.

MedQ-Deg: A Multidimensional Benchmark for Evaluating MLLMs Across Medical Image Quality Degradations

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

CREM: Compression-Driven Representation Enhancement for Multimodal Retrieval and Comprehension

Multimodal Large Language Models (MLLMs) have shown remarkable success in comprehension tasks such as visual description and visual question answering. However, their direct application to embedding-based tasks like retrieval remains challenging due to the discrepancy between output formats and optimization objectives. Previous approaches often employ contrastive fine-tuning to adapt MLLMs for retrieval, but at the cost of losing their generative capabilities. We argue that both generative and embedding tasks fundamentally rely on shared cognitive mechanisms, specifically cross-modal representation alignment and contextual comprehension. To this end, we propose CREM (Compression-driven Representation Enhanced Model), with a unified framework that enhances multimodal representations for retrieval while preserving generative ability. Specifically, we introduce a compression-based prompt design with learnable chorus tokens to aggregate multimodal semantics and a compression-driven training strategy that integrates contrastive and generative objectives through compression-aware attention. Extensive experiments demonstrate that CREM achieves state-of-the-art retrieval performance on MMEB while maintaining strong generative performance on multiple comprehension benchmarks. Our findings highlight that generative supervision can further improve the representational quality of MLLMs under the proposed compression-driven paradigm.

QARM V2: Quantitative Alignment Multi-Modal Recommendation for Reasoning User Sequence Modeling

With the evolution of large language models (LLMs), there is growing interest in leveraging their rich semantic understanding to enhance industrial recommendation systems (RecSys). Traditional RecSys relies on ID-based embeddings for user sequence modeling in the General Search Unit (GSU) and Exact Search Unit (ESU) paradigm, which suffers from low information density, knowledge isolation, and weak generalization ability. While LLMs offer complementary strengths with dense semantic representations and strong generalization, directly applying LLM embeddings to RecSys faces critical challenges: representation unmatch with business objectives and representation unlearning end-to-end with downstream tasks. In this paper, we present QARM V2, a unified framework that bridges LLM semantic understanding with RecSys business requirements for user sequence modeling.

IdentityStory: Taming Your Identity-Preserving Generator for Human-Centric Story Generation

Recent visual generative models enable story generation with consistent characters from text, but human-centric story generation faces additional challenges, such as maintaining detailed and diverse human face consistency and coordinating multiple characters across different images. This paper presents IdentityStory, a framework for human-centric story generation that ensures consistent character identity across multiple sequential images. By taming identity-preserving generators, the framework features two key components: Iterative Identity Discovery, which extracts cohesive character identities, and Re-denoising Identity Injection, which re-denoises images to inject identities while preserving desired context. Experiments on the ConsiStory-Human benchmark demonstrate that IdentityStory outperforms existing methods, particularly in face consistency, and supports multi-character combinations. The framework also shows strong potential for applications such as infinite-length story generation and dynamic character composition.

ARCHE: A Novel Task to Evaluate LLMs on Latent Reasoning Chain Extraction

Large language models (LLMs) are increasingly used in scientific domains. While they can produce reasoning-like content via methods such as chain-of-thought prompting, these outputs are typically unstructured and informal, obscuring whether models truly understand the fundamental reasoning paradigms that underpin scientific inference. To address this, we introduce a novel task named Latent Reasoning Chain Extraction (ARCHE), in which models must decompose complex reasoning arguments into combinations of standard reasoning paradigms in the form of a Reasoning Logic Tree (RLT). In RLT, all reasoning steps are explicitly categorized as one of three variants of Peirce's fundamental inference modes: deduction, induction, or abduction. To facilitate this task, we release ARCHE Bench, a new benchmark derived from 70 Nature Communications articles, including more than 1,900 references and 38,000 viewpoints. We propose two logic-aware evaluation metrics: Entity Coverage (EC) for content completeness and Reasoning Edge Accuracy (REA) for step-by-step logical validity. Evaluations on 10 leading LLMs on ARCHE Bench reveal that models exhibit a trade-off between REA and EC, and none are yet able to extract a complete and standard reasoning chain. These findings highlight a substantial gap between the abilities of current reasoning models and the rigor required for scientific argumentation.

MedQ-Bench: Evaluating and Exploring Medical Image Quality Assessment Abilities in MLLMs

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

DisCo-Layout: Disentangling and Coordinating Semantic and Physical Refinement in a Multi-Agent Framework for 3D Indoor Layout Synthesis

3D indoor layout synthesis is crucial for creating virtual environments. Traditional methods struggle with generalization due to fixed datasets. While recent LLM and VLM-based approaches offer improved semantic richness, they often lack robust and flexible refinement, resulting in suboptimal layouts. We develop DisCo-Layout, a novel framework that disentangles and coordinates physical and semantic refinement. For independent refinement, our Semantic Refinement Tool (SRT) corrects abstract object relationships, while the Physical Refinement Tool (PRT) resolves concrete spatial issues via a grid-matching algorithm. For collaborative refinement, a multi-agent framework intelligently orchestrates these tools, featuring a planner for placement rules, a designer for initial layouts, and an evaluator for assessment. Experiments demonstrate DisCo-Layout's state-of-the-art performance, generating realistic, coherent, and generalizable 3D indoor layouts. Our code will be publicly available.

GeoSplat: A Deep Dive into Geometry-Constrained Gaussian Splatting

A few recent works explored incorporating geometric priors to regularize the optimization of Gaussian splatting, further improving its performance. However, those early studies mainly focused on the use of low-order geometric priors (e.g., normal vector), and they are also unreliably estimated by noise-sensitive methods, like local principal component analysis. To address their limitations, we first present GeoSplat, a general geometry-constrained optimization framework that exploits both first-order and second-order geometric quantities to improve the entire training pipeline of Gaussian splatting, including Gaussian initialization, gradient update, and densification. As an example, we initialize the scales of 3D Gaussian primitives in terms of principal curvatures, leading to a better coverage of the object surface than random initialization. Secondly, based on certain geometric structures (e.g., local manifold), we introduce efficient and noise-robust estimation methods that provide dynamic geometric priors for our framework. We conduct extensive experiments on multiple datasets for novel view synthesis, showing that our framework: GeoSplat, significantly improves the performance of Gaussian splatting and outperforms previous baselines.