TOC-Bench: A Temporal Object Consistency Benchmark for Video Large Language Models

Video large language models (Video-LLMs) have achieved remarkable progress in general video understanding, yet their ability to maintain temporal object consistency remains insufficiently explored. Existing benchmarks primarily focus on event recognition, action understanding, or coarse temporal reasoning, but rarely evaluate whether a model can consistently preserve the identity, state, and temporal continuity of the same object across occlusion, disappearance, reappearance, state transitions, and cross-object interactions. As a result, current evaluations may overestimate temporal reasoning ability while overlooking failures in object-centric temporal coherence. To address this issue, we introduce TOC-Bench, a diagnostic benchmark specifically designed to evaluate temporal object consistency in Video-LLMs. TOC-Bench is explicitly object-track grounded, where each queried subject is associated with a per frame object trajectory and structured temporal event timeline. To ensure that benchmark items depend on temporally ordered visual evidence rather than language priors, single-frame shortcuts, or unordered frame cues, we propose a three-layer temporal-necessity filtering protocol that removes 60.7% of candidate QA pairs and retains 17,900 temporally dependent items spanning 10 diagnostic dimensions. From this filtered pool, we further construct a human-verified benchmark containing 2,323 high-quality QA pairs over 1,951 videos. Experiments on representative Video-LLMs show that temporal object consistency remains a major unsolved challenge. Current models exhibit substantial weaknesses in event counting, event ordering, identity-sensitive reasoning, and hallucination-aware verification, despite strong performance on general video understanding benchmarks.

TG-LMM: Enhancing Medical Image Segmentation Accuracy through Text-Guided Large Multi-Modal Model

We propose TG-LMM (Text-Guided Large Multi-Modal Model), a novel approach that leverages textual descriptions of organs to enhance segmentation accuracy in medical images. Existing medical image segmentation methods face several challenges: current medical automatic segmentation models do not effectively utilize prior knowledge, such as descriptions of organ locations; previous text-visual models focus on identifying the target rather than improving the segmentation accuracy; prior models attempt to use prior knowledge to enhance accuracy but do not incorporate pre-trained models. To address these issues, TG-LMM integrates prior knowledge, specifically expert descriptions of the spatial locations of organs, into the segmentation process. Our model utilizes pre-trained image and text encoders to reduce the number of training parameters and accelerate the training process. Additionally, we designed a comprehensive image-text information fusion structure to ensure thorough integration of the two modalities of data. We evaluated TG-LMM on three authoritative medical image datasets, encompassing the segmentation of various parts of the human body. Our method demonstrated superior performance compared to existing approaches, such as MedSAM, SAM and nnUnet.

Quality assurance of organs-at-risk delineation in radiotherapy

The delineation of tumor target and organs-at-risk is critical in the radiotherapy treatment planning. Automatic segmentation can be used to reduce the physician workload and improve the consistency. However, the quality assurance of the automatic segmentation is still an unmet need in clinical practice. The patient data used in our study was a standardized dataset from AAPM Thoracic Auto-Segmentation Challenge. The OARs included were left and right lungs, heart, esophagus, and spinal cord. Two groups of OARs were generated, the benchmark dataset manually contoured by experienced physicians and the test dataset automatically created using a software AccuContour. A resnet-152 network was performed as feature extractor, and one-class support vector classifier was used to determine the high or low quality. We evaluate the model performance with balanced accuracy, F-score, sensitivity, specificity and the area under the receiving operator characteristic curve. We randomly generated contour errors to assess the generalization of our method, explored the detection limit, and evaluated the correlations between detection limit and various metrics such as volume, Dice similarity coefficient, Hausdorff distance, and mean surface distance. The proposed one-class classifier outperformed in metrics such as balanced accuracy, AUC, and others. The proposed method showed significant improvement over binary classifiers in handling various types of errors. Our proposed model, which introduces residual network and attention mechanism in the one-class classification framework, was able to detect the various types of OAR contour errors with high accuracy. The proposed method can significantly reduce the burden of physician review for contour delineation.