Abstract:Multimodal agentic pipelines are transforming human-computer interaction by enabling efficient and accessible automation of complex, real-world tasks. However, recent efforts have focused on short-horizon or general-purpose applications (e.g., mobile or desktop interfaces), leaving long-horizon automation for domain-specific systems, particularly in healthcare, largely unexplored. To address this, we introduce CareFlow, a high-quality human-annotated benchmark comprising complex, long-horizon software workflows across medical annotation tools, DICOM viewers, EHR systems, and laboratory information systems. On this benchmark, existing vision-language models (VLMs) perform poorly, struggling with long-horizon reasoning and multi-step interactions in medical contexts. To overcome this, we propose CarePilot, a multi-agent framework based on the actor-critic paradigm. The Actor integrates tool grounding with dual-memory mechanisms (long-term and short-term experience) to predict the next semantic action from the visual interface and system state. The Critic evaluates each action, updates memory based on observed effects, and either executes or provides corrective feedback to refine the workflow. Through iterative agentic simulation, the Actor learns to perform more robust and reasoning-aware predictions during inference. Our experiments show that CarePilot achieves state-of-the-art performance, outperforming strong closed-source and open-source multimodal baselines by approximately 15.26% and 3.38%, respectively, on our benchmark and out-of-distribution dataset.
Abstract:Diffusion Transformers (DiTs) power high-fidelity video world models but remain computationally expensive due to sequential denoising and costly spatio-temporal attention. Training-free feature caching accelerates inference by reusing intermediate activations across denoising steps; however, existing methods largely rely on a Zero-Order Hold assumption i.e., reusing cached features as static snapshots when global drift is small. This often leads to ghosting artifacts, blur, and motion inconsistencies in dynamic scenes. We propose \textbf{WorldCache}, a Perception-Constrained Dynamical Caching framework that improves both when and how to reuse features. WorldCache introduces motion-adaptive thresholds, saliency-weighted drift estimation, optimal approximation via blending and warping, and phase-aware threshold scheduling across diffusion steps. Our cohesive approach enables adaptive, motion-consistent feature reuse without retraining. On Cosmos-Predict2.5-2B evaluated on PAI-Bench, WorldCache achieves \textbf{2.3$\times$} inference speedup while preserving \textbf{99.4\%} of baseline quality, substantially outperforming prior training-free caching approaches. Our code can be accessed on \href{https://umair1221.github.io/World-Cache/}{World-Cache}.
Abstract:Existing tampering detection benchmarks largely rely on object masks, which severely misalign with the true edit signal: many pixels inside a mask are untouched or only trivially modified, while subtle yet consequential edits outside the mask are treated as natural. We reformulate VLM image tampering from coarse region labels to a pixel-grounded, meaning and language-aware task. First, we introduce a taxonomy spanning edit primitives (replace/remove/splice/inpaint/attribute/colorization, etc.) and their semantic class of tampered object, linking low-level changes to high-level understanding. Second, we release a new benchmark with per-pixel tamper maps and paired category supervision to evaluate detection and classification within a unified protocol. Third, we propose a training framework and evaluation metrics that quantify pixel-level correctness with localization to assess confidence or prediction on true edit intensity, and further measure tamper meaning understanding via semantics-aware classification and natural language descriptions for the predicted regions. We also re-evaluate the existing strong segmentation/localization baselines on recent strong tamper detectors and reveal substantial over- and under-scoring using mask-only metrics, and expose failure modes on micro-edits and off-mask changes. Our framework advances the field from masks to pixels, meanings and language descriptions, establishing a rigorous standard for tamper localization, semantic classification and description. Code and benchmark data are available at https://github.com/VILA-Lab/PIXAR.
Abstract:Most multi-agent systems rely exclusively on autoregressive language models (ARMs) that are based on sequential generation. Although effective for fluent text, ARMs limit global reasoning and plan revision. On the other hand, Discrete Diffusion Language Models (DDLMs) enable non-sequential, globally revisable generation and have shown strong planning capabilities, but their limited text fluency hinders direct collaboration with ARMs. We introduce Latent-DARM, a latent-space communication framework bridging DDLM (planners) and ARM (executors), maximizing collaborative benefits. Across mathematical, scientific, and commonsense reasoning benchmarks, Latent-DARM outperforms text-based interfaces on average, improving accuracy from 27.0% to 36.0% on DART-5 and from 0.0% to 14.0% on AIME2024. Latent-DARM approaches the results of state-of-the-art reasoning models while using less than 2.2% of its token budget. This work advances multi-agent collaboration among agents with heterogeneous models.
Abstract:Measurement of task progress through explicit, actionable milestones is critical for robust robotic manipulation. This progress awareness enables a model to ground its current task status, anticipate verifiable intermediate states, and detect and recover from failures when progress stalls. To embody this capability, we introduce See, Plan, Rewind (SPR), a progress-aware vision-language-action framework that dynamically grounds language instructions into a sequence of spatial subgoals. SPR operates through a continuous core cycle, Seeing the current state and upcoming milestone, Planning a trajectory towards the next 2D waypoint, and Rewinding to a recoverable state upon failure by monitoring progress against the expected sequence. This closed-loop approach enables robust error correction without requiring additional training data or auxiliary models. Extensive experiments demonstrate the framework's effectiveness, generalization and robustness: SPR outperforms the MolmoAct baseline by 5\% on the LIBERO benchmark. On the challenging LIBERO-Plus benchmark with unseen instructions and initial states, SPR achieves state-of-the-art robustness with the smallest performance drop, surpassing OpenVLA-OFT and UniVLA, demonstrating superior out-of-distribution robustness.
Abstract:We introduce MediX-R1, an open-ended Reinforcement Learning (RL) framework for medical multimodal large language models (MLLMs) that enables clinically grounded, free-form answers beyond multiple-choice formats. MediX-R1 fine-tunes a baseline vision-language backbone with Group Based RL and a composite reward tailored for medical reasoning: an LLM-based accuracy reward that judges semantic correctness with a strict YES/NO decision, a medical embedding-based semantic reward to capture paraphrases and terminology variants, and lightweight format and modality rewards that enforce interpretable reasoning and modality recognition. This multi-signal design provides stable, informative feedback for open-ended outputs where traditional verifiable or MCQ-only rewards fall short. To measure progress, we propose a unified evaluation framework for both text-only and image+text tasks that uses a Reference-based LLM-as-judge in place of brittle string-overlap metrics, capturing semantic correctness, reasoning, and contextual alignment. Despite using only $\sim51$K instruction examples, MediX-R1 achieves excellent results across standard medical LLM (text-only) and VLM (image + text) benchmarks, outperforming strong open-source baselines and delivering particularly large gains on open-ended clinical tasks. Our results demonstrate that open-ended RL with comprehensive reward signals and LLM-based evaluation is a practical path toward reliable medical reasoning in multimodal models. Our trained models, curated datasets and source code are available at https://medix.cvmbzuai.com
Abstract:Unified multimodal models can both understand and generate visual content within a single architecture. Existing models, however, remain data-hungry and too heavy for deployment on edge devices. We present Mobile-O, a compact vision-language-diffusion model that brings unified multimodal intelligence to a mobile device. Its core module, the Mobile Conditioning Projector (MCP), fuses vision-language features with a diffusion generator using depthwise-separable convolutions and layerwise alignment. This design enables efficient cross-modal conditioning with minimal computational cost. Trained on only a few million samples and post-trained in a novel quadruplet format (generation prompt, image, question, answer), Mobile-O jointly enhances both visual understanding and generation capabilities. Despite its efficiency, Mobile-O attains competitive or superior performance compared to other unified models, achieving 74% on GenEval and outperforming Show-O and JanusFlow by 5% and 11%, while running 6x and 11x faster, respectively. For visual understanding, Mobile-O surpasses them by 15.3% and 5.1% averaged across seven benchmarks. Running in only ~3s per 512x512 image on an iPhone, Mobile-O establishes the first practical framework for real-time unified multimodal understanding and generation on edge devices. We hope Mobile-O will ease future research in real-time unified multimodal intelligence running entirely on-device with no cloud dependency. Our code, models, datasets, and mobile application are publicly available at https://amshaker.github.io/Mobile-O/
Abstract:Recent progress in multimodal reasoning has enabled agents that can interpret imagery, connect it with language, and perform structured analytical tasks. Extending such capabilities to the remote sensing domain remains challenging, as models must reason over spatial scale, geographic structures, and multispectral indices while maintaining coherent multi-step logic. To bridge this gap, OpenEarthAgent introduces a unified framework for developing tool-augmented geospatial agents trained on satellite imagery, natural-language queries, and detailed reasoning traces. The training pipeline relies on supervised fine-tuning over structured reasoning trajectories, aligning the model with verified multistep tool interactions across diverse analytical contexts. The accompanying corpus comprises 14,538 training and 1,169 evaluation instances, with more than 100K reasoning steps in the training split and over 7K reasoning steps in the evaluation split. It spans urban, environmental, disaster, and infrastructure domains, and incorporates GIS-based operations alongside index analyses such as NDVI, NBR, and NDBI. Grounded in explicit reasoning traces, the learned agent demonstrates structured reasoning, stable spatial understanding, and interpretable behaviour through tool-driven geospatial interactions across diverse conditions. We report consistent improvements over a strong baseline and competitive performance relative to recent open and closed-source models.
Abstract:Multimodal large language models (MLLMs) have rapidly advanced, yet their adoption in medicine remains limited by gaps in domain coverage, modality alignment, and grounded reasoning. In this work, we introduce MedMO, a medical foundation model built upon a generalized MLLM architecture and trained exclusively on large-scale, domain-specific data. MedMO follows a multi-stage training recipe: (i) cross-modal pretraining to align heterogeneous visual encoders with a medical language backbone; (ii) instruction tuning on multi-task supervision that spans captioning, VQA, report generation, retrieval, and grounded disease localization with bounding boxes; and (iii) reinforcement learning with verifiable rewards that combine factuality checks with a box-level GIoU reward to strengthen spatial grounding and step-by-step reasoning in complex clinical scenarios. MedMO consistently outperforms strong open-source medical MLLMs across multiple modalities and tasks. On VQA benchmarks, MedMO achieves an average accuracy improvement of +13.7% over the baseline and performs within 1.9% of the SOTA Fleming-VL. For text-based QA, it attains +6.9% over the baseline and +14.5% over Fleming-VL. In medical report generation, MedMO delivers significant gains in both semantic and clinical accuracy. Moreover, it exhibits strong grounding capability, achieving an IoU improvement of +40.4 over the baseline and +37.0% over Fleming-VL, underscoring its robust spatial reasoning and localization performance. Evaluations across radiology, ophthalmology, and pathology-microscopy confirm MedMO's broad cross-modality generalization. We release two versions of MedMO: 4B and 8B. Project is available at https://genmilab.github.io/MedMO-Page
Abstract:Being a cornerstone of temporal analysis, change detection has been playing a pivotal role in modern earth observation. Existing change detection methods rely on the Siamese encoder to individually extract temporal features followed by temporal fusion. Subsequently, these methods design sophisticated decoders to improve the change detection performance without taking into consideration the complexity of the model. These aforementioned issues intensify the overall computational cost as well as the network's complexity which is undesirable. Alternatively, few methods utilize the early fusion scheme to combine the temporal images. These methods prevent the extra overhead of Siamese encoder, however, they also rely on sophisticated decoders for better performance. In addition, these methods demonstrate inferior performance as compared to late fusion based methods. To bridge these gaps, we introduce encoder only change detection (EoCD) that is a simple and effective method for the change detection task. The proposed method performs the early fusion of the temporal data and replaces the decoder with a parameter-free multiscale feature fusion module thereby significantly reducing the overall complexity of the model. EoCD demonstrate the optimal balance between the change detection performance and the prediction speed across a variety of encoder architectures. Additionally, EoCD demonstrate that the performance of the model is predominantly dependent on the encoder network, making the decoder an additional component. Extensive experimentation on four challenging change detection datasets reveals the effectiveness of the proposed method.