Abstract:While Large Language Models (LLMs) excel on standardized medical exams, high scores often fail to translate to high-quality responses for real-world medical queries. Current evaluations rely heavily on multiple-choice questions, failing to capture the unstructured, ambiguous, and long-tail complexities inherent in genuine user inquiries. To bridge this gap, we introduce QuarkMedBench, an ecologically valid benchmark tailored for real-world medical LLM assessment. We compiled a massive dataset spanning Clinical Care, Wellness Health, and Professional Inquiry, comprising 20,821 single-turn queries and 3,853 multi-turn sessions. To objectively evaluate open-ended answers, we propose an automated scoring framework that integrates multi-model consensus with evidence-based retrieval to dynamically generate 220,617 fine-grained scoring rubrics (~9.8 per query). During evaluation, hierarchical weighting and safety constraints structurally quantify medical accuracy, key-point coverage, and risk interception, effectively mitigating the high costs and subjectivity of human grading. Experimental results demonstrate that the generated rubrics achieve a 91.8% concordance rate with clinical expert blind audits, establishing highly dependable medical reliability. Crucially, baseline evaluations on this benchmark reveal significant performance disparities among state-of-the-art models when navigating real-world clinical nuances, highlighting the limitations of conventional exam-based metrics. Ultimately, QuarkMedBench establishes a rigorous, reproducible yardstick for measuring LLM performance on complex health issues, while its framework inherently supports dynamic knowledge updates to prevent benchmark obsolescence.
Abstract:Object detection models deployed in real-world applications such as autonomous driving face serious threats from backdoor attacks. Despite their practical effectiveness,existing methods are inherently limited in both capability and robustness due to their dependence on single-trigger-single-object mappings and fragile pixel-level cues. We propose CIS-BA, a novel backdoor attack paradigm that redefines trigger design by shifting from static object features to continuous inter-object interaction patterns that describe how objects co-occur and interact in a scene. By modeling these patterns as a continuous interaction space, CIS-BA introduces space triggers that, for the first time, enable a multi-trigger-multi-object attack mechanism while achieving robustness through invariant geometric relations. To implement this paradigm, we design CIS-Frame, which constructs space triggers via interaction analysis, formalizes them as class-geometry constraints for sample poisoning, and embeds the backdoor during detector training. CIS-Frame supports both single-object attacks (object misclassification and disappearance) and multi-object simultaneous attacks, enabling complex and coordinated effects across diverse interaction states. Experiments on MS-COCO and real-world videos show that CIS-BA achieves over 97% attack success under complex environments and maintains over 95% effectiveness under dynamic multi-trigger conditions, while evading three state-of-the-art defenses. In summary, CIS-BA extends the landscape of backdoor attacks in interaction-intensive scenarios and provides new insights into the security of object detection systems.