MedP-CLIP: Medical CLIP with Region-Aware Prompt Integration

Contrastive Language-Image Pre-training (CLIP) has demonstrated outstanding performance in global image understanding and zero-shot transfer through large-scale text-image alignment. However, the core of medical image analysis often lies in the fine-grained understanding of specific anatomical structures or lesion regions. Therefore, precisely comprehending region-of-interest (RoI) information provided by medical professionals or perception models becomes crucial. To address this need, we propose MedP-CLIP, a region-aware medical vision-language model (VLM). MedP-CLIP innovatively integrates medical prior knowledge and designs a feature-level region prompt integration mechanism, enabling it to flexibly respond to various prompt forms (e.g., points, bounding boxes, masks) while maintaining global contextual awareness when focusing on local regions. We pre-train the model on a meticulously constructed large-scale dataset (containing over 6.4 million medical images and 97.3 million region-level annotations), equipping it with cross-disease and cross-modality fine-grained spatial semantic understanding capabilities. Experiments demonstrate that MedP-CLIP significantly outperforms baseline methods in various medical tasks, including zero-shot recognition, interactive segmentation, and empowering multimodal large language models. This model provides a scalable, plug-and-play visual backbone for medical AI, combining holistic image understanding with precise regional analysis.

Project Imaging-X: A Survey of 1000+ Open-Access Medical Imaging Datasets for Foundation Model Development

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

SegMoTE: Token-Level Mixture of Experts for Medical Image Segmentation

Medical image segmentation is vital for clinical diagnosis and quantitative analysis, yet remains challenging due to the heterogeneity of imaging modalities and the high cost of pixel-level annotations. Although general interactive segmentation models like SAM have achieved remarkable progress, their transfer to medical imaging still faces two key bottlenecks: (i) the lack of adaptive mechanisms for modality- and anatomy-specific tasks, which limits generalization in out-of-distribution medical scenarios; and (ii) current medical adaptation methods fine-tune on large, heterogeneous datasets without selection, leading to noisy supervision, higher cost, and negative transfer. To address these issues, we propose SegMoTE, an efficient and adaptive framework for medical image segmentation. SegMoTE preserves SAM's original prompt interface, efficient inference, and zero-shot generalization while introducing only a small number of learnable parameters to dynamically adapt across modalities and tasks. In addition, we design a progressive prompt tokenization mechanism that enables fully automatic segmentation, significantly reducing annotation dependence. Trained on MedSeg-HQ, a curated dataset less than 1% of existing large-scale datasets, SegMoTE achieves SOTA performance across diverse imaging modalities and anatomical tasks. It represents the first efficient, robust, and scalable adaptation of general segmentation models to the medical domain under extremely low annotation cost, advancing the practical deployment of foundation vision models in clinical applications.

Enhancing LLMs' Reasoning-Intensive Multimedia Search Capabilities through Fine-Tuning and Reinforcement Learning

Existing large language models (LLMs) driven search agents typically rely on prompt engineering to decouple the user queries into search plans, limiting their effectiveness in complex scenarios requiring reasoning. Furthermore, they suffer from excessive token consumption due to Python-based search plan representations and inadequate integration of multimedia elements for both input processing and response generation. To address these challenges, we introduce SearchExpert, a training method for LLMs to improve their multimedia search capabilities in response to complex search queries. Firstly, we reformulate the search plan in an efficient natural language representation to reduce token consumption. Then, we propose the supervised fine-tuning for searching (SFTS) to fine-tune LLM to adapt to these representations, together with an automated dataset construction pipeline. Secondly, to improve reasoning-intensive search capabilities, we propose the reinforcement learning from search feedback (RLSF) that takes the search results planned by LLM as the reward signals. Thirdly, we propose a multimedia understanding and generation agent that enables the fine-tuned LLM to process visual input and produce visual output during inference. Finally, we establish an automated benchmark construction pipeline and a human evaluation framework. Our resulting benchmark, SearchExpertBench-25, comprises 200 multiple-choice questions spanning financial and international news scenarios that require reasoning in searching. Experiments demonstrate that SearchExpert outperforms the commercial LLM search method (Perplexity Pro) by 36.60% on the existing FinSearchBench-24 benchmark and 54.54% on our proposed SearchExpertBench-25. Human evaluations further confirm the superior readability.

GMAI-VL-R1: Harnessing Reinforcement Learning for Multimodal Medical Reasoning

Recent advances in general medical AI have made significant strides, but existing models often lack the reasoning capabilities needed for complex medical decision-making. This paper presents GMAI-VL-R1, a multimodal medical reasoning model enhanced by reinforcement learning (RL) to improve its reasoning abilities. Through iterative training, GMAI-VL-R1 optimizes decision-making, significantly boosting diagnostic accuracy and clinical support. We also develop a reasoning data synthesis method, generating step-by-step reasoning data via rejection sampling, which further enhances the model's generalization. Experimental results show that after RL training, GMAI-VL-R1 excels in tasks such as medical image diagnosis and visual question answering. While the model demonstrates basic memorization with supervised fine-tuning, RL is crucial for true generalization. Our work establishes new evaluation benchmarks and paves the way for future advancements in medical reasoning models. Code, data, and model will be released at \href{https://github.com/uni-medical/GMAI-VL-R1}{this link}.

Exploiting Emotion-Semantic Correlations for Empathetic Response Generation

Empathetic response generation aims to generate empathetic responses by understanding the speaker's emotional feelings from the language of dialogue. Recent methods capture emotional words in the language of communicators and construct them as static vectors to perceive nuanced emotions. However, linguistic research has shown that emotional words in language are dynamic and have correlations with other grammar semantic roles, i.e., words with semantic meanings, in grammar. Previous methods overlook these two characteristics, which easily lead to misunderstandings of emotions and neglect of key semantics. To address this issue, we propose a dynamical Emotion-Semantic Correlation Model (ESCM) for empathetic dialogue generation tasks. ESCM constructs dynamic emotion-semantic vectors through the interaction of context and emotions. We introduce dependency trees to reflect the correlations between emotions and semantics. Based on dynamic emotion-semantic vectors and dependency trees, we propose a dynamic correlation graph convolutional network to guide the model in learning context meanings in dialogue and generating empathetic responses. Experimental results on the EMPATHETIC-DIALOGUES dataset show that ESCM understands semantics and emotions more accurately and expresses fluent and informative empathetic responses. Our analysis results also indicate that the correlations between emotions and semantics are frequently used in dialogues, which is of great significance for empathetic perception and expression.