Scaling medical imaging report generation with multimodal reinforcement learning

Frontier models have demonstrated remarkable capabilities in understanding and reasoning with natural-language text, but they still exhibit major competency gaps in multimodal understanding and reasoning especially in high-value verticals such as biomedicine. Medical imaging report generation is a prominent example. Supervised fine-tuning can substantially improve performance, but they are prone to overfitting to superficial boilerplate patterns. In this paper, we introduce Universal Report Generation (UniRG) as a general framework for medical imaging report generation. By leveraging reinforcement learning as a unifying mechanism to directly optimize for evaluation metrics designed for end applications, UniRG can significantly improve upon supervised fine-tuning and attain durable generalization across diverse institutions and clinical practices. We trained UniRG-CXR on publicly available chest X-ray (CXR) data and conducted a thorough evaluation in CXR report generation with rigorous evaluation scenarios. On the authoritative ReXrank benchmark, UniRG-CXR sets new overall SOTA, outperforming prior state of the art by a wide margin.

RiskCueBench: Benchmarking Anticipatory Reasoning from Early Risk Cues in Video-Language Models

With the rapid growth of video centered social media, the ability to anticipate risky events from visual data is a promising direction for ensuring public safety and preventing real world accidents. Prior work has extensively studied supervised video risk assessment across domains such as driving, protests, and natural disasters. However, many existing datasets provide models with access to the full video sequence, including the accident itself, which substantially reduces the difficulty of the task. To better reflect real world conditions, we introduce a new video understanding benchmark RiskCueBench in which videos are carefully annotated to identify a risk signal clip, defined as the earliest moment that indicates a potential safety concern. Experimental results reveal a significant gap in current systems ability to interpret evolving situations and anticipate future risky events from early visual signals, highlighting important challenges for deploying video risk prediction models in practice.