MedQ-Bench: Evaluating and Exploring Medical Image Quality Assessment Abilities in MLLMs

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

SafeWork-R1: Coevolving Safety and Intelligence under the AI-45$^{\circ}$ Law

We introduce SafeWork-R1, a cutting-edge multimodal reasoning model that demonstrates the coevolution of capabilities and safety. It is developed by our proposed SafeLadder framework, which incorporates large-scale, progressive, safety-oriented reinforcement learning post-training, supported by a suite of multi-principled verifiers. Unlike previous alignment methods such as RLHF that simply learn human preferences, SafeLadder enables SafeWork-R1 to develop intrinsic safety reasoning and self-reflection abilities, giving rise to safety `aha' moments. Notably, SafeWork-R1 achieves an average improvement of $46.54\%$ over its base model Qwen2.5-VL-72B on safety-related benchmarks without compromising general capabilities, and delivers state-of-the-art safety performance compared to leading proprietary models such as GPT-4.1 and Claude Opus 4. To further bolster its reliability, we implement two distinct inference-time intervention methods and a deliberative search mechanism, enforcing step-level verification. Finally, we further develop SafeWork-R1-InternVL3-78B, SafeWork-R1-DeepSeek-70B, and SafeWork-R1-Qwen2.5VL-7B. All resulting models demonstrate that safety and capability can co-evolve synergistically, highlighting the generalizability of our framework in building robust, reliable, and trustworthy general-purpose AI.