Experience Makes Skillful: Enabling Generalizable Medical Agent Reasoning via Self-Evolving Skill Memory

Medical agent systems are increasingly expected to support interactive clinical decision making rather than only static question answering. In such settings, effective agents must reuse prior experience across evolving cases, yet existing memory mechanisms often retain raw historical traces that are redundant, noisy, and difficult to govern. More importantly, they rarely distinguish which memories are truly useful for future reasoning. This limits their ability to accumulate compact and reliable experience for long-horizon clinical reasoning. To close this gap, we propose SkeMex, a post-deployment self-evolution framework that improves medical agents through a skill-based memory without updating model weights. SkeMex distills informative interaction trajectories into structured skills that encode reusable procedural knowledge, and organizes them into a multi-branch repository spanning general, task-specific, and action-level experience. To determine which memories should be reused and retained, SkeMex estimates context-dependent utility from environment feedback and uses it to guide value-aware retrieval and repository governance. A closed-loop ``Read--Write--Assess--Govern" lifecycle further supports continual evolution by writing new skills, updating utilities, promoting useful memories, and removing harmful entries. Experiments across diverse clinical tasks show that SkeMex consistently outperforms representative memory-based agents in both offline and online settings. It also generalizes across model backbones and supports transferable skill memory. All data and code will be released publicly.

The Second Challenge on Cross-Domain Few-Shot Object Detection at NTIRE 2026: Methods and Results

Cross-domain few-shot object detection (CD-FSOD) remains a challenging problem for existing object detectors and few-shot learning approaches, particularly when generalizing across distinct domains. As part of NTIRE 2026, we hosted the second CD-FSOD Challenge to systematically evaluate and promote progress in detecting objects in unseen target domains under limited annotation conditions. The challenge received strong community interest, with 128 registered participants and a total of 696 submissions. Among them, 31 teams actively participated, and 19 teams submitted valid final results. Participants explored a wide range of strategies, introducing innovative methods that push the performance frontier under both open-source and closed-source tracks. This report presents a detailed overview of the NTIRE 2026 CD-FSOD Challenge, including a summary of the submitted approaches and an analysis of the final results across all participating teams. Challenge Codes: https://github.com/ohMargin/NTIRE2026_CDFSOD.

MedScope: Incentivizing "Think with Videos" for Clinical Reasoning via Coarse-to-Fine Tool Calling

Long-form clinical videos are central to visual evidence-based decision-making, with growing importance for applications such as surgical robotics and related settings. However, current multimodal large language models typically process videos with passive sampling or weakly grounded inspection, which limits their ability to iteratively locate, verify, and justify predictions with temporally targeted evidence. To close this gap, we propose MedScope, a tool-using clinical video reasoning model that performs coarse-to-fine evidence seeking over long-form procedures. By interleaving intermediate reasoning with targeted tool calls and verification on retrieved observations, MedScope produces more accurate and trustworthy predictions that are explicitly grounded in temporally localized visual evidence. To address the lack of high-fidelity supervision, we build ClinVideoSuite, an evidence-centric, fine-grained clinical video suite. We then optimize MedScope with Grounding-Aware Group Relative Policy Optimization (GA-GRPO), which directly reinforces tool use with grounding-aligned rewards and evidence-weighted advantages. On full and fine-grained video understanding benchmarks, MedScope achieves state-of-the-art performance in both in-domain and out-of-domain evaluations. Our approach illuminates a path toward medical AI agents that can genuinely "think with videos" through tool-integrated reasoning. We will release our code, models, and data.

RSAgent: Learning to Reason and Act for Text-Guided Segmentation via Multi-Turn Tool Invocations

Text-guided object segmentation requires both cross-modal reasoning and pixel grounding abilities. Most recent methods treat text-guided segmentation as one-shot grounding, where the model predicts pixel prompts in a single forward pass to drive an external segmentor, which limits verification, refocusing and refinement when initial localization is wrong. To address this limitation, we propose RSAgent, an agentic Multimodal Large Language Model (MLLM) which interleaves reasoning and action for segmentation via multi-turn tool invocations. RSAgent queries a segmentation toolbox, observes visual feedback, and revises its spatial hypothesis using historical observations to re-localize targets and iteratively refine masks. We further build a data pipeline to synthesize multi-turn reasoning segmentation trajectories, and train RSAgent with a two-stage framework: cold-start supervised fine-tuning followed by agentic reinforcement learning with fine-grained, task-specific rewards. Extensive experiments show that RSAgent achieves a zero-shot performance of 66.5% gIoU on ReasonSeg test, improving over Seg-Zero-7B by 9%, and reaches 81.5% cIoU on RefCOCOg, demonstrating state-of-the-art performance on both in-domain and out-of-domain benchmarks.