Fundus-R1: Training a Fundus-Reading MLLM with Knowledge-Aware Reasoning on Public Data

Fundus imaging such as CFP, OCT and UWF is crucial for the early detection of retinal anomalies and diseases. Fundus image understanding, due to its knowledge-intensive nature, poses a challenging vision-language task. An emerging approach to addressing the task is to post-train a generic multimodal large language model (MLLM), either by supervised finetuning (SFT) or by reinforcement learning with verifiable rewards (RLVR), on a considerable amount of in-house samples paired with high-quality clinical reports. However, these valuable samples are not publicly accessible, which not only hinders reproducibility but also practically limits research to few players. To overcome the barrier, we make a novel attempt to train a reasoning-enhanced fundus-reading MLLM, which we term Fundus-R1, using exclusively public datasets, wherein over 94\% of the data are annotated with only image-level labels. Our technical contributions are two-fold. First, we propose a RAG-based method for composing image-specific, knowledge-aware reasoning traces. Such auto-generated traces link visual findings identified by a generic MLLM to the image labels in terms of ophthalmic knowledge. Second, we enhance RLVR with a process reward that encourages self-consistency of the generated reasoning trace in each rollout. Extensive experiments on three fundus-reading benchmarks, i.e., FunBench, Omni-Fundus and GMAI-Fundus, show that Fundus-R1 clearly outperforms multiple baselines, including its generic counterpart (Qwen2.5-VL) and a stronger edition post-trained without using the generated traces. This work paves the way for training powerful fundus-reading MLLMs with publicly available data.

DualFocus: A Unified Framework for Integrating Positive and Negative Descriptors in Text-based Person Retrieval

Text-based person retrieval (TPR) aims to retrieve images of a person from an extensive array of candidates based on a given textual description. The core challenge lies in mapping visual and textual data into a unified latent space. While existing TPR methods concentrate on recognizing explicit and positive characteristics, they often neglect the critical influence of negative descriptors, resulting in potential false positives that fulfill positive criteria but could be excluded by negative descriptors. To alleviate these issues, we introduce DualFocus, a unified framework for integrating positive and negative descriptors to enhance the interpretative accuracy of vision-language foundational models regarding textual queries. DualFocus employs Dual (Positive/Negative) Attribute Prompt Learning (DAPL), which integrates Dual Image-Attribute Contrastive (DIAC) Learning and Sensitive Image-Attributes Matching (SIAM) Learning. This way DualFocus enhances the detection of unseen attributes, thereby boosting retrieval precision. To further achieve a balance between coarse and fine-grained alignment of visual and textual embeddings, we propose the Dynamic Tokenwise Similarity (DTS) loss, which refines the representation of both matching and non-matching descriptions, thereby enhancing the matching process through a detailed and adaptable similarity assessment. By focusing on token-level comparisons, DualFocus significantly outperforms existing techniques in both precision and robustness. The experiment results highlight DualFocus's superior performance on CUHK-PEDES, ICFG-PEDES, and RSTPReid.