Overview of the NLPCC 2025 Shared Task 4: Multi-modal, Multilingual, and Multi-hop Medical Instructional Video Question Answering Challenge

Following the successful hosts of the 1-st (NLPCC 2023 Foshan) CMIVQA and the 2-rd (NLPCC 2024 Hangzhou) MMIVQA challenges, this year, a new task has been introduced to further advance research in multi-modal, multilingual, and multi-hop medical instructional question answering (M4IVQA) systems, with a specific focus on medical instructional videos. The M4IVQA challenge focuses on evaluating models that integrate information from medical instructional videos, understand multiple languages, and answer multi-hop questions requiring reasoning over various modalities. This task consists of three tracks: multi-modal, multilingual, and multi-hop Temporal Answer Grounding in Single Video (M4TAGSV), multi-modal, multilingual, and multi-hop Video Corpus Retrieval (M4VCR) and multi-modal, multilingual, and multi-hop Temporal Answer Grounding in Video Corpus (M4TAGVC). Participants in M4IVQA are expected to develop algorithms capable of processing both video and text data, understanding multilingual queries, and providing relevant answers to multi-hop medical questions. We believe the newly introduced M4IVQA challenge will drive innovations in multimodal reasoning systems for healthcare scenarios, ultimately contributing to smarter emergency response systems and more effective medical education platforms in multilingual communities. Our official website is https://cmivqa.github.io/

Hierarchical Modeling for Medical Visual Question Answering with Cross-Attention Fusion

Medical Visual Question Answering (Med-VQA) answers clinical questions using medical images, aiding diagnosis. Designing the MedVQA system holds profound importance in assisting clinical diagnosis and enhancing diagnostic accuracy. Building upon this foundation, Hierarchical Medical VQA extends Medical VQA by organizing medical questions into a hierarchical structure and making level-specific predictions to handle fine-grained distinctions. Recently, many studies have proposed hierarchical MedVQA tasks and established datasets, However, several issues still remain: (1) imperfect hierarchical modeling leads to poor differentiation between question levels causing semantic fragmentation across hierarchies. (2) Excessive reliance on implicit learning in Transformer-based cross-modal self-attention fusion methods, which obscures crucial local semantic correlations in medical scenarios. To address these issues, this study proposes a HiCA-VQA method, including two modules: Hierarchical Prompting for fine-grained medical questions and Hierarchical Answer Decoders. The hierarchical prompting module pre-aligns hierarchical text prompts with image features to guide the model in focusing on specific image regions according to question types, while the hierarchical decoder performs separate predictions for questions at different levels to improve accuracy across granularities. The framework also incorporates a cross-attention fusion module where images serve as queries and text as key-value pairs. Experiments on the Rad-Restruct benchmark demonstrate that the HiCA-VQA framework better outperforms existing state-of-the-art methods in answering hierarchical fine-grained questions. This study provides an effective pathway for hierarchical visual question answering systems, advancing medical image understanding.

Identification and estimation for matrix time series CP-factor models

We investigate the identification and the estimation for matrix time series CP-factor models. Unlike the generalized eigenanalysis-based method of Chang et al. (2023) which requires the two factor loading matrices to be full-ranked, the newly proposed estimation can handle rank-deficient factor loading matrices. The estimation procedure consists of the spectral decomposition of several matrices and a matrix joint diagonalization algorithm, resulting in low computational cost. The theoretical guarantee established without the stationarity assumption shows that the proposed estimation exhibits a faster convergence rate than that of Chang et al. (2023). In fact the new estimator is free from the adverse impact of any eigen-gaps, unlike most eigenanalysis-based methods such as that of Chang et al. (2023). Furthermore, in terms of the error rates of the estimation, the proposed procedure is equivalent to handling a vector time series of dimension $\max(p,q)$ instead of $p \times q$, where $(p, q)$ are the dimensions of the matrix time series concerned. We have achieved this without assuming the "near orthogonality" of the loadings under various incoherence conditions often imposed in the CP-decomposition literature, see Han and Zhang (2022), Han et al. (2024) and the references within. Illustration with both simulated and real matrix time series data shows the usefulness of the proposed approach.