MedPixel: A Unified Pixel-Language Model for Medical Reasoning and Segmentation

Reliable medical image understanding requires models to connect clinical language and visual reasoning with pixel-level grounding. Yet medical vision-language models often lack precise localization, whereas medical segmenters typically rely on explicit target categories or precise spatial prompts. This divide is reinforced by a supervision mismatch: segmentation datasets provide precise masks but little language supervision, whereas medical vision-language data rarely pair language with dense spatial annotations. To address this gap, we present MedPixel, a unified medical pixel-language model built around a shared language--mask interface. To provide scalable supervision, we introduce MedPLG-440K, comprising approximately 440K pixel-language task samples constructed through a clinically motivated synthesis process without external LLM annotation. MedPixel is trained with joint multi-task supervised fine-tuning followed by Pixel-Level Preference Optimization, which uses ground-truth masks as offline verifiers to derive response preferences from mask quality. MedPixel supports a broad spectrum of tasks spanning explicit grounding, implicit reasoning, spatial interaction, grounded explanation, and medical VQA. Across this task spectrum, MedPixel achieves strong performance in both pixel-level prediction and response generation, together with effective zero-shot transfer to external grounding benchmarks and robustness to imperfect spatial prompts. Code and model checkpoints will be released at https://github.com/yhy-whu/Medpixel.

REVEAL: A Rubric-Guided Agent for Explicit Evidence Sufficiency Verificationin Long-Video Question Answering

Recently, retrieval-augmented and memory-augmented methods have emerged as two promising paradigms for long-video question answering. However, existing methods typically rely on rigid, fixed-length temporal chunking (e.g., 10s) and static offline memory banks, which not only fragment coherent continuous events but also fail to adapt during real-time reasoning. Moreover, whether using multi-scale summaries or multimodal knowledge graphs, current approaches prioritize retrieval relevance while overlooking evidence sufficiency, often stopping to answer once only semantically relevant clues are retrieved, even when key temporal, causal, or fine-grained action evidence is still missing. To tackle these challenges, we propose REVEAL, a rubric-guided agent framework. As a foundation, we introduce an adaptive visual-similarity-based preprocessing pipeline that groups visually coherent adjacent frames into natural event units to construct an offline-online video memory---capturing global video context offline while dynamically maintaining question-conditioned memory online. Built upon this structured memory, REVEAL uses an automatically constructed rubric library to explicitly verify whether retrieved evidence satisfies sufficiency criteria, pinpoints missing clues upon verification failure, and directs targeted re-retrieval for complementary information. Without any extra training, REVEAL consistently outperforms both closed-source and open-source state-of-the-art methods across extensive experiments. These results show that explicitly verifying evidence sufficiency, rather than stopping at semantic relevance, retrieves the decisive clues that prior methods miss and yields more reliable long-video reasoning.

EliSeg: Verified Target Construction for Report-Grounded Abnormality Segmentation

Radiology reports describe clinical observations but do not specify executable segmentation targets. They may contain present, negated, prior,uncertain, or irrelevant findings, while multiple valid abnormalities may coexist. Existing segmentation methods largely bypass this ambiguity by receiving a target identity or spatial prompt before inference, which acts as a hidden target oracle. We study report-grounded abnormality segmentation, where a model must determine target eligibility, cardinality, and finding-to-mask correspondence directly from an unfiltered report before delineating the corresponding regions. We propose \textbf{EliSeg}, an atcor--verify--revise framework that integrates target construction with mask generation. A grammar-constrained Actor proposes target slots and masks, an independent text-only Verifier reconstructs the eligible finding inventory, and Revision selectively re-executes the shared Actor when their target structures disagree. EliSeg requires no predefined target identity, finding prompt, point, or bounding box. Experiments on MIMIC-CXR-ILS show that EliSeg consistently outperforms direct segmentation methods and extract-then-segment cascades across findings, while effectively suppressing masks for ineligible report mentions. Ablation studies confirm the complementary roles of verification and revision, and evaluation on CheXlocalize demonstrates effective transfer of the EliSeg to an external dataset.Code is available at https://github.com/Maybach-dream/EliSeg.

SpatialCLI: Learning to Reason With Spatial Tools, Then Without Them

Vision-language models (VLMs) are increasingly used in embodied agents to interpret visual inputs, reason about spatial relationships, and make task-level decisions based on that reasoning. However, a fundamental capability mismatch remains: general VLMs can reason about the overall task but often miss the visual details that determine success, while specialist vision models can capture those details but cannot translate them into task-level decisions. In this work, we propose SpatialCLI, a framework that teaches VLMs to reason with spatial tools and progressively internalize the specialist perceptual capabilities they provide. SpatialCLI proceeds in three stages: (1) Call exposes specialist vision models as spatial tools to augment the VLM's perception; (2) Learn uses Cold-Start SFT and agentic RL to improve tool use; and (3) Internalize verbalizes successful tool-use trajectories to internalize specialist perceptual capabilities. We further introduce SpatialCLI-Bench, a 516-example benchmark for compositional perception across localization, segmentation, depth, and pose. On MindCube, SpatialCLI raises Qwen3-VL-8B-Instruct from 29.3% to 84.6% with tools, surpassing GPT-5.6 Sol with tools (72.1%), while retaining 73.8% without tools after internalization.

Continual Video-MLLM Adaptation over Evolving Domains

Video multimodal large language models have shown strong capability in video understanding, yet their adaptation to sequentially evolving domains remains underexplored. In real-world deployments, video data often arrives continuously from heterogeneous domains, requiring the model to acquire new domain-specific knowledge without overwriting previously learned capabilities. Existing continual learning methods typically rely on shared adaptation spaces, which can induce severe cross-domain interference and catastrophic forgetting. We propose Distribution-Aware Expert Routing, a parameter-efficient framework for continual Video-MLLM adaptation over evolving domains. DAER maintains domain-isolated lightweight experts while keeping the pretrained Video-MLLM backbone frozen, thereby decoupling domain-specific adaptation from the general multimodal knowledge of the pretrained model. To enable fine-grained specialization, we introduce an intra-domain distribution-aware routing mechanism that matches each input to expert-level prototype reservoirs using MMD. To address the absence of task identities at inference time, we further propose an inter-domain routing mechanism that performs prototype matching in a discriminative subspace for robust domain identification. In addition, we introduce adaptive domain merging to improve parameter scalability and adopt a two-stage optimization strategy to stabilize expert specialization during continual learning. We evaluate DAER by curating a domain-incremental benchmark built from ten VidQA datasets covering diverse visual environments and reasoning demands. Experiments on two strong Video-MLLM backbones show that DAER consistently outperforms prior methods.

ABot-World-0: Infinite Interactive World Rollout on a Single Desktop GPU

We present ABot-World-0, an action-conditioned video world model for real-time, long-horizon closed-loop interaction, supported by a multi-source data infrastructure spanning AAA games, simulation engines, and internet videos to learn controllable world dynamics. WorldExplorer performs agent-driven collection guided by training feedback, while a unified pipeline applies 14 deterministic quality checks, VLM-based assessment, and synchronized action and text annotation. We progressively distill a bidirectional action-conditioned teacher into a causal student through teacher forcing and ODE distillation, and introduce LongForcing to align long student self-rollouts with an extended-horizon teacher, mitigating accumulated distribution shift and autoregressive drift. Raw keyboard actions provide a unified control interface for scene roaming and third-person character interaction, while reference-character memory provides persistent appearance cues for identity consistency during third-person rollouts. For deployment, we co-design a streaming inference stack with a lightweight VAE decoder, efficient attention, memory-aware scheduling, and low-bit DiT inference. Across optimized low-bit configurations, ABot-World-0 streams 720P video at up to 16 FPS on a single NVIDIA RTX 5090 desktop GPU, with 1.2s action-to-first-frame latency and approximately 19GiB peak VRAM. Experiments on WorldRoamBench and extended interactive rollouts demonstrate competitive controllability and coherent long-horizon world evolution.

Spectral Evolution-Guided Token Pruning in Multimodal Large Language Models

Reducing visual token redundancy is critical for accelerating Multimodal Large Language Models (MLLMs) without degrading cross-modal reasoning performance. Existing token pruning methods typically rely on single-layer signals, such as attention scores or token similarities, which overlook the cross-layer transformation of visual representations and may exhibit positional bias in multimodal token sequences. To address this limitation, we propose a training-free token pruning framework based on Cross-Layer Spectral Evolution (CLSE). Instead of measuring token importance from single-layer feature magnitudes, CLSE quantifies how token representations evolve across Transformer layers in the frequency domain. This evolution reflects the transition from high-frequency structural details to low-frequency semantic abstractions. We observe that tokens with stronger spectral redistribution across layers are more likely to be semantically active and should therefore be preserved. By modeling cross-layer token dynamics, CLSE provides a stable importance criterion that mitigates positional bias. Extensive experiments on both image and video benchmarks demonstrate that CLSE achieves a superior trade-off between efficiency and accuracy under aggressive token reduction. Across multiple MLLMs, CLSE reduces FLOPs, KV cache memory, and latency while maintaining competitive or improved performance.

GLIDE: Graph-guided Leap Inference for Diffusion Estimation of Spatio-Temporal Point Processes

Spatio-temporal point processes (STPPs) provide a principled framework for modeling asynchronous events in continuous time and space. Recent diffusion-based approaches offer a flexible alternative to deterministic prediction by modeling complex conditional distributions, but their application to STPPs remains challenging: reverse sampling from pure noise is costly, and weak structural constraints in sparse spatial domains can lead to poorly localized probability mass. We propose \textbf{GLIDE} (Graph-guided Leap Inference for Diffusion Estimation), a conditional diffusion framework for next-event modeling in STPPs. GLIDE organizes historical events into a multi-scale historical graph and encodes temporal evolution and spatial topology through a dual-stream architecture, yielding a structured conditioning context for a dual-branch diffusion denoiser. It further introduces a prior-guided leap inference mechanism, in which a lightweight mean predictor provides a deterministic anchor and the reverse process starts from an intermediate diffusion step instead of from pure Gaussian noise. Experiments on multiple real-world datasets show that GLIDE improves both distribution fitting and next-event prediction, with the largest gains appearing on the spatial side. The results also indicate that prior-guided leap inference substantially reduces reverse-sampling cost while preserving the stochastic generation capability of diffusion models.

FAiT: Frequency-Aware Inverted Transformer for Multivariate Time Series Forecasting

While Transformer-based architectures have established themselves as a dominant paradigm in Multivariate Time Series Forecasting (MTSF), their core self-attention mechanism inherently functions as a low-pass filter, systematically smoothing out high-frequency signals vital for sharp local changes. Recent advancements have increasingly incorporated frequency-domain operations to address this bias, however, most existing designs rely on fixed spectral bases and apply sequence-wise (uniform) modulation, implicitly assuming a time-invariant frequency response. This overlooks a key property of real-world series that their spectral characteristics often evolve over time, making uniform modulation insufficient for capturing fine-grained temporal dynamics. To tackle these limitations, we propose FAiT, a Frequency-Aware inverted Transformer. Specifically, FAiT rectifies the spectral bias internally through Inverted Attention, which interprets the attention map as a learnable low-pass operator and constructs a dedicated complementary high-pass branch by inverting the attention matrix to recover attenuated transient signals. Furthermore, FAiT introduces Dynamic Temporal-Frequency Modulation (DTFM), which synthesizes instance-conditioned weights to adaptively re-calibrate the energy of spectral sub-bands, enabling fine-grained control over evolving multi-scale patterns. Extensive experiments on widely used benchmarks demonstrate that FAiT consistently outperforms state-of-the-art Transformer-based and frequency-enhanced baselines, while maintaining computational efficiency.

VITAL: Visual-Semantic Dual Supervision for Enhanced and Interpretable Latent Reasoning in Medical MLLMs

Latent reasoning enables reasoning over continuous hidden states rather than explicit tokens, avoiding the language bottleneck and inference overhead of chain-of-thought for medical VQA. However, existing methods suffer from modality collapse, insufficient visual supervision, and train-inference mismatch. Moreover, their opaque latent states offer no interpretability, which is critical in clinical applications. We propose VITAL, a latent-space reasoning framework for medical MLLMs with visual-semantic dual supervision: an auxiliary text decoder reconstructs reasoning chains from latent states, while a visual projector regresses ROI features from a frozen, independent medical vision encoder. Both modules are discarded at inference with zero overhead, yet can be re-attached post-hoc for dual interpretability, providing textual and visual explanations of the reasoning process without sacrificing efficiency. We construct a 61K dataset spanning 9 imaging modalities, exceeding prior medical visual latent reasoning datasets by an order of magnitude. Experiments on 7 benchmarks show that VITAL consistently and substantially outperforms the backbone, all latent reasoning baselines, and medical MLLMs trained on far larger data, achieving state-of-the-art results competitive with trillion-parameter proprietary models.