BioMedVR: Confusion-Aware Mixture-of-Prompt Experts for Biomedical Visual Reprogramming

Recent advances in vision-language models (VLMs) such as CLIP have demonstrated strong generalization across natural-image domains. However, adapting these models to biomedical imaging is non-trivial: full-model fine-tuning is computationally expensive, while medical data are often scarce and exhibit subtle, fine-grained inter-class differences, making parameter-efficient adaptation particularly critical. Visual Reprogramming (VR) offers a parameter-efficient alternative by injecting learnable perturbations into the input space, but existing VR approaches for VLMs mainly focus on positive class prompts and overlook confusing negatives, leading to miscalibrated predictions in fine-grained medical scenarios. We present BioMedVR, the first VR-based framework for biomedical imaging, enabling few-shot adaptation of pretrained VLMs through compact learnable VR modules. To mitigate class confusion, we introduce a Confusion Minimization Mechanism that leverages LLM-generated confusion-aware attributes together with a Confusion-Suppression Loss to explicitly reduce false-positive alignment. Moreover, the designed Mixture-of-Prompt Experts combines a positive expert for main-class discrimination and a negative expert for confusion suppression, balanced via adaptive gating. Extensive experiments on 18 datasets, including 11 biomedical datasets and 7 natural image benchmarks, demonstrate that BioMedVR achieves superior accuracy and generalization, effectively bridging VR and VLMs in biomedical domains.

VideoWeaver: Evaluating and Evolving Skills for Agentic Long Video Generation

Recent agent frameworks such as Claude Code, Codex, and OpenClaw are strong at tool use and orchestration, but whether they can handle long video generation, a long-horizon multimodal task, remains underexplored. Unlike earlier video agents whose pipeline is handcrafted, these frameworks can build and refine their own workflows. We introduce VideoWeaver, an agent harness and benchmark that evaluates and evolves skills for long video generation, where an agent turns a single instruction into a long video by composing foundation skills into its own workflow rather than following a predefined pipeline. The benchmark has 16 task categories and 285 cases, with references spanning text, image, audio, video, and their combinations. Because errors can arise at any stage and not just in the final video, we propose an agent-as-judge that inspects both the execution trace and the final video, grounding its scores in evidence such as metadata and intermediate files. Using this feedback, we further design a skill evolution algorithm that refines and merges the agent's skills. Across multiple frameworks and models, we find that an explicit composition skill improves the generation process over using foundation skills alone, that skill evolution further improves output quality, and that performance varies notably across harness and model choices. The proposed agent-as-judge also aligns well with human judgments, especially on process metrics. Code and dataset is available at https://github.com/JianhuiWei7/VideoWeaver

Med-R2: An Adversarial Benchmark for Evidence-Grounded Reasoning in Medical VLMs

Vision-language models have demonstrated impressive capabilities in general medical visual question answering, yet due to limited interpretability, it remains unclear whether their predictions reflect evidence-grounded clinical reasoning or reliance on spurious priors. We introduce Med-R2 Bench, a hierarchical benchmark aligned with the clinical workflow to evaluate adversarial robustness with visual grounding. We design stepwise QA tasks to assess whether reasoning chains are strictly grounded in visual evidence across the four clinical stages, and employ adversarial perturbations to test robustness against misleading cues. Med-R2 comprises 42,432 images, 31 task categories, and 110,406 QA pairs. Evaluation across 14 VLMs reveals a sequential performance degradation along the four-stage clinical workflow. Adversarial experiments show that models rely heavily on correct prompts to guess answers. Even when provided with explicit visual cues, the models struggle to accurately align textual descriptions. Finally, we demonstrate stepwise fine-tuning using our hierarchical data significantly improves reasoning robustness, highlighting its potential to drive future improvements in evidence-based medical AI.

How Far Are Video Models from True Multimodal Reasoning?

Despite remarkable progress toward general-purpose video models, a critical question remains unanswered: how far are these models from achieving true multimodal reasoning? Existing benchmarks fail to address this question rigorously, as they remain constrained by straightforward task designs and fragmented evaluation metrics that neglect complex multimodal reasoning. To bridge this gap, we introduce CLVG-Bench, an evaluation framework designed to probe video models' zero-shot reasoning capabilities via Context Learning in Video Generation. CLVG-Bench comprises more than 1,000 high-quality, manually annotated metadata across 6 categories and 47 subcategories, covering complex scenarios including physical simulation, logical reasoning, and interactive contexts. To enable rigorous and scalable assessment, we further propose an Adaptive Video Evaluator (AVE) that aligns with human expert perception using minimal annotations, delivering interpretable textual feedback across diverse video context tasks. Extensive experiments reveal a striking answer to our central question: while state-of-the-art (SOTA) video models, such as Seedance 2.0, demonstrate competence on certain understanding and reasoning subtasks, they fall substantially short with logically grounded and interactive generation tasks (achieving success rates <25% and ~0%, respectively), exposing multimodal reasoning and physical grounding as critical bottlenecks. By systematically quantifying these limitations, the proposed method provides actionable feedbacks and a clear roadmap toward truly robust, general-purpose video models. CLVG-Bench and code are released here.

PBE-UNet: A light weight Progressive Boundary-Enhanced U-Net with Scale-Aware Aggregation for Ultrasound Image Segmentation

Accurate lesion segmentation in ultrasound images is essential for preventive screening and clinical diagnosis, yet remains challenging due to low contrast, blurry boundaries, and significant scale variations. Although existing deep learning-based methods have achieved remarkable performance, these methods still struggle with scale variations and indistinct tumor boundaries. To address these challenges, we propose a progressive boundary enhanced U-Net (PBE-UNet). Specially, we first introduce a scale-aware aggregation module (SAAM) that dynamically adjusts its receptive field to capture robust multi-scale contextual information. Then, we propose a boundary-guided feature enhancement (BGFE) module to enhance the feature representations. We find that there are large gaps between the narrow boundary and the wide segmentation error areas. Unlike existing methods that treat boundaries as static masks, the BGFE module progressively expands the narrow boundary prediction into broader spatial attention maps. Thus, broader spatial attention maps could effectively cover the wider segmentation error regions and enhance the model's focus on these challenging areas. We conduct expensive experiments on four benchmark ultrasound datasets, BUSI, Dataset B, TN3K, and BP. The experimental results how that our proposed PBE-UNet outperforms state-of-the-art ultrasound image segmentation methods. The code is at https://github.com/cruelMouth/PBE-UNet.

Scaling Video Pretraining for Surgical Foundation Models

Surgical video understanding is essential for computer-assisted interventions, yet existing surgical foundation models remain constrained by limited data scale, procedural diversity, and inconsistent evaluation, often lacking a reproducible training pipeline. We propose SurgRec, a scalable and reproducible pretraining recipe for surgical video understanding, instantiated with two variants: SurgRec-MAE and SurgRec-JEPA. We curate a large multi-source corpus of 10,535 videos and 214.5M frames spanning endoscopy, laparoscopy, cataract, and robotic surgery. Building on this corpus, we develop a unified pretraining pipeline with balanced sampling and standardize a reproducible benchmark across 16 downstream datasets and four clinical domains with consistent data splits. Across extensive comparisons against SSL baselines and vision-language models, SurgRec consistently achieves superior performance across downstream datasets. In contrast, VLMs prove unreliable for fine-grained temporal recognition, exhibiting both performance gaps and sensitivity to prompt phrasing. Our work provides a reproducible, scalable foundation for the community to build more general surgical video models. All code, models, and data will be publicly released.

HICT: High-precision 3D CBCT reconstruction from a single X-ray

Accurate 3D dental imaging is vital for diagnosis and treatment planning, yet CBCT's high radiation dose and cost limit its accessibility. Reconstructing 3D volumes from a single low-dose panoramic X-ray is a promising alternative but remains challenging due to geometric inconsistencies and limited accuracy. We propose HiCT, a two-stage framework that first generates geometrically consistent multi-view projections from a single panoramic image using a video diffusion model, and then reconstructs high-fidelity CBCT from the projections using a ray-based dynamic attention network and an X-ray sampling strategy. To support this, we built XCT, a large-scale dataset combining public CBCT data with 500 paired PX-CBCT cases. Extensive experiments show that HiCT achieves state-of-the-art performance, delivering accurate and geometrically consistent reconstructions for clinical use.

Optimsyn: Influence-Guided Rubrics Optimization for Synthetic Data Generation

Large language models (LLMs) achieve strong downstream performance largely due to abundant supervised fine-tuning (SFT) data. However, high-quality SFT data in knowledge-intensive domains such as humanities, social sciences, medicine, law, and finance is scarce because expert curation is expensive, privacy constraints are strict, and label consistency is hard to ensure. Recent work uses synthetic data, typically by prompting a generator over domain documents and filtering outputs with handcrafted rubrics. Yet rubric design is expert-dependent, transfers poorly across domains, and is often optimized through a brittle heuristic loop of writing rubrics, synthesizing data, training, inspecting results, and manually guessing revisions. This process lacks reliable quantitative feedback about how a rubric affects downstream performance. We propose evaluating synthetic data by its training utility on the target model and using this signal to guide data generation. Inspired by influence estimation, we adopt an optimizer-aware estimator that uses gradient information to quantify each synthetic sample's contribution to a target model's objective on specific tasks. Our analysis shows that even when synthetic and real samples are close in embedding space, their influence on learning can differ substantially. Based on this insight, we propose an optimization-based framework that adapts rubrics using target-model feedback. We provide lightweight guiding text and use a rubric-specialized model to generate task-conditioned rubrics. Influence score is used as the reward to optimize the rubric generator with reinforcement learning. Experiments across domains, target models, and data generators show consistent improvements and strong generalization without task-specific tuning.

AgentSwing: Adaptive Parallel Context Management Routing for Long-Horizon Web Agents

As large language models (LLMs) evolve into autonomous agents for long-horizon information-seeking, managing finite context capacity has become a critical bottleneck. Existing context management methods typically commit to a single fixed strategy throughout the entire trajectory. Such static designs may work well in some states, but they cannot adapt as the usefulness and reliability of the accumulated context evolve during long-horizon search. To formalize this challenge, we introduce a probabilistic framework that characterizes long-horizon success through two complementary dimensions: search efficiency and terminal precision. Building on this perspective, we propose AgentSwing, a state-aware adaptive parallel context management routing framework. At each trigger point, AgentSwing expands multiple context-managed branches in parallel and uses lookahead routing to select the most promising continuation. Experiments across diverse benchmarks and agent backbones show that AgentSwing consistently outperforms strong static context management methods, often matching or exceeding their performance with up to $3\times$ fewer interaction turns while also improving the ultimate performance ceiling of long-horizon web agents. Beyond the empirical gains, the proposed probabilistic framework provides a principled lens for analyzing and designing future context management strategies for long-horizon agents.

Learning Transferable Temporal Primitives for Video Reasoning via Synthetic Videos

The transition from image to video understanding requires vision-language models (VLMs) to shift from recognizing static patterns to reasoning over temporal dynamics such as motion trajectories, speed changes, and state transitions. Yet current post-training methods fall short due to two critical limitations: (1) existing datasets often lack temporal-centricity, where answers can be inferred from isolated keyframes rather than requiring holistic temporal integration; and (2) training data generated by proprietary models contains systematic errors in fundamental temporal perception, such as confusing motion directions or misjudging speeds. We introduce SynRL, a post-training framework that teaches models temporal primitives, the fundamental building blocks of temporal understanding including direction, speed, and state tracking. Our key insight is that these abstract primitives, learned from programmatically generated synthetic videos, transfer effectively to real-world scenarios. We decompose temporal understanding into short-term perceptual primitives (speed, direction) and long-term cognitive primitives, constructing 7.7K CoT and 7K RL samples with ground-truth frame-level annotations through code-based video generation. Despite training on simple geometric shapes, SynRL achieves substantial improvements across 15 benchmarks spanning temporal grounding, complex reasoning, and general video understanding. Remarkably, our 7.7K synthetic CoT samples outperform Video-R1 with 165K real-world samples. We attribute this to fundamental temporal skills, such as tracking frame by frame changes and comparing velocity, that transfer effectively from abstract synthetic patterns to complex real-world scenarios. This establishes a new paradigm for video post-training: video temporal learning through carefully designed synthetic data provides a more cost efficient scaling path.