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.
Haoyu Yang, Meixing Shi, Zengjie Chen et al.· 0 citations
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.
C.J. Yan, Yang Zhou, Meixing Shi et al.· 0 citations
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, and introduces adaptive domain merging to improve parameter scalability and a two-stage optimization strategy to stabilize expert specialization during continual learning.
Rui Cheng, Meixing Shi, Yuxiang Cai et al.· 0 citations