Daily Papers

Excellence in a wide variety of medical applications poses considerable challenges for AI, requiring advanced reasoning, access to up-to-date medical knowledge and understanding of complex multimodal data. Gemini models, with strong general capabilities in multimodal and long-context reasoning, offer exciting possibilities in medicine. Building on these core strengths of Gemini, we introduce Med-Gemini, a family of highly capable multimodal models that are specialized in medicine with the ability to seamlessly use web search, and that can be efficiently tailored to novel modalities using custom encoders. We evaluate Med-Gemini on 14 medical benchmarks, establishing new state-of-the-art (SoTA) performance on 10 of them, and surpass the GPT-4 model family on every benchmark where a direct comparison is viable, often by a wide margin. On the popular MedQA (USMLE) benchmark, our best-performing Med-Gemini model achieves SoTA performance of 91.1% accuracy, using a novel uncertainty-guided search strategy. On 7 multimodal benchmarks including NEJM Image Challenges and MMMU (health & medicine), Med-Gemini improves over GPT-4V by an average relative margin of 44.5%. We demonstrate the effectiveness of Med-Gemini's long-context capabilities through SoTA performance on a needle-in-a-haystack retrieval task from long de-identified health records and medical video question answering, surpassing prior bespoke methods using only in-context learning. Finally, Med-Gemini's performance suggests real-world utility by surpassing human experts on tasks such as medical text summarization, alongside demonstrations of promising potential for multimodal medical dialogue, medical research and education. Taken together, our results offer compelling evidence for Med-Gemini's potential, although further rigorous evaluation will be crucial before real-world deployment in this safety-critical domain.

Retrieving relevant instructional videos from multilingual medical archives is crucial for answering complex, multi-hop questions across language boundaries. However, existing systems either compress hour-long videos into coarse embeddings or incur prohibitive costs for fine-grained matching. We tackle the Multilingual Video Corpus Retrieval (mVCR) task in the NLPCC-2025 M4IVQA challenge with a multi-stage framework that integrates multilingual semantics, domain terminology, and efficient long-form processing. Video subtitles are divided into semantically coherent chunks, enriched with concise knowledge-graph (KG) facts, and organized into a hierarchical tree whose node embeddings are generated by a language-agnostic multilingual encoder. At query time, the same encoder embeds the input question; a coarse-to-fine tree search prunes irrelevant branches, and only the top-ranked chunks are re-scored by a lightweight large language model (LLM). This design avoids exhaustive cross-encoder scoring while preserving chunk-level precision. Experiments on the mVCR test set demonstrate state-of-the-art performance, and ablation studies confirm the complementary contributions of KG enrichment, hierarchical indexing, and targeted LLM re-ranking. The proposed method offers an accurate and scalable solution for multilingual retrieval in specialized medical video collections.

Despite the number of currently available datasets on video question answering, there still remains a need for a dataset involving multi-step and non-factoid answers. Moreover, relying on video transcripts remains an under-explored topic. To adequately address this, We propose a new question answering task on instructional videos, because of their verbose and narrative nature. While previous studies on video question answering have focused on generating a short text as an answer, given a question and video clip, our task aims to identify a span of a video segment as an answer which contains instructional details with various granularities. This work focuses on screencast tutorial videos pertaining to an image editing program. We introduce a dataset, TutorialVQA, consisting of about 6,000manually collected triples of (video, question, answer span). We also provide experimental results with several baselines algorithms using the video transcripts. The results indicate that the task is challenging and call for the investigation of new algorithms.

Video Question Answering (Video QA) requires fine-grained understanding of both video and language modalities to answer the given questions. In this paper, we propose novel training schemes for multiple-choice video question answering with a self-supervised pre-training stage and a supervised contrastive learning in the main stage as an auxiliary learning. In the self-supervised pre-training stage, we transform the original problem format of predicting the correct answer into the one that predicts the relevant question to provide a model with broader contextual inputs without any further dataset or annotation. For contrastive learning in the main stage, we add a masking noise to the input corresponding to the ground-truth answer, and consider the original input of the ground-truth answer as a positive sample, while treating the rest as negative samples. By mapping the positive sample closer to the masked input, we show that the model performance is improved. We further employ locally aligned attention to focus more effectively on the video frames that are particularly relevant to the given corresponding subtitle sentences. We evaluate our proposed model on highly competitive benchmark datasets related to multiple-choice video QA: TVQA, TVQA+, and DramaQA. Experimental results show that our model achieves state-of-the-art performance on all datasets. We also validate our approaches through further analyses.

Video question answering (VideoQA) is a complex task that requires diverse multi-modal data for training. Manual annotation of question and answers for videos, however, is tedious and prohibits scalability. To tackle this problem, recent methods consider zero-shot settings with no manual annotation of visual question-answer. In particular, a promising approach adapts frozen autoregressive language models pretrained on Web-scale text-only data to multi-modal inputs. In contrast, we here build on frozen bidirectional language models (BiLM) and show that such an approach provides a stronger and cheaper alternative for zero-shot VideoQA. In particular, (i) we combine visual inputs with the frozen BiLM using light trainable modules, (ii) we train such modules using Web-scraped multi-modal data, and finally (iii) we perform zero-shot VideoQA inference through masked language modeling, where the masked text is the answer to a given question. Our proposed approach, FrozenBiLM, outperforms the state of the art in zero-shot VideoQA by a significant margin on a variety of datasets, including LSMDC-FiB, iVQA, MSRVTT-QA, MSVD-QA, ActivityNet-QA, TGIF-FrameQA, How2QA and TVQA. It also demonstrates competitive performance in the few-shot and fully-supervised setting. Our code and models are publicly available at https://github.com/antoyang/FrozenBiLM.

Recent developments in modeling language and vision have been successfully applied to image question answering. It is both crucial and natural to extend this research direction to the video domain for video question answering (VideoQA). Compared to the image domain where large scale and fully annotated benchmark datasets exists, VideoQA datasets are limited to small scale and are automatically generated, etc. These limitations restrict their applicability in practice. Here we introduce ActivityNet-QA, a fully annotated and large scale VideoQA dataset. The dataset consists of 58,000 QA pairs on 5,800 complex web videos derived from the popular ActivityNet dataset. We present a statistical analysis of our ActivityNet-QA dataset and conduct extensive experiments on it by comparing existing VideoQA baselines. Moreover, we explore various video representation strategies to improve VideoQA performance, especially for long videos. The dataset is available at https://github.com/MILVLG/activitynet-qa

Video Question Answering (VideoQA) is a challenging task that entails complex multi-modal reasoning. In contrast to multiple-choice VideoQA which aims to predict the answer given several options, the goal of open-ended VideoQA is to answer questions without restricting candidate answers. However, the majority of previous VideoQA models formulate open-ended VideoQA as a classification task to classify the video-question pairs into a fixed answer set, i.e., closed-vocabulary, which contains only frequent answers (e.g., top-1000 answers). This leads the model to be biased toward only frequent answers and fail to generalize on out-of-vocabulary answers. We hence propose a new benchmark, Open-vocabulary Video Question Answering (OVQA), to measure the generalizability of VideoQA models by considering rare and unseen answers. In addition, in order to improve the model's generalization power, we introduce a novel GNN-based soft verbalizer that enhances the prediction on rare and unseen answers by aggregating the information from their similar words. For evaluation, we introduce new baselines by modifying the existing (closed-vocabulary) open-ended VideoQA models and improve their performances by further taking into account rare and unseen answers. Our ablation studies and qualitative analyses demonstrate that our GNN-based soft verbalizer further improves the model performance, especially on rare and unseen answers. We hope that our benchmark OVQA can serve as a guide for evaluating the generalizability of VideoQA models and inspire future research. Code is available at https://github.com/mlvlab/OVQA.

Retrieval-augmented models have proven to be effective in natural language processing tasks, yet there remains a lack of research on their optimization using variational inference. We introduce the Variational Open-Domain (VOD) framework for end-to-end training and evaluation of retrieval-augmented models, focusing on open-domain question answering and language modelling. The VOD objective, a self-normalized estimate of the R\'enyi variational bound, approximates the task marginal likelihood and is evaluated under samples drawn from an auxiliary sampling distribution (cached retriever and/or approximate posterior). It remains tractable, even for retriever distributions defined on large corpora. We demonstrate VOD's versatility by training reader-retriever BERT-sized models on multiple-choice medical exam questions. On the MedMCQA dataset, we outperform the domain-tuned Med-PaLM by +5.3% despite using 2.500times fewer parameters. Our retrieval-augmented BioLinkBERT model scored 62.9% on the MedMCQA and 55.0% on the MedQA-USMLE. Last, we show the effectiveness of our learned retriever component in the context of medical semantic search.

In this paper, we focus on the problem of Medical Visual Question Answering (MedVQA), which is crucial in efficiently interpreting medical images with vital clinic-relevant information. Firstly, we reframe the problem of MedVQA as a generation task that naturally follows the human-machine interaction, we propose a generative-based model for medical visual understanding by aligning visual information from a pre-trained vision encoder with a large language model. Secondly, we establish a scalable pipeline to construct a large-scale medical visual question-answering dataset, named PMC-VQA, which contains 227k VQA pairs of 149k images that cover various modalities or diseases. Thirdly, we pre-train our proposed model on PMC-VQA and then fine-tune it on multiple public benchmarks, e.g., VQA-RAD and SLAKE, outperforming existing work by a large margin. Additionally, we propose a test set that has undergone manual verification, which is significantly more challenging, even the best models struggle to solve.

Medical visual question answering (VQA) is a challenging multimodal task, where Vision-Language Pre-training (VLP) models can effectively improve the generalization performance. However, most methods in the medical field treat VQA as an answer classification task which is difficult to transfer to practical application scenarios. Additionally, due to the privacy of medical images and the expensive annotation process, large-scale medical image-text pairs datasets for pretraining are severely lacking. In this paper, we propose a large-scale MultI-task Self-Supervised learning based framework (MISS) for medical VQA tasks. Unlike existing methods, we treat medical VQA as a generative task. We unify the text encoder and multimodal encoder and align image-text features through multi-task learning. Furthermore, we propose a Transfer-and-Caption method that extends the feature space of single-modal image datasets using large language models (LLMs), enabling those traditional medical vision field task data to be applied to VLP. Experiments show that our method achieves excellent results with fewer multimodal datasets and demonstrates the advantages of generative VQA models. The code and model weights will be released upon the paper's acceptance.

Medical visual question answering (VQA) aims to answer clinically relevant questions regarding input medical images. This technique has the potential to improve the efficiency of medical professionals while relieving the burden on the public health system, particularly in resource-poor countries. Existing medical VQA methods tend to encode medical images and learn the correspondence between visual features and questions without exploiting the spatial, semantic, or medical knowledge behind them. This is partially because of the small size of the current medical VQA dataset, which often includes simple questions. Therefore, we first collected a comprehensive and large-scale medical VQA dataset, focusing on chest X-ray images. The questions involved detailed relationships, such as disease names, locations, levels, and types in our dataset. Based on this dataset, we also propose a novel baseline method by constructing three different relationship graphs: spatial relationship, semantic relationship, and implicit relationship graphs on the image regions, questions, and semantic labels. The answer and graph reasoning paths are learned for different questions.

Medical visual question answering (Med-VQA) has tremendous potential in healthcare. However, the development of this technology is hindered by the lacking of publicly-available and high-quality labeled datasets for training and evaluation. In this paper, we present a large bilingual dataset, SLAKE, with comprehensive semantic labels annotated by experienced physicians and a new structural medical knowledge base for Med-VQA. Besides, SLAKE includes richer modalities and covers more human body parts than the currently available dataset. We show that SLAKE can be used to facilitate the development and evaluation of Med-VQA systems. The dataset can be downloaded from http://www.med-vqa.com/slake.

Video Question Answering (VideoQA) has been significantly advanced from the scaling of recent Large Language Models (LLMs). The key idea is to convert the visual information into the language feature space so that the capacity of LLMs can be fully exploited. Existing VideoQA methods typically take two paradigms: (1) learning cross-modal alignment, and (2) using an off-the-shelf captioning model to describe the visual data. However, the first design needs costly training on many extra multi-modal data, whilst the second is further limited by limited domain generalization. To address these limitations, a simple yet effective Retrieving-to-Answer (R2A) framework is proposed.Given an input video, R2A first retrieves a set of semantically similar texts from a generic text corpus using a pre-trained multi-modal model (e.g., CLIP). With both the question and the retrieved texts, a LLM (e.g., DeBERTa) can be directly used to yield a desired answer. Without the need for cross-modal fine-tuning, R2A allows for all the key components (e.g., LLM, retrieval model, and text corpus) to plug-and-play. Extensive experiments on several VideoQA benchmarks show that despite with 1.3B parameters and no fine-tuning, our R2A can outperform the 61 times larger Flamingo-80B model even additionally trained on nearly 2.1B multi-modal data.

Video Question Answering (VideoQA) aims to answer natural language questions based on the information observed in videos. Despite the recent success of Large Multimodal Models (LMMs) in image-language understanding and reasoning, they deal with VideoQA insufficiently by simply taking uniformly sampled frames as visual inputs, which ignores question-relevant visual clues. Moreover, there are no human annotations for question-critical timestamps in existing VideoQA datasets. In light of this, we propose a novel weakly supervised framework to enforce the LMMs to reason out the answers with question-critical moments as visual inputs. Specifically, we fuse the question and answer pairs as event descriptions to find multiple keyframes as target moments, which will be pseudo-labels. With these pseudo-labels as additionally weak supervision, we devise a lightweight Gaussian-based Contrastive Grounding (GCG) module. GCG learns multiple Gaussian functions to characterize the temporal structure of the video, and sample question-critical frames as positive moments to be the visual inputs of LMMs. Extensive experiments on several VideoQA benchmarks verify the effectiveness of our framework, and we achieve substantial improvements compared to previous state-of-the-art methods.

Video Question Answering (VideoQA) requires identifying sparse critical moments in long videos and reasoning about their causal relationships to answer semantically complex questions. While recent advances in multimodal learning have improved alignment and fusion, current approaches remain limited by two prevalent but fundamentally flawed strategies: (1) task-agnostic sampling indiscriminately processes all frames, overwhelming key events with irrelevant content; and (2) heuristic retrieval captures superficial patterns but misses causal-temporal structures needed for complex reasoning. To address these challenges, we introduce LeAdQA, an innovative approach that bridges these gaps through synergizing causal-aware query refinement with fine-grained visual grounding. Our method first leverages LLMs to reformulate question-option pairs, resolving causal ambiguities and sharpening temporal focus. These refined queries subsequently direct a temporal grounding model to precisely retrieve the most salient segments, complemented by an adaptive fusion mechanism dynamically integrating the evidence to maximize relevance. The integrated visual-textual cues are then processed by an MLLM to generate accurate, contextually-grounded answers. Experiments on NExT-QA, IntentQA, and NExT-GQA demonstrate that our method's precise visual grounding substantially enhances the understanding of video-question relationships, achieving state-of-the-art (SOTA) performance on complex reasoning tasks while maintaining computational efficiency.

Medical Visual Question Answering (Med-VQA) combines computer vision and natural language processing to automatically answer clinical inquiries about medical images. However, current Med-VQA datasets exhibit two significant limitations: (1) they often lack visual and textual explanations for answers, hindering comprehension for patients and junior doctors; (2) they typically offer a narrow range of question formats, inadequately reflecting the diverse requirements in practical scenarios. These limitations pose significant challenges to the development of a reliable and user-friendly Med-VQA system. To address these challenges, we introduce a large-scale, Groundable, and Explainable Medical VQA benchmark for chest X-ray diagnosis (GEMeX), featuring several innovative components: (1) a multi-modal explainability mechanism that offers detailed visual and textual explanations for each question-answer pair, thereby enhancing answer comprehensibility; (2) four question types, open-ended, closed-ended, single-choice, and multiple-choice, to better reflect practical needs. With 151,025 images and 1,605,575 questions, GEMeX is the currently largest chest X-ray VQA dataset. Evaluation of 12 representative large vision language models (LVLMs) on GEMeX reveals suboptimal performance, underscoring the dataset's complexity. Meanwhile, we propose a strong model by fine-tuning an existing LVLM on the GEMeX training set. The substantial performance improvement showcases the dataset's effectiveness. The benchmark is available at https://www.med-vqa.com/GEMeX.

The advancement of Large Vision Language Models (LVLMs) has significantly improved multimodal understanding, yet challenges remain in video reasoning tasks due to the scarcity of high-quality, large-scale datasets. Existing video question-answering (VideoQA) datasets often rely on costly manual annotations with insufficient granularity or automatic construction methods with redundant frame-by-frame analysis, limiting their scalability and effectiveness for complex reasoning. To address these challenges, we introduce VideoEspresso, a novel dataset that features VideoQA pairs preserving essential spatial details and temporal coherence, along with multimodal annotations of intermediate reasoning steps. Our construction pipeline employs a semantic-aware method to reduce redundancy, followed by generating QA pairs using GPT-4o. We further develop video Chain-of-Thought (CoT) annotations to enrich reasoning processes, guiding GPT-4o in extracting logical relationships from QA pairs and video content. To exploit the potential of high-quality VideoQA pairs, we propose a Hybrid LVLMs Collaboration framework, featuring a Frame Selector and a two-stage instruction fine-tuned reasoning LVLM. This framework adaptively selects core frames and performs CoT reasoning using multimodal evidence. Evaluated on our proposed benchmark with 14 tasks against 9 popular LVLMs, our method outperforms existing baselines on most tasks, demonstrating superior video reasoning capabilities. Our code and dataset will be released at: https://github.com/hshjerry/VideoEspresso

We present Q-ViD, a simple approach for video question answering (video QA), that unlike prior methods, which are based on complex architectures, computationally expensive pipelines or use closed models like GPTs, Q-ViD relies on a single instruction-aware open vision-language model (InstructBLIP) to tackle videoQA using frame descriptions. Specifically, we create captioning instruction prompts that rely on the target questions about the videos and leverage InstructBLIP to obtain video frame captions that are useful to the task at hand. Subsequently, we form descriptions of the whole video using the question-dependent frame captions, and feed that information, along with a question-answering prompt, to a large language model (LLM). The LLM is our reasoning module, and performs the final step of multiple-choice QA. Our simple Q-ViD framework achieves competitive or even higher performances than current state of the art models on a diverse range of videoQA benchmarks, including NExT-QA, STAR, How2QA, TVQA and IntentQA.

Existing medical VQA benchmarks mostly focus on single-image analysis, yet clinicians almost always compare a series of images before reaching a diagnosis. To better approximate this workflow, we introduce MedFrameQA -- the first benchmark that explicitly evaluates multi-image reasoning in medical VQA. To build MedFrameQA both at scale and in high-quality, we develop 1) an automated pipeline that extracts temporally coherent frames from medical videos and constructs VQA items whose content evolves logically across images, and 2) a multiple-stage filtering strategy, including model-based and manual review, to preserve data clarity, difficulty, and medical relevance. The resulting dataset comprises 2,851 VQA pairs (gathered from 9,237 high-quality frames in 3,420 videos), covering nine human body systems and 43 organs; every question is accompanied by two to five images. We comprehensively benchmark ten advanced Multimodal LLMs -- both proprietary and open source, with and without explicit reasoning modules -- on MedFrameQA. The evaluation challengingly reveals that all models perform poorly, with most accuracies below 50%, and accuracy fluctuates as the number of images per question increases. Error analysis further shows that models frequently ignore salient findings, mis-aggregate evidence across images, and propagate early mistakes through their reasoning chains; results also vary substantially across body systems, organs, and modalities. We hope this work can catalyze research on clinically grounded, multi-image reasoning and accelerate progress toward more capable diagnostic AI systems.

Video content creators need efficient tools to repurpose content, a task that often requires complex manual or automated searches. Crafting a new video from large video libraries remains a challenge. In this paper we introduce the task of Video Library Question Answering (VLQA) through an interoperable architecture that applies Retrieval Augmented Generation (RAG) to video libraries. We propose a system that uses large language models (LLMs) to generate search queries, retrieving relevant video moments indexed by speech and visual metadata. An answer generation module then integrates user queries with this metadata to produce responses with specific video timestamps. This approach shows promise in multimedia content retrieval, and AI-assisted video content creation.

Recently we have witnessed the rapid development of video question answering models. However, most models can only handle simple videos in terms of temporal reasoning, and their performance tends to drop when answering temporal-reasoning questions on long and informative videos. To tackle this problem we propose STAIR, a Spatial-Temporal Reasoning model with Auditable Intermediate Results for video question answering. STAIR is a neural module network, which contains a program generator to decompose a given question into a hierarchical combination of several sub-tasks, and a set of lightweight neural modules to complete each of these sub-tasks. Though neural module networks are already widely studied on image-text tasks, applying them to videos is a non-trivial task, as reasoning on videos requires different abilities. In this paper, we define a set of basic video-text sub-tasks for video question answering and design a set of lightweight modules to complete them. Different from most prior works, modules of STAIR return intermediate outputs specific to their intentions instead of always returning attention maps, which makes it easier to interpret and collaborate with pre-trained models. We also introduce intermediate supervision to make these intermediate outputs more accurate. We conduct extensive experiments on several video question answering datasets under various settings to show STAIR's performance, explainability, compatibility with pre-trained models, and applicability when program annotations are not available. Code: https://github.com/yellow-binary-tree/STAIR

In this paper, we critically evaluate the capabilities of the state-of-the-art multimodal large language model, i.e., GPT-4 with Vision (GPT-4V), on Visual Question Answering (VQA) task. Our experiments thoroughly assess GPT-4V's proficiency in answering questions paired with images using both pathology and radiology datasets from 11 modalities (e.g. Microscopy, Dermoscopy, X-ray, CT, etc.) and fifteen objects of interests (brain, liver, lung, etc.). Our datasets encompass a comprehensive range of medical inquiries, including sixteen distinct question types. Throughout our evaluations, we devised textual prompts for GPT-4V, directing it to synergize visual and textual information. The experiments with accuracy score conclude that the current version of GPT-4V is not recommended for real-world diagnostics due to its unreliable and suboptimal accuracy in responding to diagnostic medical questions. In addition, we delineate seven unique facets of GPT-4V's behavior in medical VQA, highlighting its constraints within this complex arena. The complete details of our evaluation cases are accessible at https://github.com/ZhilingYan/GPT4V-Medical-Report.

Recent methods for visual question answering rely on large-scale annotated datasets. Manual annotation of questions and answers for videos, however, is tedious, expensive and prevents scalability. In this work, we propose to avoid manual annotation and generate a large-scale training dataset for video question answering making use of automatic cross-modal supervision. We leverage a question generation transformer trained on text data and use it to generate question-answer pairs from transcribed video narrations. Given narrated videos, we then automatically generate the HowToVQA69M dataset with 69M video-question-answer triplets. To handle the open vocabulary of diverse answers in this dataset, we propose a training procedure based on a contrastive loss between a video-question multi-modal transformer and an answer transformer. We introduce the zero-shot VideoQA task and show excellent results, in particular for rare answers. Furthermore, we demonstrate our method to significantly outperform the state of the art on MSRVTT-QA, MSVD-QA, ActivityNet-QA and How2QA. Finally, for a detailed evaluation we introduce iVQA, a new VideoQA dataset with reduced language biases and high-quality redundant manual annotations. Our code, datasets and trained models are available at https://antoyang.github.io/just-ask.html.

Instructional videos provide detailed how-to guides for various tasks, with viewers often posing questions regarding the content. Addressing these questions is vital for comprehending the content, yet receiving immediate answers is difficult. While numerous computational models have been developed for Video Question Answering (Video QA) tasks, they are primarily trained on questions generated based on video content, aiming to produce answers from within the content. However, in real-world situations, users may pose questions that go beyond the video's informational boundaries, highlighting the necessity to determine if a video can provide the answer. Discerning whether a question can be answered by video content is challenging due to the multi-modal nature of videos, where visual and verbal information are intertwined. To bridge this gap, we present the YTCommentQA dataset, which contains naturally-generated questions from YouTube, categorized by their answerability and required modality to answer -- visual, script, or both. Experiments with answerability classification tasks demonstrate the complexity of YTCommentQA and emphasize the need to comprehend the combined role of visual and script information in video reasoning. The dataset is available at https://github.com/lgresearch/YTCommentQA.

Recent methods for visual question answering rely on large-scale annotated datasets. Manual annotation of questions and answers for videos, however, is tedious, expensive and prevents scalability. In this work, we propose to avoid manual annotation and generate a large-scale training dataset for video question answering making use of automatic cross-modal supervision. We leverage a question generation transformer trained on text data and use it to generate question-answer pairs from transcribed video narrations. Given narrated videos, we then automatically generate the HowToVQA69M dataset with 69M video-question-answer triplets. To handle the open vocabulary of diverse answers in this dataset, we propose a training procedure based on a contrastive loss between a video-question multi-modal transformer and an answer transformer. We introduce the zero-shot VideoQA task and the VideoQA feature probe evaluation setting and show excellent results, in particular for rare answers. Furthermore, our method achieves competitive results on MSRVTT-QA, ActivityNet-QA, MSVD-QA and How2QA datasets. We also show that our VideoQA dataset generation approach generalizes to another source of web video and text data. We use our method to generate the WebVidVQA3M dataset from the WebVid dataset, i.e., videos with alt-text annotations, and show its benefits for training VideoQA models. Finally, for a detailed evaluation we introduce iVQA, a new VideoQA dataset with reduced language bias and high-quality manual annotations. Code, datasets and trained models are available at https://antoyang.github.io/just-ask.html

Medical Visual Question Answering (MedVQA), which offers language responses to image-based medical inquiries, represents a challenging task and significant advancement in healthcare. It assists medical experts to swiftly interpret medical images, thereby enabling faster and more accurate diagnoses. However, the model interpretability and transparency of existing MedVQA solutions are often limited, posing challenges in understanding their decision-making processes. To address this issue, we devise a semi-automated annotation process to streamline data preparation and build new benchmark MedVQA datasets R-RAD, R-SLAKE and R-Path. These datasets provide intermediate medical decision-making rationales generated by multimodal large language models and human annotations for question-answering pairs in existing MedVQA datasets, i.e., VQA-RAD, SLAKE and PathVQA. Moreover, we design a novel framework, MedThink, which finetunes lightweight pretrained generative models by incorporating medical decision-making rationales. MedThink includes three distinct strategies to generate decision outcomes and corresponding rationales, thereby clearly showcasing the medical decision-making process during reasoning. Our comprehensive experiments show that our method achieves an accuracy of 83.5% on R-RAD, 86.3% on R-SLAKE and 87.2% on R-Path. These results significantly exceed those of existing state-of-the-art models with comparable parameters. Datasets and code will be released.

Large language models have demonstrated impressive performance when integrated with vision models even enabling video understanding. However, evaluating these video models presents its own unique challenges, for which several benchmarks have been proposed. In this paper, we show that the currently most used video-language benchmarks can be solved without requiring much temporal reasoning. We identified three main issues in existing datasets: (i) static information from single frames is often sufficient to solve the tasks (ii) the text of the questions and candidate answers is overly informative, allowing models to answer correctly without relying on any visual input (iii) world knowledge alone can answer many of the questions, making the benchmarks a test of knowledge replication rather than visual reasoning. In addition, we found that open-ended question-answering benchmarks for video understanding suffer from similar issues while the automatic evaluation process with LLMs is unreliable, making it an unsuitable alternative. As a solution, we propose TVBench, a novel open-source video multiple-choice question-answering benchmark, and demonstrate through extensive evaluations that it requires a high level of temporal understanding. Surprisingly, we find that most recent state-of-the-art video-language models perform similarly to random performance on TVBench, with only Gemini-Pro and Tarsier clearly surpassing this baseline.

Medical visual question answering aims to support clinical decision-making by enabling models to answer natural language questions based on medical images. While recent advances in multi-modal learning have significantly improved performance, current methods still suffer from limited answer reliability and poor interpretability, impairing the ability of clinicians and patients to understand and trust model-generated answers. To address this, this work first proposes a Thinking with Visual Grounding (ThinkVG) dataset wherein the answer generation is decomposed into intermediate reasoning steps that explicitly ground relevant visual regions of the medical image, thereby providing fine-grained explainability. Furthermore, we introduce a novel verifiable reward mechanism for reinforcement learning to guide post-training, improving the alignment between the model's reasoning process and its final answer. Remarkably, our method achieves comparable performance using only one-eighth of the training data, demonstrating the efficiency and effectiveness of the proposal. The dataset is available at https://huggingface.co/datasets/BoKelvin/GEMeX-ThinkVG.

Recent advances in video generation have shown remarkable progress in open-domain settings, yet medical video generation remains largely underexplored. Medical videos are critical for applications such as clinical training, education, and simulation, requiring not only high visual fidelity but also strict medical accuracy. However, current models often produce unrealistic or erroneous content when applied to medical prompts, largely due to the lack of large-scale, high-quality datasets tailored to the medical domain. To address this gap, we introduce MedVideoCap-55K, the first large-scale, diverse, and caption-rich dataset for medical video generation. It comprises over 55,000 curated clips spanning real-world medical scenarios, providing a strong foundation for training generalist medical video generation models. Built upon this dataset, we develop MedGen, which achieves leading performance among open-source models and rivals commercial systems across multiple benchmarks in both visual quality and medical accuracy. We hope our dataset and model can serve as a valuable resource and help catalyze further research in medical video generation. Our code and data is available at https://github.com/FreedomIntelligence/MedGen

Existing video understanding datasets mostly focus on human interactions, with little attention being paid to the "in the wild" settings, where the videos are recorded outdoors. We propose WILDQA, a video understanding dataset of videos recorded in outside settings. In addition to video question answering (Video QA), we also introduce the new task of identifying visual support for a given question and answer (Video Evidence Selection). Through evaluations using a wide range of baseline models, we show that WILDQA poses new challenges to the vision and language research communities. The dataset is available at https://lit.eecs.umich.edu/wildqa/.

Current medical question answering systems have difficulty processing long, detailed and informally worded questions submitted by patients, called Consumer Health Questions (CHQs). To address this issue, we introduce a medical question understanding and answering system with knowledge grounding and semantic self-supervision. Our system is a pipeline that first summarizes a long, medical, user-written question, using a supervised summarization loss. Then, our system performs a two-step retrieval to return answers. The system first matches the summarized user question with an FAQ from a trusted medical knowledge base, and then retrieves a fixed number of relevant sentences from the corresponding answer document. In the absence of labels for question matching or answer relevance, we design 3 novel, self-supervised and semantically-guided losses. We evaluate our model against two strong retrieval-based question answering baselines. Evaluators ask their own questions and rate the answers retrieved by our baselines and own system according to their relevance. They find that our system retrieves more relevant answers, while achieving speeds 20 times faster. Our self-supervised losses also help the summarizer achieve higher scores in ROUGE, as well as in human evaluation metrics. We release our code to encourage further research.

Vision and language understanding has emerged as a subject undergoing intense study in Artificial Intelligence. Among many tasks in this line of research, visual question answering (VQA) has been one of the most successful ones, where the goal is to learn a model that understands visual content at region-level details and finds their associations with pairs of questions and answers in the natural language form. Despite the rapid progress in the past few years, most existing work in VQA have focused primarily on images. In this paper, we focus on extending VQA to the video domain and contribute to the literature in three important ways. First, we propose three new tasks designed specifically for video VQA, which require spatio-temporal reasoning from videos to answer questions correctly. Next, we introduce a new large-scale dataset for video VQA named TGIF-QA that extends existing VQA work with our new tasks. Finally, we propose a dual-LSTM based approach with both spatial and temporal attention, and show its effectiveness over conventional VQA techniques through empirical evaluations.

This paper addresses the task of video question answering (videoQA) via a decomposed multi-stage, modular reasoning framework. Previous modular methods have shown promise with a single planning stage ungrounded in visual content. However, through a simple and effective baseline, we find that such systems can lead to brittle behavior in practice for challenging videoQA settings. Thus, unlike traditional single-stage planning methods, we propose a multi-stage system consisting of an event parser, a grounding stage, and a final reasoning stage in conjunction with an external memory. All stages are training-free, and performed using few-shot prompting of large models, creating interpretable intermediate outputs at each stage. By decomposing the underlying planning and task complexity, our method, MoReVQA, improves over prior work on standard videoQA benchmarks (NExT-QA, iVQA, EgoSchema, ActivityNet-QA) with state-of-the-art results, and extensions to related tasks (grounded videoQA, paragraph captioning).

Stimulated by the sophisticated reasoning capabilities of recent Large Language Models (LLMs), a variety of strategies for bridging video modality have been devised. A prominent strategy involves Video Language Models (VideoLMs), which train a learnable interface with video data to connect advanced vision encoders with LLMs. Recently, an alternative strategy has surfaced, employing readily available foundation models, such as VideoLMs and LLMs, across multiple stages for modality bridging. In this study, we introduce a simple yet novel strategy where only a single Vision Language Model (VLM) is utilized. Our starting point is the plain insight that a video comprises a series of images, or frames, interwoven with temporal information. The essence of video comprehension lies in adeptly managing the temporal aspects along with the spatial details of each frame. Initially, we transform a video into a single composite image by arranging multiple frames in a grid layout. The resulting single image is termed as an image grid. This format, while maintaining the appearance of a solitary image, effectively retains temporal information within the grid structure. Therefore, the image grid approach enables direct application of a single high-performance VLM without necessitating any video-data training. Our extensive experimental analysis across ten zero-shot video question answering benchmarks, including five open-ended and five multiple-choice benchmarks, reveals that the proposed Image Grid Vision Language Model (IG-VLM) surpasses the existing methods in nine out of ten benchmarks.

We introduce a new task, named video corpus visual answer localization (VCVAL), which aims to locate the visual answer in a large collection of untrimmed instructional videos using a natural language question. This task requires a range of skills - the interaction between vision and language, video retrieval, passage comprehension, and visual answer localization. In this paper, we propose a cross-modal contrastive global-span (CCGS) method for the VCVAL, jointly training the video corpus retrieval and visual answer localization subtasks with the global-span matrix. We have reconstructed a dataset named MedVidCQA, on which the VCVAL task is benchmarked. Experimental results show that the proposed method outperforms other competitive methods both in the video corpus retrieval and visual answer localization subtasks. Most importantly, we perform detailed analyses on extensive experiments, paving a new path for understanding the instructional videos, which ushers in further research.

Video Question Answering (VQA) in long videos poses the key challenge of extracting relevant information and modeling long-range dependencies from many redundant frames. The self-attention mechanism provides a general solution for sequence modeling, but it has a prohibitive cost when applied to a massive number of spatiotemporal tokens in long videos. Most prior methods rely on compression strategies to lower the computational cost, such as reducing the input length via sparse frame sampling or compressing the output sequence passed to the large language model (LLM) via space-time pooling. However, these naive approaches over-represent redundant information and often miss salient events or fast-occurring space-time patterns. In this work, we introduce BIMBA, an efficient state-space model to handle long-form videos. Our model leverages the selective scan algorithm to learn to effectively select critical information from high-dimensional video and transform it into a reduced token sequence for efficient LLM processing. Extensive experiments demonstrate that BIMBA achieves state-of-the-art accuracy on multiple long-form VQA benchmarks, including PerceptionTest, NExT-QA, EgoSchema, VNBench, LongVideoBench, and Video-MME. Code, and models are publicly available at https://sites.google.com/view/bimba-mllm.

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.

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with Chain-of-Thought (CoT) reasoning by linking lesion boxes to organ segmentation and structured rationales. These contextual signals enable medical vision-language models to generate question-answer pairs with step-by-step reasoning. To utilize this data effectively, we propose an Integrated CoT-Curriculum Strategy composed of an Easy stage with explicit lesion boxes for visual grounding, a Medium stage that encourages implicit localization, and a Hard stage for weakly supervised reasoning. Experimental results demonstrate that MedCLM attains state-of-the-art performance on several medical VQA benchmarks, providing a scalable framework for developing clinically aligned medical vision-language models.

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset designed to advance 3D Med-VQA using radiology CT scans. The 3D-RAD dataset encompasses six diverse VQA tasks: anomaly detection, image observation, medical computation, existence detection, static temporal diagnosis, and longitudinal temporal diagnosis. It supports both open- and closed-ended questions while introducing complex reasoning challenges, including computational tasks and multi-stage temporal analysis, to enable comprehensive benchmarking. Extensive evaluations demonstrate that existing vision-language models (VLMs), especially medical VLMs exhibit limited generalization, particularly in multi-temporal tasks, underscoring the challenges of real-world 3D diagnostic reasoning. To drive future advancements, we release a high-quality training set 3D-RAD-T of 136,195 expert-aligned samples, showing that fine-tuning on this dataset could significantly enhance model performance. Our dataset and code, aiming to catalyze multimodal medical AI research and establish a robust foundation for 3D medical visual understanding, are publicly available at https://github.com/Tang-xiaoxiao/3D-RAD.

Existing video understanding benchmarks often conflate knowledge-based and purely image-based questions, rather than clearly isolating a model's temporal reasoning ability, which is the key aspect that distinguishes video understanding from other modalities. We identify two major limitations that obscure whether higher scores truly indicate stronger understanding of the dynamic content in videos: (1) strong language priors, where models can answer questions without watching the video; and (2) shuffling invariance, where models maintain similar performance on certain questions even when video frames are temporally shuffled. To alleviate these issues, we propose VBenchComp, an automated pipeline that categorizes questions into different domains: LLM-Answerable, Semantic, and Temporal. Specifically, LLM-Answerable questions can be answered without viewing the video; Semantic questions remain answerable even when the video frames are shuffled; and Temporal questions require understanding the correct temporal order of frames. The rest of the questions are labeled as Others. This can enable fine-grained evaluation of different capabilities of a video LLM. Our analysis reveals nuanced model weaknesses that are hidden by traditional overall scores, and we offer insights and recommendations for designing future benchmarks that more accurately assess video LLMs.

In this paper, we present the VideoLLaMA 2, a set of Video Large Language Models (Video-LLMs) designed to enhance spatial-temporal modeling and audio understanding in video and audio-oriented tasks. Building upon its predecessor, VideoLLaMA 2 incorporates a tailor-made Spatial-Temporal Convolution (STC) connector, which effectively captures the intricate spatial and temporal dynamics of video data. Additionally, we integrate an Audio Branch into the model through joint training, thereby enriching the multimodal understanding capabilities of the model by seamlessly incorporating audio cues. Comprehensive evaluations on multiple-choice video question answering (MC-VQA), open-ended video question answering (OE-VQA), and video captioning (VC) tasks demonstrate that VideoLLaMA 2 consistently achieves competitive results among open-source models and even gets close to some proprietary models on several benchmarks. Furthermore, VideoLLaMA 2 exhibits reasonable improvements in audio-only and audio-video question-answering (AQA & OE-AVQA) benchmarks over existing models. These advancements underline VideoLLaMA 2's superior performance in multimodal comprehension, setting a new standard for intelligent video analysis systems. All models are public to facilitate further research.

Large Vision-Language Models (LVLMs) have demonstrated remarkable capabilities in various multimodal tasks. However, their potential in the medical domain remains largely unexplored. A significant challenge arises from the scarcity of diverse medical images spanning various modalities and anatomical regions, which is essential in real-world medical applications. To solve this problem, in this paper, we introduce OmniMedVQA, a novel comprehensive medical Visual Question Answering (VQA) benchmark. This benchmark is collected from 75 different medical datasets, including 12 different modalities and covering more than 20 distinct anatomical regions. Importantly, all images in this benchmark are sourced from authentic medical scenarios, ensuring alignment with the requirements of the medical field and suitability for evaluating LVLMs. Through our extensive experiments, we have found that existing LVLMs struggle to address these medical VQA problems effectively. Moreover, what surprises us is that medical-specialized LVLMs even exhibit inferior performance to those general-domain models, calling for a more versatile and robust LVLM in the biomedical field. The evaluation results not only reveal the current limitations of LVLM in understanding real medical images but also highlight our dataset's significance. Our dataset will be made publicly available.

This paper strives to solve complex video question answering (VideoQA) which features long video containing multiple objects and events at different time. To tackle the challenge, we highlight the importance of identifying question-critical temporal moments and spatial objects from the vast amount of video content. Towards this, we propose a Spatio-Temporal Rationalization (STR), a differentiable selection module that adaptively collects question-critical moments and objects using cross-modal interaction. The discovered video moments and objects are then served as grounded rationales to support answer reasoning. Based on STR, we further propose TranSTR, a Transformer-style neural network architecture that takes STR as the core and additionally underscores a novel answer interaction mechanism to coordinate STR for answer decoding. Experiments on four datasets show that TranSTR achieves new state-of-the-art (SoTA). Especially, on NExT-QA and Causal-VidQA which feature complex VideoQA, it significantly surpasses the previous SoTA by 5.8\% and 6.8\%, respectively. We then conduct extensive studies to verify the importance of STR as well as the proposed answer interaction mechanism. With the success of TranSTR and our comprehensive analysis, we hope this work can spark more future efforts in complex VideoQA. Code will be released at https://github.com/yl3800/TranSTR.

Video Question Answering (VQA) inherently relies on multimodal reasoning, integrating visual, temporal, and linguistic cues to achieve a deeper understanding of video content. However, many existing methods rely on feeding frame-level captions into a single model, making it difficult to adequately capture temporal and interactive contexts. To address this limitation, we introduce VideoMultiAgents, a framework that integrates specialized agents for vision, scene graph analysis, and text processing. It enhances video understanding leveraging complementary multimodal reasoning from independently operating agents. Our approach is also supplemented with a question-guided caption generation, which produces captions that highlight objects, actions, and temporal transitions directly relevant to a given query, thus improving the answer accuracy. Experimental results demonstrate that our method achieves state-of-the-art performance on Intent-QA (79.0%, +6.2% over previous SOTA), EgoSchema subset (75.4%, +3.4%), and NExT-QA (79.6%, +0.4%). The source code is available at https://github.com/PanasonicConnect/VideoMultiAgents.

In recent years, the application of Large Language Models (LLMs) in healthcare has shown significant promise in improving the accessibility and dissemination of medical knowledge. This paper presents a detailed study of various LLMs trained on the MedQuAD medical question-answering dataset, with a focus on identifying the most effective model for providing accurate medical information. Among the models tested, the Sentence-t5 combined with Mistral 7B demonstrated superior performance, achieving a precision score of 0.762. This model's enhanced capabilities are attributed to its advanced pretraining techniques, robust architecture, and effective prompt construction methodologies. By leveraging these strengths, the Sentence-t5 + Mistral 7B model excels in understanding and generating precise medical answers. Our findings highlight the potential of integrating sophisticated LLMs in medical contexts to facilitate efficient and accurate medical knowledge retrieval, thus significantly enhancing patient education and support.

In the rapidly evolving domain of video understanding, Video Question Answering (VideoQA) remains a focal point. However, existing datasets exhibit gaps in temporal and spatial granularity, which consequently limits the capabilities of existing VideoQA methods. This paper introduces the Multi-Object Multi-Actor Question Answering (MOMA-QA) dataset, which is designed to address these shortcomings by emphasizing temporal localization, spatial relationship reasoning, and entity-centric queries. With ground truth scene graphs and temporal interval annotations, MOMA-QA is ideal for developing models for fine-grained video understanding. Furthermore, we present a novel video-language model, SGVLM, which incorporates a scene graph predictor, an efficient frame retriever, and a pre-trained large language model for temporal localization and fine-grained relationship understanding. Evaluations on MOMA-QA and other public datasets demonstrate the superior performance of our model, setting new benchmarks for VideoQA.

Large multimodal models (LMMs) are processing increasingly longer and richer inputs. Albeit the progress, few public benchmark is available to measure such development. To mitigate this gap, we introduce LongVideoBench, a question-answering benchmark that features video-language interleaved inputs up to an hour long. Our benchmark includes 3,763 varying-length web-collected videos with their subtitles across diverse themes, designed to comprehensively evaluate LMMs on long-term multimodal understanding. To achieve this, we interpret the primary challenge as to accurately retrieve and reason over detailed multimodal information from long inputs. As such, we formulate a novel video question-answering task termed referring reasoning. Specifically, as part of the question, it contains a referring query that references related video contexts, called referred context. The model is then required to reason over relevant video details from the referred context. Following the paradigm of referring reasoning, we curate 6,678 human-annotated multiple-choice questions in 17 fine-grained categories, establishing one of the most comprehensive benchmarks for long-form video understanding. Evaluations suggest that the LongVideoBench presents significant challenges even for the most advanced proprietary models (e.g. GPT-4o, Gemini-1.5-Pro, GPT-4-Turbo), while their open-source counterparts show an even larger performance gap. In addition, our results indicate that model performance on the benchmark improves only when they are capable of processing more frames, positioning LongVideoBench as a valuable benchmark for evaluating future-generation long-context LMMs.

Deep neural networks facilitate video question answering (VideoQA), but the real-world applications on video streams such as CCTV and live cast place higher demands on the solver. To address the challenges of VideoQA on long videos of unknown length, we define a new set of problems called Online Open-ended Video Question Answering (O^2VQA). It requires an online state-updating mechanism for the solver to decide if the collected information is sufficient to conclude an answer. We then propose a Confidence-based Event-centric Online Video Question Answering (CEO-VQA) model to solve this problem. Furthermore, a dataset called Answer Target in Background Stream (ATBS) is constructed to evaluate this newly developed online VideoQA application. Compared to the baseline VideoQA method that watches the whole video, the experimental results show that the proposed method achieves a significant performance gain.

We propose a novel video understanding task by fusing knowledge-based and video question answering. First, we introduce KnowIT VQA, a video dataset with 24,282 human-generated question-answer pairs about a popular sitcom. The dataset combines visual, textual and temporal coherence reasoning together with knowledge-based questions, which need of the experience obtained from the viewing of the series to be answered. Second, we propose a video understanding model by combining the visual and textual video content with specific knowledge about the show. Our main findings are: (i) the incorporation of knowledge produces outstanding improvements for VQA in video, and (ii) the performance on KnowIT VQA still lags well behind human accuracy, indicating its usefulness for studying current video modelling limitations.

Multimodal Large Language Models (MLLMs) have tremendous potential to improve the accuracy, availability, and cost-effectiveness of healthcare by providing automated solutions or serving as aids to medical professionals. Despite promising first steps in developing medical MLLMs in the past few years, their capabilities and limitations are not well-understood. Recently, many benchmark datasets have been proposed that test the general medical knowledge of such models across a variety of medical areas. However, the systematic failure modes and vulnerabilities of such models are severely underexplored with most medical benchmarks failing to expose the shortcomings of existing models in this safety-critical domain. In this paper, we introduce MediConfusion, a challenging medical Visual Question Answering (VQA) benchmark dataset, that probes the failure modes of medical MLLMs from a vision perspective. We reveal that state-of-the-art models are easily confused by image pairs that are otherwise visually dissimilar and clearly distinct for medical experts. Strikingly, all available models (open-source or proprietary) achieve performance below random guessing on MediConfusion, raising serious concerns about the reliability of existing medical MLLMs for healthcare deployment. We also extract common patterns of model failure that may help the design of a new generation of more trustworthy and reliable MLLMs in healthcare.

Preference modeling techniques, such as direct preference optimization (DPO), has shown effective in enhancing the generalization abilities of large language model (LLM). However, in tasks involving video instruction-following, providing informative feedback, especially for detecting hallucinations in generated responses, remains a significant challenge. Previous studies have explored using large large multimodal models (LMMs) as reward models to guide preference modeling, but their ability to accurately assess the factuality of generated responses compared to corresponding videos has not been conclusively established. This paper introduces a novel framework that utilizes detailed video captions as a proxy of video content, enabling language models to incorporate this information as supporting evidence for scoring video Question Answering (QA) predictions. Our approach demonstrates robust alignment with OpenAI GPT-4V model's reward mechanism, which directly takes video frames as input. Furthermore, we show that applying this tailored reward through DPO significantly improves the performance of video LMMs on video QA tasks.

People increasingly search online for answers to their medical questions but the rate at which medical questions are asked online significantly exceeds the capacity of qualified people to answer them. This leaves many questions unanswered or inadequately answered. Many of these questions are not unique, and reliable identification of similar questions would enable more efficient and effective question answering schema. COVID-19 has only exacerbated this problem. Almost every government agency and healthcare organization has tried to meet the informational need of users by building online FAQs, but there is no way for people to ask their question and know if it is answered on one of these pages. While many research efforts have focused on the problem of general question similarity, these approaches do not generalize well to domains that require expert knowledge to determine semantic similarity, such as the medical domain. In this paper, we show how a double fine-tuning approach of pretraining a neural network on medical question-answer pairs followed by fine-tuning on medical question-question pairs is a particularly useful intermediate task for the ultimate goal of determining medical question similarity. While other pretraining tasks yield an accuracy below 78.7% on this task, our model achieves an accuracy of 82.6% with the same number of training examples, an accuracy of 80.0% with a much smaller training set, and an accuracy of 84.5% when the full corpus of medical question-answer data is used. We also describe a currently live system that uses the trained model to match user questions to COVID-related FAQs.

In recent advancements, multimodal large language models (MLLMs) have been fine-tuned on specific medical image datasets to address medical visual question answering (Med-VQA) tasks. However, this common approach of task-specific fine-tuning is costly and necessitates separate models for each downstream task, limiting the exploration of zero-shot capabilities. In this paper, we introduce MC-CoT, a modular cross-modal collaboration Chain-of-Thought (CoT) framework designed to enhance the zero-shot performance of MLLMs in Med-VQA by leveraging large language models (LLMs). MC-CoT improves reasoning and information extraction by integrating medical knowledge and task-specific guidance, where LLM provides various complex medical reasoning chains and MLLM provides various observations of medical images based on instructions of the LLM. Our experiments on datasets such as SLAKE, VQA-RAD, and PATH-VQA show that MC-CoT surpasses standalone MLLMs and various multimodality CoT frameworks in recall rate and accuracy. These findings highlight the importance of incorporating background information and detailed guidance in addressing complex zero-shot Med-VQA tasks.

In recent years, video question answering based on multimodal large language models (MLLM) has garnered considerable attention, due to the benefits from the substantial advancements in LLMs. However, these models have a notable deficiency in the domains of video temporal grounding and reasoning, posing challenges to the development of effective real-world video understanding systems. Inspired by how humans use video players to interact with the progress bar for video comprehension, we introduce VTimeCoT, a simple yet effective training-free framework, designed for high-performance video grounding and reasoning. The proposed framework incorporates two novel visual tools of the progress bar: a plug-and-play progress bar integration tool and a high-efficiency highlighting tool. In addition, to address the limitations of conventional text-based chain-of-thought (CoT) approaches, we introduce a visuotemporal CoT process that integrates cross-modality reasoning across both video and text. Our approach demonstrates significant performance improvements on both Qwen2VL-7B and GPT4o baselines in tasks of video temporal grounding and reasoning-based question answering. Finally, we showcase that the proposed framework achieves a compositional and interpretable reasoning process. Project page: https://vtimecot.github.io

Conversation agents powered by large language models are revolutionizing the way we interact with visual data. Recently, large vision-language models (LVLMs) have been extensively studied for both images and videos. However, these studies typically focus on common scenarios. In this work, we introduce an LVLM specifically designed for surgical scenarios. We integrate visual representations of surgical images and videos into the language feature space. Consequently, we establish a LVLM model, Surgical-LLaVA, fine-tuned on instruction following data of surgical scenarios. Our experiments demonstrate that Surgical-LLaVA exhibits impressive multi-modal chat abilities in surgical contexts, occasionally displaying multi-modal behaviors on unseen instructions. We conduct a quantitative evaluation of visual question-answering datasets for surgical scenarios. The results show superior performance compared to previous works, indicating the potential of our model to tackle more complex surgery scenarios.

We present the task of Spatio-Temporal Video Question Answering, which requires intelligent systems to simultaneously retrieve relevant moments and detect referenced visual concepts (people and objects) to answer natural language questions about videos. We first augment the TVQA dataset with 310.8K bounding boxes, linking depicted objects to visual concepts in questions and answers. We name this augmented version as TVQA+. We then propose Spatio-Temporal Answerer with Grounded Evidence (STAGE), a unified framework that grounds evidence in both spatial and temporal domains to answer questions about videos. Comprehensive experiments and analyses demonstrate the effectiveness of our framework and how the rich annotations in our TVQA+ dataset can contribute to the question answering task. Moreover, by performing this joint task, our model is able to produce insightful and interpretable spatio-temporal attention visualizations. Dataset and code are publicly available at: http: //tvqa.cs.unc.edu, https://github.com/jayleicn/TVQAplus

Traditional approaches for Visual Question Answering (VQA) require large amount of labeled data for training. Unfortunately, such large scale data is usually not available for medical domain. In this paper, we propose a novel medical VQA framework that overcomes the labeled data limitation. The proposed framework explores the use of the unsupervised Denoising Auto-Encoder (DAE) and the supervised Meta-Learning. The advantage of DAE is to leverage the large amount of unlabeled images while the advantage of Meta-Learning is to learn meta-weights that quickly adapt to VQA problem with limited labeled data. By leveraging the advantages of these techniques, it allows the proposed framework to be efficiently trained using a small labeled training set. The experimental results show that our proposed method significantly outperforms the state-of-the-art medical VQA.

Recent years have witnessed an increasing interest in image-based question-answering (QA) tasks. However, due to data limitations, there has been much less work on video-based QA. In this paper, we present TVQA, a large-scale video QA dataset based on 6 popular TV shows. TVQA consists of 152,545 QA pairs from 21,793 clips, spanning over 460 hours of video. Questions are designed to be compositional in nature, requiring systems to jointly localize relevant moments within a clip, comprehend subtitle-based dialogue, and recognize relevant visual concepts. We provide analyses of this new dataset as well as several baselines and a multi-stream end-to-end trainable neural network framework for the TVQA task. The dataset is publicly available at http://tvqa.cs.unc.edu.

We present LLoVi, a language-based framework for long-range video question-answering (LVQA). Unlike prior long-range video understanding methods, which are often costly and require specialized long-range video modeling design (e.g., memory queues, state-space layers, etc.), our approach uses a frame/clip-level visual captioner (e.g., BLIP2, LaViLa, LLaVA) coupled with a Large Language Model (GPT-3.5, GPT-4) leading to a simple yet surprisingly effective LVQA framework. Specifically, we decompose short and long-range modeling aspects of LVQA into two stages. First, we use a short-term visual captioner to generate textual descriptions of short video clips (0.5-8s in length) densely sampled from a long input video. Afterward, an LLM aggregates the densely extracted short-term captions to perform long-range temporal reasoning needed to understand the whole video and answer a question. To analyze what makes our simple framework so effective, we thoroughly evaluate various components of our system. Our empirical analysis reveals that the choice of the visual captioner and LLM is critical for good LVQA performance. Furthermore, we show that a specialized prompt that asks the LLM first to summarize the noisy short-term visual captions and then answer a given input question leads to a significant LVQA performance boost. On EgoSchema, which is best known as a very long-form video question-answering benchmark, our method achieves 50.3% accuracy, outperforming the previous best-performing approach by 18.1% (absolute gain). In addition, our approach outperforms the previous state-of-the-art by 4.1% and 3.1% on NeXT-QA and IntentQA. We also extend LLoVi to grounded LVQA and show that it outperforms all prior methods on the NeXT-GQA dataset. We will release our code at https://github.com/CeeZh/LLoVi.

Medical question-answering (QA) is a critical task for evaluating how effectively large language models (LLMs) encode clinical knowledge and assessing their potential applications in medicine. Despite showing promise on multiple-choice tests, LLMs frequently struggle with open-ended medical questions, producing responses with dangerous hallucinations or lacking comprehensive coverage of critical aspects. Existing approaches attempt to address these challenges through domain-specific fine-tuning, but this proves resource-intensive and difficult to scale across models. To improve the comprehensiveness and factuality of medical responses, we propose a novel approach utilizing structured medical reasoning. Our method guides LLMs through an seven-step cognitive process inspired by clinical diagnosis, enabling more accurate and complete answers without additional training. Experiments on the MedLFQA benchmark demonstrate that our approach achieves the highest Factuality Score of 85.8, surpassing fine-tuned models. Notably, this improvement transfers to smaller models, highlighting the method's efficiency and scalability. Our code and datasets are available.

Contrastive Language--Image Pre-training (CLIP) has shown remarkable success in learning with cross-modal supervision from extensive amounts of image--text pairs collected online. Thus far, the effectiveness of CLIP has been investigated primarily in general-domain multimodal problems. This work evaluates the effectiveness of CLIP for the task of Medical Visual Question Answering (MedVQA). To this end, we present PubMedCLIP, a fine-tuned version of CLIP for the medical domain based on PubMed articles. Our experiments are conducted on two MedVQA benchmark datasets and investigate two MedVQA methods, MEVF (Mixture of Enhanced Visual Features) and QCR (Question answering via Conditional Reasoning). For each of these, we assess the merits of visual representation learning using PubMedCLIP, the original CLIP, and state-of-the-art MAML (Model-Agnostic Meta-Learning) networks pre-trained only on visual data. We open source the code for our MedVQA pipeline and pre-training PubMedCLIP. CLIP and PubMedCLIP achieve improvements in comparison to MAML's visual encoder. PubMedCLIP achieves the best results with gains in the overall accuracy of up to 3%. Individual examples illustrate the strengths of PubMedCLIP in comparison to the previously widely used MAML networks. Visual representation learning with language supervision in PubMedCLIP leads to noticeable improvements for MedVQA. Our experiments reveal distributional differences in the two MedVQA benchmark datasets that have not been imparted in previous work and cause different back-end visual encoders in PubMedCLIP to exhibit different behavior on these datasets. Moreover, we witness fundamental performance differences of VQA in general versus medical domains.

Video Question Answering (VideoQA) based on Large Language Models (LLMs) has shown potential in general video understanding but faces significant challenges when applied to the inherently complex domain of sports videos. In this work, we propose FineQuest, the first training-free framework that leverages dual-mode reasoning inspired by cognitive science: i) Reactive Reasoning for straightforward sports queries and ii) Deliberative Reasoning for more complex ones. To bridge the knowledge gap between general-purpose models and domain-specific sports understanding, FineQuest incorporates SSGraph, a multimodal sports knowledge scene graph spanning nine sports, which encodes both visual instances and domain-specific terminology to enhance reasoning accuracy. Furthermore, we introduce two new sports VideoQA benchmarks, Gym-QA and Diving-QA, derived from the FineGym and FineDiving datasets, enabling diverse and comprehensive evaluation. FineQuest achieves state-of-the-art performance on these benchmarks as well as the existing SPORTU dataset, while maintains strong general VideoQA capabilities.

Large Language Models (LLMs) have shown remarkable capabilities in general domains but often struggle with tasks requiring specialized knowledge. Conventional Retrieval-Augmented Generation (RAG) techniques typically retrieve external information from static knowledge bases, which can be outdated or incomplete, missing fine-grained clinical details essential for accurate medical question answering. In this work, we propose SearchRAG, a novel framework that overcomes these limitations by leveraging real-time search engines. Our method employs synthetic query generation to convert complex medical questions into search-engine-friendly queries and utilizes uncertainty-based knowledge selection to filter and incorporate the most relevant and informative medical knowledge into the LLM's input. Experimental results demonstrate that our method significantly improves response accuracy in medical question answering tasks, particularly for complex questions requiring detailed and up-to-date knowledge.

Long video question answering is a challenging task that involves recognizing short-term activities and reasoning about their fine-grained relationships. State-of-the-art video Large Language Models (vLLMs) hold promise as a viable solution due to their demonstrated emergent capabilities on new tasks. However, despite being trained on millions of short seconds-long videos, vLLMs are unable to understand minutes-long videos and accurately answer questions about them. To address this limitation, we propose a lightweight and self-supervised approach, Key frame-conditioned long video-LLM (Koala), that introduces learnable spatiotemporal queries to adapt pretrained vLLMs for generalizing to longer videos. Our approach introduces two new tokenizers that condition on visual tokens computed from sparse video key frames for understanding short and long video moments. We train our proposed approach on HowTo100M and demonstrate its effectiveness on zero-shot long video understanding benchmarks, where it outperforms state-of-the-art large models by 3 - 6% in absolute accuracy across all tasks. Surprisingly, we also empirically show that our approach not only helps a pretrained vLLM to understand long videos but also improves its accuracy on short-term action recognition.

Recent advances in Multi-Modal Large Language Models (M-LLMs) show promising results in video reasoning. Popular Multi-Modal Large Language Model (M-LLM) frameworks usually apply naive uniform sampling to reduce the number of video frames that are fed into an M-LLM, particularly for long context videos. However, it could lose crucial context in certain periods of a video, so that the downstream M-LLM may not have sufficient visual information to answer a question. To attack this pain point, we propose a light-weight M-LLM -based frame selection method that adaptively select frames that are more relevant to users' queries. In order to train the proposed frame selector, we introduce two supervision signals (i) Spatial signal, where single frame importance score by prompting a M-LLM; (ii) Temporal signal, in which multiple frames selection by prompting Large Language Model (LLM) using the captions of all frame candidates. The selected frames are then digested by a frozen downstream video M-LLM for visual reasoning and question answering. Empirical results show that the proposed M-LLM video frame selector improves the performances various downstream video Large Language Model (video-LLM) across medium (ActivityNet, NExT-QA) and long (EgoSchema, LongVideoBench) context video question answering benchmarks.

Accurate and efficient question-answering systems are essential for delivering high-quality patient care in the medical field. While Large Language Models (LLMs) have made remarkable strides across various domains, they continue to face significant challenges in medical question answering, particularly in understanding domain-specific terminologies and performing complex reasoning. These limitations undermine their effectiveness in critical medical applications. To address these issues, we propose a novel approach incorporating similar case generation within a multi-agent medical question-answering (MedQA) system. Specifically, we leverage the Llama3.1:70B model, a state-of-the-art LLM, in a multi-agent architecture to enhance performance on the MedQA dataset using zero-shot learning. Our method capitalizes on the model's inherent medical knowledge and reasoning capabilities, eliminating the need for additional training data. Experimental results show substantial performance gains over existing benchmark models, with improvements of 7% in both accuracy and F1-score across various medical QA tasks. Furthermore, we examine the model's interpretability and reliability in addressing complex medical queries. This research not only offers a robust solution for medical question answering but also establishes a foundation for broader applications of LLMs in the medical domain.

Video question answering (VideoQA) aims to answer natural language questions according to the given videos. Although existing models perform well in the factoid VideoQA task, they still face challenges in deep video understanding (DVU) task, which focuses on story videos. Compared to factoid videos, the most significant feature of story videos is storylines, which are composed of complex interactions and long-range evolvement of core story topics including characters, actions and locations. Understanding these topics requires models to possess DVU capability. However, existing DVU datasets rarely organize questions according to these story topics, making them difficult to comprehensively assess VideoQA models' DVU capability of complex storylines. Additionally, the question quantity and video length of these dataset are limited by high labor costs of handcrafted dataset building method. In this paper, we devise a large language model based multi-agent collaboration framework, StoryMind, to automatically generate a new large-scale DVU dataset. The dataset, FriendsQA, derived from the renowned sitcom Friends with an average episode length of 1,358 seconds, contains 44.6K questions evenly distributed across 14 fine-grained topics. Finally, We conduct comprehensive experiments on 10 state-of-the-art VideoQA models using the FriendsQA dataset.

Large Language Models (LLMs) have demonstrated a remarkable potential in medical knowledge acquisition and question-answering. However, LLMs can potentially hallucinate and yield factually incorrect outcomes, even with domain-specific pretraining. Previously, retrieval augmented generation (RAG) has limited success in addressing hallucinations. Unlike previous methods in RAG where the retrieval model was trained separately from the LLM, we introduce JMLR (for Jointly trains LLM and information Retrieval) during the fine-tuning phase. The synchronized training mechanism enhances JMLR's ability to retrieve clinical guidelines and leverage medical knowledge to reason and answer questions and reduces the demand for computational resources. We evaluated JMLR on the important medical question-answering application. Our experimental results demonstrate that JMLR-13B (70.5%) outperforms a previous state-of-the-art open-source model using conventional pre-training and fine-tuning Meditron-70B (68.9%) and Llama2-13B with RAG (67.7%) on a medical question-answering dataset. Comprehensive evaluations reveal JMLR-13B enhances reasoning quality and reduces hallucinations better than Claude3-Opus. Additionally, JMLR-13B (148 GPU hours) also trains much faster than Meditron-70B (42630 GPU hours). Through this work, we provide a new and efficient knowledge enhancement method for healthcare, demonstrating the potential of integrating retrieval and LLM training for medical question-answering systems.

Recent researches on video large language models (VideoLLM) predominantly focus on model architectures and training datasets, leaving the interaction format between the user and the model under-explored. In existing works, users often interact with VideoLLMs by using the entire video and a query as input, after which the model generates a response. This interaction format constrains the application of VideoLLMs in scenarios such as live-streaming comprehension where videos do not end and responses are required in a real-time manner, and also results in unsatisfactory performance on time-sensitive tasks that requires localizing video segments. In this paper, we focus on a video-text duet interaction format. This interaction format is characterized by the continuous playback of the video, and both the user and the model can insert their text messages at any position during the video playback. When a text message ends, the video continues to play, akin to the alternative of two performers in a duet. We construct MMDuetIT, a video-text training dataset designed to adapt VideoLLMs to video-text duet interaction format. We also introduce the Multi-Answer Grounded Video Question Answering (MAGQA) task to benchmark the real-time response ability of VideoLLMs. Trained on MMDuetIT, MMDuet demonstrates that adopting the video-text duet interaction format enables the model to achieve significant improvements in various time-sensitive tasks (76% CIDEr on YouCook2 dense video captioning, 90\% mAP on QVHighlights highlight detection and 25% R@0.5 on Charades-STA temporal video grounding) with minimal training efforts, and also enable VideoLLMs to reply in a real-time manner as the video plays. Code, data and demo are available at: https://github.com/yellow-binary-tree/MMDuet.

To date, the majority of video retrieval systems have been optimized for a "single-shot" scenario in which the user submits a query in isolation, ignoring previous interactions with the system. Recently, there has been renewed interest in interactive systems to enhance retrieval, but existing approaches are complex and deliver limited gains in performance. In this work, we revisit this topic and propose several simple yet effective baselines for interactive video retrieval via question-answering. We employ a VideoQA model to simulate user interactions and show that this enables the productive study of the interactive retrieval task without access to ground truth dialogue data. Experiments on MSR-VTT, MSVD, and AVSD show that our framework using question-based interaction significantly improves the performance of text-based video retrieval systems.

In the era of modern healthcare, swiftly generating medical question summaries is crucial for informed and timely patient care. Despite the increasing complexity and volume of medical data, existing studies have focused solely on text-based summarization, neglecting the integration of visual information. Recognizing the untapped potential of combining textual queries with visual representations of medical conditions, we introduce the Multimodal Medical Question Summarization (MMQS) Dataset. This dataset, a major contribution to our work, pairs medical queries with visual aids, facilitating a richer and more nuanced understanding of patient needs. We also propose a framework, utilizing the power of Contrastive Language Image Pretraining(CLIP) and Large Language Models(LLMs), consisting of four modules that identify medical disorders, generate relevant context, filter medical concepts, and craft visually aware summaries. Our comprehensive framework harnesses the power of CLIP, a multimodal foundation model, and various general-purpose LLMs, comprising four main modules: the medical disorder identification module, the relevant context generation module, the context filtration module for distilling relevant medical concepts and knowledge, and finally, a general-purpose LLM to generate visually aware medical question summaries. Leveraging our MMQS dataset, we showcase how visual cues from images enhance the generation of medically nuanced summaries. This multimodal approach not only enhances the decision-making process in healthcare but also fosters a more nuanced understanding of patient queries, laying the groundwork for future research in personalized and responsive medical care

Most existing video understanding benchmarks for multimodal large language models (MLLMs) focus only on short videos. The limited number of benchmarks for long video understanding often rely solely on multiple-choice questions (MCQs). However, because of the inherent limitation of MCQ-based evaluation and the increasing reasoning ability of MLLMs, models can give the current answer purely by combining short video understanding with elimination, without genuinely understanding the video content. To address this gap, we introduce CG-Bench, a novel benchmark designed for clue-grounded question answering in long videos. CG-Bench emphasizes the model's ability to retrieve relevant clues for questions, enhancing evaluation credibility. It features 1,219 manually curated videos categorized by a granular system with 14 primary categories, 171 secondary categories, and 638 tertiary categories, making it the largest benchmark for long video analysis. The benchmark includes 12,129 QA pairs in three major question types: perception, reasoning, and hallucination. Compensating the drawbacks of pure MCQ-based evaluation, we design two novel clue-based evaluation methods: clue-grounded white box and black box evaluations, to assess whether the model generates answers based on the correct understanding of the video. We evaluate multiple closed-source and open-source MLLMs on CG-Bench. Results indicate that current models significantly underperform in understanding long videos compared to short ones, and a significant gap exists between open-source and commercial models. We hope CG-Bench can advance the development of more trustworthy and capable MLLMs for long video understanding. All annotations and video data are released at https://cg-bench.github.io/leaderboard/.

Video text-based visual question answering (Video TextVQA) is a practical task that aims to answer questions by jointly reasoning textual and visual information in a given video. Inspired by the development of TextVQA in image domain, existing Video TextVQA approaches leverage a language model (e.g. T5) to process text-rich multiple frames and generate answers auto-regressively. Nevertheless, the spatio-temporal relationships among visual entities (including scene text and objects) will be disrupted and models are susceptible to interference from unrelated information, resulting in irrational reasoning and inaccurate answering. To tackle these challenges, we propose the TEA (stands for ``Track thE Answer'') method that better extends the generative TextVQA framework from image to video. TEA recovers the spatio-temporal relationships in a complementary way and incorporates OCR-aware clues to enhance the quality of reasoning questions. Extensive experiments on several public Video TextVQA datasets validate the effectiveness and generalization of our framework. TEA outperforms existing TextVQA methods, video-language pretraining methods and video large language models by great margins.

Video Large Language Models (VideoLLMs) have recently demonstrated remarkable progress in general video understanding. However, existing models primarily focus on high-level comprehension and are limited to text-only responses, restricting the flexibility for object-centric, multiround interactions. In this paper, we make three contributions: (i) we address these limitations by introducing a VideoLLM model, capable of performing both object referring for input and grounding for output in video reasoning tasks, i.e., allowing users to interact with videos using both textual and visual prompts; (ii) we propose STOM (Spatial-Temporal Overlay Module), a novel approach that propagates arbitrary visual prompts input at any single timestamp to the remaining frames within a video; (iii) we present VideoInfer, a manually curated object-centric video instruction dataset featuring questionanswering pairs that require reasoning. We conduct comprehensive experiments on VideoInfer and other existing benchmarks across video question answering and referring object segmentation. The results on 12 benchmarks of 6 tasks show that our proposed model consistently outperforms baselines in both video question answering and segmentation, underscoring its robustness in multimodal, object-centric video and image understanding. Project page: https://qirui-chen.github.io/RGA3-release/.

In the expanding field of language model applications, medical knowledge representation remains a significant challenge due to the specialized nature of the domain. Large language models, such as GPT-4, obtain reasonable scores on medical question answering tasks, but smaller models are far behind. In this work, we introduce a method to improve the proficiency of a small language model in the medical domain by employing a two-fold approach. We first fine-tune the model on a corpus of medical textbooks. Then, we use GPT-4 to generate questions similar to the downstream task, prompted with textbook knowledge, and use them to fine-tune the model. Additionally, we introduce ECN-QA, a novel medical question answering dataset containing ``progressive questions'' composed of related sequential questions. We show the benefits of our training strategy on this dataset. The study's findings highlight the potential of small language models in the medical domain when appropriately fine-tuned. The code and weights are available at https://github.com/raidium-med/MQG.

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare seven public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting regime for medical question-answering (QA) tasks. For instance, across the tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 12.1% of cases, reach a (statistical) tie in 49.8% of cases, and are significantly worse than their base models in the remaining 38.2% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

Information retrieval in hour-long videos presents a significant challenge, even for state-of-the-art Vision-Language Models (VLMs), particularly when the desired information is localized within a small subset of frames. Long video data presents challenges for VLMs due to context window limitations and the difficulty of pinpointing frames containing the answer. Our novel video agent, FALCONEye, combines a VLM and a Large Language Model (LLM) to search relevant information along the video, and locate the frames with the answer. FALCONEye novelty relies on 1) the proposed meta-architecture, which is better suited to tackle hour-long videos compared to short video approaches in the state-of-the-art; 2) a new efficient exploration algorithm to locate the information using short clips, captions and answer confidence; and 3) our state-of-the-art VLMs calibration analysis for the answer confidence. Our agent is built over a small-size VLM and a medium-size LLM being accessible to run on standard computational resources. We also release FALCON-Bench, a benchmark to evaluate long (average > 1 hour) Video Answer Search challenges, highlighting the need for open-ended question evaluation. Our experiments show FALCONEye's superior performance than the state-of-the-art in FALCON-Bench, and similar or better performance in related benchmarks.

We propose a novel and challenging benchmark, AutoEval-Video, to comprehensively evaluate large vision-language models in open-ended video question answering. The comprehensiveness of AutoEval-Video is demonstrated in two aspects: 1) AutoEval-Video constructs open-ended video-questions across 9 skill dimensions, addressing capabilities of perception, comprehension, and generation. 2) AutoEval-Video contains newly collected videos that cover over 40 distinct themes. To efficiently evaluate responses to the open-ended questions, we employ an LLM-based evaluation approach, but instead of merely providing a reference answer, we annotate unique evaluation rules for every single instance (video-question pair). To maximize the robustness of these rules, we develop a novel adversarial annotation mechanism. By using instance-specific rules as prompt, GPT-4, as an automatic evaluator, can achieve a stable evaluation accuracy of around 97.0\%, comparable to the 94.9\% - 97.5\% accuracy of a human evaluator. Furthermore, we assess the performance of eight large vision-language models on AutoEval-Video. Among them, GPT-4V(ision) significantly outperforms other models, achieving an accuracy of 32.2\%. However, there is still substantial room for improvement compared to human accuracy of 72.8\%. By conducting an extensive case study, we uncover several drawbacks of GPT-4V, such as limited temporal and dynamic comprehension, and overly general responses. Code is available at https://github.com/Xiuyuan-Chen/AutoEval-Video{magentahttps://github.com/Xiuyuan-Chen/AutoEval-Video}.

In this paper, we release a largest ever medical Question Answering (QA) dataset with 26 million QA pairs. We benchmark many existing approaches in our dataset in terms of both retrieval and generation. Experimental results show that the existing models perform far lower than expected and the released dataset is still challenging in the pre-trained language model era. Moreover, we also experimentally show the benefit of the proposed dataset in many aspects: (i) trained models for other QA datasets in a zero-shot fashion; and (ii) as external knowledge for retrieval-augmented generation (RAG); and (iii) improving existing pre-trained language models by using the QA pairs as a pre-training corpus in continued training manner. We believe that this dataset will not only contribute to medical research but also facilitate both the patients and clinical doctors. See https://github.com/FreedomIntelligence/Huatuo-26M.

Seeking answers effectively for long videos is essential to build video question answering (videoQA) systems. Previous methods adaptively select frames and regions from long videos to save computations. However, this fails to reason over the whole sequence of video, leading to sub-optimal performance. To address this problem, we introduce a state space layer (SSL) into multi-modal Transformer to efficiently integrate global semantics of the video, which mitigates the video information loss caused by frame and region selection modules. Our SSL includes a gating unit to enable controllability over the flow of global semantics into visual representations. To further enhance the controllability, we introduce a cross-modal compositional congruence (C^3) objective to encourage global semantics aligned with the question. To rigorously evaluate long-form videoQA capacity, we construct two new benchmarks Ego-QA and MAD-QA featuring videos of considerably long length, i.e. 17.5 minutes and 1.9 hours, respectively. Extensive experiments demonstrate the superiority of our framework on these new as well as existing datasets.

Long-form video understanding, characterized by long-range temporal dependencies and multiple events, remains a challenge. Existing methods often rely on static reasoning or external visual-language models (VLMs), which face issues like complexity and sub-optimal performance due to the lack of end-to-end training. In this paper, we propose Video-MTR, a reinforced multi-turn reasoning framework designed to enable iterative key video segment selection and question comprehension. Unlike traditional video reasoning pipeline, which generate predictions in a single turn, Video-MTR performs reasoning in multiple turns, selecting video segments progressively based on the evolving understanding of previously processed segments and the current question. This iterative process allows for a more refined and contextually aware analysis of the video. To ensure intermediate reasoning process, we introduce a novel gated bi-level reward system, combining trajectory-level rewards based on answer correctness and turn-level rewards emphasizing frame-query relevance. This system optimizes both video segment selection and question comprehension, eliminating the need for external VLMs and allowing end-to-end training. Extensive experiments on benchmarks like VideoMME, MLVU, and EgoSchema demonstrate that Video-MTR outperforms existing methods in both accuracy and efficiency, advancing the state-of-the-art in long video understanding.

Video large language models (ViLLMs) excel in general video understanding, e.g., recognizing activities like talking and eating, but struggle with identity-aware comprehension, such as "Wilson is receiving chemotherapy" or "Tom is discussing with Sarah", limiting their applicability in smart healthcare and smart home environments. To address this limitation, we propose a one-shot learning framework PVChat, the first personalized ViLLM that enables subject-aware question answering (QA) from a single video for each subject. Our approach optimizes a Mixture-of-Heads (MoH) enhanced ViLLM on a synthetically augmented video-QA dataset, leveraging a progressive image-to-video learning strategy. Specifically, we introduce an automated augmentation pipeline that synthesizes identity-preserving positive samples and retrieves hard negatives from existing video corpora, generating a diverse training dataset with four QA types: existence, appearance, action, and location inquiries. To enhance subject-specific learning, we propose a ReLU Routing MoH attention mechanism, alongside two novel objectives: (1) Smooth Proximity Regularization for progressive learning through exponential distance scaling and (2) Head Activation Enhancement for balanced attention routing. Finally, we adopt a two-stage training strategy, transitioning from image pre-training to video fine-tuning, enabling a gradual learning process from static attributes to dynamic representations. We evaluate PVChat on diverse datasets covering medical scenarios, TV series, anime, and real-world footage, demonstrating its superiority in personalized feature understanding after learning from a single video, compared to state-of-the-art ViLLMs.

Surprising videos, e.g., funny clips, creative performances, or visual illusions, attract significant attention. Enjoyment of these videos is not simply a response to visual stimuli; rather, it hinges on the human capacity to understand (and appreciate) commonsense violations depicted in these videos. We introduce FunQA, a challenging video question answering (QA) dataset specifically designed to evaluate and enhance the depth of video reasoning based on counter-intuitive and fun videos. Unlike most video QA benchmarks which focus on less surprising contexts, e.g., cooking or instructional videos, FunQA covers three previously unexplored types of surprising videos: 1) HumorQA, 2) CreativeQA, and 3) MagicQA. For each subset, we establish rigorous QA tasks designed to assess the model's capability in counter-intuitive timestamp localization, detailed video description, and reasoning around counter-intuitiveness. We also pose higher-level tasks, such as attributing a fitting and vivid title to the video, and scoring the video creativity. In total, the FunQA benchmark consists of 312K free-text QA pairs derived from 4.3K video clips, spanning a total of 24 video hours. Extensive experiments with existing VideoQA models reveal significant performance gaps for the FunQA videos across spatial-temporal reasoning, visual-centered reasoning, and free-text generation.

Medicine, by its nature, is a multifaceted domain that requires the synthesis of information across various modalities. Medical generative vision-language models (VLMs) make a first step in this direction and promise many exciting clinical applications. However, existing models typically have to be fine-tuned on sizeable down-stream datasets, which poses a significant limitation as in many medical applications data is scarce, necessitating models that are capable of learning from few examples in real-time. Here we propose Med-Flamingo, a multimodal few-shot learner adapted to the medical domain. Based on OpenFlamingo-9B, we continue pre-training on paired and interleaved medical image-text data from publications and textbooks. Med-Flamingo unlocks few-shot generative medical visual question answering (VQA) abilities, which we evaluate on several datasets including a novel challenging open-ended VQA dataset of visual USMLE-style problems. Furthermore, we conduct the first human evaluation for generative medical VQA where physicians review the problems and blinded generations in an interactive app. Med-Flamingo improves performance in generative medical VQA by up to 20\% in clinician's rating and firstly enables multimodal medical few-shot adaptations, such as rationale generation. We release our model, code, and evaluation app under https://github.com/snap-stanford/med-flamingo.

Video Large Language Models (VideoLLMs) extend the capabilities of vision-language models to spatiotemporal inputs, enabling tasks such as video question answering (VideoQA). Despite recent advances in VideoLLMs, their internal mechanisms on where and how they extract and propagate video and textual information remain less explored. In this study, we investigate the internal information flow of VideoLLMs using mechanistic interpretability techniques. Our analysis reveals consistent patterns across diverse VideoQA tasks: (1) temporal reasoning in VideoLLMs initiates with active cross-frame interactions in early-to-middle layers, (2) followed by progressive video-language integration in middle layers. This is facilitated by alignment between video representations and linguistic embeddings containing temporal concepts. (3) Upon completion of this integration, the model is ready to generate correct answers in middle-to-late layers. (4) Based on our analysis, we show that VideoLLMs can retain their VideoQA performance by selecting these effective information pathways while suppressing a substantial amount of attention edges, e.g., 58% in LLaVA-NeXT-7B-Video-FT. These findings provide a blueprint on how VideoLLMs perform temporal reasoning and offer practical insights for improving model interpretability and downstream generalization. Our project page with the source code is available at https://map-the-flow.github.io

Video Large Language Models (Video-LLMs) excel at understanding videos in-context, provided they have full access to the video when answering queries. However, these models face challenges in streaming scenarios where hour-long videos must be processed online, and questions need timely responses. In this work, we propose a training-free approach compatible with standard Video-LLMs, leveraging three key concepts: 1) LLM-informed selection of visual tokens to identify those that the LLM has attended to and contributed to its understanding of each short clip. Our attention-based selection allows us to discard up to ~95% of unimportant visual tokens with minimal performance loss; 2) Recurrent processing of past selected tokens to generate temporally coherent understanding of each processed clip; 3) Caption-based question answering for lightweight and accurate responses. Our method achieves state-of-the-art performance on streaming video benchmarks, striking a balance between efficiency and effectiveness.

Schemata are structured representations of complex tasks that can aid artificial intelligence by allowing models to break down complex tasks into intermediate steps. We propose a novel system that induces schemata from web videos and generalizes them to capture unseen tasks with the goal of improving video retrieval performance. Our system proceeds in three major phases: (1) Given a task with related videos, we construct an initial schema for a task using a joint video-text model to match video segments with text representing steps from wikiHow; (2) We generalize schemata to unseen tasks by leveraging language models to edit the text within existing schemata. Through generalization, we can allow our schemata to cover a more extensive range of tasks with a small amount of learning data; (3) We conduct zero-shot instructional video retrieval with the unseen task names as the queries. Our schema-guided approach outperforms existing methods for video retrieval, and we demonstrate that the schemata induced by our system are better than those generated by other models.

Video-language pre-trained models have shown remarkable success in guiding video question-answering (VideoQA) tasks. However, due to the length of video sequences, training large-scale video-based models incurs considerably higher costs than training image-based ones. This motivates us to leverage the knowledge from image-based pretraining, despite the obvious gaps between image and video domains. To bridge these gaps, in this paper, we propose Tem-Adapter, which enables the learning of temporal dynamics and complex semantics by a visual Temporal Aligner and a textual Semantic Aligner. Unlike conventional pretrained knowledge adaptation methods that only concentrate on the downstream task objective, the Temporal Aligner introduces an extra language-guided autoregressive task aimed at facilitating the learning of temporal dependencies, with the objective of predicting future states based on historical clues and language guidance that describes event progression. Besides, to reduce the semantic gap and adapt the textual representation for better event description, we introduce a Semantic Aligner that first designs a template to fuse question and answer pairs as event descriptions and then learns a Transformer decoder with the whole video sequence as guidance for refinement. We evaluate Tem-Adapter and different pre-train transferring methods on two VideoQA benchmarks, and the significant performance improvement demonstrates the effectiveness of our method.

Most current LLM-based models for video understanding can process videos within minutes. However, they struggle with lengthy videos due to challenges such as "noise and redundancy", as well as "memory and computation" constraints. In this paper, we present Goldfish, a methodology tailored for comprehending videos of arbitrary lengths. We also introduce the TVQA-long benchmark, specifically designed to evaluate models' capabilities in understanding long videos with questions in both vision and text content. Goldfish approaches these challenges with an efficient retrieval mechanism that initially gathers the top-k video clips relevant to the instruction before proceeding to provide the desired response. This design of the retrieval mechanism enables the Goldfish to efficiently process arbitrarily long video sequences, facilitating its application in contexts such as movies or television series. To facilitate the retrieval process, we developed MiniGPT4-Video that generates detailed descriptions for the video clips. In addressing the scarcity of benchmarks for long video evaluation, we adapted the TVQA short video benchmark for extended content analysis by aggregating questions from entire episodes, thereby shifting the evaluation from partial to full episode comprehension. We attained a 41.78% accuracy rate on the TVQA-long benchmark, surpassing previous methods by 14.94%. Our MiniGPT4-Video also shows exceptional performance in short video comprehension, exceeding existing state-of-the-art methods by 3.23%, 2.03%, 16.5% and 23.59% on the MSVD, MSRVTT, TGIF, and TVQA short video benchmarks, respectively. These results indicate that our models have significant improvements in both long and short-video understanding. Our models and code have been made publicly available at https://vision-cair.github.io/Goldfish_website/

The advent and proliferation of large multi-modal models (LMMs) have introduced new paradigms to computer vision, transforming various tasks into a unified visual question answering framework. Video Quality Assessment (VQA), a classic field in low-level visual perception, focused initially on quantitative video quality scoring. However, driven by advances in LMMs, it is now progressing toward more holistic visual quality understanding tasks. Recent studies in the image domain have demonstrated that Visual Question Answering (VQA) can markedly enhance low-level visual quality evaluation. Nevertheless, related work has not been explored in the video domain, leaving substantial room for improvement. To address this gap, we introduce the VQA2 Instruction Dataset - the first visual question answering instruction dataset that focuses on video quality assessment. This dataset consists of 3 subsets and covers various video types, containing 157,755 instruction question-answer pairs. Then, leveraging this foundation, we present the VQA2 series models. The VQA2 series models interleave visual and motion tokens to enhance the perception of spatial-temporal quality details in videos. We conduct extensive experiments on video quality scoring and understanding tasks, and results demonstrate that the VQA2series models achieve excellent performance in both tasks. Notably, our final model, the VQA2-Assistant, exceeds the renowned GPT-4o in visual quality understanding tasks while maintaining strong competitiveness in quality scoring tasks. Our work provides a foundation and feasible approach for integrating low-level video quality assessment and understanding with LMMs.

We introduce NExT-QA, a rigorously designed video question answering (VideoQA) benchmark to advance video understanding from describing to explaining the temporal actions. Based on the dataset, we set up multi-choice and open-ended QA tasks targeting causal action reasoning, temporal action reasoning, and common scene comprehension. Through extensive analysis of baselines and established VideoQA techniques, we find that top-performing methods excel at shallow scene descriptions but are weak in causal and temporal action reasoning. Furthermore, the models that are effective on multi-choice QA, when adapted to open-ended QA, still struggle in generalizing the answers. This raises doubt on the ability of these models to reason and highlights possibilities for improvement. With detailed results for different question types and heuristic observations for future works, we hope NExT-QA will guide the next generation of VQA research to go beyond superficial scene description towards a deeper understanding of videos. (The dataset and related resources are available at https://github.com/doc-doc/NExT-QA.git)

Current datasets for long-form video understanding often fall short of providing genuine long-form comprehension challenges, as many tasks derived from these datasets can be successfully tackled by analyzing just one or a few random frames from a video. To address this issue, we present a novel dataset and benchmark, CinePile, specifically designed for authentic long-form video understanding. This paper details our innovative approach for creating a question-answer dataset, utilizing advanced LLMs with human-in-the-loop and building upon human-generated raw data. Our comprehensive dataset comprises 305,000 multiple-choice questions (MCQs), covering various visual and multimodal aspects, including temporal comprehension, understanding human-object interactions, and reasoning about events or actions within a scene. Additionally, we fine-tuned open-source Video-LLMs on the training split and evaluated both open-source and proprietary video-centric LLMs on the test split of our dataset. The findings indicate that although current models underperform compared to humans, fine-tuning these models can lead to significant improvements in their performance.

In the video-language domain, recent works in leveraging zero-shot Large Language Model-based reasoning for video understanding have become competitive challengers to previous end-to-end models. However, long video understanding presents unique challenges due to the complexity of reasoning over extended timespans, even for zero-shot LLM-based approaches. The challenge of information redundancy in long videos prompts the question of what specific information is essential for large language models (LLMs) and how to leverage them for complex spatial-temporal reasoning in long-form video analysis. We propose a framework VideoINSTA, i.e. INformative Spatial-TemporAl Reasoning for zero-shot long-form video understanding. VideoINSTA contributes (1) a zero-shot framework for long video understanding using LLMs; (2) an event-based temporal reasoning and content-based spatial reasoning approach for LLMs to reason over spatial-temporal information in videos; (3) a self-reflective information reasoning scheme balancing temporal factors based on information sufficiency and prediction confidence. Our model significantly improves the state-of-the-art on three long video question-answering benchmarks: EgoSchema, NextQA, and IntentQA, and the open question answering dataset ActivityNetQA. The code is released here: https://github.com/mayhugotong/VideoINSTA.

Large language models (LLMs) have demonstrated impressive capabilities in natural language understanding and generation, but the quality bar for medical and clinical applications is high. Today, attempts to assess models' clinical knowledge typically rely on automated evaluations on limited benchmarks. There is no standard to evaluate model predictions and reasoning across a breadth of tasks. To address this, we present MultiMedQA, a benchmark combining six existing open question answering datasets spanning professional medical exams, research, and consumer queries; and HealthSearchQA, a new free-response dataset of medical questions searched online. We propose a framework for human evaluation of model answers along multiple axes including factuality, precision, possible harm, and bias. In addition, we evaluate PaLM (a 540-billion parameter LLM) and its instruction-tuned variant, Flan-PaLM, on MultiMedQA. Using a combination of prompting strategies, Flan-PaLM achieves state-of-the-art accuracy on every MultiMedQA multiple-choice dataset (MedQA, MedMCQA, PubMedQA, MMLU clinical topics), including 67.6% accuracy on MedQA (US Medical License Exam questions), surpassing prior state-of-the-art by over 17%. However, human evaluation reveals key gaps in Flan-PaLM responses. To resolve this we introduce instruction prompt tuning, a parameter-efficient approach for aligning LLMs to new domains using a few exemplars. The resulting model, Med-PaLM, performs encouragingly, but remains inferior to clinicians. We show that comprehension, recall of knowledge, and medical reasoning improve with model scale and instruction prompt tuning, suggesting the potential utility of LLMs in medicine. Our human evaluations reveal important limitations of today's models, reinforcing the importance of both evaluation frameworks and method development in creating safe, helpful LLM models for clinical applications.

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where doctors typically refer to a patient's historical conditions to provide a comprehensive assessment by tracking their changes over time. In this paper, we introduce TemMed-Bench, the first benchmark designed for analyzing changes in patients' conditions between different clinical visits, which challenges large vision-language models (LVLMs) to reason over temporal medical images. TemMed-Bench consists of a test set comprising three tasks - visual question-answering (VQA), report generation, and image-pair selection - and a supplementary knowledge corpus of over 17,000 instances. With TemMed-Bench, we conduct an evaluation of six proprietary and six open-source LVLMs. Our results show that most LVLMs lack the ability to analyze patients' condition changes over temporal medical images, and a large proportion perform only at a random-guessing level in the closed-book setting. In contrast, GPT o3, o4-mini and Claude 3.5 Sonnet demonstrate comparatively decent performance, though they have yet to reach the desired level. Furthermore, we explore augmenting the input with both retrieved visual and textual modalities in the medical domain. We also show that multi-modal retrieval augmentation yields notably higher performance gains than no retrieval and textual retrieval alone across most models on our benchmark, with the VQA task showing an average improvement of 2.59%. Overall, we compose a benchmark grounded on real-world clinical practice, and it reveals LVLMs' limitations in temporal medical image reasoning, as well as highlighting the use of multi-modal retrieval augmentation as a potentially promising direction worth exploring to address this challenge.

This paper introduces MedExQA, a novel benchmark in medical question-answering, to evaluate large language models' (LLMs) understanding of medical knowledge through explanations. By constructing datasets across five distinct medical specialties that are underrepresented in current datasets and further incorporating multiple explanations for each question-answer pair, we address a major gap in current medical QA benchmarks which is the absence of comprehensive assessments of LLMs' ability to generate nuanced medical explanations. Our work highlights the importance of explainability in medical LLMs, proposes an effective methodology for evaluating models beyond classification accuracy, and sheds light on one specific domain, speech language pathology, where current LLMs including GPT4 lack good understanding. Our results show generation evaluation with multiple explanations aligns better with human assessment, highlighting an opportunity for a more robust automated comprehension assessment for LLMs. To diversify open-source medical LLMs (currently mostly based on Llama2), this work also proposes a new medical model, MedPhi-2, based on Phi-2 (2.7B). The model outperformed medical LLMs based on Llama2-70B in generating explanations, showing its effectiveness in the resource-constrained medical domain. We will share our benchmark datasets and the trained model.

Our objective in this work is video-text retrieval - in particular a joint embedding that enables efficient text-to-video retrieval. The challenges in this area include the design of the visual architecture and the nature of the training data, in that the available large scale video-text training datasets, such as HowTo100M, are noisy and hence competitive performance is achieved only at scale through large amounts of compute. We address both these challenges in this paper. We propose an end-to-end trainable model that is designed to take advantage of both large-scale image and video captioning datasets. Our model is an adaptation and extension of the recent ViT and Timesformer architectures, and consists of attention in both space and time. The model is flexible and can be trained on both image and video text datasets, either independently or in conjunction. It is trained with a curriculum learning schedule that begins by treating images as 'frozen' snapshots of video, and then gradually learns to attend to increasing temporal context when trained on video datasets. We also provide a new video-text pretraining dataset WebVid-2M, comprised of over two million videos with weak captions scraped from the internet. Despite training on datasets that are an order of magnitude smaller, we show that this approach yields state-of-the-art results on standard downstream video-retrieval benchmarks including MSR-VTT, MSVD, DiDeMo and LSMDC.

Large Language Models (LLMs) have the potential of facilitating the development of Artificial Intelligence technology to assist medical experts for interactive decision support, which has been demonstrated by their competitive performances in Medical QA. However, while impressive, the required quality bar for medical applications remains far from being achieved. Currently, LLMs remain challenged by outdated knowledge and by their tendency to generate hallucinated content. Furthermore, most benchmarks to assess medical knowledge lack reference gold explanations which means that it is not possible to evaluate the reasoning of LLMs predictions. Finally, the situation is particularly grim if we consider benchmarking LLMs for languages other than English which remains, as far as we know, a totally neglected topic. In order to address these shortcomings, in this paper we present MedExpQA, the first multilingual benchmark based on medical exams to evaluate LLMs in Medical Question Answering. To the best of our knowledge, MedExpQA includes for the first time reference gold explanations written by medical doctors which can be leveraged to establish various gold-based upper-bounds for comparison with LLMs performance. Comprehensive multilingual experimentation using both the gold reference explanations and Retrieval Augmented Generation (RAG) approaches show that performance of LLMs still has large room for improvement, especially for languages other than English. Furthermore, and despite using state-of-the-art RAG methods, our results also demonstrate the difficulty of obtaining and integrating readily available medical knowledge that may positively impact results on downstream evaluations for Medical Question Answering. So far the benchmark is available in four languages, but we hope that this work may encourage further development to other languages.

Recent Video-Language Models (VLMs) achieve promising results on long-video understanding, but their performance still lags behind that achieved on tasks involving images or short videos. This has led to great interest in improving the long context modeling of VLMs by introducing novel modules and additional complexity. % additional training time. In this paper, we take a different approach: rather than fine-tuning VLMs with the limited data available, we attempt to maximize the performance of existing models. To this end, we propose a novel visual prompting strategy specifically designed for long-video understanding. By combining multiple frames as panels into one image, we effectively trade off spatial details for temporal resolution. Our approach is training-free, parameter-free, and model-agnostic, and can be seamlessly integrated into existing VLMs. Extensive experiments on five established benchmarks across a wide range of model architectures, sizes, and context windows confirm the consistency of our approach. For the TimeScope (Long) dataset, which has the longest videos, the accuracy for video question answering is improved by up to 19.4\%. Overall, our method raises the bar for long video understanding models. We will make our code available upon acceptance.

In the healthcare domain, summarizing medical questions posed by patients is critical for improving doctor-patient interactions and medical decision-making. Although medical data has grown in complexity and quantity, the current body of research in this domain has primarily concentrated on text-based methods, overlooking the integration of visual cues. Also prior works in the area of medical question summarisation have been limited to the English language. This work introduces the task of multimodal medical question summarization for codemixed input in a low-resource setting. To address this gap, we introduce the Multimodal Medical Codemixed Question Summarization MMCQS dataset, which combines Hindi-English codemixed medical queries with visual aids. This integration enriches the representation of a patient's medical condition, providing a more comprehensive perspective. We also propose a framework named MedSumm that leverages the power of LLMs and VLMs for this task. By utilizing our MMCQS dataset, we demonstrate the value of integrating visual information from images to improve the creation of medically detailed summaries. This multimodal strategy not only improves healthcare decision-making but also promotes a deeper comprehension of patient queries, paving the way for future exploration in personalized and responsive medical care. Our dataset, code, and pre-trained models will be made publicly available.

Bilinear pooling (BLP) refers to a family of operations recently developed for fusing features from different modalities predominantly developed for VQA models. A bilinear (outer-product) expansion is thought to encourage models to learn interactions between two feature spaces and has experimentally outperformed `simpler' vector operations (concatenation and element-wise-addition/multiplication) on VQA benchmarks. Successive BLP techniques have yielded higher performance with lower computational expense and are often implemented alongside attention mechanisms. However, despite significant progress in VQA, BLP methods have not been widely applied to more recently explored video question answering (video-QA) tasks. In this paper, we begin to bridge this research gap by applying BLP techniques to various video-QA benchmarks, namely: TVQA, TGIF-QA, Ego-VQA and MSVD-QA. We share our results on the TVQA baseline model, and the recently proposed heterogeneous-memory-enchanced multimodal attention (HME) model. Our experiments include both simply replacing feature concatenation in the existing models with BLP, and a modified version of the TVQA baseline to accommodate BLP we name the `dual-stream' model. We find that our relatively simple integration of BLP does not increase, and mostly harms, performance on these video-QA benchmarks. Using recently proposed theoretical multimodal fusion taxonomies, we offer insight into why BLP-driven performance gain for video-QA benchmarks may be more difficult to achieve than in earlier VQA models. We suggest a few additional `best-practices' to consider when applying BLP to video-QA. We stress that video-QA models should carefully consider where the complex representational potential from BLP is actually needed to avoid computational expense on `redundant' fusion.

This paper considers the problem of Multi-Hop Video Question Answering (MH-VidQA) in long-form egocentric videos. This task not only requires to answer visual questions, but also to localize multiple relevant time intervals within the video as visual evidences. We develop an automated pipeline to create multi-hop question-answering pairs with associated temporal evidence, enabling to construct a large-scale dataset for instruction-tuning. To monitor the progress of this new task, we further curate a high-quality benchmark, MultiHop-EgoQA, with careful manual verification and refinement. Experimental results reveal that existing multi-modal systems exhibit inadequate multi-hop grounding and reasoning abilities, resulting in unsatisfactory performance. We then propose a novel architecture, termed as Grounding Scattered Evidence with Large Language Model (GeLM), that enhances multi-modal large language models (MLLMs) by incorporating a grounding module to retrieve temporal evidence from videos using flexible grounding tokens. Trained on our visual instruction data, GeLM demonstrates improved multi-hop grounding and reasoning capabilities, setting a new baseline for this challenging task. Furthermore, when trained on third-person view videos, the same architecture also achieves state-of-the-art performance on the single-hop VidQA benchmark, ActivityNet-RTL, demonstrating its effectiveness.

Large multimodal models (LMMs) have shown great potential for video reasoning with textual Chain-of-Thought. However, they remain vulnerable to hallucinations, especially when processing long-form videos where evidence is sparse and temporally dispersed. Inspired by how humans comprehend long videos - by first skimming globally and then examining relevant clips for details - we introduce LongVT, an end-to-end agentic framework that enables "Thinking with Long Videos" via interleaved Multimodal Chain-of-Tool-Thought. Specifically, we exploit LMMs' inherent temporal grounding ability as a native video cropping tool to zoom in on a specific video clip and resample finer-grained video frames. This global-to-local reasoning loop continues until answers are grounded in retrieved visual evidence. Given the scarcity of fine-grained question-answering (QA) data for the long video reasoning task, we curate and will release a data suite named VideoSIAH to facilitate both training and evaluation. Specifically, our training dataset consists of 247.9K samples for tool-integrated cold-start supervised fine-tuning, 1.6K samples for agentic reinforcement learning, and 15.4K samples for agentic reinforcement fine-tuning, respectively. Our evaluation benchmark consists of 1,280 QA pairs that are carefully curated through a semi-automatic data pipeline with human-in-the-loop validation. With a meticulously designed three-stage training strategy and extensive empirical validation, LongVT consistently outperforms existing strong baselines across four challenging long-video understanding and reasoning benchmarks. Our codes, data, and model checkpoints are publicly available at https://github.com/EvolvingLMMs-Lab/LongVT .

Videos carry rich visual information including object description, action, interaction, etc., but the existing multimodal large language models (MLLMs) fell short in referential understanding scenarios such as video-based referring. In this paper, we present Artemis, an MLLM that pushes video-based referential understanding to a finer level. Given a video, Artemis receives a natural-language question with a bounding box in any video frame and describes the referred target in the entire video. The key to achieving this goal lies in extracting compact, target-specific video features, where we set a solid baseline by tracking and selecting spatiotemporal features from the video. We train Artemis on the newly established VideoRef45K dataset with 45K video-QA pairs and design a computationally efficient, three-stage training procedure. Results are promising both quantitatively and qualitatively. Additionally, we show that \model can be integrated with video grounding and text summarization tools to understand more complex scenarios. Code and data are available at https://github.com/qiujihao19/Artemis.

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical corpora. These works typically claim that such domain-adaptive pretraining (DAPT) improves performance on downstream medical tasks, such as answering medical licensing exam questions. In this paper, we compare ten public "medical" LLMs and two VLMs against their corresponding base models, arriving at a different conclusion: all medical VLMs and nearly all medical LLMs fail to consistently improve over their base models in the zero-/few-shot prompting and supervised fine-tuning regimes for medical question-answering (QA). For instance, across all tasks and model pairs we consider in the 3-shot setting, medical LLMs only outperform their base models in 22.7% of cases, reach a (statistical) tie in 36.8% of cases, and are significantly worse than their base models in the remaining 40.5% of cases. Our conclusions are based on (i) comparing each medical model head-to-head, directly against the corresponding base model; (ii) optimizing the prompts for each model separately in zero-/few-shot prompting; and (iii) accounting for statistical uncertainty in comparisons. While these basic practices are not consistently adopted in the literature, our ablations show that they substantially impact conclusions. Meanwhile, we find that after fine-tuning on specific QA tasks, medical LLMs can show performance improvements, but the benefits do not carry over to tasks based on clinical notes. Our findings suggest that state-of-the-art general-domain models may already exhibit strong medical knowledge and reasoning capabilities, and offer recommendations to strengthen the conclusions of future studies.

We introduce EgoSchema, a very long-form video question-answering dataset, and benchmark to evaluate long video understanding capabilities of modern vision and language systems. Derived from Ego4D, EgoSchema consists of over 5000 human curated multiple choice question answer pairs, spanning over 250 hours of real video data, covering a very broad range of natural human activity and behavior. For each question, EgoSchema requires the correct answer to be selected between five given options based on a three-minute-long video clip. While some prior works have proposed video datasets with long clip lengths, we posit that merely the length of the video clip does not truly capture the temporal difficulty of the video task that is being considered. To remedy this, we introduce temporal certificate sets, a general notion for capturing the intrinsic temporal understanding length associated with a broad range of video understanding tasks & datasets. Based on this metric, we find EgoSchema to have intrinsic temporal lengths over 5.7x longer than the second closest dataset and 10x to 100x longer than any other video understanding dataset. Further, our evaluation of several current state-of-the-art video and language models shows them to be severely lacking in long-term video understanding capabilities. Even models with several billions of parameters achieve QA accuracy less than 33% (random is 20%) on the EgoSchema multi-choice question answering task, while humans achieve about 76% accuracy. We posit that {}, with its long intrinsic temporal structures and diverse complexity, would serve as a valuable evaluation probe for developing effective long-term video understanding systems in the future. Data and Zero-shot model evaluation code are open-sourced for both public and commercial use under the Ego4D license at http://egoschema.github.io

This paper presents a systematic study on enabling medical reasoning models (MRMs) to generate ranked lists of answers for open-ended questions. Clinical decision-making rarely relies on a single answer but instead considers multiple options, reducing the risks of narrow perspectives. Yet current MRMs are typically trained to produce only one answer, even in open-ended settings. We propose an alternative format: ranked lists and investigate two approaches: prompting and fine-tuning. While prompting is a cost-effective way to steer an MRM's response, not all MRMs generalize well across different answer formats: choice, short text, and list answers. Based on our prompting findings, we train and evaluate MRMs using supervised fine-tuning (SFT) and reinforcement fine-tuning (RFT). SFT teaches a model to imitate annotated responses, and RFT incentivizes exploration through the responses that maximize a reward. We propose new reward functions targeted at ranked-list answer formats, and conduct ablation studies for RFT. Our results show that while some SFT models generalize to certain answer formats, models trained with RFT are more robust across multiple formats. We also present a case study on a modified MedQA with multiple valid answers, finding that although MRMs might fail to select the benchmark's preferred ground truth, they can recognize valid answers. To the best of our knowledge, this is the first systematic investigation of approaches for enabling MRMs to generate answers as ranked lists. We hope this work provides a first step toward developing alternative answer formats that are beneficial beyond single answers in medical domains.

Existing methods for long video understanding primarily focus on videos only lasting tens of seconds, with limited exploration of techniques for handling longer videos. The increased number of frames in longer videos presents two main challenges: difficulty in locating key information and performing long-range reasoning. Thus, we propose DrVideo, a document-retrieval-based system designed for long video understanding. Our key idea is to convert the long-video understanding problem into a long-document understanding task so as to effectively leverage the power of large language models. Specifically, DrVideo transforms a long video into a text-based long document to initially retrieve key frames and augment the information of these frames, which is used this as the system's starting point. It then employs an agent-based iterative loop to continuously search for missing information, augment relevant data, and provide final predictions in a chain-of-thought manner once sufficient question-related information is gathered. Extensive experiments on long video benchmarks confirm the effectiveness of our method. DrVideo outperforms existing state-of-the-art methods with +3.8 accuracy on EgoSchema benchmark (3 minutes), +17.9 in MovieChat-1K break mode, +38.0 in MovieChat-1K global mode (10 minutes), and +30.2 on the LLama-Vid QA dataset (over 60 minutes).

The Long-form Video Question-Answering task requires the comprehension and analysis of extended video content to respond accurately to questions by utilizing both temporal and contextual information. In this paper, we present MM-Screenplayer, an advanced video understanding system with multi-modal perception capabilities that can convert any video into textual screenplay representations. Unlike previous storytelling methods, we organize video content into scenes as the basic unit, rather than just visually continuous shots. Additionally, we developed a ``Look Back'' strategy to reassess and validate uncertain information, particularly targeting breakpoint mode. MM-Screenplayer achieved highest score in the CVPR'2024 LOng-form VidEo Understanding (LOVEU) Track 1 Challenge, with a global accuracy of 87.5% and a breakpoint accuracy of 68.8%.

Recent approaches have shown impressive proficiency in extracting and leveraging parametric knowledge from Large-Language Models (LLMs) and Vision-Language Models (VLMs). In this work, we consider how we can improve the identification and retrieval of videos related to complex real-world events by automatically extracting latent parametric knowledge about those events. We present Q2E: a Query-to-Event decomposition method for zero-shot multilingual text-to-video retrieval, adaptable across datasets, domains, LLMs, or VLMs. Our approach demonstrates that we can enhance the understanding of otherwise overly simplified human queries by decomposing the query using the knowledge embedded in LLMs and VLMs. We additionally show how to apply our approach to both visual and speech-based inputs. To combine this varied multimodal knowledge, we adopt entropy-based fusion scoring for zero-shot fusion. Through evaluations on two diverse datasets and multiple retrieval metrics, we demonstrate that Q2E outperforms several state-of-the-art baselines. Our evaluation also shows that integrating audio information can significantly improve text-to-video retrieval. We have released code and data for future research.

Large Language Models (LLMs) have shown remarkable performances on a wide range of natural language understanding and generation tasks. We observe that the LLMs provide effective priors in exploiting linguistic shortcuts for temporal and causal reasoning in Video Question Answering (VideoQA). However, such priors often cause suboptimal results on VideoQA by leading the model to over-rely on questions, i.e., linguistic bias, while ignoring visual content. This is also known as `ungrounded guesses' or `hallucinations'. To address this problem while leveraging LLMs' prior on VideoQA, we propose a novel framework, Flipped-VQA, encouraging the model to predict all the combinations of langleV, Q, Arangle triplet by flipping the source pair and the target label to understand their complex relationships, i.e., predict A, Q, and V given a VQ, VA, and QA pairs, respectively. In this paper, we develop LLaMA-VQA by applying Flipped-VQA to LLaMA, and it outperforms both LLMs-based and non-LLMs-based models on five challenging VideoQA benchmarks. Furthermore, our Flipped-VQA is a general framework that is applicable to various LLMs (OPT and GPT-J) and consistently improves their performances. We empirically demonstrate that Flipped-VQA not only enhances the exploitation of linguistic shortcuts but also mitigates the linguistic bias, which causes incorrect answers over-relying on the question. Code is available at https://github.com/mlvlab/Flipped-VQA.

Multimodal large language models (MLLMs) have begun to demonstrate robust reasoning capabilities on general tasks, yet their application in the medical domain remains in its early stages. Constructing chain-of-thought (CoT) training data is essential for bolstering the reasoning abilities of medical MLLMs. However, existing approaches exhibit a deficiency in offering a comprehensive framework for searching and evaluating effective reasoning paths towards critical diagnosis. To address this challenge, we propose Mentor-Intern Collaborative Search (MICS), a novel reasoning-path searching scheme to generate rigorous and effective medical CoT data. MICS first leverages mentor models to initialize the reasoning, one step at a time, then prompts each intern model to continue the thinking along those initiated paths, and finally selects the optimal reasoning path according to the overall reasoning performance of multiple intern models. The reasoning performance is determined by an MICS-Score, which assesses the quality of generated reasoning paths. Eventually, we construct MMRP, a multi-task medical reasoning dataset with ranked difficulty, and Chiron-o1, a new medical MLLM devised via a curriculum learning strategy, with robust visual question-answering and generalizable reasoning capabilities. Extensive experiments demonstrate that Chiron-o1, trained on our CoT dataset constructed using MICS, achieves state-of-the-art performance across a list of medical visual question answering and reasoning benchmarks. Codes are available at GitHub - manglu097/Chiron-o1: Enhancing Step-by-Step and Verifiable Medical Reasoning in MLLMs

Multimodal large language models (MLLMs) represent an evolutionary expansion in the capabilities of traditional large language models, enabling them to tackle challenges that surpass the scope of purely text-based applications. It leverages the knowledge previously encoded within these language models, thereby enhancing their applicability and functionality in the reign of multimodal contexts. Recent works investigate the adaptation of MLLMs to predict free-form answers as a generative task to solve medical visual question answering (Med-VQA) tasks. In this paper, we propose a parameter efficient framework for fine-tuning MLLM specifically tailored to Med-VQA applications, and empirically validate it on a public benchmark dataset. To accurately measure the performance, we employ human evaluation and the results reveal that our model achieves an overall accuracy of 81.9%, and outperforms the GPT-4v model by a significant margin of 26% absolute accuracy on closed-ended questions. The code will be available here: https://github.com/jinlHe/PeFoMed.

Despite significant breakthroughs in video analysis driven by the rapid development of large multimodal models (LMMs), there remains a lack of a versatile evaluation benchmark to comprehensively assess these models' performance in video understanding and reasoning. To address this, we present VideoVista, a video QA benchmark that integrates challenges across diverse content categories, durations, and abilities. Specifically, VideoVista comprises 25,000 questions derived from 3,400 videos spanning 14 categories (e.g., Howto, Film, and Entertainment) with durations ranging from a few seconds to over 10 minutes. Besides, it encompasses 19 types of understanding tasks (e.g., anomaly detection, interaction understanding) and 8 reasoning tasks (e.g., logical reasoning, causal reasoning). To achieve this, we present an automatic data construction framework, leveraging powerful GPT-4o alongside advanced analysis tools (e.g., video splitting, object segmenting, and tracking). We also utilize this framework to construct training data to enhance the capabilities of video-related LMMs (Video-LMMs). Through a comprehensive and quantitative evaluation of cutting-edge models, we reveal that: 1) Video-LMMs face difficulties in fine-grained video tasks involving temporal location, object tracking, and anomaly detection; 2) Video-LMMs present inferior logical and relation reasoning abilities; 3) Open-source Video-LMMs' performance is significantly lower than GPT-4o and Gemini-1.5, lagging by 20 points. This highlights the crucial role VideoVista will play in advancing LMMs that can accurately understand videos and perform precise reasoning.

Despite significant advances in Multimodal Large Language Models (MLLMs), understanding complex temporal dynamics in videos remains a major challenge. Our experiments show that current Video Large Language Model (Video-LLM) architectures have critical limitations in temporal understanding, struggling with tasks that require detailed comprehension of action sequences and temporal progression. In this work, we propose a Video-LLM architecture that introduces stacked temporal attention modules directly within the vision encoder. This design incorporates a temporal attention in vision encoder, enabling the model to better capture the progression of actions and the relationships between frames before passing visual tokens to the LLM. Our results show that this approach significantly improves temporal reasoning and outperforms existing models in video question answering tasks, specifically in action recognition. We improve on benchmarks including VITATECS, MVBench, and Video-MME by up to +5.5%. By enhancing the vision encoder with temporal structure, we address a critical gap in video understanding for Video-LLMs. Project page and code are available at: https://alirasekh.github.io/STAVEQ2/.

Medical multiple-choice question answering (MCQA) is particularly difficult. Questions may describe patient symptoms and ask for the correct diagnosis, which requires domain knowledge and complex reasoning. Standard language modeling pretraining alone is not sufficient to achieve the best results. jin2020disease showed that focusing masked language modeling on disease name prediction when using medical encyclopedic paragraphs as input leads to considerable MCQA accuracy improvement. In this work, we show that (1) fine-tuning on generated MCQA dataset outperforms the masked language modeling based objective and (2) correctly masking the cues to the answers is critical for good performance. We release new pretraining datasets and achieve state-of-the-art results on 4 MCQA datasets, notably +5.7\% with base-size model on MedQA-USMLE.

Retrieval-augmented generation (RAG) has emerged as a promising approach to enhance the performance of large language models (LLMs) in knowledge-intensive tasks such as those from medical domain. However, the sensitive nature of the medical domain necessitates a completely accurate and trustworthy system. While existing RAG benchmarks primarily focus on the standard retrieve-answer setting, they overlook many practical scenarios that measure crucial aspects of a reliable medical system. This paper addresses this gap by providing a comprehensive evaluation framework for medical question-answering (QA) systems in a RAG setting for these situations, including sufficiency, integration, and robustness. We introduce Medical Retrieval-Augmented Generation Benchmark (MedRGB) that provides various supplementary elements to four medical QA datasets for testing LLMs' ability to handle these specific scenarios. Utilizing MedRGB, we conduct extensive evaluations of both state-of-the-art commercial LLMs and open-source models across multiple retrieval conditions. Our experimental results reveals current models' limited ability to handle noise and misinformation in the retrieved documents. We further analyze the LLMs' reasoning processes to provides valuable insights and future directions for developing RAG systems in this critical medical domain.

There is a lack of benchmarks for evaluating large language models (LLMs) in long-form medical question answering (QA). Most existing medical QA evaluation benchmarks focus on automatic metrics and multiple-choice questions. While valuable, these benchmarks fail to fully capture or assess the complexities of real-world clinical applications where LLMs are being deployed. Furthermore, existing studies on evaluating long-form answer generation in medical QA are primarily closed-source, lacking access to human medical expert annotations, which makes it difficult to reproduce results and enhance existing baselines. In this work, we introduce a new publicly available benchmark featuring real-world consumer medical questions with long-form answer evaluations annotated by medical doctors. We performed pairwise comparisons of responses from various open and closed-source medical and general-purpose LLMs based on criteria such as correctness, helpfulness, harmfulness, and bias. Additionally, we performed a comprehensive LLM-as-a-judge analysis to study the alignment between human judgments and LLMs. Our preliminary results highlight the strong potential of open LLMs in medical QA compared to leading closed models. Code & Data: https://github.com/lavita-ai/medical-eval-sphere

The rapid advancement of large-scale vision-language models has showcased remarkable capabilities across various tasks. However, the lack of extensive and high-quality image-text data in medicine has greatly hindered the development of large-scale medical vision-language models. In this work, we present a diagnosis-guided bootstrapping strategy that exploits both image and label information to construct vision-language datasets. Based on the constructed dataset, we developed MedDr, a generalist foundation model for healthcare capable of handling diverse medical data modalities, including radiology, pathology, dermatology, retinography, and endoscopy. Moreover, during inference, we propose a simple but effective retrieval-augmented medical diagnosis strategy, which enhances the model's generalization ability. Extensive experiments on visual question answering, medical report generation, and medical image diagnosis demonstrate the superiority of our method.

Recent studies have shown promising results on utilizing pre-trained image-language models for video question answering. While these image-language models can efficiently bootstrap the representation learning of video-language models, they typically concatenate uniformly sampled video frames as visual inputs without explicit language-aware, temporal modeling. When only a portion of a video input is relevant to the language query, such uniform frame sampling can often lead to missing important visual cues. Although humans often find a video moment to focus on and rewind the moment to answer questions, training a query-aware video moment localizer often requires expensive annotations and high computational costs. To address this issue, we propose Self-Chained Video Localization-Answering (SeViLA), a novel framework that leverages a single image-language model (BLIP-2) to tackle both temporal keyframe localization and QA on videos. SeViLA framework consists of two modules: Localizer and Answerer, where both are parameter-efficiently fine-tuned from BLIP-2. We chain these modules for cascaded inference and self-refinement. First, in the forward chain, the Localizer finds multiple language-aware keyframes in a video, which the Answerer uses to predict the answer. Second, in the reverse chain, the Answerer generates keyframe pseudo-labels to refine the Localizer, alleviating the need for expensive video moment localization annotations. SeViLA outperforms several strong baselines/previous works on five video QA and event prediction tasks, and achieves the state-of-the-art in both fine-tuning (NExT-QA, STAR) and zero-shot (NExT-QA, STAR, How2QA, VLEP) settings. We show a comprehensive analysis, e.g., the impact of Localizer, comparisons of Localizer with other temporal localization models, pre-training/self-refinement of Localizer, and varying the number of keyframes.