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Received — 4 April 2026 ⏭ cs.AI, q-bio.NC updates on arXiv.org

Scale over Preference: The Impact of AI-Generated Content on Online Content Ecology

arXiv:2604.01690v1 Announce Type: new Abstract: The rapid proliferation of Artificial Intelligence-Generated Content (AIGC) is fundamentally restructuring online content ecologies, necessitating a rigorous examination of its behavioral and distributional implications. Leveraging a comprehensive longitudinal dataset comprising tens of millions of users from a leading Chinese video-sharing platform, this study elucidated the distinct creation and consumption behaviors characterizing AIGC versus Human-Generated Content (HGC). We identified a prevalent scale-over-preference dynamic, wherein AIGC creators achieve aggregate engagement comparable to HGC creators through high-volume production, despite a marked consumer preference for HGC. Deeper analysis uncovered the ability of the algorithmic content distribution mechanism in moderating these competing interests regarding AIGC. These findings advocated for the implementation of AIGC-sensitive distribution algorithms and precise governance frameworks to ensure the long-term health of the online content platforms.

AeroTherm-GPT: A Verification-Centered LLM Framework for Thermal Protection System Engineering Workflows

arXiv:2604.01738v1 Announce Type: new Abstract: Integrating Large Language Models (LLMs) into hypersonic thermal protection system (TPS) design is bottlenecked by cascading constraint violations when generating executable simulation artifacts. General-purpose LLMs, treating generation as single-pass text completion, fail to satisfy the sequential, multi-gate constraints inherent in safety-critical engineering workflows. To address this, we propose AeroTherm-GPT, the first TPS-specialized LLM Agent, instantiated through a Constraint-Closed-Loop Generation (CCLG) framework. CCLG organizes TPS artifact generation as an iterative workflow comprising generation, validation, CDG-guided repair, execution, and audit. The Constraint Dependency Graph (CDG) encodes empirical co-resolution structure among constraint categories, directing repair toward upstream fault candidates based on lifecycle ordering priors and empirical co-resolution probabilities. This upstream-priority mechanism resolves multiple downstream violations per action, achieving a Root-Cause Fix Efficiency of 4.16 versus 1.76 for flat-checklist repair. Evaluated on HyTPS-Bench and validated against external benchmarks, AeroTherm-GPT achieves 88.7% End-to-End Success Rate (95% CI: 87.5-89.9), a gain of +12.5 pp over the matched non-CDG ablation baseline, without catastrophic forgetting on scientific reasoning and code generation tasks.

ReFlow: Self-correction Motion Learning for Dynamic Scene Reconstruction

arXiv:2604.01561v1 Announce Type: cross Abstract: We present ReFlow, a unified framework for monocular dynamic scene reconstruction that learns 3D motion in a novel self-correction manner from raw video. Existing methods often suffer from incomplete scene initialization for dynamic regions, leading to unstable reconstruction and motion estimation, which often resorts to external dense motion guidance such as pre-computed optical flow to further stabilize and constrain the reconstruction of dynamic components. However, this introduces additional complexity and potential error propagation. To address these issues, ReFlow integrates a Complete Canonical Space Construction module for enhanced initialization of both static and dynamic regions, and a Separation-Based Dynamic Scene Modeling module that decouples static and dynamic components for targeted motion supervision. The core of ReFlow is a novel self-correction flow matching mechanism, consisting of Full Flow Matching to align 3D scene flow with time-varying 2D observations, and Camera Flow Matching to enforce multi-view consistency for static objects. Together, these modules enable robust and accurate dynamic scene reconstruction. Extensive experiments across diverse scenarios demonstrate that ReFlow achieves superior reconstruction quality and robustness, establishing a novel self-correction paradigm for monocular 4D reconstruction.

DWDP: Distributed Weight Data Parallelism for High-Performance LLM Inference on NVL72

arXiv:2604.01621v1 Announce Type: cross Abstract: Large language model (LLM) inference increasingly depends on multi-GPU execution, yet existing inference parallelization strategies require layer-wise inter-rank synchronization, making end-to-end performance sensitive to workload imbalance. We present DWDP (Distributed Weight Data Parallelism), an inference parallelization strategy that preserves data-parallel execution while offloading MoE weights across peer GPUs and fetching missing experts on demand. By removing collective inter-rank synchronization, DWDP allows each GPU to progress independently. We further address the practical overheads of this design with two optimizations for split-weight management and asynchronous remote-weight prefetch. Implemented in TensorRT-LLM and evaluated with DeepSeek-R1 on GB200 NVL72, DWDP improves end-to-end output TPS/GPU by 8.8% at comparable TPS/user in the 20-100 TPS/user serving range under 8K input sequence length and 1K output sequence length.

GPA: Learning GUI Process Automation from Demonstrations

arXiv:2604.01676v1 Announce Type: cross Abstract: GUI Process Automation (GPA) is a lightweight but general vision-based Robotic Process Automation (RPA), which enables fast and stable process replay with only a single demo. Addressing the fragility of traditional RPA and the non-deterministic risks of current vision language model-based GUI agents, GPA introduces three core benefits: (1) Robustness via Sequential Monte Carlo-based localization to handle rescaling and detection uncertainty; (2) Deterministic and Reliability safeguarded by readiness calibration; and (3) Privacy through fast, fully local execution. This approach delivers the adaptability, robustness, and security required for enterprise workflows. It can also be used as an MCP/CLI tool by other agents with coding capabilities so that the agent only reasons and orchestrates while GPA handles the GUI execution. We conducted a pilot experiment to compare GPA with Gemini 3 Pro (with CUA tools) and found that GPA achieves higher success rate with 10 times faster execution speed in finishing long-horizon GUI tasks.

Reflection of Episodes: Learning to Play Game from Expert and Self Experiences

arXiv:2502.13388v2 Announce Type: replace Abstract: StarCraft II is a complex and dynamic real-time strategy (RTS) game environment, which is very suitable for artificial intelligence and reinforcement learning research. To address the problem of Large Language Model(LLM) learning in complex environments through self-reflection, we propose a Reflection of Episodes(ROE) framework based on expert experience and self-experience. This framework first obtains key information in the game through a keyframe selection method, then makes decisions based on expert experience and self-experience. After a game is completed, it reflects on the previous experience to obtain new self-experience. Finally, in the experiment, our method beat the robot under the Very Hard difficulty in TextStarCraft II. We analyze the data of the LLM in the process of the game in detail, verified its effectiveness.

Learn to Relax with Large Language Models: Solving Constraint Optimization Problems via Bidirectional Coevolution

arXiv:2509.12643v3 Announce Type: replace Abstract: Large Language Model (LLM)-based optimization has recently shown promise for autonomous problem solving, yet most approaches still cast LLMs as passive constraint checkers rather than proactive strategy designers, limiting their effectiveness on complex Constraint Optimization Problems (COPs). To address this, we present AutoCO, an end-to-end Automated Constraint Optimization method that tightly couples operations-research principles of constraint relaxation with LLM reasoning. A core innovation is a unified triple-representation that binds relaxation strategies, algorithmic principles, and executable codes. This design enables the LLM to synthesize, justify, and instantiate relaxation strategies that are both principled and executable. To navigate fragmented solution spaces, AutoCO employs a bidirectional global-local coevolution mechanism, synergistically coupling Monte Carlo Tree Search (MCTS) for global relaxation-trajectory exploration with Evolutionary Algorithms (EAs) for local solution intensification. This continuous exchange of priors and feedback explicitly balances diversification and intensification, thus preventing premature convergence. Extensive experiments on three challenging COP benchmarks validate AutoCO's consistent effectiveness and superior performance, especially in hard regimes where current methods degrade. Results highlight AutoCO as a principled and effective path toward proactive, verifiable LLM-driven optimization.

Stabilizing Rubric Integration Training via Decoupled Advantage Normalization

arXiv:2603.26535v2 Announce Type: replace Abstract: We propose Process-Aware Policy Optimization (PAPO), a method that integrates process-level evaluation into Group Relative Policy Optimization (GRPO) through decoupled advantage normalization, to address two limitations of existing reward designs. Outcome reward models (ORM) evaluate only final-answer correctness, treating all correct responses identically regardless of reasoning quality, and gradually lose the advantage signal as groups become uniformly correct. Process reward models (PRM) offer richer supervision, but directly using PRM scores causes reward hacking, where models exploit verbosity to inflate scores while accuracy collapses. PAPO resolves both by composing the advantage from an outcome component Aout, derived from ORM and normalized over all responses, and a process component Aproc, derived from a rubric-based PRM and normalized exclusively among correct responses. This decoupled design ensures that Aout anchors training on correctness while Aproc differentiates reasoning quality without distorting the outcome signal. Experiments across multiple model scales and six benchmarks demonstrate that PAPO consistently outperforms ORM, reaching 51.3% vs.\ 46.3% on OlympiadBench while continuing to improve as ORM plateaus and declines.

NCCL EP: Towards a Unified Expert Parallel Communication API for NCCL

arXiv:2603.13606v3 Announce Type: replace-cross Abstract: Mixture-of-Experts (MoE) architectures have become essential for scaling large language models, driving the development of specialized device-initiated communication libraries such as DeepEP, Hybrid-EP, and others. These libraries demonstrate the performance benefits of GPU-initiated RDMA for MoE dispatch and combine operations. This paper presents NCCL EP (Expert Parallelism), a ground-up MoE communication library built entirely on NCCL's Device API. NCCL EP provides unified ncclEpDispatch and ncclEpCombine primitives with both C and Python interfaces, supporting Low-Latency (LL) mode for inference decoding and High-Throughput (HT) mode for training and inference prefill. LL targets small batch sizes (1-128 tokens) using direct all-to-all RDMA+NVLink mesh connectivity with double-buffered communication for overlapping dispatch and combine phases. HT targets large batches (4096+ tokens) using hierarchical communication that aggregates tokens within NVLink domains before inter-node RDMA transmission. Both modes leverage Device API for both intra- and inter-node communications, taking advantage of its topology awareness and optimized GPU-initiated implementation. We evaluate NCCL EP on an H100-based cluster across multi-node configurations, demonstrating competitive LL kernel performance and presenting end-to-end results with vLLM integration. By building MoE communication natively within NCCL, NCCL EP provides a supported path for expert parallelism on current and emerging NVIDIA platforms.

Generation Is Compression: Zero-Shot Video Coding via Stochastic Rectified Flow

arXiv:2603.26571v2 Announce Type: replace-cross Abstract: Recent advances in generative modeling have enabled perceptual video compression at ultra-low bitrates, yet existing methods predominantly treat the generative model as a refinement or reconstruction module attached to a separately designed codec backbone. We propose \emph{Generative Video Codebook Codec} (GVCC), a zero-shot framework that turns a pretrained video generative model into the codec itself: the transmitted bitstream directly specifies the generative decoding trajectory, with no retraining required. To enable this, we convert the deterministic rectified-flow ODE of modern video foundation models into an equivalent SDE at inference time, unlocking per-step stochastic injection points for codebook-driven compression. Building on this unified backbone, we instantiate three complementary conditioning strategies -- \emph{Image-to-Video} (I2V) with autoregressive GOP chaining, tail latent residual correction, and adaptive atom allocation, \emph{Text-to-Video} (T2V) operating at near-zero side information as a pure generative prior, and \emph{First-Last-Frame-to-Video} (FLF2V) with boundary-sharing GOP chaining for dual-anchor temporal control. Together, these variants span a principled trade-off space between spatial fidelity, temporal coherence, and compression efficiency. Experiments on standard benchmarks show that GVCC achieves high-quality reconstruction below 0.002\,bpp while supporting flexible bitrate control through a single hyperparameter.

UniMixer: A Unified Architecture for Scaling Laws in Recommendation Systems

arXiv:2604.00590v2 Announce Type: replace-cross Abstract: In recent years, the scaling laws of recommendation models have attracted increasing attention, which govern the relationship between performance and parameters/FLOPs of recommenders. Currently, there are three mainstream architectures for achieving scaling in recommendation models, namely attention-based, TokenMixer-based, and factorization-machine-based methods, which exhibit fundamental differences in both design philosophy and architectural structure. In this paper, we propose a unified scaling architecture for recommendation systems, namely \textbf{UniMixer}, to improve scaling efficiency and establish a unified theoretical framework that unifies the mainstream scaling blocks. By transforming the rule-based TokenMixer to an equivalent parameterized structure, we construct a generalized parameterized feature mixing module that allows the token mixing patterns to be optimized and learned during model training. Meanwhile, the generalized parameterized token mixing removes the constraint in TokenMixer that requires the number of heads to be equal to the number of tokens. Furthermore, we establish a unified scaling module design framework for recommender systems, which bridges the connections among attention-based, TokenMixer-based, and factorization-machine-based methods. To further boost scaling ROI, a lightweight UniMixing module is designed, \textbf{UniMixing-Lite}, which further compresses the model parameters and computational cost while significantly improve the model performance. The scaling curves are shown in the following figure. Extensive offline and online experiments are conducted to verify the superior scaling abilities of \textbf{UniMixer}.
Received — 2 April 2026 ⏭ cs.AI, q-bio.NC updates on arXiv.org

PSPA-Bench: A Personalized Benchmark for Smartphone GUI Agent

arXiv:2603.29318v1 Announce Type: new Abstract: Smartphone GUI agents execute tasks by operating directly on app interfaces, offering a path to broad capability without deep system integration. However, real-world smartphone use is highly personalized: users adopt diverse workflows and preferences, challenging agents to deliver customized assistance rather than generic solutions. Existing GUI agent benchmarks cannot adequately capture this personalization dimension due to sparse user-specific data and the lack of fine-grained evaluation metrics. To address this gap, we present PSPA-Bench, the benchmark dedicated to evaluating personalization in smartphone GUI agents. PSPA-Bench comprises over 12,855 personalized instructions aligned with real-world user behaviors across 10 representative daily-use scenarios and 22 mobile apps, and introduces a structure-aware process evaluation method that measures agents' personalized capabilities at a fine-grained level. Through PSPA-Bench, we benchmark 11 state-of-the-art GUI agents. Results reveal that current methods perform poorly under personalized settings, with even the strongest agent achieving limited success. Our analysis further highlights three directions for advancing personalized GUI agents: (1) reasoning-oriented models consistently outperform general LLMs, (2) perception remains a simple yet critical capability, and (3) reflection and long-term memory mechanisms are key to improving adaptation. Together, these findings establish PSPA-Bench as a foundation for systematic study and future progress in personalized GUI agents.

FlowPIE: Test-Time Scientific Idea Evolution with Flow-Guided Literature Exploration

arXiv:2603.29557v1 Announce Type: new Abstract: Scientific idea generation (SIG) is critical to AI-driven autonomous research, yet existing approaches are often constrained by a static retrieval-then-generation paradigm, leading to homogeneous and insufficiently divergent ideas. In this work, we propose FlowPIE, a tightly coupled retrieval-generation framework that treats literature exploration and idea generation as a co-evolving process. FlowPIE expands literature trajectories via a flow-guided Monte Carlo Tree Search (MCTS) inspired by GFlowNets, using the quality of current ideas assessed by an LLM-based generative reward model (GRM) as a supervised signal to guide adaptive retrieval and construct a diverse, high-quality initial population. Based on this population, FlowPIE models idea generation as a test-time idea evolution process, applying selection, crossover, and mutation with the isolation island paradigm and GRM-based fitness computation to incorporate cross-domain knowledge. It effectively mitigates the information cocoons arising from over-reliance on parametric knowledge and static literature. Extensive evaluations demonstrate that FlowPIE consistently produces ideas with higher novelty, feasibility and diversity compared to strong LLM-based and agent-based frameworks, while enabling reward scaling during test time.

OccSim: Multi-kilometer Simulation with Long-horizon Occupancy World Models

arXiv:2603.28887v1 Announce Type: cross Abstract: Data-driven autonomous driving simulation has long been constrained by its heavy reliance on pre-recorded driving logs or spatial priors, such as HD maps. This fundamental dependency severely limits scalability, restricting open-ended generation capabilities to the finite scale of existing collected datasets. To break this bottleneck, we present OccSim, the first occupancy world model-driven 3D simulator. OccSim obviates the requirement for continuous logs or HD maps; conditioned only on a single initial frame and a sequence of future ego-actions, it can stably generate over 3,000 continuous frames, enabling the continuous construction of large-scale 3D occupancy maps spanning over 4 kilometers for simulation. This represents an >80x improvement in stable generation length over previous state-of-the-art occupancy world models. OccSim is powered by two modules: W-DiT based static occupancy world model and the Layout Generator. W-DiT handles the ultra-long-horizon generation of static environments by explicitly introducing known rigid transformations in architecture design, while the Layout Generator populates the dynamic foreground with reactive agents based on the synthesized road topology. With these designs, OccSim can synthesize massive, diverse simulation streams. Extensive experiments demonstrate its downstream utility: data collected directly from OccSim can pre-train 4D semantic occupancy forecasting models to achieve up to 67% zero-shot performance on unseen data, outperforming previous asset-based simulator by 11%. When scaling the OccSim dataset to 5x the size, the zero-shot performance increases to about 74%, while the improvement over asset-based simulators expands to 22.1%.

AutoWorld: Scaling Multi-Agent Traffic Simulation with Self-Supervised World Models

arXiv:2603.28963v1 Announce Type: cross Abstract: Multi-agent traffic simulation is central to developing and testing autonomous driving systems. Recent data-driven simulators have achieved promising results, but rely heavily on supervised learning from labeled trajectories or semantic annotations, making it costly to scale their performance. Meanwhile, large amounts of unlabeled sensor data can be collected at scale but remain largely unused by existing traffic simulation frameworks. This raises a key question: How can a method harness unlabeled data to improve traffic simulation performance? In this work, we propose AutoWorld, a traffic simulation framework that employs a world model learned from unlabeled occupancy representations of LiDAR data. Given world model samples, AutoWorld constructs a coarse-to-fine predictive scene context as input to a multi-agent motion generation model. To promote sample diversity, AutoWorld uses a cascaded Determinantal Point Process framework to guide the sampling processes of both the world model and the motion model. Furthermore, we designed a motion-aware latent supervision objective that enhances AutoWorld's representation of scene dynamics. Experiments on the WOSAC benchmark show that AutoWorld ranks first on the leaderboard according to the primary Realism Meta Metric (RMM). We further show that simulation performance consistently improves with the inclusion of unlabeled LiDAR data, and study the efficacy of each component with ablations. Our method paves the way for scaling traffic simulation realism without additional labeling. Our project page contains additional visualizations and released code.

IMPACT: Influence Modeling for Open-Set Time Series Anomaly Detection

arXiv:2603.29183v1 Announce Type: cross Abstract: Open-set anomaly detection (OSAD) is an emerging paradigm designed to utilize limited labeled data from anomaly classes seen in training to identify both seen and unseen anomalies during testing. Current approaches rely on simple augmentation methods to generate pseudo anomalies that replicate unseen anomalies. Despite being promising in image data, these methods are found to be ineffective in time series data due to the failure to preserve its sequential nature, resulting in trivial or unrealistic anomaly patterns. They are further plagued when the training data is contaminated with unlabeled anomalies. This work introduces $\textbf{IMPACT}$, a novel framework that leverages $\underline{\textbf{i}}$nfluence $\underline{\textbf{m}}$odeling for o$\underline{\textbf{p}}$en-set time series $\underline{\textbf{a}}$nomaly dete$\underline{\textbf{ct}}$ion, to tackle these challenges. The key insight is to $\textbf{i)}$ learn an influence function that can accurately estimate the impact of individual training samples on the modeling, and then $\textbf{ii)}$ leverage these influence scores to generate semantically divergent yet realistic unseen anomalies for time series while repurposing high-influential samples as supervised anomalies for anomaly decontamination. Extensive experiments show that IMPACT significantly outperforms existing state-of-the-art methods, showing superior accuracy under varying OSAD settings and contamination rates.

Long-Document QA with Chain-of-Structured-Thought and Fine-Tuned SLMs

arXiv:2603.29232v1 Announce Type: cross Abstract: Large language models (LLMs) are widely applied to data analytics over documents, yet direct reasoning over long, noisy documents remains brittle and error-prone. Hence, we study document question answering (QA) that consolidates dispersed evidence into a structured output (e.g., a table, graph, or chunks) to support reliable, verifiable QA. We propose a two-pillar framework, LiteCoST, to achieve both high accuracy and low latency with small language models (SLMs). Pillar 1: Chain-of-Structured-Thought (CoST). We introduce a CoST template, a schema-aware instruction that guides a strong LLM to produce both a step-wise CoST trace and the corresponding structured output. The process induces a minimal structure, normalizes entities/units, aligns records, serializes the output, and verifies/refines it, yielding auditable supervision. Pillar 2: SLM fine-tuning. The compact models are trained on LLM-generated CoST data in two stages: Supervised Fine-Tuning for structural alignment, followed by Group Relative Policy Optimization (GRPO) incorporating triple rewards for answer/format quality and process consistency. By distilling structure-first behavior into SLMs, this approach achieves LLM-comparable quality on multi-domain long-document QA using 3B/7B SLMs, while delivering 2-4x lower latency than GPT-4o and DeepSeek-R1 (671B). The code is available at https://github.com/HKUSTDial/LiteCoST.

iPoster: Content-Aware Layout Generation for Interactive Poster Design via Graph-Enhanced Diffusion Models

arXiv:2603.29469v1 Announce Type: cross Abstract: We present iPoster, an interactive layout generation framework that empowers users to guide content-aware poster layout design by specifying flexible constraints. iPoster enables users to specify partial intentions within the intention module, such as element categories, sizes, positions, or coarse initial drafts. Then, the generation module instantly generates refined, context-sensitive layouts that faithfully respect these constraints. iPoster employs a unified graph-enhanced diffusion architecture that supports various design tasks under user-specified constraints. These constraints are enforced through masking strategies that precisely preserve user input at every denoising step. A cross content-aware attention module aligns generated elements with salient regions of the canvas, ensuring visual coherence. Extensive experiments show that iPoster not only achieves state-of-the-art layout quality, but offers a responsive and controllable framework for poster layout design with constraints.

MindCube: Spatial Mental Modeling from Limited Views

arXiv:2506.21458v2 Announce Type: replace Abstract: Can Vision-Language Models (VLMs) imagine the full scene from just a few views, like humans do? Humans form spatial mental models naturally, internal representations of unseen space, to reason about layout, perspective, and motion. Our MindCube benchmark with 21,154 questions across 3,268 images exposes this critical gap, where existing VLMs exhibit near-random performance. Using MindCube, we systematically evaluate how well VLMs build robust spatial mental models through representing positions (cognitive mapping), orientations (perspective-taking), and dynamics (mental simulation for "what-if" movements). We then explore three approaches to help approximate spatial mental models in VLMs, focusing on incorporating unseen intermediate views, natural language reasoning chains, and cognitive maps. The significant improvement comes from a synergistic approach, "map-then-reason", that jointly trains the model to first generate a cognitive map and then reason upon it. By training models to reason over these internal maps, we boosted accuracy from 37.8% to 57.8% (+20.0%). Adding reinforcement learning pushed performance even further to 61.3% (+23.5%). Our key insight is that such scaffolding of spatial mental models, actively constructing and utilizing internal structured spatial representations with flexible reasoning processes, significantly improves understanding of unobservable space.

Med-CMR: A Fine-Grained Benchmark Integrating Visual Evidence and Clinical Logic for Medical Complex Multimodal Reasoning

arXiv:2512.00818v2 Announce Type: replace Abstract: MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.
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