arXiv:2605.22337v2 Announce Type: replace Abstract: The KV cache used in large language models has linearly growing time complexity, so LLMs face memory blow-up and reduced decoding efficiency when they process long contexts. Current KV Cache eviction has become an important research direction; however, existing methods based on fixed Soft Tokens (e.g., Judge Q) rely on a static parameter set as the query to evaluate the importance of KV pairs, so they cannot adapt dynamically to different input prompts, and they cannot precisely capture complex and changing task relevance. Also, evicted KV pairs are discarded permanently, so this causes irreversible information loss and context breaks. To address this problem, we propose Meta-Soft, a dynamic compression framework based on probe-driven context integration. Specifically, we build a meta-library with a learnable orthogonal basis matrix $\mathcal{L}$, and we use a selector network with Gumbel-Softmax to produce differentiable sparse combination weights, so we dynamically synthesize the most targeted $k$ Soft Tokens from the input prompt features. We append these Soft Tokens to the end of the input sequence to probe key information. We also introduce an attention-flow based integration mechanism, which redistributes the semantic information of removed tokens into retained tokens, and this keeps the dropped context information effectively. Experiments on multiple datasets show that our method outperforms existing state-of-the-art eviction methods and provides a new solution for KV Cache compression.

arXiv:2509.22258v5 Announce Type: replace-cross Abstract: Recent advances in vision-language models (VLMs) have achieved remarkable performance on standard medical benchmarks, yet their true clinical reasoning ability remains unclear. Existing datasets predominantly emphasize classification accuracy, creating an evaluation illusion in which models appear proficient while still failing at high-stakes diagnostic reasoning. We introduce Neural-MedBench, a compact yet reasoning-intensive benchmark specifically designed to probe the limits of multimodal clinical reasoning in neurology. Neural-MedBench integrates multi-sequence MRI scans, structured electronic health records, and clinical notes, and encompasses three core task families: differential diagnosis, lesion recognition, and rationale generation. To ensure reliable evaluation, we develop a hybrid scoring pipeline that combines LLM-based graders, clinician validation, and semantic similarity metrics. Through systematic evaluation of state-of-the-art VLMs, including GPT-4o, Claude-4, and MedGemma, we observe a sharp performance drop compared to conventional datasets. Error analysis shows that reasoning failures, rather than perceptual errors, dominate model shortcomings. Our findings highlight the necessity of a Two-Axis Evaluation Framework: breadth-oriented large datasets for statistical generalization, and depth-oriented, compact benchmarks such as Neural-MedBench for reasoning fidelity. We release Neural-MedBench at https://neuromedbench.github.io/ as an open and extensible diagnostic testbed, which guides the expansion of future benchmarks and enables rigorous yet cost-effective assessment of clinically trustworthy AI.