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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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MOTIF: Learning Action Motifs for Few-shot Cross-Embodiment Transfer

arXiv:2602.13764v1 Announce Type: cross Abstract: While vision-language-action (VLA) models have advanced generalist robotic learning, cross-embodiment transfer remains challenging due to kinematic heterogeneity and the high cost of collecting sufficient real-world demonstrations to support fine-tuning. Existing cross-embodiment policies typically rely on shared-private architectures, which suffer from limited capacity of private parameters and lack explicit adaptation mechanisms. To address these limitations, we introduce MOTIF for efficient few-shot cross-embodiment transfer that decouples embodiment-agnostic spatiotemporal patterns, termed action motifs, from heterogeneous action data. Specifically, MOTIF first learns unified motifs via vector quantization with progress-aware alignment and embodiment adversarial constraints to ensure temporal and cross-embodiment consistency. We then design a lightweight predictor that predicts these motifs from real-time inputs to guide a flow-matching policy, fusing them with robot-specific states to enable action generation on new embodiments. Evaluations across both simulation and real-world environments validate the superiority of MOTIF, which significantly outperforms strong baselines in few-shot transfer scenarios by 6.5% in simulation and 43.7% in real-world settings. Code is available at https://github.com/buduz/MOTIF.
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