Multimodal Large Language Models (MLLMs) capable of thinking with images often rely on external tools for fine-grained perception. However, this reliance introduces significant inference latency and fails to effectively resolve the spatial-structural gap-a fundamental challenge in text-dense and structurally relational visuals (e.g., charts and visual tables) where strict relative spatial arrangements bind textual elements. Without external tools, standard MLLMs struggle with such fine-grained visual reasoning tasks. To address these issues, we propose Think with Structured Grounding (TwSG), a novel fine-grained image perception framework designed to internalize complex images's tool-use capabilities within the model. TwSG distills the benefits of multi-step reasoning and micro-cropping into a single efficient forward pass during inference. Specifically, we use an MLLM to identify key regions guided by ground-truth answers, and then prompt a teacher model to generate high-quality visual question-answering (VQA) data. These fine-grained, region-based supervisory signals are subsequently distilled back into the full-image representation. Our training pipeline consists of two stages: (1) a cold-start supervised fine-tuning (SFT) phase using multi-turn data with focused area descriptions to foster complex reasoning and error recovery; and (2) a reinforcement fine-tuning (RFT) phase driven by a novel process reward mechanism, TL-GRPO, which encourages strategic reasoning. Extensive experiments across various MLLM architectures demonstrate that TwSG reduces inference latency while substantially improving accuracy and robustness, endowing models with native fine-grained region description and flexible reasoning capabilities.
https://arxiv.org/abs/2608.22429
Medical visual question answering (VQA) is a crucial task in clinical AI, yet its evaluation has so far centered almost exclusively on English, limiting its relevance to linguistically diverse patients and clinicians. Recent multilingual medical VQA benchmarks show that large vision-language models (LVLMs) degrade in non-English languages, but lack a fine-grained analysis of how cross-lingual variation affects the distinct capabilities that medical VQA requires. To this end, we construct a multilingual medical VQA benchmark over eight languages, organized into four representative scenarios that isolate the core capabilities medical VQA requires. Evaluating five open- and closed-source LVLMs, we find that cross-lingual degradation is not uniform but highly scenario-dependent. We therefore propose MedVL-XLRepE, a training-free scenario-aware representation engineering method, leveraging LVLMs' superior English medical VQA capability to steer non-English representations toward their English counterparts at inference time. Across three LVLMs and eight languages, MedVL-XLRepE consistently mitigates cross-lingual degradation, with gains of up to 6.33\%.
https://arxiv.org/abs/2608.22363
The application of Large Language Models (LLMs) to diagnostic decision-making has garnered growing interest. However, existing benchmarks largely focus on textual reasoning or isolated visual question-answering (VQA) tasks, lacking holistic integration of clinical narratives and medical imaging, and thus failing to assess the multimodal diagnostic synthesis capability central to expert clinical judgment. To bridge this gap, we introduce MedReaMM, a benchmark specifically designed to evaluate models' ability to synthesize heterogeneous clinical evidence consisting of detailed patient histories alongside multiple medical images into accurate differential diagnoses under a complete-information paradigm. Constructed from case reports sourced from top-tier medical journals and curated clinical case databases, MedReaMM comprises 625 expert-validated cases with an average of 2.79 medical images per case and a total of 1,042 standardized diagnoses annotated with ICD-11 codes. These cases predominantly represent rare, atypical, or multi-system presentations that demand expert-level evidence integration beyond routine pattern recognition. We evaluate 23 Large Multimodal Models (LMMs) and find that most achieve diagnostic accuracy scores below 50%, underscoring a substantial gap in multimodal diagnostic synthesis capability. Further analysis reveals that medical knowledge proficiency, medical image understanding, and evidence integration are all highly correlated with diagnostic performance.
https://arxiv.org/abs/2608.22323
In domain-specific multimodal long documents, images and text jointly convey complex knowledge that cannot be fully captured by plain text alone. However, existing paradigms like DocVQA primarily focus on generating textual answers or localizing evidence regions, rather than outputting query-specific textual attribute values and corresponding images. To address this gap, we propose query-driven image-text joint extraction from long documents, requiring models to output query-requested textual attribute values and corresponding image bounding boxes. Based on challenges related to both user intent and document content, we designed a two-level taxonomy that operates at the query and instance levels. Further, we construct ITJoint, the first high-quality, manually annotated benchmark for this new task, comprising 2,455 pages of domain-specific documents with numerous non-decorative images, 316 queries, and 910 answer instances. Finally, we evaluate representative standalone Vision-Language Models from different providers and further design Q2IT, a multi-agent collaborative framework consisting of three progressively collaborating agents for evidence collection, page selection, and target-image localization. Using a joint evaluation approach that assesses both text extraction and image localization, our experiments show that standalone VLMs struggle with this task, while Q2IT significantly improves performance on ITJoint, although a substantial gap remains toward perfect results.
https://arxiv.org/abs/2608.22214
Large language models are increasingly moving beyond text processing, adding support for other modalities such as images and audio. While text understanding and generation have been extensively studied, multimodal data processing capabilities, particularly in the context of cultures and languages other than English, have not yet been evaluated comprehensively. In this paper, we propose PUMA (Polish Unified Multimodal Assessment), a novel benchmark of 900 hand-crafted tasks designed to probe the limits of multimodal models in the Polish cultural and linguistic context. The dataset evaluates both cultural understanding and practical skill in processing text, images, audio, and visually rich documents. Our extensive evaluation of frontier commercial models, open-weights models, and specialized smaller systems highlights a significant performance gap. While top commercial models achieve high scores in visual question answering, most models struggle with complex audio or document understanding. We open-source our evaluation framework to advance localized multimodal AI research.
https://arxiv.org/abs/2608.21853
Knowledge-based Visual Question Answering (KB-VQA) aims to answer queries that necessitate reasoning over external knowledge sources beyond the visual content. Typically, current methods fuse multimodal features to retrieve external information, subsequently leveraging Multimodal Large Language Models (MLLMs) to derive answers from the retrieved evidence. However, these methods often struggle to capture structural associations within complex contexts to effectively filter noise. Furthermore, they frequently fail to ensure that the reasoning process remains strictly faithful to the retrieved evidence. To address these challenges, we propose SAFE-G, a Structure-Aware Faithful Evidence-guided Generation framework, which enables precise evidence localization and trustworthy reasoning. Specifically, we first employ a coarse-grained hybrid search fusing visual and textual modalities to recall candidate documents, and subsequently implement a structure-aware fine-grained graph retrieval that captures structural dependencies to filter noise and pinpoint precise evidence. Moreover, we introduce a reinforcement learning (RL) strategy with an evidence-grounded reward that assigns credit to correct answers only when the selected evidence is correct. This strict alignment constraint compels the model to anchor its response in the retrieved context, effectively enhancing its capability to locate evidence via multimodal features and perform faithful reasoning. Extensive experiments on the Encyclopedic-VQA and InfoSeek benchmarks demonstrate that SAFE-G outperforms prior methods by a margin of 8.9% and 3.5%, substantially enhancing the overall reasoning accuracy. Our source code is publicly available at: this https URL.
https://arxiv.org/abs/2608.21796
Reasoning-augmented text-to-image models such as GoT-R1 emit an explicit textual plan - object names, attributes, and bounding boxes - before generating image tokens. When such a model fails a compositional prompt, is the plan wrong, or is the plan right and the decoder unfaithful? Because the plan is machine-readable it can be edited before decoding, which makes the two separable. We first validate the ruler. Swapping the two bounding boxes inside the model's own chain demonstrably flips the generated layout: detector-based accuracy falls 0.75 -> 0.48 (p<1e-3), while a widely used VQA-based spatial metric rises. A five-rater human study agrees with the detector on 81% of items and with the VQA judge on 57%. All spatial results therefore use geometric scoring. Under sound measurement the decoder is a faithful executor: 94% of generated layouts realize the planned relation, and object-box binding survives reordering of the plan's object segments. The planner is the bottleneck. It writes wrong relations for phrasing-dependent reasons - 98% accuracy on "left" against 54% on "right" for semantically identical layouts, a raster-order bias we isolate with a mention-order control - and cluttered geometry that the decoder faithfully reproduces. Editing the plan therefore fixes the image without retraining: symbolic verification with resampling gives +5.0 points (p<1e-3), minimal in-place repair +6.0 (p=.02), rewriting only box geometry +10.7 (p<1e-4), and replacing the plan outright +13.3 (p=1e-4). Gains are indifferent to the plan's prose style and to its likelihood under the planner, but not to its geometry. Modular planner-decoder designs are therefore viable, provided the plan is internally consistent: box-text contradictions induce object duplication and identity fusion. We release the plan-fidelity evaluation protocol, all plans, and 12k generated images.
https://arxiv.org/abs/2608.21713
In professional life sciences workflows, scientists routinely interpret visual artifacts (gel blots, microscopy images, plasmid maps, flow cytometry plots, molecular structures, ...) to inform research decisions. We introduce VIALS, a visual question-answering benchmark with 161 such interpretation tasks, spanning the types of artifacts examined throughout experimental workflows in the biotech industry (rather than polished figures from publications and textbooks). While frontier vision-language models can now fluently describe natural images, we find that they are unable to accurately interpret these scientific images, reflecting limitations in domain knowledge and domain-specific visual reasoning capabilities. In contrast, scientists with relevant domain expertise find these visual interpretation tasks straightforward. AI that cannot similarly interpret such images will have limited utility in professional life sciences workflows, where such artifacts are central to how scientists reason, communicate, and make decisions.
https://arxiv.org/abs/2608.21357
Deploying vision-language models (VLMs) on mobile devices is challenging due to their significant memory and compute requirements. We present a framework for quantizing VLMs for efficient inference on resource-constrained hardware. Our approach combines a quantization pipeline that uses the model itself to generate training data and does not require access to the training setup, with a novel 2.7-bit-per-parameter format supporting efficient execution on Arm CPUs. We validate our approach by compressing the Llama 3.2 11B Vision Instruct model to 3.7 GB with 8-bit activations, preserving strong performance on a set of standard visual question answering tasks.
https://arxiv.org/abs/2608.21134
Medical image-text data can expose protected health information (PHI) through both visible image content as well as accompanying text, creating a barrier to privacy-preserving medical AI systems. This risk is especially prominent in multimodal systems, where images, questions, reports, and clinical context may enter training, evaluation, or inference pipelines. Existing medical vision-language benchmarks primarily emphasize task utility, while de-identification methods are often evaluated separately from downstream reasoning. We introduce ClinX, an end-to-end multimodal PHI sanitization framework for medical image-text data. ClinX detects visible identifiers with optical character recognition (OCR), constructs binary PHI masks, and applies ClinX-PRISM, a no-skip generative restoration module with privacy-oriented post-processing for burned-in identifier suppression. In parallel, text-side PHI is reduced through progressive de-identification levels: regex masking, context-aware masking, and rewrite-based sanitization. We evaluate ClinX in medical visual question answering (MedVQA), jointly measuring PHI leakage and downstream utility across image-side, text-side, and combined de-identification settings. Results show that OCR-only masking is not sufficient as a standalone solution, and restoration-based sanitization better preserves clinically relevant visual context while sharply reducing recoverable PHI.
https://arxiv.org/abs/2608.21133
Vehicle-to-Everything (V2X) cooperation enables beyond-line-of-sight perception, mitigating occlusions in single-vehicle sensing. However, existing V2X benchmarks provide limited support for closed-loop evaluation and language-grounded supervision, hindering the development of vision-language models (VLMs) for end-to-end cooperative driving. To address these limitations, we introduce V2XBench, a simulation platform featuring synchronized ego--roadside sensing and closed-loop evaluation, together with Chat-V2XBench, a progressively structured VQA dataset for cooperative reasoning. Building upon this benchmark infrastructure, we propose AURORA, an end-to-end cooperative driving framework. Equipped with a dual-view perception architecture, AURORA mitigates spatial and semantic discrepancies across ego and roadside viewpoints through a query-level Cross-View Query Alignment and Fusion (CQAF) module. Leveraging the resulting unified tokens, a LoRA-adapted VLM bridges semantic reasoning and generative trajectory planning. Extensive closed-loop evaluations on V2XBench demonstrate that AURORA achieves state-of-the-art performance in heavily occluded scenarios, with a Route Completion rate of 98.21% and a Driving Score of 76.02, while requiring low roadside communication bandwidth. Ultimately, this work pioneers an extensible V2X--VLM paradigm, paving the way for next-generation cooperative autonomous driving.
https://arxiv.org/abs/2608.21032
Despite significant progress in general visual question answering and cross-modal understanding, multimodal large language models still face a pronounced gap in evaluation for complex reasoning within the mechanical engineering domain. Existing benchmarks predominantly focus on rudimentary tasks such as drawing recognition, CAD interpretation, or single-chart querying, falling short of assessing whether models can integrate multiple images, textual conditions, physical principles, and engineering constraints to perform multi-step reasoning when confronted with authentic, intricate mechanical problems. To address this, we introduce MechReason, a benchmark derived from real mechanical engineering papers, comprising 12k question-answer pairs with explicit reasoning-chain annotations and 21k visual materials spanning nine evidence types, including statistical charts, parameter tables, engineering drawings, microscopic images, simulation images, system architectures, real mechanical scene photos, CAD model images and manufacturing flowcharts. MechReason covers eight task types across four reasoning dimensions: explanation, prediction, design, and diagnosis. We devise a four-stage construction pipeline: we first extract core engineering claims and decompose their supporting evidence into premises, reasoning processes, conclusions, and corroborative evidence; we then generate shortcut-preventing questions by masking posterior verification information; finally, we apply multimodal quality validation to ensure task quality and multi-hop nature. Extensive experimental results demonstrate that MechReason is highly challenging, with even the most advanced models achieving only 62.89\% accuracy.
https://arxiv.org/abs/2609.16012
Vision-Language-Action (VLA) models have emerged as a powerful paradigm for end-to-end autonomous driving by jointly integrating perception, reasoning, and decision making within a unified multimodal framework. However, most existing VLA models formulate end-to-end autonomous driving as a visual question answering task, leading to unreliable and less interpretable decision reasoning. In addition, they fail to establish effective multi-modal interaction across heterogeneous sensors, thereby limiting robust scene perception and reliable driving reasoning in long-tail driving scenarios. To this end, we propose a robust VLA-based end-to-end autonomous driving system that combines multi-modality interaction with multi-trajectory planning and optimization, enabling more reliable, interpretable, and safer driving decisions. Our method comprises three core components: (1) Affinity-Guided Optimal Transport for main-auxiliary modality two-way interaction; (2) Distribution-Consistent Modality Transfer for heterogeneous modality distribution transfer and cross-modal interaction; (3) Multi-modal Multi-Trajectory Planning along with Perception-Oriented Trajectory Refinement for better driving decisions to long-tail driving scenarios. Experimental results in open-loop and closed-loop datasets demonstrate improvements in safety long-horizon driving reasoning and road scene perception over existing driving systems, highlighting the ability of our mutli-modality interaction and multi-trajectory planning and optimization for scalable VLA-based systems.
https://arxiv.org/abs/2608.20890
Though Multimodal Large Language Models (MLLMs) have shown impressive potential in video understanding, long video understanding (LVU) remains challenging since distracting noise in complex and lengthy contexts can obscure localized details, misleading MLLMs to produce incorrect answers. Recent works mitigate these issues by incentivizing deep reasoning to include relevant evidence. However, these methods have two main problems: First, the reinforcement fine-tuning framework (RFT) they leveraged incurs substantial training overheads, including high annotation costs and complicated reward designs. Second, the self-reflective and iterative-perception mechanism in some methods causes lengthy outputs and high inference latency. To alleviate these problems, we propose a novel Segment-to-Video Supervision} method (S2V) to efficiently enhance fine-grained reasoning in LVU. Specifically, we generate question answer pairs (VQA) based on localized segments, and then transfer these segment-based VQA back to the whole video for training. Due to focusing on short segments, segment-based VQA can naturally notice details which tend to be overlooked from a whole-video perspective. Training on such data can enforce MLLMs to correctly associate fine-grained details with QA while avoiding distracting noise in the whole video. The S2V training involves just reinforcement learning (RL) with a simple accuracy reward based on only 10K VQA samples and the resulting S2V model predicts answer using a single forward pass with limited output tokens. Experimental results demonstrate that S2V can consistently improve LVU performance across multiple LVU benchmarks, outperforming both general MLLMs and reasoning-based methods not only in LVU accuracy but also in training and inference efficiency.
https://arxiv.org/abs/2608.20814
Speculative decoding accelerates autoregressive generation by allowing a lightweight drafter to propose future tokens while a target model verifies them in parallel. Its lossless guarantee has motivated a line of work that pushes the drafter itself toward parallel generation. The most recent paradigm is block-parallel generative drafting, including diffusion-based methods such as DFlash and DSpark, achieving up to 3.6x speedup on common daily chatting tasks. While this transition is well studied in text-only LLMs, its applicability to multimodal models remains an open question. Existing multimodal speculative decoding efforts focus on input compression, adapter alignment, candidate coverage, or modality-specific verification; however, block-parallel generative drafting remains largely unexplored. To bridge this gap, this paper combines a modality-centered survey with a cross-architecture empirical study to ask: Is multimodal speculative decoding ready for diffusion-based parallel drafting? In this survey, we systematically analyze a wide spectrum of multimodal models, spanning Vision-Language, Video-Language, Audio, and Vision-Language-Action (VLA) architectures, from the dual perspectives of drafting parallelism and cross-modal information interaction. We introduce a unified taxonomy that isolates drafter-side parallelism from orthogonal design choices such as tree construction and verification strategies. Furthermore, we provide a comprehensive empirical comparison of existing methods under varying degrees of parallelism across standardized multimodal benchmarks, including OCR, VQA, visual reasoning, and image captioning. Finally, we summarize the limitations of current approaches, discuss open challenges, and outline promising future directions for this rapidly evolving field.
https://arxiv.org/abs/2608.20743
Large multimodal models (LMMs) have demonstrated strong OCR recognition capabilities, yet remain vulnerable to adversarial visual text that is readable to humans but challenging for models to localize and recognize. Existing OCR benchmarks mainly focus on natural or document-style text, while adversarial OCR evaluations remain limited in scale, task coverage, or region-aware evaluation. In this paper, we formulate adversarial OCR as a \textbf{grounded OCR perception} task and introduce \textbf{AdvSpot}, the first benchmark for grounded adversarial OCR evaluation. AdvSpot comprises 390 images with region-level annotations, spanning 5 primary categories and 13 fine-grained adversarial OCR types. To address this challenge, we propose \textbf{ArmorOCR}, a two-stage training framework for robust adversarial OCR perception. ArmorOCR first acquires missing adversarial OCR perception from privileged transformed observations through On-Policy Self-Distillation (OPSD), and then refines grounded OCR perception through Group Relative Policy Optimization (GRPO) with task-conditioned rewards for localization, recognition, full spotting, and visual question answering (VQA). Experiments on our AdvSpot, other adversarial OCR benchmarks, and general OCR benchmarks demonstrate that ArmorOCR consistently improves adversarial OCR perception while preserving competitive general OCR capability.
https://arxiv.org/abs/2608.20122
Multimodal LLMs can see a document, but they often can't read it reliably. Small text, tables, visual cues, and topological elements still trip them up under direct visual inference, even when the page is already sitting in the model's context. Most document-VQA systems treat perception as fixed: they encode the page once, ask the question, and answer from whatever the model happened to extract in that single fast pass. We think document VQA needs slower, more deliberate perception: rather than answering from one fixed encoding, the model should spend a bit of extra compute at inference time working out what to look at next, and only then answer. We build this into \textbf{Q-Guide}, a small agent that reads a question, works out what evidence it is still missing, and calls targeted tool(s) to recover it---reading text where text is needed, zooming in where detail is needed, or grounding a region where position matters. On DocVQA2026 and Manga109, Q-Guide outperforms both direct prompting and recent multi-agent document systems ($65.0\%$ vs.\ $40.0\%$ on DocVQA2026, $32.4\%$ vs.\ $24.4\%$ on Manga109), and the improvement holds across three Claude backbones (Opus 4.6, Sonnet 4.6, and Opus 4.5). We find that accuracy scales with the perception budget---most of the gain appears within two to three deliberate rounds---and that the gain comes from directing perception to the right place, not from complex control logic: adding planners, routers, or multiple collaborating agents does not help.
https://arxiv.org/abs/2608.19739
Educational visual question answering, or VQA, requires models to solve curriculum-oriented multiple-choice questions using both language and visual evidence. Compared with conventional open-ended VQA, educational examples often include structured assessment metadata, diagrams or image contexts, and semantically close answer options, creating strong opportunities for question-option shortcuts. We develop and evaluate a parameter-efficient adaptation framework for a frozen multimodal large language model in this setting. We introduce GRACE, Grounded Reasoning via Adapter Composition and Evidence-Aware Calibration, a framework that uses the pedagogical state of each question to specialize lightweight language and vision adaptation. The state combines inference-visible subject, grouped skill, grade, visual-context, question-intent, and option-structure cues. GRACE uses factor-specific prompts and lightweight visual adapters, then applies evidence-aware option calibration to score all candidates under a shared multimodal context. On ScienceQA, GRACE improves a shared-adapter baseline from 90.5 percent to 93.1 percent overall accuracy and from 88.7 percent to 91.2 percent on image-context questions. Removing pedagogical composition, option calibration, or the visual adapter reduces overall accuracy by 1.4, 1.0, and 1.5 points, respectively. These controlled results show that structured educational state is an effective routing signal for parameter-efficient multimodal adaptation.
https://arxiv.org/abs/2608.19355
Knowledge-Based Visual Question Answering (KB-VQA) relies on retrieving external information to answer queries involving long-tail entities. However, existing retrieval pipelines predominantly employ CLIP-style dual encoders, which prioritize surface-level visual similarity over entity-level semantic alignment. This paradigm often fails when semantically identical concepts exhibit large visual variations or when distinct entities appear visually similar. To address this, we propose KBMR, the first MLLM-based embedding retriever tailored for KB-VQA. Leveraging the robust autoregressive capabilities of MLLMs, KBMR maps images into a semantic space that better preserves concept identity. To tackle the challenge of noisy supervision in Wikipedia-scale retrieval, we introduce an MLLM-based semantic discriminator that generates continuous entity-consistency weights. These weights guide a novel continuous semantic distillation objective, enabling effective hard negative sampling and soft supervision beyond rigid binary labels. Extensive experiments demonstrate that KBMR significantly outperforms CLIP baselines, yielding up to a 14.7% improvement in retrieval Recall@1 and a 9.4% gain in end-to-end VQA accuracy. Code is available at this https URL.
https://arxiv.org/abs/2608.21450
Long-term robot operation in evolving environments requires object-level understanding that persists across repeated revisits. Existing systems either overwrite history to maintain an up-to-date map or store semantic snapshots without consistent cross-session object identity, resulting in temporal amnesia: the systematic loss of object history that prevents answering queries such as "Where has the green chair been across all sessions?" We propose LT-Mem, a volatility-aware memory evolution framework that unifies spatially aligned instance-level 3D perception with volatility-conditioned temporal reasoning. First, a multi-session SLAM backbone provides spatially aligned per-object observations across sessions. Second, a reasoning layer governs how object memory evolves: deterministic evidence scoring preserves cross-session identity, and a volatility-aware policy selects among overwrite, hold, and multi-hypothesis actions based on each object's dynamics. Third, the resulting Tri-Memory structure (Live, Delta, Meta) preserves both current states and event histories, enabling longitudinal object-centric reasoning. We further introduce LT-VQA, a dataset and evaluation suite comprising multi-session recordings, persistent identity annotations, and temporal QA pairs. Experiments show that LT-Mem consistently outperforms baselines across all metrics while consuming an order of magnitude fewer tokens, and ablations confirm that gains are driven by the structured memory architecture rather than LLM capacity.
https://arxiv.org/abs/2608.19059