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.

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.

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.

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

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.

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 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.

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.

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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% [email protected] 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.

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/.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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%.

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.

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) 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.

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.

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.

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.

Question answering biases in video QA datasets can mislead multimodal model to overfit to QA artifacts and jeopardize the model's ability to generalize. Understanding how strong these QA biases are and where they come from helps the community measure progress more accurately and provide researchers insights to debug their models. In this paper, we analyze QA biases in popular video question answering datasets and discover pretrained language models can answer 37-48% questions correctly without using any multimodal context information, far exceeding the 20% random guess baseline for 5-choose-1 multiple-choice questions. Our ablation study shows biases can come from annotators and type of questions. Specifically, annotators that have been seen during training are better predicted by the model and reasoning, abstract questions incur more biases than factual, direct questions. We also show empirically that using annotator-non-overlapping train-test splits can reduce QA biases for video QA datasets.

Despite recent progress on computer vision and natural language processing, developing a machine that can understand video story is still hard to achieve due to the intrinsic difficulty of video story. Moreover, researches on how to evaluate the degree of video understanding based on human cognitive process have not progressed as yet. In this paper, we propose a novel video question answering (Video QA) task, DramaQA, for a comprehensive understanding of the video story. The DramaQA focuses on two perspectives: 1) Hierarchical QAs as an evaluation metric based on the cognitive developmental stages of human intelligence. 2) Character-centered video annotations to model local coherence of the story. Our dataset is built upon the TV drama "Another Miss Oh" and it contains 17,983 QA pairs from 23,928 various length video clips, with each QA pair belonging to one of four difficulty levels. We provide 217,308 annotated images with rich character-centered annotations, including visual bounding boxes, behaviors and emotions of main characters, and coreference resolved scripts. Additionally, we suggest Multi-level Context Matching model which hierarchically understands character-centered representations of video to answer questions. We release our dataset and model publicly for research purposes, and we expect our work to provide a new perspective on video story understanding research.

We present MedConceptsQA, a dedicated open source benchmark for medical concepts question answering. The benchmark comprises of questions of various medical concepts across different vocabularies: diagnoses, procedures, and drugs. The questions are categorized into three levels of difficulty: easy, medium, and hard. We conducted evaluations of the benchmark using various Large Language Models. Our findings show that pre-trained clinical Large Language Models achieved accuracy levels close to random guessing on this benchmark, despite being pre-trained on medical data. However, GPT-4 achieves an absolute average improvement of nearly 27%-37% (27% for zero-shot learning and 37% for few-shot learning) when compared to clinical Large Language Models. Our benchmark serves as a valuable resource for evaluating the understanding and reasoning of medical concepts by Large Language Models. Our benchmark is available at https://huggingface.co/datasets/ofir408/MedConceptsQA

In Natural Language Processing (NLP), Machine Reading Comprehension (MRC) is the task of answering a question based on a given context. To handle questions in the medical domain, modern language models such as BioBERT, SciBERT and even ChatGPT are trained on vast amounts of in-domain medical corpora. However, in-domain pre-training is expensive in terms of time and resources. In this paper, we propose a resource-efficient approach for injecting domain knowledge into a model without relying on such domain-specific pre-training. Knowledge graphs are powerful resources for accessing medical information. Building on existing work, we introduce a method using Multi-Layer Perceptrons (MLPs) for aligning and integrating embeddings extracted from medical knowledge graphs with the embedding spaces of pre-trained language models (LMs). The aligned embeddings are fused with open-domain LMs BERT and RoBERTa that are fine-tuned for two MRC tasks, span detection (COVID-QA) and multiple-choice questions (PubMedQA). We compare our method to prior techniques that rely on a vocabulary overlap for embedding alignment and show how our method circumvents this requirement to deliver better performance. On both datasets, our method allows BERT/RoBERTa to either perform on par (occasionally exceeding) with stronger domain-specific models or show improvements in general over prior techniques. With the proposed approach, we signal an alternative method to in-domain pre-training to achieve domain proficiency.

Clinical question answering systems have the potential to provide clinicians with relevant and timely answers to their questions. Nonetheless, despite the advances that have been made, adoption of these systems in clinical settings has been slow. One issue is a lack of question-answering datasets which reflect the real-world needs of health professionals. In this work, we present RealMedQA, a dataset of realistic clinical questions generated by humans and an LLM. We describe the process for generating and verifying the QA pairs and assess several QA models on BioASQ and RealMedQA to assess the relative difficulty of matching answers to questions. We show that the LLM is more cost-efficient for generating "ideal" QA pairs. Additionally, we achieve a lower lexical similarity between questions and answers than BioASQ which provides an additional challenge to the top two QA models, as per the results. We release our code and our dataset publicly to encourage further research.

Biomedical visual question answering (VQA) has been widely studied and has demonstrated significant application value and potential in fields such as assistive medical diagnosis. Despite their success, current biomedical VQA models perform multimodal information interaction only at the model level within large language models (LLMs), leading to suboptimal multimodal semantic alignment when dealing with complex tasks. To address this issue, we propose BioD2C: a novel Dual-level Semantic Consistency Constraint Framework for Biomedical VQA, which achieves dual-level semantic interaction alignment at both the model and feature levels, enabling the model to adaptively learn visual features based on the question. Specifically, we firstly integrate textual features into visual features via an image-text fusion mechanism as feature-level semantic interaction, obtaining visual features conditioned on the given text; and then introduce a text-queue-based cross-modal soft semantic loss function to further align the image semantics with the question semantics. Specifically, in this work, we establish a new dataset, BioVGQ, to address inherent biases in prior datasets by filtering manually-altered images and aligning question-answer pairs with multimodal context, and train our model on this dataset. Extensive experimental results demonstrate that BioD2C achieves state-of-the-art (SOTA) performance across multiple downstream datasets, showcasing its robustness, generalizability, and potential to advance biomedical VQA research.

This technical report introduces Pegasus-1, a multimodal language model specialized in video content understanding and interaction through natural language. Pegasus-1 is designed to address the unique challenges posed by video data, such as interpreting spatiotemporal information, to offer nuanced video content comprehension across various lengths. This technical report overviews Pegasus-1's architecture, training strategies, and its performance in benchmarks on video conversation, zero-shot video question answering, and video summarization. We also explore qualitative characteristics of Pegasus-1 , demonstrating its capabilities as well as its limitations, in order to provide readers a balanced view of its current state and its future direction.

Large-scale language models (LLMs) have achieved remarkable success across various language tasks but suffer from hallucinations and temporal misalignment. To mitigate these shortcomings, Retrieval-augmented generation (RAG) has been utilized to provide external knowledge to facilitate the answer generation. However, applying such models to the medical domain faces several challenges due to the lack of domain-specific knowledge and the intricacy of real-world scenarios. In this study, we explore LLMs with RAG framework for knowledge-intensive tasks in the medical field. To evaluate the capabilities of LLMs, we introduce MedicineQA, a multi-round dialogue benchmark that simulates the real-world medication consultation scenario and requires LLMs to answer with retrieved evidence from the medicine database. MedicineQA contains 300 multi-round question-answering pairs, each embedded within a detailed dialogue history, highlighting the challenge posed by this knowledge-intensive task to current LLMs. We further propose a new Distill-Retrieve-Read framework instead of the previous Retrieve-then-Read. Specifically, the distillation and retrieval process utilizes a tool calling mechanism to formulate search queries that emulate the keyword-based inquiries used by search engines. With experimental results, we show that our framework brings notable performance improvements and surpasses the previous counterparts in the evidence retrieval process in terms of evidence retrieval accuracy. This advancement sheds light on applying RAG to the medical domain.

Existing approaches to video understanding, mainly designed for short videos from a third-person perspective, are limited in their applicability in certain fields, such as robotics. In this paper, we delve into open-ended question-answering (QA) in long, egocentric videos, which allows individuals or robots to inquire about their own past visual experiences. This task presents unique challenges, including the complexity of temporally grounding queries within extensive video content, the high resource demands for precise data annotation, and the inherent difficulty of evaluating open-ended answers due to their ambiguous nature. Our proposed approach tackles these challenges by (i) integrating query grounding and answering within a unified model to reduce error propagation; (ii) employing large language models for efficient and scalable data synthesis; and (iii) introducing a close-ended QA task for evaluation, to manage answer ambiguity. Extensive experiments demonstrate the effectiveness of our method, which also achieves state-of-the-art performance on the QAEgo4D and Ego4D-NLQ benchmarks. Code, data, and models are available at https://github.com/Becomebright/GroundVQA.

We introduce RJUA-QA, a novel medical dataset for question answering (QA) and reasoning with clinical evidence, contributing to bridge the gap between general large language models (LLMs) and medical-specific LLM applications. RJUA-QA is derived from realistic clinical scenarios and aims to facilitate LLMs in generating reliable diagnostic and advice. The dataset contains 2,132 curated Question-Context-Answer pairs, corresponding about 25,000 diagnostic records and clinical cases. The dataset covers 67 common urological disease categories, where the disease coverage exceeds 97.6\% of the population seeking medical services in urology. Each data instance in RJUA-QA comprises: (1) a question mirroring real patient to inquiry about clinical symptoms and medical conditions, (2) a context including comprehensive expert knowledge, serving as a reference for medical examination and diagnosis, (3) a doctor response offering the diagnostic conclusion and suggested examination guidance, (4) a diagnosed clinical disease as the recommended diagnostic outcome, and (5) clinical advice providing recommendations for medical examination. RJUA-QA is the first medical QA dataset for clinical reasoning over the patient inquiries, where expert-level knowledge and experience are required for yielding diagnostic conclusions and medical examination advice. A comprehensive evaluation is conducted to evaluate the performance of both medical-specific and general LLMs on the RJUA-QA dataset.

Retrieval-Augmented Generation (RAG) is a powerful strategy to address the issue of generating factually incorrect outputs in foundation models by retrieving external knowledge relevant to queries and incorporating it into their generation process. However, existing RAG approaches have primarily focused on textual information, with some recent advancements beginning to consider images, and they largely overlook videos, a rich source of multimodal knowledge capable of representing events, processes, and contextual details more effectively than any other modality. While a few recent studies explore the integration of videos in the response generation process, they either predefine query-associated videos without retrieving them according to queries, or convert videos into the textual descriptions without harnessing their multimodal richness. To tackle these, we introduce VideoRAG, a novel framework that not only dynamically retrieves relevant videos based on their relevance with queries but also utilizes both visual and textual information of videos in the output generation. Further, to operationalize this, our method revolves around the recent advance of Large Video Language Models (LVLMs), which enable the direct processing of video content to represent it for retrieval and seamless integration of the retrieved videos jointly with queries. We experimentally validate the effectiveness of VideoRAG, showcasing that it is superior to relevant baselines.

In recent years, Multimodal Large Language Models (MLLM) have achieved notable advancements, demonstrating the feasibility of developing an intelligent biomedical assistant. However, current biomedical MLLMs predominantly focus on image-level understanding and restrict interactions to textual commands, thus limiting their capability boundaries and the flexibility of usage. In this paper, we introduce a novel end-to-end multimodal large language model for the biomedical domain, named MedPLIB, which possesses pixel-level understanding. Excitingly, it supports visual question answering (VQA), arbitrary pixel-level prompts (points, bounding boxes, and free-form shapes), and pixel-level grounding. We propose a novel Mixture-of-Experts (MoE) multi-stage training strategy, which divides MoE into separate training phases for a visual-language expert model and a pixel-grounding expert model, followed by fine-tuning using MoE. This strategy effectively coordinates multitask learning while maintaining the computational cost at inference equivalent to that of a single expert model. To advance the research of biomedical MLLMs, we introduce the Medical Complex Vision Question Answering Dataset (MeCoVQA), which comprises an array of 8 modalities for complex medical imaging question answering and image region understanding. Experimental results indicate that MedPLIB has achieved state-of-the-art outcomes across multiple medical visual language tasks. More importantly, in zero-shot evaluations for the pixel grounding task, MedPLIB leads the best small and large models by margins of 19.7 and 15.6 respectively on the mDice metric. The codes, data, and model checkpoints will be made publicly available at https://github.com/ShawnHuang497/MedPLIB.

Video-based large language models (Video-LLMs) have been recently introduced, targeting both fundamental improvements in perception and comprehension, and a diverse range of user inquiries. In pursuit of the ultimate goal of achieving artificial general intelligence, a truly intelligent Video-LLM model should not only see and understand the surroundings, but also possess human-level commonsense, and make well-informed decisions for the users. To guide the development of such a model, the establishment of a robust and comprehensive evaluation system becomes crucial. To this end, this paper proposes Video-Bench, a new comprehensive benchmark along with a toolkit specifically designed for evaluating Video-LLMs. The benchmark comprises 10 meticulously crafted tasks, evaluating the capabilities of Video-LLMs across three distinct levels: Video-exclusive Understanding, Prior Knowledge-based Question-Answering, and Comprehension and Decision-making. In addition, we introduce an automatic toolkit tailored to process model outputs for various tasks, facilitating the calculation of metrics and generating convenient final scores. We evaluate 8 representative Video-LLMs using Video-Bench. The findings reveal that current Video-LLMs still fall considerably short of achieving human-like comprehension and analysis of real-world videos, offering valuable insights for future research directions. The benchmark and toolkit are available at: https://github.com/PKU-YuanGroup/Video-Bench.

Videos serve as a powerful medium to convey ideas, tell stories, and provide detailed instructions, especially through long-format tutorials. Such tutorials are valuable for learning new skills at one's own pace, yet they can be overwhelming due to their length and dense content. Viewers often seek specific information, like precise measurements or step-by-step execution details, making it essential to extract and summarize key segments efficiently. An intelligent, time-sensitive video assistant capable of summarizing and detecting highlights in long videos is highly sought after. Recent advancements in Multimodal Large Language Models offer promising solutions to develop such an assistant. Our research explores the use of multimodal models to enhance video summarization and step-by-step instruction generation within specific domains. These models need to understand temporal events and relationships among actions across video frames. Our approach focuses on fine-tuning TimeChat to improve its performance in specific domains: cooking and medical procedures. By training the model on domain-specific datasets like Tasty for cooking and MedVidQA for medical procedures, we aim to enhance its ability to generate concise, accurate summaries of instructional videos. We curate and restructure these datasets to create high-quality video-centric instruction data. Our findings indicate that when finetuned on domain-specific procedural data, TimeChat can significantly improve the extraction and summarization of key instructional steps in long-format videos. This research demonstrates the potential of specialized multimodal models to assist with practical tasks by providing personalized, step-by-step guidance tailored to the unique aspects of each domain.

We present an efficient encoder-free approach for video-language understanding that achieves competitive performance while significantly reducing computational overhead. Current video-language models typically rely on heavyweight image encoders (300M-1.1B parameters) or video encoders (1B-1.4B parameters), creating a substantial computational burden when processing multi-frame videos. Our method introduces a novel Spatio-Temporal Alignment Block (STAB) that directly processes video inputs without requiring pre-trained encoders while using only 45M parameters for visual processing - at least a 6.5times reduction compared to traditional approaches. The STAB architecture combines Local Spatio-Temporal Encoding for fine-grained feature extraction, efficient spatial downsampling through learned attention and separate mechanisms for modeling frame-level and video-level relationships. Our model achieves comparable or superior performance to encoder-based approaches for open-ended video question answering on standard benchmarks. The fine-grained video question-answering evaluation demonstrates our model's effectiveness, outperforming the encoder-based approaches Video-ChatGPT and Video-LLaVA in key aspects like correctness and temporal understanding. Extensive ablation studies validate our architectural choices and demonstrate the effectiveness of our spatio-temporal modeling approach while achieving 3-4times faster processing speeds than previous methods. Code is available at https://github.com/jh-yi/Video-Panda.

Recent advances in vision-language models have significantly propelled video understanding. Existing datasets and tasks, however, have notable limitations. Most datasets are confined to short videos with limited events and narrow narratives. For example, datasets with instructional and egocentric videos often document the activities of one person in a single scene. Although some movie datasets offer richer content, they are often limited to short-term tasks, lack publicly available videos and frequently encounter data leakage given the use of movie forums and other resources in LLM training. To address the above limitations, we propose the Short Film Dataset (SFD) with 1,078 publicly available amateur movies, a wide variety of genres and minimal data leakage issues. SFD offers long-term story-oriented video tasks in the form of multiple-choice and open-ended question answering. Our extensive experiments emphasize the need for long-term reasoning to solve SFD tasks. Notably, we find strong signals in movie transcripts leading to the on-par performance of people and LLMs. We also show significantly lower performance of current models compared to people when using vision data alone.

This paper introduces MedMCQA, a new large-scale, Multiple-Choice Question Answering (MCQA) dataset designed to address real-world medical entrance exam questions. More than 194k high-quality AIIMS \& NEET PG entrance exam MCQs covering 2.4k healthcare topics and 21 medical subjects are collected with an average token length of 12.77 and high topical diversity. Each sample contains a question, correct answer(s), and other options which requires a deeper language understanding as it tests the 10+ reasoning abilities of a model across a wide range of medical subjects \& topics. A detailed explanation of the solution, along with the above information, is provided in this study.

Recent research on large language models (LLMs) has primarily focused on their adaptation and application in specialized domains. The application of LLMs in the medical field is mainly concentrated on tasks such as the automation of medical report generation, summarization, diagnostic reasoning, and question-and-answer interactions between doctors and patients. The challenge of becoming a good teacher is more formidable than that of becoming a good student, and this study pioneers the application of LLMs in the field of medical education. In this work, we investigate the extent to which LLMs can generate medical qualification exam questions and corresponding answers based on few-shot prompts. Utilizing a real-world Chinese dataset of elderly chronic diseases, we tasked the LLMs with generating open-ended questions and answers based on a subset of sampled admission reports across eight widely used LLMs, including ERNIE 4, ChatGLM 4, Doubao, Hunyuan, Spark 4, Qwen, Llama 3, and Mistral. Furthermore, we engaged medical experts to manually evaluate these open-ended questions and answers across multiple dimensions. The study found that LLMs, after using few-shot prompts, can effectively mimic real-world medical qualification exam questions, whereas there is room for improvement in the correctness, evidence-based statements, and professionalism of the generated answers. Moreover, LLMs also demonstrate a decent level of ability to correct and rectify reference answers. Given the immense potential of artificial intelligence in the medical field, the task of generating questions and answers for medical qualification exams aimed at medical students, interns and residents can be a significant focus of future research.

Video Large Language Models (Video LLMs) have shown promising capabilities in video comprehension, yet they struggle with tracking temporal changes and reasoning about temporal relationships. While previous research attributed this limitation to the ineffective temporal encoding of visual inputs, our diagnostic study reveals that video representations contain sufficient information for even small probing classifiers to achieve perfect accuracy. Surprisingly, we find that the key bottleneck in Video LLMs' temporal reasoning capability stems from the underlying LLM's inherent difficulty with temporal concepts, as evidenced by poor performance on textual temporal question-answering tasks. Building on this discovery, we introduce the Textual Temporal reasoning Transfer (T3). T3 synthesizes diverse temporal reasoning tasks in pure text format from existing image-text datasets, addressing the scarcity of video samples with complex temporal scenarios. Remarkably, without using any video data, T3 enhances LongVA-7B's temporal understanding, yielding a 5.3 absolute accuracy improvement on the challenging TempCompass benchmark, which enables our model to outperform ShareGPT4Video-8B trained on 28,000 video samples. Additionally, the enhanced LongVA-7B model achieves competitive performance on comprehensive video benchmarks. For example, it achieves a 49.7 accuracy on the Temporal Reasoning task of Video-MME, surpassing powerful large-scale models such as InternVL-Chat-V1.5-20B and VILA1.5-40B. Further analysis reveals a strong correlation between textual and video temporal task performance, validating the efficacy of transferring temporal reasoning abilities from text to video domains.

Understanding long videos, ranging from tens of minutes to several hours, presents unique challenges in video comprehension. Despite the increasing importance of long-form video content, existing benchmarks primarily focus on shorter clips. To address this gap, we introduce InfiniBench a comprehensive benchmark for very long video understanding which presents 1)The longest video duration, averaging 76.34 minutes; 2) The largest number of question-answer pairs, 108.2K; 3) Diversity in questions that examine nine different skills and include both multiple-choice questions and open-ended questions; 4) Humancentric, as the video sources come from movies and daily TV shows, with specific human-level question designs such as Movie Spoiler Questions that require critical thinking and comprehensive understanding. Using InfiniBench, we comprehensively evaluate existing Large MultiModality Models (LMMs) on each skill, including the commercial model Gemini 1.5 Flash and the open-source models. The evaluation shows significant challenges in our benchmark.Our results show that the best AI models such Gemini struggles to perform well with 42.72% average accuracy and 2.71 out of 5 average score. We hope this benchmark will stimulate the LMMs community towards long video and human-level understanding. Our benchmark can be accessed at https://vision-cair.github.io/InfiniBench/

Question answering (QA) systems have gained explosive attention in recent years. However, QA tasks in Vietnamese do not have many datasets. Significantly, there is mostly no dataset in the medical domain. Therefore, we built a Vietnamese Healthcare Question Answering dataset (ViHealthQA), including 10,015 question-answer passage pairs for this task, in which questions from health-interested users were asked on prestigious health websites and answers from highly qualified experts. This paper proposes a two-stage QA system based on Sentence-BERT (SBERT) using multiple negatives ranking (MNR) loss combined with BM25. Then, we conduct diverse experiments with many bag-of-words models to assess our system's performance. With the obtained results, this system achieves better performance than traditional methods.

The emergent abilities of large language models (LLMs) have demonstrated great potential in solving medical questions. They can possess considerable medical knowledge, but may still hallucinate and are inflexible in the knowledge updates. While Retrieval-Augmented Generation (RAG) has been proposed to enhance the medical question-answering capabilities of LLMs with external knowledge bases, it may still fail in complex cases where multiple rounds of information-seeking are required. To address such an issue, we propose iterative RAG for medicine (i-MedRAG), where LLMs can iteratively ask follow-up queries based on previous information-seeking attempts. In each iteration of i-MedRAG, the follow-up queries will be answered by a vanilla RAG system and they will be further used to guide the query generation in the next iteration. Our experiments show the improved performance of various LLMs brought by i-MedRAG compared with vanilla RAG on complex questions from clinical vignettes in the United States Medical Licensing Examination (USMLE), as well as various knowledge tests in the Massive Multitask Language Understanding (MMLU) dataset. Notably, our zero-shot i-MedRAG outperforms all existing prompt engineering and fine-tuning methods on GPT-3.5, achieving an accuracy of 69.68\% on the MedQA dataset. In addition, we characterize the scaling properties of i-MedRAG with different iterations of follow-up queries and different numbers of queries per iteration. Our case studies show that i-MedRAG can flexibly ask follow-up queries to form reasoning chains, providing an in-depth analysis of medical questions. To the best of our knowledge, this is the first-of-its-kind study on incorporating follow-up queries into medical RAG.

Despite impressive advancements in multimodal compositional reasoning approaches, they are still limited in their flexibility and efficiency by processing fixed modality inputs while updating a lot of model parameters. This paper tackles these critical challenges and proposes CREMA, an efficient and modular modality-fusion framework for injecting any new modality into video reasoning. We first augment multiple informative modalities (such as optical flow, 3D point cloud, audio) from given videos without extra human annotation by leveraging existing pre-trained models. Next, we introduce a query transformer with multiple parameter-efficient modules associated with each accessible modality. It projects diverse modality features to the LLM token embedding space, allowing the model to integrate different data types for response generation. Furthermore, we propose a fusion module designed to compress multimodal queries, maintaining computational efficiency in the LLM while combining additional modalities. We validate our method on video-3D, video-audio, and video-language reasoning tasks and achieve better/equivalent performance against strong multimodal LLMs, including BLIP-2, 3D-LLM, and SeViLA while using 96% fewer trainable parameters. We provide extensive analyses of CREMA, including the impact of each modality on reasoning domains, the design of the fusion module, and example visualizations.

Modern operating room is becoming increasingly complex, requiring innovative intra-operative support systems. While the focus of surgical data science has largely been on video analysis, integrating surgical computer vision with language capabilities is emerging as a necessity. Our work aims to advance Visual Question Answering (VQA) in the surgical context with scene graph knowledge, addressing two main challenges in the current surgical VQA systems: removing question-condition bias in the surgical VQA dataset and incorporating scene-aware reasoning in the surgical VQA model design. First, we propose a Surgical Scene Graph-based dataset, SSG-QA, generated by employing segmentation and detection models on publicly available datasets. We build surgical scene graphs using spatial and action information of instruments and anatomies. These graphs are fed into a question engine, generating diverse QA pairs. Our SSG-QA dataset provides a more complex, diverse, geometrically grounded, unbiased, and surgical action-oriented dataset compared to existing surgical VQA datasets. We then propose SSG-QA-Net, a novel surgical VQA model incorporating a lightweight Scene-embedded Interaction Module (SIM), which integrates geometric scene knowledge in the VQA model design by employing cross-attention between the textual and the scene features. Our comprehensive analysis of the SSG-QA dataset shows that SSG-QA-Net outperforms existing methods across different question types and complexities. We highlight that the primary limitation in the current surgical VQA systems is the lack of scene knowledge to answer complex queries. We present a novel surgical VQA dataset and model and show that results can be significantly improved by incorporating geometric scene features in the VQA model design. The source code and the dataset will be made publicly available at: https://github.com/CAMMA-public/SSG-QA

Multimodal large language models (MLLMs) can simultaneously process visual, textual, and auditory data, capturing insights that complement human analysis. However, existing video question-answering (VidQA) benchmarks and datasets often exhibit a bias toward a single modality, despite the goal of requiring advanced reasoning skills that integrate diverse modalities to answer the queries. In this work, we introduce the modality importance score (MIS) to identify such bias. It is designed to assess which modality embeds the necessary information to answer the question. Additionally, we propose an innovative method using state-of-the-art MLLMs to estimate the modality importance, which can serve as a proxy for human judgments of modality perception. With this MIS, we demonstrate the presence of unimodal bias and the scarcity of genuinely multimodal questions in existing datasets. We further validate the modality importance score with multiple ablation studies to evaluate the performance of MLLMs on permuted feature sets. Our results indicate that current models do not effectively integrate information due to modality imbalance in existing datasets. Our proposed MLLM-derived MIS can guide the curation of modality-balanced datasets that advance multimodal learning and enhance MLLMs' capabilities to understand and utilize synergistic relations across modalities.

Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce MedHallu, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting "hard" category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a "not sure" category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style questions with a score of 67.2% on the MedQA dataset. However, this and other prior work suggested significant room for improvement, especially when models' answers were compared to clinicians' answers. Here we present Med-PaLM 2, which bridges these gaps by leveraging a combination of base LLM improvements (PaLM 2), medical domain finetuning, and prompting strategies including a novel ensemble refinement approach. Med-PaLM 2 scored up to 86.5% on the MedQA dataset, improving upon Med-PaLM by over 19% and setting a new state-of-the-art. We also observed performance approaching or exceeding state-of-the-art across MedMCQA, PubMedQA, and MMLU clinical topics datasets. We performed detailed human evaluations on long-form questions along multiple axes relevant to clinical applications. In pairwise comparative ranking of 1066 consumer medical questions, physicians preferred Med-PaLM 2 answers to those produced by physicians on eight of nine axes pertaining to clinical utility (p < 0.001). We also observed significant improvements compared to Med-PaLM on every evaluation axis (p < 0.001) on newly introduced datasets of 240 long-form "adversarial" questions to probe LLM limitations. While further studies are necessary to validate the efficacy of these models in real-world settings, these results highlight rapid progress towards physician-level performance in medical question answering.

Conversational generative AI has demonstrated remarkable promise for empowering biomedical practitioners, but current investigations focus on unimodal text. Multimodal conversational AI has seen rapid progress by leveraging billions of image-text pairs from the public web, but such general-domain vision-language models still lack sophistication in understanding and conversing about biomedical images. In this paper, we propose a cost-efficient approach for training a vision-language conversational assistant that can answer open-ended research questions of biomedical images. The key idea is to leverage a large-scale, broad-coverage biomedical figure-caption dataset extracted from PubMed Central, use GPT-4 to self-instruct open-ended instruction-following data from the captions, and then fine-tune a large general-domain vision-language model using a novel curriculum learning method. Specifically, the model first learns to align biomedical vocabulary using the figure-caption pairs as is, then learns to master open-ended conversational semantics using GPT-4 generated instruction-following data, broadly mimicking how a layperson gradually acquires biomedical knowledge. This enables us to train a Large Language and Vision Assistant for BioMedicine (LLaVA-Med) in less than 15 hours (with eight A100s). LLaVA-Med exhibits excellent multimodal conversational capability and can follow open-ended instruction to assist with inquiries about a biomedical image. On three standard biomedical visual question answering datasets, LLaVA-Med outperforms previous supervised state-of-the-art on certain metrics. To facilitate biomedical multimodal research, we will release our instruction-following data and the LLaVA-Med model.

Natural language could play an important role in developing generalist surgical models by providing a broad source of supervision from raw texts. This flexible form of supervision can enable the model's transferability across datasets and tasks as natural language can be used to reference learned visual concepts or describe new ones. In this work, we present HecVL, a novel hierarchical video-language pretraining approach for building a generalist surgical model. Specifically, we construct a hierarchical video-text paired dataset by pairing the surgical lecture video with three hierarchical levels of texts: at clip-level, atomic actions using transcribed audio texts; at phase-level, conceptual text summaries; and at video-level, overall abstract text of the surgical procedure. Then, we propose a novel fine-to-coarse contrastive learning framework that learns separate embedding spaces for the three video-text hierarchies using a single model. By disentangling embedding spaces of different hierarchical levels, the learned multi-modal representations encode short-term and long-term surgical concepts in the same model. Thanks to the injected textual semantics, we demonstrate that the HecVL approach can enable zero-shot surgical phase recognition without any human annotation. Furthermore, we show that the same HecVL model for surgical phase recognition can be transferred across different surgical procedures and medical centers. The code is available at https://github.com/CAMMA-public/SurgVLP

We propose ReKV, a novel training-free approach that enables efficient streaming video question-answering (StreamingVQA), by seamlessly integrating with existing Video Large Language Models (Video-LLMs). Traditional VideoQA systems struggle with long videos, as they must process entire videos before responding to queries, and repeat this process for each new question. In contrast, our approach analyzes long videos in a streaming manner, allowing for prompt responses as soon as user queries are received. Building on a common Video-LLM, we first incorporate a sliding-window attention mechanism, ensuring that input frames attend to a limited number of preceding frames, thereby reducing computational overhead. To prevent information loss, we store processed video key-value caches (KV-Caches) in RAM and disk, reloading them into GPU memory as needed. Additionally, we introduce a retrieval method that leverages an external retriever or the parameters within Video-LLMs to retrieve only query-relevant KV-Caches, ensuring both efficiency and accuracy in question answering. ReKV enables the separation of video encoding and question-answering across different processes and GPUs, significantly enhancing the efficiency of StreamingVQA. Through comprehensive experimentation, we validate the efficacy and practicality of our approach, which significantly boosts efficiency and enhances applicability over existing VideoQA models.

We introduce a new task, Video-and-Language Inference, for joint multimodal understanding of video and text. Given a video clip with aligned subtitles as premise, paired with a natural language hypothesis based on the video content, a model needs to infer whether the hypothesis is entailed or contradicted by the given video clip. A new large-scale dataset, named Violin (VIdeO-and-Language INference), is introduced for this task, which consists of 95,322 video-hypothesis pairs from 15,887 video clips, spanning over 582 hours of video. These video clips contain rich content with diverse temporal dynamics, event shifts, and people interactions, collected from two sources: (i) popular TV shows, and (ii) movie clips from YouTube channels. In order to address our new multimodal inference task, a model is required to possess sophisticated reasoning skills, from surface-level grounding (e.g., identifying objects and characters in the video) to in-depth commonsense reasoning (e.g., inferring causal relations of events in the video). We present a detailed analysis of the dataset and an extensive evaluation over many strong baselines, providing valuable insights on the challenges of this new task.

Multimodal Large Language Models (MLLMs) have shown excellent performance in question-answering of single-event videos. In this paper, we present question-answering dense video events, a novel task that requires answering and grounding the dense-event questions in long videos, thus challenging MLLMs to faithfully comprehend and reason about multiple events occurring over extended time periods. To facilitate the study, we construct DeVE-QA - a dataset featuring 78K questions about 26K events on 10.6K long videos. We then benchmark and show that existing MLLMs excelling at single-event QA struggle to perform well in DeVE-QA. For improvement, we propose DeVi, a novel training-free MLLM approach that highlights a hierarchical captioning module, a temporal event memory module, and a self-consistency checking module to respectively detect, contextualize and memorize, and ground dense-events in long videos for question answering. Extensive experiments show that DeVi is superior at answering dense-event questions and grounding relevant video moments. Compared with existing MLLMs, it achieves a remarkable increase of 4.1 percent and 3.7 percent for G(round)QA accuracy on DeVE-QA and NExT-GQA respectively.

Video understanding is a crucial next step for multimodal large language models (MLLMs). To probe specific aspects of video understanding ability, existing video benchmarks typically require careful video selection based on the target capability, along with laborious annotation of query-response pairs to match the specific video content. This process is both challenging and resource-intensive. In this paper, we propose VideoNIAH (Video Needle In A Haystack), a benchmark construction framework through synthetic video generation. VideoNIAH decouples test video content from their query-responses by inserting unrelated image/text 'needles' into original videos. It generates annotations solely from these needles, ensuring diversity in video sources and a variety of query-responses. Additionally, by inserting multiple needles, VideoNIAH rigorously evaluates the temporal understanding capabilities of models. We utilized VideoNIAH to compile a video benchmark VNBench, including tasks such as retrieval, ordering, and counting. VNBench can efficiently evaluate the fine-grained understanding ability and spatio-temporal modeling ability of a video model, while also supporting the long-context evaluation. Additionally, we evaluated recent video-centric multimodal large language models (MLLMs), both open-source and proprietary, providing a comprehensive analysis. We found that although proprietary models have significant advantages over open-source models, all existing video models still perform poorly on long-distance dependency tasks. VideoNIAH is a simple yet highly scalable benchmark construction framework, and we believe it will inspire future video benchmark works. The code and data are available at https://github.com/joez17/VideoNIAH.

Open domain question answering (OpenQA) tasks have been recently attracting more and more attention from the natural language processing (NLP) community. In this work, we present the first free-form multiple-choice OpenQA dataset for solving medical problems, MedQA, collected from the professional medical board exams. It covers three languages: English, simplified Chinese, and traditional Chinese, and contains 12,723, 34,251, and 14,123 questions for the three languages, respectively. We implement both rule-based and popular neural methods by sequentially combining a document retriever and a machine comprehension model. Through experiments, we find that even the current best method can only achieve 36.7\%, 42.0\%, and 70.1\% of test accuracy on the English, traditional Chinese, and simplified Chinese questions, respectively. We expect MedQA to present great challenges to existing OpenQA systems and hope that it can serve as a platform to promote much stronger OpenQA models from the NLP community in the future.

We perform a comprehensive benchmarking of contrastive frameworks for learning multimodal representations in the medical domain. Through this study, we aim to answer the following research questions: (i) How transferable are general-domain representations to the medical domain? (ii) Is multimodal contrastive training sufficient, or does it benefit from unimodal training as well? (iii) What is the impact of feature granularity on the effectiveness of multimodal medical representation learning? To answer these questions, we investigate eight contrastive learning approaches under identical training setups, and train them on 2.8 million image-text pairs from four datasets, and evaluate them on 25 downstream tasks, including classification (zero-shot and linear probing), image-to-text and text-to-image retrieval, and visual question-answering. Our findings suggest a positive answer to the first question, a negative answer to the second question, and the benefit of learning fine-grained features. Finally, we make our code publicly available.

Artificial intelligence has advanced in Medical Visual Question Answering (Med-VQA), but prevalent research tends to focus on the accuracy of the answers, often overlooking the reasoning paths and interpretability, which are crucial in clinical settings. Besides, current Med-VQA algorithms, typically reliant on singular models, lack the robustness needed for real-world medical diagnostics which usually require collaborative expert evaluation. To address these shortcomings, this paper presents MedCoT, a novel hierarchical expert verification reasoning chain method designed to enhance interpretability and accuracy in biomedical imaging inquiries. MedCoT is predicated on two principles: The necessity for explicit reasoning paths in Med-VQA and the requirement for multi-expert review to formulate accurate conclusions. The methodology involves an Initial Specialist proposing diagnostic rationales, followed by a Follow-up Specialist who validates these rationales, and finally, a consensus is reached through a vote among a sparse Mixture of Experts within the locally deployed Diagnostic Specialist, which then provides the definitive diagnosis. Experimental evaluations on four standard Med-VQA datasets demonstrate that MedCoT surpasses existing state-of-the-art approaches, providing significant improvements in performance and interpretability.

Large Language Models (LLMs), although powerful in general domains, often perform poorly on domain-specific tasks like medical question answering (QA). Moreover, they tend to function as "black-boxes," making it challenging to modify their behavior. Addressing this, our study delves into model editing utilizing in-context learning, aiming to improve LLM responses without the need for fine-tuning or retraining. Specifically, we propose a comprehensive retrieval strategy to extract medical facts from an external knowledge base, and then we incorporate them into the query prompt for the LLM. Focusing on medical QA using the MedQA-SMILE dataset, we evaluate the impact of different retrieval models and the number of facts provided to the LLM. Notably, our edited Vicuna model exhibited an accuracy improvement from 44.46% to 48.54%. This work underscores the potential of model editing to enhance LLM performance, offering a practical approach to mitigate the challenges of black-box LLMs.

Despite being (pre)trained on a massive amount of data, state-of-the-art video-language alignment models are not robust to semantically-plausible contrastive changes in the video captions. Our work addresses this by identifying a broad spectrum of contrast misalignments, such as replacing entities, actions, and flipping event order, which alignment models should be robust against. To this end, we introduce the VideoCon, a video-language alignment dataset constructed by a large language model that generates plausible contrast video captions and explanations for differences between original and contrast video captions. Then, a generative video-language model is finetuned with VideoCon to assess video-language entailment and generate explanations. Our VideoCon-based alignment model significantly outperforms current models. It exhibits a 12-point increase in AUC for the video-language alignment task on human-generated contrast captions. Finally, our model sets new state of the art zero-shot performance in temporally-extensive video-language tasks such as text-to-video retrieval (SSv2-Temporal) and video question answering (ATP-Hard). Moreover, our model shows superior performance on novel videos and human-crafted captions and explanations. Our code and data are available at https://github.com/Hritikbansal/videocon.

We present xGen-MM-Vid (BLIP-3-Video): a multimodal language model for videos, particularly designed to efficiently capture temporal information over multiple frames. BLIP-3-Video takes advantage of the 'temporal encoder' in addition to the conventional visual tokenizer, which maps a sequence of tokens over multiple frames into a compact set of visual tokens. This enables BLIP3-Video to use much fewer visual tokens than its competing models (e.g., 32 vs. 4608 tokens). We explore different types of temporal encoders, including learnable spatio-temporal pooling as well as sequential models like Token Turing Machines. We experimentally confirm that BLIP-3-Video obtains video question-answering accuracies comparable to much larger state-of-the-art models (e.g., 34B), while being much smaller (i.e., 4B) and more efficient by using fewer visual tokens. The project website is at https://www.salesforceairesearch.com/opensource/xGen-MM-Vid/index.html

Medical open-domain question answering demands substantial access to specialized knowledge. Recent efforts have sought to decouple knowledge from model parameters, counteracting architectural scaling and allowing for training on common low-resource hardware. The retrieve-then-read paradigm has become ubiquitous, with model predictions grounded on relevant knowledge pieces from external repositories such as PubMed, textbooks, and UMLS. An alternative path, still under-explored but made possible by the advent of domain-specific large language models, entails constructing artificial contexts through prompting. As a result, "to generate or to retrieve" is the modern equivalent of Hamlet's dilemma. This paper presents MedGENIE, the first generate-then-read framework for multiple-choice question answering in medicine. We conduct extensive experiments on MedQA-USMLE, MedMCQA, and MMLU, incorporating a practical perspective by assuming a maximum of 24GB VRAM. MedGENIE sets a new state-of-the-art (SOTA) in the open-book setting of each testbed, even allowing a small-scale reader to outcompete zero-shot closed-book 175B baselines while using up to 706times fewer parameters. Overall, our findings reveal that generated passages are more effective than retrieved counterparts in attaining higher accuracy.

Surgical video-language pretraining (VLP) faces unique challenges due to the knowledge domain gap and the scarcity of multi-modal data. This study aims to bridge the gap by addressing issues regarding textual information loss in surgical lecture videos and the spatial-temporal challenges of surgical VLP. We propose a hierarchical knowledge augmentation approach and a novel Procedure-Encoded Surgical Knowledge-Augmented Video-Language Pretraining (PeskaVLP) framework to tackle these issues. The knowledge augmentation uses large language models (LLM) for refining and enriching surgical concepts, thus providing comprehensive language supervision and reducing the risk of overfitting. PeskaVLP combines language supervision with visual self-supervision, constructing hard negative samples and employing a Dynamic Time Warping (DTW) based loss function to effectively comprehend the cross-modal procedural alignment. Extensive experiments on multiple public surgical scene understanding and cross-modal retrieval datasets show that our proposed method significantly improves zero-shot transferring performance and offers a generalist visual representation for further advancements in surgical scene understanding.The code is available at https://github.com/CAMMA-public/SurgVLP

Following the impressive development of LLMs, vision-language alignment in LLMs is actively being researched to enable multimodal reasoning and visual IO. This direction of research is particularly relevant to medical imaging because medical image analysis and generation consist of reasoning based on a combination of visual features and prior knowledge. Many recent works have focused on training adapter networks that serve as an information bridge between image processing networks and LLMs; but presumably, in order to achieve maximum reasoning potential of LLMs on visual information as well, visual and language features should be allowed to interact more freely. This is especially important in the medical domain because understanding and generating medical images such as chest X-rays (CXR) require not only accurate visual and language-based reasoning but also a more intimate mapping between the two modalities. Thus, taking inspiration from previous work on the transformer and VQ-GAN combination for bidirectional image and text generation, we build upon this approach and develop a method for instruction-tuning an LLM pre-trained only on text to gain vision-language capabilities for medical images. Specifically, we leverage a pretrained LLM's existing question-answering and instruction-following abilities to teach it to understand visual inputs by instructing it to answer questions about image inputs and, symmetrically, output both text and image responses appropriate to a given query by tuning the LLM with diverse tasks that encompass image-based text-generation and text-based image-generation. We show that our model, LLM-CXR, trained in this approach shows better image-text alignment in both CXR understanding and generation tasks while being smaller in size compared to previously developed models that perform a narrower range of tasks. The code is at https://github.com/hyn2028/llm-cxr.

This paper introduces MiniGPT4-Video, a multimodal Large Language Model (LLM) designed specifically for video understanding. The model is capable of processing both temporal visual and textual data, making it adept at understanding the complexities of videos. Building upon the success of MiniGPT-v2, which excelled in translating visual features into the LLM space for single images and achieved impressive results on various image-text benchmarks, this paper extends the model's capabilities to process a sequence of frames, enabling it to comprehend videos. MiniGPT4-video does not only consider visual content but also incorporates textual conversations, allowing the model to effectively answer queries involving both visual and text components. The proposed model outperforms existing state-of-the-art methods, registering gains of 4.22%, 1.13%, 20.82%, and 13.1% on the MSVD, MSRVTT, TGIF, and TVQA benchmarks respectively. Our models and code have been made publicly available here https://vision-cair.github.io/MiniGPT4-video/

Aligning Video Large Multimodal Models (VLMMs) face challenges such as modality misalignment and verbose responses. Although iterative approaches such as self-rewarding or iterative direct preference optimization (DPO) recently showed a significant improvement in language model alignment, particularly on reasoning tasks, self-aligned models applied to large video-language models often result in lengthy and irrelevant responses. To address these challenges, we propose a novel method that employs self-retrospection to enhance both response generation and preference modeling, and call iterative self-retrospective judgment (i-SRT). By revisiting and evaluating already generated content and preference in loop, i-SRT improves the alignment between textual and visual modalities, reduce verbosity, and enhances content relevance. Our empirical evaluations across diverse video question answering benchmarks demonstrate that i-SRT significantly outperforms prior arts. We are committed to opensourcing our code, models, and datasets to encourage further investigation.

Empowered by Large Language Models (LLMs), recent advancements in Video-based LLMs (VideoLLMs) have driven progress in various video understanding tasks. These models encode video representations through pooling or query aggregation over a vast number of visual tokens, making computational and memory costs affordable. Despite successfully providing an overall comprehension of video content, existing VideoLLMs still face challenges in achieving detailed understanding due to overlooking local information in long-term videos. To tackle this challenge, we introduce LongVLM, a simple yet powerful VideoLLM for long video understanding, building upon the observation that long videos often consist of sequential key events, complex actions, and camera movements. Our approach proposes to decompose long videos into multiple short-term segments and encode local features for each segment via a hierarchical token merging module. These features are concatenated in temporal order to maintain the storyline across sequential short-term segments. Additionally, we propose to integrate global semantics into each local feature to enhance context understanding. In this way, we encode video representations that incorporate both local and global information, enabling the LLM to generate comprehensive responses for long-term videos. Experimental results on the VideoChatGPT benchmark and zero-shot video question-answering datasets demonstrate the superior capabilities of our model over the previous state-of-the-art methods. Qualitative examples show that our model produces more precise responses for long video understanding. Code is available at https://github.com/ziplab/LongVLM.

Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities. Thus, they face specific challenges, including limited clinical relevance, incomplete evaluations, and insufficient guidance for interactive LVLMs. To address these limitations, we developed the GMAI-MMBench, the most comprehensive general medical AI benchmark with well-categorized data structure and multi-perceptual granularity to date. It is constructed from 285 datasets across 39 medical image modalities, 18 clinical-related tasks, 18 departments, and 4 perceptual granularities in a Visual Question Answering (VQA) format. Additionally, we implemented a lexical tree structure that allows users to customize evaluation tasks, accommodating various assessment needs and substantially supporting medical AI research and applications. We evaluated 50 LVLMs, and the results show that even the advanced GPT-4o only achieves an accuracy of 52%, indicating significant room for improvement. Moreover, we identified five key insufficiencies in current cutting-edge LVLMs that need to be addressed to advance the development of better medical applications. We believe that GMAI-MMBench will stimulate the community to build the next generation of LVLMs toward GMAI. Project Page: https://uni-medical.github.io/GMAI-MMBench.github.io/

Most prior art in visual understanding relies solely on analyzing the "what" (e.g., event recognition) and "where" (e.g., event localization), which in some cases, fails to describe correct contextual relationships between events or leads to incorrect underlying visual attention. Part of what defines us as human and fundamentally different from machines is our instinct to seek causality behind any association, say an event Y that happened as a direct result of event X. To this end, we propose iPerceive, a framework capable of understanding the "why" between events in a video by building a common-sense knowledge base using contextual cues to infer causal relationships between objects in the video. We demonstrate the effectiveness of our technique using the dense video captioning (DVC) and video question answering (VideoQA) tasks. Furthermore, while most prior work in DVC and VideoQA relies solely on visual information, other modalities such as audio and speech are vital for a human observer's perception of an environment. We formulate DVC and VideoQA tasks as machine translation problems that utilize multiple modalities. By evaluating the performance of iPerceive DVC and iPerceive VideoQA on the ActivityNet Captions and TVQA datasets respectively, we show that our approach furthers the state-of-the-art. Code and samples are available at: iperceive.amanchadha.com.

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.

In the quest for artificial general intelligence, Multi-modal Large Language Models (MLLMs) have emerged as a focal point in recent advancements. However, the predominant focus remains on developing their capabilities in static image understanding. The potential of MLLMs in processing sequential visual data is still insufficiently explored, highlighting the absence of a comprehensive, high-quality assessment of their performance. In this paper, we introduce Video-MME, the first-ever full-spectrum, Multi-Modal Evaluation benchmark of MLLMs in Video analysis. Our work distinguishes from existing benchmarks through four key features: 1) Diversity in video types, spanning 6 primary visual domains with 30 subfields to ensure broad scenario generalizability; 2) Duration in temporal dimension, encompassing both short-, medium-, and long-term videos, ranging from 11 seconds to 1 hour, for robust contextual dynamics; 3) Breadth in data modalities, integrating multi-modal inputs besides video frames, including subtitles and audios, to unveil the all-round capabilities of MLLMs; 4) Quality in annotations, utilizing rigorous manual labeling by expert annotators to facilitate precise and reliable model assessment. 900 videos with a total of 256 hours are manually selected and annotated by repeatedly viewing all the video content, resulting in 2,700 question-answer pairs. With Video-MME, we extensively evaluate various state-of-the-art MLLMs, including GPT-4 series and Gemini 1.5 Pro, as well as open-source image models like InternVL-Chat-V1.5 and video models like LLaVA-NeXT-Video. Our experiments reveal that Gemini 1.5 Pro is the best-performing commercial model, significantly outperforming the open-source models. Our dataset along with these findings underscores the need for further improvements in handling longer sequences and multi-modal data. Project Page: https://video-mme.github.io

Medical vision-and-language pre-training (Med-VLP) has shown promising improvements on many downstream medical tasks owing to its applicability to extracting generic representations from medical images and texts. Practically, there exist two typical types, i.e., the fusion-encoder type and the dual-encoder type, depending on whether a heavy fusion module is used. The former is superior at multi-modal tasks owing to the sufficient interaction between modalities; the latter is good at uni-modal and cross-modal tasks due to the single-modality encoding ability. To take advantage of these two types, we propose an effective yet straightforward scheme named PTUnifier to unify the two types. We first unify the input format by introducing visual and textual prompts, which serve as a feature bank that stores the most representative images/texts. By doing so, a single model could serve as a foundation model that processes various tasks adopting different input formats (i.e., image-only, text-only, and image-text-pair). Furthermore, we construct a prompt pool (instead of static ones) to improve diversity and scalability. Experimental results show that our approach achieves state-of-the-art results on a broad range of tasks, spanning uni-modal tasks (i.e., image/text classification and text summarization), cross-modal tasks (i.e., image-to-text generation and image-text/text-image retrieval), and multi-modal tasks (i.e., visual question answering), demonstrating the effectiveness of our approach. Note that the adoption of prompts is orthogonal to most existing Med-VLP approaches and could be a beneficial and complementary extension to these approaches.

Recently, large language model (LLM) based artificial intelligence (AI) systems have demonstrated remarkable capabilities in natural language understanding and generation. However, these models face a significant challenge when it comes to sensitive applications, such as reasoning over medical knowledge and answering medical questions in a physician-like manner. Prior studies attempted to overcome this challenge by increasing the model size (>100B) to learn more general medical knowledge, while there is still room for improvement in LLMs with smaller-scale model sizes (<100B). In this work, we start from a pre-trained general LLM model (AntGLM-10B) and fine-tune it from a medical beginner towards a medical expert (called AntGLM-Med-10B), which leverages a 3-stage optimization procedure, i.e., general medical knowledge injection, medical domain instruction tuning, and specific medical task adaptation. Our contributions are threefold: (1) We specifically investigate how to adapt a pre-trained general LLM in medical domain, especially for a specific medical task. (2) We collect and construct large-scale medical datasets for each stage of the optimization process. These datasets encompass various data types and tasks, such as question-answering, medical reasoning, multi-choice questions, and medical conversations. (3) Specifically for multi-choice questions in the medical domain, we propose a novel Verification-of-Choice approach for prompting engineering, which significantly enhances the reasoning ability of LLMs. Remarkably, by combining the above approaches, our AntGLM-Med-10B model can outperform the most of LLMs on PubMedQA, including both general and medical LLMs, even when these LLMs have larger model size.

We present VideoOrion, a Video Large Language Model (Video-LLM) that explicitly captures the key semantic information in videos--the spatial-temporal dynamics of objects throughout the videos. VideoOrion employs expert vision models to extract object dynamics through a detect-segment-track pipeline, encoding them into a set of object tokens by aggregating spatial-temporal object features. Our method addresses the persistent challenge in Video-LLMs of efficiently compressing high-dimensional video data into semantic tokens that are comprehensible to LLMs. Compared to prior methods which resort to downsampling the original video or aggregating visual tokens using resamplers, leading to information loss and entangled semantics, VideoOrion not only offers a more natural and efficient way to derive compact, disentangled semantic representations but also enables explicit object modeling of video content with minimal computational cost. Moreover, the introduced object tokens naturally allow VideoOrion to accomplish video-based referring tasks. Experimental results show that VideoOrion can learn to make good use of the object tokens, and achieves competitive results on both general video question answering and video-based referring benchmarks.

Visual events are a composition of temporal actions involving actors spatially interacting with objects. When developing computer vision models that can reason about compositional spatio-temporal events, we need benchmarks that can analyze progress and uncover shortcomings. Existing video question answering benchmarks are useful, but they often conflate multiple sources of error into one accuracy metric and have strong biases that models can exploit, making it difficult to pinpoint model weaknesses. We present Action Genome Question Answering (AGQA), a new benchmark for compositional spatio-temporal reasoning. AGQA contains 192M unbalanced question answer pairs for 9.6K videos. We also provide a balanced subset of 3.9M question answer pairs, 3 orders of magnitude larger than existing benchmarks, that minimizes bias by balancing the answer distributions and types of question structures. Although human evaluators marked 86.02% of our question-answer pairs as correct, the best model achieves only 47.74% accuracy. In addition, AGQA introduces multiple training/test splits to test for various reasoning abilities, including generalization to novel compositions, to indirect references, and to more compositional steps. Using AGQA, we evaluate modern visual reasoning systems, demonstrating that the best models barely perform better than non-visual baselines exploiting linguistic biases and that none of the existing models generalize to novel compositions unseen during training.

Contrastive pretraining on parallel image-text data has attained great success in vision-language processing (VLP), as exemplified by CLIP and related methods. However, prior explorations tend to focus on general domains in the web. Biomedical images and text are rather different, but publicly available datasets are small and skew toward chest X-ray, thus severely limiting progress. In this paper, we conducted by far the largest study on biomedical VLP, using 15 million figure-caption pairs extracted from biomedical research articles in PubMed Central. Our dataset (PMC-15M) is two orders of magnitude larger than existing biomedical image-text datasets such as MIMIC-CXR, and spans a diverse range of biomedical images. The standard CLIP method is suboptimal for the biomedical domain. We propose BiomedCLIP with domain-specific adaptations tailored to biomedical VLP. We conducted extensive experiments and ablation studies on standard biomedical imaging tasks from retrieval to classification to visual question-answering (VQA). BiomedCLIP established new state of the art in a wide range of standard datasets, substantially outperformed prior VLP approaches. Surprisingly, BiomedCLIP even outperformed radiology-specific state-of-the-art models such as BioViL on radiology-specific tasks such as RSNA pneumonia detection, thus highlighting the utility in large-scale pretraining across all biomedical image types. We will release our models at https://aka.ms/biomedclip to facilitate future research in biomedical VLP.

Recent advances in vision-language models (VLMs) have significantly enhanced video understanding tasks. Instruction tuning (i.e., fine-tuning models on datasets of instructions paired with desired outputs) has been key to improving model performance. However, creating diverse instruction-tuning datasets is challenging due to high annotation costs and the complexity of capturing temporal information in videos. Existing approaches often rely on large language models to generate instruction-output pairs, which can limit diversity and lead to responses that lack grounding in the video content. To address this, we propose VideoSAVi (Self-Aligned Video Language Model), a novel self-training pipeline that enables VLMs to generate their own training data without extensive manual annotation. The process involves three stages: (1) generating diverse video-specific questions, (2) producing multiple candidate answers, and (3) evaluating these responses for alignment with the video content. This self-generated data is then used for direct preference optimization (DPO), allowing the model to refine its own high-quality outputs and improve alignment with video content. Our experiments demonstrate that even smaller models (0.5B and 7B parameters) can effectively use this self-training approach, outperforming previous methods and achieving results comparable to those trained on proprietary preference data. VideoSAVi shows significant improvements across multiple benchmarks: up to 28% on multi-choice QA, 8% on zero-shot open-ended QA, and 12% on temporal reasoning benchmarks. These results demonstrate the effectiveness of our self-training approach in enhancing video understanding while reducing dependence on proprietary models.

This paper presents VideoStreaming, an advanced vision-language large model (VLLM) for video understanding, that capably understands arbitrary-length video with a constant number of video tokens streamingly encoded and adaptively selected. The challenge of video understanding in the vision language area mainly lies in the significant computational burden caused by the great number of tokens extracted from long videos. Previous works rely on sparse sampling or frame compression to reduce tokens. However, such approaches either disregard temporal information in a long time span or sacrifice spatial details, resulting in flawed compression. To address these limitations, our VideoStreaming has two core designs: Memory-Propagated Streaming Encoding and Adaptive Memory Selection. The Memory-Propagated Streaming Encoding architecture segments long videos into short clips and sequentially encodes each clip with a propagated memory. In each iteration, we utilize the encoded results of the preceding clip as historical memory, which is integrated with the current clip to distill a condensed representation that encapsulates the video content up to the current timestamp. After the encoding process, the Adaptive Memory Selection strategy selects a constant number of question-related memories from all the historical memories and feeds them into the LLM to generate informative responses. The question-related selection reduces redundancy within the memories, enabling efficient and precise video understanding. Meanwhile, the disentangled video extraction and reasoning design allows the LLM to answer different questions about a video by directly selecting corresponding memories, without the need to encode the whole video for each question. Our model achieves superior performance and higher efficiency on long video benchmarks, showcasing precise temporal comprehension for detailed question answering.

We introduce VideoPrism, a general-purpose video encoder that tackles diverse video understanding tasks with a single frozen model. We pretrain VideoPrism on a heterogeneous corpus containing 36M high-quality video-caption pairs and 582M video clips with noisy parallel text (e.g., ASR transcripts). The pretraining approach improves upon masked autoencoding by global-local distillation of semantic video embeddings and a token shuffling scheme, enabling VideoPrism to focus primarily on the video modality while leveraging the invaluable text associated with videos. We extensively test VideoPrism on four broad groups of video understanding tasks, from web video question answering to CV for science, achieving state-of-the-art performance on 30 out of 33 video understanding benchmarks.

We present HERO, a novel framework for large-scale video+language omni-representation learning. HERO encodes multimodal inputs in a hierarchical structure, where local context of a video frame is captured by a Cross-modal Transformer via multimodal fusion, and global video context is captured by a Temporal Transformer. In addition to standard Masked Language Modeling (MLM) and Masked Frame Modeling (MFM) objectives, we design two new pre-training tasks: (i) Video-Subtitle Matching (VSM), where the model predicts both global and local temporal alignment; and (ii) Frame Order Modeling (FOM), where the model predicts the right order of shuffled video frames. HERO is jointly trained on HowTo100M and large-scale TV datasets to gain deep understanding of complex social dynamics with multi-character interactions. Comprehensive experiments demonstrate that HERO achieves new state of the art on multiple benchmarks over Text-based Video/Video-moment Retrieval, Video Question Answering (QA), Video-and-language Inference and Video Captioning tasks across different domains. We also introduce two new challenging benchmarks How2QA and How2R for Video QA and Retrieval, collected from diverse video content over multimodalities.

Comparing a user video to a reference how-to video is a key requirement for AR/VR technology delivering personalized assistance tailored to the user's progress. However, current approaches for language-based assistance can only answer questions about a single video. We propose an approach that first automatically generates large amounts of visual instruction tuning data involving pairs of videos from HowTo100M by leveraging existing step annotations and accompanying narrations, and then trains a video-conditioned language model to jointly reason across multiple raw videos. Our model achieves state-of-the-art performance at identifying differences between video pairs and ranking videos based on the severity of these differences, and shows promising ability to perform general reasoning over multiple videos. Project page: https://github.com/facebookresearch/stepdiff

This paper focuses on the challenge of answering questions in scenarios that are composed of rich and complex dynamic audio-visual components. Although existing Multimodal Large Language Models (MLLMs) can respond to audio-visual content, these responses are sometimes ambiguous and fail to describe specific audio-visual events. To overcome this limitation, we introduce the CAT, which enhances MLLM in three ways: 1) besides straightforwardly bridging audio and video, we design a clue aggregator that aggregates question-related clues in dynamic audio-visual scenarios to enrich the detailed knowledge required for large language models. 2) CAT is trained on a mixed multimodal dataset, allowing direct application in audio-visual scenarios. Notably, we collect an audio-visual joint instruction dataset named AVinstruct, to further enhance the capacity of CAT to model cross-semantic correlations. 3) we propose AI-assisted ambiguity-aware direct preference optimization, a strategy specialized in retraining the model to favor the non-ambiguity response and improve the ability to localize specific audio-visual objects. Extensive experimental results demonstrate that CAT outperforms existing methods on multimodal tasks, especially in Audio-Visual Question Answering (AVQA) tasks. The codes and the collected instructions are released at https://github.com/rikeilong/Bay-CAT.

Long-form video understanding represents a significant challenge within computer vision, demanding a model capable of reasoning over long multi-modal sequences. Motivated by the human cognitive process for long-form video understanding, we emphasize interactive reasoning and planning over the ability to process lengthy visual inputs. We introduce a novel agent-based system, VideoAgent, that employs a large language model as a central agent to iteratively identify and compile crucial information to answer a question, with vision-language foundation models serving as tools to translate and retrieve visual information. Evaluated on the challenging EgoSchema and NExT-QA benchmarks, VideoAgent achieves 54.1% and 71.3% zero-shot accuracy with only 8.4 and 8.2 frames used on average. These results demonstrate superior effectiveness and efficiency of our method over the current state-of-the-art methods, highlighting the potential of agent-based approaches in advancing long-form video understanding.

With the burgeoning growth of online video platforms and the escalating volume of video content, the demand for proficient video understanding tools has intensified markedly. Given the remarkable capabilities of Large Language Models (LLMs) in language and multimodal tasks, this survey provides a detailed overview of the recent advancements in video understanding harnessing the power of LLMs (Vid-LLMs). The emergent capabilities of Vid-LLMs are surprisingly advanced, particularly their ability for open-ended spatial-temporal reasoning combined with commonsense knowledge, suggesting a promising path for future video understanding. We examine the unique characteristics and capabilities of Vid-LLMs, categorizing the approaches into four main types: LLM-based Video Agents, Vid-LLMs Pretraining, Vid-LLMs Instruction Tuning, and Hybrid Methods. Furthermore, this survey presents a comprehensive study of the tasks, datasets, and evaluation methodologies for Vid-LLMs. Additionally, it explores the expansive applications of Vid-LLMs across various domains, highlighting their remarkable scalability and versatility in real-world video understanding challenges. Finally, it summarizes the limitations of existing Vid-LLMs and outlines directions for future research. For more information, readers are recommended to visit the repository at https://github.com/yunlong10/Awesome-LLMs-for-Video-Understanding.

Large Language Models (LLMs) have shown impressive performance on existing medical question-answering benchmarks. This high performance makes it increasingly difficult to meaningfully evaluate and differentiate advanced methods. We present MedAgentsBench, a benchmark that focuses on challenging medical questions requiring multi-step clinical reasoning, diagnosis formulation, and treatment planning-scenarios where current models still struggle despite their strong performance on standard tests. Drawing from seven established medical datasets, our benchmark addresses three key limitations in existing evaluations: (1) the prevalence of straightforward questions where even base models achieve high performance, (2) inconsistent sampling and evaluation protocols across studies, and (3) lack of systematic analysis of the interplay between performance, cost, and inference time. Through experiments with various base models and reasoning methods, we demonstrate that the latest thinking models, DeepSeek R1 and OpenAI o3, exhibit exceptional performance in complex medical reasoning tasks. Additionally, advanced search-based agent methods offer promising performance-to-cost ratios compared to traditional approaches. Our analysis reveals substantial performance gaps between model families on complex questions and identifies optimal model selections for different computational constraints. Our benchmark and evaluation framework are publicly available at https://github.com/gersteinlab/medagents-benchmark.

The recent advent of Large Language Models (LLMs) has ushered sophisticated reasoning capabilities into the realm of video through Video Large Language Models (VideoLLMs). However, VideoLLMs currently rely on a single vision encoder for all of their visual processing, which limits the amount and type of visual information that can be conveyed to the LLM. Our method, MERV, Multi-Encoder Representation of Videos, instead leverages multiple frozen visual encoders to create a unified representation of a video, providing the VideoLLM with a comprehensive set of specialized visual knowledge. Spatio-temporally aligning the features from each encoder allows us to tackle a wider range of open-ended and multiple-choice video understanding questions and outperform prior state-of-the-art works. MERV is up to 3.7% better in accuracy than Video-LLaVA across the standard suite video understanding benchmarks, while also having a better Video-ChatGPT score. We also improve upon SeViLA, the previous best on zero-shot Perception Test accuracy, by 2.2%. MERV introduces minimal extra parameters and trains faster than equivalent single-encoder methods while parallelizing the visual processing. Finally, we provide qualitative evidence that MERV successfully captures domain knowledge from each of its encoders. Our results offer promising directions in utilizing multiple vision encoders for comprehensive video understanding.

The recent advance in vision-language models is largely attributed to the abundance of image-text data. We aim to replicate this success for video-language models, but there simply is not enough human-curated video-text data available. We thus resort to fine-tuning a video-language model from a strong image-language baseline with synthesized instructional data. The resulting video-language model is then used to auto-label millions of videos to generate high-quality captions. We show the adapted video-language model performs well on a wide range of video-language benchmarks. For instance, it surpasses the best prior result on open-ended NExT-QA by 2.8%. Besides, our model generates detailed descriptions for previously unseen videos, which provide better textual supervision than existing methods. Experiments show that a video-language dual-encoder model contrastively trained on these auto-generated captions is 3.8% better than the strongest baseline that also leverages vision-language models. Our best model outperforms state-of-the-art methods on MSR-VTT zero-shot text-to-video retrieval by 6%.

Large Multimodal Models (LMMs) have shown remarkable progress in the field of medical Visual Question Answering (Med-VQA), achieving high accuracy on existing benchmarks. However, their reliability under robust evaluation is questionable. This study reveals that state-of-the-art models, when subjected to simple probing evaluation, perform worse than random guessing on medical diagnosis questions. To address this critical evaluation problem, we introduce the Probing Evaluation for Medical Diagnosis (ProbMed) dataset to rigorously assess LMM performance in medical imaging through probing evaluation and procedural diagnosis. Particularly, probing evaluation features pairing original questions with negation questions with hallucinated attributes, while procedural diagnosis requires reasoning across various diagnostic dimensions for each image, including modality recognition, organ identification, clinical findings, abnormalities, and positional grounding. Our evaluation reveals that top-performing models like GPT-4V and Gemini Pro perform worse than random guessing on specialized diagnostic questions, indicating significant limitations in handling fine-grained medical inquiries. Besides, models like LLaVA-Med struggle even with more general questions, and results from CheXagent demonstrate the transferability of expertise across different modalities of the same organ, showing that specialized domain knowledge is still crucial for improving performance. This study underscores the urgent need for more robust evaluation to ensure the reliability of LMMs in critical fields like medical diagnosis, and current LMMs are still far from applicable to those fields.

Large-scale language models (LLMs), such as ChatGPT, are capable of generating human-like responses for various downstream tasks, such as task-oriented dialogues and question answering. However, applying LLMs to medical domains remains challenging due to their inability to leverage domain-specific knowledge. In this study, we present the Large-scale Language Models Augmented with Medical Textbooks (LLM-AMT), which integrates authoritative medical textbooks as the cornerstone of its design, enhancing its proficiency in the specialized domain through plug-and-play modules, comprised of a Hybrid Textbook Retriever, supplemented by the Query Augmenter and the LLM Reader. Experimental evaluation on three open-domain medical question-answering tasks reveals a substantial enhancement in both the professionalism and accuracy of the LLM responses when utilizing LLM-AMT, exhibiting an improvement ranging from 11.4% to 13.2%. Despite being 100 times smaller, we found that medical textbooks as the retrieval corpus serves as a more valuable external knowledge source than Wikipedia in the medical domain. Our experiments show that textbook augmentation results in a performance improvement ranging from 9.7% to 12.2% over Wikipedia augmentation.

Every hour, huge amounts of visual contents are posted on social media and user-generated content platforms. To find relevant videos by means of a natural language query, text-video retrieval methods have received increased attention over the past few years. Data augmentation techniques were introduced to increase the performance on unseen test examples by creating new training samples with the application of semantics-preserving techniques, such as color space or geometric transformations on images. Yet, these techniques are usually applied on raw data, leading to more resource-demanding solutions and also requiring the shareability of the raw data, which may not always be true, e.g. copyright issues with clips from movies or TV series. To address this shortcoming, we propose a multimodal data augmentation technique which works in the feature space and creates new videos and captions by mixing semantically similar samples. We experiment our solution on a large scale public dataset, EPIC-Kitchens-100, and achieve considerable improvements over a baseline method, improved state-of-the-art performance, while at the same time performing multiple ablation studies. We release code and pretrained models on Github at https://github.com/aranciokov/FSMMDA_VideoRetrieval.

Despite progress in video-language modeling, the computational challenge of interpreting long-form videos in response to task-specific linguistic queries persists, largely due to the complexity of high-dimensional video data and the misalignment between language and visual cues over space and time. To tackle this issue, we introduce a novel approach called Language-guided Spatial-Temporal Prompt Learning (LSTP). This approach features two key components: a Temporal Prompt Sampler (TPS) with optical flow prior that leverages temporal information to efficiently extract relevant video content, and a Spatial Prompt Solver (SPS) that adeptly captures the intricate spatial relationships between visual and textual elements. By harmonizing TPS and SPS with a cohesive training strategy, our framework significantly enhances computational efficiency, temporal understanding, and spatial-temporal alignment. Empirical evaluations across two challenging tasks--video question answering and temporal question grounding in videos--using a variety of video-language pretrainings (VLPs) and large language models (LLMs) demonstrate the superior performance, speed, and versatility of our proposed LSTP paradigm.