Pneumonia changes across respiration, inflammation, and organ function, while the measurements that describe it arrive at different times and are often incomplete. We introduce PULMOWORLD, a world model for longitudinal pneumonia dynamics that connects asynchronous state estimation, recursive simulation, and evidence-constrained planning. History-aware filtering separates state propagation from observation-driven correction, so a measurement updates the shared belief only when it is observed. That belief supports recursive forecasts of clinical values and modality representations, and summaries of future prognosis. Cap-MBRL searches imagined continuations inside an authorized action set and replaces a frozen fallback only when a candidate meets the risk budget and a predicted-cost margin. On the pneumonia cohort MASS, recursive forecasts are competitive with task-trained sequence models, and simulated future states retain prognostic information. Trained separately on public MIMIC-IV-CXR chest radiographs and clinical trajectories, this model improves prognostic discrimination over latest-value fusion in development and is competitive on long-horizon error on the locked pneumonia panel. In five known-mechanism MASS-Syn environments, Cap-MBRL lowers selection regret relative to direct fallback execution.
Chenglong Ma, Yuanfeng Ji, Junzhi Ning, Jiyao Liu, Yujie Wei, Shaohao Rui, Chaoyang Zhang, Wenjie Li 等 21 位作者
Multimodal medical AI requires a common visual interface for encoding heterogeneous imaging evidence for patient condition modeling. However, existing medical visual tokenizers are often tied to a specific dimension and imaging modality, forcing multimodal systems to rely on fragmented and poorly reusable representations. We introduce MedVTok, a general-purpose visual tokenizer that maps 2D images and 3D volumes from diverse imaging modalities into a unified token space. Building such a tokenizer poses two key challenges: preserving anatomical structure across dimensions and capturing clinical semantics across modalities. To this end, MedVTok introduces (i) slice differential regularization, which explicitly models inter-slice anatomical coherence missing in previous per-pixel/per-voxel supervision, and (ii) multi-expert representation alignment, which integrates knowledge from multiple medical expert encoders while retaining modality-specific complementary knowledge. Trained on 28M images and 70K volumes across 9 imaging modalities, MedVTok supports classification, retrieval, segmentation, synthesis, visual question answering, and medical report generation through a single tokenizer. Across 24 benchmarks, MedVTok achieves state-of-the-art performance, demonstrating a scalable token interface that unifies medical image dimension, modality, and task usage.
Reinforcement learning with verifiable rewards (RLVR) has delivered impressive gains in mathematical and multimodal reasoning and has become a standard post-training paradigm for contemporary language and vision-language models. However, the RLVR recipe introduces a significant risk of capability regression, in which models forget foundational skills after prolonged training without employing regularization strategies. We empirically confirm this concern, observing that open-source reasoning models suffer performance degradation on core capabilities such as perception and faithfulness. While imposing regularization terms like KL divergence can help prevent deviation from the base model, these terms are computed on the current task and therefore do not guarantee preservation of broader knowledge. Meanwhile, commonly used experience replay across heterogeneous domains makes it nontrivial to decide how much training emphasis each objective should receive. To address this, we propose RECAP-a replay strategy with dynamic objective reweighting for general knowledge preservation. Our reweighting mechanism adapts online using short-horizon signals of convergence and instability, shifting the post-training focus away from saturated objectives and toward underperforming or volatile ones. Our method is end-to-end and readily applicable to existing RLVR pipelines without training additional models or heavy tuning. Extensive experiments on benchmarks using Qwen2.5-VL-3B and Qwen2.5-VL-7B demonstrate the effectiveness of our method, which not only preserves general capabilities but also improves reasoning by enabling more flexible trade-offs among in-task rewards.
The ability to model sparse and underspecified rewards, characteristic of human preferences, is fundamental to scaling Reinforcement Learning (RL). Current preference-based reward modeling largely relies on verifiable rewards, where human-annotated labels define rule-based signals. However, these methods face a fundamental bottleneck we term the Matryoshka Doll Problem: a recursive dependency where each reward verifier requires a meta-verifier, leading to continuous and costly dependence on human annotation. In this work, we propose Dual RM, which couples discriminative and generative reward models (DisRMs and GenRMs) under a non-parametric meta-reward. Rather than verifying the correctness of GenRM’s reasoning, the meta-reward evaluates its practical impact on response quality. Specifically, GenRM identifies multi-dimensional evaluation rubrics and iteratively refines the response, while DisRM quantifies the quality shifts induced by each rubric. Furthermore, we implement rubric-based test-time scaling to improve sample efficiency and preference alignment under both DPO and GRPO. Our experiments demonstrate that Dual RM achieves strong performance across major preference benchmarks. Notably, even when trained exclusively on language modality, it exhibits robust cross-modal transfer on Omni-RewardBench.
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cs.CL
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Jiayi Tuo, Cheng Tang, Zihan Wang University of Science and Technology of China, Chenyue Zhou Nanjing University of Aeronautics and Astronautics, Yao Li, Yanbiao Ma Renmin University of China, Chao Wang, Wei Dai Tsinghua University 等 11 位作者
Intelligent education systems often collect exam sheets as in-the-wild photos. These photos often suffer from distortions and noise caused by handwriting and occlusions, collectively referred to as Real-World Degraded Exam Images (RDEI). Structure-preserving reconstruction is key to converting RDEI into structured assets for downstream educational applications. Existing Multimodal Large Language Models (MLLMs) often fail under RDEI, leading to disrupted structure and evidence-unsupported hallucinations. To tackle these challenges, we propose MessToClean, a backbone-agnostic, evidence-driven pipeline that treats off-the-shelf MLLMs as interchangeable components. By grounding extraction in pixel-aligned evidence and enforcing post-hoc consistency auditing on recovered structures, MessToClean mitigates unsupported hallucinations and enhances both controllability and structural fidelity in question-level reconstruction. We curate RDEI-Exam from our educational platforms and evaluate across 12 state-of-the-art MLLM backbones. Across these, MessToClean improves stem consistency by 1.01-3.18%, figure consistency by 0.50-49.16%, and refusal F1 by 1.06-10.88% across question types.
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cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Zechen Sun, Yuyang Sun, Zecheng Tang Soochow University, Juntao Li, Wenpeng Hu Academy of Military Science, Wenliang Chen Soochow University, China, Zhunchen Luo, Guotong Geng AMS 等 9 位作者
Generating coherent and controllable long-form content remains a persistent challenge for Large Language Models (LLMs). While reasoning-enhanced models have demonstrated success in logic-intensive domains, our evaluation reveals that they suffer from a severe length collapse in open-ended writing, where performance degrades sharply as target lengths exceed 2,000 words. We attribute this failure to the limitation of static hierarchical planning, which struggles to provide dynamic guidance over extended contexts. To bridge this gap, we introduce the Interleaved Structural Chain-of-Thought (IS-CoT) framework. Unlike external agentic workflows, IS-CoT embeds a dynamic Plan-Write-Reflect cycle into the generation process, enabling continuous strategy adaptation and global alignment without additional assistance. Based on this framework, we construct a high-quality dataset of interleaved reasoning traces via a multi-teacher pipeline and train IS-Writer-8B. Experiments demonstrate that IS-Writer-8B achieves state-of-the-art performance on challenging long-form benchmarks (e.g., +3.08 vs. DeepSeek-V3.2 on LongBench-Write), exhibiting robust length compliance and coherence competitive with significantly larger proprietary models.
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cs.CL · cs.AI
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表