Recursive self-improvement (RSI) envisions agent systems that autonomously improve their own models and harnesses, with each updated system continuing to improve itself. Existing approaches typically restrict optimization objectives, editable components, or evaluation procedures, limiting open-ended exploration and continuity across generations. We introduce RSI-Env, a persistent environment for coordinated model-harness improvement, supporting autonomous training, harness modification, and retention of research state. An independent Host Controller manages services, evaluation, and versioning. Under Self, each accepted model-harness version takes over the next improvement round. We define three settings that vary goal specificity and access to benchmark feedback: Open-General, Capability-Directed, and Benchmark-Guided. Across these three settings, we compare Self with two fixed external Teachers on seven tasks, starting from Qwen3.8-27B with a minimal harness. Without benchmark feedback, Open-General Self raises GPQA Diamond accuracy from 65.2% to 73.2% and AIME 2026 accuracy from 53.3% to 56.7%. All three Capability-Directed Self runs achieve target-aligned gains. Knowledge Self demonstrates continued improvement across system updates, with SimpleQA accuracy rising from 82.0% to 85.0% and then 88.0%. Benchmark guidance and Teacher benefits vary by task. These results demonstrate RSI-Env's support for open-ended exploration and sustained recursive improvement within the studied runs, while highlighting challenges in preserving gains across capabilities.
Medical Image Quality Assessment (IQA) serves as a critical safety gate for clinical AI, yet existing approaches rely on scalar metrics that fail to capture the descriptive, expert-like evaluation process central to clinical practice. We introduce MedQ-Bench, a comprehensive benchmark for language-based medical IQA evaluation with MLLMs, establishing a perception--description paradigm across 5 imaging modalities and over 40 quality attributes. The benchmark comprises two complementary tasks: MedQ-Perception probes low-level visual attribute discrimination via 2,600 expert-annotated perceptual queries; MedQ-Description covers both no-reference and comparison description sub-tasks with 708 expert-annotated samples, evaluated through a four-dimensional judging protocol. Comprehensive evaluation of 23 state-of-the-art MLLMs reveals that current models exhibit only preliminary and unstable capabilities, and highlights the urgent need for targeted optimization of MLLMs in medical IQA. Project & Dataset: https://github.com/liujiyaoFDU/MedQ-Bench
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.