#01Nov 4, 2026
cs.CV
Trick-or-Treat: Adversarial Evaluation of Multimodal Medical Reasoning with Synthetic Images
Oishi Banerjee, Eujin Lee, Sung Eun Kim and 4 more
We used medical image synthesis to create a challenging multimodal evaluation framework that exposes hallucination behaviors in frontier models. Evaluating multimodal reasoning has historically been difficult because existing medical datasets rarely pair different image modalities, such as radiographs and external clinical photographs. To address this gap, we introduce Trick-or-Treat, an adversarial multimodal medical benchmark that pairs real chest radiographs with synthetic clinical photographs to challenge models' cross-modal reasoning. For each of a wide range of conditions, we created two pairs of images, where the pairs share a single chest radiograph but contain different external photographs. In matched pairs, the chest radiograph and photograph both contain findings suggesting the same disease (e.g., varicella pneumonia suggested by lung opacities and crusted skin lesions seen in chickenpox). In mismatched pairs, the photograph depicts an alternative clinical finding that would not lead to the same unifying diagnosis (e.g. replacing crusted skin lesions with ordinary acne). Synthetic photograph generation allows clinical findings to be varied while the person's features and photographic setting stay consistent, reducing confounding. In an investigation of three frontier models, we found that models hallucinated clinically significant photograph findings in 45-57.5% of mismatched pairs, up from 25-37.5% for the same photographs shown alone. When faced with mismatched pairs, models tended to ignore mismatches and instead hallucinated findings that better matched the radiograph (e.g. misreading acne as crusted skin lesions to justify diagnosing chickenpox). Trick-or-Treat both demonstrates concerning error pattern in frontier models' medical reasoning and provides a proof of concept for the use of synthetic images in adversarial multimodal evaluation.
#02Nov 4, 2026
cs.CV
Same Layout, Different Count: What Number Words Do Past Ten in Text-to-Image Models
Liang Yue, Eric A. Vance
Ask SD3.5-Medium for twelve of an object and then, from the same starting noise, for twenty-five. The picture keeps its layout, but the count changes about as much as it would under a new random seed, and in no consistent direction. We study what number words do once a request passes about ten objects, in five open text-to-image models. Holding the object and the starting noise fixed, we change one thing at a time, and people who never see the request count 3,088 of the images. Every model follows the number for small crowds, but only up to a point, its reach: SD3.5-M and FLUX.1-dev stop following it soon after ten, while FLUX.2 [klein] and Qwen-Image follow it loosely up to twenty-five. Beyond SD3.5-M's reach, the coarse part of the starting noise fixes the composition of the picture but not how many objects it holds: redrawing only the noise finer than an eighth of the image keeps the layout as well as a new number does, and already moves the count two-thirds as far. The number word still reaches the denoiser and acts in its first steps, but nothing we tried gives it a clear direction. Shown instead as a noised grid in the starting latent, the count is drawn: people find it in 59% of images, against 4% when it is only told. Past ten, an exact-match score barely separates a model that follows the number loosely from one that ignores it, and a relative-error score can even prefer a constant guess of sixteen. A same-noise test with a few requests per object tells them apart.
#03Nov 4, 2026
cs.CV
PixelSpline: Continuous Space-Time Video Super-Resolution via Endpoint-Anchored Shared Pixel Trajectories
Wanqi Yuan, Nianyi Li
Existing continuous space-time video super-resolution methods often infer motion from only two endpoint frames and model the two motion directions independently, making them vulnerable to ambiguous correspondence and inconsistent trajectories. We introduce a continuous STVSR framework that combines long-context encoding, continuous HR feature lifting, and an endpoint-anchored PixelSpline. Long-range observations provide more reliable endpoint representations, while continuous upsampling constructs detailed appearance features directly on the requested HR grid. PixelSpline explicitly models each pixel's motion as a single continuous trajectory shared by both endpoints. Using this trajectory, our method warps endpoint colors into a coarse intermediate frame and aligns the HR features for residual reconstruction. Experiments across spatial and temporal upsampling settings demonstrate that the proposed framework offers a favorable quality--efficiency trade-off.
#04Nov 4, 2026
cs.CV
Turns Matter: Advancing Streaming Video RL via Turn-Level Credit
Shuai Dong, Kanghui Tian, Linghan Chen and 20 more
Streaming video understanding requires models to repeatedly decide whether to respond or continue observing. Recently, Group Relative Policy Optimization (GRPO) has been applied to this setting, with existing approaches emphasizing reward design while retaining a single trajectory-level advantage across turns. Such shared credit can reinforce redundant replies after earlier successes and discourage useful follow-ups after earlier failures. We propose TurnWise, a turn-level GRPO framework that aligns learning with individual streaming decisions. TurnWise addresses the mismatch between trajectory-level feedback and turn-level interaction, promoting informative responses and reducing redundancy. Specifically, turn-level credit assignment uses silence-completed prefix scoring to construct group-relative advantages from each decision's remaining return, separating its learning signal from earlier rewards. Turn-mean policy optimization averages token losses within each turn and then across turns, giving response and waiting decisions equal weight regardless of output length. These complementary designs improve streaming policy learning without a learned critic or additional rollouts. Extensive experiments show our method outperforms prior RL approaches for streaming video understanding.
#05Nov 4, 2026
cs.CV
Coupled Scene Graph Anticipation: When With-Constraint Recall Hides Structural Inconsistency
Zeno Nongmaithem, Anushttha Srivastava, Anshit Sinha and 4 more
Scene Graph Anticipation (SGA) predicts object relationships in future video frames. Continuous-time SGA models evolve each subject-object pair with an independent Neural ODE, so relationships sharing an entity cannot influence one another during integration, and nothing prevents mutually exclusive predictions, such as "sitting on" and "standing on", for the same pair. We introduce CoupledSGA, which links such relationships through a Relationship Interaction Graph with graph attention inside the ODE vector field, and adds a Structural Consistency Loss ($\mathcal{L}_{SC}$) based on a matrix of mutually exclusive predicates. Developing CoupledSGA revealed a limitation of the evaluation protocol. With-Constraint evaluation keeps one predicate per group for each subject-object pair, so its R@K and mR@K cannot capture the within-group violations targeted by $\mathcal{L}_{SC}$: we prove they are unchanged whenever each group's winning predicate and its score are held fixed. We further show that the gradient of $\mathcal{L}_{SC}$ depends on predicate scores rather than ground-truth labels: for two-predicate rules it amplifies the ordering the model already holds, and when all scores in a group are equal it suppresses predicates in more exclusion rules more strongly, explaining why the penalty can lower recall while improving consistency. On Action Genome, activating $\mathcal{L}_{SC}$ after two warm-up epochs reduces R@20 from 42.21% to 35.18% while lowering the No-Constraint contradiction rate from 45.92% to 4.07% (matched-budget R@20: 40.48% CoupledSGA vs. 44.78% SceneSayerODE). CoupledSGA is a testbed, not a state-of-the-art claim: With-Constraint recall captures the cost of enforcing structural consistency but not the improvement. We recommend reporting No-Constraint results alongside a contradiction rate for methods that constrain predicate co-activation.