#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
Where to Connect? Boosting MLLMs via Dynamic Gated Pathways across ALL ViT and LLM Layers
Yingying Yan, Jiaqi Tang, Wei Wei and 7 more
A central yet under-explored question in Multimodal Large Language Models (MLLMs) is where to connect---how visual information from a hierarchical vision encoder should be wired into the layer-wise semantics of a large language model. Mainstream MLLMs inject a fixed single-layer visual representation into the LLM and treat all LLM layers as a single consumer, ignoring that different layers demand different visual granularities. Recent multi-layer fusion methods either compress hierarchical features on the encoder side or rely on predefined sparse or hierarchical layer-to-layer connections, and therefore stop short of modeling adaptive cross-layer interactions between the ViT and LLM hierarchies. We address this gap with DGP (Dynamic Gated Pathways), a routing mechanism that establishes all-to-all connections between every ViT layer and every LLM layer, with each LLM layer dynamically gating its preference over visual layers conditioned on its own semantic state. Built on top of LLaVA-1.5-7B and 13B, DGP delivers consistent gains over the LLaVA-1.5-7B baseline (e.g., +4.2 on SQA$^{I}$, +3.3 on MM-Vet, +3.1 on VizWiz and LLaVA$^{W}$) and surpasses prior multi-layer visual fusion methods on most benchmarks. Layer-wise routing analyses further show that different LLM layers do select different visual granularities on demand, supporting both the effectiveness and interpretability of the proposed dynamic gated pathways. The code is available: https://github.com/YingyingYan1/DGP.
#03Nov 4, 2026
cs.CV
Human Motion Prediction via Continual Prior Compensation
Jianwei Tang, Jian-Fang Hu, Tianming Liang and 4 more
Human Motion Prediction (HMP) aims to predict future human poses at different moments according to observed past motion sequences. Previous approaches mainly treated the prediction of different temporal moments as a single prediction task and learned the predictions of varied moments simultaneously, which would encounter a main limitation: the learning of short-term predictions (referring to ``near-future'' prediction) could be hindered by the predictions of long-term (referring to ``far-future'' prediction) motions. In this paper, we develop a novel temporal continual learning framework called Continual Prior Compensation (CPC) to progressively train HMP models, in which we divide the prediction task of motions corresponding to varied temporal moments into several subtasks and train the model in a multi-stage manner. To mitigate the prior information forgetting in the progressive training, we further introduce a learnable random variable Prior Compensation Factor (PCF) to explicitly measure the prior knowledge loss. We theoretically show that the PCF can be efficiently learned together with the model parameters by minimizing a reasonable upper bound of the objective function. The proposed CPC is further enhanced to estimate the prior information loss for each subtask and a new framework called Continual Prior Compensation++ (CPC++) with Fine-Grained Prior Compensation Factor (FGPCF) is finally developed. Our CPC and CPC++ frameworks are quite flexible and can be easily integrated with different HMP backbone models and adapted to various datasets and applications. Extensive experiments on three HMP benchmark datasets using multiple SOTA HMP backbones (PGBIG, siMLPe, MotionMixer, and LTD) demonstrate the effectiveness and flexibility of our frameworks.
#04Nov 4, 2026
cs.CV
Visual Token Routing: Learning to keep tokens that matter
Pranjal Aggarwal, Sean Welleck
Computer-use agents (CUAs) have recently achieved superhuman performance on several long-horizon benchmarks. However, their computational cost limits their use in long-horizon tasks and real-time domains such as video games. A key bottleneck is representing each screenshot as thousands of visual tokens, which accumulate into long contexts as agents reason over extended interaction histories. We observe that most of these visual tokens are either semantically irrelevant to the agent's next action or temporally redundant across screenshots. Building on this observation, we introduce Visual Token Routing (VTR), a joint training framework for learning sparse visual representations that preserve the information needed for action prediction. In VTR, we train the vision-language model together with a lightweight spatio-temporal router that examines each image region in the current and previous screenshots and decides whether its visual token enters the language model. We optimize the router using an adaptive loss to keep the number of visual tokens as small as possible while minimizing performance degradation. With just 2,000 training steps, VTR matches the performance of the full-resolution model on OSWorld, CUA-World, and video game action prediction, while using 2.5-5.8x fewer visual tokens. These savings reduce inference cost by up to 3.3x and speed up prefill by up to 2.9x. VTR also outperforms lowering the image resolution and other baselines for dropping tokens, by up to 12.8 points on OSWorld. Overall, VTR enables computer-use agents to process only the visual tokens they need, allowing them to be used in long-horizon tasks and real-time domains at a fraction of the computational cost. Code and models are available at https://pranjal2041.github.io/vtr
#05Nov 4, 2026
cs.CV
Semantic Residual Vector Quantization for Sign Language Generation
Chang Liu, Ke Han, Niccolò Biondi and 4 more
Sign language generation (SLG) maps written sentences into signing motion while preserving both lexical content and fine-grained articulation. This requires a model to decide what signs should be expressed and to realize them through precise handshape, trajectory, facial expression and body coordination. Existing pose-based systems and reconstruction-only motion tokenizers often entangle these two decisions, leaving the generator without an explicit text-aligned intermediate target for what to sign before refining how to sign it. To address this issue, we introduce Semantic Residual Vector Quantization (SRVQ), a framework for SLG that frames generation as a two-level process moving from semantics to kinematics. The newly introduced SRV Quantizer learns a hierarchy in which the first residual level encodes sign content and subsequent levels refine pose, handshape, trajectory, and body coordination, all within a single quantizer and without separate semantic representations or external planning stages. Through word-aware conditioning for hierarchical code generation, a masked semantic generator predicts semantic codes and a kinematic generator completes the residual codes for full SMPL-X motion synthesis. We evaluate using retrieval and FID in a shared text-motion embedding space, alongside standard geometric metrics. On CSL-Daily and Phoenix-2014T, SRVQ achieves R@1 of 82.3 and 70.3, outperforming the previous SOTA by 30 and 46 points, respectively.