#01Nov 5, 2026
cs.CV
ProQuant: Progressive Quantization-aware Training for Edge MLLMs
Yufei Xue, Yushi Huang, Jiawei Shao and 5 more
Multi-modal large language models (MLLMs) with impressive perception and understanding capabilities will enable a range of downstream applications. However, their substantial computational and memory requirements hinder the real-world implementation, particularly for resource-constrained edge devices. Quantization has emerged as an effective solution for deploying large models. While post-training quantization (PTQ) successfully retains the performance at moderate bit-width (e.g., W8A8), it suffers from severe performance degradation under low-bit quantization (e.g., W4A8), especially for small-scale models that are more suitable for edge deployment. In this paper, we propose ProQuant, a novel weight-activation quantization-aware training (QAT) framework tailored for low-bit MLLMs. First, to align the limited finetuning dataset distribution with the pretrained dataset distribution, we propose a self-relabeling (SRL) scheme to resample the responses of the open-source multimodal dataset. Second, we are the first to take a decoupled view of multi-modal (MM) understanding and language modeling abilities. We propose a progressive block activation (PBA) mechanism to prioritize the MM understanding recovery. We also introduce a vision-sensitive factor $\vecτ$ that effectively identifies the MM-critical layers. Extensive experiments across various benchmarks, covering models with 2B-8B parameters, show that ProQuant significantly outperforms existing methods. For example, our W4A8 Qwen3-VL-2B-Instruct improves average accuracy by impressively 6.6% and achieves performance comparable to full precision counterparts with only approximately 1% performance drop. Code is available at https://github.com/yufeixue-ai/ProQuant/.
#02Nov 5, 2026
cs.CV
Multimodal Hierarchical Mixture-of-Experts for 3D Medical Vision-Language Modeling
Gizem Mert, Szymon Płotka, Pedro R. A. S. Bassi and 5 more
Medical 3D scans and reports are inherently hierarchical, with diagnostic cues concentrated in specific anatomical regions across multiple levels of organization. Yet, most medical vision-language models ignore this structure and fail to focus on clinically relevant anatomy. We introduce MedHiVE, which combines hierarchical vision-language Soft Mixture-of-Experts (SMoE) with contrastive learning to jointly model fine-grained anatomy and global scan context. To our knowledge, MedHiVE is the first framework to route both vision and text tokens through a two-level SMoE hierarchy organized by anatomical scale, coupling this with report-derived anatomy-level contrastive alignment for 3D medical imaging. This replaces the direct region-text alignment of statically pooled features and vision-only hierarchical routing of prior work with dynamic, slot-based cross-modal information flow across anatomical scales. MedHiVE operates via a two-level, learnable token-routing mechanism, where local image and text features are first routed through a local SMoE and then fused by a global SMoE into unified multimodal representations. Contrastive learning aligns both anatomy-level and global vision-language representations in a unified space. Pre-trained on 25,000+ CT scans with anatomical supervision, MedHiVE consistently surpasses 11 state-of-the-art methods across 6 datasets on 3 tasks: segmentation, classification, and detection, demonstrating the importance of hierarchical modeling. The code for MedHiVE is at github.com/szczurek-lab/MedHiVE.
#03Nov 5, 2026
cs.CV
Where and Why is Grounded Reasoning Useful?
David Yan, Le Xue, Forrest Huang and 4 more
Grounded reasoning, where a model outputs text coordinates of relevant locations in chain-of-thought reasoning, is a common strategy for solving complex visual reasoning problems. However, the benefits and limitations of grounded reasoning are understudied. We study where and why grounded reasoning is most useful. To do so, we introduce a chain-of-thought analysis method to measure how much a model uses its outputted grounding in its thinking trace and perform a detailed ablation study of a grounded reasoning training recipe. We find that grounded reasoning improves counting but shows no significant gain over baselines without coordinate grounding across a wide range of spatial reasoning and perception benchmarks. Using several synthetic tasks, we show that grounded reasoning is most useful when a task requires undescribable references, which are visual concepts that are difficult to describe in language. However, we observe that many existing visual reasoning benchmarks are solvable with only describable text references. To close this gap, we introduce BrickVision, a new benchmark that requires undescribable visual references to solve.
#04Nov 5, 2026
cs.CV
Interactive Visual Gym: Evaluating Visual Interaction Models with Simulated Users in Interactive Worlds
Chenhao Zheng, Zixian Ma, Kai Li and 11 more
Visual interaction models that support users during ongoing physical tasks require evaluation in closed loop, where assistant responses can change subsequent user behavior and task outcomes. Existing benchmarks largely rely on offline replay and therefore cannot capture these effects. We introduce Interactive Visual Gym, a framework for closed-loop evaluation and training of visual interaction models through joint simulation of executable task environments and human users. We contribute three simulators that recreate everyday tasks and human-aligned action spaces across cooking, household manipulation, and mobile-interface domains, together with a persona-conditioned user simulation harness that collaborates with the assistant while incorporating controlled execution errors and other out-of-plan behaviors. We instantiate the framework as IVG-Bench, a benchmark with 315 interaction scenarios. Evaluating state-of-the-art VLMs as visual interaction models reveals substantial limitations: the best-performing model, Gemini 4 Argon, completes only 53.4% of tasks within the time limit, exhibits significant weaknesses in factual grounding and actionable guidance, and is often too slow to prevent errors when response latency is considered. We verify our evaluation protocol with a human study which finds 78.5% agreement between our interaction-quality metric and participant preferences. We further show that the environments provide useful learning signals: in a proof-of-concept GRPO experiment, closed-loop training improves both task success and interaction quality for Qwen3.5-4B model in our cooking environment.
#05Nov 5, 2026
cs.CV
OraRefer: Segmentation-Guided Multi-Photograph Fusion for Oral Cancer Screening with Guaranteed Patient-Level Sensitivity
Rupam Mukherjee, Mehakdeep Singh, Shirin Dasgupta and 1 more
Oral cancer and the oral potentially malignant disorders (OPMD) that can precede it are visible on the oral mucosa, which makes smartphone photographs a promising tool for screening. Deep learning models for this task classify individual photographs. However, screening refers patients, not photographs: a patient is usually photographed several times, and the referral decision must miss no more than a set share of patients with disease. We propose OraRefer, a patient-level screening model that reads each photograph with a segmentation-guided foundation model that conditions its class decision on the predicted lesion, combines all photographs of a patient with risk factors, and refers through a threshold with a finite-sample sensitivity guarantee. The model localizes the mouth itself, so inference needs no annotation. On 3000 photographs of 714 patients, patient-level fusion reaches an AUROC of 0.919 and outperforms attention-based multiple-instance learning. At a 90% sensitivity target, OraRefer detects 95% of patients with OPMD or cancer and misses 3 of 61 patients with cancer, at a specificity of 0.610. Because the threshold is calibrated without retraining, each clinic can set its own guaranteed operating point on a local calibration sample.