NeurIPS 2025 Papers

Conference on Neural Information Processing Systems

Decision breakdown

5,812papers

Counted from the official paper list; may differ slightly from the number the conference announced.

  • Oral
    931.6%
  • Spotlight
    73912.7%
  • Poster
    4,98085.7%

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Topic: Multimodal LLMs · 1,074 papers · Reset filters

From Indicators to Insights: Diversity-Optimized for Medical Series-Text Decoding via LLMs

Xiyuan Jin, Jing Wang, Ziwei Lin, Qianru Jia, Yuqing Huang, Xiaojun Ning, Zhonghua Shi, Youfang Lin

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Medical time-series analysis differs fundamentally from general ones by requiring specialized domain knowledge to interpret complex signals and clinical context. Large language models (LLMs) hold great promise for augmenting medical time-series analysis by complementing raw series with rich contextual knowledge drawn from biomedical literature and clinical guidelines. However, realizing this potential depends on precise and meaningful prompts that guide the LLM to key information. Yet, determining what constitutes effective prompt content remains non-trivial—especially in medical settings where signal interpretation often hinges on subtle, expert-defined decision-making indicators. To this end, we propose InDiGO, a knowledge-aware evolutionary learning framework that integrates clinical signals and decision-making indicators through iterative optimization. Across four medical benchmarks, InDiGO consistently outperforms prior methods. The code is available at: https://github.com/jinxyBJTU/InDiGO.

Poster
Universal Visuo-Tactile Video Understanding for Embodied Interaction

Yifan Xie, Mingyang Li, Shoujie Li, Xingting Li, Guangyu Chen, Fei Ma, Fei Yu, Wenbo Ding

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Tactile perception is essential for embodied agents to understand the physical attributes of objects that cannot be determined through visual inspection alone. While existing methods have made progress in visual and language modalities for physical understanding, they fail to effectively incorporate tactile information that provides crucial haptic feedback for real-world interaction. In this paper, we present VTV-LLM, the first multi-modal large language model that enables universal Visuo-Tactile Video (VTV) understanding, bridging the gap between tactile perception and natural language. To address the challenges of cross-sensor and cross-modal integration, we contribute VTV150K, a comprehensive dataset comprising 150,000 video frames from 100 diverse objects captured across three different tactile sensors (GelSight Mini, DIGIT, and Tac3D), annotated with four fundamental tactile attributes (hardness, protrusion, elasticity, and friction). We develop a novel three-stage training paradigm that includes VTV enhancement for robust visuo-tactile representation, VTV-text alignment for cross-modal correspondence, and text prompt finetuning for natural language generation. Our framework enables sophisticated tactile reasoning capabilities including feature assessment, comparative analysis, and scenario-based decision-making. Extensive experimental evaluations demonstrate that VTV-LLM achieves superior performance in tactile reasoning tasks, establishing a foundation for more intuitive human-machine interaction in tactile domains.

Poster
ControlFusion: A Controllable Image Fusion Network with Language-Vision Degradation Prompts

Linfeng Tang, Yeda Wang, Zhanchuan Cai, Junjun Jiang, Jiayi Ma

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Current image fusion methods struggle with real-world composite degradations and lack the flexibility to accommodate user-specific needs. To address this, we propose ControlFusion, a controllable fusion network guided by language-vision prompts that adaptively mitigates composite degradations. On the one hand, we construct a degraded imaging model based on physical mechanisms, such as the Retinex theory and atmospheric scattering principle, to simulate composite degradations and provide a data foundation for addressing realistic degradations. On the other hand, we devise a prompt-modulated restoration and fusion network that dynamically enhances features according to degradation prompts, enabling adaptability to varying degradation levels. To support user-specific preferences in visual quality, a text encoder is incorporated to embed user-defined degradation types and levels as degradation prompts. Moreover, a spatial-frequency collaborative visual adapter is designed to autonomously perceive degradations from source images, thereby reducing complete reliance on user instructions. Extensive experiments demonstrate that ControlFusion outperforms SOTA fusion methods in fusion quality and degradation handling, particularly under real-world and compound degradations.

Oral
Sherlock: Self-Correcting Reasoning in Vision-Language Models

Yi Ding, Ruqi Zhang

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Reasoning Vision-Language Models (VLMs) have shown promising performance on complex multimodal tasks. However, they still face significant challenges: they are highly sensitive to reasoning errors, require large volumes of annotated data or accurate verifiers, and struggle to generalize beyond specific domains. To address these limitations, we explore self-correction as a strategy to enhance reasoning VLMs. We first conduct an in-depth analysis of reasoning VLMs’ self-correction abilities and identify key gaps. Based on our findings, we introduce \emph{Sherlock}, a self-correction and self-improvement training framework. \emph{Sherlock} introduces a trajectory-level self-correction objective, a preference data construction method based on visual perturbation, and a dynamic $\beta$ for preference tuning. Once the model acquires self-correction capabilities using only 20k randomly sampled annotated data, it continues to self-improve without external supervision. Built on the Llama3.2-Vision-11B model, \emph{Sherlock} achieves remarkable results across eight benchmarks, reaching an average accuracy of 64.1 with direct generation and 65.4 after self-correction. It outperforms LLaVA-CoT (63.2), Mulberry (63.9), and LlamaV-o1 (63.4) while using less than 20\% of the annotated data.

Poster
Co-Reinforcement Learning for Unified Multimodal Understanding and Generation

Jingjing Jiang, Chongjie Si, Jun Luo, Hanwang Zhang, Chao Ma

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This paper presents a pioneering exploration of reinforcement learning (RL) via group relative policy optimization for unified multimodal large language models (ULMs), aimed at simultaneously reinforcing generation and understanding capabilities. Through systematic pilot studies, we uncover the significant potential of ULMs to enable the synergistic co-evolution of dual capabilities within a shared policy optimization framework. Building on this insight, we introduce \textbf{CoRL}, a \textbf{Co}-\textbf{R}einforcement \textbf{L}earning framework comprising a unified RL stage for joint optimization and a refined RL stage for task-specific enhancement. With the proposed CoRL, our resulting model, \textbf{ULM-R1}, achieves average improvements of 7\% on three text-to-image generation datasets and 23\% on nine multimodal understanding benchmarks. These results demonstrate the effectiveness of CoRL and highlight the substantial benefits of reinforcement learning in facilitating cross-task synergy and optimization for ULMs. Code is available at \url{https://github.com/mm-vl/ULM-R1}.

Spotlight
MIRAGE: Assessing Hallucination in Multimodal Reasoning Chains of MLLM

Bowen Dong, Minheng Ni, Zitong Huang, Guanglei Yang, Wangmeng Zuo, Lei Zhang

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Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the MIRAGE benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. MIRAGE introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals strong correlations between question types and specific hallucination patterns, particularly systematic failures of MLLMs in spatial reasoning involving complex relationships (\emph{e.g.}, complex geometric patterns across images). This highlights a critical limitation in the reasoning capabilities of current MLLMs and provides targeted insights for hallucination mitigation on specific types. To address these challenges, we propose Logos, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. Logos establishes a baseline on MIRAGE, and reduces the logical hallucinations in original base models. Link: \url{https://bit.ly/25mirage}.

Poster
Quantization Error Propagation: Revisiting Layer-Wise Post-Training Quantization

Yamato Arai, Yuma Ichikawa

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Layer-wise PTQ is a promising technique for compressing large language models (LLMs), due to its simplicity and effectiveness without requiring retraining. However, recent progress in this area is saturating, underscoring the need to revisit its core limitations and explore further improvements. We address this challenge by identifying a key limitation of existing layer-wise PTQ methods: the growth of quantization errors across layers significantly degrades performance, particularly in low-bit regimes. To address this fundamental issue, we propose Quantization Error Propagation (QEP), a general, lightweight, and scalable framework that enhances layer-wise PTQ by explicitly propagating quantization errors and compensating for accumulated errors. QEP also offers a tunable propagation mechanism that prevents overfitting and controls computational overhead, enabling the framework to adapt to various architectures and resource budgets. Extensive experiments on several LLMs demonstrate that QEP-enhanced layer-wise PTQ achieves substantially higher accuracy than existing methods. Notably, the gains are most pronounced in the extremely low-bit quantization regime.

Poster
Video-R1: Reinforcing Video Reasoning in MLLMs

Kaituo Feng, Kaixiong Gong, Bohao Li, Zonghao Guo, Yibing Wang, Tianshuo Peng, Junfei Wu, Xiaoying Zhang, Benyou Wang, Xiangyu Yue

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Inspired by DeepSeek-R1's success in eliciting reasoning abilities through rule-based reinforcement learning (RL), we introduce Video-R1 as the first attempt to systematically explore the R1 paradigm for incentivizing video reasoning within multimodal large language models (MLLMs). However, directly applying RL training with the GRPO algorithm to video reasoning presents two primary challenges: (i) a lack of temporal modeling for video reasoning, and (ii) the scarcity of high-quality video-reasoning data. To address these issues, we first propose the T-GRPO algorithm, which encourages models to utilize temporal information in videos for reasoning. Additionally, instead of relying solely on video data, we incorporate high-quality image-reasoning data into the training process. We have constructed two datasets: Video-R1-CoT-165k for SFT cold start and Video-R1-260k for RL training, both comprising image and video data. Experimental results demonstrate that Video-R1 achieves significant improvements on video reasoning benchmarks such as VideoMMMU and VSI-Bench, as well as on general video benchmarks including MVBench and TempCompass, etc. Notably, Video-R1-7B attains a 37.1\% accuracy on video spatial reasoning benchmark VSI-bench, surpassing the commercial proprietary model GPT-4o. All code, models, and data will be released.

Poster
DreamPRM: Domain-reweighted Process Reward Model for Multimodal Reasoning

Qi Cao, Ruiyi Wang, Ruiyi Zhang, Sai Ashish Somayajula, Pengtao Xie

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Reasoning has substantially improved the performance of large language models (LLMs) on complicated tasks. Central to the current reasoning studies, Process Reward Models (PRMs) offer a fine-grained evaluation of intermediate reasoning steps and guide the reasoning process. However, extending PRMs to multimodal large language models (MLLMs) introduces challenges. Since multimodal reasoning covers a wider range of tasks compared to text-only scenarios, the resulting distribution shift from the training to testing sets is more severe, leading to greater generalization difficulty. Training a reliable multimodal PRM, therefore, demands large and diverse datasets to ensure sufficient coverage. However, current multimodal reasoning datasets suffer from a marked quality imbalance, which degrades PRM performance and highlights the need for an effective data selection strategy. To address the issues, we introduce DreamPRM, a domain-reweighted training framework for multimodal PRMs which employs bi-level optimization. In the lower-level optimization, DreamPRM performs fine-tuning on multiple datasets with domain weights, allowing the PRM to prioritize high-quality reasoning signals and alleviating the impact of dataset quality imbalance. In the upper-level optimization, the PRM is evaluated on a separate meta-learning dataset; this feedback updates the domain weights through an aggregation loss function, thereby improving the generalization capability of trained PRM. Extensive experiments on multiple multimodal reasoning benchmarks covering both mathematical and general reasoning show that test-time scaling with DreamPRM consistently improves the performance of state-of-the-art MLLMs. Further comparisons reveal that DreamPRM's domain-reweighting strategy surpasses other data selection methods and yields higher accuracy gains than existing test-time scaling approaches. Notably, DreamPRM achieves a top-1 accuracy of 85.2% on the MathVista leaderboard using the o4-mini model, demonstrating strong generalization capability in complex multimodal reasoning tasks.

Poster
QoQ-Med: Building Multimodal Clinical Foundation Models with Domain-Aware GRPO Training

Wei Dai, Peilin Chen, Chanakya Ekbote, Paul Pu Liang

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Clinical decision‑making routinely demands reasoning over heterogeneous data, yet existing multimodal language models (MLLMs) remain largely vision‑centric and fail to generalize across clinical specialties. To bridge this gap, we introduce QoQ-Med-7B/32B, the first open generalist clinical foundation model that jointly reasons across medical images, time‑series signals, and text reports. QoQ-Med is trained with Domain‑aware Relative Policy Optimization (DRPO), a novel reinforcement‑learning objective that hierarchically scales normalized rewards according to domain rarity and modality difficulty, mitigating performance imbalance caused by skewed clinical data distributions. Trained on 2.61 million instruction tuning pairs spanning 9 clinical domains, we show that DRPO training boosts diagnostic performance by 43% in macro‑F1 on average across all visual domains as compared to other critic-free training methods like GRPO. Furthermore, with QoQ-Med trained on intensive segmentation data, it is able to highlight salient regions related to the diagnosis, with an IoU 10x higher than open models while reaching the performance of OpenAI o4-mini. To foster reproducibility and downstream research, we release (i) the full model weights, (ii) the modular training pipeline, and (iii) all intermediate reasoning traces.

Oral
InfiFPO: Implicit Model Fusion via Preference Optimization in Large Language Models

Yanggan Gu, Yuanyi Wang, Zhaoyi Yan, Yiming Zhang, Qi Zhou, Fei Wu, Hongxia Yang

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Model fusion combines multiple Large Language Models (LLMs) with different strengths into a more powerful, integrated model through lightweight training methods. Existing works on model fusion focus primarily on supervised fine-tuning (SFT), leaving preference alignment (PA) —a critical phase for enhancing LLM performance—largely unexplored. The current few fusion methods on PA phase, like WRPO, simplify the process by utilizing only response outputs from source models while discarding their probability information. To address this limitation, we propose InfiFPO, a preference optimization method for implicit model fusion. InfiFPO replaces the reference model in Direct Preference Optimization (DPO) with a fused source model that synthesizes multi-source probabilities at the sequence level, circumventing complex vocabulary alignment challenges in previous works and meanwhile maintaining the probability information. By introducing probability clipping and max-margin fusion strategies, InfiFPO enables the pivot model to align with human preferences while effectively distilling knowledge from source models. Comprehensive experiments on 11 widely-used benchmarks demonstrate that InfiFPO consistently outperforms existing model fusion and preference optimization methods. When using Phi-4 as the pivot model, InfiFPO improves its average performance from 79.95 to 83.33 on 11 benchmarks, significantly improving its capabilities in mathematics, coding, and reasoning tasks.

Spotlight
Constrained Entropic Unlearning: A Primal-Dual Framework for Large Language Models

Taha Entesari, Arman Hatami, Rinat Khaziev, Anil Ramakrishna, Mahyar Fazlyab

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Large Language Models (LLMs) deployed in real-world settings increasingly face the need to unlearn sensitive, outdated, or proprietary information. Existing unlearning methods typically formulate forgetting and retention as a regularized trade-off, combining both objectives into a single scalarized loss. This often leads to unstable optimization and degraded performance on retained data, especially under aggressive forgetting. We propose a new formulation of LLM unlearning as a constrained optimization problem: forgetting is enforced via a novel logit-margin flattening loss that explicitly drives the output distribution toward uniformity on a designated forget set, while retention is preserved through a hard constraint on a separate retain set. Compared to entropy-based objectives, our loss is softmax-free, numerically stable, and maintains non-vanishing gradients, enabling more efficient and robust optimization. We solve the constrained problem using a scalable primal-dual algorithm that exposes the trade-off between forgetting and retention through the dynamics of the dual variable, all without any extra computational overhead. Evaluations on the TOFU and MUSE benchmarks across diverse LLM architectures demonstrate that our approach consistently matches or exceeds state-of-the-art baselines, effectively removing targeted information while preserving downstream utility.

Poster
Generalization or Hallucination? Understanding Out-of-Context Reasoning in Transformers

Yixiao Huang, Hanlin Zhu, Tianyu Guo, Jiantao Jiao, Somayeh Sojoudi, Michael I. Jordan, Stuart Russell, Song Mei

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Large language models (LLMs) can acquire new knowledge through fine-tuning, but this process exhibits a puzzling duality: models can generalize remarkably from new facts, yet are also prone to hallucinating incorrect information. However, the reasons for this phenomenon remain poorly understood. In this work, we argue that both behaviors stem from a single mechanism known as out-of-context reasoning (OCR): the ability to deduce implications by associating concepts, even those without a causal link. Our experiments across five prominent LLMs confirm that OCR indeed drives both generalization and hallucination, depending on whether the associated concepts are causally related. To build a rigorous theoretical understanding of this phenomenon, we then formalize OCR as a synthetic factual recall task. We empirically show that a one-layer single-head attention-only transformer with factorized output and value matrices can learn to solve this task, while a model with combined weights cannot, highlighting the crucial role of matrix factorization. Our theoretical analysis shows that the OCR capability can be attributed to the implicit bias of gradient descent, which favors solutions that minimize the nuclear norm of the combined output-value matrix. This structure explains why the model learns to associate facts and implications with high sample efficiency, regardless of whether the correlation is causal or merely spurious. Ultimately, our work provides a theoretical foundation for understanding the OCR phenomenon, offering a new lens for analyzing and mitigating undesirable behaviors from knowledge injection.

Poster
GeoRanker: Distance-Aware Ranking for Worldwide Image Geolocalization

Pengyue Jia, Seongheon Park, Song Gao, Xiangyu Zhao, Sharon Li

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Worldwide image geolocalization—the task of predicting GPS coordinates from images taken anywhere on Earth—poses a fundamental challenge due to the vast diversity in visual content across regions. While recent approaches adopt a two-stage pipeline of retrieving candidates and selecting the best match, they typically rely on simplistic similarity heuristics and point-wise supervision, failing to model spatial relationships among candidates. In this paper, we propose **GeoRanker**, a distance-aware ranking framework that leverages large vision-language models to jointly encode query–candidate interactions and predict geographic proximity. In addition, we introduce a *multi-order distance loss* that ranks both absolute and relative distances, enabling the model to reason over structured spatial relationships. To support this, we curate GeoRanking, the first dataset explicitly designed for geographic ranking tasks with multimodal candidate information. GeoRanker achieves state-of-the-art results on two well-established benchmarks (IM2GPS3K and YFCC4K), significantly outperforming current best methods. We also release our code, checkpoint, and dataset online for ease of reproduction.

Poster
LBMKGC: Large Model-Driven Balanced Multimodal Knowledge Graph Completion

Yuan Guo, Qian Ma, Hui Li, Qiao Ning, Furui Zhan, Yu Gu, Ge Yu, Shikai Guo

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Multi-modal Knowledge Graph Completion (MMKGC) aims to predict missing entities, relations, or attributes in knowledge graphs by collaboratively modeling the triple structure and multimodal information (e.g., text, images, videos) associated with entities. This approach facilitates the automatic discovery of previously unobserved factual knowledge. However, existing MMKGC methods encounter several critical challenges: (i) the imbalance of inter-entity information across different modalities; (ii) the heterogeneity of intra-entity multimodal information; and (iii) for a given entity, the informational contributions of different modalities are inconsistent across contexts. In this paper, we propose a novel **L**arge model-driven **B**alanced **M**ultimodal **K**nowledge **G**raph **C**ompletion framework, termed LBMKGC. Subsequently, to bridge the semantic gap between heterogeneous modalities, LBMKGC aligns the multimodal embeddings of entities semantically by using the CLIP (Contrastive Language-Image Pre-Training) model. Furthermore, LBMKGC adaptively fuses multimodal embeddings with relational guidance by distinguishing between the perceptual and conceptual attributes of triples. Finally, extensive experiments conducted against 21 state-of-the-art baselines demonstrate that LBMKGC achieves superior performance across diverse datasets and scenarios while maintaining efficiency and generalizability. Our code and data are publicly available at: https://github.com/guoynow/LBMKGC.

Poster
Gate to the Vessel: Residual Experts Restore What SAM Overlooks

Weili Jiang, Jinrong Lv, Xun Gong, Xiaomeng Li, Chubin Ou

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Foundation segmentation models like Segment Anything (SAM) exhibit strong generalization on natural images but struggle with localized failures in medical imaging, especially on fine-grained structures such as vessels with complex morphology and indistinct boundaries. To address this, we propose FineSAM++, a structure-aware sparse expert framework designed to refine SAM outputs by introducing a confidence-driven soft Routing Module. This module dynamically identifies structurally uncertain regions and activates a lightweight Residual Expert to model and correct residual structural errors only within these areas, thereby achieving efficient "refinement over retraining." Extensive experiments on five public vascular segmentation datasets demonstrate that FineSAM++ consistently outperforms both SAM-adapted baselines and task-specific models in terms of accuracy, topological consistency. Our results highlight the effectiveness of sparse, structure-driven Mixture-of-Experts (MoE) strategies for enhancing the reliability of foundation vision models in clinical image understanding tasks.

Poster
ElasticMM: Efficient Multimodal LLMs Serving with Elastic Multimodal Parallelism

Zedong Liu, Shenggan Cheng, Guangming Tan, Yang You, Dingwen Tao

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Multimodal large language models (MLLMs) extend LLMs to handle images, videos, and audio by incorporating feature extractors and projection modules. However, these additional components—combined with complex inference pipelines and heterogeneous workloads—introduce significant inference overhead. Therefore, efficiently serving MLLMs remains a major challenge. Current tightly coupled serving architectures struggle to distinguish between mixed request types or adapt parallelism strategies to different inference stages, leading to increased time-to-first-token (TTFT) and poor resource utilization. To address this, we introduce Elastic Multimodal Parallelism (EMP), a new serving paradigm that elastically adapts to resource heterogeneity across request types and inference stages. Building upon EMP, we develop ElasticMM, an MLLM serving system that (1) separates requests into independent modality groups with dynamic resource allocation via a modality-aware load balancer; (2) decouples inference stages and enables parallelism adjustment and adaptive scaling via elastic partition scheduling; and (3) improves inference efficiency through unified multimodal prefix caching and non-blocking encoding. Experiments on diverse real-world datasets show that ElasticMM outperforms state-of-the-art (SOTA) serving systems, reducing TTFT by up to 4.2$\times$ and achieving 3.2–4.5$\times$ higher throughput while meeting service-level objectives (SLOs).

Oral
Is This Tracker On? A Benchmark Protocol for Dynamic Tracking

Ilona Demler, Saumya Chauhan, Georgia Gkioxari

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We introduce ITTO, a challenging new benchmark suite for evaluating and diagnosing the capabilities and limitations of point tracking methods. Our videos are sourced from existing datasets and egocentric real-world recordings, with high-quality human annotations collected through a multi-stage pipeline. ITTO captures the motion complexity, occlusion patterns, and object diversity characteristic of real-world scenes -- factors that are largely absent in current benchmarks. We conduct a rigorous analysis of state-of-the-art tracking methods on ITTO, breaking down performance along key axes of motion complexity. Our findings reveal that existing trackers struggle with these challenges, particularly in re-identifying points after occlusion, highlighting critical failure modes. These results point to the need for new modeling approaches tailored to real-world dynamics. We envision ITTO as a foundation testbed for advancing point tracking and guiding the development of more robust tracking algorithms.

Poster
BurstDeflicker: A Benchmark Dataset for Flicker Removal in Dynamic Scenes

Lishen Qu, Zhihao Liu, Shihao Zhou, LUO YAQI, Jie Liang, Hui Zeng, Lei Zhang, Jufeng Yang

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Flicker artifacts in short-exposure images are caused by the interplay between the row-wise exposure mechanism of rolling shutter cameras and the temporal intensity variations of alternating current (AC)-powered lighting. These artifacts typically appear as uneven brightness distribution across the image, forming noticeable dark bands. Beyond compromising image quality, this structured noise also affects high-level tasks, such as object detection and tracking, where reliable lighting is crucial. Despite the prevalence of flicker, the lack of a large-scale, realistic dataset has been a significant barrier to advancing research in flicker removal. To address this issue, we present BurstDeflicker, a scalable benchmark constructed using three complementary data acquisition strategies. First, we develop a Retinex-based synthesis pipeline that redefines the goal of flicker removal and enables controllable manipulation of key flicker-related attributes (e.g., intensity, area, and frequency), thereby facilitating the generation of diverse flicker patterns. Second, we capture 4,000 real-world flicker images from different scenes, which help the model better understand the spatial and temporal characteristics of real flicker artifacts and generalize more effectively to wild scenarios. Finally, due to the non-repeatable nature of dynamic scenes, we propose a green-screen method to incorporate motion into image pairs while preserving real flicker degradation. Comprehensive experiments demonstrate the effectiveness of our dataset and its potential to advance research in flicker removal.

Poster
SMMILE: An expert-driven benchmark for multimodal medical in-context learning

Melanie Rieff, Maya Varma, Ossian Rabow, Subathra Adithan, Julie Kim, Ken Chang, Hannah Lee, Nidhi Rohatgi, Christian Bluethgen, Mohamed S Muneer, Jean-Benoit Delbrouck, Michael Moor

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Multimodal in-context learning (ICL) remains underexplored despite significant potential for domains such as medicine. Clinicians routinely encounter diverse, specialized tasks requiring adaptation from limited examples, such as drawing insights from a few relevant prior cases or considering a constrained set of differential diagnoses. While multimodal large language models (MLLMs) have shown advances in medical visual question answering (VQA), their ability to learn multimodal tasks from context is largely unknown. We introduce SMMILE, the first expert-driven multimodal ICL benchmark for medical tasks. Eleven medical experts curated problems, each including a multimodal query and multimodal in-context examples as task demonstrations. SMMILE encompasses 111 problems (517 question-image-answer triplets) covering 6 medical specialties and 13 imaging modalities. We further introduce SMMILE++, an augmented variant with 1038 permuted problems. A comprehensive evaluation of 15 MLLMs demonstrates that most models exhibit moderate to poor multimodal ICL ability in medical tasks. In open-ended evaluations, ICL contributes only an 8% average improvement over zero-shot on SMMILE and 9.4% on SMMILE++. We observe a susceptibility for irrelevant in-context examples: even a single noisy or irrelevant example can degrade performance by up to 9.5%. Moreover, we observe that MLLMs are affected by a recency bias, where placing the most relevant example last can lead to substantial performance improvements of up to 71%. Our findings highlight critical limitations and biases in current MLLMs when learning multimodal medical tasks from context. SMMILE is available at https://smmile-benchmark.github.io.

Poster