Large language models (LLMs) have demonstrated strong performance and rapid progress in a wide range of medical reasoning tasks.However, their sequential autoregressive decoding forces inherently parallel clinical reasoning, such as differential diagnosis, into a single linear reasoning path, limiting both efficiency and reliability for complex medical problems.To address this, we propose MedVerse, a reasoning framework for complex medical inference that reformulates medical reasoning as a parallelizable directed acyclic graph (DAG) process based on Petri Net theory.The framework adopts a full-stack design across data, model architecture, and system execution.For data creation, we introduce the MedVerse Curator, an automated pipeline that synthesizes knowledge-grounded medical reasoning path and transforms them into Petri Net–structured representations.At the architectural level, we propose a topology-aware attention mechanism with adaptive position indices that supports parallel reasoning while preserving logical consistency.Systematically, we develop a customized inference engine that supports parallel execution without additional overhead.Empirical evaluations show that MedVerse improves strong general-purpose LLMs by up to 8.9%. Compared to specialized medical LLMs, MedVerse achieves comparable performance with improved clinical reliability, while delivering a 1.3× reduction in inference latency and a 1.7× increase in generation throughput, enabled by its parallel decoding capability.

Despite the rapid advancements in Multimodal Large Language Models (MLLMs), a critical question regarding their visual grounding mechanism remains unanswered: do these models genuinely read text embedded in images, or do they merely rely on parametric shortcuts in the text prompt? In this work, we diagnose this issue by introducing the Visualized-Question (VQ) setting, where text queries are rendered directly onto images to structurally mandate visual engagement. Our diagnostic experiments on Qwen2.5-VL reveal a startling capability-utilization gap: despite possessing strong OCR capabilities, models suffer a performance degradation of up to 12.7% in the VQ setting, exposing a deep-seated modality laziness. To bridge this gap, we propose SimpleOCR, a plug-and-play training strategy that imposes a structural constraint on the learning process. By transforming training samples into the VQ format with randomized styles, SimpleOCR effectively invalidates text-based shortcuts, compelling the model to activate and optimize its visual text extraction pathways. Empirically, SimpleOCR yields robust gains without architectural modifications. On four representative OOD benchmarks, it surpasses the base model by 5.4% and GRPO based on original images by 2.7%, while exhibiting extreme data efficiency, achieving superior performance with 30x fewer samples (8.5K) than recent RL-based methods. Furthermore, its plug-and-play nature allows seamless integration with advanced RL strategies like NoisyRollout to yield complementary improvements. Code is available at https://github.com/aiming-lab/SimpleOCR.

Object categories are typically organized into a multi-granularity taxonomic hierarchy. When classifying categories at different hierarchy levels, traditional uni-modal approaches focus primarily on image features, revealing limitations in complex scenarios. Recent studies integrating Vision-Language Models (VLMs) with class hierarchies have shown promise, yet they fall short of fully exploiting the hierarchical relationships. These efforts are constrained by their inability to perform effectively across varied granularity of categories. To tackle this issue, we propose a novel framework (**HGCLIP**) that effectively combines **CLIP** with a deeper exploitation of the **H**ierarchical class structure via **G**raph representation learning. We explore constructing the class hierarchy into a graph, with its nodes representing the textual or image features of each category. After passing through a graph encoder, the textual features incorporate hierarchical structure information, while the image features emphasize class-aware features derived from prototypes through the attention mechanism. Our approach demonstrates significant improvements on 11 diverse visual recognition benchmarks. Our codes are fully available at https: //github.com/richard-peng-xia/HGCLIP.

The recent emergence of Medical Large Vision Language Models (Med-LVLMs) has enhanced medical diagnosis. However, current Med-LVLMs frequently encounter factual issues, often generating responses that do not align with established medical facts. Retrieval-Augmented Generation (RAG), which utilizes external knowledge, can improve the factual accuracy of these models but introduces two major challenges. First, limited retrieved contexts might not cover all necessary information, while excessive retrieval can introduce irrelevant and inaccurate references, interfering with the model’s generation. Second, in cases where the model originally responds correctly, applying RAG can lead to an over-reliance on retrieved contexts, resulting in incorrect answers. To address these issues, we propose RULE, which consists of two components. First, we introduce a provably effective strategy for controlling factuality risk through the calibrated selection of the number of retrieved contexts. Second, based on samples where over-reliance on retrieved contexts led to errors, we curate a preference dataset to fine-tune the model, balancing its dependence on inherent knowledge and retrieved contexts for generation. We demonstrate the effectiveness of RAFE on three medical VQA datasets, achieving an average improvement of 20.8% in factual accuracy.

Long-tailed multi-label visual recognition (LTML) task is a highly challenging task due to the label co-occurrence and imbalanced data distribution. In this work, we propose a unified framework for LTML, namely prompt tuning with class-specific embedding loss (LMPT), capturing the semantic feature interactions between categories by combining text and image modality data and improving the performance synchronously on both head and tail classes. Specifically, LMPT introduces the embedding loss function with class-aware soft margin and re-weighting to learn class-specific contexts with the benefit of textual descriptions (captions), which could help establish semantic relationships between classes, especially between the head and tail classes. Furthermore, taking into account the class imbalance, the distribution-balanced loss is adopted as the classification loss function to further improve the performance on the tail classes without compromising head classes. Extensive experiments are conducted on VOC-LT and COCO-LT datasets, which demonstrates that our method significantly surpasses the previous state-of-the-art methods and zero-shot CLIP in LTML. Our codes are fully public at https://github.com/richard-peng-xia/LMPT.