Medical report generation from medical images is a vital AI task that helps doctors with diagnosis and marks a significant step toward creating general AI-powered medical systems. However, previous methods either fail to optimize factual accuracy or heavily depend on expert preference data. To overcome these challenges, we propose MedQPA, an automatic and generalizable report evaluation technique that uses question proposing and answering to enable controllable, structured reasoning grounded in medical domain knowledge and the factual correctness of the report. Additionally, we design MedQPA-Gen, a medical report generation pipeline that maximizes the MedQPA score through prompt engineering and reinforcement learning with MedQPA as a reward signal. We demonstrate that MedQPA is an accurate evaluation metric that closely correlates with human preferences. More importantly, MedQPA-Gen achieves higher human preference scores and better performance on downstream tasks. We open-source code at this repo https://github.com/MedQPA-gen/MedQPA-gen.

Agentic systems built upon large language models (LLMs) increasingly depend on long-context modeling to support document understanding, long-term memory recall, and multi-step reasoning. However, extending context windows incurs substantial computational and memory overhead, significantly limiting the scalability and practicality of long-context LLM-based agents. Recent studies suggest that visual representations can serve as an effective medium for compressing and organizing long textual content. Motivated by this insight, we propose VizoMem, a novel visual memory framework for agentic systems. In this framework, textual memories are pre-rendered into structured images and stored as visual notes, enabling compact and persistent memory representations. Moving beyond standard vision-language models like Glyph, we pioneer a specialized retrieval system designed for large-scale visual memory. Our innovation lies in the construction of a dedicated dataset and the development of a highly efficient retrieval model that repurposes foundational vision-language encoders to navigate complex, text-heavy visual environments. Experiments on public datasets demonstrate that our approach significantly reduces token consumption while preserving effective long-term memory recall, highlighting its potential as a scalable alternative to conventional long-context modeling.