Medical imaging provides essential visual insights for diagnosis, and multimodal large language models (MLLMs) are increasingly utilized for its analysis due to their strong generalization capabilities; however, the underlying factors driving this generalization remain unclear. Current research suggests that multi-task training outperforms single-task as different tasks can benefit each other, but they often overlook the internal relationships within these tasks. To analyze this phenomenon, we attempted to employ **compositional generalization** (CG), which refers to the models’ ability to understand novel combinations by recombining learned elements, as a guiding framework. Since medical images can be precisely defined by **M**odality, **A**natomical area, and **T**ask, naturally providing an environment for exploring CG, we assembled 106 medical datasets to create **Med-MAT** for comprehensive experiments. The experiments confirmed that MLLMs can use CG to understand unseen medical images and identified CG as one of the main drivers of the generalization observed in multi-task training. Additionally, further studies demonstrated that CG effectively supports datasets with limited data and confirmed that MLLMs can achieve CG across classification and detection tasks, underscoring its broader generalization potential. Med-MAT is available at https://github.com/FreedomIntelligence/Med-MAT.

The rapid advancement of Multimodal Large Language Models (MLLMs) has led to remarkable performances across various domains. However, this progress is accompanied by a substantial surge in the resource consumption of these models. We address this pressing issue by introducing a new approach, Token Reduction using CLIP Metric (TRIM), aimed at improving the efficiency of MLLMs without sacrificing their performance. Inspired by human attention patterns in Visual Question Answering (VQA) tasks, TRIM presents a fresh perspective on the selection and reduction of image tokens. The TRIM method has been extensively tested across 12 datasets, and the results demonstrate a significant reduction in computational overhead while maintaining a consistent level of performance. This research marks a critical stride in efficient MLLM development, promoting greater accessibility and sustainability of high-performing models.

Multimodal large language models (MLLMs) have broadened the scope of AI applications. Existing automatic evaluation methodologies for MLLMs are mainly limited in evaluating objective queries without considering real-world user experiences, inadequately addressing the nuances of creative and associative multimodal tasks. However, the open-ended and subjective nature of such tasks poses a significant challenge to the evaluation methodology, where it is difficult to define the ground-truth answers for them. To this end, in our paper, we propose a new evaluation paradigm for MLLMs, which is evaluating MLLMs with per-sample criteria using potent MLLM as the judge. To validate the feasibility and effectiveness of this paradigm, we design a benchmark, dubbed MLLM-Bench, by curating the evaluation samples across six comprehensive cognitive levels. We benchmark 26 popular MLLMs in a pairwise-comparison fashion, showing diverse performance across models. Moreover, the validity of our benchmark manifests itself in reaching 88.02% agreement with human evaluation. We contend that the proposed paradigm explores the potential of MLLMs as effective evaluation tools with the help of per-sample criteria.