Haoran Sun
Publications
MedScope: Incentivizing "Think with Videos" for Clinical Reasoning via Coarse-to-Fine Tool Calling
Long-form clinical videos are central to visual evidence-based decision-making, with growing importance for applications such as surgical robotics and related settings. However, current multimodal large language models typically process videos with passive sampling or weakly grounded inspection, which limits their ability to iteratively locate, verify, and justify predictions with temporally targeted evidence. To close this gap, we propose MedScope, a tool-using clinical video reasoning model that performs coarse-to-fine evidence seeking over long-form procedures. By interleaving intermediate reasoning with targeted tool calls and verification on retrieved observations, MedScope produces more accurate and trustworthy predictions that are explicitly grounded in temporally localized visual evidence. To address the lack of high-fidelity supervision, we build ClinVideoSuite, an evidence-centric, fine-grained clinical video suite. We then optimize MedScope with Grounding-Aware Group Relative Policy Optimization (GA-GRPO), which directly reinforces tool use with grounding-aligned rewards and evidence-weighted advantages. On full and fine-grained video understanding benchmarks, MedScope achieves state-of-the-art performance in both in-domain and out-of-domain evaluations. Our approach illuminates a path toward medical AI agents that can genuinely "think with videos" through tool-integrated reasoning. We will release our code, models, and data.
RL-VLA$^3$: Reinforcement Learning VLA Accelerating via Full Asynchronism
In recent years, Vision-Language-Action (VLA) models have emerged as a crucial pathway towards general embodied intelligence, yet their training efficiency has become a key bottleneck. Although existing reinforcement learning (RL)-based training frameworks like RLinf can enhance model generalization, they still rely on synchronous execution, leading to severe resource underutilization and throughput limitations during environment interaction, policy generation (rollout), and model update phases (actor). To overcome this challenge, this paper, for the first time, proposes and implements a fully-asynchronous policy training framework encompassing the entire pipeline from environment interaction, rollout generation, to actor policy updates. Systematically drawing inspiration from asynchronous optimization ideas in large model RL, our framework designs a multi-level decoupled architecture. This includes asynchronous parallelization of environment interaction and trajectory collection, streaming execution for policy generation, and decoupled scheduling for training updates. We validated the effectiveness of our method across diverse VLA models and environments. On the LIBERO benchmark, the framework achieves throughput improvements of up to 59.25\% compared to existing synchronous strategies. When deeply optimizing separation strategies, throughput can be increased by as much as 126.67\%. We verified the effectiveness of each asynchronous component via ablation studies. Scaling law validation across 8 to 256 GPUs demonstrates our method's excellent scalability under most conditions.
IBISAgent: Reinforcing Pixel-Level Visual Reasoning in MLLMs for Universal Biomedical Object Referring and Segmentation
Recent research on medical MLLMs has gradually shifted its focus from image-level understanding to fine-grained, pixel-level comprehension. Although segmentation serves as the foundation for pixel-level understanding, existing approaches face two major challenges. First, they introduce implicit segmentation tokens and require simultaneous fine-tuning of both the MLLM and external pixel decoders, which increases the risk of catastrophic forgetting and limits generalization to out-of-domain scenarios. Second, most methods rely on single-pass reasoning and lack the capability to iteratively refine segmentation results, leading to suboptimal performance. To overcome these limitations, we propose a novel agentic MLLM, named IBISAgent, that reformulates segmentation as a vision-centric, multi-step decision-making process. IBISAgent enables MLLMs to generate interleaved reasoning and text-based click actions, invoke segmentation tools, and produce high-quality masks without architectural modifications. By iteratively performing multi-step visual reasoning on masked image features, IBISAgent naturally supports mask refinement and promotes the development of pixel-level visual reasoning capabilities. We further design a two-stage training framework consisting of cold-start supervised fine-tuning and agentic reinforcement learning with tailored, fine-grained rewards, enhancing the model's robustness in complex medical referring and reasoning segmentation tasks. Extensive experiments demonstrate that IBISAgent consistently outperforms both closed-source and open-source SOTA methods. All datasets, code, and trained models will be released publicly.