Jiale Chen
Publications
MedXIAOHE: A Comprehensive Recipe for Building Medical MLLMs
We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse medical benchmarks and surpasses leading closed-source multimodal systems on multiple capabilities. To achieve this, we propose an entity-aware continual pretraining framework that organizes heterogeneous medical corpora to broaden knowledge coverage and reduce long-tail gaps (e.g., rare diseases). For medical expert-level reasoning and interaction, MedXIAOHE incorporates diverse medical reasoning patterns via reinforcement learning and tool-augmented agentic training, enabling multi-step diagnostic reasoning with verifiable decision traces. To improve reliability in real-world use, MedXIAOHE integrates user-preference rubrics, evidence-grounded reasoning, and low-hallucination long-form report generation, with improved adherence to medical instructions. We release this report to document our practical design choices, scaling insights, and evaluation framework, hoping to inspire further research.
Understand Then Memory: A Cognitive Gist-Driven RAG Framework with Global Semantic Diffusion
Retrieval-Augmented Generation (RAG) effectively mitigates hallucinations in LLMs by incorporating external knowledge. However, the inherent discrete representation of text in existing frameworks often results in a loss of semantic integrity, leading to retrieval deviations. Inspired by the human episodic memory mechanism, we propose CogitoRAG, a RAG framework that simulates human cognitive memory processes. The core of this framework lies in the extraction and evolution of the Semantic Gist. During the offline indexing stage, CogitoRAG first deduces unstructured corpora into gist memory corpora, which are then transformed into a multi-dimensional knowledge graph integrating entities, relational facts, and memory nodes. In the online retrieval stage, the framework handles complex queries via Query Decomposition Module that breaks them into comprehensive sub-queries, mimicking the cognitive decomposition humans employ for complex information. Subsequently, Entity Diffusion Module performs associative retrieval across the graph, guided by structural relevance and an entity-frequency reward mechanism. Furthermore, we propose the CogniRank algorithm, which precisely reranks candidate passages by fusing diffusion-derived scores with semantic similarity. The final evidence is delivered to the generator in a passage-memory pairing format, providing high-density information support. Experimental results across five mainstream QA benchmarks and multi-task generation on GraphBench demonstrate that CogitoRAG significantly outperforms state-of-the-art RAG methods, showcasing superior capabilities in complex knowledge integration and reasoning.