Tao Feng
Publications
ClinFusion: A Vision-Centric Multimodal LLM System for Holistic Medical Understanding
Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations. We propose a compositional and cascaded vision encoder architecture featuring a Cascade Spatial-Aware Locality Fusion operator that unifies diverse 2D and native 3D medical image understanding within a fused encoder. We further introduce a vision-grounded evaluation framework, including MedIF-Bench for instruction-following assessment and a region-of-interest-grounded method for clinically aligned and factualness-driven report generation evaluation. We show that ClinFusion sets a new state-of-the-art across a comprehensive suite of 2D and 3D multimodal medical benchmarks---spanning visual question answering, report generation, and instruction following---as well as textual medical tasks, outperforming leading open-source medical MLLMs (\textit{e.g.}, Hulu-Med, Lingshu) on 20 out of 24 benchmarks and demonstrating multimodal capabilities better than powerful proprietary models such as GPT-5.2 and Gemini-3-Flash on 13 out of 16 benchmarks, and can be further augmented with agentic tool use for retrieval-augmented and tool-assisted clinical workflows. A blinded evaluation by board-certified radiologists confirms that ClinFusion produces the highest-ranked reports, and validates our RoI-grounded metric as achieving the strongest correlation with expert judgment among all automatic evaluation metrics examined.
CogFlow: Bridging Perception and Reasoning through Knowledge Internalization for Visual Mathematical Problem Solving
Despite significant progress, multimodal large language models continue to struggle with visual mathematical problem solving. Some recent works recognize that visual perception is a bottleneck in visual mathematical reasoning, but their solutions are limited to improving the extraction and interpretation of visual inputs. Notably, they all ignore the key issue of whether the extracted visual cues are faithfully integrated and properly utilized in subsequent reasoning. Motivated by this, we present CogFlow, a novel cognitive-inspired three-stage framework that incorporates a knowledge internalization stage, explicitly simulating the hierarchical flow of human reasoning: perception$\Rightarrow$internalization$\Rightarrow$reasoning. In line with this hierarchical flow, we holistically enhance all its stages. We devise Synergistic Visual Rewards to boost perception capabilities in parametric and semantic spaces, jointly improving visual information extraction from symbols and diagrams. To guarantee faithful integration of extracted visual cues into subsequent reasoning, we introduce a Knowledge Internalization Reward model in the internalization stage, bridging perception and reasoning. Moreover, we design a Visual-Gated Policy Optimization algorithm to further enforce the reasoning is grounded with the visual knowledge, preventing models seeking shortcuts that appear coherent but are visually ungrounded reasoning chains. Moreover, we contribute a new dataset MathCog for model training, which contains samples with over 120K high-quality perception-reasoning aligned annotations. Comprehensive experiments and analysis on commonly used visual mathematical reasoning benchmarks validate the superiority of the proposed CogFlow. Project page: https://shchen233.github.io/cogflow.