Naoto Yokoya
Publications
Evaluating Multi-Turn Multimodal Diagnostic Reasoning on Challenging Real-World Clinical Cases
Clinical diagnostic evaluation should not only assess whether models can provide correct diagnoses, but also reflect the realities of clinical practice, including progressive disclosure of multimodal information, dynamic updating of diagnostic hypotheses, and continuous refinement of clinical reasoning. However, existing evaluations of multimodal large language models (MLLMs) typically rely on single-turn or isolated tasks, making it difficult to fully capture the complexity of real-world clinical diagnosis. To bridge this gap, we developed ClinMM-Bench, the largest multi-turn multimodal clinical diagnostic evaluation benchmark to date. ClinMM-Bench contains 1,089 challenging real-world clinical cases and 3,760 medical images across eight specialties. We systematically evaluated 15 representative MLLMs using a two-level evaluation framework that assessed both diagnostic accuracy and diagnostic reasoning quality. Results showed that proprietary models achieved the highest overall diagnostic accuracy, but the proportion of completely correct diagnoses remained limited across all models. In terms of diagnostic reasoning quality, current models can identify plausible diagnostic directions but still have considerable limitations in generating reliable diagnostic reasoning. Error analysis further identified five representative failure modes: information synthesis failure, knowledge mapping error, perception error, premature closure, and visual hallucination.
MindEdit-Bench: Benchmarking Object-Level Counterfactual Spatial Reasoning in VLMs from In-the-Wild Photos
Benchmarks for vision-language models (VLMs) mostly test observational spatial reasoning: models describe relations already visible in the input. Existing what-if tasks typically vary the observer while keeping the scene fixed. Can VLMs instead predict the consequences of hypothetically moving or rotating an object? We introduce MindEdit-Bench, a benchmark of six spatial reasoning tasks built from three-photo smartphone triplets of newly captured indoor scenes via an automatic in-the-wild 3D scene-graph extraction pipeline. Four tasks probe perception and perspective transformation over observed structure; two new tasks, L4 (spatial editing) and L5 (cross-view visibility editing), probe object-level counterfactual reasoning, where correct answers are absent from all input images. Each question provides 8-24 structured answer choices, enabling answer-letter-level diagnosis of spatial and fallback errors. The benchmark covers 120 private indoor scenes not drawn from public datasets, reducing public-data pretraining-overlap risk. Across 15 VLMs on 1,003 human-verified questions, task-wise mean VLM accuracy is only 8%-31%, versus 81%-97% human majority-vote accuracy. The pooled human--best-VLM gap is 53 pp, with at least 39 pp on every task. The structured answer space further reveals non-uniform failures, including weaker camera-depth-axis inference and fallback behavior on difficult visibility-editing cases.
Experience-Driven Multi-Agent Systems Are Training-free Context-aware Earth Observers
Recent advances have enabled large language model (LLM) agents to solve complex tasks by orchestrating external tools. However, these agents often struggle in specialized, tool-intensive domains that demand long-horizon execution, tight coordination across modalities, and strict adherence to implicit tool constraints. Earth Observation (EO) tasks exemplify this challenge due to the multi-modal and multi-temporal data inputs, as well as the requirements of geo-knowledge constraints (spectrum library, spatial reasoning, etc): many high-level plans can be derailed by subtle execution errors that propagate through a pipeline and invalidate final results. A core difficulty is that existing agents lack a mechanism to learn fine-grained, tool-level expertise from interaction. Without such expertise, they cannot reliably configure tool parameters or recover from mid-execution failures, limiting their effectiveness in complex EO workflows. To address this, we introduce \textbf{GeoEvolver}, a self-evolving multi-agent system~(MAS) that enables LLM agents to acquire EO expertise through structured interaction without any parameter updates. GeoEvolver decomposes each query into independent sub-goals via a retrieval-augmented multi-agent orchestrator, then explores diverse tool-parameter configurations at the sub-goal level. Successful patterns and root-cause attribution from failures are then distilled in an evolving memory bank that provides in-context demonstrations for future queries. Experiments on three tool-integrated EO benchmarks show that GeoEvolver consistently improves end-to-end task success, with an average gain of 12\% across multiple LLM backbones, demonstrating that EO expertise can emerge progressively from efficient, fine-grained interactions with the environment.