Daily Papers

Vision-language models (VLMs) have made significant progress in recent visual-question-answering (VQA) benchmarks that evaluate complex visio-linguistic reasoning. However, are these models truly effective? In this work, we show that VLMs still struggle with natural images and questions that humans can easily answer, which we term natural adversarial samples. We also find it surprisingly easy to generate these VQA samples from natural image-text corpora using off-the-shelf models like CLIP and ChatGPT. We propose a semi-automated approach to collect a new benchmark, NaturalBench, for reliably evaluating VLMs with 10,000 human-verified VQA samples. Crucially, we adopt a vision-centric design by pairing each question with two images that yield different answers, preventing blind solutions from answering without using the images. This makes NaturalBench more challenging than previous benchmarks that can be solved with commonsense priors. We evaluate 53 state-of-the-art VLMs on NaturalBench, showing that models like LLaVA-OneVision, Cambrian-1, Llama3.2-Vision, Molmo, Qwen2-VL, and even GPT-4o lag 50%-70% behind human performance (over 90%). We analyze why NaturalBench is hard from two angles: (1) Compositionality: Solving NaturalBench requires diverse visio-linguistic skills, including understanding attribute bindings, object relationships, and advanced reasoning like logic and counting. To this end, unlike prior work that uses a single tag per sample, we tag each NaturalBench sample with 1 to 8 skill tags for fine-grained evaluation. (2) Biases: NaturalBench exposes severe biases in VLMs, as models often choose the same answer regardless of the image. Lastly, we apply our benchmark curation method to diverse data sources, including long captions (over 100 words) and non-English languages like Chinese and Hindi, highlighting its potential for dynamic evaluations of VLMs.

We propose Encyclopedic-VQA, a large scale visual question answering (VQA) dataset featuring visual questions about detailed properties of fine-grained categories and instances. It contains 221k unique question+answer pairs each matched with (up to) 5 images, resulting in a total of 1M VQA samples. Moreover, our dataset comes with a controlled knowledge base derived from Wikipedia, marking the evidence to support each answer. Empirically, we show that our dataset poses a hard challenge for large vision+language models as they perform poorly on our dataset: PaLI [14] is state-of-the-art on OK-VQA [37], yet it only achieves 13.0% accuracy on our dataset. Moreover, we experimentally show that progress on answering our encyclopedic questions can be achieved by augmenting large models with a mechanism that retrieves relevant information from the knowledge base. An oracle experiment with perfect retrieval achieves 87.0% accuracy on the single-hop portion of our dataset, and an automatic retrieval-augmented prototype yields 48.8%. We believe that our dataset enables future research on retrieval-augmented vision+language models. It is available at https://github.com/google-research/google-research/tree/master/encyclopedic_vqa .

Spatial reasoning is a fundamental capability of embodied agents and has garnered widespread attention in the field of multimodal large language models (MLLMs). In this work, we propose a novel benchmark, Open3DVQA, to comprehensively evaluate the spatial reasoning capacities of current state-of-the-art (SOTA) foundation models in open 3D space. Open3DVQA consists of 9k VQA samples, collected using an efficient semi-automated tool in a high-fidelity urban simulator. We evaluate several SOTA MLLMs across various aspects of spatial reasoning, such as relative and absolute spatial relationships, situational reasoning, and object-centric spatial attributes. Our results reveal that: 1) MLLMs perform better at answering questions regarding relative spatial relationships than absolute spatial relationships, 2) MLLMs demonstrate similar spatial reasoning abilities for both egocentric and allocentric perspectives, and 3) Fine-tuning large models significantly improves their performance across different spatial reasoning tasks. We believe that our open-source data collection tools and in-depth analyses will inspire further research on MLLM spatial reasoning capabilities. The benchmark is available at https://github.com/WeichenZh/Open3DVQA.

Multi-step spatial reasoning entails understanding and reasoning about spatial relationships across multiple sequential steps, which is crucial for tackling complex real-world applications, such as robotic manipulation, autonomous navigation, and automated assembly. To assess how well current Multimodal Large Language Models (MLLMs) have acquired this fundamental capability, we introduce LEGO-Puzzles, a scalable benchmark designed to evaluate both spatial understanding and sequential reasoning in MLLMs through LEGO-based tasks. LEGO-Puzzles consists of 1,100 carefully curated visual question-answering (VQA) samples spanning 11 distinct tasks, ranging from basic spatial understanding to complex multi-step reasoning. Based on LEGO-Puzzles, we conduct a comprehensive evaluation of state-of-the-art MLLMs and uncover significant limitations in their spatial reasoning capabilities: even the most powerful MLLMs can answer only about half of the test cases, whereas human participants achieve over 90\% accuracy. In addition to VQA tasks, we evaluate MLLMs' abilities to generate LEGO images following assembly illustrations. Our experiments show that only Gemini-2.0-Flash and GPT-4o exhibit a limited ability to follow these instructions, while other MLLMs either replicate the input image or generate completely irrelevant outputs. Overall, LEGO-Puzzles exposes critical deficiencies in existing MLLMs' spatial understanding and sequential reasoning capabilities, and underscores the need for further advancements in multimodal spatial reasoning.

Large vision-language models (LVLMs) are ignorant of the up-to-date knowledge, such as LLaVA series, because they cannot be updated frequently due to the large amount of resources required, and therefore fail in many cases. For example, if a LVLM was released on January 2024, and it wouldn't know the detailed plot of the new movie Dune 2, which wasn't released until February 2024. To solve the problem, a promising solution is to provide LVLMs with up-to-date knowledge via internet search during inference, i.e., internet-augmented generation (IAG), which is already integrated in some closed-source commercial LVLMs such as GPT-4V. However, the specific mechanics underpinning them remain a mystery. In this paper, we propose a plug-and-play framework, for augmenting existing LVLMs in handling visual question answering (VQA) about up-to-date knowledge, dubbed UDKAG. A hierarchical filtering model is trained to effectively and efficiently find the most helpful content from the websites returned by a search engine to prompt LVLMs with up-to-date knowledge. To train the model and evaluate our framework's performance, we propose a pipeline to automatically generate news-related VQA samples to construct a dataset, dubbed UDK-VQA. A multi-model voting mechanism is introduced to label the usefulness of website/content for VQA samples to construct the training set. Experimental results demonstrate the effectiveness of our framework, outperforming GPT-4V by about 25% in accuracy.

Multimodal Large Language Models (MLLMs) have achieved strong performance on general visual benchmarks but struggle with out-of-distribution (OOD) tasks in specialized domains such as medical imaging, where labeled data is limited and expensive. We introduce LEAML, a label-efficient adaptation framework that leverages both scarce labeled VQA samples and abundant unlabeled images. Our approach generates domain-relevant pseudo question-answer pairs for unlabeled data using a QA generator regularized by caption distillation. Importantly, we selectively update only those neurons most relevant to question-answering, enabling the QA Generator to efficiently acquire domain-specific knowledge during distillation. Experiments on gastrointestinal endoscopy and sports VQA demonstrate that LEAML consistently outperforms standard fine-tuning under minimal supervision, highlighting the effectiveness of our proposed LEAML framework.

Scientific research demands sophisticated reasoning over multimodal data, a challenge especially prevalent in biology. Despite recent advances in multimodal large language models (MLLMs) for AI-assisted research, existing multimodal reasoning benchmarks only target up to college-level difficulty, while research-level benchmarks emphasize lower-level perception, falling short of the complex multimodal reasoning needed for scientific discovery. To bridge this gap, we introduce MicroVQA, a visual-question answering (VQA) benchmark designed to assess three reasoning capabilities vital in research workflows: expert image understanding, hypothesis generation, and experiment proposal. MicroVQA consists of 1,042 multiple-choice questions (MCQs) curated by biology experts across diverse microscopy modalities, ensuring VQA samples represent real scientific practice. In constructing the benchmark, we find that standard MCQ generation methods induce language shortcuts, motivating a new two-stage pipeline: an optimized LLM prompt structures question-answer pairs into MCQs; then, an agent-based `RefineBot' updates them to remove shortcuts. Benchmarking on state-of-the-art MLLMs reveal a peak performance of 53\%; models with smaller LLMs only slightly underperform top models, suggesting that language-based reasoning is less challenging than multimodal reasoning; and tuning with scientific articles enhances performance. Expert analysis of chain-of-thought responses shows that perception errors are the most frequent, followed by knowledge errors and then overgeneralization errors. These insights highlight the challenges in multimodal scientific reasoning, showing MicroVQA is a valuable resource advancing AI-driven biomedical research. MicroVQA is available at https://huggingface.co/datasets/jmhb/microvqa, and project page at https://jmhb0.github.io/microvqa.

Medical vision-language models (VLMs) have shown promise as clinical assistants across various medical fields. However, specialized dermatology VLM capable of delivering professional and detailed diagnostic analysis remains underdeveloped, primarily due to less specialized text descriptions in current dermatology multimodal datasets. To address this issue, we propose MM-Skin, the first large-scale multimodal dermatology dataset that encompasses 3 imaging modalities, including clinical, dermoscopic, and pathological and nearly 10k high-quality image-text pairs collected from professional textbooks. In addition, we generate over 27k diverse, instruction-following vision question answering (VQA) samples (9 times the size of current largest dermatology VQA dataset). Leveraging public datasets and MM-Skin, we developed SkinVL, a dermatology-specific VLM designed for precise and nuanced skin disease interpretation. Comprehensive benchmark evaluations of SkinVL on VQA, supervised fine-tuning (SFT) and zero-shot classification tasks across 8 datasets, reveal its exceptional performance for skin diseases in comparison to both general and medical VLM models. The introduction of MM-Skin and SkinVL offers a meaningful contribution to advancing the development of clinical dermatology VLM assistants. MM-Skin is available at https://github.com/ZwQ803/MM-Skin

The ability to acknowledge the inevitable uncertainty in their knowledge and reasoning is a prerequisite for AI systems to be truly truthful and reliable. In this paper, we present a taxonomy of uncertainty specific to vision-language AI systems, distinguishing between epistemic uncertainty (arising from a lack of information) and aleatoric uncertainty (due to inherent unpredictability), and further explore finer categories within. Based on this taxonomy, we synthesize a benchmark dataset, CertainlyUncertain, featuring 178K visual question answering (VQA) samples as contrastive pairs. This is achieved by 1) inpainting images to make previously answerable questions into unanswerable ones; and 2) using image captions to prompt large language models for both answerable and unanswerable questions. Additionally, we introduce a new metric confidence-weighted accuracy, that is well correlated with both accuracy and calibration error, to address the shortcomings of existing metrics.

The rapid development of multimodal large language models (MLLMs), such as GPT-4V, has led to significant advancements. However, these models still face challenges in medical multimodal capabilities due to limitations in the quantity and quality of medical vision-text data, stemming from data privacy concerns and high annotation costs. While pioneering approaches utilize PubMed's large-scale, de-identified medical image-text pairs to address these limitations, they still fall short due to inherent data noise. To tackle this, we refined medical image-text pairs from PubMed and employed MLLMs (GPT-4V) in an 'unblinded' capacity to denoise and reformat the data, resulting in the creation of the PubMedVision dataset with 1.3 million medical VQA samples. Our validation demonstrates that: (1) PubMedVision can significantly enhance the medical multimodal capabilities of current MLLMs, showing significant improvement in benchmarks including the MMMU Health & Medicine track; (2) manual checks by medical experts and empirical results validate the superior data quality of our dataset compared to other data construction methods. Using PubMedVision, we train a 34B medical MLLM HuatuoGPT-Vision, which shows superior performance in medical multimodal scenarios among open-source MLLMs.

Large Multimodal Models (LMMs) have demonstrated impressive capabilities across a wide range of multimodal tasks, achieving ever-increasing performance on various evaluation benchmarks. However, existing benchmarks are typically static and often overlap with pre-training datasets, leading to fixed complexity constraints and substantial data contamination issues. Meanwhile, manually annotated datasets are labor-intensive, time-consuming, and subject to human bias and inconsistency, leading to reliability and reproducibility issues. To address these problems, we propose a fully dynamic multimodal evaluation framework, named Open-ended Visual Puzzle Generation (OVPG), which aims to generate fresh, diverse, and verifiable evaluation data automatically in puzzle-solving tasks. Specifically, the OVPG pipeline consists of a raw material sampling module, a visual content generation module, and a puzzle rule design module, which ensures that each evaluation instance is primitive, highly randomized, and uniquely solvable, enabling continual adaptation to the evolving capabilities of LMMs. Built upon OVPG, we construct PuzzleBench, a dynamic and scalable benchmark comprising 11,840 VQA samples. It features six carefully designed puzzle tasks targeting three core LMM competencies, visual recognition, logical reasoning, and context understanding. PuzzleBench differs from static benchmarks that quickly become outdated. It enables ongoing dataset refreshing through OVPG and a rich set of open-ended puzzle designs, allowing seamless adaptation to the evolving capabilities of LMMs.

Visual Question Answering (VQA) is a multimodal task requiring reasoning across textual and visual inputs, which becomes particularly challenging in low-resource languages like Vietnamese due to linguistic variability and the lack of high-quality datasets. Traditional methods often rely heavily on extensive annotated datasets, computationally expensive pipelines, and large pre-trained models, specifically in the domain of Vietnamese VQA, limiting their applicability in such scenarios. To address these limitations, we propose a training framework that combines a paraphrase-based feature augmentation module with a dynamic curriculum learning strategy. Explicitly, augmented samples are considered "easy" while raw samples are regarded as "hard". The framework then utilizes a mechanism that dynamically adjusts the ratio of easy to hard samples during training, progressively modifying the same dataset to increase its difficulty level. By enabling gradual adaptation to task complexity, this approach helps the Vietnamese VQA model generalize well, thus improving overall performance. Experimental results show consistent improvements on the OpenViVQA dataset and mixed outcomes on the ViVQA dataset, highlighting both the potential and challenges of our approach in advancing VQA for Vietnamese language.

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset designed to advance 3D Med-VQA using radiology CT scans. The 3D-RAD dataset encompasses six diverse VQA tasks: anomaly detection, image observation, medical computation, existence detection, static temporal diagnosis, and longitudinal temporal diagnosis. It supports both open- and closed-ended questions while introducing complex reasoning challenges, including computational tasks and multi-stage temporal analysis, to enable comprehensive benchmarking. Extensive evaluations demonstrate that existing vision-language models (VLMs), especially medical VLMs exhibit limited generalization, particularly in multi-temporal tasks, underscoring the challenges of real-world 3D diagnostic reasoning. To drive future advancements, we release a high-quality training set 3D-RAD-T of 136,195 expert-aligned samples, showing that fine-tuning on this dataset could significantly enhance model performance. Our dataset and code, aiming to catalyze multimodal medical AI research and establish a robust foundation for 3D medical visual understanding, are publicly available at https://github.com/Tang-xiaoxiao/3D-RAD.

Humans apprehend the world through various sensory modalities, yet language is their predominant communication channel. Machine learning systems need to draw on the same multimodal richness to have informed discourses with humans in natural language; this is particularly true for systems specialized in visually-dense information, such as dialogue, recommendation, and search engines for clothing. To this end, we train a visual question answering (VQA) system to answer complex natural language questions about apparel in fashion photoshoot images. The key to the successful training of our VQA model is the automatic creation of a visual question-answering dataset with 168 million samples from item attributes of 207 thousand images using diverse templates. The sample generation employs a strategy that considers the difficulty of the question-answer pairs to emphasize challenging concepts. Contrary to the recent trends in using several datasets for pretraining the visual question answering models, we focused on keeping the dataset fixed while training various models from scratch to isolate the improvements from model architecture changes. We see that using the same transformer for encoding the question and decoding the answer, as in language models, achieves maximum accuracy, showing that visual language models (VLMs) make the best visual question answering systems for our dataset. The accuracy of the best model surpasses the human expert level, even when answering human-generated questions that are not confined to the template formats. Our approach for generating a large-scale multimodal domain-specific dataset provides a path for training specialized models capable of communicating in natural language. The training of such domain-expert models, e.g., our fashion VLM model, cannot rely solely on the large-scale general-purpose datasets collected from the web.

Large Vision-Language Models (LVLMs) have become essential for advancing the integration of visual and linguistic information. However, the evaluation of LVLMs presents significant challenges as the evaluation benchmark always demands lots of human cost for its construction, and remains static, lacking flexibility once constructed. Even though automatic evaluation has been explored in textual modality, the visual modality remains under-explored. As a result, in this work, we address a question: "Can LVLMs themselves be used to benchmark each other in the visual automatically domain?". We introduce AutoBench-V, an automated framework for serving evaluation on demand, i.e., benchmarking LVLMs based on specific aspects of model capability. AutoBench-V leverages text-to-image models to generate relevant image samples and then utilizes LVLMs to orchestrate visual question-answering (VQA) tasks, completing the evaluation process efficiently and flexibly. Through an extensive evaluation of nine popular LVLMs across five demanded user inputs (i.e., evaluation capabilities), the framework shows effectiveness and reliability.

Hallucinations pose a significant challenge to the reliability of large vision-language models, making their detection essential for ensuring accuracy in critical applications. Current detection methods often rely on computationally intensive models, leading to high latency and resource demands. Their definitive outcomes also fail to account for real-world scenarios where the line between hallucinated and truthful information is unclear. To address these issues, we propose HalLoc, a dataset designed for efficient, probabilistic hallucination detection. It features 150K token-level annotated samples, including hallucination types, across Visual Question Answering (VQA), instruction-following, and image captioning tasks. This dataset facilitates the development of models that detect hallucinations with graded confidence, enabling more informed user interactions. Additionally, we introduce a baseline model trained on HalLoc, offering low-overhead, concurrent hallucination detection during generation. The model can be seamlessly integrated into existing VLMs, improving reliability while preserving efficiency. The prospect of a robust plug-and-play hallucination detection module opens new avenues for enhancing the trustworthiness of vision-language models in real-world applications. The HalLoc dataset and code are publicly available at: https://github.com/dbsltm/cvpr25_halloc.

Compositional generalization is the ability of generalizing novel compositions from seen primitives, and has received much attention in vision-and-language (V\&L) recently. Due to the multi-modal nature of V\&L tasks, the primitives composing compositions source from different modalities, resulting in multi-sourced novel compositions. However, the generalization ability over multi-sourced novel compositions, i.e., multi-sourced compositional generalization (MSCG) remains unexplored. In this paper, we explore MSCG in the context of visual question answering (VQA), and propose a retrieval-augmented training framework to enhance the MSCG ability of VQA models by learning unified representations for primitives from different modalities. Specifically, semantically equivalent primitives are retrieved for each primitive in the training samples, and the retrieved features are aggregated with the original primitive to refine the model. This process helps the model learn consistent representations for the same semantic primitives across different modalities. To evaluate the MSCG ability of VQA models, we construct a new GQA-MSCG dataset based on the GQA dataset, in which samples include three types of novel compositions composed of primitives from different modalities. Experimental results demonstrate the effectiveness of the proposed framework. We release GQA-MSCG at https://github.com/NeverMoreLCH/MSCG.

Robust deployment of large multimodal models (LMMs) in real-world scenarios requires access to external knowledge sources, given the complexity and dynamic nature of real-world information. Existing approaches such as retrieval-augmented generation (RAG) and prompt engineered search agents rely on rigid pipelines, often leading to inefficient or excessive search behaviors. We present MMSearch-R1, the first end-to-end reinforcement learning framework that enables LMMs to perform on-demand, multi-turn search in real-world Internet environments. Our framework integrates both image and text search tools, allowing the model to reason about when and how to invoke them guided by an outcome-based reward with a search penalty. To support training, We collect a multimodal search VQA dataset through a semi-automated pipeline that covers diverse visual and textual knowledge needs and curate a search-balanced subset with both search-required and search-free samples, which proves essential for shaping efficient and on-demand search behavior. Extensive experiments on knowledge-intensive and info-seeking VQA tasks show that our model not only outperforms RAG-based baselines of the same model size, but also matches the performance of a larger RAG-based model while reducing search calls by over 30%. We further analyze key empirical findings to offer actionable insights for advancing research in multimodal search.

While Multi-modal Language Models (MLMs) demonstrate impressive multimodal ability, they still struggle on providing factual and precise responses for tasks like visual question answering (VQA). In this paper, we address this challenge from the perspective of contextual information. We propose Causal Context Generation, Causal-CoG, which is a prompting strategy that engages contextual information to enhance precise VQA during inference. Specifically, we prompt MLMs to generate contexts, i.e, text description of an image, and engage the generated contexts for question answering. Moreover, we investigate the advantage of contexts on VQA from a causality perspective, introducing causality filtering to select samples for which contextual information is helpful. To show the effectiveness of Causal-CoG, we run extensive experiments on 10 multimodal benchmarks and show consistent improvements, e.g., +6.30% on POPE, +13.69% on Vizwiz and +6.43% on VQAv2 compared to direct decoding, surpassing existing methods. We hope Casual-CoG inspires explorations of context knowledge in multimodal models, and serves as a plug-and-play strategy for MLM decoding.

Visual Question Answer (VQA) poses the problem of answering a natural language question about a visual context. Bangla, despite being a widely spoken language, is considered low-resource in the realm of VQA due to the lack of proper benchmarks, challenging models known to be performant in other languages. Furthermore, existing Bangla VQA datasets offer little regional relevance and are largely adapted from their foreign counterparts. To address these challenges, we introduce a large-scale Bangla VQA dataset, ChitroJera, totaling over 15k samples from diverse and locally relevant data sources. We assess the performance of text encoders, image encoders, multimodal models, and our novel dual-encoder models. The experiments reveal that the pre-trained dual-encoders outperform other models of their scale. We also evaluate the performance of current large vision language models (LVLMs) using prompt-based techniques, achieving the overall best performance. Given the underdeveloped state of existing datasets, we envision ChitroJera expanding the scope of Vision-Language tasks in Bangla.

Understanding risk in autonomous driving requires not only perception and prediction, but also high-level reasoning about agent behavior and context. Current Vision Language Models (VLMs)-based methods primarily ground agents in static images and provide qualitative judgments, lacking the spatio-temporal reasoning needed to capture how risks evolve over time. To address this gap, we propose NuRisk, a comprehensive Visual Question Answering (VQA) dataset comprising 2,900 scenarios and 1.1 million agent-level samples, built on real-world data from nuScenes and Waymo, supplemented with safety-critical scenarios from the CommonRoad simulator. The dataset provides Bird-Eye-View (BEV) based sequential images with quantitative, agent-level risk annotations, enabling spatio-temporal reasoning. We benchmark well-known VLMs across different prompting techniques and find that they fail to perform explicit spatio-temporal reasoning, resulting in a peak accuracy of 33% at high latency. To address these shortcomings, our fine-tuned 7B VLM agent improves accuracy to 41% and reduces latency by 75%, demonstrating explicit spatio-temporal reasoning capabilities that proprietary models lacked. While this represents a significant step forward, the modest accuracy underscores the profound challenge of the task, establishing NuRisk as a critical benchmark for advancing spatio-temporal reasoning in autonomous driving.

Wheat management strategies play a critical role in determining yield. Traditional management decisions often rely on labour-intensive expert inspections, which are expensive, subjective and difficult to scale. Recently, Vision-Language Models (VLMs) have emerged as a promising solution to enable scalable, data-driven management support. However, due to a lack of domain-specific knowledge, directly applying VLMs to wheat management tasks results in poor quantification and reasoning capabilities, ultimately producing vague or even misleading management recommendations. In response, we propose WisWheat, a wheat-specific dataset with a three-layered design to enhance VLM performance on wheat management tasks: (1) a foundational pretraining dataset of 47,871 image-caption pairs for coarsely adapting VLMs to wheat morphology; (2) a quantitative dataset comprising 7,263 VQA-style image-question-answer triplets for quantitative trait measuring tasks; and (3) an Instruction Fine-tuning dataset with 4,888 samples targeting biotic and abiotic stress diagnosis and management plan for different phenological stages. Extensive experimental results demonstrate that fine-tuning open-source VLMs (e.g., Qwen2.5 7B) on our dataset leads to significant performance improvements. Specifically, the Qwen2.5 VL 7B fine-tuned on our wheat instruction dataset achieves accuracy scores of 79.2% and 84.6% on wheat stress and growth stage conversation tasks respectively, surpassing even general-purpose commercial models such as GPT-4o by a margin of 11.9% and 34.6%.

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...