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Sören Pirk

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#artificial intelligence Preprint Sep 2026

Option-Aware Retrieval and Task-Specific VLM Adaptation for Medical VQA

We describe our submission to the MedReason 2026 challenge, covering multiple-choice (MCQ) and open-ended (OE) medical visual question answering (VQA) under fully offline, containerized inference. Our first finding is that MCQ retrieval must compare answer \emph{semantics} rather than answer labels: labels are independently assigned per question, so copying a retrieved neighbor's label transfers no useful information, whereas scoring each current option's text against correct-answer text from similar training cases raises retrieval-only accuracy from 20.0\% to 57.5\% on a 200-case retrieval-excluded development holdout. Our second finding attributes the submitted system's accuracy: holding the task-specific MCQ Low-Rank Adaptation (LoRA) adapter fixed and varying the number \(k\) of in-prompt retrieved examples changes accuracy by at most one case --- 187/200 (93.5\%) at both \(k=0\) and the adapter's training-time \(k=1\), 188/200 (94.0\%) at the packaged runtime's default \(k=3\) --- and the submitted confidence-gated override adds no net accuracy on top of \(k=3\), selecting the VLM in 198/200 cases. With the final MCQ adapter fixed, retrieval changes accuracy by at most one case, and gating provides no net gain. On 20 OE cases, token-F1 and RaTEScore~\cite{zhao2024ratescore} decrease as \(k\) grows, but paired sign tests on token-F1 differences are nonsignificant (\(p \ge 0.29\)); a single-annotator comparison found 6/20 wrong-anchor errors for the final configuration and 14/20 for an earlier configuration that jointly differed in routing, adapter, and prompting. The system reaches 94.0\% MCQ accuracy on the development holdout and 93.20\% on the organizer's official pre-evaluation, versus 29.43\% for the off-the-shelf reference baseline, while both of the organizer's open-ended scores are lower than that baseline's (ground-truth agreement 1.245 versus 1.588, visual accuracy 1.995 versus 2.696, each out of 4).

Tristan Kirscher, N. Koser, Sören Pirk · 0 citations

Preprint Aug 2026

Hydra: A Navigation World Action Model with Discrete Latent Planning and Continuous Flow-Matching Execution

World models let robots imagine possible futures, but exploiting this capability for real-time control is bottlenecked by a representation misalignment: the generative model and the planner operate on decoupled manifolds, so the planner has no shared structure to search over and must instead decode every candidate back into high-dimensional pixel space to evaluate it. This decoding step is a major obstacle to real-time control on physical hardware. In this paper, we present Hydra, a discrete World Action Model that closes this gap by moving the planner, both the sampler and the evaluator, inside the model. Hydra establishes a unified latent manifold over visual states, physical poses, and control actions, then compresses this manifold through modality-specific Vector-Quantized bottlenecks into discrete vocabularies of kinodynamic intents and visual states. Because candidates are now drawn directly from this shared manifold, sampling is informed by the model's own understanding of the observation rather than proposed blind, and evaluation happens natively within the discrete space: candidates are ranked by a Kinematic-Perceptual Cost, without ever decoding to pixels. We term this Discrete Latent Planning (DLP). Because planning over discrete intents alone cannot supply the smooth, continuous commands physical actuation requires, Hydra pairs DLP with conditional Flow Matching, which maps each selected intent to a continuous trajectory for execution. Evaluated on two physical robotic platforms, Hydra outperforms state-of-the-art world models in goal-directed planning, while matching or exceeding the closed-loop execution capabilities of leading reactive foundation policies.

Mohammad Nazeri, Alexandyr Card, S. Huber et al. · 0 citations