Long-video understanding commonly compresses videos into a small set of frames or visual tokens for answer generation. Existing compact pipelines focus on retaining relevant visual content as explicit evidence. Yet making evidence available does not ensure that complementary cues across moments are integrated for answering. Our key idea is to organize selected frames into query-relevant cross-frame evidence before generation. We formulate this post-selection stage as a latent evidence interface and instantiate it with GenEvA ($\textbf{Gen}erative$ $Latent$ $\textbf{Ev}idence$ $\textbf{A}ggregation$), a distribution-guided latent evidence aggregation framework. Specifically, GenEvA uses a query-conditioned evidence distribution to focus aggregation on relevant frames, forming compact cross-frame latent evidence from their frame-specific information. Since cross-frame integration is not always needed, the same distribution determines whether to insert this latent complement. Across four benchmarks and two Video-MLLM backbones, GenEvA consistently improves matched-frame baselines. At 8 frames, it raises the four-benchmark LLaVA-Video average by $+5.2$ points and Qwen2.5-VL accuracy on LVBench by $+10.1$ points. These gains require only $0.11\%$--$0.40\%$ average video-token overhead; analyses further show task-aware allocation and benefits from Adaptive Evidence Invocation.
Bowen Liu, Shuning Wang, Xinpeng Ding et al.· arXiv.org· 0 citations
Cancer survival prediction supports treatment planning, risk stratification, and follow-up management. Existing methods use structured clinical variables, whole-slide images, genomic profiles, or multimodal inputs, while patient reports remain underexplored. We study report-centric survival prediction using reports that organize pathological, clinical, and molecular evidence. Large language models (LLMs) can reason over such reports, but case-wise time regression introduces two mismatches. First, a formulation mismatch arises because survival evaluation depends on ordering comparable patients, whereas independent time predictions do not enforce ranking consistency. Second, a supervision mismatch arises because a censored patient's observed time indicates survival beyond that point and cannot serve as an exact regression target, although it still implies orderings relative to patients who died earlier. To address these mismatches, we propose CACSurv, a Concordance-Aligned Comparative framework for report-centric survival prediction. CACSurv reformulates survival modeling as mini-cohort comparative reasoning, where an LLM predicts relative prognostic orderings. We introduce concordance-aligned rewards derived from comparable relations under right censoring, enabling censored outcomes to provide ranking supervision without exact event-time targets. At inference, Monte Carlo Reference Aggregation compares each patient with sampled references and aggregates positions into a cohort-level ranking. We establish TCGA-SurvReport, a benchmark covering six TCGA cancer cohorts. CACSurv achieves the highest C-index on all six cohorts and an average C-index of 0.722, outperforming the strongest published survival model by 6.5 percentage points and the strongest LLM time-regression baseline by 4.2 percentage points. Our code, models, and dataset will be available at https://github.com/xmed-lab/CACSurv.
Tianqi Xiang, Qixiang Zhang, Xinpeng Ding et al.· 0 citations
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