Large language models (LLMs), particularly those with reasoning capabilities, have rapidly advanced in recent years, demonstrating significant potential across a wide range of applications. However, their deployment in healthcare, especially in disease reasoning tasks, is hindered by the challenge of acquiring expert-level cognitive data. In this paper, we introduce Citrus, a medical language model that bridges the gap between clinical expertise and AI reasoning by emulating the cognitive processes of medical experts. The model is trained on a large corpus of simulated expert disease reasoning data, synthesized using a novel approach that accurately captures the decision-making pathways of clinicians. This approach enables Citrus to better simulate the complex reasoning processes involved in diagnosing and treating medical conditions. To further address the lack of publicly available datasets for medical reasoning tasks, we release the last-stage training data, including a custom-built medical diagnostic dialogue dataset. This open-source contribution aims to support further research and development in the field. Evaluations using authoritative benchmarks such as MedQA, covering tasks in medical reasoning and language understanding, show that Citrus achieves superior performance compared to other models of similar size. These results highlight Citrus potential to significantly enhance medical decision support systems, providing a more accurate and efficient tool for clinical decision-making.

We present Kosmos-2.5, a multimodal literate model for machine reading of text-intensive images. Pre-trained on large-scale text-intensive images, Kosmos-2.5 excels in two distinct yet cooperative transcription tasks: (1) generating spatially-aware text blocks, where each block of text is assigned its spatial coordinates within the image, and (2) producing structured text output that captures styles and structures into the markdown format. This unified multimodal literate capability is achieved through a shared Transformer architecture, task-specific prompts, and flexible text representations. We evaluate Kosmos-2.5 on end-to-end document-level text recognition and image-to-markdown text generation. Furthermore, the model can be readily adapted for any text-intensive image understanding task with different prompts through supervised fine-tuning, making it a general-purpose tool for real-world applications involving text-rich images. This work also paves the way for the future scaling of multimodal large language models.

We propose Universal Document Processing (UDOP), a foundation Document AI model which unifies text, image, and layout modalities together with varied task formats, including document understanding and generation. UDOP leverages the spatial correlation between textual content and document image to model image, text, and layout modalities with one uniform representation. With a novel Vision-Text-Layout Transformer, UDOP unifies pretraining and multi-domain downstream tasks into a prompt-based sequence generation scheme. UDOP is pretrained on both large-scale unlabeled document corpora using innovative self-supervised objectives and diverse labeled data. UDOP also learns to generate document images from text and layout modalities via masked image reconstruction. To the best of our knowledge, this is the first time in the field of document AI that one model simultaneously achieves high-quality neural document editing and content customization. Our method sets the state-of-the-art on 8 Document AI tasks, e.g., document understanding and QA, across diverse data domains like finance reports, academic papers, and websites. UDOP ranks first on the leaderboard of the Document Understanding Benchmark.