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Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it…

Computation and Language · Computer Science 2025-05-21 Wenhui Zhu , Xuanzhao Dong , Xin Li , Peijie Qiu , Xiwen Chen , Abolfazl Razi , Aris Sotiras , Yi Su , Yalin Wang

Reinforcement learning (RL) with rule-based reward functions has recently shown great promise in enhancing the reasoning depth and generalization ability of vision-language models (VLMs), while maintaining computational efficiency. In spite…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Yizhou Liu , Dingkang Yang , Zizhi Chen , Minghao Han , Xukun Zhang , Keliang Liu , Jingwei Wei , Lihua Zhang

We introduce MediX-R1, an open-ended Reinforcement Learning (RL) framework for medical multimodal large language models (MLLMs) that enables clinically grounded, free-form answers beyond multiple-choice formats. MediX-R1 fine-tunes a…

Computer Vision and Pattern Recognition · Computer Science 2026-02-27 Sahal Shaji Mullappilly , Mohammed Irfan Kurpath , Omair Mohamed , Mohamed Zidan , Fahad Khan , Salman Khan , Rao Anwer , Hisham Cholakkal

In medical visual question answering (Med-VQA), achieving accurate responses relies on three critical steps: precise perception of medical imaging data, logical reasoning grounded in visual input and textual questions, and coherent answer…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Songtao Jiang , Yuan Wang , Ruizhe Chen , Yan Zhang , Ruilin Luo , Bohan Lei , Sibo Song , Yang Feng , Jimeng Sun , Jian Wu , Zuozhu Liu

In medical scenarios, effectively retrieving external knowledge and leveraging it for rigorous logical reasoning is of significant importance. Despite their potential, existing work has predominantly focused on enhancing either retrieval or…

Computation and Language · Computer Science 2026-01-21 Keer Lu , Zheng Liang , Youquan Li , Jiejun Tan , Xili Wang , Da Pan , Shusen Zhang , Guosheng Dong , Bin Cui , Yunhuai Liu , Wentao Zhang

Vision-language models (VLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored. Medical vision-language tasks demand precise understanding and clinically coherent…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Yuxiang Lai , Jike Zhong , Ming Li , Shitian Zhao , Yuheng Li , Konstantinos Psounis , Xiaofeng Yang

Medical Question-Answering (QA) encompasses a broad spectrum of tasks, including multiple choice questions (MCQ), open-ended text generation, and complex computational reasoning. Despite this variety, a unified framework for delivering…

Computation and Language · Computer Science 2025-06-23 Xiaotian Zhang , Yuan Wang , Zhaopeng Feng , Ruizhe Chen , Zhijie Zhou , Yan Zhang , Hongxia Xu , Jian Wu , Zuozhu Liu

While recent advances in Reinforcement Fine-Tuning (RFT) have shown that rule-based reward schemes can enable effective post-training for large language models, their extension to cross-modal, vision-centric domains remains largely…

Computer Vision and Pattern Recognition · Computer Science 2026-03-05 Guangjing Yang , ZhangYuan Yu , Ziyuan Qin , Xinyuan Song , Huahui Yi , Qingbo Kang , Jun Gao , Yiyue Li , Chenlin Du , Qicheng Lao

Large language models have achieved strong performance on medical reasoning benchmarks, yet their deployment in clinical settings demands rigorous verification to ensure factual accuracy. While reward models offer a scalable approach for…

Artificial Intelligence · Computer Science 2026-01-29 Hang Zhang , Ruheng Wang , Yuelyu Ji , Mingu Kwak , Xizhi Wu , Chenyu Li , Li Zhang , Wenqi Shi , Yifan Peng , Yanshan Wang

Developing 3D vision-language models with robust clinical reasoning remains a challenge due to the inherent complexity of volumetric medical imaging, the tendency of models to overfit superficial report patterns, and the lack of…

Computer Vision and Pattern Recognition · Computer Science 2026-02-03 Haoran Lai , Zihang Jiang , Kun Zhang , Qingsong Yao , Rongsheng Wang , Zhiyang He , Xiaodong Tao , Wei Wei , Shaohua Kevin Zhou

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

While large language models (LLMs) have shown to perform well on monolingual mathematical and commonsense reasoning, they remain unreliable for multilingual medical reasoning applications, hindering their deployment in multilingual…

Artificial Intelligence · Computer Science 2026-04-28 Eric Onyame , Akash Ghosh , Subhadip Baidya , Sriparna Saha , Xiuying Chen , Chirag Agarwal

Accurate and interpretable multi-disease diagnosis remains a critical challenge in medical research, particularly when leveraging heterogeneous multimodal medical data. Current approaches often rely on single-modal data, limiting their…

Image and Video Processing · Electrical Eng. & Systems 2025-06-25 Yuting Zhang , Kaishen Yuan , Hao Lu , Yutao Yue , Jintai Chen , Kaishun Wu

Reinforcement learning (RL) has emerged as a promising approach for eliciting reasoning chains before generating final answers. However, multimodal large language models (MLLMs) generate reasoning that lacks integration of visual…

Computer Vision and Pattern Recognition · Computer Science 2026-01-05 Omar Sharif , Eftekhar Hossain , Patrick Ng

Medical Vision-Language Models (MedVLMs) excel at perception tasks but struggle with complex clinical reasoning required in real-world scenarios. While reinforcement learning (RL) has been explored to enhance reasoning capabilities,…

Computer Vision and Pattern Recognition · Computer Science 2026-01-21 Meidan Ding , Jipeng Zhang , Wenxuan Wang , Haiqin Zhong , Xiaoling Luo , Wenting Chen , Linlin Shen

Large language models (LLMs) hold transformative potential for medical decision support yet their application in psychiatry remains constrained by hallucinations and superficial reasoning. This limitation is particularly acute in…

Medical visual grounding serves as a crucial foundation for fine-grained multimodal reasoning and interpretable clinical decision support. Despite recent advances in reinforcement learning (RL) for grounding tasks, existing approaches such…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Guangjing Yang , Ziyuan Qin , Chaoran Zhang , Chenlin Du , Jinlin Wang , Wanran Sun , Zhenyu Zhang , Bing Ji , Qicheng Lao

Recent advances in large language models have significantly improved textual reasoning through the effective use of Chain-of-Thought (CoT) and reinforcement learning. However, extending these successes to vision-language tasks remains…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Minheng Ni , Zhengyuan Yang , Linjie Li , Chung-Ching Lin , Kevin Lin , Wangmeng Zuo , Lijuan Wang

In recent years, significant progress has been made in the field of surgical scene understanding, particularly in the task of Visual Question Localized-Answering in robotic surgery (Surgical-VQLA). However, existing Surgical-VQLA models…

Computer Vision and Pattern Recognition · Computer Science 2025-06-25 Pengfei Hao , Shuaibo Li , Hongqiu Wang , Zhizhuo Kou , Junhang Zhang , Guang Yang , Lei Zhu

Reinforcement learning has proven its effectiveness in enhancing the reasoning capabilities of large language models. Recent research efforts have progressively extended this paradigm to multimodal reasoning tasks. Due to the inherent…

Computer Vision and Pattern Recognition · Computer Science 2025-08-01 Ruifeng Yuan , Chenghao Xiao , Sicong Leng , Jianyu Wang , Long Li , Weiwen Xu , Hou Pong Chan , Deli Zhao , Tingyang Xu , Zhongyu Wei , Hao Zhang , Yu Rong
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