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Recent advances in general medical AI have made significant strides, but existing models often lack the reasoning capabilities needed for complex medical decision-making. This paper presents GMAI-VL-R1, a multimodal medical reasoning model…

Computer Vision and Pattern Recognition · Computer Science 2025-04-03 Yanzhou Su , Tianbin Li , Jiyao Liu , Chenglong Ma , Junzhi Ning , Cheng Tang , Sibo Ju , Jin Ye , Pengcheng Chen , Ming Hu , Shixiang Tang , Lihao Liu , Bin Fu , Wenqi Shao , Xiaowei Hu , Xiangwen Liao , Yuanfeng Ji , Junjun He

Reasoning capabilities are crucial for reliable medical visual question answering (VQA); however, existing datasets rarely include reasoning explanations. We address this by generating reasoning trajectories for six medical VQA benchmarks…

Machine Learning · Computer Science 2026-05-07 Halil Ibrahim Gulluk , Olivier Gevaert

Reinforcement learning from verifiable rewards (RLVR) has recently gained attention for its ability to elicit self-evolved reasoning capabilitie from base language models without explicit reasoning supervisions, as demonstrated by…

Computation and Language · Computer Science 2025-02-28 Sheng Zhang , Qianchu Liu , Guanghui Qin , Tristan Naumann , Hoifung Poon

General-purpose large Vision-Language Models (VLMs) demonstrate strong capabilities in generating detailed descriptions for natural images. However, their performance in the medical domain remains suboptimal, even for relatively…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

Long chain-of-thought (CoT) significantly enhances the reasoning capabilities of large language models (LLMs). However, extensive reasoning traces lead to inefficiencies and increased time-to-first-token (TTFT). We propose a training…

Computation and Language · Computer Science 2026-01-08 Roy Xie , David Qiu , Deepak Gopinath , Dong Lin , Yanchao Sun , Chong Wang , Saloni Potdar , Bhuwan Dhingra

Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness…

Quantitative Methods · Quantitative Biology 2025-10-08 Anni Tziakouri , Filippo Menolascina

The application of reinforcement learning (RL) to enhance the reasoning capabilities of Multimodal Large Language Models (MLLMs) constitutes a rapidly advancing research area. While MLLMs extend Large Language Models (LLMs) to handle…

Artificial Intelligence · Computer Science 2025-05-22 Guanghao Zhou , Panjia Qiu , Cen Chen , Jie Wang , Zheming Yang , Jian Xu , Minghui Qiu

Large vision-language models struggle with medical video understanding, where spatial precision, temporal reasoning, and clinical semantics are critical. To address this, we first introduce \textbf{MedVidBench}, a large-scale benchmark of…

Computer Vision and Pattern Recognition · Computer Science 2026-04-09 Yuhao Su , Anwesa Choudhuri , Zhongpai Gao , Benjamin Planche , Van Nguyen Nguyen , Meng Zheng , Yuhan Shen , Arun Innanje , Terrence Chen , Ehsan Elhamifar , Ziyan Wu

The growing integration of vision-language models (VLMs) in medical applications offers promising support for diagnostic reasoning. However, current medical VLMs often face limitations in generalization, transparency, and computational…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Tan-Hanh Pham , Chris Ngo

Medical question answering requires advanced reasoning that integrates domain knowledge with logical inference. However, existing large language models (LLMs) often generate reasoning chains that lack factual accuracy and clinical…

Computation and Language · Computer Science 2025-12-09 Chia-Hsuan Hsu , Jun-En Ding , Hsin-Ling Hsu , Chih-Ho Hsu , Li-Hung Yao , Chun-Chieh Liao , Feng Liu , Fang-Ming Hung

Visual reasoning abilities play a crucial role in understanding complex multimodal data, advancing both domain-specific applications and artificial general intelligence (AGI). Existing methods enhance Vision-Language Models (VLMs) through…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Huajie Tan , Yuheng Ji , Xiaoshuai Hao , Xiansheng Chen , Pengwei Wang , Zhongyuan Wang , Shanghang Zhang

Ensuring factual consistency and reliable reasoning remains a critical challenge for medical vision-language models. We introduce MEDFACT-R1, a two-stage framework that integrates external knowledge grounding with reinforcement learning to…

Computer Vision and Pattern Recognition · Computer Science 2025-09-19 Gengliang Li , Rongyu Chen , Bin Li , Linlin Yang , Guodong Ding

Multimodal Large Language Models (MLLMs) have gained significant traction for their ability to process diverse input data types and generate coherent, contextually relevant outputs across various applications. While supervised fine-tuning…

Machine Learning · Computer Science 2025-03-31 Zhiyuan Liu , Yuting Zhang , Feng Liu , Changwang Zhang , Ying Sun , Jun Wang

The application of Vision-Language Models (VLMs) in medicine is critically hampered by the scarcity of high-quality, expert-annotated data. Supervised Fine-Tuning (SFT) on existing datasets often leads to poor generalization on unseen…

Machine Learning · Computer Science 2025-12-09 Weihai Zhi , Jiayan Guo , Shangyang Li

Recent advances in large language models (LLMs) have shown strong reasoning capabilities through large-scale pretraining and post-training reinforcement learning, demonstrated by DeepSeek-R1. However, current post-training methods, such as…

Artificial Intelligence · Computer Science 2025-12-04 Boyang Gu , Hongjian Zhou , Bradley Max Segal , Jinge Wu , Zeyu Cao , Hantao Zhong , Lei Clifton , Fenglin Liu , David A. Clifton

Recent advancements in large language models (LLMs) have demonstrated impressive chain-of-thought reasoning capabilities, with reinforcement learning (RL) playing a crucial role in this progress. While "aha moment" patterns--where models…

Computation and Language · Computer Science 2025-07-24 Lai Wei , Yuting Li , Kaipeng Zheng , Chen Wang , Yue Wang , Linghe Kong , Lichao Sun , Weiran Huang

Recent Reinforcement Learning (RL) advances for Large Language Models (LLMs) have improved reasoning tasks, yet their resource-constrained application to medical imaging remains underexplored. We introduce ChexReason, a vision-language…

Reinforcement learning with verifiable rewards (RLVR) has substantially enhanced the reasoning capabilities of multimodal large language models (MLLMs). However, existing RLVR approaches typically rely on outcome-driven optimization that…

Artificial Intelligence · Computer Science 2026-04-10 Ziqi Miao , Haonan Jia , Lijun Li , Chen Qian , Yuan Xiong , Wenting Yan , Jing Shao

While state-of-the-art vision-language models (VLMs) have demonstrated remarkable capabilities in complex visual-text tasks, their success heavily relies on massive model scaling, limiting their practical deployment. Small-scale VLMs offer…

Computer Vision and Pattern Recognition · Computer Science 2025-03-11 Huilin Deng , Ding Zou , Rui Ma , Hongchen Luo , Yang Cao , Yu Kang

Medical visual question answering aims to support clinical decision-making by enabling models to answer natural language questions based on medical images. While recent advances in multi-modal learning have significantly improved…

Computer Vision and Pattern Recognition · Computer Science 2025-10-29 Bo Liu , Xiangyu Zhao , Along He , Yidi Chen , Huazhu Fu , Xiao-Ming Wu