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Vision-Language Models (VLMs) demonstrate remarkable general-purpose capabilities but often fall short in specialized domains such as medical imaging or geometric problem-solving. Supervised Fine-Tuning (SFT) can enhance performance within…

Computation and Language · Computer Science 2026-02-12 Yuming Yan , Shuo Yang , Kai Tang , Sihong Chen , Yang Zhang , Ke Xu , Dan Hu , Qun Yu , Pengfei Hu , Edith C. H. Ngai

Building on the success of text-based reasoning models like DeepSeek-R1, extending these capabilities to multimodal reasoning holds great promise. While recent works have attempted to adapt DeepSeek-R1-style reinforcement learning (RL)…

Computer Vision and Pattern Recognition · Computer Science 2025-06-10 Jie Yang , Feipeng Ma , Zitian Wang , Dacheng Yin , Kang Rong , Fengyun Rao , Ruimao Zhang

Reinforcement Learning with Verifiable Rewards (RLVR) has emerged as a prevailing paradigm for enhancing reasoning in Multimodal Large Language Models (MLLMs). However, relying solely on outcome supervision risks reward hacking, where…

Computation and Language · Computer Science 2026-03-04 Yukun Chen , Jiaming Li , Longze Chen , Ze Gong , Jingpeng Li , Zhen Qin , Hengyu Chang , Ancheng Xu , Zhihao Yang , Hamid Alinejad-Rokny , Qiang Qu , Bo Zheng , Min Yang

Predicting cancer treatment outcomes requires models that are both accurate and interpretable, particularly in the presence of heterogeneous clinical data. While large language models (LLMs) have shown strong performance in biomedical NLP,…

Computation and Language · Computer Science 2025-10-21 Raghu Vamshi Hemadri , Geetha Krishna Guruju , Kristi Topollai , Anna Ewa Choromanska

Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without…

Recent advancements in reasoning-focused language models such as OpenAI's O1 and DeepSeek-R1 have shown that scaling test-time computation-through chain-of-thought reasoning and iterative exploration-can yield substantial improvements on…

Incentivizing the reasoning ability of Multimodal Large Language Models (MLLMs) is essential for medical applications to transparently analyze medical scans and provide reliable diagnosis. However, existing medical MLLMs rely solely on…

Computer Vision and Pattern Recognition · Computer Science 2025-10-22 Lehan Wang , Yi Qin , Honglong Yang , Xiaomeng Li

Reinforcement Learning with Verifiable Rewards(RLVR) has demonstrated great potential in enhancing the reasoning capabilities of large language models (LLMs). However, its success has thus far been largely confined to the mathematical and…

Artificial Intelligence · Computer Science 2026-02-05 Mengyu Zhang , Siyu Ding , Weichong Yin , Yu Sun , Hua Wu

Current Large Language Models (LLMs) exhibit significant limitations, notably in structured, interpretable, and verifiable medical reasoning, alongside practical deployment challenges related to computational resources and data privacy.…

Computation and Language · Computer Science 2025-06-06 Boqin Zhuang , Chenxiao Song , Huitong Lu , Jiacheng Qiao , Mingqian Liu , Mingxing Yu , Ping Hong , Rui Li , Xiaoxia Song , Xiangjun Xu , Xu Chen , Yaoyao Ma , Yujie Gao

Recent advances in reinforcement learning (RL) have significantly improved the complex reasoning capabilities of large language models (LLMs). Despite these successes, existing methods mainly focus on single-domain RL (e.g., mathematics)…

Artificial Intelligence · Computer Science 2025-11-20 Baolong Bi , Shenghua Liu , Yiwei Wang , Siqian Tong , Lingrui Mei , Yuyao Ge , Yilong Xu , Jiafeng Guo , Xueqi Cheng

Recent advances in Large Language Models(LLMs) have enabled strong performance in long-form writing, but current training paradigms remain limited: Supervised Fine-Tuning (SFT) remains constrained by data saturation and performance…

Computation and Language · Computer Science 2026-04-21 Xuanyu Lei , Chenliang Li , Yuning Wu , Kaiming Liu , Weizhou Shen , Peng Li , Ming Yan , Fei Huang , Ya-Qin Zhang , Yang Liu

Recently, online Reinforcement Learning with Verifiable Rewards (RLVR) has become a key paradigm for enhancing the reasoning capabilities of Large Language Models (LLMs). However, existing methods typically treat all training samples…

Artificial Intelligence · Computer Science 2025-09-30 Shijie Zhang , Guohao Sun , Kevin Zhang , Xiang Guo , Rujun Guo

Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Suyang Xi , Songtao Hu , Yuxiang Lai , Wangyun Dan , Yaqi Liu , Shansong Wang , Xiaofeng Yang

This study investigates the spatial reasoning capabilities of vision-language models (VLMs) through Chain-of-Thought (CoT) prompting and reinforcement learning. We begin by evaluating the impact of different prompting strategies and find…

Computer Vision and Pattern Recognition · Computer Science 2025-07-21 Binbin Ji , Siddharth Agrawal , Qiance Tang , Yvonne Wu

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from…

Enhancing the complex reasoning capabilities of Large Language Models (LLMs) attracts widespread attention. While reinforcement learning (RL) has shown superior performance for improving complex reasoning, its impact on cross-lingual…

Computation and Language · Computer Science 2025-09-30 Shulin Huang , Yiran Ding , Junshu Pan , Yue Zhang

Large language models have shown promise in clinical decision making, but current approaches struggle to localize and correct errors at specific steps of the reasoning process. This limitation is critical in medicine, where identifying and…

We present EHRMIND, a practical recipe for adapting large language models (LLMs) to complex clinical reasoning tasks using reinforcement learning with verifiable rewards (RLVR). While RLVR has succeeded in mathematics and coding, its…

Computation and Language · Computer Science 2025-06-02 Jiacheng Lin , Zhenbang Wu , Jimeng Sun

Reinforcement learning (RL) is increasingly used to post-train medical Vision-Language Models (VLMs), yet it remains unclear whether RL improves medical visual reasoning or mainly sharpens behaviors already induced by supervised fine-tuning…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Ahmadreza Jeddi , Kimia Shaban , Negin Baghbanzadeh , Natasha Sharan , Abhishek Moturu , Elham Dolatabadi , Babak Taati

Multimodal Large Language Models (MLLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored, especially in clinical anatomical surgical images. Anatomy understanding…

Computer Vision and Pattern Recognition · Computer Science 2025-12-25 Ziyang Song , Zelin Zang , Zuyao Chen , Xusheng Liang , Dong Yi , Jinlin Wu , Hongbin Liu , Jiebo Luo , Zhen. Lei