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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

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

Enhancing the reasoning capabilities of large language models (LLMs) typically relies on massive computational resources and extensive datasets, limiting accessibility for resource-constrained settings. Our study investigates the potential…

Machine Learning · Computer Science 2026-01-21 Quy-Anh Dang , Chris Ngo

The recent advancements in Vision Language Models (VLMs) have demonstrated progress toward true intelligence requiring robust reasoning capabilities. Beyond pattern recognition, linguistic reasoning must integrate with visual comprehension,…

Artificial Intelligence · Computer Science 2026-04-06 Yunfei Bai , Amit Dhanda , Shekhar Jain

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

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

Effectively retrieving, reasoning and understanding visually rich information remains a challenge for RAG methods. Traditional text-based methods cannot handle visual-related information. On the other hand, current vision-based RAG…

Computation and Language · Computer Science 2025-06-04 Qiuchen Wang , Ruixue Ding , Yu Zeng , Zehui Chen , Lin Chen , Shihang Wang , Pengjun Xie , Fei Huang , Feng Zhao

Large Language Models (LLMs) demonstrate transformative potential, yet their reasoning remains inconsistent and unreliable. Reinforcement learning (RL)-based fine-tuning is a key mechanism for improvement, but its effectiveness is…

Machine Learning · Computer Science 2026-02-11 Pei-Chi Pan , Yingbin Liang , Sen Lin

Large Language Models (LLMs) have shown promising performance on diverse medical benchmarks, highlighting their potential in supporting real-world clinical tasks. Retrieval-Augmented Generation (RAG) has emerged as a key approach for…

Computation and Language · Computer Science 2025-09-30 Kaishuai Xu , Wenjun Hou , Yi Cheng , Wenjie Li

Reinforcement learning (RL) can refine the reasoning abilities of large language models (LLMs), but critically depends on a key prerequisite: the LLM can already generate high-utility reasoning paths with non-negligible probability. For…

Artificial Intelligence · Computer Science 2025-10-30 Tianqianjin Lin , Xi Zhao , Xingyao Zhang , Rujiao Long , Yi Xu , Zhuoren Jiang , Wenbo Su , Bo Zheng

The diagnosis of pathological images is often limited by expert availability and regional disparities, highlighting the importance of automated diagnosis using Vision-Language Models (VLMs). Traditional multimodal models typically emphasize…

Computer Vision and Pattern Recognition · Computer Science 2025-04-21 Jianyu Wu , Hao Yang , Xinhua Zeng , Guibing He , Zhiyu Chen , Zihui Li , Xiaochuan Zhang , Yangyang Ma , Run Fang , Yang Liu

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

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

Recently DeepSeek R1 has shown that reinforcement learning (RL) can substantially improve the reasoning capabilities of Large Language Models (LLMs) through a simple yet effective design. The core of R1 lies in its rule-based reward…

Computer Vision and Pattern Recognition · Computer Science 2025-04-15 Haozhan Shen , Peng Liu , Jingcheng Li , Chunxin Fang , Yibo Ma , Jiajia Liao , Qiaoli Shen , Zilun Zhang , Kangjia Zhao , Qianqian Zhang , Ruochen Xu , Tiancheng Zhao

Recent advances in reasoning-centric language models have highlighted reinforcement learning (RL) as a promising method for aligning models with verifiable rewards. However, it remains contentious whether RL truly expands a model's…

Computation and Language · Computer Science 2025-06-02 Mingjie Liu , Shizhe Diao , Ximing Lu , Jian Hu , Xin Dong , Yejin Choi , Jan Kautz , Yi Dong

Reinforcement learning with verifiable rewards (RLVR) has emerged as a promising paradigm for post-training large language models (LLMs) on complex reasoning tasks. Yet, the conditions under which RLVR yields robust generalization remain…

Machine Learning · Computer Science 2026-03-05 Brian Lu , Hongyu Zhao , Shuo Sun , Hao Peng , Rui Ding , Hongyuan Mei

Clinical decision-making in radiology increasingly benefits from artificial intelligence (AI), particularly through large language models (LLMs). However, traditional retrieval-augmented generation (RAG) systems for radiology question…

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…

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

Vision-Language Models (VLMs) frequently suffer from visual perception errors and hallucinations that compromise answer accuracy in complex reasoning tasks. Reinforcement Learning with Verifiable Rewards (RLVR) offers a promising solution…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Yin Zhang , Jiaxuan Zhao , Zonghan Wu , Zengxiang Li , Junfeng Fang , Kun Wang , Qingsong Wen , Yilei Shao
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