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Test-time scaling (TTS) methods have proven highly effective for LLMs, yet their application to vision-language models (VLMs) remains relatively underexplored. Existing VLM TTS methods largely require open-weight model access or expensive…

Computer Vision and Pattern Recognition · Computer Science 2026-05-19 Kaihua Hou , Abhijith Varma Mudunuri , Jiaxing Qiu , Roxana Daneshjou , Thomas Hartvigsen , Ahmed Alaa

The rapid advancements in large language models (LLMs) have unlocked their potential for multimodal tasks, where text and visual data are processed jointly. However, applying LLMs to medical imaging, particularly for chest X-rays (CXR),…

Image and Video Processing · Electrical Eng. & Systems 2025-02-11 Nicholas Evans , Stephen Baker , Miles Reed

Chain-of-Thought (CoT) reasoning enhances the problem-solving ability of large language models (LLMs) but leads to substantial inference overhead, limiting deployment in resource-constrained settings. This paper investigates efficient CoT…

Artificial Intelligence · Computer Science 2025-12-03 Ziqian Bi , Kaijie Chen , Tianyang Wang , Junfeng Hao , Benji Peng , Xinyuan Song

Recent vision-language models (VLMs) have shown strong generalization and multimodal reasoning abilities in natural domains. However, their application to medical diagnosis remains limited by the lack of comprehensive and structured…

Computer Vision and Pattern Recognition · Computer Science 2026-03-27 Sheng Lu , Hao Chen , Rui Yin , Juyan Ba , Yu Zhang , Yuanzhe Li

We propose ControlMLLM++, a novel test-time adaptation framework that injects learnable visual prompts into frozen multimodal large language models (MLLMs) to enable fine-grained region-based visual reasoning without any model retraining or…

Computer Vision and Pattern Recognition · Computer Science 2026-02-24 Mingrui Wu , Hao Chen , Jiayi Ji , Xiaoshuai Sun , Zhiyuan Liu , Liujuan Cao , Ming-Ming Cheng , Rongrong Ji

Medical image segmentation driven by free-text clinical instructions is a critical frontier in computer-aided diagnosis. However, existing multimodal and foundation models struggle with the semantic ambiguity of clinical reports and fail to…

Computer Vision and Pattern Recognition · Computer Science 2026-04-08 Chenyu Xue , Yiran Liu , Mian Zhou , Jionglong Su , Zhixiang Lu

Graph Chain-of-Thought (Graph-CoT) enables large language models (LLMs) to perform step-by-step reasoning over graph-structured knowledge, but existing pipelines suffer from low accuracy, excessive token usage, high latency, and low…

In this paper, we aim to develop a large language model (LLM) with the reasoning ability on complex graph data. Currently, LLMs have achieved very impressive performance on various natural language learning tasks, extensions of which have…

Artificial Intelligence · Computer Science 2023-05-12 Jiawei Zhang

Reasoning about time and temporal relations is an integral aspect of human cognition, essential for perceiving the world and navigating our experiences. Though large language models (LLMs) have demonstrated impressive performance in many…

Computation and Language · Computer Science 2024-11-19 Xinliang Frederick Zhang , Nick Beauchamp , Lu Wang

Image-to-text radiology report generation aims to automatically produce radiology reports that describe the findings in medical images. Most existing methods focus solely on the image data, disregarding the other patient information…

Computer Vision and Pattern Recognition · Computer Science 2023-11-21 Nurbanu Aksoy , Serge Sharoff , Selcuk Baser , Nishant Ravikumar , Alejandro F Frangi

Vision-language models (VLMs) have recently shown remarkable zero-shot performance in medical image understanding, yet their grounding ability, the extent to which textual concepts align with visual evidence, remains underexplored. In the…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Haozhe Luo , Shelley Zixin Shu , Ziyu Zhou , Sebastian Otalora , Mauricio Reyes

Large Language Models (LLMs) show strong reasoning ability in open-domain question answering, yet their reasoning processes are typically linear and often logically inconsistent. In contrast, real-world reasoning requires integrating…

Computation and Language · Computer Science 2026-01-21 Yingjian Chen , Haoran Liu , Yinhong Liu , Sherry T. Tong , Aosong Feng , Jinghui Lu , Juntao Zhang , Yusuke Iwasawa , Yutaka Matsuo , Irene Li

Temporal knowledge graphs (TKGs) support reasoning over time-evolving facts, yet state-of-the-art models are often computationally heavy and costly to deploy. Existing compression and distillation techniques are largely designed for static…

Computation and Language · Computer Science 2026-02-17 Wang Xing , Wei Song , Siyu Lin , Chen Wu , Man Wang

LLMs can solve complex tasks by generating long, multi-step reasoning chains. Test-time scaling (TTS) can further improve performance by sampling multiple variants of intermediate reasoning steps, verifying their correctness, and selecting…

Test-time scaling (TTS) -- the dynamic allocation of compute during inference -- is a promising direction for improving reasoning in large language models (LLMs). However, a systematic comparison of well-known TTS strategies under identical…

Computation and Language · Computer Science 2025-12-02 Aradhye Agarwal , Ayan Sengupta , Tanmoy Chakraborty

Test-time scaling (TTS) has been shown to improve the performance of large language models (LLMs) by sampling and aggregating diverse reasoning paths. However, existing research has overlooked a critical issue: selection bias of reasoning…

Artificial Intelligence · Computer Science 2025-09-24 Zongqian Wu , Baoduo Xu , Tianyu Li , Zhu Sun , Xiaofeng Zhu , Lei Feng

Longitudinal chest X-ray (CXR) interpretation requires reasoning over disease evolution across multiple patient visits, yet most existing medical VQA benchmarks focus on single images or short-horizon image pairs. We introduce MI-CXR, a…

Computer Vision and Pattern Recognition · Computer Science 2026-05-18 Sunghwan Steve Cho , Yunseok Han , Jaeyoung Do

In recent years, video question answering based on multimodal large language models (MLLM) has garnered considerable attention, due to the benefits from the substantial advancements in LLMs. However, these models have a notable deficiency…

Computer Vision and Pattern Recognition · Computer Science 2025-10-17 Jinglei Zhang , Yuanfan Guo , Rolandos Alexandros Potamias , Jiankang Deng , Hang Xu , Chao Ma

Large Vision-Language Models (LVLMs) have shown exceptional performance in multimodal tasks, but their effectiveness in complex visual reasoning is still constrained, especially when employing Chain-of-Thought prompting techniques. In this…

Computer Vision and Pattern Recognition · Computer Science 2025-06-11 Congzhi Zhang , Jiawei Peng , Zhenglin Wang , Yilong Lai , Haowen Sun , Heng Chang , Fei Ma , Weijiang Yu

In knowledge-intensive tasks, especially in high-stakes domains like medicine and law, it is critical not only to retrieve relevant information but also to provide causal reasoning and explainability. Large language models (LLMs) have…

Artificial Intelligence · Computer Science 2025-03-18 Hang Luo , Jian Zhang , Chujun Li