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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

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…

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

Vision-Language Models (VLMs) have enabled interpretable medical diagnosis by integrating visual perception with linguistic reasoning. Yet, existing medical chain-of-thought (CoT) models lack explicit mechanisms to represent and enforce…

Artificial Intelligence · Computer Science 2026-05-29 Jianxin Lin , Chunzheng Zhu , Peter J. Kneuertz , Yunfei Bai , Yuan Xue

Vision-language models, while effective in general domains and showing strong performance in diverse multi-modal applications like visual question-answering (VQA), struggle to maintain the same level of effectiveness in more specialized…

Computation and Language · Computer Science 2024-04-26 Cuong Nhat Ha , Shima Asaadi , Sanjeev Kumar Karn , Oladimeji Farri , Tobias Heimann , Thomas Runkler

Vision-language models have demonstrated impressive capabilities in general medical visual question answering, yet due to limited interpretability, it remains unclear whether their predictions reflect evidence-grounded clinical reasoning or…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Wen Ma , Fucheng Niu , Zhiting Fan , Zikai Xiao , Jiaxiang Liu , Zuozhu Liu

Spatial reasoning remains a critical yet underdeveloped capability in existing vision-language models (VLMs), especially for Spatial Visual Question Answering (Spatial VQA) tasks that require understanding relative positions, distances, and…

Computer Vision and Pattern Recognition · Computer Science 2025-06-03 Peiyao Wang , Haibin Ling

Vision--Language Models (VLMs) show significant promise for Medical Visual Question Answering (VQA), yet their deployment in clinical settings is hindered by severe vulnerability to adversarial attacks. Standard adversarial training, while…

Artificial Intelligence · Computer Science 2025-12-23 A. A. Gde Yogi Pramana , Jason Ray , Anthony Jaya , Michael Wijaya

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

Existing Multimodal Large Language Models (MLLMs) suffer from increased inference costs due to the additional vision tokens introduced by image inputs. In this work, we propose Visual Consistency Learning (ViCO), a novel training algorithm…

Computer Vision and Pattern Recognition · Computer Science 2025-12-16 Long Cui , Weiyun Wang , Jie Shao , Zichen Wen , Gen Luo , Linfeng Zhang , Yanting Zhang , Yu Qiao , Wenhai Wang

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 advances in vision-language models (VLMs) have demonstrated strong generalization in natural image tasks. However, their performance often degrades on unmanned aerial vehicle (UAV)-based aerial imagery, which features high…

Computer Vision and Pattern Recognition · Computer Science 2026-05-07 Jiajin Guan , Haibo Mei , Bonan Zhang , Dan Liu , Yuanshuang Fu , Yue Zhang

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

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

DeepSeek R1 has significantly advanced complex reasoning for large language models (LLMs). While recent methods have attempted to replicate R1's reasoning capabilities in multimodal settings, they face limitations, including inconsistencies…

Computer Vision and Pattern Recognition · Computer Science 2025-05-28 Zhehan Kan , Yanlin Liu , Kun Yin , Xinghua Jiang , Xin Li , Haoyu Cao , Yinsong Liu , Deqiang Jiang , Xing Sun , Qingmin Liao , Wenming Yang

Medical visual question answering (Med-VQA) is a machine learning task that aims to create a system that can answer natural language questions based on given medical images. Although there has been rapid progress on the general VQA task,…

Computer Vision and Pattern Recognition · Computer Science 2023-09-21 Louisa Canepa , Sonit Singh , Arcot Sowmya

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

Medical Visual Question Answering (MedVQA) presents a significant opportunity to enhance diagnostic accuracy and healthcare delivery by leveraging artificial intelligence to interpret and answer questions based on medical images. In this…

Computer Vision and Pattern Recognition · Computer Science 2024-09-10 Xiaoman Zhang , Chaoyi Wu , Ziheng Zhao , Weixiong Lin , Ya Zhang , Yanfeng Wang , Weidi Xie

Medical vision-language pretraining (VLP) models have recently been investigated for their generalization to diverse downstream tasks. However, current medical VLP methods typically force the model to learn simple and complex concepts…

Computer Vision and Pattern Recognition · Computer Science 2026-03-11 Chenran Zhang , Ruiqi Wu , Tao Zhou , Yi Zhou

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