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Vision--language models (VLMs) are increasingly aligned via Group Relative Policy Optimization (GRPO)-style training. However, relying solely on terminal outcome rewards yields sparse credit assignment in multi-step reasoning, weakening the…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Feiding , Yongkang Zhang , Yuhao Liao , Zijian Zeng , Chunzheng Zhu , Yaozong Zheng , Yafei Liu , Yeling Peng , Youwei Wang , Sibo Wang , Huiming Yang , Linglin Liao , Shunzhi Yang

Medical Vision-Language Models (VLMs) hold immense promise for complex clinical tasks, but their reasoning capabilities are often constrained by text-only paradigms that fail to ground inferences in visual evidence. This limitation not only…

Computer Vision and Pattern Recognition · Computer Science 2026-04-10 Zheng Jiang , Heng Guo , Chengyu Fang , Changchen Xiao , Xinyang Hu , Lifeng Sun , Minfeng Xu

Medical Visual Question Answering (MedVQA) enables natural language queries over medical images to support clinical decision-making and patient care. The MEDIQA-WV 2025 shared task addressed wound-care VQA, requiring systems to generate…

Computation and Language · Computer Science 2025-10-17 A H M Rezaul Karim , Ozlem Uzuner

Large Vision-Language Models (LVLMs) have shown significant potential in assisting medical diagnosis by leveraging extensive biomedical datasets. However, the advancement of medical image understanding and reasoning critically depends on…

Computer Vision and Pattern Recognition · Computer Science 2024-10-28 Guohao Sun , Can Qin , Huazhu Fu , Linwei Wang , Zhiqiang Tao

Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training…

Computation and Language · Computer Science 2025-10-03 Ismam Nur Swapnil , Aranya Saha , Tanvir Ahmed Khan , Mohammad Ariful Haque

Large Vision-Language Models (LVLMs) have exhibited strong reasoning capabilities through chain-of-thought mechanisms that generate step-by-step rationales. However, such slow-thinking approaches often lead to overthinking, where models…

Computer Vision and Pattern Recognition · Computer Science 2026-04-16 Xingjian Diao , Zheyuan Liu , Chunhui Zhang , Weiyi Wu , Keyi Kong , Lin Shi , Kaize Ding , Soroush Vosoughi , Jiang Gui

Complex Visual Question Answering (Complex VQA) tasks, which demand sophisticated multi-modal reasoning and external knowledge integration, present significant challenges for existing large vision-language models (LVLMs) often limited by…

Computer Vision and Pattern Recognition · Computer Science 2025-08-12 Jingwei Peng , Jiehao Chen , Mateo Alejandro Rojas , Meilin Zhang

Recent advances of Reinforcement Learning (RL) have highlighted its potential in complex reasoning tasks, yet effective training often relies on external supervision, which limits the broader applicability. In this work, we propose a novel…

Artificial Intelligence · Computer Science 2025-06-11 Kongcheng Zhang , Qi Yao , Shunyu Liu , Yingjie Wang , Baisheng Lai , Jieping Ye , Mingli Song , Dacheng Tao

Clinical reasoning in medicine is a hypothesis-driven process where physicians refine diagnoses from limited information through targeted history, physical examination, and diagnostic investigations. In contrast, current medical benchmarks…

Machine Learning · Computer Science 2025-10-14 Christopher Chiu , Silviu Pitis , Mihaela van der Schaar

Despite the impressive performance of vision-language models (VLMs) on downstream tasks, their ability to understand and reason about causal relationships in visual inputs remains unclear. Robust causal reasoning is fundamental to solving…

Computation and Language · Computer Science 2026-02-05 Zhaotian Weng , Haoxuan Li , Xin Eric Wang , Kuan-Hao Huang , Jieyu Zhao

In recent years, significant progress has been made in the field of surgical scene understanding, particularly in the task of Visual Question Localized-Answering in robotic surgery (Surgical-VQLA). However, existing Surgical-VQLA models…

Computer Vision and Pattern Recognition · Computer Science 2025-06-25 Pengfei Hao , Shuaibo Li , Hongqiu Wang , Zhizhuo Kou , Junhang Zhang , Guang Yang , Lei Zhu

Medical Visual Question Answering (Med-VQA) holds significant potential for clinical decision support, yet existing efforts primarily focus on 2D imaging with limited task diversity. This paper presents 3D-RAD, a large-scale dataset…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Xiaotang Gai , Jiaxiang Liu , Yichen Li , Zijie Meng , Jian Wu , Zuozhu Liu

Vision-Language Foundation Models (VLFM) have shown a tremendous increase in performance in terms of generating high-resolution, photorealistic natural images. While VLFMs show a rich understanding of semantic content across modalities,…

Computer Vision and Pattern Recognition · Computer Science 2025-07-08 Parham Saremi , Amar Kumar , Mohamed Mohamed , Zahra TehraniNasab , Tal Arbel

Vision language models (VLMs) achieve strong performance on general image understanding but struggle to think with medical images, especially when performing multi-step reasoning through iterative visual interaction. Medical VLMs often rely…

Computer Vision and Pattern Recognition · Computer Science 2026-01-13 Meng Lu , Yuxing Lu , Yuchen Zhuang , Megan Mullins , Yang Xie , Guanghua Xiao , Charles Fleming , Wenqi Shi , Xuan Wang

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Zonghai Yao , Benlu Wang , Yifan Zhang , Junda Wang , Iris Xia , Zhipeng Tang , Shuo Han , Feiyun Ouyang , Zhichao Yang , Arman Cohan , Hong Yu

Learning general-purpose reasoning capabilities has long been a challenging problem in AI. Recent research in large language models (LLMs), such as DeepSeek-R1, has shown that reinforcement learning techniques like GRPO can enable…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Jiaer Xia , Yuhang Zang , Peng Gao , Sharon Li , Kaiyang Zhou

Clinical decision-making routinely demands reasoning over heterogeneous data, yet existing multimodal language models (MLLMs) remain largely vision-centric and fail to generalize across clinical specialties. To bridge this gap, we introduce…

Machine Learning · Computer Science 2025-10-23 Wei Dai , Peilin Chen , Chanakya Ekbote , Paul Pu Liang

Recent reinforcement learning approaches, such as outcome-supervised GRPO, have advanced Chain-of-Thought reasoning in large language models (LLMs), yet their adaptation to multimodal LLMs (MLLMs) is unexplored. To address the lack of…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Yi Chen , Yuying Ge , Rui Wang , Yixiao Ge , Junhao Cheng , Ying Shan , Xihui Liu

Vision language models (VLMs) have achieved impressive performance across a variety of computer vision tasks. However, the multimodal reasoning capability has not been fully explored in existing models. In this paper, we propose a…

Computer Vision and Pattern Recognition · Computer Science 2025-12-08 Xintong Zhang , Zhi Gao , Bofei Zhang , Pengxiang Li , Xiaowen Zhang , Yang Liu , Tao Yuan , Yuwei Wu , Yunde Jia , Song-Chun Zhu , Qing Li

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical,…

Computation and Language · Computer Science 2026-04-13 Xiaohan Ren , Chenxiao Fan , Wenyin Ma , Hongliang He , Chongming Gao , Xiaoyan Zhao , Fuli Feng