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We present a Collaborative Agent-Based Framework for Multi-Image Reasoning. Our approach tackles the challenge of interleaved multimodal reasoning across diverse datasets and task formats by employing a dual-agent system: a language-based…

Computer Vision and Pattern Recognition · Computer Science 2025-08-04 Angelos Vlachos , Giorgos Filandrianos , Maria Lymperaiou , Nikolaos Spanos , Ilias Mitsouras , Vasileios Karampinis , Athanasios Voulodimos

Large language models (LLMs) show promise in medical diagnosis, but real-world deployment remains challenging due to high-stakes clinical decisions and imperfect reasoning reliability. As a result, careful inspection of model behavior is…

Computation and Language · Computer Science 2026-04-28 Yurui Xiang , Xingyi Mao , Rui Sheng , Zixin Chen , Zelin Zang , Yuyang Wu , Haipeng Zeng , Huamin Qu , Yushi Sun , Yanna Lin

Basal cell carcinoma (BCC) accounts for about 75% of skin cancers. The adoption of teledermatology protocols in Spanish public hospitals has increased dermatologists' workload, motivating the development of AI tools for lesion…

Machine Learning · Computer Science 2026-03-17 Iván Matas , Carmen Serrano , Francisca Silva , Amalia Serrano , Tomás Toledo-Pastrana , Begoña Acha

Advances in AI have introduced several strong models in computational pathology to usher it into the era of multi-modal diagnosis, analysis, and interpretation. However, the current pathology-specific visual language models still lack…

The reasoning gap between large and compact vision-language models (VLMs) limits the deployment of medical AI on portable clinical devices. Compact VLMs of 2--4B parameters can run on resource-constrained hardware but lack the multi-step…

Computer Vision and Pattern Recognition · Computer Science 2026-05-12 Runze Ma , Shunbo Jia , Haonan Lyu , Guo Liu , Caizhi Liao

Multimodal large models have shown great potential in automating pathology image analysis. However, current multimodal models for gastrointestinal pathology are constrained by both data quality and reasoning transparency: pervasive noise…

Image and Video Processing · Electrical Eng. & Systems 2025-07-25 Minxi Ouyang , Lianghui Zhu , Yaqing Bao , Qiang Huang , Jingli Ouyang , Tian Guan , Xitong Ling , Jiawen Li , Song Duan , Wenbin Dai , Li Zheng , Xuemei Zhang , Yonghong He

Visual reasoning is critical for a wide range of computer vision tasks that go beyond surface-level object detection and classification. Despite notable advances in relational, symbolic, temporal, causal, and commonsense reasoning, existing…

Computer Vision and Pattern Recognition · Computer Science 2025-08-15 Ayushman Sarkar , Mohd Yamani Idna Idris , Zhenyu Yu

Medical conversational AI (AI) plays a pivotal role in the development of safer and more effective medical dialogue systems. However, existing benchmarks and evaluation frameworks for assessing the information-gathering and diagnostic…

Computation and Language · Computer Science 2026-01-08 Lecheng Gong , Weimin Fang , Ting Yang , Dongjie Tao , Chunxiao Guo , Peng Wei , Bo Xie , Jinqun Guan , Zixiao Chen , Fang Shi , Jinjie Gu , Junwei Liu

Background: Despite the current ubiquity of Large Language Models (LLMs) across the medical domain, there is a surprising lack of studies which address their reasoning behaviour. We emphasise the importance of understanding reasoning…

Computation and Language · Computer Science 2025-07-29 Shamus Sim , Tyrone Chen

The deployment of AI models in clinical practice faces a critical challenge: models achieving expert-level performance on benchmarks can fail catastrophically when confronted with real-world variations in medical imaging. Minor shifts in…

Artificial Intelligence · Computer Science 2025-07-09 Lukas Kuhn , Florian Buettner

Recent advancements in Large Language Models (LLMs) have catalyzed a paradigm shift from static prediction systems to agentic AI agents capable of reasoning, interacting with tools, and adapting to complex tasks. While LLM-based agentic…

Computer Vision and Pattern Recognition · Computer Science 2025-07-24 Nima Fathi , Amar Kumar , Tal Arbel

Although machine learning (ML) models of AI achieve high performances in medicine, they are not free of errors. Empowering clinicians to identify incorrect model recommendations is crucial for engendering trust in medical AI. Explainable AI…

Artificial Intelligence · Computer Science 2022-12-20 Isil Guzey , Ozlem Ucar , Nukhet Aladag Ciftdemir , Betul Acunas

Recent advances in generative models, including large language models (LLMs), vision language models (VLMs), and diffusion models, have accelerated the field of natural language and image processing in medicine and marked a significant…

Ensuring the long-term reliability of AI models in clinical practice requires continuous performance monitoring and corrective actions when degradation occurs. Addressing this need, this manuscript presents ReclAIm, a multi-agent framework…

Multiagent Systems · Computer Science 2025-10-21 Eleftherios Tzanis , Michail E. Klontzas

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical…

Computer Vision and Pattern Recognition · Computer Science 2025-03-05 Beria Chingnabe Kalpelbe , Angel Gabriel Adaambiik , Wei Peng

Recent advances in Vision-Language Models (VLMs) have demonstrated impressive capabilities in perception and reasoning. However, the ability to perform causal inference -- a core aspect of human cognition -- remains underexplored,…

Computation and Language · Computer Science 2025-08-14 Keummin Ka , Junhyeong Park , Jaehyun Jeon , Youngjae Yu

Despite strong performance in medical question-answering, the clinical adoption of Large Language Models (LLMs) is critically hampered by their opaque 'black-box' reasoning, limiting clinician trust. This challenge is compounded by the…

Computer Vision and Pattern Recognition · Computer Science 2025-05-13 Chao Ding , Mouxiao Bian , Pengcheng Chen , Hongliang Zhang , Tianbin Li , Lihao Liu , Jiayuan Chen , Zhuoran Li , Yabei Zhong , Yongqi Liu , Haiqing Huang , Dongming Shan , Junjun He , Jie Xu

In medical visual question answering (Med-VQA), achieving accurate responses relies on three critical steps: precise perception of medical imaging data, logical reasoning grounded in visual input and textual questions, and coherent answer…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Songtao Jiang , Yuan Wang , Ruizhe Chen , Yan Zhang , Ruilin Luo , Bohan Lei , Sibo Song , Yang Feng , Jimeng Sun , Jian Wu , Zuozhu Liu

Complex medical reasoning has historically required frontier language models to achieve clinically-acceptable accuracy, creating computational barriers that limit deployment in resource-constrained clinical settings. We present…

Artificial Intelligence · Computer Science 2026-04-01 Pranav Pushkar Mishra , Mohammad Arvan , Mohan Zalake

The surge in developing deep learning models for diagnosing skin lesions through image analysis is notable, yet their clinical black faces challenges. Current dermatology AI models have limitations: limited number of possible diagnostic…

Computer Vision and Pattern Recognition · Computer Science 2023-11-03 Deval Mehta , Brigid Betz-Stablein , Toan D Nguyen , Yaniv Gal , Adrian Bowling , Martin Haskett , Maithili Sashindranath , Paul Bonnington , Victoria Mar , H Peter Soyer , Zongyuan Ge
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