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Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Lin Fan , Yafei Ou , Zhipeng Deng , Pengyu Dai , Hou Chongxian , Jiale Yan , Yaqian Li , Kaiwen Long , Xun Gong , Masayuki Ikebe , Yefeng Zheng

Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Soo Yong Kim , Suin Cho , Vincent-Daniel Yun , Gyeongyeon Hwang

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

With the development of generative artificial intelligence and instruction tuning techniques, multimodal large language models (MLLMs) have made impressive progress on general reasoning tasks. Benefiting from the chain-of-thought (CoT)…

Machine Learning · Computer Science 2025-07-03 Junjie Zhou , Yingli Zuo , Shichang Feng , Peng Wan , Qi Zhu , Daoqiang Zhang , Wei Shao

Artificial intelligence (AI) shows great potential in assisting radiologists to improve the efficiency and accuracy of medical image interpretation and diagnosis. However, a versatile AI model requires large-scale data and comprehensive…

Computer Vision and Pattern Recognition · Computer Science 2025-01-27 Zhongyi Shui , Jianpeng Zhang , Weiwei Cao , Sinuo Wang , Ruizhe Guo , Le Lu , Lin Yang , Xianghua Ye , Tingbo Liang , Qi Zhang , Ling Zhang

Artificial intelligence has advanced in Medical Visual Question Answering (Med-VQA), but prevalent research tends to focus on the accuracy of the answers, often overlooking the reasoning paths and interpretability, which are crucial in…

Computer Vision and Pattern Recognition · Computer Science 2024-12-19 Jiaxiang Liu , Yuan Wang , Jiawei Du , Joey Tianyi Zhou , Zuozhu Liu

The clinical translation of dermatological AI is hindered by opaque reasoning and systematic performance disparities across skin tones. Here we present SkinGPT-R1, a multimodal large language model that integrates chain-of-thought…

Computer Vision and Pattern Recognition · Computer Science 2026-02-19 Yuhao Shen , Zhangtianyi Chen , Yuanhao He , Yan Xu , Shuping Zhang , Liyuan Sun , Zijian Wang , Yinghao Zhu , Yuyuan Yang , Jiahe Qian , Ziwen Wang , Xinyuan Zhang , Wenbin Liu , Zongyuan Ge , Tao Lu , Siyuan Yan , Juexiao Zhou

In radiology, Artificial Intelligence (AI) has significantly advanced report generation, but automatic evaluation of these AI-produced reports remains challenging. Current metrics, such as Conventional Natural Language Generation (NLG) and…

Computation and Language · Computer Science 2024-02-20 Qingqing Zhu , Xiuying Chen , Qiao Jin , Benjamin Hou , Tejas Sudharshan Mathai , Pritam Mukherjee , Xin Gao , Ronald M Summers , Zhiyong Lu

Large language models have demonstrated substantial advancements in reasoning capabilities. However, current Vision-Language Models (VLMs) often struggle to perform systematic and structured reasoning, especially when handling complex…

Computer Vision and Pattern Recognition · Computer Science 2025-07-22 Guowei Xu , Peng Jin , Ziang Wu , Hao Li , Yibing Song , Lichao Sun , Li Yuan

As large vision language models (VLMs) advance, their capabilities in multilingual visual question answering (mVQA) have significantly improved. Chain-of-thought (CoT) reasoning has been proven to enhance interpretability and complex…

Computer Vision and Pattern Recognition · Computer Science 2026-04-15 Jing Huang , Zhiya Tan , Shutao Gong , Fanwei Zeng , Joey Tianyi Zhou , Changtao Miao , Huazhe Tan , Weibin Yao , Jianshu Li

The emergence of Large Language Models (LLMs) presents unprecedented opportunities to revolutionize medical contrastive vision-language pre-training. In this paper, we show how LLMs can facilitate large-scale supervised pre-training,…

Computer Vision and Pattern Recognition · Computer Science 2025-09-17 Yingtai Li , Haoran Lai , Xiaoqian Zhou , Shuai Ming , Wenxin Ma , Wei Wei , Shaohua Kevin Zhou

Recent advancements in artificial intelligence (AI) have precipitated significant breakthroughs in healthcare, particularly in refining diagnostic procedures. However, previous studies have often been constrained to limited functionalities.…

Artificial Intelligence · Computer Science 2024-07-08 Asma Alkhaldi , Raneem Alnajim , Layan Alabdullatef , Rawan Alyahya , Jun Chen , Deyao Zhu , Ahmed Alsinan , Mohamed Elhoseiny

Recent advances in reasoning-enhanced large language models (LLMs) and multimodal LLMs (MLLMs) have significantly improved performance in complex tasks, yet medical AI models often overlook the structured reasoning processes inherent in…

Artificial Intelligence · Computer Science 2025-05-22 Ziqing Fan , Cheng Liang , Chaoyi Wu , Ya Zhang , Yanfeng Wang , Weidi Xie

Gastrointestinal diseases impose a growing global health burden, and endoscopy is a primary tool for early diagnosis. However, routine endoscopic image interpretation still suffers from missed lesions and limited efficiency. Although…

Computer Vision and Pattern Recognition · Computer Science 2026-04-08 Peixi Peng , Housheng Xie , Yanling Wei , Guangcong Ruan , Xiaoyang Zou , Qian Cao , Yongjian Nian , Guoyan Zheng

Medical Vision-Language Models have shown promising potential in clinical decision support, yet they remain prone to factual hallucinations due to insufficient grounding in localized pathological evidence. Existing medical alignment methods…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Xiwei Liu , Yulong Li , Xinlin Zhuang , Xuhui Li , Jianxu Chen , Haolin Yang , Imran Razzak , Yutong Xie

Oversight AI is an emerging concept in radiology where the AI forms a symbiosis with radiologists by continuously supporting radiologists in their decision-making. Recent advances in vision-language models sheds a light on the long-standing…

Image and Video Processing · Electrical Eng. & Systems 2023-04-13 Sangjoon Park , Eun Sun Lee , Kyung Sook Shin , Jeong Eun Lee , Jong Chul Ye

Chest X-ray imaging is crucial for diagnosing pulmonary and cardiac diseases, yet its interpretation demands extensive clinical experience and suffers from inter-observer variability. While deep learning models offer high diagnostic…

Computer Vision and Pattern Recognition · Computer Science 2025-08-19 Chee Ng , Liliang Sun , Shaoqing Tang

Artificial intelligence holds great promise for expanding access to expert medical knowledge and reasoning. However, most evaluations of language models rely on static vignettes and multiple-choice questions that fail to reflect the…

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