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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

While large language models show promise in medical applications, achieving expert-level clinical reasoning remains challenging due to the need for both accurate answers and transparent reasoning processes. To address this challenge, we…

Machine Learning · Computer Science 2025-09-22 Chi Liu , Derek Li , Yan Shu , Robin Chen , Derek Duan , Teng Fang , Bryan Dai

Recent advances in reinforcement learning with verifiable, rule-based rewards have greatly enhanced the reasoning capabilities and out-of-distribution generalization of VLMs/LLMs, obviating the need for manually crafted reasoning chains.…

Artificial Intelligence · Computer Science 2025-05-27 Shaohao Rui , Kaitao Chen , Weijie Ma , Xiaosong Wang

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

Medical Anomaly Detection (MedAD) presents a significant opportunity to enhance diagnostic accuracy using Large Multimodal Models (LMMs) to interpret and answer questions based on medical images. However, the reliance on Supervised…

Computer Vision and Pattern Recognition · Computer Science 2026-02-03 Haitao Zhang , Yingying Wang , Jiaxiang Wang , Haote Xu , Hongyang Zhang , Yirong Chen , Yue Huang , Xinghao Ding

Vision-language models (VLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored. Medical vision-language tasks demand precise understanding and clinically coherent…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Yuxiang Lai , Jike Zhong , Ming Li , Shitian Zhao , Yuheng Li , Konstantinos Psounis , Xiaofeng Yang

Medical visual grounding serves as a crucial foundation for fine-grained multimodal reasoning and interpretable clinical decision support. Despite recent advances in reinforcement learning (RL) for grounding tasks, existing approaches such…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Guangjing Yang , Ziyuan Qin , Chaoran Zhang , Chenlin Du , Jinlin Wang , Wanran Sun , Zhenyu Zhang , Bing Ji , Qicheng Lao

Accurate disease classification from radiology reports is essential for many applications. While supervised fine-tuning (SFT) of lightweight LLMs improves accuracy, it can degrade reasoning. We propose a two-stage approach: SFT on disease…

Artificial Intelligence · Computer Science 2026-04-22 Yishu Wei , Yi Lin , Adam Flanders , George Shih , Yifan Peng

In medical scenarios, effectively retrieving external knowledge and leveraging it for rigorous logical reasoning is of significant importance. Despite their potential, existing work has predominantly focused on enhancing either retrieval or…

Computation and Language · Computer Science 2026-01-21 Keer Lu , Zheng Liang , Youquan Li , Jiejun Tan , Xili Wang , Da Pan , Shusen Zhang , Guosheng Dong , Bin Cui , Yunhuai Liu , Wentao Zhang

Large language models have achieved strong performance on medical reasoning benchmarks, yet their deployment in clinical settings demands rigorous verification to ensure factual accuracy. While reward models offer a scalable approach for…

Artificial Intelligence · Computer Science 2026-01-29 Hang Zhang , Ruheng Wang , Yuelyu Ji , Mingu Kwak , Xizhi Wu , Chenyu Li , Li Zhang , Wenqi Shi , Yifan Peng , Yanshan Wang

The application of Vision-Language Models (VLMs) in medicine is critically hampered by the scarcity of high-quality, expert-annotated data. Supervised Fine-Tuning (SFT) on existing datasets often leads to poor generalization on unseen…

Machine Learning · Computer Science 2025-12-09 Weihai Zhi , Jiayan Guo , Shangyang Li

The rapid spread of multimodal misinformation on social media has raised growing concerns, while research on video misinformation detection remains limited due to the lack of large-scale, diverse datasets. Existing methods often overfit to…

Computer Vision and Pattern Recognition · Computer Science 2025-10-16 Fanrui Zhang , Dian Li , Qiang Zhang , Jun Chen , Gang Liu , Junxiong Lin , Jiahong Yan , Jiawei Liu , Zheng-Jun Zha

While large language models hold promise for complex medical applications, their development is hindered by the scarcity of high-quality reasoning data. To address this issue, existing approaches typically distill chain-of-thought reasoning…

Machine Learning · Computer Science 2026-04-14 Haolin Li , Shuyang Jiang , Ruipeng Zhang , Jiangchao Yao , Ya Zhang , Yanfeng Wang

Existing table understanding methods face challenges due to complex table structures and intricate logical reasoning. While supervised finetuning (SFT) dominates existing research, reinforcement learning (RL), such as Group Relative Policy…

Computation and Language · Computer Science 2026-03-27 Xiaoqiang Kang , Shengen Wu , Zimu Wang , Yilin Liu , Xiaobo Jin , Kaizhu Huang , Wei Wang , Yutao Yue , Xiaowei Huang , Qiufeng Wang

General-purpose large Vision-Language Models (VLMs) demonstrate strong capabilities in generating detailed descriptions for natural images. However, their performance in the medical domain remains suboptimal, even for relatively…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

Recent advances in reasoning-enhanced Large Language Models such as OpenAI-o1/3 and DeepSeek-R1 have significantly improved performance on complex tasks. However, the quality and transparency of their internal reasoning processes remain…

Computation and Language · Computer Science 2025-06-04 Juncheng Wu , Sheng Liu , Haoqin Tu , Hang Yu , Xiaoke Huang , James Zou , Cihang Xie , Yuyin Zhou

Medical Image Grounding (MIG), which involves localizing specific regions in medical images based on textual descriptions, requires models to not only perceive regions but also deduce spatial relationships of these regions. Existing…

Machine Learning · Computer Science 2025-07-08 Huihui Xu , Yuanpeng Nie , Hualiang Wang , Ying Chen , Wei Li , Junzhi Ning , Lihao Liu , Hongqiu Wang , Lei Zhu , Jiyao Liu , Xiaomeng Li , Junjun He

Medical report generation aims to automatically produce radiology-style reports from medical images, supporting efficient and accurate clinical decision-making.However, existing approaches predominately rely on token-level likelihood…

Computation and Language · Computer Science 2026-03-30 Pengyu Wang , Shuchang Ye , Usman Naseem , Jinman Kim

We present a novel framework addressing a critical vulnerability in Large Language Models (LLMs): the prevalence of factual inaccuracies within intermediate reasoning steps despite correct final answers. This phenomenon poses substantial…

Computation and Language · Computer Science 2025-08-05 Rui Jiao , Yue Zhang , Jinku Li

Tabular data serves as the backbone of modern data analysis and scientific research. While Large Language Models (LLMs) fine-tuned via Supervised Fine-Tuning (SFT) have significantly improved natural language interaction with such…

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