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Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without…

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

Radiologists highly desire fully automated AI for radiology report generation (R2G), yet existing approaches fall short in clinical utility. Reinforcement learning (RL) holds potential to address these shortcomings, but its adoption in this…

Computer Vision and Pattern Recognition · Computer Science 2026-03-05 Zilin Lu , Ruifeng Yuan , Weiwei Cao , Wanxing Chang , Zhongyu Wei , Sinuo Wang , Yong Xia , Ling Zhang , Jianpeng Zhang

Radiology report generation (RRG) aims to automatically produce clinically faithful reports from chest X-ray images. Prevailing work typically follows a scale-driven paradigm, by multi-stage training over large paired corpora and oversized…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Zhuoxiao Chen , Hongyang Yu , Ying Xu , Yadan Luo , Long Duong , Yuan-Fang Li

Reinforcement learning with verifiable reward has recently emerged as a central paradigm for post-training large language models (LLMs); however, prevailing mean-based methods, such as Group Relative Policy Optimization (GRPO), suffer from…

Machine Learning · Computer Science 2025-10-02 Tao Ren , Jinyang Jiang , Hui Yang , Wan Tian , Minhao Zou , Guanghao Li , Zishi Zhang , Qinghao Wang , Shentao Qin , Yanjun Zhao , Rui Tao , Hui Shao , Yijie Peng

Large Language Models (LLMs) have shown promise in solving complex mathematical problems, yet they still fall short of producing accurate and consistent solutions. Reinforcement Learning (RL) is a framework for aligning these models with…

Artificial Intelligence · Computer Science 2026-02-10 Ali Hatamizadeh , Shrimai Prabhumoye , Igor Gitman , Ximing Lu , Seungju Han , Wei Ping , Yejin Choi , Jan Kautz

Medical artificial intelligence systems have achieved remarkable diagnostic capabilities, yet they consistently exhibit performance disparities across demographic groups, causing real-world harm to underrepresented populations. While recent…

Machine Learning · Computer Science 2025-10-24 Shiqi Dai , Wei Dai , Jiaee Cheong , Paul Pu Liang

Recent Reinforcement Learning (RL) advances for Large Language Models (LLMs) have improved reasoning tasks, yet their resource-constrained application to medical imaging remains underexplored. We introduce ChexReason, a vision-language…

Reinforcement learning is widely used to improve the reasoning ability of large language models, especially when answers can be automatically checked. Standard GRPO-style training updates the model using only the current step, while full…

Machine Learning · Computer Science 2026-05-11 Ismam Nur Swapnil , Aranya Saha , Tanvir Ahmed Khan , Mohammad Ariful Haque , Ser-Nam Lim

Reinforcement learning from verifiable rewards (RLVR) is an emerging paradigm for improving the reasoning ability of large language models. However, standard on-policy training discards rollout experiences after a single update, leading to…

Machine Learning · Computer Science 2026-03-03 Runzhe Zhan , Yafu Li , Zhi Wang , Xiaoye Qu , Dongrui Liu , Jing Shao , Derek F. Wong , Yu Cheng

Large language models (LLMs) trained via pretraining and supervised fine-tuning (SFT) can still produce harmful and misaligned outputs, or struggle in domains like math and coding. Reinforcement learning (RL)-based post-training methods,…

Computation and Language · Computer Science 2026-05-19 Zhichao Wang , Kiran Ramnath , Bin Bi , Shiva Kumar Pentyala , Sougata Chaudhuri , Shubham Mehrotra , Zixu , Zhu , Xiang-Bo Mao , Sitaram Asur , Na , Cheng

To reduce doctors' workload, deep-learning-based automatic medical report generation has recently attracted more and more research efforts, where attention mechanisms and reinforcement learning are integrated with the classic…

Computation and Language · Computer Science 2020-11-17 Wenting Xu , Chang Qi , Zhenghua Xu , Thomas Lukasiewicz

Building speech deepfake detection models that are generalizable to unseen attacks remains a challenging problem. Although the field has shifted toward a pre-training and fine-tuning paradigm using speech foundation models, most approaches…

Audio and Speech Processing · Electrical Eng. & Systems 2026-03-04 Xin Wang , Ge Wanying , Junichi Yamagishi

Recent reinforcement learning (RL) approaches have advanced radiology report generation (RRG), yet two core limitations persist: (1) report-level rewards offer limited evidence-grounded guidance for clinical faithfulness; and (2) current…

Machine Learning · Computer Science 2026-04-16 Qin Zhou , Guoyan Liang , Qianyi Yang , Jingyuan Chen , Sai Wu , Chang Yao , Zhe Wang

Fine-tuning pre-trained generative models with Reinforcement Learning (RL) has emerged as an effective approach for aligning outputs more closely with nuanced human preferences. In this paper, we investigate the application of Group…

Computer Vision and Pattern Recognition · Computer Science 2025-07-01 Matteo Gallici , Haitz Sáez de Ocáriz Borde

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it…

Computation and Language · Computer Science 2025-05-21 Wenhui Zhu , Xuanzhao Dong , Xin Li , Peijie Qiu , Xiwen Chen , Abolfazl Razi , Aris Sotiras , Yi Su , Yalin Wang

Aligning large language models (LLMs) with human values and safety constraints is challenging, especially when objectives like helpfulness, truthfulness, and avoidance of harm conflict. Reinforcement Learning from Human Feedback (RLHF) has…

Computation and Language · Computer Science 2025-03-31 Xuying Li , Zhuo Li , Yuji Kosuga , Victor Bian

Radiography Report Generation (RRG) has gained significant attention in medical image analysis as a promising tool for alleviating the growing workload of radiologists. However, despite numerous advancements, existing methods have yet to…

Computer Vision and Pattern Recognition · Computer Science 2025-09-29 Valentin Samokhin , Boris Shirokikh , Mikhail Goncharov , Dmitriy Umerenkov , Maksim Bobrin , Ivan Oseledets , Dmitry Dylov , Mikhail Belyaev

RL-based post-training with GRPO is widely used to improve large language models on individual reasoning tasks. However, real-world deployment requires reliable performance across diverse tasks. A straightforward multi-task adaptation of…

Unified models capable of interleaved generation have emerged as a promising paradigm, with the community increasingly converging on autoregressive modeling for text and flow matching for image generation. To advance this direction, we…

Computer Vision and Pattern Recognition · Computer Science 2026-03-25 Jie Liu , Zilyu Ye , Linxiao Yuan , Shenhan Zhu , Yu Gao , Jie Wu , Kunchang Li , Xionghui Wang , Xiaonan Nie , Weilin Huang , Wanli Ouyang
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