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Latent reasoning enables reasoning over continuous hidden states rather than explicit tokens, avoiding the language bottleneck and inference overhead of chain-of-thought for medical VQA. However, existing methods suffer from modality…

Computer Vision and Pattern Recognition · Computer Science 2026-05-28 Qiaoru Li , Shaotian Liang , Jintao Chen , Haoran Sun , Yuxiang Cai , Jianwei Yin , Yankai Jiang

Medical AI systems face two fundamental limitations. First, conventional vision-language models (VLMs) perform single-pass inference, yielding black-box predictions that cannot be audited or explained in clinical terms. Second, iterative…

Computer Vision and Pattern Recognition · Computer Science 2026-03-26 Nicanor Mayumu , Zeenath Khan , Melodena Stephens , Patrick Mukala , Farhad Oroumchian

While Large Language Models (LLMs) excel at reasoning on text and Vision-Language Models (VLMs) are highly effective for visual perception, applying those models for visual instruction-based planning remains a widely open problem. In this…

Machine Learning · Computer Science 2025-09-11 Mohamed Salim Aissi , Clemence Grislain , Mohamed Chetouani , Olivier Sigaud , Laure Soulier , Nicolas Thome

Inducing reasoning in multimodal large language models (MLLMs) is critical for achieving human-level perception and understanding. Existing methods mainly leverage LLM reasoning to analyze parsed visuals, often limited by static perception…

Computer Vision and Pattern Recognition · Computer Science 2025-09-26 Ziang Yan , Xinhao Li , Yinan He , Zhengrong Yue , Xiangyu Zeng , Yali Wang , Yu Qiao , Limin Wang , Yi Wang

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

In the field of multimodal chain-of-thought (CoT) reasoning, existing approaches predominantly rely on reasoning on pure language space, which inherently suffers from language bias and is largely confined to math or science domains. This…

Computer Vision and Pattern Recognition · Computer Science 2026-05-04 Jiacong Wang , Zijian Kang , Haochen Wang , Haiyong Jiang , Jiawen Li , Bohong Wu , Ya Wang , Jiao Ran , Xiao Liang , Chao Feng , Jun Xiao

As textual reasoning with large language models (LLMs) has advanced significantly, there has been growing interest in enhancing the multimodal reasoning capabilities of large vision-language models (LVLMs). However, existing methods…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Junfei Wu , Jian Guan , Kaituo Feng , Qiang Liu , Shu Wu , Liang Wang , Wei Wu , Tieniu Tan

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

Despite recent advancements in Multi-modal Large Language Models (MLLMs) on diverse understanding tasks, these models struggle to solve problems which require extensive multi-step reasoning. This is primarily due to the progressive dilution…

Computer Vision and Pattern Recognition · Computer Science 2026-05-13 Byungwoo Jeon , Yoonwoo Jeong , Hyunseok Lee , Minsu Cho , Jinwoo Shin

Answering complex visual questions like `Which red furniture can be used for sitting?' requires multi-step reasoning, including object recognition, attribute filtering, and relational understanding. Recent work improves interpretability in…

Computer Vision and Pattern Recognition · Computer Science 2025-05-14 Yu Cheng , Arushi Goel , Hakan Bilen

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

Reinforcement learning (RL) has proven highly effective in eliciting the reasoning capabilities of large language models (LLMs). Inspired by this success, recent studies have explored applying similar techniques to vision-language models…

Computer Vision and Pattern Recognition · Computer Science 2025-10-20 Yan Chen , Long Li , Teng Xi , Long Zeng , Jingdong Wang

Recent progress in Vision Language Models (VLMs) has raised the question of whether they can reliably perform nonverbal reasoning. To this end, we introduce VRIQ (Visual Reasoning IQ), a novel benchmark designed to assess and analyze the…

Computer Vision and Pattern Recognition · Computer Science 2026-02-06 Tina Khezresmaeilzadeh , Jike Zhong , Konstantinos Psounis

Vision-Language Models (VLMs) offer the ability to generate high-level, interpretable descriptions of complex activities from images and videos, making them valuable for situational awareness (SA) applications. In such settings, the focus…

Computer Vision and Pattern Recognition · Computer Science 2026-01-19 Pavana Pradeep , Krishna Kant , Suya Yu

Vision-language models (VLMs) excel at multimodal understanding, yet their text-only decoding forces them to verbalize visual reasoning, limiting performance on tasks that demand visual imagination. Recent attempts train VLMs to render…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Zeyuan Yang , Xueyang Yu , Delin Chen , Maohao Shen , Chuang Gan

Vision-Language Models (VLMs) have recently gained attention due to their competitive performance on multiple downstream tasks, achieved by following user-input instructions. However, VLMs still exhibit several limitations in visual…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Simone Alghisi , Gabriel Roccabruna , Massimo Rizzoli , Seyed Mahed Mousavi , Giuseppe Riccardi

Large pre-trained vision and language models have demonstrated remarkable capacities for various tasks. However, solving the knowledge-based visual reasoning tasks remains challenging, which requires a model to comprehensively understand…

Computer Vision and Pattern Recognition · Computer Science 2023-01-13 Zhenfang Chen , Qinhong Zhou , Yikang Shen , Yining Hong , Hao Zhang , Chuang Gan

Vision language models (VLMs) have shown impressive capabilities across a variety of tasks, from logical reasoning to visual understanding. This opens the door to richer interaction with the world, for example robotic control. However, VLMs…

Large vision-language models (VLMs) often benefit from chain-of-thought (CoT) prompting in general domains, yet its efficacy in medical vision-language tasks remains underexplored. We report a counter-intuitive trend: on medical visual…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Yuan Wu , Zongxian Yang , Jiayu Qian , Songpan Gao , Guanxing Chen , Qiankun Li , Yu-An Huang , Zhi-An Huang

Recent advancements in multimodal reward models (RMs) have substantially improved post-training for visual generative models. However, current RMs face inherent limitations: (1) visual inputs consume large context budgets, forcing fewer…

Computer Vision and Pattern Recognition · Computer Science 2026-03-23 Qunzhong Wang , Jie Liu , Jiajun Liang , Yilei Jiang , Yuanxing Zhang , Yaozhi Zheng , Xintao Wang , Pengfei Wan , Xiangyu Yue , Jiaheng Liu
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