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Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness…

Quantitative Methods · Quantitative Biology 2025-10-08 Anni Tziakouri , Filippo Menolascina

Vision-language models achieve expert-level performance on medical imaging tasks but exhibit significant diagnostic accuracy disparities across demographic groups. We introduce fairness-aware Low-Rank Adaptation for medical VLMs, combining…

Computer Vision and Pattern Recognition · Computer Science 2026-03-11 Zijian Gu , Yuxi Liu , Zhenhao Zhang , Song Wang

The evolution of Large Language Models (LLMs) has catalyzed a paradigm shift from superficial instruction following to rigorous long-horizon reasoning. While Group Relative Policy Optimization (GRPO) has emerged as a pivotal mechanism for…

Artificial Intelligence · Computer Science 2026-01-01 Xuan Xie , Xuan Wang , Wenjie Wang , Shuai Chen , Wei Lin

While powerful in image-conditioned generation, multimodal large language models (MLLMs) can display uneven performance across demographic groups, highlighting fairness risks. In safety-critical clinical settings, such disparities risk…

Computer Vision and Pattern Recognition · Computer Science 2026-03-30 Mahesh Bhosale , Abdul Wasi , Shantam Srivastava , Shifa Latif , Tianyu Luan , Mingchen Gao , David Doermann , Xuan Gong

Multi-label classification (MLC) often suffers from performance disparities across labels. We propose \textbf{FairPO}, a framework combining preference-based loss and group-robust optimization to improve fairness by targeting…

Machine Learning · Computer Science 2025-12-01 Soumen Kumar Mondal , Prateek Chanda , Akshit Varmora , Ganesh Ramakrishnan

Group Relative Policy Optimization (GRPO) has recently emerged as an effective approach for improving the reasoning capabilities of large language models through online multi-objective reinforcement learning. While personalization on…

Machine Learning · Computer Science 2026-02-03 Ziyao Wang , Daeun Jung , Yexiao He , Guoheng Sun , Zheyu Shen , Myungjin Lee , Ang Li

Recent advances in large language models (LLMs) have shown strong reasoning capabilities through large-scale pretraining and post-training reinforcement learning, demonstrated by DeepSeek-R1. However, current post-training methods, such as…

Artificial Intelligence · Computer Science 2025-12-04 Boyang Gu , Hongjian Zhou , Bradley Max Segal , Jinge Wu , Zeyu Cao , Hantao Zhong , Lei Clifton , Fenglin Liu , David A. Clifton

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

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 (RL) has proven effective in strengthening the reasoning capabilities of large language models (LLMs). A widely adopted method, Group Relative Policy Optimization (GRPO), has shown strong empirical results in training…

Machine Learning · Computer Science 2026-03-11 Peter Chen , Xiaopeng Li , Ziniu Li , Xi Chen , Tianyi Lin

Radiology report generation requires advanced medical image analysis, effective temporal reasoning, and accurate text generation. Although recent innovations, particularly multimodal large language models, have shown improved performance,…

Computation and Language · Computer Science 2025-11-11 Kai Zhang , Christopher Malon , Lichao Sun , Martin Renqiang Min

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

Fairness remains a critical concern in healthcare, where unequal access to services and treatment outcomes can adversely affect patient health. While Federated Learning (FL) presents a collaborative and privacy-preserving approach to model…

Computers and Society · Computer Science 2025-08-05 Minghan Li , Congcong Wen , Yu Tian , Min Shi , Yan Luo , Hao Huang , Yi Fang , Mengyu Wang

Reinforcement learning from verifiable rewards has emerged as a powerful technique for enhancing the complex reasoning abilities of Large Language Models (LLMs). However, these methods are fundamentally constrained by the ''learning cliff''…

Computation and Language · Computer Science 2026-03-03 Xichen Zhang , Sitong Wu , Yinghao Zhu , Haoru Tan , Shaozuo Yu , Ziyi He , Jiaya Jia

Reinforcement Learning with Verifiable Rewards (RLVR) has demonstrated notable success in enhancing the reasoning performance of large language models (LLMs). However, recent studies reveal that while current RLVR methods improve sampling…

Artificial Intelligence · Computer Science 2026-05-08 Yang Xu , Kun Yao , Yiming Deng , Zheng Fang , Kai Ming Ting , Ming Pang

Recent advances in parameter-efficient fine-tuning methods, such as Low Rank Adaptation (LoRA), have gained significant attention for their ability to efficiently adapt large foundational models to various downstream tasks. These methods…

Artificial Intelligence · Computer Science 2024-10-24 Rohan Sukumaran , Aarash Feizi , Adriana Romero-Sorian , Golnoosh Farnadi

Reinforcement learning (RL) has emerged as an effective approach for enhancing the reasoning capabilities of large language models (LLMs), especially in scenarios where supervised fine-tuning (SFT) falls short due to limited…

Machine Learning · Computer Science 2026-04-15 Jian Xiong , Jingbo Zhou , Jingyong Ye , Qiang Huang , Dejing Dou

Improving and understanding the training dynamics and reasoning of Large Language Models (LLMs) has become essential for their deployment in AI-based security tools, such as software vulnerability detection. In this work, we present an…

Cryptography and Security · Computer Science 2025-07-08 Marco Simoni , Aleksandar Fontana , Giulio Rossolini , Andrea Saracino

Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training…

Computation and Language · Computer Science 2025-10-03 Ismam Nur Swapnil , Aranya Saha , Tanvir Ahmed Khan , Mohammad Ariful Haque

Large vision-language models struggle with medical video understanding, where spatial precision, temporal reasoning, and clinical semantics are critical. To address this, we first introduce \textbf{MedVidBench}, a large-scale benchmark of…

Computer Vision and Pattern Recognition · Computer Science 2026-04-09 Yuhao Su , Anwesa Choudhuri , Zhongpai Gao , Benjamin Planche , Van Nguyen Nguyen , Meng Zheng , Yuhan Shen , Arun Innanje , Terrence Chen , Ehsan Elhamifar , Ziyan Wu
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