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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

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this…

Artificial intelligence (AI)-based chest X-ray (CXR) interpretation assistants have demonstrated significant progress and are increasingly being applied in clinical settings. However, contemporary medical AI models often adhere to a…

Computer Vision and Pattern Recognition · Computer Science 2025-05-30 Jinquan Guan , Qi Chen , Lizhou Liang , Yuhang Liu , Vu Minh Hieu Phan , Minh-Son To , Jian Chen , Yutong Xie

Vision-language models (VLMs) have recently shown remarkable zero-shot performance in medical image understanding, yet their grounding ability, the extent to which textual concepts align with visual evidence, remains underexplored. In the…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Haozhe Luo , Shelley Zixin Shu , Ziyu Zhou , Sebastian Otalora , Mauricio Reyes

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

Vision-language models (VLMs) have recently demonstrated strong efficacy as visual assistants that can parse natural queries about the visual content and generate human-like outputs. In this work, we explore the ability of these models to…

Computation and Language · Computer Science 2024-03-21 Yangyi Chen , Karan Sikka , Michael Cogswell , Heng Ji , Ajay Divakaran

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

Chest X-rays (CXRs) are among the most frequently performed imaging examinations worldwide, yet rising imaging volumes increase radiologist workload and the risk of diagnostic errors. Although artificial intelligence (AI) systems have shown…

Chain-of-thought (CoT) reasoning in vision language models (VLMs) is crucial for improving interpretability and trustworthiness. However, current training recipes lack robust CoT reasoning data, relying on datasets dominated by short…

Artificial Intelligence · Computer Science 2024-10-22 Ruohong Zhang , Bowen Zhang , Yanghao Li , Haotian Zhang , Zhiqing Sun , Zhe Gan , Yinfei Yang , Ruoming Pang , Yiming Yang

Chain-of-thought (CoT) reasoning enhances performance of large language models, but questions remain about whether these reasoning traces faithfully reflect the internal processes of the model. We present the first comprehensive study of…

Computation and Language · Computer Science 2025-11-04 Sriram Balasubramanian , Samyadeep Basu , Soheil Feizi

Large Vision Language Models (LVLMs) show promise in medical applications, but their inability to faithfully ground responses in visual evidence raises serious concerns about clinical trustworthiness. While visual attribution methods are…

Computer Vision and Pattern Recognition · Computer Science 2026-05-20 Guangzhi Xiong , Qiao Jin , Sanchit Sinha , Zhiyong Lu , Aidong Zhang

Test-time scaling offers a promising way to improve the reasoning performance of vision-language large models (VLLMs) without additional training. In this paper, we explore a simple but effective approach for applying test-time scaling to…

Computer Vision and Pattern Recognition · Computer Science 2026-05-04 Yue Yao , Zelin Wen , Yan Tong , Xinyu Tian , Xuqing Li , Xiao Ma , Dongliang Xu , Tom Gedeon

Recently large vision-language models have shown potential when interpreting complex images and generating natural language descriptions using advanced reasoning. Medicine's inherently multimodal nature incorporating scans and text-based…

Image and Video Processing · Electrical Eng. & Systems 2024-07-15 Naman Sharma

Vision-Language Models (VLMs) excel at reasoning in linguistic space but struggle with perceptual understanding that requires dense visual perception, e.g., spatial reasoning and geometric awareness. This limitation stems from the fact that…

Computer Vision and Pattern Recognition · Computer Science 2025-12-02 Yiming Qin , Bomin Wei , Jiaxin Ge , Konstantinos Kallidromitis , Stephanie Fu , Trevor Darrell , XuDong Wang

Chest X-ray (CXR) imaging is one of the most widely used diagnostic modalities in clinical practice, encompassing a broad spectrum of diagnostic tasks. Recent advancements have seen the extensive application of reasoning-based multimodal…

Medical vision-language models (VLMs) show strong performance on radiology tasks but often produce fluent yet weakly grounded conclusions due to over-reliance on a dominant modality. We introduce a context-aligned reasoning framework that…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Sumra Khan , Sagar Chhabriya , Aizan Zafar , Sheeraz Arif , Amgad Muneer , Anas Zafar , Shaina Raza , Rizwan Qureshi

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in…

Recent advancements in Vision-Language (VL) research have sparked new benchmarks for complex visual reasoning, challenging models' advanced reasoning ability. Traditional Vision-Language Models (VLMs) perform well in visual perception tasks…

Computer Vision and Pattern Recognition · Computer Science 2024-09-24 Zhiyuan Li , Dongnan Liu , Chaoyi Zhang , Heng Wang , Tengfei Xue , Weidong Cai

Vision-language-action models (VLAs) have shown potential in leveraging pretrained vision-language models and diverse robot demonstrations for learning generalizable sensorimotor control. While this paradigm effectively utilizes large-scale…

Computer Vision and Pattern Recognition · Computer Science 2025-03-31 Qingqing Zhao , Yao Lu , Moo Jin Kim , Zipeng Fu , Zhuoyang Zhang , Yecheng Wu , Zhaoshuo Li , Qianli Ma , Song Han , Chelsea Finn , Ankur Handa , Ming-Yu Liu , Donglai Xiang , Gordon Wetzstein , Tsung-Yi Lin

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
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