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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

Radiologists highly desire fully automated versatile AI for medical imaging interpretation. However, the lack of extensively annotated large-scale multi-disease datasets has hindered the achievement of this goal. In this paper, we explore…

Computer Vision and Pattern Recognition · Computer Science 2024-04-09 Weiwei Cao , Jianpeng Zhang , Yingda Xia , Tony C. W. Mok , Zi Li , Xianghua Ye , Le Lu , Jian Zheng , Yuxing Tang , Ling Zhang

Vision-Language Models (VLMs) excel at complex visual tasks such as VQA and chart understanding, yet recent work suggests they struggle with simple perceptual tests. We present an evaluation of vision-language models' capacity for nonlocal…

Computer Vision and Pattern Recognition · Computer Science 2025-12-01 Shmuel Berman , Jia Deng

Purpose: This study aimed to develop an open-source multimodal large language model (CXR-LLAVA) for interpreting chest X-ray images (CXRs), leveraging recent advances in large language models (LLMs) to potentially replicate the image…

Computation and Language · Computer Science 2024-01-17 Seowoo Lee , Jiwon Youn , Hyungjin Kim , Mansu Kim , Soon Ho Yoon

We introduce OpenVLThinker, one of the first open-source large vision-language models (LVLMs) to exhibit sophisticated chain-of-thought reasoning, achieving notable performance gains on challenging visual reasoning tasks. While text-based…

Computer Vision and Pattern Recognition · Computer Science 2025-11-12 Yihe Deng , Hritik Bansal , Fan Yin , Nanyun Peng , Wei Wang , Kai-Wei Chang

In the realm of vision-language understanding, the proficiency of models in interpreting and reasoning over visual content has become a cornerstone for numerous applications. However, it is challenging for the visual encoder in Large…

Computer Vision and Pattern Recognition · Computer Science 2024-03-22 Zuyan Liu , Yuhao Dong , Yongming Rao , Jie Zhou , Jiwen Lu

Vision-Language-Action (VLA) models aim to unify perception, language understanding, and action generation, offering strong cross-task and cross-scene generalization with broad impact on embodied AI. However, current VLA models often lack…

Computer Vision and Pattern Recognition · Computer Science 2025-10-03 Angen Ye , Zeyu Zhang , Boyuan Wang , Xiaofeng Wang , Dapeng Zhang , Zheng Zhu

Vision-Language Models (VLMs) have demonstrated their broad effectiveness thanks to extensive training in aligning visual instructions to responses. However, such training of conclusive alignment leads models to ignore essential visual…

Computer Vision and Pattern Recognition · Computer Science 2025-03-04 Ji Qi , Ming Ding , Weihan Wang , Yushi Bai , Qingsong Lv , Wenyi Hong , Bin Xu , Lei Hou , Juanzi Li , Yuxiao Dong , Jie Tang

Large vision-language models (LVLMs) have demonstrated remarkable capabilities by integrating pre-trained vision encoders with large language models (LLMs). Similar to single-modal LLMs, chain-of-thought (CoT) prompting has been adapted for…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Shin'ya Yamaguchi , Kosuke Nishida , Daiki Chijiwa

Traditional neural network models for intent inference rely heavily on observable states and struggle to generalize across diverse tasks and dynamic environments. Recent advances in Vision Language Models (VLMs) and Vision Language Action…

Artificial Intelligence · Computer Science 2026-04-14 Anshul Nayak , Shahil Shaik , Yue Wang

Oversight AI is an emerging concept in radiology where the AI forms a symbiosis with radiologists by continuously supporting radiologists in their decision-making. Recent advances in vision-language models sheds a light on the long-standing…

Image and Video Processing · Electrical Eng. & Systems 2023-04-13 Sangjoon Park , Eun Sun Lee , Kyung Sook Shin , Jeong Eun Lee , Jong Chul Ye

Large Vision-Language Models (LVLMs) have achieved significant success in multimodal tasks, with multimodal chain-of-thought (MCoT) further enhancing performance and interpretability. Recent MCoT methods fall into two categories: (i)…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Zihui Cheng , Qiguang Chen , Xiao Xu , Jiaqi Wang , Weiyun Wang , Hao Fei , Yidong Wang , Alex Jinpeng Wang , Zhi Chen , Wanxiang Che , Libo Qin

Effectively retrieving, reasoning and understanding visually rich information remains a challenge for RAG methods. Traditional text-based methods cannot handle visual-related information. On the other hand, current vision-based RAG…

Computation and Language · Computer Science 2025-06-04 Qiuchen Wang , Ruixue Ding , Yu Zeng , Zehui Chen , Lin Chen , Shihang Wang , Pengjun Xie , Fei Huang , Feng Zhao

Vision-Language Models (VLMs) are advancing computational pathology with superior visual understanding capabilities. However, current systems often reduce diagnosis to directly output conclusions without verifiable evidence-linked…

Computer Vision and Pattern Recognition · Computer Science 2026-01-30 Songhan Jiang , Fengchun Liu , Ziyue Wang , Linghan Cai , Yongbing Zhang

Visual Language Models (VLMs) show remarkable performance in visual reasoning tasks, successfully tackling college-level challenges that require high-level understanding of images. However, some recent reports of VLMs struggling to reason…

Computer Vision and Pattern Recognition · Computer Science 2025-04-17 Gene Tangtartharakul , Katherine R. Storrs

Vision-Language Models (VLMs) have recently demonstrated incredible strides on diverse vision language tasks. We dig into vision-based deductive reasoning, a more sophisticated but less explored realm, and find previously unexposed…

Artificial Intelligence · Computer Science 2024-10-02 Yizhe Zhang , He Bai , Ruixiang Zhang , Jiatao Gu , Shuangfei Zhai , Josh Susskind , Navdeep Jaitly

In this study, we present Colon-X, an open initiative aimed at advancing multimodal intelligence in colonoscopy. We begin by constructing ColonVQA, the most comprehensive multimodal dataset ever built for colonoscopy, featuring over 1.1M+…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Ge-Peng Ji , Jingyi Liu , Deng-Ping Fan , Huazhu Fu , Nick Barnes

Despite the promise of foundation models in medical AI, current systems remain limited - they are modality-specific and lack transparent reasoning processes, hindering clinical adoption. To address this gap, we present EVLF-FM, a multimodal…

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

Recent large vision-language models (LVLMs) can generate vision-text multimodal chain-of-thought (MCoT) traces after reinforcement fine-tuning (RFT). However, we observe that the visual information incorporated in MCoT is often inaccurate,…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Zujing Liu , Junwen Pan , Qi She , Yuan Gao , Guisong Xia