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Recent advances in multimodal techniques have led to significant progress in Medical Visual Question Answering (Med-VQA). However, most existing models focus on global image features rather than localizing disease-specific regions crucial…

Computational Engineering, Finance, and Science · Computer Science 2025-06-30 Yuan Wang , Jiaxiang Liu , Shujian Gao , Bin Feng , Zhihang Tang , Xiaotang Gai , Jian Wu , Zuozhu Liu

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

Medical Visual Question Answering (VQA) is an important challenge, as it would lead to faster and more accurate diagnoses and treatment decisions. Most existing methods approach it as a multi-class classification problem, which restricts…

Computer Vision and Pattern Recognition · Computer Science 2023-07-25 Tom van Sonsbeek , Mohammad Mahdi Derakhshani , Ivona Najdenkoska , Cees G. M. Snoek , Marcel Worring

Despite recent progress in video large language models (VideoLLMs), a key open challenge remains: how to equip models with chain-of-thought (CoT) reasoning abilities grounded in fine-grained object-level video understanding. Existing…

Computer Vision and Pattern Recognition · Computer Science 2025-07-21 Yanan Wang , Julio Vizcarra , Zhi Li , Hao Niu , Mori Kurokawa

Recent advancements in deep learning have led to the development of powerful language models (LMs) that excel in various tasks. Despite these achievements, there is still room for improvement, particularly in enhancing reasoning abilities…

Computation and Language · Computer Science 2023-12-27 Abhinav Arun , Dipendra Singh Mal , Mehul Soni , Tomohiro Sawada

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…

Test-Time Training (TTT) has recently emerged as a promising direction for efficient sequence modeling. TTT reformulates attention operation as an online learning problem, constructing a compact inner model from key-value pairs at test…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Dongchen Han , Yining Li , Tianyu Li , Zixuan Cao , Ziming Wang , Jun Song , Yu Cheng , Bo Zheng , Gao Huang

Visual Question Answering (VQA) models aim to answer natural language questions about given images. Due to its ability to ask questions that differ from those used when training the model, medical VQA has received substantial attention in…

Computer Vision and Pattern Recognition · Computer Science 2023-07-04 Sergio Tascon-Morales , Pablo Márquez-Neila , Raphael Sznitman

While chain-of-thought (CoT) prompting improves reasoning in large language models, its effectiveness in vision-language models (VLMs) remains limited due to over-reliance on textual cues and memorized knowledge. To investigate the visual…

Computer Vision and Pattern Recognition · Computer Science 2025-04-09 Charles Corbière , Simon Roburin , Syrielle Montariol , Antoine Bosselut , Alexandre Alahi

Document Visual Question Answering (DocVQA) requires vision-language models to reason not only about what information in a document is relevant to a question, but also where the answer is grounded on the page. Existing DocVQA models…

Machine Learning · Computer Science 2026-05-08 Kjetil Indrehus , Adrian Duric , Changkyu Choi , Ali Ramezani-Kebrya

Test-time scaling (TTS) methods have proven highly effective for LLMs, yet their application to vision-language models (VLMs) remains relatively underexplored. Existing VLM TTS methods largely require open-weight model access or expensive…

Computer Vision and Pattern Recognition · Computer Science 2026-05-19 Kaihua Hou , Abhijith Varma Mudunuri , Jiaxing Qiu , Roxana Daneshjou , Thomas Hartvigsen , Ahmed Alaa

The rapid advancements in vision-language models (VLMs), such as CLIP, have intensified the need to address distribution shifts between training and testing datasets. Although prior Test-Time Training (TTT) techniques for VLMs have…

Computer Vision and Pattern Recognition · Computer Science 2025-02-05 Yuto Kojima , Jiarui Xu , Xueyan Zou , Xiaolong Wang

Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Lin Fan , Yafei Ou , Zhipeng Deng , Pengyu Dai , Hou Chongxian , Jiale Yan , Yaqian Li , Kaiwen Long , Xun Gong , Masayuki Ikebe , Yefeng Zheng

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…

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

Reasoning capabilities are crucial for reliable medical visual question answering (VQA); however, existing datasets rarely include reasoning explanations. We address this by generating reasoning trajectories for six medical VQA benchmarks…

Machine Learning · Computer Science 2026-05-07 Halil Ibrahim Gulluk , Olivier Gevaert

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Soo Yong Kim , Suin Cho , Vincent-Daniel Yun , Gyeongyeon Hwang

Vision-Language Models (VLMs) have become essential backbones of modern multimodal intelligence, yet their outputs remain prone to hallucination-plausible text misaligned with visual inputs. Existing alignment approaches often rely on…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Kejia Chen , Jiawen Zhang , Jiacong Hu , Kewei Gao , Jian Lou , Zunlei Feng , Mingli Song

Medical visual question answering (Med-VQA) is a machine learning task that aims to create a system that can answer natural language questions based on given medical images. Although there has been rapid progress on the general VQA task,…

Computer Vision and Pattern Recognition · Computer Science 2023-09-21 Louisa Canepa , Sonit Singh , Arcot Sowmya

Test-time training (TTT) with KV binding as sequence modeling layer is commonly interpreted as a form of online meta-learning that memorizes a key-value mapping at test time. However, our analysis reveals multiple phenomena that contradict…

Machine Learning · Computer Science 2026-05-14 Junchen Liu , Sven Elflein , Or Litany , Zan Gojcic , Ruilong Li
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