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Aligning Large Language Models (LLMs) with high-stakes medical standards remains a significant challenge, primarily due to the dissonance between coarse-grained preference signals and the complex, multi-dimensional nature of clinical…

Artificial Intelligence · Computer Science 2026-04-10 He Geng , Yangmin Huang , Lixian Lai , Qianyun Du , Hui Chu , Zhiyang He , Jiaxue Hu , Xiaodong Tao

Multimodal large language models (MLLMs) hold significant potential in medical applications, including disease diagnosis and clinical decision-making. However, these tasks require highly accurate, context-sensitive, and professionally…

Computation and Language · Computer Science 2025-09-01 Meidan Ding , Jipeng Zhang , Wenxuan Wang , Cheng-Yi Li , Wei-Chieh Fang , Hsin-Yu Wu , Haiqin Zhong , Wenting Chen , Linlin Shen

Reward models (RMs) guide the alignment of large language models (LLMs), steering them toward behaviors preferred by humans. Evaluating RMs is the key to better aligning LLMs. However, the current evaluation of RMs may not directly…

Computation and Language · Computer Science 2025-04-07 Enyu Zhou , Guodong Zheng , Binghai Wang , Zhiheng Xi , Shihan Dou , Rong Bao , Wei Shen , Limao Xiong , Jessica Fan , Yurong Mou , Rui Zheng , Tao Gui , Qi Zhang , Xuanjing Huang

Multimodal large language models (MLLMs) have shown remarkable capabilities, yet their performance is often capped by the coarse nature of existing alignment techniques. A critical bottleneck remains the lack of effective reward models…

Computation and Language · Computer Science 2026-02-03 Zicheng Kong , Dehua Ma , Zhenbo Xu , Alven Yang , Yiwei Ru , Haoran Wang , Zixuan Zhou , Fuqing Bie , Liuyu Xiang , Huijia Wu , Jian Zhao , Zhaofeng He

Large Language Models (LLMs) demonstrate transformative potential, yet their reasoning remains inconsistent and unreliable. Reinforcement learning (RL)-based fine-tuning is a key mechanism for improvement, but its effectiveness is…

Machine Learning · Computer Science 2026-02-11 Pei-Chi Pan , Yingbin Liang , Sen Lin

The integration of Large Language Model (LLM) agents is transforming recommender systems from simple query-item matching towards deeply personalized and interactive recommendations. Reinforcement Learning (RL) provides an essential…

Improving the multi-step reasoning ability of Large Language Models (LLMs) is a critical yet challenging task. The dominant paradigm, outcome-supervised reinforcement learning (RLVR), rewards only correct final answers, often propagating…

Artificial Intelligence · Computer Science 2025-10-14 Beining Wang , Weihang Su , Hongtao Tian , Tao Yang , Yujia Zhou , Ting Yao , Qingyao Ai , Yiqun Liu

The growing integration of vision-language models (VLMs) in medical applications offers promising support for diagnostic reasoning. However, current medical VLMs often face limitations in generalization, transparency, and computational…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Tan-Hanh Pham , Chris Ngo

Reinforcement Learning with Verifiable Rewards (RLVR) has emerged as a prevailing paradigm for enhancing reasoning in Multimodal Large Language Models (MLLMs). However, relying solely on outcome supervision risks reward hacking, where…

Computation and Language · Computer Science 2026-03-04 Yukun Chen , Jiaming Li , Longze Chen , Ze Gong , Jingpeng Li , Zhen Qin , Hengyu Chang , Ancheng Xu , Zhihao Yang , Hamid Alinejad-Rokny , Qiang Qu , Bo Zheng , Min Yang

Multimodal Large Language Models (MLLMs) have shown strong potential for radiology report generation, yet their clinical translation is hindered by architectural heterogeneity and the prevalence of factual hallucinations. Standard…

Machine Learning · Computer Science 2026-01-13 Kun Zhao , Siyuan Dai , Pan Wang , Jifeng Song , Hui Ji , Chenghua Lin , Liang Zhan , Haoteng Tang

Medical report generation aims to automatically produce radiology-style reports from medical images, supporting efficient and accurate clinical decision-making.However, existing approaches predominately rely on token-level likelihood…

Computation and Language · Computer Science 2026-03-30 Pengyu Wang , Shuchang Ye , Usman Naseem , Jinman Kim

We introduce MediX-R1, an open-ended Reinforcement Learning (RL) framework for medical multimodal large language models (MLLMs) that enables clinically grounded, free-form answers beyond multiple-choice formats. MediX-R1 fine-tunes a…

Computer Vision and Pattern Recognition · Computer Science 2026-02-27 Sahal Shaji Mullappilly , Mohammed Irfan Kurpath , Omair Mohamed , Mohamed Zidan , Fahad Khan , Salman Khan , Rao Anwer , Hisham Cholakkal

Large language models (LLMs) hold potential for mental healthcare applications, particularly in cognitive behavioral therapy (CBT)-based counseling, where reward models play a critical role in aligning LLMs with preferred therapeutic…

Databases · Computer Science 2026-03-13 Yougen Zhou , Qin Chen , Ningning Zhou , Jie Zhou , Liang He

Reinforcement learning with verifiable rewards (RLVR) has demonstrated significant success in enhancing mathematical reasoning and coding performance of large language models (LLMs), especially when structured reference answers are…

Computation and Language · Computer Science 2025-04-02 Yi Su , Dian Yu , Linfeng Song , Juntao Li , Haitao Mi , Zhaopeng Tu , Min Zhang , Dong Yu

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical,…

Computation and Language · Computer Science 2026-04-13 Xiaohan Ren , Chenxiao Fan , Wenyin Ma , Hongliang He , Chongming Gao , Xiaoyan Zhao , Fuli Feng

With enhanced capabilities and widespread applications, Multimodal Large Language Models (MLLMs) are increasingly required to process and reason over multiple images simultaneously. However, existing MLLM benchmarks focus either on…

Reinforcement learning with human feedback for aligning large language models (LLMs) trains a reward model typically using ranking loss with comparison pairs.However, the training procedure suffers from an inherent problem: the uncontrolled…

Computation and Language · Computer Science 2024-09-19 Hang Zhou , Chenglong Wang , Yimin Hu , Tong Xiao , Chunliang Zhang , Jingbo Zhu

Currently, process reward models (PRMs) have exhibited remarkable potential for test-time scaling. Since large language models (LLMs) regularly generate flawed intermediate reasoning steps when tackling a broad spectrum of reasoning and…

Artificial Intelligence · Computer Science 2026-05-08 Zhouhao Sun , Xuan Zhang , Xiao Ding , Bibo Cai , Li Du , Kai Xiong , Xinran Dai , Fei Zhang , weidi tang , Zhiyuan Kan , Yang Zhao , Bing Qin , Ting Liu

Multimodal large language models (MLLMs) have advanced rapidly, yet heterogeneity in architecture, alignment strategies, and efficiency means that no single model is uniformly superior across tasks. In practical deployments, workloads span…

Artificial Intelligence · Computer Science 2026-01-27 Haoxuan Ma , Guannan Lai , Han-Jia Ye

Multimodal LLMs often produce fluent yet unreliable reasoning, exhibiting weak step-to-step coherence and insufficient visual grounding, largely because existing alignment approaches supervise only the final answer while ignoring the…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Jesen Zhang , Ningyuan Liu , Kaitong Cai , Sidi Liu , Jing Yang , Ziliang Chen , Xiaofei Sun , Keze Wang
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