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Vision-language models (VLMs) are increasingly proposed for clinical decision support, yet their reliability in real-world scenarios that require integrating both visual and textual context from medical records remains poorly characterized.…

Computer Vision and Pattern Recognition · Computer Science 2026-05-19 David Restrepo , Ira Ktena , Maria Vakalopoulou , Stergios Christodoulidis , Enzo Ferrante

Multimodal large language models (MLLMs) that integrate visual and textual reasoning leverage chain-of-thought (CoT) prompting to tackle complex visual tasks, yet continue to exhibit visual hallucinations and an over-reliance on textual…

Computer Vision and Pattern Recognition · Computer Science 2025-10-24 Jing Bi , Guangyu Sun , Ali Vosoughi , Chen Chen , Chenliang Xu

Several recent works seek to adapt general-purpose large language models (LLMs) and vision-language models (VLMs) for medical applications through continued pretraining on publicly available biomedical corpora. These works typically claim…

Computation and Language · Computer Science 2025-07-01 Daniel P. Jeong , Pranav Mani , Saurabh Garg , Zachary C. Lipton , Michael Oberst

Reasoning in vision-language models (VLMs) has recently attracted significant attention due to its broad applicability across diverse downstream tasks. However, it remains unclear whether the superior performance of VLMs stems from genuine…

Computer Vision and Pattern Recognition · Computer Science 2026-04-20 Yige Xu , Yongjie Wang , Zizhuo Wu , Kaisong Song , Jun Lin , Zhiqi Shen

Large language models (LLMs) have become increasingly useful computational models of human language processing, but it remains unclear whether vision-language learning makes text representations more human-like during natural reading. Here,…

Computation and Language · Computer Science 2026-05-28 Jinzhou Wu , Zhengwu Ma , Jixing Li , Baoping Tang , Zitong Lu

Large vision-language models (LVLMs) have achieved impressive results in various vision-language tasks. However, despite showing promising performance, LVLMs suffer from hallucinations caused by language bias, leading to diminished focus on…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Haozhe Zhao , Shuzheng Si , Liang Chen , Yichi Zhang , Maosong Sun , Mingjia Zhang , Baobao Chang

Achieving deep alignment between vision and language remains a central challenge for Multimodal Large Language Models (MLLMs). These models often fail to fully leverage visual input, defaulting to strong language priors. Our approach first…

Computer Vision and Pattern Recognition · Computer Science 2025-07-03 Aarti Ghatkesar , Ganesh Venkatesh

Generalist multimodal large language models (MLLMs) have achieved impressive performance across a wide range of vision-language tasks. However, their performance on medical tasks, particularly in zero-shot settings where generalization is…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Guimeng Liu , Tianze Yu , Somayeh Ebrahimkhani , Lin Zhi Zheng Shawn , Kok Pin Ng , Ngai-Man Cheung

Multimodal large language models (MLLMs) perform strongly on natural images, yet their ability to understand discrete visual symbols remains unclear. We present a multi-domain benchmark spanning language, culture, mathematics, physics and…

Several recent works seek to develop foundation models specifically for medical applications, adapting general-purpose large language models (LLMs) and vision-language models (VLMs) via continued pretraining on publicly available biomedical…

Computation and Language · Computer Science 2024-11-21 Daniel P. Jeong , Saurabh Garg , Zachary C. Lipton , Michael Oberst

Multimodal Large Language Models (MLLMs) have demonstrated remarkable capabilities across a diverse range of multimodal tasks. However, these models suffer from a core problem known as text dominance: they depend heavily on text for their…

Computation and Language · Computer Science 2025-08-15 Huyu Wu , Meng Tang , Xinhan Zheng , Haiyun Jiang

Recent Multimodal Large Language Models (MLLMs) have demonstrated significant progress in perceiving and reasoning over multimodal inquiries, ushering in a new research era for foundation models. However, vision-language misalignment in…

Computer Vision and Pattern Recognition · Computer Science 2026-05-18 Wei-Yao Wang , Zhao Wang , Helen Suzuki , Yoshiyuki Kobayashi

Vision-Language Models (VLMs) excel in integrating visual and textual information for vision-centric tasks, but their handling of inconsistencies between modalities is underexplored. We investigate VLMs' modality preferences when faced with…

Computer Vision and Pattern Recognition · Computer Science 2025-03-05 Ailin Deng , Tri Cao , Zhirui Chen , Bryan Hooi

Recent advances in multimodal large language models enable new possibilities for image-based decision support. However, their reliability and operational trade-offs in neuroimaging remain insufficiently understood. We present a…

Computer Vision and Pattern Recognition · Computer Science 2026-03-27 Katarina Trojachanec Dineva , Stefan Andonov , Ilinka Ivanoska , Ivan Kitanovski , Sasho Gramatikov , Tamara Kostova , Monika Simjanoska Misheva , Kostadin Mishev

With the rapid growth of large language models (LLMs) and vision-language models (VLMs) in medicine, simply integrating clinical text and medical imaging does not guarantee reliable reasoning. Existing multimodal models often produce…

Artificial Intelligence · Computer Science 2025-12-29 Zelin Zang , Wenyi Gu , Siqi Ma , Dan Yang , Yue Shen , Zhu Zhang , Guohui Fan , Wing-Kuen Ling , Fuji Yang

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-threatening eye diseases pose a major global health burden, with timely diagnosis limited by workforce shortages and restricted access to specialized care. While multimodal large language models (MLLMs) show promise for medical image…

The advent of Large Language Models (LLMs) has significantly reshaped the trajectory of the AI revolution. Nevertheless, these LLMs exhibit a notable limitation, as they are primarily adept at processing textual information. To address this…

Computer Vision and Pattern Recognition · Computer Science 2025-10-15 Akash Ghosh , Arkadeep Acharya , Sriparna Saha , Vinija Jain , Aman Chadha

Visual reasoning is a core component of human intelligence and a critical capability for advanced multimodal models. Yet current reasoning evaluations of multimodal large language models (MLLMs) often rely on text descriptions and allow…

Computer Vision and Pattern Recognition · Computer Science 2025-04-22 Weiye Xu , Jiahao Wang , Weiyun Wang , Zhe Chen , Wengang Zhou , Aijun Yang , Lewei Lu , Houqiang Li , Xiaohua Wang , Xizhou Zhu , Wenhai Wang , Jifeng Dai , Jinguo Zhu

Background: The rapid integration of foundation models into clinical practice and public health necessitates a rigorous evaluation of their true clinical reasoning capabilities beyond narrow examination success. Current benchmarks,…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Dingyu Wang , Zimu Yuan , Jiajun Liu , Shanggui Liu , Nan Zhou , Tianxing Xu , Di Huang , Dong Jiang
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