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Clinical decision-making relies on the integrated analysis of medical images and the associated clinical reports. While Vision-Language Models (VLMs) can offer a unified framework for such tasks, they can exhibit strong biases toward one…

Computer Vision and Pattern Recognition · Computer Science 2025-08-04 David Restrepo , Ira Ktena , Maria Vakalopoulou , Stergios Christodoulidis , Enzo Ferrante

Multimodal large language models (MLLMs) can process text presented as images, yet they often perform worse than when the same content is provided as textual tokens. We systematically diagnose this "modality gap" by evaluating seven MLLMs…

Computation and Language · Computer Science 2026-05-26 Kaiser Sun , Xiaochuang Yuan , Hongjun Liu , Chen Zhao , Cheng Zhang , Mark Dredze , Fan Bai

Multimodal Large Language Models (MLLMs) have displayed remarkable performance in multi-modal tasks, particularly in visual comprehension. However, we reveal that MLLMs often generate incorrect answers even when they understand the visual…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Yexin Liu , Zhengyang Liang , Yueze Wang , Xianfeng Wu , Feilong Tang , Muyang He , Jian Li , Zheng Liu , Harry Yang , Sernam Lim , Bo Zhao

A recent advancement in Multimodal Large Language Models (MLLMs) research is the emergence of "reasoning MLLMs" that offer explicit control over their internal thinking processes (normally referred as the "thinking mode") alongside the…

Computation and Language · Computer Science 2025-11-06 Jindong Hong , Tianjie Chen , Lingjie Luo , Chuanyang Zheng , Ting Xu , Haibao Yu , Jianing Qiu , Qianzhong Chen , Suning Huang , Yan Xu , Yong Gui , Yijun He , Jiankai Sun

Multimodal large language models (LLMs) are increasingly explored as automated evaluators in clinical settings, yet their scoring behavior on ordinal clinical scales remains poorly understood. We benchmark three frontier LLM families…

Computer Vision and Pattern Recognition · Computer Science 2026-05-19 Jiaqing Zhang , Sandeep Elluri , Bhanu Cherukuvada , Yonah Joffe , Jessica Sena , Miguel Contreras , Scott Siegel , Subhash Nerella , Catherine Price , Parisa Rashidi

As textual reasoning with large language models (LLMs) has advanced significantly, there has been growing interest in enhancing the multimodal reasoning capabilities of large vision-language models (LVLMs). However, existing methods…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Junfei Wu , Jian Guan , Kaituo Feng , Qiang Liu , Shu Wu , Liang Wang , Wei Wu , Tieniu Tan

Multimodal Large Language Models (MLLMs) are increasingly used to interpret visualizations, yet little is known about why they fail. We present the first systematic analysis of barriers to visualization literacy in MLLMs. Using the…

Human-Computer Interaction · Computer Science 2026-01-21 Mengli , Duan , Yuhe , Jiang , Matthew Varona , Carolina Nobre

Recent advances in large language models (LLMs) and vision-language models (LVLMs) have shown promise across many tasks, yet their scientific reasoning capabilities remain untested, particularly in multimodal settings. We present…

Machine Learning · Computer Science 2025-06-03 Xinwu Ye , Chengfan Li , Siming Chen , Wei Wei , Xiangru Tang

Large language models (LLMs) have demonstrated immense capabilities in understanding textual data and are increasingly being adopted to help researchers accelerate scientific discovery through knowledge extraction (information retrieval),…

Computer Vision and Pattern Recognition · Computer Science 2025-05-30 Robinson Umeike , Neil Getty , Fangfang Xia , Rick Stevens

Vision-language models (VLMs) excel at multimodal understanding, yet their text-only decoding forces them to verbalize visual reasoning, limiting performance on tasks that demand visual imagination. Recent attempts train VLMs to render…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Zeyuan Yang , Xueyang Yu , Delin Chen , Maohao Shen , Chuang Gan

Multimodal language models (MLMs) show promise for clinical decision support and diagnostic reasoning, raising the prospect of end-to-end automated medical image interpretation. However, clinicians are highly selective in adopting AI tools;…

Artificial Intelligence · Computer Science 2025-08-06 Mahtab Bigverdi , Wisdom Ikezogwo , Kevin Zhang , Hyewon Jeong , Mingyu Lu , Sungjae Cho , Linda Shapiro , Ranjay Krishna

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

Medical large vision-language models (LVLMs) have demonstrated promising performance across various single-image question answering (QA) benchmarks, yet their capability in processing multi-image clinical scenarios remains underexplored.…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Xikai Yang , Juzheng Miao , Yuchen Yuan , Jiaze Wang , Qi Dou , Jinpeng Li , Pheng-Ann Heng

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in…

Computer Vision and Pattern Recognition · Computer Science 2025-02-06 Zhenyue Qin , Yu Yin , Dylan Campbell , Xuansheng Wu , Ke Zou , Yih-Chung Tham , Ninghao Liu , Xiuzhen Zhang , Qingyu Chen

Multimodal large language models (MLLMs) trained with visual instruction tuning have achieved strong performance across diverse tasks, yet they remain limited in vision-centric tasks such as object counting or spatial reasoning. We…

Computer Vision and Pattern Recognition · Computer Science 2025-10-13 Heeji Yoon , Jaewoo Jung , Junwan Kim , Hyungyu Choi , Heeseong Shin , Sangbeom Lim , Honggyu An , Chaehyun Kim , Jisang Han , Donghyun Kim , Chanho Eom , Sunghwan Hong , Seungryong Kim

Multimodal large language models (MLLMs) have shown strong capabilities across a broad range of benchmarks. However, most existing evaluations focus on passive inference, where models perform step-by-step reasoning under complete…

Computation and Language · Computer Science 2025-10-20 Hongcheng Liu , Pingjie Wang , Yuhao Wang , Siqu Ou , Yanfeng Wang , Yu Wang

Medical vision-language models (Med-VLMs) have shown impressive results in tasks such as report generation and visual question answering, but they still face several limitations. Most notably, they underutilize patient metadata and lack…

Computer Vision and Pattern Recognition · Computer Science 2025-10-16 Fangqi Cheng , Surajit Ray , Xiaochen Yang

Multimodal large language models (MLLMs) are changing how Blind and Low Vision (BLV) people access visual information. Unlike traditional visual interpretation tools that only provide descriptions, MLLM-enabled applications offer…

Human-Computer Interaction · Computer Science 2026-02-20 Ricardo E. Gonzalez Penuela , Crescentia Jung , Sharon Y Lin , Ruiying Hu , Shiri Azenkot

For specialized domains, there is often not a wealth of data with which to train large machine learning models. In such limited data / compute settings, various methods exist aiming to $\textit{do more with less}$, such as finetuning from a…

Machine Learning · Computer Science 2024-10-22 Rohan Saha , Abrar Fahim , Alona Fyshe , Alex Murphy

As a cornerstone of patient care, clinical decision-making significantly influences patient outcomes and can be enhanced by large language models (LLMs). Although LLMs have demonstrated remarkable performance, their application to visual…

Computer Vision and Pattern Recognition · Computer Science 2025-06-16 Ji Young Byun , Young-Jin Park , Navid Azizan , Rama Chellappa