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Multimodal Large Language Models (MLLMs) perform well in single-image visual grounding but struggle with real-world tasks that demand cross-image reasoning and multi-modal instructions. To address this, we adopt a reinforcement learning…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Bob Zhang , Haoran Li , Tao Zhang , Jianan Li , Cilin Yan , Xikai Liu , Jiayin Cai , Yanbin Hao

The "thinking with images" paradigm represents a pivotal shift in the reasoning of Vision Language Models (VLMs), moving from text-dominant chain-of-thought to image-interactive reasoning. By invoking visual tools or generating intermediate…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Chi Zhang , Haibo Qiu , Qiming Zhang , Zhixiong Zeng , Lin Ma , Jing Zhang

The ability for AI agents to "think with images" requires a sophisticated blend of reasoning and perception. However, current open multimodal agents still largely fall short on the reasoning aspect crucial for real-world tasks like…

Computer Vision and Pattern Recognition · Computer Science 2025-12-23 Kaican Li , Lewei Yao , Jiannan Wu , Tiezheng Yu , Jierun Chen , Haoli Bai , Lu Hou , Lanqing Hong , Wei Zhang , Nevin L. Zhang

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

Computer Vision and Pattern Recognition · Computer Science 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

The rapid advancement of image generation technologies intensifies the demand for interpretable and robust detection methods. Although existing approaches often attain high accuracy, they typically operate as black boxes without providing…

Computer Vision and Pattern Recognition · Computer Science 2025-06-10 Yikun Ji , Hong Yan , Jun Lan , Huijia Zhu , Weiqiang Wang , Qi Fan , Liqing Zhang , Jianfu Zhang

We introduce Orthus, an autoregressive (AR) transformer that excels in generating images given textual prompts, answering questions based on visual inputs, and even crafting lengthy image-text interleaved contents. Unlike prior arts on…

Computer Vision and Pattern Recognition · Computer Science 2025-04-17 Siqi Kou , Jiachun Jin , Zhihong Liu , Chang Liu , Ye Ma , Jian Jia , Quan Chen , Peng Jiang , Zhijie Deng

Large language models (LLMs), particularly those with reasoning capabilities, have rapidly advanced in recent years, demonstrating significant potential across a wide range of applications. However, their deployment in healthcare,…

Artificial Intelligence · Computer Science 2025-02-27 Guoxin Wang , Minyu Gao , Shuai Yang , Ya Zhang , Lizhi He , Liang Huang , Hanlin Xiao , Yexuan Zhang , Wanyue Li , Lu Chen , Jintao Fei , Xin Li

The potential of Multimodal Large Language Models (MLLMs) in domain of medical imaging raise the demands of systematic and rigorous evaluation frameworks that are aligned with the real-world medical imaging practice. Existing practices that…

Computation and Language · Computer Science 2026-04-16 Zhijie Bao , Fangke Chen , Licheng Bao , Chenhui Zhang , Wei Chen , Jiajie Peng , Zhongyu Wei

Thinking with Images improves fine-grained VQA for MLLMs by emphasizing visual cues. However, tool-augmented methods depend on the capacity of grounding, which remains unreliable for MLLMs. In parallel, attention-driven methods to crop the…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Zhaodong Wu , Haochen Xue , Qi Cao , Wenqi Mo , Yu Pei , Wenqi Xu , Jionglong Su , Yang Liu

Fundus imaging such as CFP, OCT and UWF is crucial for the early detection of retinal anomalies and diseases. Fundus image understanding, due to its knowledge-intensive nature, poses a challenging vision-language task. An emerging approach…

Computer Vision and Pattern Recognition · Computer Science 2026-04-10 Yuchuan Deng , Qijie Wei , Kaiheng Qian , Jiazhen Liu , Zijie Xin , Bangxiang Lan , Jingyu Liu , Jianfeng Dong , Xirong Li

Reinforcement Learning Finetuning (RFT) has significantly advanced the reasoning capabilities of large language models (LLMs) by enabling long chains of thought, self-correction, and effective tool use. While recent works attempt to extend…

Machine Learning · Computer Science 2026-03-06 Mingyuan Wu , Jingcheng Yang , Jize Jiang , Meitang Li , Kaizhuo Yan , Hanchao Yu , Minjia Zhang , Chengxiang Zhai , Klara Nahrstedt

We present MedXIAOHE, a medical vision-language foundation model designed to advance general-purpose medical understanding and reasoning in real-world clinical applications. MedXIAOHE achieves state-of-the-art performance across diverse…

Vision language models (VLMs) are increasingly capable of reasoning over images, but robust visual reasoning often requires re-grounding intermediate steps in the underlying visual evidence. Recent approaches typically rely on external…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Zeru Shi , Kai Mei , Yihao Quan , Dimitris N. Metaxas , Ruixiang Tang

Multimodal Large Language Models (MLLMs) have shown impressive performance on vision-language tasks, but their long Chain-of-Thought (CoT) capabilities in multimodal scenarios remain underexplored. Inspired by OpenAI's o3 model, which…

Computer Vision and Pattern Recognition · Computer Science 2025-08-19 Ye Wang , Qianglong Chen , Zejun Li , Siyuan Wang , Shijie Guo , Zhirui Zhang , Zhongyu Wei

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Zonghai Yao , Benlu Wang , Yifan Zhang , Junda Wang , Iris Xia , Zhipeng Tang , Shuo Han , Feiyun Ouyang , Zhichao Yang , Arman Cohan , Hong Yu

While previous multimodal slow-thinking methods have demonstrated remarkable success in single-image understanding scenarios, their effectiveness becomes fundamentally constrained when extended to more complex multi-image comprehension…

Computer Vision and Pattern Recognition · Computer Science 2025-12-05 Guanghao Zhang , Tao Zhong , Yan Xia , Mushui Liu , Zhelun Yu , Haoyuan Li , Wanggui He , Fangxun Shu , Dong She , Yi Wang , Hao Jiang

Enhancing the reasoning capabilities of Large Language Models (LLMs) is a key strategy for building Agents that "think then act." However, recent observations, like OpenAI's o3, suggest a paradox: stronger reasoning often coincides with…

Machine Learning · Computer Science 2026-04-20 Chenlong Yin , Zeyang Sha , Shiwen Cui , Changhua Meng , Zechao Li

Recent advancements in Chain-of-Thought (CoT) and related rationale-based works have significantly improved the performance of Large Language Models (LLMs) in complex reasoning tasks. With the evolution of Multimodal Large Language Models…

Artificial Intelligence · Computer Science 2024-05-30 Qiji Zhou , Ruochen Zhou , Zike Hu , Panzhong Lu , Siyang Gao , Yue Zhang

Recent advances in vision-language models (VLMs) have achieved remarkable performance on standard medical benchmarks, yet their true clinical reasoning ability remains unclear. Existing datasets predominantly emphasize classification…

Computer Vision and Pattern Recognition · Computer Science 2026-05-20 Miao Jing , Mengting Jia , Junling Lin , Zhongxia Shen , Huan Gao , Mingkun Xu , Shangyang Li

The spatial reasoning task aims to reason about the spatial relationships in 2D and 3D space, which is a fundamental capability for Visual Question Answering (VQA) and robotics. Although vision language models (VLMs) have developed rapidly…

Computer Vision and Pattern Recognition · Computer Science 2025-07-29 Xun Liang , Xin Guo , Zhongming Jin , Weihang Pan , Penghui Shang , Deng Cai , Binbin Lin , Jieping Ye