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Medical Vision-Language Models (MedVLMs) excel at perception tasks but struggle with complex clinical reasoning required in real-world scenarios. While reinforcement learning (RL) has been explored to enhance reasoning capabilities,…

Computer Vision and Pattern Recognition · Computer Science 2026-01-21 Meidan Ding , Jipeng Zhang , Wenxuan Wang , Haiqin Zhong , Xiaoling Luo , Wenting Chen , Linlin Shen

As Large Language Models (LLMs) gain expertise across diverse domains and modalities, scalable oversight becomes increasingly challenging, particularly when their capabilities may surpass human evaluators. Debate has emerged as a promising…

Artificial Intelligence · Computer Science 2025-05-21 Ashutosh Adhikari , Mirella Lapata

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

Multimodal Large Language Models (MLLMs) have pushed the frontiers of Knowledge-Based Visual Question Answering (KBVQA), yet their reasoning is fundamentally bottlenecked by a reliance on uni-dimensional evidence. This "seeing only the…

Computer Vision and Pattern Recognition · Computer Science 2025-08-14 Junjie Wang , Yunhan Tang , Yijie Wang , Zhihao Yuan , Huan Wang , Yangfan He , Bin Li

Medical image classifiers detect gastrointestinal diseases well, but they do not explain their decisions. Large language models can generate clinical text, yet they struggle with visual reasoning and often produce unstable or incorrect…

Computer Vision and Pattern Recognition · Computer Science 2026-02-24 Md. Najib Hasan , Imran Ahmad , Sourav Basak Shuvo , Md. Mahadi Hasan Ankon , Sunanda Das , Nazmul Siddique , Hui Wang

Vision-Language Models (VLMs) frequently "hallucinate" - generate plausible yet factually incorrect statements - posing a critical barrier to their trustworthy deployment. In this work, we propose a new paradigm for diagnosing…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Lexiang Xiong , Qi Li , Jingwen Ye , Xinchao Wang

Large vision-language models (VLMs) demonstrate strong performance in medical image understanding, but frequently generate clinically plausible yet incorrect statements, raising significant safety concerns. Existing medical hallucination…

Visual Language Models (VLMs) achieve promising results in medical reasoning but struggle with hallucinations, vague descriptions, inconsistent logic and poor localization. To address this, we propose a agent framework named Medical Visual…

Artificial Intelligence · Computer Science 2025-10-22 Guangfu Guo , Xiaoqian Lu , Yue Feng

Large Vision Language Models (LVLMs) achieve strong multimodal reasoning but frequently exhibit hallucinations and incorrect responses with high certainty, which hinders their usage in high-stakes domains. Existing verbalized confidence…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Wenyi Xiao , Xinchi Xu , Leilei Gan

Despite the impressive advancements of Large Vision-Language Models (LVLMs), existing approaches suffer from a fundamental bottleneck: inefficient visual-language integration. Current methods either disrupt the model's inherent structure or…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Tongtian Yue , Longteng Guo , Yepeng Tang , Zijia Zhao , Xinxin Zhu , Hua Huang , Jing Liu

Machine reasoning has made great progress in recent years owing to large language models (LLMs). In the clinical domain, however, most NLP-driven projects mainly focus on clinical classification or reading comprehension, and under-explore…

Computation and Language · Computer Science 2024-05-13 Taeyoon Kwon , Kai Tzu-iunn Ong , Dongjin Kang , Seungjun Moon , Jeong Ryong Lee , Dosik Hwang , Yongsik Sim , Beomseok Sohn , Dongha Lee , Jinyoung Yeo

Conversation agents powered by large language models are revolutionizing the way we interact with visual data. Recently, large vision-language models (LVLMs) have been extensively studied for both images and videos. However, these studies…

Computer Vision and Pattern Recognition · Computer Science 2024-10-15 Juseong Jin , Chang Wook Jeong

Explainability is critical for the clinical adoption of medical visual question answering (VQA) systems, as physicians require transparent reasoning to trust AI-generated diagnoses. We present MedXplain-VQA, a comprehensive framework…

Computer Vision and Pattern Recognition · Computer Science 2025-10-28 Hai-Dang Nguyen , Minh-Anh Dang , Minh-Tan Le , Minh-Tuan Le

Large language models (LLMs) have shown considerable potential in supporting medical diagnosis. However, their effective integration into clinical workflows is hindered by physicians' difficulties in perceiving and trusting LLM…

Human-Computer Interaction · Computer Science 2026-01-28 Yuansong Xu , Yichao Zhu , Haokai Wang , Yuchen Wu , Yang Ouyang , Hanlu Li , Wenzhe Zhou , Xinyu Liu , Chang Jiang , Quan Li

State-of-the-art medical multi-modal LLMs (med-MLLMs), such as LLaVA-Med and BioMedGPT, primarily depend on scaling model size and data volume, with training driven largely by autoregressive objectives. However, we reveal that this approach…

In this work, we introduce LLaDA-V, a purely diffusion-based Multimodal Large Language Model (MLLM) that integrates visual instruction tuning with masked diffusion models, representing a departure from the autoregressive paradigms dominant…

Machine Learning · Computer Science 2025-06-05 Zebin You , Shen Nie , Xiaolu Zhang , Jun Hu , Jun Zhou , Zhiwu Lu , Ji-Rong Wen , Chongxuan Li

Retrieving visual and textual information from medical literature and hospital records can enhance diagnostic accuracy for clinical image interpretation. However, multimodal retrieval-augmented diagnosis is highly challenging. We explore a…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Nir Mazor , Tom Hope

Large language models (LLMs) have achieved significant success in interacting with human. However, recent studies have revealed that these models often suffer from hallucinations, leading to overly confident but incorrect judgments. This…

Computation and Language · Computer Science 2023-09-06 Yusheng Liao , Yutong Meng , Hongcheng Liu , Yanfeng Wang , Yu Wang

We propose a hybrid architecture that integrates decision tree-based symbolic reasoning with the generative capabilities of large language models (LLMs) within a coordinated multi-agent framework. Unlike prior approaches that loosely couple…

Artificial Intelligence · Computer Science 2025-08-08 Andrew Kiruluta

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
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