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Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities…

Machine Learning · Computer Science 2025-03-04 Peng Xia , Kangyu Zhu , Haoran Li , Tianze Wang , Weijia Shi , Sheng Wang , Linjun Zhang , James Zou , Huaxiu Yao

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it…

Computation and Language · Computer Science 2025-05-21 Wenhui Zhu , Xuanzhao Dong , Xin Li , Peijie Qiu , Xiwen Chen , Abolfazl Razi , Aris Sotiras , Yi Su , Yalin Wang

Fine-grained visual reasoning remains a core challenge for multimodal large language models (MLLMs). The recently introduced ReasonMap highlights this gap by showing that even advanced MLLMs struggle with spatial reasoning in structured and…

Computer Vision and Pattern Recognition · Computer Science 2026-02-24 Sicheng Feng , Kaiwen Tuo , Song Wang , Lingdong Kong , Jianke Zhu , Huan Wang

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

Vision-language models have demonstrated impressive capabilities in general medical visual question answering, yet due to limited interpretability, it remains unclear whether their predictions reflect evidence-grounded clinical reasoning or…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Wen Ma , Fucheng Niu , Zhiting Fan , Zikai Xiao , Jiaxiang Liu , Zuozhu Liu

Reinforcement learning with verifiable rewards (RLVR) has emerged as a promising paradigm for advancing complex reasoning in large language models, and recent work extends RLVR to multimodal large language models (MLLMs). This transfer,…

Computation and Language · Computer Science 2026-05-22 Changyuan Tian , Zhicong Lu , Huaxing Liu , Xiang Wang , Shuai Li , Yu Chen , Wenqian Lv , Zichuan Lin , Juncheng Diao , Deheng Ye

Current Large Language Models (LLMs) exhibit significant limitations, notably in structured, interpretable, and verifiable medical reasoning, alongside practical deployment challenges related to computational resources and data privacy.…

Computation and Language · Computer Science 2025-06-06 Boqin Zhuang , Chenxiao Song , Huitong Lu , Jiacheng Qiao , Mingqian Liu , Mingxing Yu , Ping Hong , Rui Li , Xiaoxia Song , Xiangjun Xu , Xu Chen , Yaoyao Ma , Yujie Gao

Recently, deep reasoning large language models(LLMs) like DeepSeek-R1 have made significant progress in tasks such as mathematics and coding. Inspired by this, several studies have employed reinforcement learning(RL) to enhance models' deep…

Computation and Language · Computer Science 2025-05-28 Zheng Li , Mao Zheng , Mingyang Song , Wenjie Yang

Reward modeling is essential for aligning large language models with human preferences through reinforcement learning. To provide accurate reward signals, a reward model (RM) should stimulate deep thinking and conduct interpretable…

Computation and Language · Computer Science 2026-03-09 Xiusi Chen , Gaotang Li , Ziqi Wang , Bowen Jin , Cheng Qian , Yu Wang , Hongru Wang , Yu Zhang , Denghui Zhang , Tong Zhang , Hanghang Tong , Heng Ji

Leveraging the priors of 2D diffusion models for 3D editing has emerged as a promising paradigm. However, maintaining multi-view consistency in edited results remains challenging, and the extreme scarcity of 3D-consistent editing paired…

Computer Vision and Pattern Recognition · Computer Science 2026-03-04 Jiyuan Wang , Chunyu Lin , Lei Sun , Zhi Cao , Yuyang Yin , Lang Nie , Zhenlong Yuan , Xiangxiang Chu , Yunchao Wei , Kang Liao , Guosheng Lin

Large Language Models (LLMs) are typically fine-tuned for reasoning tasks through a two-stage pipeline of Supervised Fine-Tuning (SFT) followed by Reinforcement Learning (RL), a process fraught with catastrophic forgetting and suboptimal…

Machine Learning · Computer Science 2025-10-13 Lixuan He , Jie Feng , Yong Li

We present EHRMIND, a practical recipe for adapting large language models (LLMs) to complex clinical reasoning tasks using reinforcement learning with verifiable rewards (RLVR). While RLVR has succeeded in mathematics and coding, its…

Computation and Language · Computer Science 2025-06-02 Jiacheng Lin , Zhenbang Wu , Jimeng Sun

Automatic medical report generation can greatly reduce the workload of doctors, but it is often unreliable for real-world deployment. Current methods can write formally fluent sentences but may be factually flawed, introducing serious…

Computational Engineering, Finance, and Science · Computer Science 2025-12-03 Yuan Wang , Shujian Gao , Jiaxiang Liu , Songtao Jiang , Haoxiang Xia , Xiaotian Zhang , Zhaolu Kang , Yemin Wang , Zuozhu Liu

Recent reinforcement learning approaches, such as outcome-supervised GRPO, have advanced Chain-of-Thought reasoning in large language models (LLMs), yet their adaptation to multimodal LLMs (MLLMs) is unexplored. To address the lack of…

Computer Vision and Pattern Recognition · Computer Science 2025-06-23 Yi Chen , Yuying Ge , Rui Wang , Yixiao Ge , Junhao Cheng , Ying Shan , Xihui Liu

While reinforcement learning for large language model alignment has progressed rapidly in recent years, transferring these paradigms to high-stakes medical question answering reveals a fundamental paradigm mismatch. Reinforcement Learning…

Artificial Intelligence · Computer Science 2026-03-03 Tianxiang Xu , Jiayi Liu , Yixuan Tong , Jialu Xu , Yunqing Wei , Kaiwen Feng , PanPan Hou , Kangping Yin , Jiyuan Hu , Hao Zhou , Zhenxin Ma , Jian Xu , Guanjun Jiang

Recent advances in medical large language models have explored Test-Time Reinforcement Learning (TTRL) to enhance reasoning. However, standard TTRL often relies on majority voting (MV) as a heuristic supervision signal, which can be…

Machine Learning · Computer Science 2026-03-11 Kailong Fan , Anqi Pu , Yichen Wu , Wanhua Li , Yicong Li , Hanspeter Pfister , Huafeng Liu , Xiang Li , Quanzheng Li , Ning Guo

Retrieval-augmented generation combined with reinforcement learning has shown promise for grounding large language models in trustworthy medical evidence. However, existing methods rely on exact-match binary rewards, which in clinical…

Artificial Intelligence · Computer Science 2026-05-28 Yuwei Miao , Gen Li , Yunsheng Zeng , Xiandong Li , Yujin Wang , Siyu Chen , Luning Wang , Yunhao Qiao , Junfeng Wang , Jianwei Lv , Bo Yuan

Reinforcement learning from verifiable rewards (RLVR) has demonstrated remarkable effectiveness in improving the reasoning capabilities of large language models. As models evolve into natively multimodal architectures, extending RLVR to…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Chuanyu Qin , Chenxu Yang , Qingyi Si , Naibin Gu , Dingyu Yao , Zheng Lin , Peng Fu , Nan Duan , Jiaqi Wang

Reinforcement Fine-Tuning (RFT) with verifiable rewards has advanced large language models but remains underexplored for Vision-Language (VL) models. The Vision-Language Reward Model (VL-RM) is key to aligning VL models by providing…

Computation and Language · Computer Science 2025-06-18 Jipeng Zhang , Kehao Miao , Renjie Pi , Zhaowei Wang , Runtao Liu , Rui Pan , Tong Zhang

Medical vision-language models show strong potential for joint reasoning over medical images and clinical text, but their performance often degrades under domain shift caused by variations in imaging devices, acquisition protocols, and…

Machine Learning · Computer Science 2026-02-23 Melika Filvantorkaman , Mohsen Piri
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