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Radiology Report Generation (R2Gen) demonstrates how Multi-modal Large Language Models (MLLMs) can automate the creation of accurate and coherent radiological reports. Existing methods often hallucinate details in text-based reports that…

Computation and Language · Computer Science 2024-07-19 Manav Nitin Kapadnis , Sohan Patnaik , Abhilash Nandy , Sourjyadip Ray , Pawan Goyal , Debdoot Sheet

Medical vision-language models (VLMs) often hallucinate findings when generating chest X-ray reports: they fabricate findings that are not present in the image, miss important ones, or locate them incorrectly. We mitigate this without…

In the realm of medical report generation (MRG), the integration of natural language processing has emerged as a vital tool to alleviate the workload of radiologists. Despite the impressive capabilities demonstrated by large vision language…

Computation and Language · Computer Science 2026-01-23 Ruoqing Zhao , Runze Xia , Piji Li

Large vision-language models (LVLMs) often hallucinate content that is fluent yet unsupported by the image, limiting their reliability in real-world deployment. We show that a key failure mode arises from route competition: even when visual…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Zhe Cheng , Wenyu Chen , Fode Zhang , Dehuan Shen

Large Vision-Language Models (LVLMs) face a tug-of-war between powerful linguistic priors and visual evidence, often leading to \emph{semantic drift}: a progressive detachment from the input image that can abruptly emerge at specific…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Jiahe Chen , Jiaying He , Qiyuan Chen , Qian Shao , Jiahe Ying , Hongxia Xu , Jintai Chen , Jianwei Zheng , Jian Wu

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

Large Vision-Language Models (LVLMs) exhibit outstanding performance on vision-language tasks but struggle with hallucination problems. Through in-depth analysis of LVLM activation patterns, we reveal two key findings: 1) truthfulness and…

Computer Vision and Pattern Recognition · Computer Science 2026-02-26 Jianghao Yin , Qin Chen , Kedi Chen , Jie Zhou , Xingjiao Wu , Liang He

Large vision-language models (LVLMs) have achieved remarkable performance on multimodal tasks. However, they still suffer from hallucinations, generating text inconsistent with visual input, posing significant risks in real-world…

Computer Vision and Pattern Recognition · Computer Science 2025-09-16 Zhenglin Hua , Jinghan He , Zijun Yao , Tianxu Han , Haiyun Guo , Yuheng Jia , Junfeng Fang

Radiology Report Generation (RRG) aims to produce accurate and coherent diagnostics from medical images. Although large vision language models (LVLM) improve report fluency and accuracy, they exhibit hallucinations, generating plausible yet…

Computation and Language · Computer Science 2026-02-05 Ruixiao Yang , Yuanhe Tian , Xu Yang , Huiqi Li , Yan Song

Automating radiology report generation with Large Vision-Language Models (LVLMs) holds great potential, yet these models often produce clinically critical hallucinations, posing serious risks. Existing hallucination detection methods…

Computation and Language · Computer Science 2025-10-28 Alois Thomas , Maya Varma , Jean-Benoit Delbrouck , Curtis P. Langlotz

Large Vision-Language Models (LVLMs) demonstrate impressive capabilities in generating detailed and coherent responses from visual inputs. However, they are prone to generate hallucinations due to an over-reliance on language priors. To…

Artificial Intelligence · Computer Science 2025-02-20 Kyungmin Min , Minbeom Kim , Kang-il Lee , Dongryeol Lee , Kyomin Jung

Medical Vision-Language Models (VLMs) often hallucinate by generating responses based on language priors rather than visual evidence, posing risks in clinical applications. We propose Visual Grounding Score Guided Decoding (VGS-Decoding), a…

Computer Vision and Pattern Recognition · Computer Science 2026-03-24 Govinda Kolli , Adinath Madhavrao Dukre , Behzad Bozorgtabar , Dwarikanath Mahapatra , Imran Razzak

Radiology report generation (RRG) has shown great potential in assisting radiologists by automating the labor-intensive task of report writing. While recent advancements have improved the quality and coherence of generated reports, ensuring…

Artificial Intelligence · Computer Science 2025-03-18 Chenyu Wang , Weichao Zhou , Shantanu Ghosh , Kayhan Batmanghelich , Wenchao Li

Large vision-language models (LVLMs) often hallucinate objects that are not present in the input image, largely because visual grounding weakens as decoding progresses. Existing inference-time mitigation methods modify logits or hidden…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Soumyadeep Jana , Pulkit Mittal , Sanasam Ranbir Singh

Despite the advanced capabilities of Large Vision-Language Models (LVLMs), they frequently suffer from object hallucination. One reason is that visual features and pretrained textual representations often become intertwined in the deeper…

Artificial Intelligence · Computer Science 2026-05-12 Jialin Wu , Wei Shi , Han Shen , Peigui Qi , Kunsheng Tang , Zhicong Huang , Binghao Wang , Zhou Yang

Vision-Language Models (VLMs) have made significant strides in static image understanding but continue to face critical hurdles in spatiotemporal reasoning. A major bottleneck is "multi-image reasoning hallucination", where a massive…

Artificial Intelligence · Computer Science 2026-04-14 Xiaoda Yang , Shuai Yang , Can Wang , Jingyang Xue , Menglan Tang , Checheng Yu , Xunzhe Zhou , Sashuai Zhou , Tao Jin , Lixin Yang , Xiangyu Yue , Zhou Zhao

General Multimodal Large Language Models (MLLMs) often underperform in capturing domain-specific nuances in medical diagnosis, trailing behind fully supervised baselines. Although fine-tuning provides a remedy, the high costs of expert…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Wenkai Zhao , Zipei Wang , Mengjie Fang , Di Dong , Jie Tian , Lingwei Zhang

Large Vision-Language Models (LVLMs) have achieved remarkable success across cross-modal tasks but remain hindered by hallucinations, producing textual outputs inconsistent with visual content. Existing methods mitigate hallucinations but…

Computer Vision and Pattern Recognition · Computer Science 2026-04-10 Yuanhong Zhang , Zhaoyang Wang , Xin Zhang , Weizhan Zhang , Joey Tianyi Zhou

Current deep learning models trained to generate radiology reports from chest radiographs are capable of producing clinically accurate, clear, and actionable text that can advance patient care. However, such systems all succumb to the same…

Computation and Language · Computer Science 2022-10-14 Vignav Ramesh , Nathan Andrew Chi , Pranav Rajpurkar

Multimodal large language models (MLLMs) have recently achieved remarkable progress in radiology by integrating visual perception with natural language understanding. However, they often generate clinically unsupported descriptions, known…

Computation and Language · Computer Science 2025-10-20 Xi Zhang , Zaiqiao Meng , Jake Lever , Edmond S. L. Ho
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