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Large Language Models (LLMs) are increasingly applied to medical imaging tasks, including image interpretation and synthetic image generation. However, these models often produce hallucinations, which are confident but incorrect outputs…

Image and Video Processing · Electrical Eng. & Systems 2025-08-12 Anindya Bijoy Das , Shahnewaz Karim Sakib , Shibbir Ahmed

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

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

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

Clinical decision-making requires reasoning over incomplete, imprecise, and linguistically expressed patient narratives. While large language models (LLMs) excel at extracting latent information from natural language, they lack the…

Artificial Intelligence · Computer Science 2026-05-26 Xiaoyang Fan , Yufan Cai , Zhe Hou , Jin Song Dong

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

Advancements in Large Vision-Language Models (LVLMs) have demonstrated promising performance in a variety of vision-language tasks involving image-conditioned free-form text generation. However, growing concerns about hallucinations in…

Machine Learning · Computer Science 2025-03-03 Zhuohang Li , Chao Yan , Nicholas J. Jackson , Wendi Cui , Bo Li , Jiaxin Zhang , Bradley A. Malin

Multimodal Large Language Models (MLLMs) have shown remarkable capability in assisting disease diagnosis in medical visual question answering (VQA). However, their outputs remain vulnerable to hallucinations (i.e., responses that contradict…

Computer Vision and Pattern Recognition · Computer Science 2026-01-27 Mengyuan Jin , Zehui Liao , Yong Xia

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…

Radiology Report Generation (RRG) is a critical step toward automating healthcare workflows, facilitating accurate patient assessments, and reducing the workload of medical professionals. Despite recent progress in Large Medical…

Computer Vision and Pattern Recognition · Computer Science 2026-03-16 Sarosij Bose , Ravi K. Rajendran , Biplob Debnath , Konstantinos Karydis , Amit K. Roy-Chowdhury , Srimat Chakradhar

Vision Language Models (VLMs) have achieved impressive progress in multimodal reasoning; yet, they remain vulnerable to hallucinations, where outputs are not grounded in visual evidence. In this paper, we investigate a previously overlooked…

Computer Vision and Pattern Recognition · Computer Science 2025-10-15 Sifan Li , Hongkai Chen , Yujun Cai , Qingwen Ye , Liyang Chen , Junsong Yuan , Yiwei Wang

Visual reasoning is central to human cognition, enabling individuals to interpret and abstractly understand their environment. Although recent Multimodal Large Language Models (MLLMs) have demonstrated impressive performance across language…

Computer Vision and Pattern Recognition · Computer Science 2025-03-17 Jing Bi , Junjia Guo , Susan Liang , Guangyu Sun , Luchuan Song , Yunlong Tang , Jinxi He , Jiarui Wu , Ali Vosoughi , Chen Chen , Chenliang Xu

Uncertainty quantification is essential for assessing the reliability and trustworthiness of modern AI systems. Among existing approaches, verbalized uncertainty, where models express their confidence through natural language, has emerged…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Weihao Xuan , Qingcheng Zeng , Heli Qi , Junjue Wang , Naoto Yokoya

Vision-language models (VLMs) have shown strong promise for medical image analysis, but most remain opaque, offering predictions without the transparent, stepwise reasoning clinicians rely on. We present a framework that brings…

Computer Vision and Pattern Recognition · Computer Science 2025-10-31 Andriy Myronenko , Dong Yang , Baris Turkbey , Mariam Aboian , Sena Azamat , Esra Akcicek , Hongxu Yin , Pavlo Molchanov , Marc Edgar , Yufan He , Pengfei Guo , Yucheng Tang , Daguang Xu

Multimodal large language models (MLLMs) that integrate visual and textual reasoning leverage chain-of-thought (CoT) prompting to tackle complex visual tasks, yet continue to exhibit visual hallucinations and an over-reliance on textual…

Computer Vision and Pattern Recognition · Computer Science 2025-10-24 Jing Bi , Guangyu Sun , Ali Vosoughi , Chen Chen , Chenliang Xu

Multimodal reasoning with vision-language models (VLMs) often suffers from hallucinations, as models tend to generate explanations after only a superficial inspection of the image. We present \textbf{CoRGI}(\textbf{C}hain \textbf{o}f…

Artificial Intelligence · Computer Science 2025-10-15 Shixin Yi , Lin Shang

As large language models (LLMs) are increasing integrated into fact-checking pipelines, formal logic is often proposed as a rigorous means by which to mitigate bias, errors and hallucinations in these models' outputs. For example, some…

Computation and Language · Computer Science 2026-04-28 Jason Chan , Robert Gaizauskas , Zhixue Zhao

Medical vision--language models (VLMs) are usually evaluated on intact image--question pairs, but trustworthy clinical use requires a stronger property: a model must recognise when the evidential basis for an answer has failed. We study…

Computer Vision and Pattern Recognition · Computer Science 2026-05-25 Hanqi Jiang , Junhao Chen , Mingyu Kang , Hyeokjae Kwon , Yi Pan , Lifeng Chen , Weihang You , Haozhen Gong , Ruiyu Yan , Jinglei Lv , Lin Zhao , Hui Ren , Quanzheng Li , Tianming Liu , Xiang Li

Background: The rapid integration of foundation models into clinical practice and public health necessitates a rigorous evaluation of their true clinical reasoning capabilities beyond narrow examination success. Current benchmarks,…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Dingyu Wang , Zimu Yuan , Jiajun Liu , Shanggui Liu , Nan Zhou , Tianxing Xu , Di Huang , Dong Jiang

Vision-Language Models (VLMs) have advanced multi-modal tasks like image captioning, visual question answering, and reasoning. However, they often generate hallucinated outputs inconsistent with the visual context or prompt, limiting…

Computer Vision and Pattern Recognition · Computer Science 2025-03-18 Shawn Li , Jiashu Qu , Yuxiao Zhou , Yuehan Qin , Tiankai Yang , Yue Zhao
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