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Related papers: ClinCoT: Clinical-Aware Visual Chain-of-Thought fo…

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Recent advances in multimodal techniques have led to significant progress in Medical Visual Question Answering (Med-VQA). However, most existing models focus on global image features rather than localizing disease-specific regions crucial…

Computational Engineering, Finance, and Science · Computer Science 2025-06-30 Yuan Wang , Jiaxiang Liu , Shujian Gao , Bin Feng , Zhihang Tang , Xiaotang Gai , Jian Wu , Zuozhu Liu

Recent advances in large language models elicit reasoning in a chain-of-thought that allows models to decompose problems in a human-like fashion. Though this paradigm improves multi-step reasoning ability in language models, it is limited…

Computation and Language · Computer Science 2024-01-24 Daniel Rose , Vaishnavi Himakunthala , Andy Ouyang , Ryan He , Alex Mei , Yujie Lu , Michael Saxon , Chinmay Sonar , Diba Mirza , William Yang Wang

Chain-of-thought (CoT) reasoning greatly improves the interpretability and problem-solving abilities of multimodal large language models (MLLMs). However, existing approaches are focused on text CoT, limiting their ability to leverage…

Computer Vision and Pattern Recognition · Computer Science 2025-07-16 Kesen Zhao , Beier Zhu , Qianru Sun , Hanwang Zhang

Artificial intelligence has advanced in Medical Visual Question Answering (Med-VQA), but prevalent research tends to focus on the accuracy of the answers, often overlooking the reasoning paths and interpretability, which are crucial in…

Computer Vision and Pattern Recognition · Computer Science 2024-12-19 Jiaxiang Liu , Yuan Wang , Jiawei Du , Joey Tianyi Zhou , Zuozhu Liu

Chain-of-Thought (CoT) prompting has proven to be effective in enhancing the reasoning capabilities of Large Language Models (LLMs) with at least 100 billion parameters. However, it is ineffective or even detrimental when applied to…

Computation and Language · Computer Science 2023-10-24 Chengcheng Han , Xiaowei Du , Che Zhang , Yixin Lian , Xiang Li , Ming Gao , Baoyuan Wang

Medical visual question answering aims to support clinical decision-making by enabling models to answer natural language questions based on medical images. While recent advances in multi-modal learning have significantly improved…

Computer Vision and Pattern Recognition · Computer Science 2025-10-29 Bo Liu , Xiangyu Zhao , Along He , Yidi Chen , Huazhu Fu , Xiao-Ming Wu

Recently, large models have shown significant potential for smart healthcare. However, the deployment of Large Vision-Language Models (LVLMs) for clinical services is currently hindered by three critical challenges: a tendency to…

Artificial Intelligence · Computer Science 2025-10-27 Siyong Chen , Jinbo Wen , Jiawen Kang , Tenghui Huang , Xumin Huang , Yuanjia Su , Hudan Pan , Zishao Zhong , Dusit Niyato , Shengli Xie , Dong In Kim

Large language models (LLMs) have shown impressive performance on complex reasoning by leveraging chain-of-thought (CoT) prompting to generate intermediate reasoning chains as the rationale to infer the answer. However, existing CoT studies…

Computation and Language · Computer Science 2024-05-21 Zhuosheng Zhang , Aston Zhang , Mu Li , Hai Zhao , George Karypis , Alex Smola

Large vision-language models (VLMs) often benefit from chain-of-thought (CoT) prompting in general domains, yet its efficacy in medical vision-language tasks remains underexplored. We report a counter-intuitive trend: on medical visual…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Yuan Wu , Zongxian Yang , Jiayu Qian , Songpan Gao , Guanxing Chen , Qiankun Li , Yu-An Huang , Zhi-An Huang

The ability to perform Chain-of-Thought (CoT) reasoning marks a major milestone for multimodal models (MMs), enabling them to solve complex visual reasoning problems. Yet a critical question remains: is such reasoning genuinely grounded in…

Computer Vision and Pattern Recognition · Computer Science 2025-12-10 Jusheng Zhang , Kaitong Cai , Xiaoyang Guo , Sidi Liu , Qinhan Lv , Ruiqi Chen , Jing Yang , Yijia Fan , Xiaofei Sun , Jian Wang , Ziliang Chen , Liang Lin , Keze Wang

Chain-of-thought (CoT) reasoning in vision language models (VLMs) is crucial for improving interpretability and trustworthiness. However, current training recipes lack robust CoT reasoning data, relying on datasets dominated by short…

Artificial Intelligence · Computer Science 2024-10-22 Ruohong Zhang , Bowen Zhang , Yanghao Li , Haotian Zhang , Zhiqing Sun , Zhe Gan , Yinfei Yang , Ruoming Pang , Yiming Yang

Chain-of-Thought (CoT) reasoning has proven effective in enhancing large language models by encouraging step-by-step intermediate reasoning, and recent advances have extended this paradigm to Multimodal Large Language Models (MLLMs). In the…

Image and Video Processing · Electrical Eng. & Systems 2026-03-24 Juntao Jiang , Jiangning Zhang , Yali Bi , Jinsheng Bai , Weixuan Liu , Weiwei Jin , Zhucun Xue , Yong Liu , Xiaobin Hu , Shuicheng Yan

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in…

Chain-of-thought (CoT) reasoning has advanced medical visual question answering (VQA), yet most existing CoT rationales are free-form and fail to capture the structured reasoning process clinicians actually follow. This work asks: Can…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Lin Fan , Yafei Ou , Zhipeng Deng , Pengyu Dai , Hou Chongxian , Jiale Yan , Yaqian Li , Kaiwen Long , Xun Gong , Masayuki Ikebe , Yefeng Zheng

Interleaved-Modal Chain-of-Thought (I-MCoT) advances vision-language reasoning, such as Visual Question Answering (VQA). This paradigm integrates specially selected visual evidence from the input image into the context of Vision-Language…

Computer Vision and Pattern Recognition · Computer Science 2026-04-21 Xiping Li , Jianghong Ma

Multimodal large language models (MLLMs) have advanced the integration of visual and linguistic modalities, establishing themselves as the dominant paradigm for visual-language tasks. Current approaches like chain of thought (CoT) reasoning…

Computer Vision and Pattern Recognition · Computer Science 2024-11-20 Haojie Zheng , Tianyang Xu , Hanchi Sun , Shu Pu , Ruoxi Chen , Lichao Sun

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Soo Yong Kim , Suin Cho , Vincent-Daniel Yun , Gyeongyeon Hwang

With the development of generative artificial intelligence and instruction tuning techniques, multimodal large language models (MLLMs) have made impressive progress on general reasoning tasks. Benefiting from the chain-of-thought (CoT)…

Machine Learning · Computer Science 2025-07-03 Junjie Zhou , Yingli Zuo , Shichang Feng , Peng Wan , Qi Zhu , Daoqiang Zhang , Wei Shao

Despite great progress, existing multimodal large language models (MLLMs) are prone to visual hallucination, greatly impeding their trustworthy applications. In this paper, we study this problem from the perspective of visual-spatial…

Computer Vision and Pattern Recognition · Computer Science 2025-03-25 Qiong Wu , Xiangcong Yang , Yiyi Zhou , Chenxin Fang , Baiyang Song , Xiaoshuai Sun , Rongrong Ji

Recent multimodal large language models (MLLMs) increasingly rely on visual chain-of-thought to perform region-grounded reasoning over images. However, existing approaches ground regions via either textified coordinates-causing modality…

Computer Vision and Pattern Recognition · Computer Science 2026-03-02 Kesen Zhao , Beier Zhu , Junbao Zhou , Xingyu Zhu , Zhongqi Yue , Hanwang Zhang
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