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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

Large Vision-Language Models (LVLMs) often produce responses that misalign with factual information, a phenomenon known as hallucinations. While hallucinations are well-studied, the exact causes behind them remain underexplored. In this…

Computer Vision and Pattern Recognition · Computer Science 2025-03-07 Sreyan Ghosh , Chandra Kiran Reddy Evuru , Sonal Kumar , Utkarsh Tyagi , Oriol Nieto , Zeyu Jin , Dinesh Manocha

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

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

The growing integration of vision-language models (VLMs) in medical applications offers promising support for diagnostic reasoning. However, current medical VLMs often face limitations in generalization, transparency, and computational…

Computer Vision and Pattern Recognition · Computer Science 2025-06-17 Tan-Hanh Pham , Chris Ngo

Multimodal Large Language Models (MLLMs) have shown impressive performance in vision and text tasks. However, hallucination remains a major challenge, especially in fields like healthcare where details are critical. In this work, we show…

Computation and Language · Computer Science 2025-02-24 Yun-Wei Chu , Kai Zhang , Christopher Malon , Martin Renqiang Min

Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without…

Retrieval-augmented generation (RAG) is a paradigm that augments large language models (LLMs) with external knowledge to tackle knowledge-intensive question answering. While several benchmarks evaluate Multimodal LLMs (MLLMs) under…

Computation and Language · Computer Science 2025-08-18 Yin Wu , Quanyu Long , Jing Li , Jianfei Yu , Wenya Wang

In vision-language models (VLMs), misalignment between textual descriptions and visual coordinates often induces hallucinations. This issue becomes particularly severe in dense prediction tasks such as spatial-temporal video grounding…

Computer Vision and Pattern Recognition · Computer Science 2026-02-13 Xiaowen Zhang , Zhi Gao , Licheng Jiao , Lingling Li , Qing Li

Large language models have achieved strong performance on medical reasoning benchmarks, yet their deployment in clinical settings demands rigorous verification to ensure factual accuracy. While reward models offer a scalable approach for…

Artificial Intelligence · Computer Science 2026-01-29 Hang Zhang , Ruheng Wang , Yuelyu Ji , Mingu Kwak , Xizhi Wu , Chenyu Li , Li Zhang , Wenqi Shi , Yifan Peng , Yanshan Wang

Multimodal large language models via reinforcement learning (RL) have demonstrated remarkable capabilities in complex visual reasoning tasks, yet they remain limited in long-horizon multimodal scenarios, often suffering from visual…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Chenghao Li , Fusheng Hao , Xikai Zhang , Likang Xiao , Yanwei Ren , Fuxiang Wu , Quan Chen , Liu Liu

Multimodal Large Language Models (MLLMs) have achieved notable gains in various tasks by incorporating Chain-of-Thought (CoT) reasoning in language spaces. Recent work extends this direction by leveraging external tools for visual editing,…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Bangzheng Li , Ximeng Sun , Jiang Liu , Ze Wang , Jialian Wu , Xiaodong Yu , Hao Chen , Emad Barsoum , Muhao Chen , Zicheng Liu

End-to-end Vision-language Models (VLMs) often answer visual questions by exploiting spurious correlations instead of causal visual evidence, and can become more shortcut-prone when fine-tuned. We introduce VISTA (Visual-Information…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Zhaonan Li , Shijie Lu , Fei Wang , Jacob Dineen , Xiao Ye , Zhikun Xu , Siyi Liu , Young Min Cho , Bangzheng Li , Daniel Chang , Kenny Nguyen , Qizheng Yang , Muhao Chen , Ben Zhou

Reinforcement learning (RL) with rule-based reward functions has recently shown great promise in enhancing the reasoning depth and generalization ability of vision-language models (VLMs), while maintaining computational efficiency. In spite…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Yizhou Liu , Dingkang Yang , Zizhi Chen , Minghao Han , Xukun Zhang , Keliang Liu , Jingwei Wei , Lihua Zhang

Can Visual Language Models (VLMs) effectively capture human visual preferences? This work addresses this question by training VLMs to think about preferences at test time, employing reinforcement learning methods inspired by DeepSeek R1 and…

Computer Vision and Pattern Recognition · Computer Science 2025-07-01 Alexander Gambashidze , Konstantin Sobolev , Andrey Kuznetsov , Ivan Oseledets

Multimodal large language models (MLLMs) often struggle to ground reasoning in perceptual evidence. We present a systematic study of perception strategies-explicit, implicit, visual, and textual-across four multimodal benchmarks and two…

Computer Vision and Pattern Recognition · Computer Science 2025-09-30 Yizhuo Ding , Mingkang Chen , Zhibang Feng , Tong Xiao , Wanying Qu , Wenqi Shao , Yanwei Fu

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

Visual Question Answering (VQA) is a challenging task of predicting the answer to a question about the content of an image. Prior works directly evaluate the answering models by simply calculating the accuracy of predicted answers. However,…

Computer Vision and Pattern Recognition · Computer Science 2025-06-11 Kun Li , George Vosselman , Michael Ying Yang

Reinforcement Learning with Verifiable Rewards (RLVR) improves multimodal reasoning by rewarding verifiable final answers. Yet answer-correct trajectories may still rely on incomplete derivations, weak evidence, or statements that…

Computation and Language · Computer Science 2026-04-22 Mengzhao Jia , Zhihan Zhang , Meng Jiang

Vision-language models (VLMs) have great potential for medical image understanding, particularly in Visual Report Generation (VRG) and Visual Question Answering (VQA), but they may generate hallucinated responses that contradict visual…

Computer Vision and Pattern Recognition · Computer Science 2026-02-05 Zehui Liao , Shishuai Hu , Ke Zou , Mengyuan Jin , Yanning Zhang , Huazhu Fu , Liangli Zhen , Yong Xia