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Existing benchmarks for evaluating the clinical reasoning capabilities of large language models (LLMs) often lack a clear definition of "clinical reasoning" as a construct, fail to capture the full breadth of interdependent tasks within a…

Accurate segmentation and tracking of relevant elements of the surgical scene is crucial to enable context-aware intraoperative assistance and decision making. Current solutions remain tethered to domain-specific, supervised models that…

Computer Vision and Pattern Recognition · Computer Science 2025-09-16 Jecia Z. Y. Mao , Francis X Creighton , Russell H Taylor , Manish Sahu

Conventional approaches to video segmentation are confined to predefined object categories and cannot identify out-of-vocabulary objects, let alone objects that are not identified explicitly but only referred to implicitly in complex text…

Computer Vision and Pattern Recognition · Computer Science 2025-07-23 Yiqing Shen , Chenjia Li , Chenxiao Fan , Mathias Unberath

Purpose: Automated Surgical Phase Recognition (SPR) uses Artificial Intelligence (AI) to segment the surgical workflow into its key events, functioning as a building block for efficient video review, surgical education as well as skill…

Image and Video Processing · Electrical Eng. & Systems 2025-06-06 Marco Mezzina , Pieter De Backer , Tom Vercauteren , Matthew Blaschko , Alexandre Mottrie , Tinne Tuytelaars

Recent multimodal large language models (MLLMs) achieve strong performance on visual reasoning benchmarks, yet it remains unclear to what extent such performance reflects reasoning directly grounded in visual evidence. We introduce…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Longteng Guo , Yifan Wang , Pengkang Huo , Tailai Chen , Yuze Wu , Jing Liu , Xinxin Zhu

Recent advances in large language models (LLMs) have improved reasoning in text and image domains, yet achieving robust video reasoning remains a significant challenge. Existing video benchmarks mainly assess shallow understanding and…

Computer Vision and Pattern Recognition · Computer Science 2025-07-24 Xuchen Li , Xuzhao Li , Shiyu Hu , Kaiqi Huang , Wentao Zhang

Visual question answering (VQA) in surgery is largely unexplored. Expert surgeons are scarce and are often overloaded with clinical and academic workloads. This overload often limits their time answering questionnaires from patients,…

Computer Vision and Pattern Recognition · Computer Science 2022-06-28 Lalithkumar Seenivasan , Mobarakol Islam , Adithya K Krishna , Hongliang Ren

Large scale vision language models have shown promise in automating chest Xray interpretation, yet their clinical utility remains limited by a gap between model outputs and radiologist reasoning. Most systems optimize for semantic…

Artificial Intelligence · Computer Science 2026-04-17 Kinhei Lee , Peiyuan Jing , Zhenxuan Zhang , Yue Yang , Tao Wang , Dominic C Marshall , Yingying Fang , Guang Yang

Video Question Answering (VideoQA) has made significant strides by leveraging multimodal learning to align visual and textual modalities. However, current benchmarks overwhelmingly focus on questions answerable through explicit visual…

Computer Vision and Pattern Recognition · Computer Science 2026-03-31 Sirnam Swetha , Rohit Gupta , Parth Parag Kulkarni , David G Shatwell , Jeffrey A Chan Santiago , Nyle Siddiqui , Joseph Fioresi , Mubarak Shah

Comprehensively understanding surgical scenes in Surgical Visual Question Answering (Surgical VQA) requires reasoning over multiple objects. Previous approaches address this task using cross-modal fusion strategies to enhance reasoning…

Computer Vision and Pattern Recognition · Computer Science 2024-11-19 Wenjun Hou , Yi Cheng , Kaishuai Xu , Yan Hu , Wenjie Li , Jiang Liu

Vision-Language Models (VLMs) are advancing computational pathology with superior visual understanding capabilities. However, current systems often reduce diagnosis to directly output conclusions without verifiable evidence-linked…

Computer Vision and Pattern Recognition · Computer Science 2026-01-30 Songhan Jiang , Fengchun Liu , Ziyue Wang , Linghan Cai , Yongbing Zhang

Medical vision-language models (VLMs) and AI agents have made significant progress in learning to analyze and reason about clinical images. However, existing medical visual question answering (VQA) benchmarks collapse model capabilities…

Computer Vision and Pattern Recognition · Computer Science 2026-05-12 Yixiong Chen , Wenjie Xiao , Pedro R. A. S. Bassi , Boyan Wang , Liang He , Xinze Zhou , Sezgin Er , Ibrahim Ethem Hamamci , Zongwei Zhou , Alan Yuille

Accurate counting of surgical instruments in Operating Rooms (OR) is a critical prerequisite for ensuring patient safety during surgery. Despite recent progress of large visual-language models and agentic AI, accurately counting such…

Computer Vision and Pattern Recognition · Computer Science 2026-02-12 Rishikesh Bhyri , Brian R Quaranto , Philip J Seger , Kaity Tung , Brendan Fox , Gene Yang , Steven D. Schwaitzberg , Junsong Yuan , Nan Xi , Peter C W Kim

Vision Language Models (VLMs) have shown strong performance on multimodal reasoning tasks, yet most evaluations focus on short videos and assume unconstrained computational resources. In industrial settings such as pharmaceutical content…

Computer Vision and Pattern Recognition · Computer Science 2026-01-09 Suyash Mishra , Qiang Li , Srikanth Patil , Satyanarayan Pati , Baddu Narendra

General-purpose large Vision-Language Models (VLMs) demonstrate strong capabilities in generating detailed descriptions for natural images. However, their performance in the medical domain remains suboptimal, even for relatively…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

Surgical scene perception via videos is critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the…

Computer Vision and Pattern Recognition · Computer Science 2024-07-22 Ming Hu , Peng Xia , Lin Wang , Siyuan Yan , Feilong Tang , Zhongxing Xu , Yimin Luo , Kaimin Song , Jurgen Leitner , Xuelian Cheng , Jun Cheng , Chi Liu , Kaijing Zhou , Zongyuan Ge

What does it take to design a machine that learns to answer natural questions about a video? A Video QA system must simultaneously understand language, represent visual content over space-time, and iteratively transform these…

Computer Vision and Pattern Recognition · Computer Science 2020-04-14 Thao Minh Le , Vuong Le , Svetha Venkatesh , Truyen Tran

We propose Perceptual Taxonomy, a structured process of scene understanding that first recognizes objects and their spatial configurations, then infers task-relevant properties such as material, affordance, function, and physical attributes…

Computer Vision and Pattern Recognition · Computer Science 2025-11-26 Jonathan Lee , Xingrui Wang , Jiawei Peng , Luoxin Ye , Zehan Zheng , Tiezheng Zhang , Tao Wang , Wufei Ma , Siyi Chen , Yu-Cheng Chou , Prakhar Kaushik , Alan Yuille

MLLMs (Multimodal Large Language Models) have showcased remarkable capabilities, but their performance in high-stakes, domain-specific scenarios like surgical settings, remains largely under-explored. To address this gap, we develop…

Computer Vision and Pattern Recognition · Computer Science 2025-10-03 Gui Wang , Yang Wennuo , Xusen Ma , Zehao Zhong , Zhuoru Wu , Ende Wu , Rong Qu , Wooi Ping Cheah , Jianfeng Ren , Linlin Shen

Reasoning Segmentation (RS) aims to delineate objects based on implicit text queries, the interpretation of which requires reasoning and knowledge integration. Unlike the traditional formulation of segmentation problems that relies on fixed…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Yiqing Shen , Chenjia Li , Fei Xiong , Jeong-O Jeong , Tianpeng Wang , Michael Latman , Mathias Unberath