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Large visual language models (VLMs) have shown strong multi-modal medical reasoning ability, but most operate as end-to-end black boxes, diverging from clinicians' evidence-based, staged workflows and hindering clinical accountability.…

Artificial Intelligence · Computer Science 2026-03-12 Yuexi Du , Jinglu Wang , Shujie Liu , Nicha C. Dvornek , Yan Lu

Large language models (LLMs) offer transformative potential for clinical decision support in spine surgery but pose significant risks through hallucinations, which are factually inconsistent or contextually misaligned outputs that may…

Machine Learning · Computer Science 2025-11-21 Dong Chen , Yanzhe Wei , Zonglin He , Guan-Ming Kuang , Canhua Ye , Meiru An , Huili Peng , Yong Hu , Huiren Tao , Kenneth MC Cheung

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 language models (LLMs) exhibit logically inconsistent hallucinations that appear coherent yet violate reasoning principles, with recent research suggesting an inverse relationship between causal reasoning capabilities and such…

Computation and Language · Computer Science 2025-11-13 Yuangang Li , Yiqing Shen , Yi Nian , Jiechao Gao , Ziyi Wang , Chenxiao Yu , Shawn Li , Jie Wang , Xiyang Hu , Yue Zhao

Current Chain-of-Thought (CoT) verification methods predict reasoning correctness based on outputs (black-box) or activations (gray-box), but offer limited insight into why a computation fails. We introduce a white-box method: Circuit-based…

Computation and Language · Computer Science 2026-02-24 Zheng Zhao , Yeskendir Koishekenov , Xianjun Yang , Naila Murray , Nicola Cancedda

Vision-Language Models (VLMs) have enabled interpretable medical diagnosis by integrating visual perception with linguistic reasoning. Yet, existing medical chain-of-thought (CoT) models lack explicit mechanisms to represent and enforce…

Artificial Intelligence · Computer Science 2026-05-29 Jianxin Lin , Chunzheng Zhu , Peter J. Kneuertz , Yunfei Bai , Yuan Xue

Large Language Models (LLMs) have demonstrated impressive progress in complex reasoning tasks, largely driven by the Chain-of-Thought (CoT) paradigm, which decomposes difficult problems into intermediate steps. However, CoT reasoning…

Symbolic Computation · Computer Science 2026-05-26 Rui Wang , Zeming Wei , Yihao Zhang , Xiaokun Luan

Clinical language models (LMs) are increasingly applied to support clinical risk prediction from free-text notes, yet their uncertainty estimates often remain poorly calibrated and clinically unreliable. In this work, we propose Clinical…

Computation and Language · Computer Science 2026-04-27 Sizhe Wang , Ziqi Xu , Claire Najjuuko , Charles Alba , Chenyang Lu

Medical image segmentation is undergoing a paradigm shift from conventional visual pattern matching to cognitive reasoning analysis. Although Multimodal Large Language Models (MLLMs) have shown promise in integrating linguistic and visual…

Computer Vision and Pattern Recognition · Computer Science 2026-03-09 Yuxin Xie , Yuming Chen , Yishan Yang , Yi Zhou , Tao Zhou , Zhen Zhao , Jiacheng Liu , Huazhu Fu

Large language models (LLMs) enable waveform-to-text ECG interpretation and interactive clinical questioning, yet most ECG-LLM systems still rely on weak signal-text alignment and retrieval without explicit physiological or causal…

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

Objective: Large Language Models (LLMs) demonstrate significant capabilities in medical text understanding and generation. However, their diagnostic reliability in complex clinical scenarios remains limited. This study aims to enhance LLMs'…

Computation and Language · Computer Science 2025-08-04 Peixian Li , Yu Tian , Ruiqi Tu , Chengkai Wu , Jingjing Ren , Jingsong Li

Concept Bottleneck Models (CBMs) are a prominent framework for interpretable AI that map learned visual features to a set of meaningful concepts for task-specific downstream predictions. Their sequential structure enhances transparency by…

Computer Vision and Pattern Recognition · Computer Science 2026-03-11 Mohamed Harmanani , Bining Long , Zhuoxin Guo , Paul F. R. Wilson , Amirhossein Sabour , Minh Nguyen Nhat To , Gabor Fichtinger , Purang Abolmaesumi , Parvin Mousavi

Large language model agents suffer from fundamental architectural problems: entangled reasoning and execution, memory volatility, and uncontrolled action sequences. We introduce Structured Cognitive Loop (SCL), a modular architecture that…

Artificial Intelligence · Computer Science 2026-02-20 Myung Ho Kim

While large language models (LLMs) have shown to perform well on monolingual mathematical and commonsense reasoning, they remain unreliable for multilingual medical reasoning applications, hindering their deployment in multilingual…

Artificial Intelligence · Computer Science 2026-04-28 Eric Onyame , Akash Ghosh , Subhadip Baidya , Sriparna Saha , Xiuying Chen , Chirag Agarwal

Explainability and Safety engender Trust. These require a model to exhibit consistency and reliability. To achieve these, it is necessary to use and analyze data and knowledge with statistical and symbolic AI methods relevant to the AI…

Artificial Intelligence · Computer Science 2023-12-13 Manas Gaur , Amit Sheth

Clinical guidelines, typically developed by independent specialty societies, inherently exhibit substantial fragmentation, redundancy, and logical contradiction. These inconsistencies, particularly when applied to patients with…

Computation and Language · Computer Science 2026-04-21 Shiyao Xie , Jian Du

Large language models (LLMs) often solve challenging math exercises yet fail to apply the concept right when the problem requires genuine understanding. Popular Reinforcement Learning with Verifiable Rewards (RLVR) pipelines reinforce final…

Artificial Intelligence · Computer Science 2026-05-08 Zijun Gao , Zhikun Xu , Xiao Ye , Ben Zhou

Large Language Models (LLMs) often exhibit \textit{hallucinations}, generating factually incorrect or semantically irrelevant content in response to prompts. Chain-of-Thought (CoT) prompting can mitigate hallucinations by encouraging…

Computation and Language · Computer Science 2025-09-17 Jiahao Cheng , Tiancheng Su , Jia Yuan , Guoxiu He , Jiawei Liu , Xinqi Tao , Jingwen Xie , Huaxia Li

The advent of Large Language Models (LLMs) and Generative AI has revolutionized natural language applications across various domains. However, high-stakes decision-making tasks in fields such as medical, legal and finance require a level of…

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