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While Multimodal Large Language Models (MLLMs) excel on benchmarks, their processing paradigm differs from the human ability to integrate visual information. Unlike humans who naturally bridge details and high-level concepts, models tend to…

Computer Vision and Pattern Recognition · Computer Science 2025-11-25 Ming Zhong , Yuanlei Wang , Liuzhou Zhang , Arctanx An , Renrui Zhang , Hao Liang , Ming Lu , Ying Shen , Wentao Zhang

Concept bottleneck models (CBM) aim to produce inherently interpretable models that rely on human-understandable concepts for their predictions. However, existing approaches to design interpretable generative models based on CBMs are not…

Computer Vision and Pattern Recognition · Computer Science 2025-03-26 Akshay Kulkarni , Ge Yan , Chung-En Sun , Tuomas Oikarinen , Tsui-Wei Weng

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

We introduce Contrastive Region Masking (CRM), a training free diagnostic that reveals how multimodal large language models (MLLMs) depend on specific visual regions at each step of chain-of-thought (CoT) reasoning. Unlike prior approaches…

Machine Learning · Computer Science 2025-12-19 Isha Chaturvedi , Anjana Nair , Yushen Li , Adhitya Rajendra Kumar , Kevin Zhu , Sunishchal Dev , Ashwinee Panda , Vasu Sharma

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

Innovations in digital intelligence are transforming robotic surgery with more informed decision-making. Real-time awareness of surgical instrument presence and actions (e.g., cutting tissue) is essential for such systems. Yet, despite…

Computer Vision and Pattern Recognition · Computer Science 2025-07-24 Jiajun Cheng , Xianwu Zhao , Sainan Liu , Xiaofan Yu , Ravi Prakash , Patrick J. Codd , Jonathan Elliott Katz , Shan Lin

With the rapid growth of large language models (LLMs) and vision-language models (VLMs) in medicine, simply integrating clinical text and medical imaging does not guarantee reliable reasoning. Existing multimodal models often produce…

Artificial Intelligence · Computer Science 2025-12-29 Zelin Zang , Wenyi Gu , Siqi Ma , Dan Yang , Yue Shen , Zhu Zhang , Guohui Fan , Wing-Kuen Ling , Fuji Yang

A fundamental challenge in artificial intelligence involves understanding the cognitive mechanisms underlying visual reasoning in sophisticated models like Vision-Language Models (VLMs). How do these models integrate visual perception with…

Computer Vision and Pattern Recognition · Computer Science 2025-05-07 Mohit Vaishnav , Tanel Tammet

Successful group meetings, such as those implemented in group behavioral-change programs, work meetings, and other social contexts, must promote individual goal setting and execution while strengthening the social relationships within the…

Computation and Language · Computer Science 2025-08-07 Xinyu Zhao , Zhen Tan , Maya Enisman , Minjae Seo , Marta R. Durantini , Dolores Albarracin , Tianlong Chen

Multimodal Large Language Models (MLLMs) have showcased exceptional Chain-of-Thought (CoT) reasoning ability in complex textual inference tasks including causal reasoning. However, will these causalities remain straightforward when crucial…

Computer Vision and Pattern Recognition · Computer Science 2025-05-28 Zhiyuan Li , Heng Wang , Dongnan Liu , Chaoyi Zhang , Ao Ma , Jieting Long , Weidong Cai

While Multimodal Large Language Models (MLLMs) show promising performance in automated electrocardiogram interpretation, it remains unclear whether they genuinely perform actual step-by-step reasoning or just rely on superficial visual…

Machine Learning · Computer Science 2026-03-17 Jungwoo Oh , Hyunseung Chung , Junhee Lee , Min-Gyu Kim , Hangyul Yoon , Ki Seong Lee , Youngchae Lee , Muhan Yeo , Edward Choi

Medical image classifiers detect gastrointestinal diseases well, but they do not explain their decisions. Large language models can generate clinical text, yet they struggle with visual reasoning and often produce unstable or incorrect…

Computer Vision and Pattern Recognition · Computer Science 2026-02-24 Md. Najib Hasan , Imran Ahmad , Sourav Basak Shuvo , Md. Mahadi Hasan Ankon , Sunanda Das , Nazmul Siddique , Hui Wang

As Vision-Language Models (VLMs) increasingly gain traction in medical applications, clinicians are progressively expecting AI systems not only to generate textual diagnoses but also to produce corresponding medical images that integrate…

Computer Vision and Pattern Recognition · Computer Science 2025-11-19 Junjie Yang , Yuhao Yan , Gang Wu , Yuxuan Wang , Ruoyu Liang , Xinjie Jiang , Xiang Wan , Fenglei Fan , Yongquan Zhang , Feiwei Qin , Changmiao Wang

Concept Bottleneck Models (CBMs) enhance the interpretability of end-to-end neural networks by introducing a layer of concepts and predicting the class label from the concept predictions. A key property of CBMs is that they support…

Machine Learning · Computer Science 2026-03-03 Weixin Chen , Han Zhao

We present the Bayesian Case Model (BCM), a general framework for Bayesian case-based reasoning (CBR) and prototype classification and clustering. BCM brings the intuitive power of CBR to a Bayesian generative framework. The BCM learns…

Machine Learning · Statistics 2019-04-05 Been Kim , Cynthia Rudin , Julie Shah

Deploying AI-powered systems requires trustworthy models supporting effective human interactions, going beyond raw prediction accuracy. Concept bottleneck models promote trustworthiness by conditioning classification tasks on an…

Concept Bottleneck Models (CBMs) have emerged as a cornerstone approach for interpretable machine learning, providing human-understandable intermediate representations through explicit concept activations. However, this interpretability…

Machine Learning · Computer Science 2026-05-26 Aditya Sridhar

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

Current deep learning models are not designed to simultaneously address three fundamental questions: predict class labels to solve a given classification task (the "What?"), simulate changes in the situation to evaluate how this impacts…

Machine Learning · Computer Science 2025-02-21 Gabriele Dominici , Pietro Barbiero , Francesco Giannini , Martin Gjoreski , Giuseppe Marra , Marc Langheinrich

Medical imaging provides critical evidence for clinical diagnosis, treatment planning, and surgical decisions, yet most existing imaging models are narrowly focused and require multiple specialized networks, limiting their generalization.…

Computer Vision and Pattern Recognition · Computer Science 2025-09-25 Guoxin Wang , Jun Zhao , Xinyi Liu , Yanbo Liu , Xuyang Cao , Chao Li , Zhuoyun Liu , Qintian Sun , Fangru Zhou , Haoqiang Xing , Zhenhong Yang
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