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A key challenge in training Vision-Language Model (VLM) agents, compared to Language Model (LLM) agents, lies in the shift from textual states to complex visual observations. This transition introduces partial observability and demands…

Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness…

Quantitative Methods · Quantitative Biology 2025-10-08 Anni Tziakouri , Filippo Menolascina

Combining Large Language Models (LLMs) with Reinforcement Learning (RL) enables agents to interpret language instructions more effectively for task execution. However, LLMs typically lack direct perception of the physical environment, which…

Machine Learning · Computer Science 2026-03-25 Pengsen Liu , Maosen Zeng , Nan Tang , Kaiyuan Li , Jing-Cheng Pang , Yunan Liu , Yang Yu

Vision-language models (VLMs) are increasingly adapted through domain-specific fine-tuning, yet it remains unclear whether this improves reasoning beyond superficial visual cues, particularly in high-stakes domains like medicine. We…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Oliver McLaughlin , Daniel Shubin , Carsten Eickhoff , Ritambhara Singh , William Rudman , Michal Golovanevsky

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

Vision-Language Models (VLMs) facilitate medical visual question answering (MedVQA) by jointly interpreting images and text. However, existing models typically depend on large architectures and closed-set answers, which limits their…

Computer Vision and Pattern Recognition · Computer Science 2026-05-18 Jiayan Yang , Zhuoyu Wu , Wenqi Fang

Large vision-language models (VLMs) for autonomous driving (AD) are evolving beyond perception and cognition tasks toward motion planning. However, we identify two critical challenges in this direction: (1) VLMs tend to learn shortcuts by…

Computer Vision and Pattern Recognition · Computer Science 2025-06-24 Yue Li , Meng Tian , Dechang Zhu , Jiangtong Zhu , Zhenyu Lin , Zhiwei Xiong , Xinhai Zhao

Recent advancements in autonomous driving (AD) have explored the use of vision-language models (VLMs) within visual question answering (VQA) frameworks for direct driving decision-making. However, these approaches often depend on…

Computer Vision and Pattern Recognition · Computer Science 2025-11-19 Xin Hu , Taotao Jing , Renran Tian , Zhengming Ding

Reinforcement learning from verifiable rewards (RLVR) has recently been extended from text-only LLMs to vision-language models (VLMs) to elicit long-chain multimodal reasoning. However, RLVR-trained VLMs still exhibit two persistent failure…

Computer Vision and Pattern Recognition · Computer Science 2025-12-16 Hoang Anh Just , Yifei Fan , Handong Zhao , Jiuxiang Gu , Ruiyi Zhang , Simon Jenni , Kushal Kafle , Ruoxi Jia , Jing Shi

Vision-language agents have achieved remarkable progress in a variety of multimodal reasoning tasks; however, their learning remains constrained by the limitations of human-annotated supervision. Recent self-rewarding approaches attempt to…

Computer Vision and Pattern Recognition · Computer Science 2025-11-27 Jiaqi Liu , Kaiwen Xiong , Peng Xia , Yiyang Zhou , Haonian Ji , Lu Feng , Siwei Han , Mingyu Ding , Huaxiu Yao

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

Designing effective reward functions remains a fundamental challenge in reinforcement learning (RL), as it often requires extensive human effort and domain expertise. While RL from human feedback has been successful in aligning agents with…

Machine Learning · Computer Science 2025-06-17 Tung Minh Luu , Younghwan Lee , Donghoon Lee , Sunho Kim , Min Jun Kim , Chang D. Yoo

Recent advances in text-only "slow-thinking" reasoning have prompted efforts to transfer this capability to vision-language models (VLMs), for training visual reasoning models (\textbf{VRMs}). owever, such transfer faces critical…

Computer Vision and Pattern Recognition · Computer Science 2025-09-16 Pu Jian , Junhong Wu , Wei Sun , Chen Wang , Shuo Ren , Jiajun Zhang

Medical Visual Grounding (MVG) aims to identify diagnostically relevant phrases from free-text radiology reports and localize their corresponding regions in medical images, providing interpretable visual evidence to support clinical…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Yifan Gao , Tao Zhou , Yi Zhou , Ke Zou , Yizhe Zhang , Huazhu Fu

Visual language models (VLMs) have the potential to transform medical workflows. However, the deployment is limited by sycophancy. Despite this serious threat to patient safety, a systematic benchmark remains lacking. This paper addresses…

Computer Vision and Pattern Recognition · Computer Science 2026-05-29 Juangui Xu , Zikun Guo , Jingwei Lv , Hongbin Lin , Shu Yang , Jun Wen , Di Wang , Lijie Hu

Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain…

Computation and Language · Computer Science 2022-09-16 Zhihong Chen , Guanbin Li , Xiang Wan

Vision-language models (VLMs) have shown powerful capabilities in visual question answering and reasoning tasks by combining visual representations with the abstract skill set large language models (LLMs) learn during pretraining. Vision,…

Artificial Intelligence · Computer Science 2023-09-01 Riley Tavassoli , Mani Amani , Reza Akhavian

Prompt ensembling of Large Language Model (LLM) generated category-specific prompts has emerged as an effective method to enhance zero-shot recognition ability of Vision-Language Models (VLMs). To obtain these category-specific prompts, the…

Computer Vision and Pattern Recognition · Computer Science 2024-08-08 M. Jehanzeb Mirza , Leonid Karlinsky , Wei Lin , Sivan Doveh , Jakub Micorek , Mateusz Kozinski , Hilde Kuehne , Horst Possegger

Large vision-language models (LVMs) hold a great promise for automating medical report generation, potentially reducing the burden of manual reporting. State-of-the-art (SOTA) research fine-tunes general LVMs with medical data to align…

Computation and Language · Computer Science 2025-04-07 Hao Wang , Shuchang Ye , Jinghao Lin , Usman Naseem , Jinman Kim

In medical image classification, supervised learning is challenging due to the scarcity of labeled medical images. To address this, we leverage the visual-textual alignment within Vision-Language Models (VLMs) to enable unsupervised…

Computer Vision and Pattern Recognition · Computer Science 2025-04-01 Umaima Rahman , Raza Imam , Mohammad Yaqub , Boulbaba Ben Amor , Dwarikanath Mahapatra