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Vision-Language Models (VLMs) have achieved impressive performance across a wide range of multimodal tasks, yet they often exhibit inconsistent behavior when faced with semantically equivalent inputs, undermining their reliability and…

Computer Vision and Pattern Recognition · Computer Science 2025-06-30 Shih-Han Chou , Shivam Chandhok , James J. Little , Leonid Sigal

Large Vision-Language Models (VLMs) rely on effective multimodal alignment between pre-trained vision encoders and Large Language Models (LLMs) to integrate visual and textual information. This paper presents a comprehensive analysis of…

Computer Vision and Pattern Recognition · Computer Science 2025-11-25 Shweta Mahajan , Hoang Le , Hyojin Park , Farzad Farhadzadeh , Munawar Hayat , Fatih Porikli

Trustworthy clinical AI requires that performance gains reflect genuine evidence integration rather than surface-level artifacts. We evaluate 12 open-weight vision-language models (VLMs) on binary classification across two clinical…

Artificial Intelligence · Computer Science 2026-03-31 Doan Nam Long Vu , Simone Balloccu

Vision-Language Models (VLMs) excel at many multimodal tasks, yet they frequently struggle with tasks requiring precise understanding and handling of fine-grained visual elements. This is mainly due to information loss during image encoding…

Computer Vision and Pattern Recognition · Computer Science 2025-10-03 Xuchen Li , Xuzhao Li , Jiahui Gao , Renjie Pi , Shiyu Hu , Wentao Zhang

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure…

Artificial Intelligence · Computer Science 2025-09-30 Hongjun Liu , Yinghao Zhu , Yuhui Wang , Yitao Long , Zeyu Lai , Lequan Yu , Chen Zhao

Vision-language models (VLMs) are widely assumed to exhibit in-context learning (ICL), a property similar to that of their language-only counterparts. While recent work suggests VLMs can perform multimodal ICL (MM-ICL), studies show they…

Computer Vision and Pattern Recognition · Computer Science 2025-06-10 Chengyue Huang , Yuchen Zhu , Sichen Zhu , Jingyun Xiao , Moises Andrade , Shivang Chopra , Zsolt Kira

Large Vision Language Models (LVLMs) achieve strong multimodal reasoning but frequently exhibit hallucinations and incorrect responses with high certainty, which hinders their usage in high-stakes domains. Existing verbalized confidence…

Computer Vision and Pattern Recognition · Computer Science 2026-04-13 Wenyi Xiao , Xinchi Xu , Leilei Gan

Medical Vision-Language Models (Med-VLMs) have achieved expert-level proficiency in interpreting diagnostic imaging. However, current models are predominantly trained on professional literature, limiting their ability to communicate…

Computation and Language · Computer Science 2026-04-08 Han Jang , Junhyeok Lee , Heeseong Eum , Kyu Sung Choi

While reasoning-enhanced large language models perform strongly on English medical tasks, a persistent multilingual gap remains, with substantially weaker reasoning in local languages, limiting equitable global medical deployment. To bridge…

Medical vision-language models (VLMs) combine computer vision (CV) and natural language processing (NLP) to analyze visual and textual medical data. Our paper reviews recent advancements in developing VLMs specialized for healthcare,…

Computer Vision and Pattern Recognition · Computer Science 2024-12-02 Iryna Hartsock , Ghulam Rasool

Vision-language models (VLMs) exhibit strong zero-shot generalization on natural images and show early promise in interpretable medical image analysis. However, existing benchmarks do not systematically evaluate whether these models truly…

Computer Vision and Pattern Recognition · Computer Science 2025-06-02 Tianhong Zhou , Yin Xu , Yingtao Zhu , Chuxi Xiao , Haiyang Bian , Lei Wei , Xuegong Zhang

In this article, we investigate vision-language models (VLM) as reasoners. The ability to form abstractions underlies mathematical reasoning, problem-solving, and other Math AI tasks. Several formalisms have been given to these underlying…

Artificial Intelligence · Computer Science 2024-07-08 Denisa Roberts , Lucas Roberts

Recent Multimodal Large Language Models (MLLMs) have demonstrated significant progress in perceiving and reasoning over multimodal inquiries, ushering in a new research era for foundation models. However, vision-language misalignment in…

Computer Vision and Pattern Recognition · Computer Science 2026-05-18 Wei-Yao Wang , Zhao Wang , Helen Suzuki , Yoshiyuki Kobayashi

Medical Vision-Language Models (MedVLMs) excel at perception tasks but struggle with complex clinical reasoning required in real-world scenarios. While reinforcement learning (RL) has been explored to enhance reasoning capabilities,…

Computer Vision and Pattern Recognition · Computer Science 2026-01-21 Meidan Ding , Jipeng Zhang , Wenxuan Wang , Haiqin Zhong , Xiaoling Luo , Wenting Chen , Linlin Shen

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

MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from…

Despite the promise of foundation models in medical AI, current systems remain limited - they are modality-specific and lack transparent reasoning processes, hindering clinical adoption. To address this gap, we present EVLF-FM, a multimodal…

Many vision-language models (VLMs) that prove very effective at a range of multimodal task, build on CLIP-based vision encoders, which are known to have various limitations. We investigate the hypothesis that the strong language backbone in…

Computer Vision and Pattern Recognition · Computer Science 2025-09-22 Sho Takishita , Jay Gala , Abdelrahman Mohamed , Kentaro Inui , Yova Kementchedjhieva

Language models (LMs) and their extension, vision-language models (VLMs), have achieved remarkable performance across various tasks. However, they still struggle with complex reasoning tasks that require multimodal or multilingual…

Machine Learning · Computer Science 2025-07-09 Wenyi Wu , Zixuan Song , Kun Zhou , Yifei Shao , Zhiting Hu , Biwei Huang

The diagnosis of pathological images is often limited by expert availability and regional disparities, highlighting the importance of automated diagnosis using Vision-Language Models (VLMs). Traditional multimodal models typically emphasize…

Computer Vision and Pattern Recognition · Computer Science 2025-04-21 Jianyu Wu , Hao Yang , Xinhua Zeng , Guibing He , Zhiyu Chen , Zihui Li , Xiaochuan Zhang , Yangyang Ma , Run Fang , Yang Liu