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Despite the impressive performance of vision-language models (VLMs) on downstream tasks, their ability to understand and reason about causal relationships in visual inputs remains unclear. Robust causal reasoning is fundamental to solving…

Computation and Language · Computer Science 2026-02-05 Zhaotian Weng , Haoxuan Li , Xin Eric Wang , Kuan-Hao Huang , Jieyu Zhao

We present a Collaborative Agent-Based Framework for Multi-Image Reasoning. Our approach tackles the challenge of interleaved multimodal reasoning across diverse datasets and task formats by employing a dual-agent system: a language-based…

Computer Vision and Pattern Recognition · Computer Science 2025-08-04 Angelos Vlachos , Giorgos Filandrianos , Maria Lymperaiou , Nikolaos Spanos , Ilias Mitsouras , Vasileios Karampinis , Athanasios Voulodimos

The application of reinforcement learning (RL) to enhance the reasoning capabilities of Multimodal Large Language Models (MLLMs) constitutes a rapidly advancing research area. While MLLMs extend Large Language Models (LLMs) to handle…

Artificial Intelligence · Computer Science 2025-05-22 Guanghao Zhou , Panjia Qiu , Cen Chen , Jie Wang , Zheming Yang , Jian Xu , Minghui Qiu

Vision-language models have demonstrated impressive capabilities in general medical visual question answering, yet due to limited interpretability, it remains unclear whether their predictions reflect evidence-grounded clinical reasoning or…

Computer Vision and Pattern Recognition · Computer Science 2026-05-26 Wen Ma , Fucheng Niu , Zhiting Fan , Zikai Xiao , Jiaxiang Liu , Zuozhu Liu

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

Vision-Language Models (VLMs) map complex visual inputs to semantic spaces, but interpreting the cross-modal reasoning of VLMs currently relies on post-hoc explainers evaluated via unimodal perturbation metrics. We expose a limitation in…

Artificial Intelligence · Computer Science 2026-05-22 Joël Roman Ky , Salah Ghamizi , Maxime Cordy

Recent advances in vision-language models (VLMs) have enabled impressive multi-modal reasoning and understanding. Yet, whether these models truly grasp visual persuasion-how visual cues shape human attitudes and decisions-remains unclear.…

Computation and Language · Computer Science 2025-11-24 Gyuwon Park

Vision--Language Models (VLMs) show significant promise for Medical Visual Question Answering (VQA), yet their deployment in clinical settings is hindered by severe vulnerability to adversarial attacks. Standard adversarial training, while…

Artificial Intelligence · Computer Science 2025-12-23 A. A. Gde Yogi Pramana , Jason Ray , Anthony Jaya , Michael Wijaya

Multimodal Large Language Models (MLLMs) have emerged as a central focus in both industry and academia, but often suffer from biases introduced by visual and language priors, which can lead to multimodal hallucination. These biases arise…

Computer Vision and Pattern Recognition · Computer Science 2025-02-19 Guanyu Zhou , Yibo Yan , Xin Zou , Kun Wang , Aiwei Liu , Xuming Hu

Medical Visual Language Models have shown great potential in various healthcare applications, including medical image captioning and diagnostic assistance. However, most existing models rely on text-based instructions, limiting their…

Computer Vision and Pattern Recognition · Computer Science 2025-04-16 Tan-Hanh Pham , Chris Ngo , Trong-Duong Bui , Minh Luu Quang , Tan-Huong Pham , Truong-Son Hy

The various limitations of Generative AI, such as hallucinations and model failures, have made it crucial to understand the role of different modalities in Visual Language Model (VLM) predictions. Our work investigates how the integration…

Artificial Intelligence · Computer Science 2024-10-03 Kenza Amara , Lukas Klein , Carsten Lüth , Paul Jäger , Hendrik Strobelt , Mennatallah El-Assady

Reinforcement learning (RL) with rule-based reward functions has recently shown great promise in enhancing the reasoning depth and generalization ability of vision-language models (VLMs), while maintaining computational efficiency. In spite…

Computer Vision and Pattern Recognition · Computer Science 2026-04-03 Yizhou Liu , Dingkang Yang , Zizhi Chen , Minghao Han , Xukun Zhang , Keliang Liu , Jingwei Wei , Lihua Zhang

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

Vision-language models (VLMs) have recently shown remarkable zero-shot performance in medical image understanding, yet their grounding ability, the extent to which textual concepts align with visual evidence, remains underexplored. In the…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Haozhe Luo , Shelley Zixin Shu , Ziyu Zhou , Sebastian Otalora , Mauricio Reyes

Clinical reasoning in medicine is a hypothesis-driven process where physicians refine diagnoses from limited information through targeted history, physical examination, and diagnostic investigations. In contrast, current medical benchmarks…

Machine Learning · Computer Science 2025-10-14 Christopher Chiu , Silviu Pitis , Mihaela van der Schaar

Medical Vision-Language Models (VLMs) hold immense promise for complex clinical tasks, but their reasoning capabilities are often constrained by text-only paradigms that fail to ground inferences in visual evidence. This limitation not only…

Computer Vision and Pattern Recognition · Computer Science 2026-04-10 Zheng Jiang , Heng Guo , Chengyu Fang , Changchen Xiao , Xinyang Hu , Lifeng Sun , Minfeng Xu

Multimodal Large Language Models (MLLMs) excel in vision-language tasks, such as image captioning and visual question answering. However, they often suffer from over-reliance on spurious correlations, primarily due to linguistic priors that…

Computer Vision and Pattern Recognition · Computer Science 2025-06-24 Yixuan Wu , Yang Zhang , Jian Wu , Philip Torr , Jindong Gu

Incentivizing the reasoning ability of Multimodal Large Language Models (MLLMs) is essential for medical applications to transparently analyze medical scans and provide reliable diagnosis. However, existing medical MLLMs rely solely on…

Computer Vision and Pattern Recognition · Computer Science 2025-10-22 Lehan Wang , Yi Qin , Honglong Yang , Xiaomeng Li

When people query Vision-Language Models (VLMs) but cannot see the accompanying visual context (e.g. for blind and low-vision users), augmenting VLM predictions with natural language explanations can signal which model predictions are…

Computation and Language · Computer Science 2026-04-23 Keyu He , Tejas Srinivasan , Brihi Joshi , Xiang Ren , Jesse Thomason , Swabha Swayamdipta

Despite strong performance of Multimodal Large Language Models (MLLMs) on multimodal tasks, predicting whether and why an image is persuasive remains challenging. We first show that prompting MLLMs to reason before prediction does not…

Computer Vision and Pattern Recognition · Computer Science 2026-05-12 Naeun Lee , Hyunjong Kim , Sunghwan Choi , Injin Kong , Yohan Jo