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Visual explanation methods have an important role in the prognosis of the patients where the annotated data is limited or unavailable. There have been several attempts to use gradient-based attribution methods to localize pathology from…

Image and Video Processing · Electrical Eng. & Systems 2021-06-24 Ugur Demir , Ismail Irmakci , Elif Keles , Ahmet Topcu , Ziyue Xu , Concetto Spampinato , Sachin Jambawalikar , Evrim Turkbey , Baris Turkbey , Ulas Bagci

Thinking with Images improves fine-grained VQA for MLLMs by emphasizing visual cues. However, tool-augmented methods depend on the capacity of grounding, which remains unreliable for MLLMs. In parallel, attention-driven methods to crop the…

Computer Vision and Pattern Recognition · Computer Science 2026-03-03 Zhaodong Wu , Haochen Xue , Qi Cao , Wenqi Mo , Yu Pei , Wenqi Xu , Jionglong Su , Yang Liu

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

Attribution theory explains how individuals interpret and attribute others' behavior in a social context by employing personal (dispositional) and impersonal (situational) causality. Large Language Models (LLMs), trained on human-generated…

Computation and Language · Computer Science 2026-03-31 Hossein Salemi , Jitin Krishnan , Hemant Purohit

Multimodal Large Language Models (MLLMs) have achieved impressive results on vision-language benchmarks, yet it remains unclear whether these benchmarks assess genuine global reasoning or allow success via localized visual cues. Existing…

Computer Vision and Pattern Recognition · Computer Science 2025-09-30 Amit Agarwal , Hitesh Laxmichand Patel , Srikant Panda , Hansa Meghwani , Jyotika Singh , Karan Dua , Paul Li , Tao Sheng , Sujith Ravi , Dan Roth

Recent advancements in Computer Assisted Diagnosis have shown promising performance in medical imaging tasks, particularly in chest X-ray analysis. However, the interaction between these models and radiologists has been primarily limited to…

Computer Vision and Pattern Recognition · Computer Science 2024-04-04 Yunsoo Kim , Jinge Wu , Yusuf Abdulle , Yue Gao , Honghan Wu

Recent vision-language models (VLMs) have shown strong generalization and multimodal reasoning abilities in natural domains. However, their application to medical diagnosis remains limited by the lack of comprehensive and structured…

Computer Vision and Pattern Recognition · Computer Science 2026-03-27 Sheng Lu , Hao Chen , Rui Yin , Juyan Ba , Yu Zhang , Yuanzhe Li

The chest X-ray (CXR) is one of the most common and easy-to-get medical tests used to diagnose common diseases of the chest. Recently, many deep learning-based methods have been proposed that are capable of effectively classifying CXRs.…

Image and Video Processing · Electrical Eng. & Systems 2023-05-23 Weizhi Nie , Chen Zhang , Dan Song , Lina Zhao , Yunpeng Bai , Keliang Xie , Anan Liu

Medical image segmentation is crucial for clinical diagnosis, yet existing models are limited by their reliance on explicit human instructions and lack the active reasoning capabilities to understand complex clinical questions. While recent…

Computer Vision and Pattern Recognition · Computer Science 2025-06-13 Yu Huang , Zelin Peng , Yichen Zhao , Piao Yang , Xiaokang Yang , Wei Shen

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly…

Image and Video Processing · Electrical Eng. & Systems 2025-06-23 Zefan Yang , Xuanang Xu , Jiajin Zhang , Ge Wang , Mannudeep K. Kalra , Pingkun Yan

Despite recent advancements in Multi-modal Large Language Models (MLLMs) on diverse understanding tasks, these models struggle to solve problems which require extensive multi-step reasoning. This is primarily due to the progressive dilution…

Computer Vision and Pattern Recognition · Computer Science 2026-05-13 Byungwoo Jeon , Yoonwoo Jeong , Hyunseok Lee , Minsu Cho , Jinwoo Shin

Counting serves as a simple but powerful test of a Large Vision-Language Model's (LVLM's) reasoning; it forces the model to identify each individual object and then add them all up. In this study, we investigate how LVLMs implement counting…

Computer Vision and Pattern Recognition · Computer Science 2026-03-20 Liwei Che , Zhiyu Xue , Yihao Quan , Benlin Liu , Zeru Shi , Michelle Hurst , Jacob Feldman , Ruixiang Tang , Ranjay Krishna , Vladimir Pavlovic

Chain-of-thought (CoT) reasoning enhances performance of large language models, but questions remain about whether these reasoning traces faithfully reflect the internal processes of the model. We present the first comprehensive study of…

Computation and Language · Computer Science 2025-11-04 Sriram Balasubramanian , Samyadeep Basu , Soheil Feizi

Spatial reasoning from monocular images is essential for autonomous driving, yet current Vision-Language Models (VLMs) still struggle with fine-grained geometric perception, particularly under large scale variation and ambiguous object…

Computer Vision and Pattern Recognition · Computer Science 2026-03-10 Yanchun Cheng , Rundong Wang , Xulei Yang , Alok Prakash , Daniela Rus , Marcelo H Ang , ShiJie Li

Vision-Language Models (VLMs) have shown promise in various 2D visual tasks, yet their readiness for 3D clinical diagnosis remains unclear due to stringent demands for recognition precision, reasoning ability, and domain knowledge. To…

Computer Vision and Pattern Recognition · Computer Science 2025-05-27 Yixiong Chen , Wenjie Xiao , Pedro R. A. S. Bassi , Xinze Zhou , Sezgin Er , Ibrahim Ethem Hamamci , Zongwei Zhou , Alan Yuille

Multimodal large language models (MLLMs) trained with visual instruction tuning have achieved strong performance across diverse tasks, yet they remain limited in vision-centric tasks such as object counting or spatial reasoning. We…

Computer Vision and Pattern Recognition · Computer Science 2025-10-13 Heeji Yoon , Jaewoo Jung , Junwan Kim , Hyungyu Choi , Heeseong Shin , Sangbeom Lim , Honggyu An , Chaehyun Kim , Jisang Han , Donghyun Kim , Chanho Eom , Sunghwan Hong , Seungryong Kim

With the rapid progress of large language models (LLMs), advanced multimodal large language models (MLLMs) have demonstrated impressive zero-shot capabilities on vision-language tasks. In the biomedical domain, however, even…

Computer Vision and Pattern Recognition · Computer Science 2025-12-17 Siyuan Dai , Lunxiao Li , Kun Zhao , Eardi Lila , Paul K. Crane , Heng Huang , Dongkuan Xu , Haoteng Tang , Liang Zhan

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

Background: The rapid integration of foundation models into clinical practice and public health necessitates a rigorous evaluation of their true clinical reasoning capabilities beyond narrow examination success. Current benchmarks,…

Computer Vision and Pattern Recognition · Computer Science 2025-12-30 Dingyu Wang , Zimu Yuan , Jiajun Liu , Shanggui Liu , Nan Zhou , Tianxing Xu , Di Huang , Dong Jiang

Accurate diagnosis of skin diseases remains a significant challenge due to the complex and diverse visual features present in dermatoscopic images, often compounded by a lack of interpretability in existing purely visual diagnostic models.…

Computer Vision and Pattern Recognition · Computer Science 2025-08-12 Kexin Yu , Zihan Xu , Jialei Xie , Carter Adams
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