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The "thinking-with-images" paradigm enables multimodal large language models (MLLMs) to actively explore visual scenes via zoom-in tools. This is essential for ultra-high-resolution (UHR) remote sensing VQA, where task-relevant cues are…

Computer Vision and Pattern Recognition · Computer Science 2026-02-23 Fengxiang Wang , Mingshuo Chen , Yueying Li , Yajie Yang , Yifan Zhang , Long Lan , Xue Yang , Hongda Sun , Yulin Wang , Di Wang , Jun Song , Jing Zhang , Bo Du

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this…

Reliable risk assessment for carotid atheromatous disease remains a major clinical challenge, as it requires integrating diverse clinical and imaging information in a manner that is transparent and interpretable to clinicians. This study…

Computer Vision and Pattern Recognition · Computer Science 2025-10-06 Daphne Tsolissou , Theofanis Ganitidis , Konstantinos Mitsis , Stergios CHristodoulidis , Maria Vakalopoulou , Konstantina Nikita

Ultrasound interpretation requires both precise lesion localization and holistic clinical reasoning, yet existing methods typically excel at only one of these capabilities: specialized detectors offer strong localization but limited…

Computer Vision and Pattern Recognition · Computer Science 2026-05-01 Jing Zhang , Wentao Jiang , Tao Huang , Zhiwei Wang , Jianxin Liu , Jian Chen , Ping Ye , Gang Wang , Zengmao Wang , Bo Du , Dacheng Tao

Vision-Language Models (VLMs) show promise in medical image analysis, yet their capacity for structured reasoning in complex domains like dermatology is often limited by data scarcity and the high computational cost of advanced training…

Computation and Language · Computer Science 2025-10-03 Ismam Nur Swapnil , Aranya Saha , Tanvir Ahmed Khan , Mohammad Ariful Haque

Purpose: Vision-language models (VLMs) have shown promising performance in surgical visual question answering (VQA). However, existing surgical VQA datasets often contain linguistic shortcuts, where question phrasing implicitly constrains…

Computer Vision and Pattern Recognition · Computer Science 2026-05-06 Jongmin Shin , Ka Young Kim , Eunki Cho , Seong Tae Kim , Namkee Oh

Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without…

Recently, reinforcement learning (RL)-based tuning has shifted the trajectory of Multimodal Large Language Models (MLLMs), particularly following the introduction of Group Relative Policy Optimization (GRPO). However, directly applying it…

Computation and Language · Computer Science 2025-05-21 Wenhui Zhu , Xuanzhao Dong , Xin Li , Peijie Qiu , Xiwen Chen , Abolfazl Razi , Aris Sotiras , Yi Su , Yalin Wang

Integration of Large Language Models (LLMs) into visual domain tasks, resulting in visual-LLMs (V-LLMs), has enabled exceptional performance in vision-language tasks, particularly for visual question answering (VQA). However, existing…

Computer Vision and Pattern Recognition · Computer Science 2024-04-12 Kanchana Ranasinghe , Satya Narayan Shukla , Omid Poursaeed , Michael S. Ryoo , Tsung-Yu Lin

Robotic ultrasound offers advantages over free-hand scanning, including improved reproducibility and reduced operator dependency. In clinical practice, US acquisition relies heavily on the sonographer's experience and situational judgment.…

Robotics · Computer Science 2026-03-17 Yuan Bi , Yiping Zhou , Pei Liu , Feng Li , Zhongliang Jiang , Nassir Navab

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

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

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

Vision-Language Models (VLMs) have enabled autonomous GUI agents that translate natural language instructions into executable screen coordinates. However, grounding performance degrades in high-resolution interfaces, where dense layouts and…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Ruilin Yao , Shegnwu Xiong , Tianyu Zou , Shili Xiong , Yi Rong

Ultrasound is a cornerstone of emergency and hepatobiliary imaging, yet its interpretation remains highly operator-dependent and time-sensitive. Here, we present a multitask vision-language agent (VLM) developed to assist with comprehensive…

Recent advances in Vision-Language Models (VLMs) have benefited from Reinforcement Learning (RL) for enhanced reasoning. However, existing methods still face critical limitations, including the lack of low-level visual information and…

Computer Vision and Pattern Recognition · Computer Science 2026-04-28 Zhiheng Wu , Tong Wang , Shuning Wang , Naiming Liu , Yumeng Zhang

Predicting cancer treatment outcomes requires models that are both accurate and interpretable, particularly in the presence of heterogeneous clinical data. While large language models (LLMs) have shown strong performance in biomedical NLP,…

Computation and Language · Computer Science 2025-10-21 Raghu Vamshi Hemadri , Geetha Krishna Guruju , Kristi Topollai , Anna Ewa Choromanska

Solving complex, long-horizon robotic manipulation tasks requires a deep understanding of physical interactions, reasoning about their long-term consequences, and precise high-level planning. Vision-Language Models (VLMs) offer a general…

Robotics · Computer Science 2026-02-24 Yanting Yang , Shenyuan Gao , Qingwen Bu , Li Chen , Dimitris N. Metaxas

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

Vision-Language Foundation Models (VLFM) have shown a tremendous increase in performance in terms of generating high-resolution, photorealistic natural images. While VLFMs show a rich understanding of semantic content across modalities,…

Computer Vision and Pattern Recognition · Computer Science 2025-07-08 Parham Saremi , Amar Kumar , Mohamed Mohamed , Zahra TehraniNasab , Tal Arbel