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Recent multimodal large language models (MLLMs) show strong capabilities in visual-language reasoning, yet their performance on ultra-high-resolution imagery remains largely unexplored. Existing visual question answering (VQA) benchmarks…

Computer Vision and Pattern Recognition · Computer Science 2026-01-14 Siqi Li , Xinyu Cai , Jianbiao Mei , Nianchen Deng , Pinlong Cai , Licheng Wen , Yufan Shen , Xuemeng Yang , Botian Shi , Yong Liu

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

Large language models perform well on many medical QA benchmarks, but real clinical reasoning often requires integrating evidence across multiple images rather than interpreting a single view. We introduce MedThinkVQA, an expert-annotated…

Computer Vision and Pattern Recognition · Computer Science 2026-05-05 Zonghai Yao , Benlu Wang , Yifan Zhang , Junda Wang , Iris Xia , Zhipeng Tang , Shuo Han , Feiyun Ouyang , Zhichao Yang , Arman Cohan , Hong Yu

Visual reasoning is a core component of human intelligence and a critical capability for advanced multimodal models. Yet current reasoning evaluations of multimodal large language models (MLLMs) often rely on text descriptions and allow…

Computer Vision and Pattern Recognition · Computer Science 2025-04-22 Weiye Xu , Jiahao Wang , Weiyun Wang , Zhe Chen , Wengang Zhou , Aijun Yang , Lewei Lu , Houqiang Li , Xiaohua Wang , Xizhou Zhu , Wenhai Wang , Jifeng Dai , Jinguo Zhu

Surgical scene understanding demands not only accurate predictions but also interpretable reasoning that surgeons can verify against clinical expertise. However, existing surgical vision-language models generate predictions without…

Multimodal large language models (MLLMs) that integrate visual and textual reasoning leverage chain-of-thought (CoT) prompting to tackle complex visual tasks, yet continue to exhibit visual hallucinations and an over-reliance on textual…

Computer Vision and Pattern Recognition · Computer Science 2025-10-24 Jing Bi , Guangyu Sun , Ali Vosoughi , Chen Chen , Chenliang Xu

Medical vision--language models (VLMs) have shown strong potential for medical visual question answering (VQA), yet their reasoning remains largely text-centric: images are encoded once as static context, and subsequent inference is…

Computer Vision and Pattern Recognition · Computer Science 2026-04-14 Suyang Xi , Songtao Hu , Yuxiang Lai , Wangyun Dan , Yaqi Liu , Shansong Wang , Xiaofeng Yang

We present VRBench, the first long narrative video benchmark crafted for evaluating large models' multi-step reasoning capabilities, addressing limitations in existing evaluations that overlook temporal reasoning and procedural validity. It…

Computer Vision and Pattern Recognition · Computer Science 2025-08-05 Jiashuo Yu , Yue Wu , Meng Chu , Zhifei Ren , Zizheng Huang , Pei Chu , Ruijie Zhang , Yinan He , Qirui Li , Songze Li , Zhenxiang Li , Zhongying Tu , Conghui He , Yu Qiao , Yali Wang , Yi Wang , Limin Wang

Accurately estimating task progress is critical for embodied agents to plan and execute long-horizon, multi-step tasks. Despite promising advances, existing Vision-Language Models (VLMs) based methods primarily leverage their video…

Computer Vision and Pattern Recognition · Computer Science 2026-03-19 Yuelin Zhang , Sijie Cheng , Chen Li , Zongzhao Li , Yuxin Huang , Yang Liu , Wenbing Huang

Recent work shows that text-only reinforcement learning with verifiable rewards (RLVR) can match or outperform image-text RLVR on multimodal medical VQA benchmarks, suggesting current evaluation protocols may fail to measure causal visual…

Computer Vision and Pattern Recognition · Computer Science 2026-03-05 Anas Zafar , Leema Krishna Murali , Ashish Vashist

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central…

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

Vision-language models (VLMs) are essential to Embodied AI, enabling robots to perceive, reason, and act in complex environments. They also serve as the foundation for the recent Vision-Language-Action (VLA) models. Yet most evaluations of…

General-purpose large Vision-Language Models (VLMs) demonstrate strong capabilities in generating detailed descriptions for natural images. However, their performance in the medical domain remains suboptimal, even for relatively…

Computer Vision and Pattern Recognition · Computer Science 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

Recent advancements in Large Vision-Language Models (LVLMs) have significantly enhanced their ability to integrate visual and linguistic information, achieving near-human proficiency in tasks like object recognition, captioning, and visual…

Computer Vision and Pattern Recognition · Computer Science 2025-05-14 Zhikai Wang , Jiashuo Sun , Wenqi Zhang , Zhiqiang Hu , Xin Li , Fan Wang , Deli Zhao

Process-Level Reward Models (PRMs) are essential for guiding complex reasoning in large language models, yet existing PRM benchmarks cover only general domains such as mathematics, failing to address medical reasoning -- which is uniquely…

Computation and Language · Computer Science 2026-04-21 Lingyan Wu , Xiang Zheng , Weiqi Zhai , Wei Wang , Xuan Ren , Zifan Zhang , Hu Wei , Bing Zhao

Reasoning capabilities are crucial for reliable medical visual question answering (VQA); however, existing datasets rarely include reasoning explanations. We address this by generating reasoning trajectories for six medical VQA benchmarks…

Machine Learning · Computer Science 2026-05-07 Halil Ibrahim Gulluk , Olivier Gevaert

With the rapid growth of large language models (LLMs) and vision-language models (VLMs) in medicine, simply integrating clinical text and medical imaging does not guarantee reliable reasoning. Existing multimodal models often produce…

Artificial Intelligence · Computer Science 2025-12-29 Zelin Zang , Wenyi Gu , Siqi Ma , Dan Yang , Yue Shen , Zhu Zhang , Guohui Fan , Wing-Kuen Ling , Fuji Yang

Multimodal reasoning models often produce fluent answers supported by seemingly coherent rationales. Existing benchmarks evaluate only final-answer correctness. They do not support atomic visual entailment verification of intermediate…

Artificial Intelligence · Computer Science 2026-03-25 Saleem Ahmed , Srirangaraj Setlur , Venu Govindaraju

Large language models (LLMs) have achieved strong performance on medical exam-style tasks, motivating growing interest in their deployment in real-world clinical settings. However, clinical decision-making is inherently safety-critical,…

Computation and Language · Computer Science 2026-04-13 Xiaohan Ren , Chenxiao Fan , Wenyin Ma , Hongliang He , Chongming Gao , Xiaoyan Zhao , Fuli Feng