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Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise…

计算机视觉与模式识别 · 计算机科学 2025-03-20 Jiazhen Pan , Che Liu , Junde Wu , Fenglin Liu , Jiayuan Zhu , Hongwei Bran Li , Chen Chen , Cheng Ouyang , Daniel Rueckert

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…

计算机视觉与模式识别 · 计算机科学 2025-06-13 Yu Huang , Zelin Peng , Yichen Zhao , Piao Yang , Xiaokang Yang , Wei Shen

Traditional visual grounding methods primarily focus on single-image scenarios with simple textual references. However, extending these methods to real-world scenarios that involve implicit and complex instructions, particularly in…

计算机视觉与模式识别 · 计算机科学 2025-05-21 Sule Bai , Mingxing Li , Yong Liu , Jing Tang , Haoji Zhang , Lei Sun , Xiangxiang Chu , Yansong Tang

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…

计算机视觉与模式识别 · 计算机科学 2025-10-23 Yifan Li , Fenghe Tang , Yingtai Li , Shaohua Kevin Zhou

Volumetric Reasoning Segmentation (VRS) aims to segment a target region in a 3D medical scan from a free-form clinical query, where the referent is often implicit and requires both medical knowledge and volume-grounded reasoning. Existing…

计算机视觉与模式识别 · 计算机科学 2026-05-27 Zichun Wang , Hairong Shi , Bingzheng Wei , Yan Xu , Zihua Wang

Unified multimodal models (UMMs) aim to integrate multimodal understanding and generation within a unified architecture, yet it remains unclear to what extent their representations are truly aligned across modalities. To investigate this…

计算与语言 · 计算机科学 2026-04-08 Cheng Yang , Chufan Shi , Bo Shui , Yaokang Wu , Muzi Tao , Huijuan Wang , Ivan Yee Lee , Yong Liu , Xuezhe Ma , Taylor Berg-Kirkpatrick

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…

计算机视觉与模式识别 · 计算机科学 2025-10-22 Lehan Wang , Yi Qin , Honglong Yang , Xiaomeng Li

Visual grounding is essential for precise perception and reasoning in multimodal large language models (MLLMs), especially in medical imaging domains. While existing medical visual grounding benchmarks primarily focus on single-image…

计算机视觉与模式识别 · 计算机科学 2025-05-20 Jingkun Yue , Siqi Zhang , Zinan Jia , Huihuan Xu , Zongbo Han , Xiaohong Liu , Guangyu Wang

Medical imaging has revolutionized diagnosis, yet unnecessary procedures are rising, exposing patients to radiation and stress, limiting equitable access, and straining healthcare systems. The American College of Radiology Appropriateness…

定量方法 · 定量生物学 2025-10-08 Anni Tziakouri , Filippo Menolascina

Multi-image reasoning and grounding require understanding complex cross-image relationships at both object levels and image levels. Current Large Visual Language Models (LVLMs) face two critical challenges: the lack of cross-image reasoning…

计算机视觉与模式识别 · 计算机科学 2025-09-29 Lihao Zheng , Jiawei Chen , Xintian Shen , Hao Ma , Tao Wei

Despite recent progress in text-prompt-based medical image segmentation, these methods are limited to single-round dialogues and fail to support multi-round reasoning, which is important for medical education scenarios. In this work, we…

计算机视觉与模式识别 · 计算机科学 2026-03-12 Qinyue Tong , Ziqian Lu , Jun Liu , Rui Zuo , Zheming Lu , Yueming Jin

Large vision-language models have achieved remarkable progress in visual reasoning, yet most existing systems rely on single-step or text-only reasoning, limiting their ability to iteratively refine understanding across multiple visual…

计算机视觉与模式识别 · 计算机科学 2026-03-11 Wenfang Sun , Hao Chen , Yingjun Du , Yefeng Zheng , Cees G. M. Snoek

Vision-language models (VLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored. Medical vision-language tasks demand precise understanding and clinically coherent…

计算机视觉与模式识别 · 计算机科学 2025-10-28 Yuxiang Lai , Jike Zhong , Ming Li , Shitian Zhao , Yuheng Li , Konstantinos Psounis , Xiaofeng Yang

Despite remarkable advancements in pixel-level medical image perception, existing methods are either limited to specific tasks or heavily rely on accurate bounding boxes or text labels as input prompts. However, the medical knowledge…

计算机视觉与模式识别 · 计算机科学 2025-04-24 Qinyue Tong , Ziqian Lu , Jun Liu , Yangming Zheng , Zheming Lu

Reinforcement learning (RL) has recently demonstrated strong potential in enhancing the reasoning capabilities of large language models (LLMs). Particularly, the "Zero" reinforcement learning introduced by Deepseek-R1-Zero, enables direct…

计算与语言 · 计算机科学 2025-06-10 Xueguang Ma , Qian Liu , Dongfu Jiang , Ge Zhang , Zejun Ma , Wenhu Chen

Medical phrase grounding is crucial for identifying relevant regions in medical images based on phrase queries, facilitating accurate image analysis and diagnosis. However, current methods rely on manual extraction of key phrases from…

计算机视觉与模式识别 · 计算机科学 2025-08-07 Ke Zou , Yang Bai , Bo Liu , Yidi Chen , Zhihao Chen , Yang Zhou , Xuedong Yuan , Meng Wang , Xiaojing Shen , Xiaochun Cao , Yih Chung Tham , Huazhu Fu

In the field of multimodal chain-of-thought (CoT) reasoning, existing approaches predominantly rely on reasoning on pure language space, which inherently suffers from language bias and is largely confined to math or science domains. This…

计算机视觉与模式识别 · 计算机科学 2026-05-04 Jiacong Wang , Zijian Kang , Haochen Wang , Haiyong Jiang , Jiawen Li , Bohong Wu , Ya Wang , Jiao Ran , Xiao Liang , Chao Feng , Jun Xiao

Vision-Language Models (VLMs) can generate convincing clinical narratives, yet frequently struggle to visually ground their statements. We posit this limitation arises from the scarcity of high-quality, large-scale clinical…

计算机视觉与模式识别 · 计算机科学 2026-01-13 Mengmeng Zhang , Xiaoping Wu , Hao Luo , Fan Wang , Yisheng Lv

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,…

计算机视觉与模式识别 · 计算机科学 2026-01-21 Meidan Ding , Jipeng Zhang , Wenxuan Wang , Haiqin Zhong , Xiaoling Luo , Wenting Chen , Linlin Shen

Multi-modal Large Language Models (MLLMs) have shown remarkable capabilities across a wide range of vision-language tasks. However, due to the restricted input resolutions, MLLMs face significant challenges in precisely understanding and…

计算机视觉与模式识别 · 计算机科学 2025-10-27 Lu Zhang , Jiazuo Yu , Haomiao Xiong , Ping Hu , Yunzhi Zhuge , Huchuan Lu , You He
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