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相关论文: MedVR: Annotation-Free Medical Visual Reasoning vi…

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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 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…

计算机视觉与模式识别 · 计算机科学 2026-04-14 Suyang Xi , Songtao Hu , Yuxiang Lai , Wangyun Dan , Yaqi Liu , Shansong Wang , Xiaofeng Yang

Vision language models (VLMs) achieve strong performance on general image understanding but struggle to think with medical images, especially when performing multi-step reasoning through iterative visual interaction. Medical VLMs often rely…

计算机视觉与模式识别 · 计算机科学 2026-01-13 Meng Lu , Yuxing Lu , Yuchen Zhuang , Megan Mullins , Yang Xie , Guanghua Xiao , Charles Fleming , Wenqi Shi , Xuan Wang

Reinforcement learning from verifiable rewards (RLVR) has recently gained attention for its ability to elicit self-evolved reasoning capabilitie from base language models without explicit reasoning supervisions, as demonstrated by…

计算与语言 · 计算机科学 2025-02-28 Sheng Zhang , Qianchu Liu , Guanghui Qin , Tristan Naumann , Hoifung Poon

Visual Language Models (VLMs) achieve promising results in medical reasoning but struggle with hallucinations, vague descriptions, inconsistent logic and poor localization. To address this, we propose a agent framework named Medical Visual…

人工智能 · 计算机科学 2025-10-22 Guangfu Guo , Xiaoqian Lu , Yue Feng

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

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

Multimodal Large Language Models (MLLMs) have achieved notable gains in various tasks by incorporating Chain-of-Thought (CoT) reasoning in language spaces. Recent work extends this direction by leveraging external tools for visual editing,…

计算机视觉与模式识别 · 计算机科学 2025-10-07 Bangzheng Li , Ximeng Sun , Jiang Liu , Ze Wang , Jialian Wu , Xiaodong Yu , Hao Chen , Emad Barsoum , Muhao Chen , Zicheng Liu

While mainstream vision-language models (VLMs) have advanced rapidly in understanding image level information, they still lack the ability to focus on specific areas designated by humans. Rather, they typically rely on large volumes of…

计算机视觉与模式识别 · 计算机科学 2025-02-13 Kangyu Zhu , Ziyuan Qin , Huahui Yi , Zekun Jiang , Qicheng Lao , Shaoting Zhang , Kang Li

Accurate medical diagnosis often involves progressive visual focusing and iterative reasoning, characteristics commonly observed in clinical workflows. While recent vision-language models demonstrate promising chain-of-thought (CoT)…

计算机视觉与模式识别 · 计算机科学 2026-03-13 Chunzheng Zhu , Yangfang Lin , Shen Chen , Yijun Wang , Jianxin Lin

With the advent of Vision-Language Models (VLMs), medical artificial intelligence (AI) has experienced significant technological progress and paradigm shifts. This survey provides an extensive review of recent advancements in Medical…

计算机视觉与模式识别 · 计算机科学 2025-03-05 Beria Chingnabe Kalpelbe , Angel Gabriel Adaambiik , Wei Peng

We present EHRMIND, a practical recipe for adapting large language models (LLMs) to complex clinical reasoning tasks using reinforcement learning with verifiable rewards (RLVR). While RLVR has succeeded in mathematics and coding, its…

计算与语言 · 计算机科学 2025-06-02 Jiacheng Lin , Zhenbang Wu , Jimeng Sun

Visual reasoning in multimodal large language models (MLLMs) has primarily been studied in static, fully observable settings, limiting their effectiveness in real-world environments where information is often incomplete due to occlusion or…

计算机视觉与模式识别 · 计算机科学 2025-10-27 Weijie Zhou , Xuantang Xiong , Yi Peng , Manli Tao , Chaoyang Zhao , Honghui Dong , Ming Tang , Jinqiao Wang

The growing integration of vision-language models (VLMs) in medical applications offers promising support for diagnostic reasoning. However, current medical VLMs often face limitations in generalization, transparency, and computational…

计算机视觉与模式识别 · 计算机科学 2025-06-17 Tan-Hanh Pham , Chris Ngo

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…

计算机视觉与模式识别 · 计算机科学 2026-03-05 Anas Zafar , Leema Krishna Murali , Ashish Vashist

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure…

人工智能 · 计算机科学 2025-09-30 Hongjun Liu , Yinghao Zhu , Yuhui Wang , Yitao Long , Zeyu Lai , Lequan Yu , Chen Zhao

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

Visual reasoning is challenging, requiring both precise object grounding and understanding complex spatial relationships. Existing methods fall into two camps: language-only chain-of-thought approaches, which demand large-scale (image,…

计算机视觉与模式识别 · 计算机科学 2025-12-10 Damiano Marsili , Georgia Gkioxari

In modern medicine, clinical diagnosis relies on the comprehensive analysis of primarily textual and visual data, drawing on medical expertise to ensure systematic and rigorous reasoning. Recent advances in large Vision-Language Models…

人工智能 · 计算机科学 2025-07-03 Ziyue Wang , Junde Wu , Linghan Cai , Chang Han Low , Xihong Yang , Qiaxuan Li , Yueming Jin

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
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