The paper introduces UR$^{2}$-MLLM, an uncertainty‑aware multimodal large language model that dynamically revisits uncertain image regions during radiology report generation. It incorporates an uncertainty perception module trained on a specialized dataset, builds a multimodal reasoning trajectory with a detect‑and‑copy mechanism to guide revisits, and refines this behavior using a visual grounding reward via reinforcement learning. Experiments on MIMIC‑CXR and IU‑Xray demonstrate state‑of‑the‑art performance, underscoring the importance of visual revisit reasoning for reliable, clinically aligned reports.
By Yucheng Chen, Yang Yu, Jiazhou Zhou, Yufei Shi, Yongying Lan, Yichi Zhang, Liyi Li, Si Yong Yeo
arXiv:2601. 03321v3 Announce Type: replace-cross Abstract: Multimodal Large Language Models (MLLMs) have substantially advanced Radiology Report Generation (RRG), yet aligning them through reinforcement learning (RL) remains challenging due to heterogeneous medical supervision.
By Kun Zhao, Guodong Liu, Hui Ji, Siyuan Dai, Pan Wang, Jifeng Song, Chenghua Lin, Liang Zhan, Haoteng Tang
arXiv:2601. 23220v2 Announce Type: replace-cross Abstract: Despite recent Multimodal Large Language Models (MLLMs)' linguistic prowess in medical diagnosis, we find even state-of-the-art MLLMs suffer from a critical perceptual deficit: geometric blindness.
By Anglin Liu, Ruichao Chen, Yi Lu, Hongxia Xu, Jintai Chen
The paper introduces EASE, a method that enhances multimodal reinforcement learning with verifiable rewards (RLVR) by adding visual‑evidence process supervision. EASE transforms annotated evidence regions into smoothed visual‑token targets and uses them to guide attention during RL training, but only on high‑reward trajectories. Experiments on Qwen2.5‑VL‑7B, Qwen3‑VL‑4B, and Qwen3‑VL‑8B show that EASE improves average scores over DAPO by 2.5 to 3.1 points across perception, hallucination, visual math, and multimodal reasoning benchmarks, and diagnostics confirm better alignment of visual attention with annotated evidence.
By Ruina Hu, Chen Wang, Lai Wei, Jionghao Bai, Bin Yu, Weiran Huang, Kai Wang, Yue Wang
arXiv:2606. 28164v1 Announce Type: cross Abstract: Echocardiography is the most widely used non-invasive cardiac imaging modality, providing essential information for cardiovascular diagnosis.
By Darya Taratynova, Ahmed Aly, Numan Saeed, Mohammad Yaqub
arXiv:2608. 12689v1 Announce Type: cross Abstract: Multi-parametric magnetic resonance imaging (mpMRI) is a cornerstone for brain tumor diagnosis and treatment, yet current AI models face critical limitations: their lack of natural language interaction and interpretability impedes spatial information integration and cross-modal reasoning required clinically.
By Zhi Qiao, Xintong Wu, Yichu He, Feng Shi
arXiv:2604. 09757v2 Announce Type: replace-cross Abstract: 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 dominated by language.
By Suyang Xi, Songtao Hu, Yuxiang Lai, Wangyun Dan, Yaqi Liu, Shansong Wang, Xiaofeng Yang
arXiv:2505.03380v2 Announce Type: replace
Abstract: Accurate delineation of tumors and surrounding organs-at-risk is essential for radiotherapy, surgery and treatment response assessment, yet remains...
By Haonan Wang, Jiaji Mao, Lehan Wang, Qixiang Zhang, Marawan Elbatel, Yi Qin, Huijun Hu, Baoxun Li, Wenhui Deng, Weifeng Qin, Hongrui Li, Jialin Liang, Jun Shen, Xiaomeng Li
arXiv:2601. 07761v2 Announce Type: replace Abstract: Large Vision-Language Models (LVLMs) face a fundamental dilemma in video reasoning: they are caught between the prohibitive computational costs of verbose reasoning and the hallucination risks of efficient, ungrounded approaches.
By Yanxiang Huang, Guohua Gao, Zhaoyang Wei
arXiv:2511.22232v2 Announce Type: replace-cross
Abstract: Multimodal large language models (MLLMs) are increasingly capable in medical imaging, yet most focus on single-image settings. Clinical inter...
By Zhen Chen, Yihang Fu, Rong Zhou, Serina Applebaum, Min Kyu Kim, Aidan Gilson, Morten Lee, Salahudeen Mirza, Gabriel Madera, Mauro Giuffre, Yuanting Pan, Roy Jiang, Hyunjae Kim, Hua Xu, Qingyu Chen
arXiv:2601.09879v2 Announce Type: replace-cross
Abstract: Recent progress in medical vision-language models (VLMs) has achieved strong performance on image-level text-centric tasks such as report gen...
By Yang Xing, Jiong Wu, Savas Ozdemir, Ying Zhang, Yang Yang, Wei Shao, Kuang Gong
Medical vision-language models typically generate diagnoses through single-pass inference without indicating which image regions support their conclusions. This lack of spatial grounding limits clinical utility: outputs cannot be audited, and models may hallucinate findings on normal scans.