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.
arXiv:2508. 16129v3 Announce Type: replace Abstract: Multimodal large language models (MLLMs) have recently demonstrated remarkable reasoning abilities with reinforcement learning paradigm.
arXiv:2606. 31825v1 Announce Type: cross Abstract: Recent multimodal large language models have shown great promise in clinical image reasoning, but existing post-training pipelines remain predominantly outcome-centric, relying on final answer correctness or sequence-level preferences.
arXiv:2606. 31800v1 Announce Type: new Abstract: Despite recent progress, the reasoning capabilities of large multimodal language models (MLLMs) remain fundamentally constrained by static supervision, where fixed prompts, rules, or reward models provide non-adaptive guidance throughout training.
arXiv:2606. 23888v1 Announce Type: cross Abstract: While Vision-Language Models (VLMs) show great promise in volumetric medical report generation, they frequently suffer from visual hallucinations and a lack of grounding in 3D CT data.
arXiv:2606. 12169v1 Announce Type: cross Abstract: High-stakes clinical use of large vision-language models (LVLMs) requires reasoning that is grounded in visual evidence and clinical knowledge, not just correct final answers.
arXiv:2602. 02465v2 Announce Type: replace Abstract: Frontier models are transitioning from multimodal large language models (MLLMs) that merely ingest visual information to unified multimodal models (UMMs) capable of native interleaved generation.
arXiv:2511. 17731v2 Announce Type: replace-cross Abstract: Chain-of-Thought (CoT) prompting has proven remarkably effective for eliciting complex reasoning in large language models (LLMs).
arXiv:2606. 29984v1 Announce Type: new Abstract: Reinforcement Learning (RL) is an important paradigm for improving the reasoning capabilities of Vision-Language Models (VLMs).
arXiv:2603. 06652v2 Announce Type: replace-cross Abstract: Reinforcement learning has recently improved the reasoning ability of Large Language Models and Multimodal LLMs, yet prevailing reward designs emphasise final-answer correctness and consequently tolerate process hallucinations--cases where models reach the right answer while misperceiving visual evidence.
arXiv:2608. 10954v1 Announce Type: cross Abstract: While Multimodal Large Language Models (MLLMs) demonstrate impressive performance in benign scenarios, their cognitive reliability deteriorates significantly in complex scenes under adverse conditions.
arXiv:2507. 16518v3 Announce Type: replace-cross Abstract: Recent advances in multimodal large language models (MLLMs) have shown impressive reasoning capabilities.
Multimodal large language models (MLLMs) have demonstrated strong capabilities in vision-language understanding and natural-language response generation. However, these systems can still produce overconfident predictions and hallucination-like outputs, particularly when the visual evidence is weak, ambiguous, or semantically inconsistent.