arXiv:2609. 31450v1 Announce Type: cross Abstract: Medical vision-language model (VLM) post-training is commonly evaluated through answer accuracy.
The study evaluates whether signals from a frozen vision‑language model, InstructBLIP, can reliably indicate answerability in visual question answering. Using a 10K subset of UNK‑VQA, the authors test predictive uncertainty, cross‑modal alignment, visual grounding, visual dependence, internal representations, and learned probes, finding that all signals yield weak discrimination (AUROC 0.50‑0.54). Even interventions that remove question‑relevant visual evidence or increase probe capacity do not substantially improve answerability detection, underscoring that visual dependence and related metrics are not robust proxies for answerability.
SAVOR is a training framework for multimodal large language models that adds token and answer confidence to the output schema, optimises a Group Relative Policy Optimisation objective to penalise calibration error and poor abstention, and uses the learned confidence at inference to revisit visual evidence only when uncertain. Experiments on POPE, HallusionBench, AMBER, and MMHal-Bench with InternVL3-8B and Qwen3-VL-8B backbones show that SAVOR reduces hallucination while maintaining general capability on MME and MMBench, achieving lower Expected Calibration Error than DPO and decoding baselines.
MedProb is a lightweight probing framework that predicts multiple-choice medical visual question answering (Med‑VQA) answers directly from frozen vision‑language model (VLM) representations, avoiding free‑text generation. On datasets such as PATH‑VQA, SLAKE, and VQA‑RAD, MedProb extracts more answer‑relevant signal than prompting and outperforms both medical VLMs and agentic systems. The approach also narrows the performance gap between small and large models, shows that medical adaptation does not consistently improve linear decodability, and reveals positional biases in both prompting and generation.
Multimodal large language models (MLLMs) have made strong progress on visual question answering and image captioning, yet they still produce fluent claims about objects, attributes, or relations that...
The paper investigates how Vision‑Language Models (VLMs) often report high confidence even after self‑correcting or arriving at wrong answers, a phenomenon the authors attribute to the verbalized confidence being largely independent of the model’s reasoning trajectory. By analyzing content variation, token masking, and hesitation markers, the authors demonstrate that confidence does not adequately reflect the actual reasoning process and that calibration training can sometimes worsen this disconnect. To address this blind spot, they introduce the Trajectory‑Grounding Score (TGS) in two forms—TGS‑self and TGS‑pair—and propose TGS‑Bench, a suite of 10 benchmarks that reveal divergences between conventional calibration metrics and trajectory‑grounded confidence.
arXiv:2608. 10964v1 Announce Type: cross Abstract: Reinforcement Fine-Tuning (RFT) has enabled medical Multimodal Large Language Models (MLLMs) to produce Chain-of-Thought (CoT) reasoning for visual question answering, yet these models suffer from $\textit{confidence miscalibration}$---a systematic gap between expressed certainty and actual diagnostic accuracy that undermines clinical trust.
arXiv:2609.09184v1 Announce Type: new Abstract: Vision-language model (VLM) confidence may change in aggregate when visual evidence is degraded while remaining structurally inconsistent within indivi...
arXiv:2604.02543v2 Announce Type: replace Abstract: As vision-language models (VLMs) are increasingly deployed in clinical decision support, more than accuracy is required: knowing when to trust thei...
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.
arXiv:2610.33841v1 Announce Type: cross Abstract: When an image and its caption disagree, can a user reliably control which one a vision-language model (VLM) follows? Accuracy alone cannot answer thi...
The paper introduces ConRad, a reinforcement learning framework that fine‑tunes large vision‑language models to generate calibrated verbalized confidence estimates for radiology reports. ConRad offers both a single report‑level confidence score and a sentence‑level variant, trained with the GRPO algorithm and logarithmic scoring rewards to encourage truthful self‑assessment. Experiments show significant calibration improvements over existing methods, and clinical evaluation indicates that report‑level scores align well with clinicians’ judgments, enabling targeted review of low‑confidence statements.