arXiv Machine Learning

Separating Capability from Confidence: Grounded Dual-State Calibration for GRPO-Trained Medical Vision-Language Models

arXiv Computer Vision
2d ago

SAVOR: Self-Aware Visual Grounding via Confidence-Calibrated Reinforcement Learning for Multimodal Hallucination Mitigation

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.

By Zixiu Ding, Zilin Zhao, Yingjie He, Xinlang Kang, Guansu Wang, Wei Zhang
arXiv Computation and Language
Sep 7

MedProb: Probing Internal Representations of Vision-Language Models for Medical Question Answering

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.

By Erfan Nourbakhsh, Ke Yang, Anthony Rios
arXiv AI
1d ago

The Mirage of Calibrated Confidence: Trajectory-Independence of Verbalized Confidence in Vision-Language Models

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.

By Jisoo Yang, Jaeho Han, Trung X. Pham, Junyeong Kim
arXiv AI
Aug 12

CARE: Confidence-Aware Reasoning for Reliable Medical VQA

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.

By Yuetian Du, Yucheng Wang, Zhenyuan Chen, Luyuan Chen, Rongyu Zhang, Jinjian Zhang, Wei Zhou, Zhijie Xu, Ming Kong, Zhan Zhou, Jie Liu, Qiang Zhu
arXiv AI
Jul 21

MedLVR: Latent Visual Reasoning for Reliable Medical Visual Question Answering

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 AI
Aug 14

Polish Medical Visual Question Answering: Vision-Language Models Underutilize Visual Evidence

arXiv:2608. 12928v1 Announce Type: new Abstract: We introduce a Polish-language medical visual question answering (VQA) benchmark, built from Polish Board Certification Examination questions for licensed physicians and dentists pursuing specialist certification.

By Jakub Pokrywka, {\L}ukasz Grzybowski, Antoni Lasik, Marek Kubis, Jeremi Ignacy Kaczmarek, Wojciech Kusa
arXiv AI
Jun 19

SPOT-E: Test-Time Entropy Shaping with Visual Spotlights for Frozen VLMs

arXiv:2606. 20244v1 Announce Type: cross Abstract: Vision-language models (VLMs) often underperform on evidence intensive tasks because decisive visual evidence are small, localized, and easy to overlook, leading to failures in evidence readout even when high-level reasoning is intact.

By Bo Yin, Xiaobin Hu, Chengming Xu, Ruolin Shen, Mo Yang, Jiangning Zhang, Peng-Tao Jiang, Cheng Tan, Shuicheng YAN
arXiv AI
1d ago

EDCT-Bench: Uncovering Faithfulness Gaps in VLMs via Explanation-Driven Counterfactual Testing

EDCT-Bench is a benchmark that evaluates the faithfulness of Vision‑Language Models (VLMs) by using Explanation‑Driven Counterfactual Testing (EDCT). EDCT extracts visual concepts from a model’s natural language explanation, applies minimal verified edits to those concepts, and checks whether the model’s answer and explanation remain consistent with the edited image. The benchmark covers three domains—knowledge‑intensive VQA, safety‑critical driving, and 3D spatial reasoning—and reveals significant faithfulness gaps in current VLMs, while also showing that EDCT‑generated counterfactuals can improve training.

By Sihao Ding, Santosh Vasa, Aditi Ramadwar, Thomas Monninger
arXiv Computation and Language
Sep 4

Uncertainty Is Not a Safety Net for Clinical VQA, but Can It Anticipate Model Failure?

The paper evaluates uncertainty estimation (UE) methods for clinical vision‑language models (VLMs) on visual question answering (VQA). Across 8 UE techniques and 12 VLMs, UE quality tracks model accuracy, degrading where performance is weakest, and fails to signal uncertainty when models are stressed by hiding the correct answer (NOTA perturbations). However, UE on unperturbed inputs reliably predicts which predictions will collapse under NOTA, suggesting UE can diagnose model fragility.

By Arnisa Fazla, Alberto Testoni, Ameen Abu-Hanna, Barbara Plank, Iacer Calixto