arXiv AI

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.

arXiv AI
Sep 10

Reason Through the Latent! Making Latent Visual Reasoning Necessary

The paper introduces Causal Visual Recurrent Reasoning (CVRR), a method that forces multimodal models to rely on latent visual states by using recurrent computation as the sole image‑conditioned path to prediction. CVRR initializes recurrence from the question hidden state after a pretrained vision‑language model has processed the image, repeatedly updates this state while re‑reading the same visual evidence, and removes all other visual traces before decoding. Experiments on several benchmarks show that CVRR maintains strong performance while other latent reasoners lose visual competence, and causal interventions confirm that predictions depend on the recurrent visual trajectory.

By Suhyeong Park, Junha Jung, Jaewoo Kang
arXiv AI
Jun 11

OpenMedReason: Scientific Reasoning Supervision for Medical Vision-Language Models

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.

By Negin Baghbanzadeh, Pritam Sarkar, Michael Colacci, Abeer Badawi, Adibvafa Fallahpour, Arash Afkanpour, Leonid Sigal, Ali Etemad, Elham Dolatabadi
arXiv AI
Sep 21

LiteMedCoT-VL: Parameter-Efficient Adaptation for Medical Visual Question Answering

LiteMedCoT-VL is a parameter‑efficient pipeline that transfers chain‑of‑thought reasoning from a 235B teacher model to a 2B student model using LoRA fine‑tuning on explanation‑enriched data. The approach enables a compact vision‑language model to perform medical visual question answering without relying on image captions, achieving 64.9% accuracy on the PMC‑VQA benchmark—an 11‑point improvement over the zero‑shot Qwen3‑VL‑4B baseline. Visual grounding analysis confirms that the model bases its predictions on image content rather than textual priors.

By Runze Ma, Shunbo Jia, Haonan Lyu, Guo Liu, Caizhi Liao
arXiv Computation and Language
Sep 4

Attend to Evidence: Evidence-Anchored Spatial Attention Supervision for Multimodal RLVR

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 AI
Jul 1

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning

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.

By Junha Jung, Minbyul Jeong, Suhyeon Lim, Sungwook Jung, Jaehoon Yun, Taeyun Roh, Mujeen Sung, Jaewoo Kang