arXiv AI

Thinking with Gaze: Sequential Eye-Tracking as Visual Reasoning Supervision for Medical VLMs

arXiv:2603. 06697v2 Announce Type: replace-cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks.

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
Jul 1

Token-Sparse Medical Multimodal Reasoning via Dual-Stream Reinforcement Learning

arXiv:2606. 31599v1 Announce Type: cross Abstract: Vision-language models (VLMs) combining reinforcement learning (RL) ignite remarkable progress in multimodal reasoning, yet still struggle with medical images, which typically exhibit extremely sparse visual evidence to inform clinical decision-making.

By Kaitao Chen, Weiqian Zhao, Jiamin Wu, Qihao Zheng, Shangquan Sun, Chunfeng Song, Xiaosong Wang, Mu Zhou, Mianxin Liu
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
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
Jun 10

V-REX: Benchmarking Exploratory Visual Reasoning via Chain-of-Questions

arXiv:2512. 11995v2 Announce Type: replace-cross Abstract: While many vision-language models (VLMs) are developed to answer well-defined, straightforward questions with highly specified targets, as in most benchmarks, they often struggle in practice with complex open-ended tasks, which usually require multiple rounds of exploration and reasoning in the visual space.

By Chenrui Fan, Yijun Liang, Shweta Bhardwaj, Kwesi Cobbina, Ming Li, Tianyi Zhou
arXiv AI
3d ago

MedClaw: Heuristic Agent Harness for Long-Horizon Surgical Video Reasoning

arXiv:2608. 14015v1 Announce Type: cross Abstract: Understanding tens-of-minutes surgical videos requires long-horizon temporal reasoning, answering what happens before, after, or across stages of a procedure by grounding the question in visual evidence spread across time.

By Yingying Fan, Penghui Du, Leyan Zhu, Runze He, Zimeng Wu, Yuxuan Zhang, Liang Chen, Jiahao Xie, Jiangtang Wang, Shuai Shao, Anchao Yang, Yutong Bai, Yan Wang
arXiv AI
Jul 21

Med-OPD: Improving Medical Vision-Language Models via Evidence-Aware On-Policy Distillation

arXiv:2607. 16303v1 Announce Type: cross Abstract: Medical Vision-Language Models (Med-VLMs) require reliable reasoning from fine-grained visual evidence, yet existing models can produce plausible clinical answers by relying on language priors or medical templates rather than truly attending to diagnosis-critical regions.

By Yunhang Qian, Jiaquan Yu, Jiawei Liu, Meng Wang, Hongwei Bran Li, Xiaobin Hu
arXiv AI
Jul 1

Evo-PI: Aligning Medical Reasoning via Evolving Principle-Guided Supervision

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.

By Xianda Zheng, Huan Gao, Meng-Fen Chiang, Michael Witbrock, Kaiqi Zhao, Shangyang Li