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. 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.
arXiv:2606. 11209v1 Announce Type: cross Abstract: Visual question answering increasingly requires multi-step reasoning.
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:2609.39168v1 Announce Type: new Abstract: Reinforcement Learning with Verifiable Rewards (RLVR) has improved the reasoning capabilities of Multimodal Large Language Models (MLLMs), yet existing...
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: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:2607. 10966v1 Announce Type: new Abstract: We introduce Self-Verified Reasoner (SVR-R1), a multi-turn RL framework that turns a model's own verification into a learning signal for multimodal reasoning.
arXiv:2511.22232v2 Announce Type: replace-cross Abstract: Multimodal large language models (MLLMs) are increasingly capable in medical imaging, yet most focus on single-image settings. Clinical inter...
CRYSTAL is a diagnostic benchmark comprising 6,372 multimodal reasoning instances that assess models through verifiable intermediate steps. It introduces two metrics—Match F1 and Ordered Match F1—to evaluate step-level precision, recall, and order. The benchmark, built via a Delphi-inspired pipeline with four independent MLLMs, reveals systematic failures in current models, such as cherry‑picking and disordered reasoning, and proposes a Causal Process Reward and CPR‑Curriculum to improve reasoning performance.
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.
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. 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.