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.
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.
Lingshu is a medical‑specialized multimodal large language model that addresses key limitations of existing medical MLLMs, such as narrow knowledge coverage, hallucinations, and weak reasoning. The authors curate a comprehensive dataset combining medical imaging, texts, and general‑domain data, then train Lingshu in multiple stages to embed medical expertise and improve task performance. They also introduce MedEvalKit, a unified evaluation framework, and demonstrate that Lingshu outperforms current open‑source multimodal models on multimodal QA, text‑based QA, and medical report generation.
arXiv:2607. 07673v1 Announce Type: cross Abstract: Medicine is inherently multimodal, requiring clinicians to synthesize information across diverse data streams.
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:2607. 24743v1 Announce Type: cross Abstract: Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment.
VITAL introduces a visual‑semantic dual supervision framework for latent reasoning in medical multimodal large language models. It uses an auxiliary text decoder to reconstruct reasoning chains from latent states and a visual projector to regress ROI features from a frozen medical vision encoder, both discarded during inference to avoid overhead. The approach yields a 61K dataset across nine imaging modalities and achieves state‑of‑the‑art performance on seven benchmarks, outperforming existing latent reasoning baselines and large medical MLLMs.
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...
Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations.
The paper introduces ViMoD, a lightweight framework that dynamically manages visual memory for multimodal large language models. ViMoD uses Deformable Aggregation of Region-wise Tokens (DART) to create content‑adaptive coarse representations linked to recoverable fine tokens, and Temporal Routing for Adaptive Contextual Evidence (TRACE) to anticipate and adjust evidence needs during reasoning. On the Qwen3‑VL‑4B model, ViMoD achieves superior performance across eight reasoning benchmarks with only a 20% visual token budget and minimal additional parameters.
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.
arXiv:2608.21796v1 Announce Type: cross Abstract: Knowledge-based Visual Question Answering (KB-VQA) aims to answer queries that necessitate reasoning over external knowledge sources beyond the visua...