arXiv AI

VITAL: Visual-Semantic Dual Supervision for Enhanced and Interpretable Latent Reasoning in Medical MLLMs

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 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 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 Computation and Language
Oct 8

InfiMed2: A Generalist Medical Multimodal Foundation Model from Contextual Evidence and Stability-Aware Supervision

arXiv:2609.34798v2 Announce Type: replace Abstract: Recent medical multimodal models have benefited from larger corpora, broader modality coverage, and stronger reasoning-oriented training, yet effec...

By Guanghao Zhu, Zeyu Liu, Zhitian Hou, Pengkai Wang, Zhijie Sang, Shuo Cai, Yang Yu, Yuanyi Wang, Yanggan Gu, Congkai Xie, Jianmin Wu, Hongxia Yang
arXiv AI
Oct 9

SLVR: Structured Latent Visual Reasoning via Human-like Reasoning Flows

SLVR (Structured Latent Visual Reasoning) is a training framework that blends explicit chain-of-thought with latent reasoning for multimodal large language models. It organizes reasoning into typed latent stages—planning, grounding, evidence selection, and integration—each supervised by corresponding signals such as plans, bounding boxes, visual evidence, and final rationales. Built on Qwen2.5‑VL‑7B, SLVR consistently improves performance on multimodal reasoning benchmarks, achieving significant gains on MMVP, BLINK Relation, V*, MathVista, and ChartQA.

By Albert Gao, Bing Xue, Andrea Zanette
arXiv Machine Learning
Sep 7

Latent-Aligned Reasoning for Multimodal Recommendation

The paper introduces LARK, a two‑stage latent reasoning framework designed to mitigate cross‑modal dilution in multimodal recommendation systems. In the first stage, learnable latent tokens are interleaved with chain‑of‑thought reasoning and aligned with a frozen vision encoder to preserve visual details. The second stage projects these latent representations through a bridge MLP, employing item‑to‑item contrastive learning and aligning intermediate features with the first‑stage hidden states to anchor final embeddings to the model’s reasoning output. Experiments on three public benchmarks and an industrial dataset demonstrate that LARK achieves state‑of‑the‑art performance across multiple recommendation architectures, with ablation studies confirming the contribution of each component.

By Jiarui Jin, Anyang Ji
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