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: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.
The paper introduces ConRad, a reinforcement learning framework that fine‑tunes large vision‑language models to generate calibrated verbalized confidence estimates for radiology reports. ConRad offers both a single report‑level confidence score and a sentence‑level variant, trained with the GRPO algorithm and logarithmic scoring rewards to encourage truthful self‑assessment. Experiments show significant calibration improvements over existing methods, and clinical evaluation indicates that report‑level scores align well with clinicians’ judgments, enabling targeted review of low‑confidence statements.
arXiv:2609.06419v1 Announce Type: cross Abstract: Medical vision-language models (VLMs) require confidence that reflects both answer correctness and patient-specific visual evidence. Recent GRPO-base...
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:2604.02543v2 Announce Type: replace Abstract: As vision-language models (VLMs) are increasingly deployed in clinical decision support, more than accuracy is required: knowing when to trust thei...
arXiv:2608.21864v1 Announce Type: cross Abstract: The current progress of Clinical Vision Large Language Models (C-VLLMs) has substantially improved digital diagnostics, still these frameworks often...
arXiv:2606. 15910v2 Announce Type: replace Abstract: A vision-language model can answer a question about a chest radiograph or a pathology slide fluently and confidently while barely using the image, relying instead on language priors.
arXiv:2606. 26874v1 Announce Type: new Abstract: Transcatheter Aortic Valve Replacement (TAVR) planning requires meticulous multimodal reasoning.
Multi-frame medical VQA appears to reward increasingly complex adaptation: controller-style inference, localization-aware reranking, static hard-negative mixing, and staged continuation all appear plausible from first principles. We test a simpler competing hypothesis on MedFrameQA: methods that remain tightly aligned with the benchmark's final answer objective should be the strongest \emph{robust} adaptation family once evaluation is controlled across fixed splits, matched budgets, repeated seeds, and calibration.
PROVE is a black‑box hallucination detector for medical visual question answering that tailors its verification strategy to each question’s evidential structure. It classifies questions into three regimes, activates a subset of five operators per regime, and calibrates operator importance using deterministic question‑answer features to produce a risk score. On 8048 test samples across three medical VQA benchmarks and four state‑of‑the‑art vision‑language models, PROVE achieves an AUROC of 0.821, surpassing the best baseline by 0.159 with consistent improvements across all models and datasets.
CARE: Causally-Aligned Reasoning Exploration for Medical Large Language Models proposes a new framework to improve medical reasoning in LLMs. It introduces two key conditions—Causal Sufficiency and Proximal Learnability—to curate high-quality training trajectories, using agreement-based self-verification and dynamic entropy bounds. Experiments on medical multimodal and text-only benchmarks show that CARE outperforms competitors, reducing incorrect reasoning and enhancing training stability.
arXiv:2609.24480v1 Announce Type: cross Abstract: Deploying Large Language Models (LLMs) in healthcare requires robust performance across two complementary dimensions - diagnostic reasoning: the conv...