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: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:2601. 03321v3 Announce Type: replace-cross Abstract: Multimodal Large Language Models (MLLMs) have substantially advanced Radiology Report Generation (RRG), yet aligning them through reinforcement learning (RL) remains challenging due to heterogeneous medical supervision.
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: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. 20331v1 Announce Type: cross Abstract: Personalized interpretation of medical reports has emerged as an increasingly important need among patients.
Personalized interpretation of medical reports has emerged as an increasingly important need among patients. Addressing this need requires both evidence-grounded medical factuality and context-dependent patient communication, yet existing medical vision-language tasks do not adequately capture these dual requirements.
arXiv:2608. 03890v1 Announce Type: cross Abstract: A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend.
arXiv:2607. 12687v1 Announce Type: cross Abstract: LLMs can perform language-based quantitative prediction from unstructured inputs, but remain susceptible to hallucinations and overconfident errors, making it critical to know not only what a model predicts, but when its predictions can be trusted.
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...
The paper introduces UR$^{2}$-MLLM, an uncertainty‑aware multimodal large language model that dynamically revisits uncertain image regions during radiology report generation. It incorporates an uncertainty perception module trained on a specialized dataset, builds a multimodal reasoning trajectory with a detect‑and‑copy mechanism to guide revisits, and refines this behavior using a visual grounding reward via reinforcement learning. Experiments on MIMIC‑CXR and IU‑Xray demonstrate state‑of‑the‑art performance, underscoring the importance of visual revisit reasoning for reliable, clinically aligned reports.
Medical imaging is a cornerstone of diagnostics, yet automated chest X-ray report generation struggles with structural adherence, anatomical completeness, and semantic faithfulness. We introduce DobicVLM, a vision-language model combining supervised fine-tuning on MedGemma-4B with Group Relative Policy Optimization (GRPO) and clinically-grounded programmatic rewards.
arXiv:2606. 07822v1 Announce Type: cross Abstract: As language models improve and become increasingly deployed to solve a variety of tasks, trustworthiness becomes essential.