arXiv Machine Learning

OmniMed-Jev: Calibrating LVLM Confidence for Trustworthy Medical Multimodal Decisions via System One

OmniMed-Jev is a new medical multimodal model that represents each decision as a Choice, Noul, or Score over a runtime-supplied candidate set, returning a full probability distribution for each decision. By unifying diverse imaging modalities and prediction tasks into a single candidate-conditioned probability model, it makes heterogeneous outputs comparable probabilities rather than task-specific strings. In controlled comparisons against a generative baseline, OmniMed-Jev’s reported probabilities align more closely with observed correctness, reducing calibration error by up to an order of magnitude and reliability error by up to two, while maintaining comparable point-prediction performance.

arXiv AI
Aug 26

OmniJudge or OmniBias? Diagnosing Multimodal Judges through Balanced, Decoupled Lenses

The paper introduces D3-Omni, a balanced and decoupled benchmark designed to diagnose fine‑grained multimodal understanding in OmniJudges that evaluate text‑to‑image, text‑to‑video, and text‑to‑speech generation. D3-Omni covers 53 orthogonal binary dimensions across 10,671 samples, using fixed positive seeds and controlled prompt rewriting to generate negatives, thereby ensuring each error can be attributed to a single capability. The benchmark’s dual‑balanced, decoupled, and dynamic design achieves near 1:1 per‑dimension parity and a uniform total‑score distribution, revealing that strong OmniJudges often miss modality‑related failures and treat distinct attributes as a single decision, masking systematic blind spots.

By Guangzheng Hu, Ziyue Jiang, Weixu Qiao, Lixin Zhang, Jianye Kang, Yuru Wu, Rong Bao, Niantong Li, Wei Wang, Ziyi Cheng, Xinfa Zhu, HangRui Hu, Ting He, Bing Zhao, Lin Qu, Hu Wei, Jin Xu
arXiv AI
Aug 12

CARE: Confidence-Aware Reasoning for Reliable Medical VQA

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.

By Yuetian Du, Yucheng Wang, Zhenyuan Chen, Luyuan Chen, Rongyu Zhang, Jinjian Zhang, Wei Zhou, Zhijie Xu, Ming Kong, Zhan Zhou, Jie Liu, Qiang Zhu
arXiv AI
Jun 30

IMCBench: A benchmark for multimodal LLMs in Image-grounded Medical Conversations

arXiv:2606. 28556v1 Announce Type: new Abstract: Recent advances in large language models and vision-language models have enabled reasoning over multimodal data, offering opportunities for clinical applications such as decision support and triaging.

By Maria Xenochristou, Ashutosh Joshi, Korosh Vatanparvar, Mohammad Abuzar Hashemi, Prasad Kasu, Deepak Bansal, Anchal Nema, Nivedita Wadhwa, Prashams S Jain, Rebecca Abraham, Will Kimbrough, Dilek Hakkani-Tur, Wilko Schulz-Mahlendorf
arXiv AI
Jun 11

Human-Guided Agentic AI for Multimodal Clinical Prediction: Lessons from the AgentDS Healthcare Benchmark

arXiv:2602. 19502v2 Announce Type: replace Abstract: Agentic AI systems are increasingly capable of autonomous data science workflows, yet clinical prediction tasks demand domain expertise that purely automated approaches struggle to provide.

By Lalitha Pranathi Pulavarthy, Raajitha Muthyala, Aravind V Kuruvikkattil, Zhenan Yin, Rashmita Kudamala, Saptarshi Purkayastha
arXiv Computation and Language
Sep 4

MedQA-MM: Shortcuts Behind Medical Visual Reasoning

The paper introduces MedQA-MM, a benchmark that exposes shortcut reasoning in medical multimodal multiple-choice questions. By auditing prompts, images, and modalities, the authors show that models often rely on textual cues rather than visual evidence, with full-input accuracy at 62.63% but only 5.21% when restricted to text. The study highlights the need for route-level evidence to validate true medical image reasoning.

By Benlu Wang, Yifan Zhang, Jiaqing Yu, Chin Siang Ong, Juncheng Huang, Zhuohao Li, Zhenyu Zhang, Arman Cohan, Hong Yu, Zonghai Yao
arXiv AI
Sep 11

OmniMed-FL: A Robust Multimodal Federated Learning Framework for Clinical Diagnosis

OmniMed‑FL is a multimodal federated learning framework that fuses chest radiographs and synthetic patient notes to classify five clinical conditions. The study benchmarks eight fusion strategies, three initializations, and four missing‑text imputation rules across 3–20 hospital clients under non‑IID Dirichlet partitioning, showing that federated approaches (FedAvg, FedProx, SCAFFOLD‑AdamW) outperform local‑only training. Multimodal fusion consistently improves performance, achieving macro‑F1 scores up to 0.956 on the synthetic corpus and 0.906 on the radiograph corpus.

By Ayush Debnath, Ruelia Saha, Sudip Misra