arXiv:2606. 26874v1 Announce Type: new Abstract: Transcatheter Aortic Valve Replacement (TAVR) planning requires meticulous multimodal reasoning.
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:2609.38810v1 Announce Type: cross Abstract: As vision language models are increasingly deployed in clinical diagnosis, understanding how they internally resolve competing visual and textual sig...
As vision language models are increasingly deployed in clinical diagnosis, understanding how they internally resolve competing visual and textual signals becomes a safety imperative. Existing mechanis...
arXiv:2603. 21693v2 Announce Type: replace Abstract: Multimodal large language models (MLLMs) have shown strong potential for medical Visual Question Answering (VQA), yet they remain prone to hallucinations, defined as generating responses that contradict the input image, posing serious risks in clinical settings.
The paper introduces MPS-Bench, a benchmark of 5,181 scenarios from 584 real-world images across 12 high-risk domains, each paired with a hidden user profile, to evaluate personalized safety in vision‑language models (VLMs). Eight leading VLMs were tested and found to almost always respond directly (86‑99%) without seeking missing context, scoring no higher than 2.6/5 on personalized safety. The authors identify a phenomenon called visual dominance, where visual information enters text representations early and suppresses textual risk signals, and propose PRISM, a lightweight input monitor that predicts when a query should be deferred, achieving 0.978 AUC and outperforming all tested models on the safety‑utility Pareto frontier.
NV-Reason-CT is a generative vision‑language model designed for chest and abdominal CT analysis that preserves native 3D visual encoding and incorporates radiologist‑guided reasoning. The system couples a 3D vision transformer with a language model, feeding all visual tokens and their 3D coordinates directly into language decoding to maintain volumetric spatial information. Trained on a curated corpus of about 550,000 multimodal instruction examples, the model supports abnormality classification, report generation, and interactive reasoning, achieving strong performance on CT benchmarks and reducing expert interpretation time by 50%.
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.
arXiv:2603. 24058v2 Announce Type: replace-cross Abstract: Object hallucination in Large Vision-Language Models (LVLMs) severely compromises their reliability in real-world applications, posing a critical barrier to their deployment in high-stakes scenarios such as autonomous driving and medical image analysis.
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.
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.
The article surveys hallucination issues in Large Vision‑Language Models (LVLMs), a type of multimodal foundation model that blends visual data with large language models. It categorizes hallucination causes into model architecture and data quality, presents a taxonomy of mitigation strategies, and critically evaluates existing evaluation benchmarks from both discriminative and generative viewpoints. The survey also outlines open challenges and future research directions to improve LVLM reliability and trustworthiness.