arXiv:2606. 31599v1 Announce Type: cross Abstract: Vision-language models (VLMs) combining reinforcement learning (RL) ignite remarkable progress in multimodal reasoning, yet still struggle with medical images, which typically exhibit extremely sparse visual evidence to inform clinical decision-making.
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 PIVOT, a dual-level learning framework designed to improve visually-grounded multimodal reasoning in large vision-language models. PIVOT employs a self‑calibrated experience replay mechanism to selectively reuse valuable visual reasoning trajectories, and a vision‑guided advantage allocation scheme that assigns extra rewards to tokens with strong visual support. Experiments on multiple benchmarks show that PIVOT enhances the multimodal reasoning performance of these models.
arXiv:2511.22232v2 Announce Type: replace-cross Abstract: Multimodal large language models (MLLMs) are increasingly capable in medical imaging, yet most focus on single-image settings. Clinical inter...
arXiv:2609.38924v1 Announce Type: new Abstract: Major adverse cardiovascular events (MACE) remain the leading cause of mortality worldwide. Opportunistic screening using routinely acquired clinical d...
Lingshu is a medical‑specialized multimodal large language model that addresses key limitations of existing medical MLLMs, such as narrow knowledge coverage, hallucinations, and weak reasoning. The authors curate a comprehensive dataset combining medical imaging, texts, and general‑domain data, then train Lingshu in multiple stages to embed medical expertise and improve task performance. They also introduce MedEvalKit, a unified evaluation framework, and demonstrate that Lingshu outperforms current open‑source multimodal models on multimodal QA, text‑based QA, and medical report generation.
arXiv:2609.39168v1 Announce Type: new Abstract: Reinforcement Learning with Verifiable Rewards (RLVR) has improved the reasoning capabilities of Multimodal Large Language Models (MLLMs), yet existing...
arXiv:2608. 07581v1 Announce Type: cross Abstract: Group-based reinforcement learning methods for multimodal large language models typically rely on trajectory-level credit assignment that applies a single advantage to all tokens in a response.
arXiv:2606. 29984v1 Announce Type: new Abstract: Reinforcement Learning (RL) is an important paradigm for improving the reasoning capabilities of Vision-Language Models (VLMs).
arXiv:2606. 07000v1 Announce Type: new Abstract: Recent post-training methods, particularly Reinforcement Learning with Verifiable Rewards (RLVR), have significantly enhanced the reasoning ability of Large Vision-Language Models (LVLMs).
arXiv:2606. 03937v1 Announce Type: new Abstract: While token-level entropy is commonly recognized as effective for credit assignment in text-only reinforcement learning with verifiable rewards (RLVR), it remains unclear whether this mechanism still holds in visual reasoning.
arXiv:2607. 14682v1 Announce Type: new Abstract: Efficient multimodal document question answering with explicit visual grounding, locating the precise document region that supports each answer remains an open challenge.
arXiv:2609.35942v1 Announce Type: new Abstract: Recent work in visual question answering has shown that vision-language models can exhibit strong reasoning capabilities by translating visual inputs i...