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.
By Yucheng Chen, Yang Yu, Jiazhou Zhou, Yufei Shi, Yongying Lan, Yichi Zhang, Liyi Li, Si Yong Yeo
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.
By Weiwen Xu, Hou Pong Chan, Long Li, Mahani Aljunied, Ruifeng Yuan, Jianyu Wang, Chenghao Xiao, Guizhen Chen, Chaoqun Liu, Zhaodonghui Li, Yu Sun, Junao Shen, Chaojun Wang, Jie Tan, Deli Zhao, Tingyang Xu, Hao Zhang, Yu Rong
LiteMedCoT-VL is a parameter‑efficient pipeline that transfers chain‑of‑thought reasoning from a 235B teacher model to a 2B student model using LoRA fine‑tuning on explanation‑enriched data. The approach enables a compact vision‑language model to perform medical visual question answering without relying on image captions, achieving 64.9% accuracy on the PMC‑VQA benchmark—an 11‑point improvement over the zero‑shot Qwen3‑VL‑4B baseline. Visual grounding analysis confirms that the model bases its predictions on image content rather than textual priors.
By Runze Ma, Shunbo Jia, Haonan Lyu, Guo Liu, Caizhi Liao
arXiv:2512. 14157v2 Announce Type: replace Abstract: Recent medical MLLMs have made significant progress in generating step-by-step textual reasoning chains.
By Yankai Jiang, Yujie Zhang, Peng Zhang, Wenjie Li, Yichen Li, Jintai Chen, Xiaoming Shi, Shihui Zhen
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.
By Negin Baghbanzadeh, Pritam Sarkar, Michael Colacci, Abeer Badawi, Adibvafa Fallahpour, Arash Afkanpour, Leonid Sigal, Ali Etemad, Elham Dolatabadi
arXiv:2511. 17731v2 Announce Type: replace-cross Abstract: Chain-of-Thought (CoT) prompting has proven remarkably effective for eliciting complex reasoning in large language models (LLMs).
By Lingxiao Li, Yifan Wang, Xinyan Gao, Chen Tang, Xiangyu Yue, Chenyu You
arXiv:2606. 15160v1 Announce Type: cross Abstract: Reasoning capabilities of multimodal large language models (MLLMs) have improved considerably in recent years.
By David Huang, Lianlei Shan
The paper introduces LIFT, a lightweight vector‑intervention technique that transfers reasoning capability from a base large language model (LLM) to a vision‑language model (VLM) without retraining the VLM backbone. LIFT defines Reasoning Vectors as differences in hidden states between a reasoning path with an explicit trace and a solver path without it, and injects these vectors into the VLM’s language‑side activations. Experiments on two VLMs across six reasoning benchmarks show that vectors derived from the base LLM consistently outperform those derived from the aligned VLM, indicating that the base LLM is a more effective source for recovering degraded reasoning.
"whyItMatters":"The study demonstrates that a simple, frozen‑backbone intervention can partially restore reasoning abilities in multimodal models, highlighting the value of leveraging the original language model’s reasoning power."
By Ziyi Wang, Li Li, Aolin Zhou, Yankun Shen, Chonghan Liu, Shuxia Lin, Xu Yang
arXiv:2603. 07131v4 Announce Type: replace-cross Abstract: Large Vision Language Models (LVLMs) show immense potential for automated ophthalmic diagnosis.
By Shuai Lu, Meng Wang, Jia Guo, Jiawei Du, Bo Liu, Shengzhu Yang, Weihang Zhang, Huazhu Fu, Huiqi Li
arXiv:2608.28623v1 Announce Type: cross
Abstract: Large multimodal reasoning models (LMRMs) are getting increasingly capable, primarily through generating explicit chain-of-thought reasoning before a...
By Mahir Numayeer Islam, Gakuto Okuyama, Nikolaus Siauw, Shivank Garg, Madhur Panwar, Vasu Sharma
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...
By Zhen Chen, Yihang Fu, Rong Zhou, Serina Applebaum, Min Kyu Kim, Aidan Gilson, Morten Lee, Salahudeen Mirza, Gabriel Madera, Mauro Giuffre, Yuanting Pan, Roy Jiang, Hyunjae Kim, Hua Xu, Qingyu Chen
arXiv:2606. 09585v1 Announce Type: new Abstract: Chain-of-Thought (CoT) improves the performance of Large Language Models (LLMs) and has been extended to Multimodal Large Language Models (MLLMs).
By Yutong Bian, Dongjie Cheng, Heming Xia, Yongqi Li, Wenjie Li