arXiv AI By Sijing Li, Zhongwei Qiu, Zhuoya Wang, Boxiang Yun, Zhenyu Yi, Jianwei Xu, Wenqiao Zhang, Yingda Xia, Ling Zhang

E-MRL: Cross-view Aligned Evidence-driven Multimodal Reinforcement Learning for Reliable 3D Tumor Analysis

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arXiv:2606. 23888v1 Announce Type: cross Abstract: While Vision-Language Models (VLMs) show great promise in volumetric medical report generation, they frequently suffer from visual hallucinations and a lack of grounding in 3D CT data.

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arXiv Computer Vision
Aug 25

UR$^{2}$-MLLM: Uncertainty-aware Revisit Reasoning in Multimodal Large Language Models for Radiology Report Generation

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
arXiv AI
Aug 5

HERO: Hierarchical Evidential Reasoning Optimization for Radiology Report Generation via Reason-then-Summarize

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.

By Kun Zhao, Guodong Liu, Hui Ji, Siyuan Dai, Pan Wang, Jifeng Song, Chenghua Lin, Liang Zhan, Haoteng Tang
arXiv AI
Jun 2

Med-Scout: Curing MLLMs' Geometric Blindness in Medical Perception via Geometry-Aware RL Post-Training

arXiv:2601. 23220v2 Announce Type: replace-cross Abstract: Despite recent Multimodal Large Language Models (MLLMs)' linguistic prowess in medical diagnosis, we find even state-of-the-art MLLMs suffer from a critical perceptual deficit: geometric blindness.

By Anglin Liu, Ruichao Chen, Yi Lu, Hongxia Xu, Jintai Chen
arXiv Computation and Language
Sep 4

Attend to Evidence: Evidence-Anchored Spatial Attention Supervision for Multimodal RLVR

The paper introduces EASE, a method that enhances multimodal reinforcement learning with verifiable rewards (RLVR) by adding visual‑evidence process supervision. EASE transforms annotated evidence regions into smoothed visual‑token targets and uses them to guide attention during RL training, but only on high‑reward trajectories. Experiments on Qwen2.5‑VL‑7B, Qwen3‑VL‑4B, and Qwen3‑VL‑8B show that EASE improves average scores over DAPO by 2.5 to 3.1 points across perception, hallucination, visual math, and multimodal reasoning benchmarks, and diagnostics confirm better alignment of visual attention with annotated evidence.

By Ruina Hu, Chen Wang, Lai Wei, Jionghao Bai, Bin Yu, Weiran Huang, Kai Wang, Yue Wang
arXiv AI
Aug 14

Mr3D-VL: A generalist vision language foundation model for Multiparametric 3D Magnetic Resonance Imaging

arXiv:2608. 12689v1 Announce Type: cross Abstract: Multi-parametric magnetic resonance imaging (mpMRI) is a cornerstone for brain tumor diagnosis and treatment, yet current AI models face critical limitations: their lack of natural language interaction and interpretability impedes spatial information integration and cross-modal reasoning required clinically.

By Zhi Qiao, Xintong Wu, Yichu He, Feng Shi