Daily Papers

Multimodal large language models (MLLMs) have recently demonstrated remarkable reasoning abilities with reinforcement learning paradigm. Although several multimodal reasoning models have been explored in the medical domain, most of them focus exclusively on basic reasoning, which refers to shallow inference based on visual feature matching. However, real-world clinical diagnosis extends beyond basic reasoning, demanding reasoning processes that integrate heterogeneous clinical information (such as chief complaints and medical history) with multimodal medical imaging data. To bridge this gap, we introduce MM-Retinal-Reason, the first ophthalmic multimodal dataset with the full spectrum of perception and reasoning. It encompasses both basic reasoning tasks and complex reasoning tasks, aiming to enhance visual-centric fundamental reasoning capabilities and emulate realistic clinical thinking patterns. Building upon MM-Retinal-Reason, we propose OphthaReason, the first ophthalmology-specific multimodal reasoning model with step-by-step reasoning traces. To enable flexible adaptation to both basic and complex reasoning tasks, we specifically design a novel method called Uncertainty-Aware Dynamic Thinking (UADT), which estimates sample-level uncertainty via entropy and dynamically modulates the model's exploration depth using a shaped advantage mechanism. Comprehensive experiments demonstrate that our model achieves state-of-the-art performance on both basic and complex reasoning tasks, outperforming general-purpose MLLMs, medical MLLMs, RL-based medical MLLMs, and ophthalmic MLLMs by at least 24.92\%, 15.00\%, 21.20\%, and 17.66\%. Project Page: https://github.com/lxirich/OphthaReason{link}.

Retinal imaging has emerged as a powerful, non-invasive modality for detecting and quantifying biomarkers of systemic diseases-ranging from diabetes and hypertension to Alzheimer's disease and cardiovascular disorders but current insights remain dispersed across platforms and specialties. Recent technological advances in optical coherence tomography (OCT/OCTA) and adaptive optics (AO) now deliver ultra-high-resolution scans (down to 5 {\mu}m ) with superior contrast and spatial integration, allowing early identification of microvascular abnormalities and neurodegenerative changes. At the same time, AI-driven and machine learning (ML) algorithms have revolutionized the analysis of large-scale retinal datasets, increasing sensitivity and specificity; for example, deep learning models achieve > 90 \% sensitivity for diabetic retinopathy and AUC = 0.89 for the prediction of cardiovascular risk from fundus photographs. The proliferation of mobile health technologies and telemedicine platforms further extends access, reduces costs, and facilitates community-based screening and longitudinal monitoring. Despite these breakthroughs, translation into routine practice is hindered by heterogeneous imaging protocols, limited external validation of AI models, and integration challenges within clinical workflows. In this review, we systematically synthesize the latest OCT/OCT and AO developments, AI/ML approaches, and mHealth/Tele-ophthalmology initiatives and quantify their diagnostic performance across disease domains. Finally, we propose a roadmap for multicenter protocol standardization, prospective validation trials, and seamless incorporation of retinal screening into primary and specialty care pathways-paving the way for precision prevention, early intervention, and ongoing treatment of life-threatening systemic diseases.

Clinicians spend a significant amount of time reviewing medical images and transcribing their findings regarding patient diagnosis, referral and treatment in text form. Vision-language models (VLMs), which automatically interpret images and summarize their findings as text, have enormous potential to alleviate clinical workloads and increase patient access to high-quality medical care. While foundational models have stirred considerable interest in the medical community, it is unclear whether their general capabilities translate to real-world clinical utility. In this work, we show that foundation VLMs markedly underperform compared to practicing ophthalmologists on specialist tasks crucial to the care of patients with age-related macular degeneration (AMD). To address this, we initially identified the essential capabilities required for image-based clinical decision-making, and then developed a curriculum to selectively train VLMs in these skills. The resulting model, RetinaVLM, can be instructed to write reports that significantly outperform those written by leading foundation medical VLMs in disease staging (F1 score of 0.63 vs. 0.11) and patient referral (0.67 vs. 0.39), and approaches the diagnostic performance of junior ophthalmologists (who achieve 0.77 and 0.78 on the respective tasks). Furthermore, in a reader study involving two senior ophthalmologists with up to 32 years of experience, RetinaVLM's reports were found to be similarly correct (78.6% vs. 82.1%) and complete (both 78.6%) as reports written by junior ophthalmologists with up to 10 years of experience. These results demonstrate that our curriculum-based approach provides a blueprint for specializing generalist foundation medical VLMs to handle real-world clinical tasks.

Vision-language models (VLMs) have advanced reasoning in natural scenes, but their role in medical imaging remains underexplored. Medical reasoning tasks demand robust image analysis and well-justified answers, posing challenges due to the complexity of medical images. Transparency and trustworthiness are essential for clinical adoption and regulatory compliance. We introduce Med-R1, a framework exploring reinforcement learning (RL) to enhance VLMs' generalizability and trustworthiness in medical reasoning. Leveraging the DeepSeek strategy, we employ Group Relative Policy Optimization (GRPO) to guide reasoning paths via reward signals. Unlike supervised fine-tuning (SFT), which often overfits and lacks generalization, RL fosters robust and diverse reasoning. Med-R1 is evaluated across eight medical imaging modalities: CT, MRI, Ultrasound, Dermoscopy, Fundus Photography, Optical Coherence Tomography (OCT), Microscopy, and X-ray Imaging. Compared to its base model, Qwen2-VL-2B, Med-R1 achieves a 29.94% accuracy improvement and outperforms Qwen2-VL-72B, which has 36 times more parameters. Testing across five question types-modality recognition, anatomy identification, disease diagnosis, lesion grading, and biological attribute analysis Med-R1 demonstrates superior generalization, exceeding Qwen2-VL-2B by 32.06% and surpassing Qwen2-VL-72B in question-type generalization. These findings show that RL improves medical reasoning and enables parameter-efficient models to outperform significantly larger ones. With interpretable reasoning outputs, Med-R1 represents a promising step toward generalizable, trustworthy, and clinically viable medical VLMs.

Multimodal large language models (MLLMs) demonstrate significant potential in the field of medical diagnosis. However, they face critical challenges in specialized domains such as ophthalmology, particularly the fragmentation of annotation granularity and inconsistencies in clinical reasoning logic, which hinder precise cross-modal understanding. This paper introduces FundusExpert, an ophthalmology-specific MLLM with integrated positioning-diagnosis reasoning capabilities, along with FundusGen, a dataset constructed through the intelligent Fundus-Engine system. Fundus-Engine automates localization and leverages MLLM-based semantic expansion to integrate global disease classification, local object detection, and fine-grained feature analysis within a single fundus image. Additionally, by constructing a clinically aligned cognitive chain, it guides the model to generate interpretable reasoning paths. FundusExpert, fine-tuned with instruction data from FundusGen, achieves the best performance in ophthalmic question-answering tasks, surpassing the average accuracy of the 40B MedRegA by 26.6%. It also excels in zero-shot report generation tasks, achieving a clinical consistency of 77.0%, significantly outperforming GPT-4o's 47.6%. Furthermore, we reveal a scaling law between data quality and model capability (L propto N^{0.068}), demonstrating that the cognitive alignment annotations in FundusGen enhance data utilization efficiency. By integrating region-level localization with diagnostic reasoning chains, our work develops a scalable, clinically-aligned MLLM and explores a pathway toward bridging the visual-language gap in specific MLLMs. Our project can be found at https://github.com/MeteorElf/FundusExpert.

Retinal detachment (RD) is a vision-threatening condition that requires timely intervention to preserve vision. Macular involvement -- whether the macula is still intact (macula-intact) or detached (macula-detached) -- is the key determinant of visual outcomes and treatment urgency. Point-of-care ultrasound (POCUS) offers a fast, non-invasive, cost-effective, and accessible imaging modality widely used in diverse clinical settings to detect RD. However, ultrasound image interpretation is limited by a lack of expertise among healthcare providers, especially in resource-limited settings. Deep learning offers the potential to automate ultrasound-based assessment of RD. However, there are no ML ultrasound algorithms currently available for clinical use to detect RD and no prior research has been done on assessing macular status using ultrasound in RD cases -- an essential distinction for surgical prioritization. Moreover, no public dataset currently supports macular-based RD classification using ultrasound video clips. We introduce Eye Retinal DEtachment ultraSound, ERDES, the first open-access dataset of ocular ultrasound clips labeled for (i) presence of retinal detachment and (ii) macula-intact versus macula-detached status. The dataset is intended to facilitate the development and evaluation of machine learning models for detecting retinal detachment. We also provide baseline benchmarks using multiple spatiotemporal convolutional neural network (CNN) architectures. All clips, labels, and training code are publicly available at https://osupcvlab.github.io/ERDES/.

Clinical diagnosis of the eye is performed over multifarious data modalities including scalar clinical labels, vectorized biomarkers, two-dimensional fundus images, and three-dimensional Optical Coherence Tomography (OCT) scans. Clinical practitioners use all available data modalities for diagnosing and treating eye diseases like Diabetic Retinopathy (DR) or Diabetic Macular Edema (DME). Enabling usage of machine learning algorithms within the ophthalmic medical domain requires research into the relationships and interactions between all relevant data over a treatment period. Existing datasets are limited in that they neither provide data nor consider the explicit relationship modeling between the data modalities. In this paper, we introduce the Ophthalmic Labels for Investigating Visual Eye Semantics (OLIVES) dataset that addresses the above limitation. This is the first OCT and near-IR fundus dataset that includes clinical labels, biomarker labels, disease labels, and time-series patient treatment information from associated clinical trials. The dataset consists of 1268 near-IR fundus images each with at least 49 OCT scans, and 16 biomarkers, along with 4 clinical labels and a disease diagnosis of DR or DME. In total, there are 96 eyes' data averaged over a period of at least two years with each eye treated for an average of 66 weeks and 7 injections. We benchmark the utility of OLIVES dataset for ophthalmic data as well as provide benchmarks and concrete research directions for core and emerging machine learning paradigms within medical image analysis.

The scarcity of high-quality, labelled retinal imaging data, which presents a significant challenge in the development of machine learning models for ophthalmology, hinders progress in the field. Existing methods for synthesising Colour Fundus Photographs (CFPs) largely rely on predefined disease labels, which restricts their ability to generate images that reflect fine-grained anatomical variations, subtle disease stages, and diverse pathological features beyond coarse class categories. To overcome these challenges, we first introduce an innovative pipeline that creates a large-scale, captioned retinal dataset comprising 1.4 million entries, called RetinaLogos-1400k. Specifically, RetinaLogos-1400k uses the visual language model(VLM) to describe retinal conditions and key structures, such as optic disc configuration, vascular distribution, nerve fibre layers, and pathological features. Building on this dataset, we employ a novel three-step training framework, RetinaLogos, which enables fine-grained semantic control over retinal images and accurately captures different stages of disease progression, subtle anatomical variations, and specific lesion types. Through extensive experiments, our method demonstrates superior performance across multiple datasets, with 62.07% of text-driven synthetic CFPs indistinguishable from real ones by ophthalmologists. Moreover, the synthetic data improves accuracy by 5%-10% in diabetic retinopathy grading and glaucoma detection. Codes are available at https://github.com/uni-medical/retina-text2cfp.

Reasoning is a critical frontier for advancing medical image analysis, where transparency and trustworthiness play a central role in both clinician trust and regulatory approval. Although Medical Visual Language Models (VLMs) show promise for radiological tasks, most existing VLMs merely produce final answers without revealing the underlying reasoning. To address this gap, we introduce MedVLM-R1, a medical VLM that explicitly generates natural language reasoning to enhance transparency and trustworthiness. Instead of relying on supervised fine-tuning (SFT), which often suffers from overfitting to training distributions and fails to foster genuine reasoning, MedVLM-R1 employs a reinforcement learning framework that incentivizes the model to discover human-interpretable reasoning paths without using any reasoning references. Despite limited training data (600 visual question answering samples) and model parameters (2B), MedVLM-R1 boosts accuracy from 55.11% to 78.22% across MRI, CT, and X-ray benchmarks, outperforming larger models trained on over a million samples. It also demonstrates robust domain generalization under out-of-distribution tasks. By unifying medical image analysis with explicit reasoning, MedVLM-R1 marks a pivotal step toward trustworthy and interpretable AI in clinical practice.

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

Multimodal large language models (MLLMs) have recently achieved significant progress in visual tasks, including semantic scene understanding and text-image alignment, with reasoning variants enhancing performance on complex tasks involving mathematics and logic. However, their capacity for reasoning tasks involving fine-grained visual understanding remains insufficiently evaluated. To address this gap, we introduce ReasonMap, a benchmark designed to assess the fine-grained visual understanding and spatial reasoning abilities of MLLMs. ReasonMap encompasses high-resolution transit maps from 30 cities across 13 countries and includes 1,008 question-answer pairs spanning two question types and three templates. Furthermore, we design a two-level evaluation pipeline that properly assesses answer correctness and quality. Comprehensive evaluations of 15 popular MLLMs, including both base and reasoning variants, reveal a counterintuitive pattern: among open-source models, base models outperform reasoning ones, while the opposite trend is observed in closed-source models. Additionally, performance generally degrades when visual inputs are masked, indicating that while MLLMs can leverage prior knowledge to answer some questions, fine-grained visual reasoning tasks still require genuine visual perception for strong performance. Our benchmark study offers new insights into visual reasoning and contributes to investigating the gap between open-source and closed-source models.

Retinal foundation models aim to learn generalizable representations from diverse retinal images, facilitating label-efficient model adaptation across various ophthalmic tasks. Despite their success, current retinal foundation models are generally restricted to a single imaging modality, such as Color Fundus Photography (CFP) or Optical Coherence Tomography (OCT), limiting their versatility. Moreover, these models may struggle to fully leverage expert annotations and overlook the valuable domain knowledge essential for domain-specific representation learning. To overcome these limitations, we introduce UrFound, a retinal foundation model designed to learn universal representations from both multimodal retinal images and domain knowledge. UrFound is equipped with a modality-agnostic image encoder and accepts either CFP or OCT images as inputs. To integrate domain knowledge into representation learning, we encode expert annotation in text supervision and propose a knowledge-guided masked modeling strategy for model pre-training. It involves reconstructing randomly masked patches of retinal images while predicting masked text tokens conditioned on the corresponding retinal image. This approach aligns multimodal images and textual expert annotations within a unified latent space, facilitating generalizable and domain-specific representation learning. Experimental results demonstrate that UrFound exhibits strong generalization ability and data efficiency when adapting to various tasks in retinal image analysis. By training on ~180k retinal images, UrFound significantly outperforms the state-of-the-art retinal foundation model trained on up to 1.6 million unlabelled images across 8 public retinal datasets. Our code and data are available at https://github.com/yukkai/UrFound.

Optical coherence tomography (OCT) is a non-invasive imaging technique with extensive clinical applications in ophthalmology. OCT enables the visualization of the retinal layers, playing a vital role in the early detection and monitoring of retinal diseases. OCT uses the principle of light wave interference to create detailed images of the retinal microstructures, making it a valuable tool for diagnosing ocular conditions. This work presents an open-access OCT dataset (OCTDL) comprising over 1600 high-resolution OCT images labeled according to disease group and retinal pathology. The dataset consists of OCT records of patients with Age-related Macular Degeneration (AMD), Diabetic Macular Edema (DME), Epiretinal Membrane (ERM), Retinal Artery Occlusion (RAO), Retinal Vein Occlusion (RVO), and Vitreomacular Interface Disease (VID). The images were acquired with an Optovue Avanti RTVue XR using raster scanning protocols with dynamic scan length and image resolution. Each retinal b-scan was acquired by centering on the fovea and interpreted and cataloged by an experienced retinal specialist. In this work, we applied Deep Learning classification techniques to this new open-access dataset.

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

Visual reasoning abilities play a crucial role in understanding complex multimodal data, advancing both domain-specific applications and artificial general intelligence (AGI). Existing methods improve VLM reasoning via Chain-of-Thought (CoT) supervised fine-tuning, using meticulously annotated training data to enhance visual reasoning capabilities. However, this training paradigm may lead to overfitting and cognitive rigidity, restricting the model's ability to transfer visual reasoning skills across domains and limiting its real-world applicability. To address these limitations, we propose Reason-RFT, a novel reinforcement fine-tuning framework that significantly enhances generalization capabilities in visual reasoning tasks. Reason-RFT introduces a two-phase training framework for visual reasoning: (1) Supervised Fine-Tuning (SFT) with curated Chain-of-Thought (CoT) data activates the reasoning potential of Vision-Language Models (VLMs), followed by (2) Group Relative Policy Optimization (GRPO)-based reinforcement learning that generates multiple reasoning-response pairs, significantly enhancing generalization in visual reasoning tasks. To evaluate Reason-RFT's visual reasoning capabilities, we reconstructed a comprehensive dataset spanning visual counting, structure perception, and spatial transformation. Experimental results demonstrate Reasoning-RFT's three key advantages: (1) Performance Enhancement: achieving state-of-the-art results across multiple tasks, outperforming most mainstream open-source and proprietary models; (2) Generalization Superiority: consistently maintaining robust performance across diverse tasks and domains, outperforming alternative training paradigms; (3) Data Efficiency: excelling in few-shot learning scenarios while surpassing full-dataset SFT baselines. Project website: https://tanhuajie.github.io/ReasonRFT

Glaucoma is one of the leading causes of irreversible but preventable blindness in working age populations. Color fundus photography (CFP) is the most cost-effective imaging modality to screen for retinal disorders. However, its application to glaucoma has been limited to the computation of a few related biomarkers such as the vertical cup-to-disc ratio. Deep learning approaches, although widely applied for medical image analysis, have not been extensively used for glaucoma assessment due to the limited size of the available data sets. Furthermore, the lack of a standardize benchmark strategy makes difficult to compare existing methods in a uniform way. In order to overcome these issues we set up the Retinal Fundus Glaucoma Challenge, REFUGE (https://refuge.grand-challenge.org), held in conjunction with MICCAI 2018. The challenge consisted of two primary tasks, namely optic disc/cup segmentation and glaucoma classification. As part of REFUGE, we have publicly released a data set of 1200 fundus images with ground truth segmentations and clinical glaucoma labels, currently the largest existing one. We have also built an evaluation framework to ease and ensure fairness in the comparison of different models, encouraging the development of novel techniques in the field. 12 teams qualified and participated in the online challenge. This paper summarizes their methods and analyzes their corresponding results. In particular, we observed that two of the top-ranked teams outperformed two human experts in the glaucoma classification task. Furthermore, the segmentation results were in general consistent with the ground truth annotations, with complementary outcomes that can be further exploited by ensembling the results.

DeepSeek-R1-Zero has successfully demonstrated the emergence of reasoning capabilities in LLMs purely through Reinforcement Learning (RL). Inspired by this breakthrough, we explore how RL can be utilized to enhance the reasoning capability of MLLMs. However, direct training with RL struggles to activate complex reasoning capabilities such as questioning and reflection in MLLMs, due to the absence of substantial high-quality multimodal reasoning data. To address this issue, we propose the reasoning MLLM, Vision-R1, to improve multimodal reasoning capability. Specifically, we first construct a high-quality multimodal CoT dataset without human annotations by leveraging an existing MLLM and DeepSeek-R1 through modality bridging and data filtering to obtain a 200K multimodal CoT dataset, Vision-R1-cold dataset. It serves as cold-start initialization data for Vision-R1. To mitigate the optimization challenges caused by overthinking after cold start, we propose Progressive Thinking Suppression Training (PTST) strategy and employ Group Relative Policy Optimization (GRPO) with the hard formatting result reward function to gradually refine the model's ability to learn correct and complex reasoning processes on a 10K multimodal math dataset. Comprehensive experiments show our model achieves an average improvement of sim6% across various multimodal math reasoning benchmarks. Vision-R1-7B achieves a 73.5% accuracy on the widely used MathVista benchmark, which is only 0.4% lower than the leading reasoning model, OpenAI O1. The datasets and code will be released in: https://github.com/Osilly/Vision-R1 .

Diabetic retinopathy (DR) is a growing health problem worldwide and is a leading cause of visual impairment and blindness, especially among working people aged 20-65. Its incidence is increasing along with the number of diabetes cases, and it is more common in developed countries than in developing countries. Recent research in the field of diabetic retinopathy diagnosis is using advanced technologies, such as analysis of images obtained by ophthalmoscopy. Automatic methods for analyzing eye images based on neural networks, deep learning and image analysis algorithms can improve the efficiency of diagnosis. This paper describes an automatic DR diagnosis method that includes processing and analysis of ophthalmoscopic images of the eye. It uses morphological algorithms to identify the optic disc and lesions characteristic of DR, such as microaneurysms, hemorrhages and exudates. Automated DR diagnosis has the potential to improve the efficiency of early detection of this disease and contribute to reducing the number of cases of diabetes-related visual impairment. The final step was to create an application with a graphical user interface that allowed retinal images taken at cooperating ophthalmology offices to be uploaded to the server. These images were then analyzed using a developed algorithm to make a diagnosis.

The rise of imaging techniques such as optical coherence tomography (OCT) and advances in deep learning (DL) have enabled clinicians and researchers to streamline retinal disease staging. A popular DL approach is self-supervised learning (SSL), where models learn from vast amounts of unlabeled data, avoiding costly annotation. SSL has allowed the development of foundation models (FMs), large models that can be used for a variety of downstream tasks. However, existing FMs for OCT, trained solely on image data, lack a comprehensive and robust semantic understanding of images, as evidenced by their downstream performance (especially for complex tasks), and thus require supervised fine-tuning (which may be unfeasible) to better adapt to specific applications and populations. To address this, we propose RetFiner, an SSL vision-language refinement scheme that improves the representations of existing FMs and enables their efficient and direct adaptation to specific populations for improved downstream performance. Our method uses a diverse set of training objectives which take advantage of the rich supervisory signal found in textual data. We tested RetFiner on the retinal FMs RETFound, UrFound, and VisionFM, showing significant improvements in linear probing performance on seven highly diverse OCT classification tasks, with an average increase of 5.8, 3.9, and 2.1 percentage points over their baselines, respectively. Our code and model weights are publicly available at https://github.com/ronnief1/RetFiner.

Glaucoma is the leading cause of irreversible blindness worldwide and poses significant diagnostic challenges due to its reliance on subjective evaluation. However, recent advances in computer vision and deep learning have demonstrated the potential for automated assessment. In this paper, we survey recent studies on AI-based glaucoma diagnosis using fundus, optical coherence tomography, and visual field images, with a particular emphasis on deep learning-based methods. We provide an updated taxonomy that organizes methods into architectural paradigms and includes links to available source code to enhance the reproducibility of the methods. Through rigorous benchmarking on widely-used public datasets, we reveal performance gaps in generalizability, uncertainty estimation, and multimodal integration. Additionally, our survey curates key datasets while highlighting limitations such as scale, labeling inconsistencies, and bias. We outline open research challenges and detail promising directions for future studies. This survey is expected to be useful for both AI researchers seeking to translate advances into practice and ophthalmologists aiming to improve clinical workflows and diagnosis using the latest AI outcomes.

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure mode: instability in early evidence interpretation precedes hallucination, creating branching reasoning trajectories that cascade into globally inconsistent conclusions. This highlights the need for clinical reasoning agents that constrain stochasticity and hallucination while producing auditable decision flows. We introduce MedMMV, a controllable multimodal multi-agent framework for reliable and verifiable clinical reasoning. MedMMV stabilizes reasoning through diversified short rollouts, grounds intermediate steps in a structured evidence graph under the supervision of a Hallucination Detector, and aggregates candidate paths with a Combined Uncertainty scorer. On six medical benchmarks, MedMMV improves accuracy by up to 12.7% and, more critically, demonstrates superior reliability. Blind physician evaluations confirm that MedMMV substantially increases reasoning truthfulness without sacrificing informational content. By controlling instability through a verifiable, multi-agent process, our framework provides a robust path toward deploying trustworthy AI systems in high-stakes domains like clinical decision support.

With the rapid development of MLLMs, evaluating their visual capabilities has become increasingly crucial. Current benchmarks primarily fall into two main types: basic perception benchmarks, which focus on local details but lack deep reasoning (e.g., "what is in the image?"), and mainstream reasoning benchmarks, which concentrate on prominent image elements but may fail to assess subtle clues requiring intricate analysis. However, profound visual understanding and complex reasoning depend more on interpreting subtle, inconspicuous local details than on perceiving salient, macro-level objects. These details, though occupying minimal image area, often contain richer, more critical information for robust analysis. To bridge this gap, we introduce the VER-Bench, a novel framework to evaluate MLLMs' ability to: 1) identify fine-grained visual clues, often occupying on average just 0.25% of the image area; 2) integrate these clues with world knowledge for complex reasoning. Comprising 374 carefully designed questions across Geospatial, Temporal, Situational, Intent, System State, and Symbolic reasoning, each question in VER-Bench is accompanied by structured evidence: visual clues and question-related reasoning derived from them. VER-Bench reveals current models' limitations in extracting subtle visual evidence and constructing evidence-based arguments, highlighting the need to enhance models's capabilities in fine-grained visual evidence extraction, integration, and reasoning for genuine visual understanding and human-like analysis. Dataset and additional materials are available https://github.com/verbta/ACMMM-25-Materials.

According to the Test-Time Scaling, the integration of External Slow-Thinking with the Verify mechanism has been demonstrated to enhance multi-round reasoning in large language models (LLMs). However, in the multimodal (MM) domain, there is still a lack of a strong MM-Verifier. In this paper, we introduce MM-Verifier and MM-Reasoner to enhance multimodal reasoning through longer inference and more robust verification. First, we propose a two-step MM verification data synthesis method, which combines a simulation-based tree search with verification and uses rejection sampling to generate high-quality Chain-of-Thought (COT) data. This data is then used to fine-tune the verification model, MM-Verifier. Additionally, we present a more efficient method for synthesizing MMCOT data, bridging the gap between text-based and multimodal reasoning. The synthesized data is used to fine-tune MM-Reasoner. Our MM-Verifier outperforms all larger models on the MathCheck, MathVista, and MathVerse benchmarks. Moreover, MM-Reasoner demonstrates strong effectiveness and scalability, with performance improving as data size increases. Finally, our approach achieves strong performance when combining MM-Reasoner and MM-Verifier, reaching an accuracy of 65.3 on MathVista, surpassing GPT-4o (63.8) with 12 rollouts.

Large Multimodal Models (LMMs) have recently demonstrated remarkable visual understanding performance on both vision-language and vision-centric tasks. However, they often fall short in integrating advanced, task-specific capabilities for compositional reasoning, which hinders their progress toward truly competent general vision models. To address this, we present a unified visual reasoning mechanism that enables LMMs to solve complicated compositional problems by leveraging their intrinsic capabilities (e.g. grounding and visual understanding capabilities). Different from the previous shortcut learning mechanism, our approach introduces a human-like understanding-thinking-answering process, allowing the model to complete all steps in a single pass forwarding without the need for multiple inferences or external tools. This design bridges the gap between foundational visual capabilities and general question answering, encouraging LMMs to generate faithful and traceable responses for complex visual reasoning. Meanwhile, we curate 334K visual instruction samples covering both general scenes and text-rich scenes and involving multiple foundational visual capabilities. Our trained model, Griffon-R, has the ability of end-to-end automatic understanding, self-thinking, and reasoning answers. Comprehensive experiments show that Griffon-R not only achieves advancing performance on complex visual reasoning benchmarks including VSR and CLEVR, but also enhances multimodal capabilities across various benchmarks like MMBench and ScienceQA. Data, models, and codes will be release at https://github.com/jefferyZhan/Griffon/tree/master/Griffon-R soon.

Recent advances in text-only large language models (LLMs), such as DeepSeek-R1, demonstrate remarkable reasoning ability. However, these models remain fragile or entirely incapable when extended to multi-modal tasks. Existing approaches largely rely on single-form captions, which lack diversity and often fail to adapt across different types of Visual Question Answering (VQA) benchmarks. As a result, they provide no principled or efficient channel for transmitting fine-grained visual information. We introduce Seeing Eye, a modular framework that unlocks multimodal reasoning in text-only LLMs through an agent-based small VLM translator. This translator acts as a perception agent: it can invoke specialized tools (e.g., OCR and crop) and iteratively distill multimodal inputs into structured intermediate representations (SIRs) tailored to the question. These SIRs are then passed to the text-only LLM, which serves as a reasoning agent. Crucially, the translator and reasoner engage in multi-round feedback and interaction, enabling the extraction of targeted visual details and yielding more confident answers. Experiments on knowledge-intensive VQA benchmarks, including MMMU and MIA-Bench, demonstrate that Seeing Eye not only reduces inference cost but also surpasses much larger end-to-end VLMs. For example, an instantiation combining a 3B-parameter vision translator with an 8B-parameter language reasoner outperforms a monolithic 32B VLM on challenging knowledge-based questions. Our results highlight that decoupling perception from reasoning via agent information flow offers a scalable and plug-and-play pathway to multimodal reasoning, allowing strong text-only LLMs to fully leverage their reasoning capabilities. Code is available at: https://github.com/ulab-uiuc/SeeingEye

Large vision-language models (LVLMs) have witnessed significant progress on visual understanding tasks. However, they often prioritize language knowledge over image information on visual reasoning tasks, incurring performance degradation. To tackle this issue, we first identify the drawbacks of existing solutions (i.e., insufficient and irrelevant visual descriptions, and limited multi-modal capacities). We then decompose visual reasoning process into two stages: visual perception (i.e., eyesight) and textual reasoning (i.e., wisdom), and introduce a novel visual reasoning framework named ProReason. This framework features multi-run proactive perception and decoupled vision-reasoning capabilities. Briefly, given a multi-modal question, ProReason iterates proactive information collection and reasoning until the answer can be concluded with necessary and sufficient visual descriptions. Notably, the disassociation of capabilities allows seamless integration of existing large language models (LLMs) to compensate for the reasoning deficits of LVLMs. Our extensive experiments demonstrate that ProReason outperforms both existing multi-step reasoning frameworks and passive peer methods on a wide range of benchmarks for both open-source and closed-source models. In addition, with the assistance of LLMs, ProReason achieves a performance improvement of up to 15% on MMMU benchmark. Our insights into existing solutions and the decoupled perspective for feasible integration of LLMs illuminate future research on visual reasoning techniques, especially LLM-assisted ones.

Artificial intelligence (AI) has become a fundamental tool for assisting clinicians in analyzing ophthalmic images, such as optical coherence tomography (OCT). However, developing AI models often requires extensive annotation, and existing models tend to underperform on independent, unseen data. Foundation models (FMs), large AI models trained on vast unlabeled datasets, have shown promise in overcoming these challenges. Nonetheless, available FMs for ophthalmology lack extensive validation, especially for segmentation tasks, and focus on a single imaging modality. In this context, we propose MIRAGE, a novel multimodal FM for the analysis of OCT and scanning laser ophthalmoscopy (SLO) images. Additionally, we propose a new evaluation benchmark with OCT/SLO classification and segmentation tasks. The comparison with general and specialized FMs and segmentation methods shows the superiority of MIRAGE in both types of tasks, highlighting its suitability as a basis for the development of robust AI systems for retinal OCT image analysis. Both MIRAGE and the evaluation benchmark are publicly available: https://github.com/j-morano/MIRAGE.

The need for improved diagnostic methods in ophthalmology is acute, especially in the underdeveloped regions with limited access to specialists and advanced equipment. Therefore, we introduce VisionUnite, a novel vision-language foundation model for ophthalmology enhanced with clinical knowledge. VisionUnite has been pretrained on an extensive dataset comprising 1.24 million image-text pairs, and further refined using our proposed MMFundus dataset, which includes 296,379 high-quality fundus image-text pairs and 889,137 simulated doctor-patient dialogue instances. Our experiments indicate that VisionUnite outperforms existing generative foundation models such as GPT-4V and Gemini Pro. It also demonstrates diagnostic capabilities comparable to junior ophthalmologists. VisionUnite performs well in various clinical scenarios including open-ended multi-disease diagnosis, clinical explanation, and patient interaction, making it a highly versatile tool for initial ophthalmic disease screening. VisionUnite can also serve as an educational aid for junior ophthalmologists, accelerating their acquisition of knowledge regarding both common and underrepresented ophthalmic conditions. VisionUnite represents a significant advancement in ophthalmology, with broad implications for diagnostics, medical education, and understanding of disease mechanisms. The source code is at https://github.com/HUANGLIZI/VisionUnite.

In October 2007, a Research Proposal for the University of Sydney, Australia, the author suggested that biovie-physical phenomenon as `electrodynamic dependant biological vision', is governed by relativistic quantum laws and biovision. The phenomenon on the basis of `biovielectroluminescence', satisfies man/microbio/megabio/computer vision (MMMCV), as a robust candidate for physical and visual sciences. The general aim of this addendum is to present a refined text of Sections 1-3 of that proposal and highlighting the contents of its Appendix in form of a `Mechanisms' Section. We then briefly remind in an article aimed for December 2007, by appending two more equations into Section 3, a theoretical II-time scenario as a time model well-proposed for the phenomenon. The time model within the core of the proposal, plays a significant role in emphasizing the principle points on Objectives no. 1-8, Sub-hypothesis 3.1.2, mentioned in Article [arXiv:0710.0410]. It also expresses the time concept in terms of causing quantized energy f(|E|) of time |t|, emit in regard to shortening the probability of particle loci as predictable patterns of particle's un-occurred motion, a solution to Heisenberg's uncertainty principle (HUP) into a simplistic manner. We conclude that, practical frames via a time algorithm to this model, fixates such predictable patterns of motion of scenery bodies onto recordable observation points of a MMMCV system. It even suppresses/predicts superposition phenomena coming from a human subject and/or other bio-subjects for any decision making event, e.g., brainwave quantum patterns based on vision. Maintaining the existential probability of Riemann surfaces of II-time scenarios in the context of biovielectroluminescence, makes motion-prediction a possibility.

Visual reasoning, a cornerstone of human intelligence, encompasses complex perceptual and logical processes essential for solving diverse visual problems. While advances in computer vision have produced powerful models for various perceptual tasks, leveraging these for general visual reasoning remains challenging. Prior work demonstrates that augmenting LLMs with vision models via supervised finetuning improves performance, but faces key limitations such as expensive data generation, reliance on careful data filtering, and poor generalization. To address these issues, we propose ReVPT to enhance multi-modal LLMs' abilities to reason about and use visual tools through reinforcement learning. We introduce a novel RL algorithm based on GRPO, designed to train models to reason with a suite of four visual tools. Through extensive experiments, we show that our method achieves state-of-the-art performance on several perception-heavy benchmarks, including SAT, CV-Bench, BLINK and MMStar, significantly outperforming the supervised and text-based RL finetuning baselines. Notably, Our ReVPT-3B and ReVPT-7B outperform the instruct models by 9.03% and 9.44% on CV-Bench. Finally, we bring to the community new insights on RL-based visual tool-usage through extensive ablations. Our code is available at https://github.com/ls-kelvin/REVPT.

Recent advancements in multimodal reward models (RMs) have substantially improved post-training for visual generative models. However, current RMs face inherent limitations: (1) visual inputs consume large context budgets, forcing fewer frames and causing loss of fine-grained details; and (2) all visual information is packed into the initial prompt, exacerbating hallucination and forgetting during chain-of-thought reasoning. To overcome these issues, we introduce VideoReward Thinker (VR-Thinker), a thinking-with-image framework that equips the RM with visual reasoning operations (e.g., select frame) and a configurable visual memory window. This allows the RM to actively acquire and update visual evidence within context limits, improving reasoning fidelity and reliability. We activate visual reasoning via a reinforcement fine-tuning pipeline: (i) Cold Start with curated visual chain-of-thought data to distill basic reasoning skills and operation formatting; (ii) select samples whose per-dimension and overall judgments are all correct, then conduct Rejection sampling Fine-Tuning on these high-quality traces to further enhance reasoning; and (iii) apply Group Relative Policy Optimization (GRPO) to strengthen reasoning. Our approach delivers state-of-the-art accuracy among open-source models on video preference benchmarks, especially for longer videos: a 7B VR-Thinker achieves 80.5% on VideoGen Reward, 82.3% on GenAI-Bench, and 75.6% on MJ-Bench-Video. These results validate the effectiveness and promise of thinking-with-image multimodal reward modeling.

Despite their success, current training pipelines for reasoning VLMs focus on a limited range of tasks, such as mathematical and logical reasoning. As a result, these models face difficulties in generalizing their reasoning capabilities to a wide range of domains, primarily due to the scarcity of readily available and verifiable reward data beyond these narrowly defined areas. Moreover, integrating data from multiple domains is challenging, as the compatibility between domain-specific datasets remains uncertain. To address these limitations, we build a comprehensive RL-ready visual reasoning dataset from 46 data sources across 8 dimensions, covering a wide range of tasks such as infographic, mathematical, spatial, cross-image, graphic user interface, medical, common sense and general science. We propose an influence function based data selection and difficulty based filtering strategy to identify high-quality training samples from this dataset. Subsequently, we train the VLM, referred to as Vision-G1, using multi-round RL with a data curriculum to iteratively improve its visual reasoning capabilities. Our model achieves state-of-the-art performance across various visual reasoning benchmarks, outperforming similar-sized VLMs and even proprietary models like GPT-4o and Gemini-1.5 Flash. The model, code and dataset are publicly available at https://github.com/yuh-zha/Vision-G1.

Advancing machine visual reasoning requires a deeper understanding of how Vision-Language Models (VLMs) process and interpret complex visual patterns. This work introduces a novel, cognitively-inspired evaluation framework to systematically analyze VLM reasoning on natural image-based Bongard Problems. We propose three structured paradigms -- Direct Visual Rule Learning, Deductive Rule Learning, and Componential Analysis -- designed to progressively enforce step-wise reasoning and disentangle the interplay between perception and reasoning. Our evaluation shows that advanced, closed-source VLMs (GPT-4o and Gemini 2.0) achieve near-superhuman performance, particularly when provided with high-quality image descriptions, while open-source models exhibit a significant performance bottleneck due to deficiencies in perception. An ablation study further confirms that perception, rather than reasoning, is the primary limiting factor, as open-source models apply extracted rules effectively when given accurate descriptions. These findings underscore the critical role of robust multimodal perception in enhancing generalizable visual reasoning and highlight the importance of structured, step-wise reasoning paradigms for advancing machine intelligence.

Large Vision-Language Models (LVLMs) have demonstrated impressive general capabilities across a wide range of multi-modal tasks. However, the reasoning processes of LVLMs often suffer from unreliable outputs and limited interpretability. To address this, grounded visual reasoning has emerged as a promising paradigm that enforces responses anchored on salient visual evidence regions. However, existing approaches typically rely on costly supervision such as bounding box annotations, chain-of-thought rationale or external tool calls, limiting their scalability. In this work, we propose Ground-R1, a reinforcement learning framework that enables grounded visual reasoning without requiring explicit evidence or rationale annotations. Ground-R1 consists of a grounding phase that generates evidence region rollouts based on format constraints, and an answering phase that produces responses guided by both answer correctness and format adherence rewards. Extensive experiments across multiple visual reasoning benchmarks manifest that Ground-R1 achieves superior performance and exhibits emergent cognitive behaviors such as uncertainty awareness, spatial perception, and iterative refinement, offering a scalable and interpretable alternative to existing approaches.

Large Vision-Language Models (VLMs) have shown strong capabilities in multimodal understanding and reasoning, yet they are primarily constrained by text-based reasoning processes. However, achieving seamless integration of visual and textual reasoning which mirrors human cognitive processes remains a significant challenge. In particular, effectively incorporating advanced visual input processing into reasoning mechanisms is still an open question. Thus, in this paper, we explore the interleaved multimodal reasoning paradigm and introduce DeepEyes, a model with "thinking with images" capabilities incentivized through end-to-end reinforcement learning without the need for cold-start SFT. Notably, this ability emerges natively within the model itself, leveraging its inherent grounding ability as a tool instead of depending on separate specialized models. Specifically, we propose a tool-use-oriented data selection mechanism and a reward strategy to encourage successful tool-assisted reasoning trajectories. DeepEyes achieves significant performance gains on fine-grained perception and reasoning benchmarks and also demonstrates improvement in grounding, hallucination, and mathematical reasoning tasks. Interestingly, we observe the distinct evolution of tool-calling behavior from initial exploration to efficient and accurate exploitation, and diverse thinking patterns that closely mirror human visual reasoning processes. Code is available at https://github.com/Visual-Agent/DeepEyes.

Medical vision-language models (VLMs) excel at image-text understanding but typically rely on a single-pass reasoning that neglects localized visual cues. In clinical practice, however, human experts iteratively scan, focus, and refine the regions of interest before reaching a final diagnosis. To narrow this machine-human perception gap, we introduce ViTAR, a novel VLM framework that emulates the iterative reasoning process of human experts through a cognitive chain of "think-act-rethink-answer". ViTAR treats medical images as interactive objects, enabling models to engage multi-step visual reasoning. To support this approach, we curate a high-quality instruction dataset comprising 1K interactive examples that encode expert-like diagnostic behaviors. In addition, a 16K visual question answering training data has been curated towards fine-grained visual diagnosis. We introduce a two-stage training strategy that begins with supervised fine-tuning to guide cognitive trajectories, followed by the reinforcement learning to optimize decision-making. Extensive evaluations demonstrate that ViTAR outperforms strong state-of-the-art models. Visual attention analysis reveals that from the "think" to "rethink" rounds, ViTAR increasingly anchors visual grounding to clinically critical regions and maintains high attention allocation to visual tokens during reasoning, providing mechanistic insight into its improved performance. These findings demonstrate that embedding expert-style iterative thinking chains into VLMs enhances both performance and trustworthiness of medical AI.

Vision-Language Models (VLMs) such as GPT-4V have recently demonstrated incredible strides on diverse vision language tasks. We dig into vision-based deductive reasoning, a more sophisticated but less explored realm, and find previously unexposed blindspots in the current SOTA VLMs. Specifically, we leverage Raven's Progressive Matrices (RPMs), to assess VLMs' abilities to perform multi-hop relational and deductive reasoning relying solely on visual clues. We perform comprehensive evaluations of several popular VLMs employing standard strategies such as in-context learning, self-consistency, and Chain-of-thoughts (CoT) on three diverse datasets, including the Mensa IQ test, IntelligenceTest, and RAVEN. The results reveal that despite the impressive capabilities of LLMs in text-based reasoning, we are still far from achieving comparable proficiency in visual deductive reasoning. We found that certain standard strategies that are effective when applied to LLMs do not seamlessly translate to the challenges presented by visual reasoning tasks. Moreover, a detailed analysis reveals that VLMs struggle to solve these tasks mainly because they are unable to perceive and comprehend multiple, confounding abstract patterns in RPM examples.

Foundation vision-language models are currently transforming computer vision, and are on the rise in medical imaging fueled by their very promising generalization capabilities. However, the initial attempts to transfer this new paradigm to medical imaging have shown less impressive performances than those observed in other domains, due to the significant domain shift and the complex, expert domain knowledge inherent to medical-imaging tasks. Motivated by the need for domain-expert foundation models, we present FLAIR, a pre-trained vision-language model for universal retinal fundus image understanding. To this end, we compiled 37 open-access, mostly categorical fundus imaging datasets from various sources, with up to 97 different target conditions and 284,660 images. We integrate the expert's domain knowledge in the form of descriptive textual prompts, during both pre-training and zero-shot inference, enhancing the less-informative categorical supervision of the data. Such a textual expert's knowledge, which we compiled from the relevant clinical literature and community standards, describes the fine-grained features of the pathologies as well as the hierarchies and dependencies between them. We report comprehensive evaluations, which illustrate the benefit of integrating expert knowledge and the strong generalization capabilities of FLAIR under difficult scenarios with domain shifts or unseen categories. When adapted with a lightweight linear probe, FLAIR outperforms fully-trained, dataset-focused models, more so in the few-shot regimes. Interestingly, FLAIR outperforms by a large margin more generalist, larger-scale image-language models, which emphasizes the potential of embedding experts' domain knowledge and the limitations of generalist models in medical imaging.

Chart understanding presents a critical test to the reasoning capabilities of Vision-Language Models (VLMs). Prior approaches face critical limitations: some rely on external tools, making them brittle and constrained by a predefined toolkit, while others fine-tune specialist models that often adopt a single reasoning strategy, such as text-based chain-of-thought (CoT). The intermediate steps of text-based reasoning are difficult to verify, which complicates the use of reinforcement-learning signals that reward factual accuracy. To address this, we propose a Code-as-Thought (CaT) approach to represent the visual information of a chart in a verifiable, symbolic format. Our key insight is that this strategy must be adaptive: a fixed, code-only implementation consistently fails on complex charts where symbolic representation is unsuitable. This finding leads us to introduce Visual Programmability: a learnable property that determines if a chart-question pair is better solved with code or direct visual analysis. We implement this concept in an adaptive framework where a VLM learns to choose between the CaT pathway and a direct visual reasoning pathway. The selection policy of the model is trained with reinforcement learning using a novel dual-reward system. This system combines a data-accuracy reward to ground the model in facts and prevent numerical hallucination, with a decision reward that teaches the model when to use each strategy, preventing it from defaulting to a single reasoning mode. Experiments demonstrate strong and robust performance across diverse chart-understanding benchmarks. Our work shows that VLMs can be taught not only to reason but also how to reason, dynamically selecting the optimal reasoning pathway for each task.

Vision language models (VLMs) achieve unified modeling of images and text, enabling them to accomplish complex real-world tasks through perception, planning, and reasoning. Among these tasks, reasoning is particularly representative, with mathematical reasoning serving as a prominent example. It highlights the high-level capability of VLMs to comprehend mathematical information in images and to perform sophisticated reasoning. Recently, numerous visual mathematical reasoning benchmarks have been proposed, but they are often restricted to geometry, lack coverage of math word problems, and rarely assess reasoning across multiple images. To address these gaps, we introduce GSM8K-V, a purely visual multi-image mathematical reasoning benchmark. GSM8K-V is built by systematically mapping each sample from the widely used text-based GSM8K into visual form. Through a carefully designed automated image-generation pipeline combined with meticulous human annotation, we curate 1,319 high-quality samples. We evaluate a wide range of open-source and closed-source models on GSM8K-V. Results show that although existing VLMs have nearly saturated performance on text-based GSM8K, there remains substantial room for improvement on GSM8K-V. For example, the best-performing model, Gemini-2.5-Pro, achieves 95.22% accuracy on GSM8K but only 46.93% on GSM8K-V. We conduct a comprehensive analysis of GSM8K-V, examining the limitations of current models as well as potential directions for improvement. GSM8K-V offers a new perspective on visual mathematical reasoning and establishes a benchmark to guide the development of more robust and generalizable VLMs.

Optical Coherence Tomography Angiography (OCTA) and its derived en-face projections provide high-resolution visualization of the retinal and choroidal vasculature, which is critical for the rapid and accurate diagnosis of retinal diseases. However, acquiring high-quality OCTA images is challenging due to motion sensitivity and the high costs associated with software modifications for conventional OCT devices. Moreover, current deep learning methods for OCT-to-OCTA translation often overlook the vascular differences across retinal layers and struggle to reconstruct the intricate, dense vascular details necessary for reliable diagnosis. To overcome these limitations, we propose XOCT, a novel deep learning framework that integrates Cross-Dimensional Supervision (CDS) with a Multi-Scale Feature Fusion (MSFF) network for layer-aware vascular reconstruction. Our CDS module leverages 2D layer-wise en-face projections, generated via segmentation-weighted z-axis averaging, as supervisory signals to compel the network to learn distinct representations for each retinal layer through fine-grained, targeted guidance. Meanwhile, the MSFF module enhances vessel delineation through multi-scale feature extraction combined with a channel reweighting strategy, effectively capturing vascular details at multiple spatial scales. Our experiments on the OCTA-500 dataset demonstrate XOCT's improvements, especially for the en-face projections which are significant for clinical evaluation of retinal pathologies, underscoring its potential to enhance OCTA accessibility, reliability, and diagnostic value for ophthalmic disease detection and monitoring. The code is available at https://github.com/uci-cbcl/XOCT.

Efficient processing of high-resolution images is crucial for real-world vision-language applications. However, existing Large Vision-Language Models (LVLMs) incur substantial computational overhead due to the large number of vision tokens. With the advent of "thinking with images" models, reasoning now extends beyond text to the visual domain. This capability motivates our two-stage "coarse-to-fine" reasoning pipeline: first, a downsampled image is analyzed to identify task-relevant regions; then, only these regions are cropped at full resolution and processed in a subsequent reasoning stage. This approach reduces computational cost while preserving fine-grained visual details where necessary. A major challenge lies in inferring which regions are truly relevant to a given query. Recent related methods often fail in the first stage after input-image downsampling, due to perception-driven reasoning, where clear visual information is required for effective reasoning. To address this issue, we propose ERGO (Efficient Reasoning & Guided Observation) that performs reasoning-driven perception-leveraging multimodal context to determine where to focus. Our model can account for perceptual uncertainty, expanding the cropped region to cover visually ambiguous areas for answering questions. To this end, we develop simple yet effective reward components in a reinforcement learning framework for coarse-to-fine perception. Across multiple datasets, our approach delivers higher accuracy than the original model and competitive methods, with greater efficiency. For instance, ERGO surpasses Qwen2.5-VL-7B on the V* benchmark by 4.7 points while using only 23% of the vision tokens, achieving a 3x inference speedup. The code and models can be found at: https://github.com/nota-github/ERGO.

Visual arguments, often used in advertising or social causes, rely on images to persuade viewers to do or believe something. Understanding these arguments requires selective vision: only specific visual stimuli within an image are relevant to the argument, and relevance can only be understood within the context of a broader argumentative structure. While visual arguments are readily appreciated by human audiences, we ask: are today's AI capable of similar understanding? We collect and release VisArgs, an annotated corpus designed to make explicit the (usually implicit) structures underlying visual arguments. VisArgs includes 1,611 images accompanied by three types of textual annotations: 5,112 visual premises (with region annotations), 5,574 commonsense premises, and reasoning trees connecting them to a broader argument. We propose three tasks over VisArgs to probe machine capacity for visual argument understanding: localization of premises, identification of premises, and deduction of conclusions. Experiments demonstrate that 1) machines cannot fully identify the relevant visual cues. The top-performing model, GPT-4-O, achieved an accuracy of only 78.5%, whereas humans reached 98.0%. All models showed a performance drop, with an average decrease in accuracy of 19.5%, when the comparison set was changed from objects outside the image to irrelevant objects within the image. Furthermore, 2) this limitation is the greatest factor impacting their performance in understanding visual arguments. Most models improved the most when given relevant visual premises as additional inputs, compared to other inputs, for deducing the conclusion of the visual argument.

Recent advancements in Large Multimodal Models (LMMs) have shown promising results in mathematical reasoning within visual contexts, with models approaching human-level performance on existing benchmarks such as MathVista. However, we observe significant limitations in the diversity of questions and breadth of subjects covered by these benchmarks. To address this issue, we present the MATH-Vision (MATH-V) dataset, a meticulously curated collection of 3,040 high-quality mathematical problems with visual contexts sourced from real math competitions. Spanning 16 distinct mathematical disciplines and graded across 5 levels of difficulty, our dataset provides a comprehensive and diverse set of challenges for evaluating the mathematical reasoning abilities of LMMs. Through extensive experimentation, we unveil a notable performance gap between current LMMs and human performance on MATH-V, underscoring the imperative for further advancements in LMMs. Moreover, our detailed categorization allows for a thorough error analysis of LMMs, offering valuable insights to guide future research and development. The project is available at https://mathvision-cuhk.github.io

Vision-language models (VLMs) excel at multimodal understanding, yet their text-only decoding forces them to verbalize visual reasoning, limiting performance on tasks that demand visual imagination. Recent attempts train VLMs to render explicit images, but the heavy image-generation pre-training often hinders the reasoning ability. Inspired by the way humans reason with mental imagery-the internal construction and manipulation of visual cues-we investigate whether VLMs can reason through interleaved multimodal trajectories without producing explicit images. To this end, we present a Machine Mental Imagery framework, dubbed as Mirage, which augments VLM decoding with latent visual tokens alongside ordinary text. Concretely, whenever the model chooses to ``think visually'', it recasts its hidden states as next tokens, thereby continuing a multimodal trajectory without generating pixel-level images. Begin by supervising the latent tokens through distillation from ground-truth image embeddings, we then switch to text-only supervision to make the latent trajectory align tightly with the task objective. A subsequent reinforcement learning stage further enhances the multimodal reasoning capability. Experiments on diverse benchmarks demonstrate that Mirage unlocks stronger multimodal reasoning without explicit image generation.

Video reasoning using Large Multimodal Models (LMMs) relies on costly reinforcement learning (RL) and verbose chain-of-thought, resulting in substantial computational overhead during both training and inference. Moreover, the mechanisms that control the thinking process in these reasoning models are very limited. In this paper, using entropy of the model's output as a signal, we discover that the high-quality models go through a series of micro-explorations and micro-exploitations which keep the reasoning process grounded (i.e., avoid excessive randomness while the model is exploring or thinking through an answer). We further observe that once this "thinking" process is over, more accurate models demonstrate a better convergence by reducing the entropy significantly via a final exploitation phase (i.e., a more certain convergence towards a solution trajectory). We then use these novel, theoretically-grounded insights to tune the model's behavior directly at inference, without using any RL or supervised fine-tuning. Specifically, during inference, our proposed approach called V-Reason (Video-Reason) adapts the value cache of the LMM via a few optimization steps on a small, trainable controller using an entropy-based objective, i.e., no supervision from any dataset or RL is necessary. This tuning improves the model's micro-exploration and exploitation behavior during inference. Our experiments show that our proposed method achieves significant improvements over the base instruction-tuned models across several video reasoning datasets, narrowing the gap with RL-trained models to within 0.6% average accuracy without any training, while offering massive efficiency benefits: output tokens are reduced by 58.6% compared to the RL model.

Effectively representing medical images, especially retinal images, presents a considerable challenge due to variations in appearance, size, and contextual information of pathological signs called lesions. Precise discrimination of these lesions is crucial for diagnosing vision-threatening issues such as diabetic retinopathy. While visual attention-based neural networks have been introduced to learn spatial context and channel correlations from retinal images, they often fall short in capturing localized lesion context. Addressing this limitation, we propose a novel attention mechanism called Guided Context Gating, an unique approach that integrates Context Formulation, Channel Correlation, and Guided Gating to learn global context, spatial correlations, and localized lesion context. Our qualitative evaluation against existing attention mechanisms emphasize the superiority of Guided Context Gating in terms of explainability. Notably, experiments on the Zenodo-DR-7 dataset reveal a substantial 2.63% accuracy boost over advanced attention mechanisms & an impressive 6.53% improvement over the state-of-the-art Vision Transformer for assessing the severity grade of retinopathy, even with imbalanced and limited training samples for each class.

Scarcity of large publicly available retinal fundus image datasets for automated glaucoma detection has been the bottleneck for successful application of artificial intelligence towards practical Computer-Aided Diagnosis (CAD). A few small datasets that are available for research community usually suffer from impractical image capturing conditions and stringent inclusion criteria. These shortcomings in already limited choice of existing datasets make it challenging to mature a CAD system so that it can perform in real-world environment. In this paper we present a large publicly available retinal fundus image dataset for glaucoma classification called G1020. The dataset is curated by conforming to standard practices in routine ophthalmology and it is expected to serve as standard benchmark dataset for glaucoma detection. This database consists of 1020 high resolution colour fundus images and provides ground truth annotations for glaucoma diagnosis, optic disc and optic cup segmentation, vertical cup-to-disc ratio, size of neuroretinal rim in inferior, superior, nasal and temporal quadrants, and bounding box location for optic disc. We also report baseline results by conducting extensive experiments for automated glaucoma diagnosis and segmentation of optic disc and optic cup.

Multimodal Large Language Models (MLLMs) show reasoning promise, yet their visual perception is a critical bottleneck. Strikingly, MLLMs can produce correct answers even while misinterpreting crucial visual elements, masking these underlying failures. Our preliminary study on a joint perception-reasoning dataset revealed that for one leading MLLM, 29% of its correct answers to reasoning questions still exhibited visual perception errors. To systematically address this, we introduce "Do You See Me", a scalable benchmark with 1,758 images and 2,612 questions. It spans seven human-psychology inspired subtasks in 2D and 3D, featuring controllable complexity to rigorously evaluate MLLM visual skills. Our findings on 3 leading closed-source and 5 major open-source models reveal a stark deficit: humans achieve 96.49% accuracy, while top MLLMs average below 50%. This performance gap widens rapidly with increased task complexity (e.g., from 12% to 45% in the visual form constancy subtask). Further analysis into the root causes suggests that failures stem from challenges like misallocated visual attention and the instability of internal representations for fine-grained details, especially at or below encoder patch resolution. This underscores an urgent need for MLLMs with truly robust visual perception. The benchmark dataset, source code and evaluation scripts are available at https://github.com/microsoft/Do-You-See-Me.

Large language models with vision capabilities (VLMs), e.g., GPT-4o and Gemini 1.5 Pro are powering countless image-text applications and scoring high on many vision-understanding benchmarks. Yet, we find that VLMs fail on 7 visual tasks absurdly easy to humans such as identifying (a) whether two circles overlap; (b) whether two lines intersect; (c) which letter is being circled in a word; and (d) counting the number of circles in a Olympic-like logo. The shockingly poor performance of four state-of-the-art VLMs suggests their vision is, at best, like of a person with myopia seeing fine details as blurry, and at worst, like an intelligent person that is blind making educated guesses. Code is available at: https://vlmsareblind.github.io/

Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.

Vision-Language Models (VLMs) excel at many multimodal tasks, yet their cognitive processes remain opaque on complex lateral thinking challenges like rebus puzzles. While recent work has demonstrated these models struggle significantly with rebus puzzle solving, the underlying reasoning processes and failure patterns remain largely unexplored. We address this gap through a comprehensive explainability analysis that moves beyond performance metrics to understand how VLMs approach these complex lateral thinking challenges. Our study contributes a systematically annotated dataset of 221 rebus puzzles across six cognitive categories, paired with an evaluation framework that separates reasoning quality from answer correctness. We investigate three prompting strategies designed to elicit different types of explanatory processes and reveal critical insights into VLM cognitive processes. Our findings demonstrate that reasoning quality varies dramatically across puzzle categories, with models showing systematic strengths in visual composition while exhibiting fundamental limitations in absence interpretation and cultural symbolism. We also discover that prompting strategy substantially influences both cognitive approach and problem-solving effectiveness, establishing explainability as an integral component of model performance rather than a post-hoc consideration.

MM-Vet, with open-ended vision-language questions targeting at evaluating integrated capabilities, has become one of the most popular benchmarks for large multimodal model evaluation. MM-Vet assesses six core vision-language (VL) capabilities: recognition, knowledge, spatial awareness, language generation, OCR, and math. However, its question format is restricted to single image-text pairs, lacking the interleaved image and text sequences prevalent in real-world scenarios. To address this limitation, we introduce MM-Vet v2, which includes a new VL capability called "image-text sequence understanding", evaluating models' ability to process VL sequences. Furthermore, we maintain the high quality of evaluation samples while further expanding the evaluation set size. Using MM-Vet v2 to benchmark large multimodal models, we found that Claude 3.5 Sonnet is the best model with a score of 71.8, slightly outperforming GPT-4o which scored 71.0. Among open-weight models, InternVL2-Llama3-76B leads with a score of 68.4.

Vision-Language Models (VLMs) often suffer from visual hallucinations, saying things that are not actually in the image, and language shortcuts, where they skip the visual part and just rely on text priors. These issues arise because most post-training methods for VLMs rely on simple verifiable answer matching and supervise only final outputs, leaving intermediate visual reasoning without explicit guidance. As a result, VLMs receive sparse visual signals and often learn to prioritize language-based reasoning over visual perception. To mitigate this, some existing methods add visual supervision using human annotations or distilled labels from external large models. However, human annotations are labor-intensive and costly, and because external signals cannot adapt to the evolving policy, they cause distributional shifts that can lead to reward hacking. In this paper, we introduce Vision-SR1, a self-rewarding method that improves visual reasoning without relying on external visual supervisions via reinforcement learning. Vision-SR1 decomposes VLM reasoning into two stages: visual perception and language reasoning. The model is first prompted to produce self-contained visual perceptions that are sufficient to answer the question without referring back the input image. To validate this self-containment, the same VLM model is then re-prompted to perform language reasoning using only the generated perception as input to compute reward. This self-reward is combined with supervision on final outputs, providing a balanced training signal that strengthens both visual perception and language reasoning. Our experiments demonstrate that Vision-SR1 improves visual reasoning, mitigates visual hallucinations, and reduces reliance on language shortcuts across diverse vision-language tasks.

Recent advancements in large language models (LLMs) have demonstrated substantial progress in reasoning capabilities, such as DeepSeek-R1, which leverages rule-based reinforcement learning to enhance logical reasoning significantly. However, extending these achievements to multimodal large language models (MLLMs) presents critical challenges, which are frequently more pronounced for Multimodal Small Language Models (MSLMs) given their typically weaker foundational reasoning abilities: (1) the scarcity of high-quality multimodal reasoning datasets, (2) the degradation of reasoning capabilities due to the integration of visual processing, and (3) the risk that direct application of reinforcement learning may produce complex yet incorrect reasoning processes. To address these challenges, we design a novel framework Infi-MMR to systematically unlock the reasoning potential of MSLMs through a curriculum of three carefully structured phases and propose our multimodal reasoning model Infi-MMR-3B. The first phase, Foundational Reasoning Activation, leverages high-quality textual reasoning datasets to activate and strengthen the model's logical reasoning capabilities. The second phase, Cross-Modal Reasoning Adaptation, utilizes caption-augmented multimodal data to facilitate the progressive transfer of reasoning skills to multimodal contexts. The third phase, Multimodal Reasoning Enhancement, employs curated, caption-free multimodal data to mitigate linguistic biases and promote robust cross-modal reasoning. Infi-MMR-3B achieves both state-of-the-art multimodal math reasoning ability (43.68% on MathVerse testmini, 27.04% on MathVision test, and 21.33% on OlympiadBench) and general reasoning ability (67.2% on MathVista testmini). Resources are available at https://huggingface.co/Reallm-Labs/Infi-MMR-3B.

Fine-grained visual reasoning remains a core challenge for multimodal large language models (MLLMs). The recently introduced ReasonMap highlights this gap by showing that even advanced MLLMs struggle with spatial reasoning in structured and information-rich settings such as transit maps, a task of clear practical and scientific importance. However, standard reinforcement learning (RL) on such tasks is impeded by sparse rewards and unstable optimization. To address this, we first construct ReasonMap-Plus, an extended dataset that introduces dense reward signals through Visual Question Answering (VQA) tasks, enabling effective cold-start training of fine-grained visual understanding skills. Next, we propose RewardMap, a multi-stage RL framework designed to improve both visual understanding and reasoning capabilities of MLLMs. RewardMap incorporates two key designs. First, we introduce a difficulty-aware reward design that incorporates detail rewards, directly tackling the sparse rewards while providing richer supervision. Second, we propose a multi-stage RL scheme that bootstraps training from simple perception to complex reasoning tasks, offering a more effective cold-start strategy than conventional Supervised Fine-Tuning (SFT). Experiments on ReasonMap and ReasonMap-Plus demonstrate that each component of RewardMap contributes to consistent performance gains, while their combination yields the best results. Moreover, models trained with RewardMap achieve an average improvement of 3.47% across 6 benchmarks spanning spatial reasoning, fine-grained visual reasoning, and general tasks beyond transit maps, underscoring enhanced visual understanding and reasoning capabilities.

Fully comprehending scientific papers by machines reflects a high level of Artificial General Intelligence, requiring the ability to reason across fragmented and heterogeneous sources of information, presenting a complex and practically significant challenge. While Vision-Language Models (VLMs) have made remarkable strides in various tasks, particularly those involving reasoning with evidence source from single image or text page, their ability to use cross-source information for reasoning remains an open problem. This work presents MMCR, a high-difficulty benchmark designed to evaluate VLMs' capacity for reasoning with cross-source information from scientific papers. The benchmark comprises 276 high-quality questions, meticulously annotated by humans across 7 subjects and 10 task types. Experiments with 18 VLMs demonstrate that cross-source reasoning presents a substantial challenge for existing models. Notably, even the top-performing model, GPT-4o, achieved only 48.55% overall accuracy, with only 20% accuracy in multi-table comprehension tasks, while the second-best model, Qwen2.5-VL-72B, reached 39.86% overall accuracy. Furthermore, we investigated the impact of the Chain-of-Thought (CoT) technique on cross-source reasoning and observed a detrimental effect on small models, whereas larger models demonstrated substantially enhanced performance. These results highlight the pressing need to develop VLMs capable of effectively utilizing cross-source information for reasoning.

Vision Language Models (VLMs) demonstrate remarkable proficiency in addressing a wide array of visual questions, which requires strong perception and reasoning faculties. Assessing these two competencies independently is crucial for model refinement, despite the inherent difficulty due to the intertwined nature of seeing and reasoning in existing VLMs. To tackle this issue, we present Prism, an innovative framework designed to disentangle the perception and reasoning processes involved in visual question solving. Prism comprises two distinct stages: a perception stage that utilizes a VLM to extract and articulate visual information in textual form, and a reasoning stage that formulates responses based on the extracted visual information using a Large Language Model (LLM). This modular design enables the systematic comparison and assessment of both proprietary and open-source VLM for their perception and reasoning strengths. Our analytical framework provides several valuable insights, underscoring Prism's potential as a cost-effective solution for vision-language tasks. By combining a streamlined VLM focused on perception with a powerful LLM tailored for reasoning, Prism achieves superior results in general vision-language tasks while substantially cutting down on training and operational expenses. Quantitative evaluations show that Prism, when configured with a vanilla 2B LLaVA and freely accessible GPT-3.5, delivers performance on par with VLMs 10 times larger on the rigorous multimodal benchmark MMStar. The project is released at: https://github.com/SparksJoe/Prism.

While Multimodal Large Language Models (MLLMs) have achieved impressive progress in vision-language understanding, they still struggle with complex multi-step reasoning, often producing logically inconsistent or partially correct solutions. A key limitation lies in the lack of fine-grained supervision over intermediate reasoning steps. To address this, we propose MM-PRM, a process reward model trained within a fully automated, scalable framework. We first build MM-Policy, a strong multimodal model trained on diverse mathematical reasoning data. Then, we construct MM-K12, a curated dataset of 10,000 multimodal math problems with verifiable answers, which serves as seed data. Leveraging a Monte Carlo Tree Search (MCTS)-based pipeline, we generate over 700k step-level annotations without human labeling. The resulting PRM is used to score candidate reasoning paths in the Best-of-N inference setup and achieves significant improvements across both in-domain (MM-K12 test set) and out-of-domain (OlympiadBench, MathVista, etc.) benchmarks. Further analysis confirms the effectiveness of soft labels, smaller learning rates, and path diversity in optimizing PRM performance. MM-PRM demonstrates that process supervision is a powerful tool for enhancing the logical robustness of multimodal reasoning systems. We release all our codes and data at https://github.com/ModalMinds/MM-PRM.

Medical Large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal diagnostic tasks. However, existing single-agent models struggle to generalize across diverse medical specialties, limiting their performance. Recent efforts introduce multi-agent collaboration frameworks inspired by clinical workflows, where general practitioners (GPs) and specialists interact in a fixed sequence. Despite improvements, these static pipelines lack flexibility and adaptability in reasoning. To address this, we propose MMedAgent-RL, a reinforcement learning (RL)-based multi-agent framework that enables dynamic, optimized collaboration among medical agents. Specifically, we train two GP agents based on Qwen2.5-VL via RL: the triage doctor learns to assign patients to appropriate specialties, while the attending physician integrates the judgments from multi-specialists and its own knowledge to make final decisions. To address the inconsistency in specialist outputs, we introduce a curriculum learning (CL)-guided RL strategy that progressively teaches the attending physician to balance between imitating specialists and correcting their mistakes. Experiments on five medical VQA benchmarks demonstrate that MMedAgent-RL not only outperforms both open-source and proprietary Med-LVLMs, but also exhibits human-like reasoning patterns. Notably, it achieves an average performance gain of 20.7% over supervised fine-tuning baselines.

We explore multi-step reasoning in vision-language models (VLMs). The problem is challenging, as reasoning data consisting of multiple steps of visual and language processing are barely available. To overcome the challenge, we first introduce a least-to-most visual reasoning paradigm, which interleaves steps of decomposing a question into sub-questions and invoking external tools for resolving sub-questions. Based on the paradigm, we further propose a novel data synthesis approach that can automatically create questions and multi-step reasoning paths for an image in a bottom-up manner. Our approach divides the complex synthesis task into a few simple sub-tasks, and (almost entirely) relies on open-sourced models to accomplish the sub-tasks. Therefore, the entire synthesis process is reproducible and cost-efficient, and the synthesized data is quality guaranteed. With the approach, we construct 50k visual reasoning examples. Then, we develop a visual reasoner through supervised fine-tuning, which is capable of generally enhancing the reasoning abilities of a wide range of existing VLMs in a plug-and-play fashion. Extensive experiments indicate that the visual reasoner can consistently and significantly improve four VLMs on four VQA benchmarks. Our code and dataset are available at https://github.com/steven-ccq/VisualReasoner.

Recent advances in text-only "slow-thinking" reasoning have prompted efforts to transfer this capability to vision-language models (VLMs), for training visual reasoning models (VRMs). owever, such transfer faces critical challenges: Effective "slow thinking" in VRMs requires visual reflection, the ability to check the reasoning process based on visual information. Through quantitative analysis, we observe that current VRMs exhibit limited visual reflection, as their attention to visual information diminishes rapidly with longer generated responses. To address this challenge, we propose a new VRM Reflection-V, which enhances visual reflection based on reasoning data construction for cold-start and reward design for reinforcement learning (RL). Firstly, we construct vision-centered reasoning data by leveraging an agent that interacts between VLMs and reasoning LLMs, enabling cold-start learning of visual reflection patterns. Secondly, a visual attention based reward model is employed during RL to encourage reasoning based on visual information. Therefore, Reflection-V demonstrates significant improvements across multiple visual reasoning benchmarks. Furthermore, Reflection-V maintains a stronger and more consistent reliance on visual information during visual reasoning, indicating effective enhancement in visual reflection capabilities.

Current Vision-Language Models (VLMs) struggle to ground anatomical regions in 3D medical images and reason about them in a step-by-step manner, a key requirement of real-world diagnostic assessment. This ability is essential for aligning model outputs with the diagnostic workflows clinicians use in practice, enabling trustworthy clinician-AI collaboration. Existing 3D datasets provide localization labels, but none support this "grounded reasoning" ability. To address this gap, we introduce 3DReasonKnee, the first 3D grounded reasoning dataset for medical images, which provides 494k high-quality quintuples derived from 7,970 3D knee MRI volumes. Each quintuple includes: (1) the 3D MRI volume, (2) a diagnostic question targeting a specific anatomical region (3) a 3D bounding box localizing the relevant anatomical structures, (4) clinician-generated diagnostic reasoning steps that explicitly detail the 3D reasoning process, and (5) structured severity assessments for the relevant anatomical region. The creation and validation of 3DReasonKnee, involving over 450 hours of expert clinician time for manually segmenting MRIs and generating reasoning chains, ensures its superior quality and clinical relevance. We establish ReasonKnee-Bench to evaluate localization and diagnostic accuracy, providing insight into VLM ability to perform grounding and severity assessment across anatomical regions and diagnostic inquiries. We benchmark five state-of-the-art VLMs, providing baseline performance for ReasonKnee-Bench. By providing this unique resource of expert-annotated 3D reasoning pathways, 3DReasonKnee serves as a repository of orthopedic surgeons' diagnostic expertise and offers a vital testbed for advancing multimodal medical AI systems towards 3D, clinically aligned, localized decision-making capabilities. The dataset can be found in: https://huggingface.co/datasets/rajpurkarlab/3DReasonKnee

Is vision good enough for language? Recent advancements in multimodal models primarily stem from the powerful reasoning abilities of large language models (LLMs). However, the visual component typically depends only on the instance-level contrastive language-image pre-training (CLIP). Our research reveals that the visual capabilities in recent multimodal LLMs (MLLMs) still exhibit systematic shortcomings. To understand the roots of these errors, we explore the gap between the visual embedding space of CLIP and vision-only self-supervised learning. We identify ''CLIP-blind pairs'' - images that CLIP perceives as similar despite their clear visual differences. With these pairs, we construct the Multimodal Visual Patterns (MMVP) benchmark. MMVP exposes areas where state-of-the-art systems, including GPT-4V, struggle with straightforward questions across nine basic visual patterns, often providing incorrect answers and hallucinated explanations. We further evaluate various CLIP-based vision-and-language models and found a notable correlation between visual patterns that challenge CLIP models and those problematic for multimodal LLMs. As an initial effort to address these issues, we propose a Mixture of Features (MoF) approach, demonstrating that integrating vision self-supervised learning features with MLLMs can significantly enhance their visual grounding capabilities. Together, our research suggests visual representation learning remains an open challenge, and accurate visual grounding is crucial for future successful multimodal systems.

We present OCTCube-M, a 3D OCT-based multi-modal foundation model for jointly analyzing OCT and en face images. OCTCube-M first developed OCTCube, a 3D foundation model pre-trained on 26,685 3D OCT volumes encompassing 1.62 million 2D OCT images. It then exploits a novel multi-modal contrastive learning framework COEP to integrate other retinal imaging modalities, such as fundus autofluorescence and infrared retinal imaging, into OCTCube, efficiently extending it into multi-modal foundation models. OCTCube achieves best performance on predicting 8 retinal diseases, demonstrating strong generalizability on cross-cohort, cross-device and cross-modality prediction. OCTCube can also predict cross-organ nodule malignancy (CT) and low cardiac ejection fraction as well as systemic diseases, such as diabetes and hypertension, revealing its wide applicability beyond retinal diseases. We further develop OCTCube-IR using COEP with 26,685 OCT and IR image pairs. OCTCube-IR can accurately retrieve between OCT and IR images, allowing joint analysis between 3D and 2D retinal imaging modalities. Finally, we trained a tri-modal foundation model OCTCube-EF from 4 million 2D OCT images and 400K en face retinal images. OCTCube-EF attains the best performance on predicting the growth rate of geographic atrophy (GA) across datasets collected from 6 multi-center global trials conducted in 23 countries. This improvement is statistically equivalent to running a clinical trial with more than double the size of the original study. Our analysis based on another retrospective case study reveals OCTCube-EF's ability to avoid false positive Phase-III results according to its accurate treatment effect estimation on the Phase-II results. In sum, OCTCube-M is a 3D multi-modal foundation model framework that integrates OCT and other retinal imaging modalities revealing substantial diagnostic and prognostic benefits.

Reasoning is a fundamental capability for solving complex multi-step problems, particularly in visual contexts where sequential step-wise understanding is essential. Existing approaches lack a comprehensive framework for evaluating visual reasoning and do not emphasize step-wise problem-solving. To this end, we propose a comprehensive framework for advancing step-by-step visual reasoning in large language models (LMMs) through three key contributions. First, we introduce a visual reasoning benchmark specifically designed to evaluate multi-step reasoning tasks. The benchmark presents a diverse set of challenges with eight different categories ranging from complex visual perception to scientific reasoning with over 4k reasoning steps in total, enabling robust evaluation of LLMs' abilities to perform accurate and interpretable visual reasoning across multiple steps. Second, we propose a novel metric that assesses visual reasoning quality at the granularity of individual steps, emphasizing both correctness and logical coherence. The proposed metric offers deeper insights into reasoning performance compared to traditional end-task accuracy metrics. Third, we present a new multimodal visual reasoning model, named LlamaV-o1, trained using a multi-step curriculum learning approach, where tasks are progressively organized to facilitate incremental skill acquisition and problem-solving. The proposed LlamaV-o1 is designed for multi-step reasoning and learns step-by-step through a structured training paradigm. Extensive experiments show that our LlamaV-o1 outperforms existing open-source models and performs favorably against close-source proprietary models. Compared to the recent Llava-CoT, our LlamaV-o1 achieves an average score of 67.3 with an absolute gain of 3.8\% across six benchmarks while being 5 times faster during inference scaling. Our benchmark, model, and code are publicly available.

Introduction: Blood vessels can be non-invasively visualized from a digital fundus image (DFI). Several studies have shown an association between cardiovascular risk and vascular features obtained from DFI. Recent advances in computer vision and image segmentation enable automatising DFI blood vessel segmentation. There is a need for a resource that can automatically compute digital vasculature biomarkers (VBM) from these segmented DFI. Methods: In this paper, we introduce a Python Vasculature BioMarker toolbox, denoted PVBM. A total of 11 VBMs were implemented. In particular, we introduce new algorithmic methods to estimate tortuosity and branching angles. Using PVBM, and as a proof of usability, we analyze geometric vascular differences between glaucomatous patients and healthy controls. Results: We built a fully automated vasculature biomarker toolbox based on DFI segmentations and provided a proof of usability to characterize the vascular changes in glaucoma. For arterioles and venules, all biomarkers were significant and lower in glaucoma patients compared to healthy controls except for tortuosity, venular singularity length and venular branching angles. Conclusion: We have automated the computation of 11 VBMs from retinal blood vessel segmentation. The PVBM toolbox is made open source under a GNU GPL 3 license and is available on physiozoo.com (following publication).

The retina is the only part of the human body in which blood vessels can be accessed non-invasively using imaging techniques such as digital fundus images (DFI). The spatial distribution of the retinal microvasculature may change with cardiovascular diseases and thus the eyes may be regarded as a window to our hearts. Computerized segmentation of the retinal arterioles and venules (A/V) is essential for automated microvasculature analysis. Using active learning, we created a new DFI dataset containing 240 crowd-sourced manual A/V segmentations performed by fifteen medical students and reviewed by an ophthalmologist, and developed LUNet, a novel deep learning architecture for high resolution A/V segmentation. LUNet architecture includes a double dilated convolutional block that aims to enhance the receptive field of the model and reduce its parameter count. Furthermore, LUNet has a long tail that operates at high resolution to refine the segmentation. The custom loss function emphasizes the continuity of the blood vessels. LUNet is shown to significantly outperform two state-of-the-art segmentation algorithms on the local test set as well as on four external test sets simulating distribution shifts across ethnicity, comorbidities, and annotators. We make the newly created dataset open access (upon publication).

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where doctors typically refer to a patient's historical conditions to provide a comprehensive assessment by tracking their changes over time. In this paper, we introduce TemMed-Bench, the first benchmark designed for analyzing changes in patients' conditions between different clinical visits, which challenges large vision-language models (LVLMs) to reason over temporal medical images. TemMed-Bench consists of a test set comprising three tasks - visual question-answering (VQA), report generation, and image-pair selection - and a supplementary knowledge corpus of over 17,000 instances. With TemMed-Bench, we conduct an evaluation of six proprietary and six open-source LVLMs. Our results show that most LVLMs lack the ability to analyze patients' condition changes over temporal medical images, and a large proportion perform only at a random-guessing level in the closed-book setting. In contrast, GPT o3, o4-mini and Claude 3.5 Sonnet demonstrate comparatively decent performance, though they have yet to reach the desired level. Furthermore, we explore augmenting the input with both retrieved visual and textual modalities in the medical domain. We also show that multi-modal retrieval augmentation yields notably higher performance gains than no retrieval and textual retrieval alone across most models on our benchmark, with the VQA task showing an average improvement of 2.59%. Overall, we compose a benchmark grounded on real-world clinical practice, and it reveals LVLMs' limitations in temporal medical image reasoning, as well as highlighting the use of multi-modal retrieval augmentation as a potentially promising direction worth exploring to address this challenge.

Chain-of-thought reasoning has significantly improved the performance of Large Language Models (LLMs) across various domains. However, this reasoning process has been confined exclusively to textual space, limiting its effectiveness in visually intensive tasks. To address this limitation, we introduce the concept of reasoning in the pixel-space. Within this novel framework, Vision-Language Models (VLMs) are equipped with a suite of visual reasoning operations, such as zoom-in and select-frame. These operations enable VLMs to directly inspect, interrogate, and infer from visual evidences, thereby enhancing reasoning fidelity for visual tasks. Cultivating such pixel-space reasoning capabilities in VLMs presents notable challenges, including the model's initially imbalanced competence and its reluctance to adopt the newly introduced pixel-space operations. We address these challenges through a two-phase training approach. The first phase employs instruction tuning on synthesized reasoning traces to familiarize the model with the novel visual operations. Following this, a reinforcement learning (RL) phase leverages a curiosity-driven reward scheme to balance exploration between pixel-space reasoning and textual reasoning. With these visual operations, VLMs can interact with complex visual inputs, such as information-rich images or videos to proactively gather necessary information. We demonstrate that this approach significantly improves VLM performance across diverse visual reasoning benchmarks. Our 7B model, \model, achieves 84\% on V* bench, 74\% on TallyQA-Complex, and 84\% on InfographicsVQA, marking the highest accuracy achieved by any open-source model to date. These results highlight the importance of pixel-space reasoning and the effectiveness of our framework.

As Multimodal Large Language Models (MLLMs) continue to evolve, their cognitive and reasoning capabilities have seen remarkable progress. However, challenges in visual fine-grained perception and commonsense causal inference persist. This paper introduces Argus Inspection, a multimodal benchmark with two levels of difficulty, emphasizing detailed visual recognition while incorporating real-world commonsense understanding to evaluate causal reasoning abilities. Expanding on it, we present the Eye of Panoptes framework, which integrates a binary parametric Sigmoid metric with an indicator function, enabling a more holistic evaluation of MLLMs' responses in opinion-based reasoning tasks. Experiments conducted on 26 mainstream MLLMs reveal that the highest performance in visual fine-grained reasoning reaches only 0.46, highlighting considerable potential for enhancement. Our research offers valuable perspectives for the continued refinement of MLLMs.

WHO has declared that more than 2.2 billion people worldwide are suffering from visual disorders, such as media haze, glaucoma, and drusen. At least 1 billion of these cases could have been either prevented or successfully treated, yet they remain unaddressed due to poverty, a lack of specialists, inaccurate ocular fundus diagnoses by ophthalmologists, or the presence of a rare disease. To address this, the research has developed the Hybrid Trio-Network Model Algorithm for accurately diagnosing 12 distinct common and rare eye diseases. This algorithm utilized the RFMiD dataset of 3,200 fundus images and the Binary Relevance Method to detect diseases separately, ensuring expandability and avoiding incorrect correlations. Each detector, incorporating finely tuned hyperparameters to optimize performance, consisted of three feature components: A classical transfer learning CNN model, a two-stage CNN model, and a Siamese Network. The diagnosis was made using features extracted through this Trio-Model with Ensembled Machine Learning algorithms. The proposed model achieved an average accuracy of 97% and an AUC score of 0.96. Compared to past benchmark studies, an increase of over 10% in the F1-score was observed for most diseases. Furthermore, using the Siamese Network, the model successfully made predictions in diseases like optic disc pallor, which past studies failed to predict due to low confidence. This diagnostic tool presents a stable, adaptive, cost-effective, efficient, accessible, and fast solution for globalizing early detection of both common and rare diseases.

Although chain-of-thought reasoning and reinforcement learning (RL) have driven breakthroughs in NLP, their integration into generative vision models remains underexplored. We introduce ReasonGen-R1, a two-stage framework that first imbues an autoregressive image generator with explicit text-based "thinking" skills via supervised fine-tuning on a newly generated reasoning dataset of written rationales, and then refines its outputs using Group Relative Policy Optimization. To enable the model to reason through text before generating images, We automatically generate and release a corpus of model crafted rationales paired with visual prompts, enabling controlled planning of object layouts, styles, and scene compositions. Our GRPO algorithm uses reward signals from a pretrained vision language model to assess overall visual quality, optimizing the policy in each update. Evaluations on GenEval, DPG, and the T2I benchmark demonstrate that ReasonGen-R1 consistently outperforms strong baselines and prior state-of-the-art models. More: aka.ms/reasongen.

Current visual reasoning methods mainly focus on exploring specific reasoning modes. Although improvements can be achieved in particular domains, they struggle to develop general reasoning capabilities. Inspired by this, we propose a novel adaptive reasoning paradigm, Mixture-of-Visual-Thoughts (MoVT), which unifies different reasoning modes within a single model and guides it to select the appropriate mode based on context. To achieve this, we introduce AdaVaR, a two-stage Adaptive Visual Reasoning learning framework: different modes are unified and learned during the supervised cold-start stage, and the mode selection capability is induced via an RL process with a carefully designed AdaGRPO algorithm. Extensive experiments show that AdaVaR effectively guides the model to learn and differentiate multiple modes and perform context-adaptive mode selection, achieving consistent improvement across various scenarios, highlighting MoVT as an effective solution for building general visual reasoning models.

Large vision-language models (LVLMs) have recently achieved rapid progress, sparking numerous studies to evaluate their multi-modal capabilities. However, we dig into current evaluation works and identify two primary issues: 1) Visual content is unnecessary for many samples. The answers can be directly inferred from the questions and options, or the world knowledge embedded in LLMs. This phenomenon is prevalent across current benchmarks. For instance, GeminiPro achieves 42.9% on the MMMU benchmark without any visual input, and outperforms the random choice baseline across six benchmarks over 20% on average. 2) Unintentional data leakage exists in LLM and LVLM training. LLM and LVLM could still answer some visual-necessary questions without visual content, indicating the memorizing of these samples within large-scale training data. For example, Sphinx-X-MoE gets 43.6% on MMMU without accessing images, surpassing its LLM backbone with 17.9%. Both problems lead to misjudgments of actual multi-modal gains and potentially misguide the study of LVLM. To this end, we present MMStar, an elite vision-indispensable multi-modal benchmark comprising 1,500 samples meticulously selected by humans. MMStar benchmarks 6 core capabilities and 18 detailed axes, aiming to evaluate LVLMs' multi-modal capacities with carefully balanced and purified samples. These samples are first roughly selected from current benchmarks with an automated pipeline, human review is then involved to ensure each curated sample exhibits visual dependency, minimal data leakage, and requires advanced multi-modal capabilities. Moreover, two metrics are developed to measure data leakage and actual performance gain in multi-modal training. We evaluate 16 leading LVLMs on MMStar to assess their multi-modal capabilities, and on 7 benchmarks with the proposed metrics to investigate their data leakage and actual multi-modal gain.

Significant advancements in the reasoning capabilities of Large Language Models (LLMs) are now driven by test-time scaling laws, particularly those leveraging extended Chain-of-Thought (CoT) reasoning. Inspired by these breakthroughs, researchers have extended these paradigms to Large Multimodal Models (LMMs). However, a critical limitation emerges: as their reasoning chains extend, LMMs increasingly rely on textual logic, progressively losing grounding in the underlying visual information. This leads to reasoning paths that diverge from the image content, culminating in erroneous conclusions. To address this, we introduce a strikingly simple yet effective training-free visual-reasoning pipeline. The core concept is to decouple the reasoning and perception processes. A powerful LLM orchestrates the high-level reasoning, strategically interrogating a LMM to extract specific visual information required for its logical chain. The LMM, in turn, functions exclusively as a visual question-answering engine, supplying the necessary perceptual details on demand. This lightweight, plug-and-play approach requires no additional training or architectural changes. Comprehensive evaluations validate that our framework effectively governs the visual reasoning process, leading to a significant reduction in visually-unfounded reasoning steps and a substantial improvement in reasoning fidelity.

Due to the powerful vision-language reasoning and generalization abilities, multimodal large language models (MLLMs) have garnered significant attention in the field of end-to-end (E2E) autonomous driving. However, their application to closed-loop systems remains underexplored, and current MLLM-based methods have not shown clear superiority to mainstream E2E imitation learning approaches. In this work, we propose ReasonPlan, a novel MLLM fine-tuning framework designed for closed-loop driving through holistic reasoning with a self-supervised Next Scene Prediction task and supervised Decision Chain-of-Thought process. This dual mechanism encourages the model to align visual representations with actionable driving context, while promoting interpretable and causally grounded decision making. We curate a planning-oriented decision reasoning dataset, namely PDR, comprising 210k diverse and high-quality samples. Our method outperforms the mainstream E2E imitation learning method by a large margin of 19% L2 and 16.1 driving score on Bench2Drive benchmark. Furthermore, ReasonPlan demonstrates strong zero-shot generalization on unseen DOS benchmark, highlighting its adaptability in handling zero-shot corner cases. Code and dataset will be found in https://github.com/Liuxueyi/ReasonPlan.

Large Multimodal Models (LMMs) have achieved strong performance across a range of vision and language tasks. However, their spatial reasoning capabilities are under-investigated. In this paper, we construct a novel VQA dataset, Spatial-MM, to comprehensively study LMMs' spatial understanding and reasoning capabilities. Our analyses on object-relationship and multi-hop reasoning reveal several important findings. Firstly, bounding boxes and scene graphs, even synthetic ones, can significantly enhance LMMs' spatial reasoning. Secondly, LMMs struggle more with questions posed from the human perspective than the camera perspective about the image. Thirdly, chain of thought (CoT) prompting does not improve model performance on complex multi-hop questions involving spatial relations. % Moreover, spatial reasoning steps are much less accurate than non-spatial ones across MLLMs. Lastly, our perturbation analysis on GQA-spatial reveals that LMMs are much stronger at basic object detection than complex spatial reasoning. We believe our benchmark dataset and in-depth analyses can spark further research on LMMs spatial reasoning. Spatial-MM benchmark is available at: https://github.com/FatemehShiri/Spatial-MM

This study reveals an unexpected parallel between instructible vision-language models (VLMs) and human cognitive disorders, specifically constructive apraxia. We tested 25 state-of-the-art VLMs, including GPT-4 Vision, DALL-E 3, and Midjourney v5, on their ability to generate images of the Ponzo illusion, a task that requires basic spatial reasoning and is often used in clinical assessments of constructive apraxia. Remarkably, 24 out of 25 models failed to correctly render two horizontal lines against a perspective background, mirroring the deficits seen in patients with parietal lobe damage. The models consistently misinterpreted spatial instructions, producing tilted or misaligned lines that followed the perspective of the background rather than remaining horizontal. This behavior is strikingly similar to how apraxia patients struggle to copy or construct simple figures despite intact visual perception and motor skills. Our findings suggest that current VLMs, despite their advanced capabilities in other domains, lack fundamental spatial reasoning abilities akin to those impaired in constructive apraxia. This limitation in AI systems provides a novel computational model for studying spatial cognition deficits and highlights a critical area for improvement in VLM architecture and training methodologies.

Large vision-language models (LVLMs) augment language models with visual understanding, enabling multimodal reasoning. However, due to the modality gap between textual and visual data, they often face significant challenges, such as over-reliance on text priors, hallucinations, and limited capacity for complex visual reasoning. Existing benchmarks to evaluate visual reasoning in LVLMs often rely on schematic or synthetic images and on imprecise machine-generated explanations. To bridge the modality gap, we present DrivingVQA, a new benchmark derived from driving theory tests to evaluate visual chain-of-thought reasoning in complex real-world scenarios. It offers 3,931 expert-crafted multiple-choice problems and interleaved explanations grounded with entities relevant to the reasoning process. We leverage this dataset to perform an extensive study of LVLMs' ability to reason about complex visual scenarios. Our experiments reveal that open-source and proprietary LVLMs struggle with visual chain-of-thought reasoning under zero-shot settings. We investigate training strategies that leverage relevant entities to improve visual reasoning. Notably, we observe a performance boost of up to 7\% when reasoning over image tokens of cropped regions tied to these entities.

The rapid development of large language and vision models (LLVMs) has been driven by advances in visual instruction tuning. Recently, open-source LLVMs have curated high-quality visual instruction tuning datasets and utilized additional vision encoders or multiple computer vision models in order to narrow the performance gap with powerful closed-source LLVMs. These advancements are attributed to multifaceted information required for diverse capabilities, including fundamental image understanding, real-world knowledge about common-sense and non-object concepts (e.g., charts, diagrams, symbols, signs, and math problems), and step-by-step procedures for solving complex questions. Drawing from the multifaceted information, we present a new efficient LLVM, Mamba-based traversal of rationales (Meteor), which leverages multifaceted rationale to enhance understanding and answering capabilities. To embed lengthy rationales containing abundant information, we employ the Mamba architecture, capable of processing sequential data with linear time complexity. We introduce a new concept of traversal of rationale that facilitates efficient embedding of rationale. Subsequently, the backbone multimodal language model (MLM) is trained to generate answers with the aid of rationale. Through these steps, Meteor achieves significant improvements in vision language performances across multiple evaluation benchmarks requiring diverse capabilities, without scaling up the model size or employing additional vision encoders and computer vision models.

Redundancies and correlations in the responses of sensory neurons seem to waste neural resources but can carry cues about structured stimuli and may help the brain to correct for response errors. To assess how the retina negotiates this tradeoff, we measured simultaneous responses from populations of ganglion cells presented with natural and artificial stimuli that varied greatly in correlation structure. We found that pairwise correlations in the retinal output remained similar across stimuli with widely different spatio-temporal correlations including white noise and natural movies. Meanwhile, purely spatial correlations tended to increase correlations in the retinal response. Responding to more correlated stimuli, ganglion cells had faster temporal kernels and tended to have stronger surrounds. These properties of individual cells, along with gain changes that opposed changes in effective contrast at the ganglion cell input, largely explained the similarity of pairwise correlations across stimuli where receptive field measurements were possible.

We present Seed1.5-VL, a vision-language foundation model designed to advance general-purpose multimodal understanding and reasoning. Seed1.5-VL is composed with a 532M-parameter vision encoder and a Mixture-of-Experts (MoE) LLM of 20B active parameters. Despite its relatively compact architecture, it delivers strong performance across a wide spectrum of public VLM benchmarks and internal evaluation suites, achieving the state-of-the-art performance on 38 out of 60 public benchmarks. Moreover, in agent-centric tasks such as GUI control and gameplay, Seed1.5-VL outperforms leading multimodal systems, including OpenAI CUA and Claude 3.7. Beyond visual and video understanding, it also demonstrates strong reasoning abilities, making it particularly effective for multimodal reasoning challenges such as visual puzzles. We believe these capabilities will empower broader applications across diverse tasks. In this report, we mainly provide a comprehensive review of our experiences in building Seed1.5-VL across model design, data construction, and training at various stages, hoping that this report can inspire further research. Seed1.5-VL is now accessible at https://www.volcengine.com/ (Volcano Engine Model ID: doubao-1-5-thinking-vision-pro-250428)

Although large Vision-Language Models (VLMs) have demonstrated remarkable performance in a wide range of multimodal tasks, their true reasoning capabilities on human IQ tests remain underexplored. To advance research on the fluid intelligence of VLMs, we introduce **IQBench**, a new benchmark designed to evaluate VLMs on standardized visual IQ tests. We focus on evaluating the reasoning capabilities of VLMs, which we argue are more important than the accuracy of the final prediction. **Our benchmark is visually centric, minimizing the dependence on unnecessary textual content**, thus encouraging models to derive answers primarily from image-based information rather than learned textual knowledge. To this end, we manually collected and annotated 500 visual IQ questions to **prevent unintentional data leakage during training**. Unlike prior work that focuses primarily on the accuracy of the final answer, we evaluate the reasoning ability of the models by assessing their explanations and the patterns used to solve each problem, along with the accuracy of the final prediction and human evaluation. Our experiments show that there are substantial performance disparities between tasks, with models such as `o4-mini`, `gemini-2.5-flash`, and `claude-3.7-sonnet` achieving the highest average accuracies of 0.615, 0.578, and 0.548, respectively. However, all models struggle with 3D spatial and anagram reasoning tasks, highlighting significant limitations in current VLMs' general reasoning abilities. In terms of reasoning scores, `o4-mini`, `gemini-2.5-flash`, and `claude-3.7-sonnet` achieved top averages of 0.696, 0.586, and 0.516, respectively. These results highlight inconsistencies between the reasoning processes of the models and their final answers, emphasizing the importance of evaluating the accuracy of the reasoning in addition to the final predictions.

The advancement of Large Vision-Language Models (LVLMs) has propelled their application in the medical field. However, Medical LVLMs (Med-LVLMs) encounter factuality challenges due to modality misalignment, where the models prioritize textual knowledge over visual input, leading to hallucinations that contradict information in medical images. Previous attempts to enhance modality alignment in Med-LVLMs through preference optimization have inadequately mitigated clinical relevance in preference data, making these samples easily distinguishable and reducing alignment effectiveness. To address this challenge, we propose MMedPO, a novel multimodal medical preference optimization approach that considers the clinical relevance of preference samples to enhance Med-LVLM alignment. MMedPO curates multimodal preference data by introducing two types of dispreference: (1) plausible hallucinations injected through target Med-LVLMs or GPT-4o to produce medically inaccurate responses, and (2) lesion region neglect achieved through local lesion-noising, disrupting visual understanding of critical areas. We then calculate clinical relevance for each sample based on scores from multiple Med-LLMs and visual tools, and integrate these scores into the preference optimization process as weights, enabling effective alignment. Our experiments demonstrate that MMedPO significantly enhances factual accuracy in Med-LVLMs, achieving substantial improvements over existing preference optimization methods by averaging 14.2% and 51.7% across the Med-VQA and report generation tasks. Our code are available in https://github.com/aiming-lab/MMedPO.

The ability to process information from multiple modalities and to reason through it step-by-step remains a critical challenge in advancing artificial intelligence. However, existing reasoning benchmarks focus on text-only reasoning, or employ multimodal questions that can be answered by directly retrieving information from a non-text modality. Thus, complex reasoning remains poorly understood in multimodal domains. Here, we present MARBLE, a challenging multimodal reasoning benchmark that is designed to scrutinize multimodal language models (MLLMs) in their ability to carefully reason step-by-step through complex multimodal problems and environments. MARBLE is composed of two highly challenging tasks, M-Portal and M-Cube, that require the crafting and understanding of multistep plans under spatial, visual, and physical constraints. We find that current MLLMs perform poorly on MARBLE -- all the 12 advanced models obtain near-random performance on M-Portal and 0% accuracy on M-Cube. Only in simplified subtasks some models outperform the random baseline, indicating that complex reasoning is still a challenge for existing MLLMs. Moreover, we show that perception remains a bottleneck, where MLLMs occasionally fail to extract information from the visual inputs. By shedding a light on the limitations of MLLMs, we hope that MARBLE will spur the development of the next generation of models with the ability to reason and plan across many, multimodal reasoning steps.

Deep learning is currently the state-of-the-art for automated detection of referable diabetic retinopathy (DR) from color fundus photographs (CFP). While the general interest is put on improving results through methodological innovations, it is not clear how good these approaches perform compared to standard deep classification models trained with the appropriate settings. In this paper we propose to model a strong baseline for this task based on a simple and standard ResNet-18 architecture. To this end, we built on top of prior art by training the model with a standard preprocessing strategy but using images from several public sources and an empirically calibrated data augmentation setting. To evaluate its performance, we covered multiple clinically relevant perspectives, including image and patient level DR screening, discriminating responses by input quality and DR grade, assessing model uncertainties and analyzing its results in a qualitative manner. With no other methodological innovation than a carefully designed training, our ResNet model achieved an AUC = 0.955 (0.953 - 0.956) on a combined test set of 61007 test images from different public datasets, which is in line or even better than what other more complex deep learning models reported in the literature. Similar AUC values were obtained in 480 images from two separate in-house databases specially prepared for this study, which emphasize its generalization ability. This confirms that standard networks can still be strong baselines for this task if properly trained.

The remarkable reasoning capability of large language models (LLMs) stems from cognitive behaviors that emerge through reinforcement with verifiable rewards. This work investigates how to transfer this principle to Multimodal LLMs (MLLMs) to unlock advanced visual reasoning. We introduce a two-stage paradigm built on Qwen2.5-VL-7B: a massive linguistic cold-start fine-tuning, followed by multimodal reinforcement learning (RL) spanning nearly 1,000 steps, surpassing all previous open-source efforts in scale. This pioneering work reveals three fundamental insights: 1) Behavior transfer emerges surprisingly early in cold start due to linguistic mental imagery. 2) Cold start broadly memorizes visual behaviors, while RL critically discerns and scales up effective patterns. 3) Transfer strategically favors high-utility behaviors such as visual reflection. Our resulting model, Open-Vision-Reasoner (OVR), achieves state-of-the-art performance on a suite of reasoning benchmarks, including 95.3% on MATH500, 51.8% on MathVision and 54.6% on MathVerse. We release our model, data, and training dynamics to catalyze the development of more capable, behavior-aligned multimodal reasoners.

Large multimodal models (LMMs) have shown impressive capabilities in a wide range of visual tasks. However, they often struggle with fine-grained visual reasoning, failing to identify domain-specific objectives and provide justifiable explanations for their predictions. To address this, we propose a novel visual rejection sampling framework to improve the cognition and explainability of LMMs using self-synthesized data. Specifically, visual fine-tuning requires images, queries, and target answers. Our approach begins by synthesizing interpretable answers that include human-verifiable visual features. These features are based on expert-defined concepts, carefully selected based on their alignment with the image content. After each round of fine-tuning, we apply a reward model-free filtering mechanism to select the highest-quality interpretable answers for the next round of tuning. This iterative process of data synthesis and fine-tuning progressively improves the model's ability to generate accurate and reasonable explanations. Experimental results demonstrate the effectiveness of our method in improving both the accuracy and explainability of specialized visual classification tasks.

Faithful reasoning in medical vision-language models (VLMs) requires not only accurate predictions but also transparent alignment between textual rationales and visual evidence. While Chain-of-Thought (CoT) prompting has shown promise in medical visual question answering (VQA), no large-scale expert-level dataset has captured stepwise reasoning with precise visual grounding. We introduce S-Chain, the first large-scale dataset of 12,000 expert-annotated medical images with bounding boxes and structured visual CoT (SV-CoT), explicitly linking visual regions to reasoning steps. The dataset further supports 16 languages, totaling over 700k VQA pairs for broad multilingual applicability. Using S-Chain, we benchmark state-of-the-art medical VLMs (ExGra-Med, LLaVA-Med) and general-purpose VLMs (Qwen2.5-VL, InternVL2.5), showing that SV-CoT supervision significantly improves interpretability, grounding fidelity, and robustness. Beyond benchmarking, we study its synergy with retrieval-augmented generation, revealing how domain knowledge and visual grounding interact during autoregressive reasoning. Finally, we propose a new mechanism that strengthens the alignment between visual evidence and reasoning, improving both reliability and efficiency. S-Chain establishes a new benchmark for grounded medical reasoning and paves the way toward more trustworthy and explainable medical VLMs.

As textual reasoning with large language models (LLMs) has advanced significantly, there has been growing interest in enhancing the multimodal reasoning capabilities of large vision-language models (LVLMs). However, existing methods primarily approach multimodal reasoning in a straightforward, text-centric manner, where both reasoning and answer derivation are conducted purely through text, with the only difference being the presence of multimodal input. As a result, these methods often encounter fundamental limitations in spatial reasoning tasks that demand precise geometric understanding and continuous spatial tracking-capabilities that humans achieve through mental visualization and manipulation. To address the limitations, we propose drawing to reason in space, a novel paradigm that enables LVLMs to reason through elementary drawing operations in the visual space. By equipping models with basic drawing operations, including annotating bounding boxes and drawing auxiliary lines, we empower them to express and analyze spatial relationships through direct visual manipulation, meanwhile avoiding the performance ceiling imposed by specialized perception tools in previous tool-integrated reasoning approaches. To cultivate this capability, we develop a three-stage training framework: cold-start training with synthetic data to establish basic drawing abilities, reflective rejection sampling to enhance self-reflection behaviors, and reinforcement learning to directly optimize for target rewards. Extensive experiments demonstrate that our model, named VILASR, consistently outperforms existing methods across diverse spatial reasoning benchmarks, involving maze navigation, static spatial reasoning, video-based reasoning, and multi-view-based reasoning tasks, with an average improvement of 18.4%.

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's tau_b=0.670), moderate alignment for fidelity (tau_b=0.387), and weak alignment for confidence tone (tau_b=0.091), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality are decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

Despite the rapid progress of multimodal large language models (MLLMs), they have largely overlooked the importance of visual processing. In a simple yet revealing experiment, we interestingly find that language-only models, when provided with image captions, can achieve comparable or even better performance than MLLMs that consume raw visual inputs. This suggests that current MLLMs may generate accurate visual descriptions but fail to effectively integrate them during reasoning. Motivated by this, we propose a simple visual perturbation framework that enhances perceptual robustness without requiring algorithmic modifications or additional training data. Our approach introduces three targeted perturbations: distractor concatenation, dominance-preserving mixup, and random rotation, that can be easily integrated into existing post-training pipelines including SFT, DPO, and GRPO. Through extensive experiments across multiple datasets, we demonstrate consistent improvements in mathematical reasoning performance, with gains comparable to those achieved through algorithmic changes. Additionally, we achieve competitive performance among open-source 7B RL-tuned models by training Qwen2.5-VL-7B with visual perturbation. Through comprehensive ablation studies, we analyze the effectiveness of different perturbation strategies, revealing that each perturbation type contributes uniquely to different aspects of visual reasoning. Our findings highlight the critical role of visual perturbation in multimodal mathematical reasoning: better reasoning begins with better seeing. Our code is available at https://github.com/YutingLi0606/Vision-Matters.

Visual reasoning is critical for a wide range of computer vision tasks that go beyond surface-level object detection and classification. Despite notable advances in relational, symbolic, temporal, causal, and commonsense reasoning, existing surveys often address these directions in isolation, lacking a unified analysis and comparison across reasoning types, methodologies, and evaluation protocols. This survey aims to address this gap by categorizing visual reasoning into five major types (relational, symbolic, temporal, causal, and commonsense) and systematically examining their implementation through architectures such as graph-based models, memory networks, attention mechanisms, and neuro-symbolic systems. We review evaluation protocols designed to assess functional correctness, structural consistency, and causal validity, and critically analyze their limitations in terms of generalizability, reproducibility, and explanatory power. Beyond evaluation, we identify key open challenges in visual reasoning, including scalability to complex scenes, deeper integration of symbolic and neural paradigms, the lack of comprehensive benchmark datasets, and reasoning under weak supervision. Finally, we outline a forward-looking research agenda for next-generation vision systems, emphasizing that bridging perception and reasoning is essential for building transparent, trustworthy, and cross-domain adaptive AI systems, particularly in critical domains such as autonomous driving and medical diagnostics.

We propose MM-Vet, an evaluation benchmark that examines large multimodal models (LMMs) on complicated multimodal tasks. Recent LMMs have shown various intriguing abilities, such as solving math problems written on the blackboard, reasoning about events and celebrities in news images, and explaining visual jokes. Rapid model advancements pose challenges to evaluation benchmark development. Problems include: (1) How to systematically structure and evaluate the complicated multimodal tasks; (2) How to design evaluation metrics that work well across question and answer types; and (3) How to give model insights beyond a simple performance ranking. To this end, we present MM-Vet, designed based on the insight that the intriguing ability to solve complicated tasks is often achieved by a generalist model being able to integrate different core vision-language (VL) capabilities. MM-Vet defines 6 core VL capabilities and examines the 16 integrations of interest derived from the capability combination. For evaluation metrics, we propose an LLM-based evaluator for open-ended outputs. The evaluator enables the evaluation across different question types and answer styles, resulting in a unified scoring metric. We evaluate representative LMMs on MM-Vet, providing insights into the capabilities of different LMM system paradigms and models. Code and data are available at https://github.com/yuweihao/MM-Vet.

We propose MM-REACT, a system paradigm that integrates ChatGPT with a pool of vision experts to achieve multimodal reasoning and action. In this paper, we define and explore a comprehensive list of advanced vision tasks that are intriguing to solve, but may exceed the capabilities of existing vision and vision-language models. To achieve such advanced visual intelligence, MM-REACT introduces a textual prompt design that can represent text descriptions, textualized spatial coordinates, and aligned file names for dense visual signals such as images and videos. MM-REACT's prompt design allows language models to accept, associate, and process multimodal information, thereby facilitating the synergetic combination of ChatGPT and various vision experts. Zero-shot experiments demonstrate MM-REACT's effectiveness in addressing the specified capabilities of interests and its wide application in different scenarios that require advanced visual understanding. Furthermore, we discuss and compare MM-REACT's system paradigm with an alternative approach that extends language models for multimodal scenarios through joint finetuning. Code, demo, video, and visualization are available at https://multimodal-react.github.io/

Identifying cell types and understanding their functional properties is crucial for unraveling the mechanisms underlying perception and cognition. In the retina, functional types can be identified by carefully selected stimuli, but this requires expert domain knowledge and biases the procedure towards previously known cell types. In the visual cortex, it is still unknown what functional types exist and how to identify them. Thus, for unbiased identification of the functional cell types in retina and visual cortex, new approaches are needed. Here we propose an optimization-based clustering approach using deep predictive models to obtain functional clusters of neurons using Most Discriminative Stimuli (MDS). Our approach alternates between stimulus optimization with cluster reassignment akin to an expectation-maximization algorithm. The algorithm recovers functional clusters in mouse retina, marmoset retina and macaque visual area V4. This demonstrates that our approach can successfully find discriminative stimuli across species, stages of the visual system and recording techniques. The resulting most discriminative stimuli can be used to assign functional cell types fast and on the fly, without the need to train complex predictive models or show a large natural scene dataset, paving the way for experiments that were previously limited by experimental time. Crucially, MDS are interpretable: they visualize the distinctive stimulus patterns that most unambiguously identify a specific type of neuron.

Recent advancements in Large Language Models (LLMs) have demonstrated enhanced reasoning capabilities, evolving from Chain-of-Thought (CoT) prompting to advanced, product-oriented solutions like OpenAI o1. During our re-implementation of this model, we noticed that in multimodal tasks requiring visual input (e.g., geometry problems), Multimodal LLMs (MLLMs) struggle to maintain focus on the visual information, in other words, MLLMs suffer from a gradual decline in attention to visual information as reasoning progresses, causing text-over-relied outputs. To investigate this, we ablate image inputs during long-chain reasoning. Concretely, we truncate the reasoning process midway, then re-complete the reasoning process with the input image removed. We observe only a ~2% accuracy drop on MathVista's test-hard subset, revealing the model's textual outputs dominate the following reasoning process. Motivated by this, we propose Take-along Visual Conditioning (TVC), a strategy that shifts image input to critical reasoning stages and compresses redundant visual tokens via dynamic pruning. This methodology helps the model retain attention to the visual components throughout the reasoning. Our approach achieves state-of-the-art performance on average across five mathematical reasoning benchmarks (+3.4% vs previous sota), demonstrating the effectiveness of TVC in enhancing multimodal reasoning systems.

Accurate retinal vessel (RV) segmentation is a crucial step in the quantitative assessment of retinal vasculature, which is needed for the early detection of retinal diseases and other conditions. Numerous studies have been conducted to tackle the problem of segmenting vessels automatically using a pixel-wise classification approach. The common practice of creating ground truth labels is to categorize pixels as foreground and background. This approach is, however, biased, and it ignores the uncertainty of a human annotator when it comes to annotating e.g. thin vessels. In this work, we propose a simple and effective method that casts the RV segmentation task as an image-level regression. For this purpose, we first introduce a novel Segmentation Annotation Uncertainty-Aware (SAUNA) transform, which adds pixel uncertainty to the ground truth using the pixel's closeness to the annotation boundary and vessel thickness. To train our model with soft labels, we generalize the earlier proposed Jaccard metric loss to arbitrary hypercubes for soft Jaccard index (Intersection-over-Union) optimization. Additionally, we employ a stable version of the Focal-L1 loss for pixel-wise regression. We conduct thorough experiments and compare our method to a diverse set of baselines across 5 retinal image datasets. Our empirical results indicate that the integration of the SAUNA transform and these segmentation losses led to significant performance boosts for different segmentation models. Particularly, our methodology enables UNet-like architectures to substantially outperform computational-intensive baselines. Our implementation is available at https://github.com/Oulu-IMEDS/SAUNA.

Although large visual-language models (LVLMs) have demonstrated strong performance in multimodal tasks, errors may occasionally arise due to biases during the reasoning process. Recently, reward models (RMs) have become increasingly pivotal in the reasoning process. Specifically, process RMs evaluate each reasoning step, outcome RMs focus on the assessment of reasoning results, and critique RMs perform error analysis on the entire reasoning process, followed by corrections. However, existing benchmarks for vision-language RMs (VLRMs) typically assess only a single aspect of their capabilities (e.g., distinguishing between two answers), thus limiting the all-round evaluation and restricting the development of RMs in the visual-language domain. To address this gap, we propose a comprehensive and challenging benchmark, dubbed as VLRMBench, encompassing 12,634 questions. VLRMBench is constructed based on three distinct types of datasets, covering mathematical reasoning, hallucination understanding, and multi-image understanding. We design 12 tasks across three major categories, focusing on evaluating VLRMs in the aspects of process understanding, outcome judgment, and critique generation. Extensive experiments are conducted on 21 open-source models and 5 advanced closed-source models, highlighting the challenges posed by VLRMBench. For instance, in the `Forecasting Future', a binary classification task, the advanced GPT-4o achieves only a 76.0% accuracy. Additionally, we perform comprehensive analytical studies, offering valuable insights for the future development of VLRMs. We anticipate that VLRMBench will serve as a pivotal benchmark in advancing VLRMs. Code and datasets will be available at https://github.com/JCruan519/VLRMBench.

Reinforcement Learning (RL) has proven to be an effective post-training strategy for enhancing reasoning in vision-language models (VLMs). Group Relative Policy Optimization (GRPO) is a recent prominent method that encourages models to generate complete reasoning traces before answering, leading to increased token usage and computational cost. Inspired by the human-like thinking process-where people skip reasoning for easy questions but think carefully when needed-we explore how to enable VLMs to first decide when reasoning is necessary. To realize this, we propose TON, a two-stage training strategy: (i) a supervised fine-tuning (SFT) stage with a simple yet effective 'thought dropout' operation, where reasoning traces are randomly replaced with empty thoughts. This introduces a think-or-not format that serves as a cold start for selective reasoning; (ii) a GRPO stage that enables the model to freely explore when to think or not, while maximizing task-aware outcome rewards. Experimental results show that TON can reduce the completion length by up to 90% compared to vanilla GRPO, without sacrificing performance or even improving it. Further evaluations across diverse vision-language tasks-covering a range of reasoning difficulties under both 3B and 7B models-consistently reveal that the model progressively learns to bypass unnecessary reasoning steps as training advances. These findings shed light on the path toward human-like reasoning patterns in reinforcement learning approaches. Our code is available at https://github.com/kokolerk/TON.

With the continuous advancement of large language models (LLMs), it is essential to create new benchmarks to effectively evaluate their expanding capabilities and identify areas for improvement. This work focuses on multi-image reasoning, an emerging capability in state-of-the-art LLMs. We introduce ReMI, a dataset designed to assess LLMs' ability to Reason with Multiple Images. This dataset encompasses a diverse range of tasks, spanning various reasoning domains such as math, physics, logic, code, table/chart understanding, and spatial and temporal reasoning. It also covers a broad spectrum of characteristics found in multi-image reasoning scenarios. We have benchmarked several cutting-edge LLMs using ReMI and found a substantial gap between their performance and human-level proficiency. This highlights the challenges in multi-image reasoning and the need for further research. Our analysis also reveals the strengths and weaknesses of different models, shedding light on the types of reasoning that are currently attainable and areas where future models require improvement. To foster further research in this area, we are releasing ReMI publicly: https://huggingface.co/datasets/mehrankazemi/ReMI.

Large language models (LLMs) and multimodal large language models (MLLMs) have significantly advanced artificial intelligence. However, visual reasoning, reasoning involving both visual and textual inputs, remains underexplored. Recent advancements, including the reasoning models like OpenAI o1 and Gemini 2.0 Flash Thinking, which incorporate image inputs, have opened this capability. In this ongoing work, we focus specifically on photography-related tasks because a photo is a visual snapshot of the physical world where the underlying physics (i.e., illumination, blur extent, etc.) interplay with the camera parameters. Successfully reasoning from the visual information of a photo to identify these numerical camera settings requires the MLLMs to have a deeper understanding of the underlying physics for precise visual comprehension, representing a challenging and intelligent capability essential for practical applications like photography assistant agents. We aim to evaluate MLLMs on their ability to distinguish visual differences related to numerical camera settings, extending a methodology previously proposed for vision-language models (VLMs). Our preliminary results demonstrate the importance of visual reasoning in photography-related tasks. Moreover, these results show that no single MLLM consistently dominates across all evaluation tasks, demonstrating ongoing challenges and opportunities in developing MLLMs with better visual reasoning.

The caliber and configuration of retinal blood vessels serve as important biomarkers for various diseases and medical conditions. A thorough analysis of the retinal vasculature requires the segmentation of the blood vessels and their classification into arteries and veins, typically performed on color fundus images obtained by retinography. However, manually performing these tasks is labor-intensive and prone to human error. While several automated methods have been proposed to address this task, the current state of art faces challenges due to manifest classification errors affecting the topological consistency of segmentation maps. In this work, we introduce RRWNet, a novel end-to-end deep learning framework that addresses this limitation. The framework consists of a fully convolutional neural network that recursively refines semantic segmentation maps, correcting manifest classification errors and thus improving topological consistency. In particular, RRWNet is composed of two specialized subnetworks: a Base subnetwork that generates base segmentation maps from the input images, and a Recursive Refinement subnetwork that iteratively and recursively improves these maps. Evaluation on three different public datasets demonstrates the state-of-the-art performance of the proposed method, yielding more topologically consistent segmentation maps with fewer manifest classification errors than existing approaches. In addition, the Recursive Refinement module within RRWNet proves effective in post-processing segmentation maps from other methods, further demonstrating its potential. The model code, weights, and predictions will be publicly available at https://github.com/j-morano/rrwnet.

Reasoning has emerged as a pivotal capability in Large Language Models (LLMs). Through Reinforcement Learning (RL), typically Group Relative Policy Optimization (GRPO), these models are able to solve complex tasks such as mathematics and code generation. Building on these advances, recent research has sought to extend reasoning to Vision-Language Models (VLMs), yielding promising results across diverse visual tasks. Despite this progress, our study uncovers the dual nature of multimodal reasoning: while it substantially enhances logical inference and facilitates performance on challenging problems, it may gradually impair perceptual grounding, leading to recognition failures on otherwise basic visual questions. Through further analysis, we attribute this phenomenon to visual forgetting, wherein prolonged reasoning causes the model to increasingly disregard visual input. To address this, we propose Vision-Anchored Policy Optimization (VAPO), a simple yet effective method that explicitly steers the reasoning process toward visually grounded trajectories. Our result model, VAPO-Thinker-7B, significantly strengthens the model's reliance on visual information and achieves new state-of-the-art results on a wide range of established benchmarks. Project page: https://xytian1008.github.io/VAPO/

Visual retrieval-augmented generation (VRAG) augments vision-language models (VLMs) with external visual knowledge to ground reasoning and reduce hallucinations. Yet current VRAG systems often fail to reliably perceive and integrate evidence across multiple images, leading to weak grounding and erroneous conclusions. In this paper, we propose EVisRAG, an end-to-end framework that learns to reason with evidence-guided multi-image to address this issue. The model first observes retrieved images and records per-image evidence, then derives the final answer from the aggregated evidence. To train EVisRAG effectively, we introduce Reward-Scoped Group Relative Policy Optimization (RS-GRPO), which binds fine-grained rewards to scope-specific tokens to jointly optimize visual perception and reasoning abilities of VLMs. Experimental results on multiple visual question answering benchmarks demonstrate that EVisRAG delivers substantial end-to-end gains over backbone VLM with 27\% improvements on average. Further analysis shows that, powered by RS-GRPO, EVisRAG improves answer accuracy by precisely perceiving and localizing question-relevant evidence across multiple images and deriving the final answer from that evidence, much like a real detective.

Multimodal Large Language Models (MLLMs) exhibit impressive performance across various visual tasks. Subsequent investigations into enhancing their visual reasoning abilities have significantly expanded their performance envelope. However, a critical bottleneck in the advancement of MLLMs toward deep visual reasoning is their heavy reliance on curated image-text supervision. To solve this problem, we introduce a novel framework, ``Reasoning-Rendering-Visual-Feedback'' (RRVF), that enables MLLMs to learn complex visual reasoning from only raw images. This framework builds on the ``Asymmetry of Verification'' principle, i.e., verifying the rendered output against the source image is substantially easier than performing deep visual reasoning to generate a faithful, structured representation such as code. We demonstrate that this relative ease provides an ideal reward signal for optimization via Reinforcement Learning (RL), thereby reducing reliance on image-text supervision. RRVF implements a closed-loop iterative process encompassing reasoning, rendering, and visual feedback components, enabling the model to perform complex reasoning, including self-correction through multi-turn interactions. This process is optimized end-to-end using the GRPO algorithm. Extensive evaluations are conducted on image-to-code generation across two diverse domains: data charts and web interfaces. The RRVF-trained model not only outperforms existing similarly sized open-source MLLMs and supervised fine-tuning baselines but also exhibits superior generalization. Notably, the model outperforms the more advanced MLLM used to generate visual feedback during training. Code is available at https://github.com/L-O-I/RRVF.

Despite significant advancements in multimodal reasoning tasks, existing Large Vision-Language Models (LVLMs) are prone to producing visually ungrounded responses when interpreting associated images. In contrast, when humans embark on learning new knowledge, they often rely on a set of fundamental pre-study principles: reviewing outlines to grasp core concepts, summarizing key points to guide their focus and enhance understanding. However, such preparatory actions are notably absent in the current instruction tuning processes. This paper presents Re-Critic, an easily scalable rationale-augmented framework designed to incorporate fundamental rules and chain-of-thought (CoT) as a bridge to enhance reasoning abilities. Specifically, Re-Critic develops a visual rationale synthesizer that scalably augments raw instructions with rationale explanation. To probe more contextually grounded responses, Re-Critic employs an in-context self-critic mechanism to select response pairs for preference tuning. Experiments demonstrate that models fine-tuned with our rationale-augmented dataset yield gains that extend beyond hallucination-specific tasks to broader multimodal reasoning tasks.

Achieving human-like perception and reasoning in Multimodal Large Language Models (MLLMs) remains a central challenge in artificial intelligence. While recent research has primarily focused on enhancing reasoning capabilities in MLLMs, a fundamental question persists: Can Multimodal Large Language Models truly perceive the world as humans do? This paper shifts focus from reasoning to perception. Rather than constructing benchmarks specifically for reasoning, we introduce the Turing Eye Test (TET), a challenging perception-oriented benchmark comprising four diagnostic tasks that evaluate MLLMs' performance on synthetic images that humans process intuitively. Our findings reveal that state-of-the-art MLLMs exhibit catastrophic failures on our perceptual tasks trivial for humans. Both in-context learning and training on language backbone-effective for previous benchmarks-fail to improve performance on our tasks, while fine-tuning the vision tower enables rapid adaptation, suggesting that our benchmark poses challenges for vision tower generalization rather than for the knowledge and reasoning capabilities of the language backbone-a key gap between current MLLMs and human perception. We release a representative subset of TET tasks in this version, and will introduce more diverse tasks and methods to enhance visual generalization in future work.

Reinforcement learning (RL) has proven highly effective in eliciting the reasoning capabilities of large language models (LLMs). Inspired by this success, recent studies have explored applying similar techniques to vision-language models (VLMs), aiming to enhance their reasoning performance. However, directly transplanting RL methods from LLMs to VLMs is suboptimal, as the tasks faced by VLMs are inherently more complex. Specifically, VLMs must first accurately perceive and understand visual inputs before reasoning can be effectively performed. To address this challenge, we propose a two-stage reinforcement learning framework designed to jointly enhance both the perceptual and reasoning capabilities of VLMs. To mitigate the vanishing advantage issue commonly observed in RL training, we first perform dataset-level sampling to selectively strengthen specific capabilities using distinct data sources. During training, the first stage focuses on improving the model's visual perception through coarse- and fine-grained visual understanding, while the second stage targets the enhancement of reasoning abilities. After the proposed two-stage reinforcement learning process, we obtain PeBR-R1, a vision-language model with significantly enhanced perceptual and reasoning capabilities. Experimental results on seven benchmark datasets demonstrate the effectiveness of our approach and validate the superior performance of PeBR-R1 across diverse visual reasoning tasks.

Glaucoma is the number one cause of irreversible blindness globally. A major challenge for accurate glaucoma detection and progression forecasting is the bottleneck of limited labeled patients with the state-of-the-art (SOTA) 3D retinal imaging data of optical coherence tomography (OCT). To address the data scarcity issue, this paper proposes two solutions. First, we develop a novel generalization-reinforced semi-supervised learning (SSL) model called pseudo supervisor to optimally utilize unlabeled data. Compared with SOTA models, the proposed pseudo supervisor optimizes the policy of predicting pseudo labels with unlabeled samples to improve empirical generalization. Our pseudo supervisor model is evaluated with two clinical tasks consisting of glaucoma detection and progression forecasting. The progression forecasting task is evaluated both unimodally and multimodally. Our pseudo supervisor model demonstrates superior performance than SOTA SSL comparison models. Moreover, our model also achieves the best results on the publicly available LAG fundus dataset. Second, we introduce the Harvard Glaucoma Detection and Progression (Harvard-GDP) Dataset, a multimodal multitask dataset that includes data from 1,000 patients with OCT imaging data, as well as labels for glaucoma detection and progression. This is the largest glaucoma detection dataset with 3D OCT imaging data and the first glaucoma progression forecasting dataset that is publicly available. Detailed sex and racial analysis are provided, which can be used by interested researchers for fairness learning studies. Our released dataset is benchmarked with several SOTA supervised CNN and transformer deep learning models. The dataset and code are made publicly available via https://ophai.hms.harvard.edu/datasets/harvard-gdp1000.

Reasoning-augmented machine learning systems have shown improved performance in various domains, including image generation. However, existing reasoning-based methods for image generation either restrict reasoning to a single modality (image or text) or rely on high-quality reasoning data for fine-tuning. To tackle these limitations, we propose MILR, a test-time method that jointly reasons over image and text in a unified latent vector space. Reasoning in MILR is performed by searching through vector representations of discrete image and text tokens. Practically, this is implemented via the policy gradient method, guided by an image quality critic. We instantiate MILR within the unified multimodal understanding and generation (MUG) framework that natively supports language reasoning before image synthesis and thus facilitates cross-modal reasoning. The intermediate model outputs, which are to be optimized, serve as the unified latent space, enabling MILR to operate entirely at test time. We evaluate MILR on GenEval, T2I-CompBench, and WISE, achieving state-of-the-art results on all benchmarks. Notably, on knowledge-intensive WISE, MILR attains an overall score of 0.63, improving over the baseline by 80%. Our further analysis indicates that joint reasoning in the unified latent space is the key to its strong performance. Moreover, our qualitative studies reveal MILR's non-trivial ability in temporal and cultural reasoning, highlighting the efficacy of our reasoning method.

We respond to the recent paper by Makelov et al. (2023), which reviews subspace interchange intervention methods like distributed alignment search (DAS; Geiger et al. 2023) and claims that these methods potentially cause "interpretability illusions". We first review Makelov et al. (2023)'s technical notion of what an "interpretability illusion" is, and then we show that even intuitive and desirable explanations can qualify as illusions in this sense. As a result, their method of discovering "illusions" can reject explanations they consider "non-illusory". We then argue that the illusions Makelov et al. (2023) see in practice are artifacts of their training and evaluation paradigms. We close by emphasizing that, though we disagree with their core characterization, Makelov et al. (2023)'s examples and discussion have undoubtedly pushed the field of interpretability forward.

We present synthetic light curves and spectra from three-dimensional (3D) Monte Carlo radiative transfer simulations based on a 3D core-collapse supernova explosion model of an ultra-stripped 3.5,M_{odot} progenitor. Our calculations predict a fast and faint transient with Delta m_{15} sim 1- 2,mag and peak bolometric luminosity between -15.3,mag and -16.4,mag. Due to a large-scale unipolar asymmetry in the distribution of ^{56}Ni, there is a pronounced viewing-angle dependence with about 1,mag difference between the directions of highest and lowest luminosity. The predicted spectra for this rare class of explosions do not yet match any observed counterpart. They are dominated by prominent Mg~II lines, but features from O, C, Si, and Ca are also found. In particular, the O~I line at 7{774} appears as a blended feature together with Mg~II emission. Our model is not only faster and fainter than the observed Ib/c supernova population, but also shows a correlation between higher peak luminosity and larger Delta m_{15} that is not present in observational samples. A possible explanation is that the unusually small ejecta mass of our model accentuates the viewing-angle dependence of the photometry. We suggest that the viewing-angle dependence of the photometry may be used to constrain asymmetries in explosion models of more typical stripped-envelope supernova progenitors in future.

Vision language models (VLMs) have achieved impressive performance across a variety of computer vision tasks. However, the multimodal reasoning capability has not been fully explored in existing models. In this paper, we propose a Chain-of-Focus (CoF) method that allows VLMs to perform adaptive focusing and zooming in on key image regions based on obtained visual cues and the given questions, achieving efficient multimodal reasoning. To enable this CoF capability, we present a two-stage training pipeline, including supervised fine-tuning (SFT) and reinforcement learning (RL). In the SFT stage, we construct the MM-CoF dataset, comprising 3K samples derived from a visual agent designed to adaptively identify key regions to solve visual tasks with different image resolutions and questions. We use MM-CoF to fine-tune the Qwen2.5-VL model for cold start. In the RL stage, we leverage the outcome accuracies and formats as rewards to update the Qwen2.5-VL model, enabling further refining the search and reasoning strategy of models without human priors. Our model achieves significant improvements on multiple benchmarks. On the V* benchmark that requires strong visual reasoning capability, our model outperforms existing VLMs by 5% among 8 image resolutions ranging from 224 to 4K, demonstrating the effectiveness of the proposed CoF method and facilitating the more efficient deployment of VLMs in practical applications.

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

We present a framework for perspective-aware reasoning in vision-language models (VLMs) through mental imagery simulation. Perspective-taking, the ability to perceive an environment or situation from an alternative viewpoint, is a key benchmark for human-level visual understanding, essential for environmental interaction and collaboration with autonomous agents. Despite advancements in spatial reasoning within VLMs, recent research has shown that modern VLMs significantly lack perspective-aware reasoning capabilities and exhibit a strong bias toward egocentric interpretations. To bridge the gap between VLMs and human perception, we focus on the role of mental imagery, where humans perceive the world through abstracted representations that facilitate perspective shifts. Motivated by this, we propose a framework for perspective-aware reasoning, named Abstract Perspective Change (APC), that effectively leverages vision foundation models, such as object detection, segmentation, and orientation estimation, to construct scene abstractions and enable perspective transformations. Our experiments on synthetic and real-image benchmarks, compared with various VLMs, demonstrate significant improvements in perspective-aware reasoning with our framework, further outperforming fine-tuned spatial reasoning models and novel-view-synthesis-based approaches.

Reasoning capabilities have significantly improved the performance of vision-language models (VLMs) in domains such as mathematical problem-solving, coding, and visual question-answering. However, their impact on real-world applications remains unclear. This paper presents the first empirical study on the effectiveness of reasoning-enabled VLMs in mobile GUI agents, a domain that requires interpreting complex screen layouts, understanding user instructions, and executing multi-turn interactions. We evaluate two pairs of commercial models--Gemini 2.0 Flash and Claude 3.7 Sonnet--comparing their base and reasoning-enhanced versions across two static benchmarks (ScreenSpot and AndroidControl) and one interactive environment (AndroidWorld). We surprisingly find the Claude 3.7 Sonnet reasoning model achieves state-of-the-art performance on AndroidWorld. However, reasoning VLMs generally offer marginal improvements over non-reasoning models on static benchmarks and even degrade performance in some agent setups. Notably, reasoning and non-reasoning VLMs fail on different sets of tasks, suggesting that reasoning does have an impact, but its benefits and drawbacks counterbalance each other. We attribute these inconsistencies to the limitations of benchmarks and VLMs. Based on the findings, we provide insights for further enhancing mobile GUI agents in terms of benchmarks, VLMs, and their adaptability in dynamically invoking reasoning VLMs. The experimental data are publicly available at https://github.com/LlamaTouch/VLM-Reasoning-Traces.

Despite notable advancements in multimodal reasoning, leading Multimodal Large Language Models (MLLMs) still underperform on vision-centric multimodal reasoning tasks in general scenarios. This shortfall stems from their predominant reliance on logic- and knowledge-based slow thinking strategies, while effective for domains like math and science, fail to integrate visual information effectively during reasoning. Consequently, these models often fail to adequately ground visual cues, resulting in suboptimal performance in tasks that require multiple plausible visual interpretations and inferences. To address this, we present GThinker (General Thinker), a novel reasoning MLLM excelling in multimodal reasoning across general scenarios, mathematics, and science. GThinker introduces Cue-Rethinking, a flexible reasoning pattern that grounds inferences in visual cues and iteratively reinterprets these cues to resolve inconsistencies. Building on this pattern, we further propose a two-stage training pipeline, including pattern-guided cold start and incentive reinforcement learning, designed to enable multimodal reasoning capabilities across domains. Furthermore, to support the training, we construct GThinker-11K, comprising 7K high-quality, iteratively-annotated reasoning paths and 4K curated reinforcement learning samples, filling the data gap toward general multimodal reasoning. Extensive experiments demonstrate that GThinker achieves 81.5% on the challenging comprehensive multimodal reasoning benchmark M^3CoT, surpassing the latest O4-mini model. It also shows an average improvement of 2.1% on general scenario multimodal reasoning benchmarks, while maintaining on-par performance in mathematical reasoning compared to counterpart advanced reasoning models. The code, model, and data will be released soon at https://github.com/jefferyZhan/GThinker.

Recently, large language and vision models (LLVMs) have received significant attention and development efforts due to their remarkable generalization performance across a wide range of tasks requiring perception and cognitive abilities. A key factor behind their success is their simple architecture, which consists of a vision encoder, a projector, and a large language model (LLM). Despite their achievements in advanced reasoning tasks, their performance on fundamental perception-related tasks (e.g., MMVP) remains surprisingly low. This discrepancy raises the question of how LLVMs truly perceive images and exploit the advantages of the vision encoder. To address this, we systematically investigate this question regarding several aspects: permutation invariance, robustness, math reasoning, alignment preserving and importance, by evaluating the most common LLVM's families (i.e., LLaVA) across 10 evaluation benchmarks. Our extensive experiments reveal several intriguing properties of current LLVMs: (1) they internally process the image in a global manner, even when the order of visual patch sequences is randomly permuted; (2) they are sometimes able to solve math problems without fully perceiving detailed numerical information; (3) the cross-modal alignment is overfitted to complex reasoning tasks, thereby, causing them to lose some of the original perceptual capabilities of their vision encoder; (4) the representation space in the lower layers (<25%) plays a crucial role in determining performance and enhancing visual understanding. Lastly, based on the above observations, we suggest potential future directions for building better LLVMs and constructing more challenging evaluation benchmarks.

We propose a novel framework for retinal feature point alignment, designed for learning cross-modality features to enhance matching and registration across multi-modality retinal images. Our model draws on the success of previous learning-based feature detection and description methods. To better leverage unlabeled data and constrain the model to reproduce relevant keypoints, we integrate a keypoint-based segmentation task. It is trained in a self-supervised manner by enforcing segmentation consistency between different augmentations of the same image. By incorporating a keypoint augmented self-supervised layer, we achieve robust feature extraction across modalities. Extensive evaluation on two public datasets and one in-house dataset demonstrates significant improvements in performance for modality-agnostic retinal feature alignment. Our code and model weights are publicly available at https://github.com/MedICL-VU/RetinaIPA.

Large Language Models (LLMs) have showcased exceptional ability in causal reasoning from textual information. However, will these causalities remain straightforward for Vision Large Language Models (VLLMs) when only visual hints are provided? Motivated by this, we propose a novel Multimodal Causal Reasoning benchmark, namely MuCR, to challenge VLLMs to infer semantic cause-and-effect relationship when solely relying on visual cues such as action, appearance, clothing, and environment. Specifically, we introduce a prompt-driven image synthesis approach to create siamese images with embedded semantic causality and visual cues, which can effectively evaluate VLLMs' causal reasoning capabilities. Additionally, we develop tailored metrics from multiple perspectives, including image-level match, phrase-level understanding, and sentence-level explanation, to comprehensively assess VLLMs' comprehension abilities. Our extensive experiments reveal that the current state-of-the-art VLLMs are not as skilled at multimodal causal reasoning as we might have hoped. Furthermore, we perform a comprehensive analysis to understand these models' shortcomings from different views and suggest directions for future research. We hope MuCR can serve as a valuable resource and foundational benchmark in multimodal causal reasoning research. The project is available at: https://github.com/Zhiyuan-Li-John/MuCR

Automated segmentation of retinal optical coherence tomography (OCT) images has become an important recent direction in machine learning for medical applications. We hypothesize that the anatomic structure of layers and their high-frequency variation in OCT images make retinal OCT a fitting choice for extracting spectral-domain features and combining them with spatial domain features. In this work, we present Upsilon-Net, an architecture that combines the frequency domain features with the image domain to improve the segmentation performance of OCT images. The results of this work demonstrate that the introduction of two branches, one for spectral and one for spatial domain features, brings a very significant improvement in fluid segmentation performance and allows outperformance as compared to the well-known U-Net model. Our improvement was 13% on the fluid segmentation dice score and 1.9% on the average dice score. Finally, removing selected frequency ranges in the spectral domain demonstrates the impact of these features on the fluid segmentation outperformance.

Vision-Language Models (VLMs) combine visual perception with the general capabilities, such as reasoning, of Large Language Models (LLMs). However, the mechanisms by which these two abilities can be combined and contribute remain poorly understood. In this work, we explore to compose perception and reasoning through model merging that connects parameters of different models. Unlike previous works that often focus on merging models of the same kind, we propose merging models across modalities, enabling the incorporation of the reasoning capabilities of LLMs into VLMs. Through extensive experiments, we demonstrate that model merging offers a successful pathway to transfer reasoning abilities from LLMs to VLMs in a training-free manner. Moreover, we utilize the merged models to understand the internal mechanism of perception and reasoning and how merging affects it. We find that perception capabilities are predominantly encoded in the early layers of the model, whereas reasoning is largely facilitated by the middle-to-late layers. After merging, we observe that all layers begin to contribute to reasoning, whereas the distribution of perception abilities across layers remains largely unchanged. These observations shed light on the potential of model merging as a tool for multimodal integration and interpretation.

In the field of multimodal chain-of-thought (CoT) reasoning, existing approaches predominantly rely on reasoning on pure language space, which inherently suffers from language bias and is largely confined to math or science domains. This narrow focus limits their ability to handle complex visual reasoning tasks that demand comprehensive understanding of image details. To address these limitations, this paper introduces VGR, a novel reasoning multimodal large language model (MLLM) with enhanced fine-grained visual perception capabilities. Unlike traditional MLLMs that answer the question or reasoning solely on the language space, our VGR first detects relevant regions that may help to solve problems, and then provides precise answers based on replayed image regions. To achieve this, we conduct a large-scale SFT dataset called VGR -SFT that contains reasoning data with mixed vision grounding and language deduction. The inference pipeline of VGR allows the model to choose bounding boxes for visual reference and a replay stage is introduced to integrates the corresponding regions into the reasoning process, enhancing multimodel comprehension. Experiments on the LLaVA-NeXT-7B baseline show that VGR achieves superior performance on multi-modal benchmarks requiring comprehensive image detail understanding. Compared to the baseline, VGR uses only 30\% of the image token count while delivering scores of +4.1 on MMStar, +7.1 on AI2D, and a +12.9 improvement on ChartQA.

Despite the impressive performance of vision-language models (VLMs) on downstream tasks, their ability to understand and reason about causal relationships in visual inputs remains unclear. Robust causal reasoning is fundamental to solving complex high-level reasoning tasks, yet existing benchmarks often include a mixture of reasoning questions, and VLMs can frequently exploit object recognition and activity identification as shortcuts to arrive at the correct answers, making it challenging to truly assess their causal reasoning abilities. To bridge this gap, we introduce VQA-Causal and VCR-Causal, two new benchmarks specifically designed to isolate and rigorously evaluate VLMs' causal reasoning abilities. Our findings reveal that while VLMs excel in object and activity recognition, they perform poorly on causal reasoning tasks, often only marginally surpassing random guessing. Further analysis suggests that this limitation stems from a severe lack of causal expressions in widely used training datasets, where causal relationships are rarely explicitly conveyed. We additionally explore fine-tuning strategies with hard negative cases, showing that targeted fine-tuning can improve model's causal reasoning while maintaining generalization and downstream performance. Our study highlights a key gap in current VLMs and lays the groundwork for future work on causal understanding.

Multimodal reasoning aims to enhance the capabilities of MLLMs by incorporating intermediate reasoning steps before reaching the final answer. It has evolved from text-only reasoning to the integration of visual information, enabling the thought process to be conveyed through both images and text. Despite its effectiveness, current multimodal reasoning methods depend on explicit reasoning steps that require labor-intensive vision-text annotations and inherently introduce significant inference latency. To address these issues, we introduce multimodal latent reasoning with the advantages of multimodal representation, reduced annotation, and inference efficiency. To facilicate it, we propose Interleaved Vision-Text Latent Reasoning (IVT-LR), which injects both visual and textual information in the reasoning process within the latent space. Specifically, IVT-LR represents each reasoning step by combining two implicit parts: latent text (the hidden states from the previous step) and latent vision (a set of selected image embeddings). We further introduce a progressive multi-stage training strategy to enable MLLMs to perform the above multimodal latent reasoning steps. Experiments on M3CoT and ScienceQA demonstrate that our IVT-LR method achieves an average performance increase of 5.45% in accuracy, while simultaneously achieving a speed increase of over 5 times compared to existing approaches. Code available at https://github.com/FYYDCC/IVT-LR.

Deep reasoning is fundamental for solving complex tasks, especially in vision-centric scenarios that demand sequential, multimodal understanding. However, existing benchmarks typically evaluate agents with fully synthetic, single-turn queries, limited visual modalities, and lack a framework to assess reasoning quality over multiple steps as required in real-world settings. To address this, we introduce Agent-X, a large-scale benchmark for evaluating vision-centric agents multi-step and deep reasoning capabilities in real-world, multimodal settings. Agent- X features 828 agentic tasks with authentic visual contexts, including images, multi-image comparisons, videos, and instructional text. These tasks span six major agentic environments: general visual reasoning, web browsing, security and surveillance, autonomous driving, sports, and math reasoning. Our benchmark requires agents to integrate tool use with explicit, stepwise decision-making in these diverse settings. In addition, we propose a fine-grained, step-level evaluation framework that assesses the correctness and logical coherence of each reasoning step and the effectiveness of tool usage throughout the task. Our results reveal that even the best-performing models, including GPT, Gemini, and Qwen families, struggle to solve multi-step vision tasks, achieving less than 50% full-chain success. These findings highlight key bottlenecks in current LMM reasoning and tool-use capabilities and identify future research directions in vision-centric agentic reasoning models. Our data and code are publicly available at https://github.com/mbzuai-oryx/Agent-X

Visual reasoning is a core component of human intelligence and a critical capability for advanced multimodal models. Yet current reasoning evaluations of multimodal large language models (MLLMs) often rely on text descriptions and allow language-based reasoning shortcuts, failing to measure genuine vision-centric reasoning. To address this, we introduce VisuLogic: a benchmark of 1,000 human-verified problems across six categories (e.g., quantitative shifts, spatial relations, attribute comparisons). These various types of questions can be evaluated to assess the visual reasoning capabilities of MLLMs from multiple perspectives. We evaluate leading MLLMs on this benchmark and analyze their results to identify common failure modes. Most models score below 30% accuracy-only slightly above the 25% random baseline and far below the 51.4% achieved by humans-revealing significant gaps in visual reasoning. Furthermore, we provide a supplementary training dataset and a reinforcement-learning baseline to support further progress.

Programming often involves converting detailed and complex specifications into code, a process during which developers typically utilize visual aids to more effectively convey concepts. While recent developments in Large Multimodal Models have demonstrated remarkable abilities in visual reasoning and mathematical tasks, there is little work on investigating whether these models can effectively interpret visual elements for code generation. To this end, we present MMCode, the first multi-modal coding dataset for evaluating algorithmic problem-solving skills in visually rich contexts. MMCode contains 3,548 questions and 6,620 images collected from real-world programming challenges harvested from 10 code competition websites, presenting significant challenges due to the extreme demand for reasoning abilities. Our experiment results show that current state-of-the-art models struggle to solve these problems. The results highlight the lack of powerful vision-code models, and we hope MMCode can serve as an inspiration for future works in this domain. The data and code are publicly available at https://github.com/happylkx/MMCode.

The sequential structure of videos poses a challenge to the ability of multimodal large language models (MLLMs) to locate multi-frame evidence and conduct multimodal reasoning. However, existing video benchmarks mainly focus on understanding tasks, which only require models to match frames mentioned in the question (hereafter referred to as "question frame") and perceive a few adjacent frames. To address this gap, we propose MMR-V: A Benchmark for Multimodal Deep Reasoning in Videos. The benchmark is characterized by the following features. (1) Long-range, multi-frame reasoning: Models are required to infer and analyze evidence frames that may be far from the question frame. (2) Beyond perception: Questions cannot be answered through direct perception alone but require reasoning over hidden information. (3) Reliability: All tasks are manually annotated, referencing extensive real-world user understanding to align with common perceptions. (4) Confusability: Carefully designed distractor annotation strategies to reduce model shortcuts. MMR-V consists of 317 videos and 1,257 tasks. Our experiments reveal that current models still struggle with multi-modal reasoning; even the best-performing model, o4-mini, achieves only 52.5% accuracy. Additionally, current reasoning enhancement strategies (Chain-of-Thought and scaling test-time compute) bring limited gains. Further analysis indicates that the CoT demanded for multi-modal reasoning differs from it in textual reasoning, which partly explains the limited performance gains. We hope that MMR-V can inspire further research into enhancing multi-modal reasoning capabilities.

Visual reasoning is central to human cognition, enabling individuals to interpret and abstractly understand their environment. Although recent Multimodal Large Language Models (MLLMs) have demonstrated impressive performance across language and vision-language tasks, existing benchmarks primarily measure recognition-based skills and inadequately assess true visual reasoning capabilities. To bridge this critical gap, we introduce VERIFY, a benchmark explicitly designed to isolate and rigorously evaluate the visual reasoning capabilities of state-of-the-art MLLMs. VERIFY compels models to reason primarily from visual information, providing minimal textual context to reduce reliance on domain-specific knowledge and linguistic biases. Each problem is accompanied by a human-annotated reasoning path, making it the first to provide in-depth evaluation of model decision-making processes. Additionally, we propose novel metrics that assess visual reasoning fidelity beyond mere accuracy, highlighting critical imbalances in current model reasoning patterns. Our comprehensive benchmarking of leading MLLMs uncovers significant limitations, underscoring the need for a balanced and holistic approach to both perception and reasoning. For more teaser and testing, visit our project page (https://verify-eqh.pages.dev/).

With the rapid development of artificial intelligence (AI) in medical image processing, deep learning in color fundus photography (CFP) analysis is also evolving. Although there are some open-source, labeled datasets of CFPs in the ophthalmology community, large-scale datasets for screening only have labels of disease categories, and datasets with annotations of fundus structures are usually small in size. In addition, labeling standards are not uniform across datasets, and there is no clear information on the acquisition device. Here we release a multi-annotation, multi-quality, and multi-device color fundus image dataset for glaucoma analysis on an original challenge -- Retinal Fundus Glaucoma Challenge 2nd Edition (REFUGE2). The REFUGE2 dataset contains 2000 color fundus images with annotations of glaucoma classification, optic disc/cup segmentation, as well as fovea localization. Meanwhile, the REFUGE2 challenge sets three sub-tasks of automatic glaucoma diagnosis and fundus structure analysis and provides an online evaluation framework. Based on the characteristics of multi-device and multi-quality data, some methods with strong generalizations are provided in the challenge to make the predictions more robust. This shows that REFUGE2 brings attention to the characteristics of real-world multi-domain data, bridging the gap between scientific research and clinical application.

Vision transformers (ViTs) have emerged as a significant area of focus, particularly for their capacity to be jointly trained with large language models and to serve as robust vision foundation models. Yet, the development of trustworthy explanation methods for ViTs has lagged, particularly in the context of post-hoc interpretations of ViT predictions. Existing sub-image selection approaches, such as feature-attribution and conceptual models, fall short in this regard. This paper proposes five desiderata for explaining ViTs -- faithfulness, stability, sparsity, multi-level structure, and parsimony -- and demonstrates the inadequacy of current methods in meeting these criteria comprehensively. We introduce a variational Bayesian explanation framework, dubbed ProbAbilistic Concept Explainers (PACE), which models the distributions of patch embeddings to provide trustworthy post-hoc conceptual explanations. Our qualitative analysis reveals the distributions of patch-level concepts, elucidating the effectiveness of ViTs by modeling the joint distribution of patch embeddings and ViT's predictions. Moreover, these patch-level explanations bridge the gap between image-level and dataset-level explanations, thus completing the multi-level structure of PACE. Through extensive experiments on both synthetic and real-world datasets, we demonstrate that PACE surpasses state-of-the-art methods in terms of the defined desiderata.

Open-source multimodal large language models (MLLMs) excel in various tasks involving textual and visual inputs but still struggle with complex multimodal mathematical reasoning, lagging behind proprietary models like GPT-4V(ision) and Gemini-Pro. Although fine-tuning with intermediate steps (i.e., rationales) elicits some mathematical reasoning skills, the resulting models still fall short in visual comprehension due to inadequate visual-centric supervision, which leads to inaccurate interpretation of math figures. To address this issue, we propose a two-step training pipeline VCAR, which emphasizes the Visual Comprehension training in Addition to mathematical Reasoning learning. It first improves the visual comprehension ability of MLLMs through the visual description generation task, followed by another training step on generating rationales with the assistance of descriptions. Experimental results on two popular benchmarks demonstrate that VCAR substantially outperforms baseline methods solely relying on rationale supervision, especially on problems with high visual demands.

Recent video generation models can produce high-fidelity, temporally coherent videos, indicating that they may encode substantial world knowledge. Beyond realistic synthesis, they also exhibit emerging behaviors indicative of visual perception, modeling, and manipulation. Yet, an important question still remains: Are video models ready to serve as zero-shot reasoners in challenging visual reasoning scenarios? In this work, we conduct an empirical study to comprehensively investigate this question, focusing on the leading and popular Veo-3. We evaluate its reasoning behavior across 12 dimensions, including spatial, geometric, physical, temporal, and embodied logic, systematically characterizing both its strengths and failure modes. To standardize this study, we curate the evaluation data into MME-CoF, a compact benchmark that enables in-depth and thorough assessment of Chain-of-Frame (CoF) reasoning. Our findings reveal that while current video models demonstrate promising reasoning patterns on short-horizon spatial coherence, fine-grained grounding, and locally consistent dynamics, they remain limited in long-horizon causal reasoning, strict geometric constraints, and abstract logic. Overall, they are not yet reliable as standalone zero-shot reasoners, but exhibit encouraging signs as complementary visual engines alongside dedicated reasoning models. Project page: https://video-cof.github.io

Vision-Language Models (VLMs) have shown remarkable performance in integrating visual and textual information for tasks such as image captioning and visual question answering. However, these models struggle with compositional generalization and object binding, which limit their ability to handle novel combinations of objects and their attributes. Our work explores the root causes of these failures using mechanistic interpretability techniques. We show evidence that individual neurons in the MLP layers of CLIP's vision encoder represent multiple features, and this "superposition" directly hinders its compositional feature representation which consequently affects compositional reasoning and object binding capabilities. We hope this study will serve as an initial step toward uncovering the mechanistic roots of compositional failures in VLMs. The code and supporting results can be found https://github.com/Mystic-Slice/Do-VLMs-Have-Bad-Eyes .

We present SeePhys, a large-scale multimodal benchmark for LLM reasoning grounded in physics questions ranging from middle school to PhD qualifying exams. The benchmark covers 7 fundamental domains spanning the physics discipline, incorporating 21 categories of highly heterogeneous diagrams. In contrast to prior works where visual elements mainly serve auxiliary purposes, our benchmark features a substantial proportion of vision-essential problems (75\%) that mandate visual information extraction for correct solutions. Through extensive evaluation, we observe that even the most advanced visual reasoning models (e.g., Gemini-2.5-pro and o4-mini) achieve sub-60\% accuracy on our benchmark. These results reveal fundamental challenges in current large language models' visual understanding capabilities, particularly in: (i) establishing rigorous coupling between diagram interpretation and physics reasoning, and (ii) overcoming their persistent reliance on textual cues as cognitive shortcuts.

This work revisits the dominant supervised fine-tuning (SFT) then reinforcement learning (RL) paradigm for training Large Vision-Language Models (LVLMs), and reveals a key finding: SFT can significantly undermine subsequent RL by inducing ``pseudo reasoning paths'' imitated from expert models. While these paths may resemble the native reasoning paths of RL models, they often involve prolonged, hesitant, less informative steps, and incorrect reasoning. To systematically study this effect, we introduce VLAA-Thinking, a new multimodal dataset designed to support reasoning in LVLMs. Constructed via a six-step pipeline involving captioning, reasoning distillation, answer rewrite and verification, VLAA-Thinking comprises high-quality, step-by-step visual reasoning traces for SFT, along with a more challenging RL split from the same data source. Using this dataset, we conduct extensive experiments comparing SFT, RL and their combinations. Results show that while SFT helps models learn reasoning formats, it often locks aligned models into imitative, rigid reasoning modes that impede further learning. In contrast, building on the Group Relative Policy Optimization (GRPO) with a novel mixed reward module integrating both perception and cognition signals, our RL approach fosters more genuine, adaptive reasoning behavior. Notably, our model VLAA-Thinker, based on Qwen2.5VL 3B, achieves top-1 performance on Open LMM Reasoning Leaderboard (https://huggingface.co/spaces/opencompass/Open_LMM_Reasoning_Leaderboard) among 4B scale LVLMs, surpassing the previous state-of-the-art by 1.8%. We hope our findings provide valuable insights in developing reasoning-capable LVLMs and can inform future research in this area.

The development of larger models for medical image analysis has led to increased performance. However, it also affected our ability to explain and validate model decisions. Models can use non-relevant parts of images, also called spurious correlations or shortcuts, to obtain high performance on benchmark datasets but fail in real-world scenarios. In this work, we challenge the capacity of convolutional neural networks (CNN) to classify chest X-rays and eye fundus images while masking out clinically relevant parts of the image. We show that all models trained on the PadChest dataset, irrespective of the masking strategy, are able to obtain an Area Under the Curve (AUC) above random. Moreover, the models trained on full images obtain good performance on images without the region of interest (ROI), even superior to the one obtained on images only containing the ROI. We also reveal a possible spurious correlation in the Chaksu dataset while the performances are more aligned with the expectation of an unbiased model. We go beyond the performance analysis with the usage of the explainability method SHAP and the analysis of embeddings. We asked a radiology resident to interpret chest X-rays under different masking to complement our findings with clinical knowledge. Our code is available at https://github.com/TheoSourget/MMC_Masking and https://github.com/TheoSourget/MMC_Masking_EyeFundus

We present Thinking with Generated Images, a novel paradigm that fundamentally transforms how large multimodal models (LMMs) engage with visual reasoning by enabling them to natively think across text and vision modalities through spontaneous generation of intermediate visual thinking steps. Current visual reasoning with LMMs is constrained to either processing fixed user-provided images or reasoning solely through text-based chain-of-thought (CoT). Thinking with Generated Images unlocks a new dimension of cognitive capability where models can actively construct intermediate visual thoughts, critique their own visual hypotheses, and refine them as integral components of their reasoning process. We demonstrate the effectiveness of our approach through two complementary mechanisms: (1) vision generation with intermediate visual subgoals, where models decompose complex visual tasks into manageable components that are generated and integrated progressively, and (2) vision generation with self-critique, where models generate an initial visual hypothesis, analyze its shortcomings through textual reasoning, and produce refined outputs based on their own critiques. Our experiments on vision generation benchmarks show substantial improvements over baseline approaches, with our models achieving up to 50% (from 38% to 57%) relative improvement in handling complex multi-object scenarios. From biochemists exploring novel protein structures, and architects iterating on spatial designs, to forensic analysts reconstructing crime scenes, and basketball players envisioning strategic plays, our approach enables AI models to engage in the kind of visual imagination and iterative refinement that characterizes human creative, analytical, and strategic thinking. We release our open-source suite at https://github.com/GAIR-NLP/thinking-with-generated-images.

Rebus puzzles, visual riddles that encode language through imagery, spatial arrangement, and symbolic substitution, pose a unique challenge to current vision-language models (VLMs). Unlike traditional image captioning or question answering tasks, rebus solving requires multi-modal abstraction, symbolic reasoning, and a grasp of cultural, phonetic and linguistic puns. In this paper, we investigate the capacity of contemporary VLMs to interpret and solve rebus puzzles by constructing a hand-generated and annotated benchmark of diverse English-language rebus puzzles, ranging from simple pictographic substitutions to spatially-dependent cues ("head" over "heels"). We analyze how different VLMs perform, and our findings reveal that while VLMs exhibit some surprising capabilities in decoding simple visual clues, they struggle significantly with tasks requiring abstract reasoning, lateral thinking, and understanding visual metaphors.

We introduce Skywork-R1V3, an advanced, open-source vision-language model (VLM) that pioneers a new approach to visual reasoning. Its key innovation lies in effectively transferring reasoning skills from text-only Large Language Models (LLMs) to visual tasks. The strong performance of Skywork-R1V3 primarily stems from our elaborate post-training RL framework, which effectively activates and enhances the model's reasoning ability, without the need for additional continue pre-training. Through this framework, we further uncover the fundamental role of the connector module in achieving robust cross-modal alignment for multimodal reasoning models. In addition, we introduce a unique indicator of reasoning capability, the entropy of critical reasoning tokens, which has proven highly effective for checkpoint selection during RL training. Skywork-R1V3 achieves state-of-the-art results on MMMU, significantly improving from 64.3% to 76.0%. This performance matches entry-level human capabilities. Remarkably, our RL-powered post-training approach enables even the 38B parameter model to rival top closed-source VLMs. The implementation successfully transfers mathematical reasoning to other subject-related reasoning tasks. We also include an analysis of curriculum learning and reinforcement finetuning strategies, along with a broader discussion on multimodal reasoning. Skywork-R1V3 represents a significant leap in multimodal reasoning, showcasing RL as a powerful engine for advancing open-source VLM capabilities.

Generalist vision language models (VLMs) have made significant strides in computer vision, but they fall short in specialized fields like healthcare, where expert knowledge is essential. In traditional computer vision tasks, creative or approximate answers may be acceptable, but in healthcare, precision is paramount.Current large multimodal models like Gemini and GPT-4o are insufficient for medical tasks due to their reliance on memorized internet knowledge rather than the nuanced expertise required in healthcare. VLMs are usually trained in three stages: vision pre-training, vision-language pre-training, and instruction fine-tuning (IFT). IFT has been typically applied using a mixture of generic and healthcare data. In contrast, we propose that for medical VLMs, a fourth stage of specialized IFT is necessary, which focuses on medical data and includes information from domain expert models. Domain expert models developed for medical use are crucial because they are specifically trained for certain clinical tasks, e.g. to detect tumors and classify abnormalities through segmentation and classification, which learn fine-grained features of medical data-features that are often too intricate for a VLM to capture effectively especially in radiology. This paper introduces a new framework, VILA-M3, for medical VLMs that utilizes domain knowledge via expert models. Through our experiments, we show an improved state-of-the-art (SOTA) performance with an average improvement of ~9% over the prior SOTA model Med-Gemini and ~6% over models trained on the specific tasks. Our approach emphasizes the importance of domain expertise in creating precise, reliable VLMs for medical applications.

Computer vision researchers are embracing two promising paradigms: Vision Transformers (ViTs) and Multi-task Learning (MTL), which both show great performance but are computation-intensive, given the quadratic complexity of self-attention in ViT and the need to activate an entire large MTL model for one task. M^3ViT is the latest multi-task ViT model that introduces mixture-of-experts (MoE), where only a small portion of subnetworks ("experts") are sparsely and dynamically activated based on the current task. M^3ViT achieves better accuracy and over 80% computation reduction but leaves challenges for efficient deployment on FPGA. Our work, dubbed Edge-MoE, solves the challenges to introduce the first end-to-end FPGA accelerator for multi-task ViT with a collection of architectural innovations, including (1) a novel reordering mechanism for self-attention, which requires only constant bandwidth regardless of the target parallelism; (2) a fast single-pass softmax approximation; (3) an accurate and low-cost GELU approximation; (4) a unified and flexible computing unit that is shared by almost all computational layers to maximally reduce resource usage; and (5) uniquely for M^3ViT, a novel patch reordering method to eliminate memory access overhead. Edge-MoE achieves 2.24x and 4.90x better energy efficiency comparing with GPU and CPU, respectively. A real-time video demonstration is available online, along with our open-source code written using High-Level Synthesis.

Operating rooms (ORs) are complex, high-stakes environments requiring precise understanding of interactions among medical staff, tools, and equipment for enhancing surgical assistance, situational awareness, and patient safety. Current datasets fall short in scale, realism and do not capture the multimodal nature of OR scenes, limiting progress in OR modeling. To this end, we introduce MM-OR, a realistic and large-scale multimodal spatiotemporal OR dataset, and the first dataset to enable multimodal scene graph generation. MM-OR captures comprehensive OR scenes containing RGB-D data, detail views, audio, speech transcripts, robotic logs, and tracking data and is annotated with panoptic segmentations, semantic scene graphs, and downstream task labels. Further, we propose MM2SG, the first multimodal large vision-language model for scene graph generation, and through extensive experiments, demonstrate its ability to effectively leverage multimodal inputs. Together, MM-OR and MM2SG establish a new benchmark for holistic OR understanding, and open the path towards multimodal scene analysis in complex, high-stakes environments. Our code, and data is available at https://github.com/egeozsoy/MM-OR.

Multimodal Large Language Models (MLLMs) strive to achieve a profound, human-like understanding of and interaction with the physical world, but often exhibit a shallow and incoherent integration when acquiring information (Perception) and conducting reasoning (Cognition). This disconnect leads to a spectrum of reasoning failures, with hallucination being the most prominent. Collectively, these issues expose a fundamental challenge: the ability to process pixels does not yet confer the ability to construct a coherent, credible internal world model. To systematically dissect and address this challenge, this survey introduces a novel and unified analytical framework: ``From Perception to Cognition." We deconstruct the complex process of vision-language interactive understanding into two interdependent layers: Perception, the foundational ability to accurately extract visual information and achieve fine-grained alignment with textual instructions; and Cognition, the higher-order capability for proactive, multi-step, goal-oriented reasoning built upon this perceptual foundation, the core of which is the formation of a dynamic observe-think-verify reasoning loop. Guided by this framework, this paper systematically analyzes the key bottlenecks of current MLLMs at both layers. It surveys the landscape of cutting-edge methods designed to address these challenges, spanning from techniques that enhance low-level visual representations to those that improve high-level reasoning paradigms. Furthermore, we review critical benchmarks and delineate future research directions. This survey aims to provide the research community with a clear, structured perspective for understanding the intrinsic limitations of current MLLMs and to illuminate the path toward building next-generation models capable of deep reasoning and a genuine understanding of the world.

Multimodal Large Language Models (MLLMs) have achieved remarkable progress in multimodal reasoning. However, they often excessively rely on textual information during the later stages of inference, neglecting the crucial integration of visual input. Current methods typically address this by explicitly injecting visual information to guide the reasoning process. In this work, through an analysis of MLLM attention patterns, we made an intriguing observation: with appropriate guidance, MLLMs can spontaneously re-focus their attention on visual inputs during the later stages of reasoning, even without explicit visual information injection. This spontaneous shift in focus suggests that MLLMs are intrinsically capable of performing visual fusion reasoning. Building on this insight, we introduce Look-Back, an implicit approach designed to guide MLLMs to ``look back" at visual information in a self-directed manner during reasoning. Look-Back empowers the model to autonomously determine when, where, and how to re-focus on visual inputs, eliminating the need for explicit model-structure constraints or additional input. We demonstrate that Look-Back significantly enhances the model's reasoning and perception capabilities, as evidenced by extensive empirical evaluations on multiple multimodal benchmarks.

Vision-Language Models (VLMs) are expected to be capable of reasoning with commonsense knowledge as human beings. One example is that humans can reason where and when an image is taken based on their knowledge. This makes us wonder if, based on visual cues, Vision-Language Models that are pre-trained with large-scale image-text resources can achieve and even outperform human's capability in reasoning times and location. To address this question, we propose a two-stage \recognition\space and \reasoning\space probing task, applied to discriminative and generative VLMs to uncover whether VLMs can recognize times and location-relevant features and further reason about it. To facilitate the investigation, we introduce WikiTiLo, a well-curated image dataset compromising images with rich socio-cultural cues. In the extensive experimental studies, we find that although VLMs can effectively retain relevant features in visual encoders, they still fail to make perfect reasoning. We will release our dataset and codes to facilitate future studies.

Quantifying the realism of images remains a challenging problem in the field of artificial intelligence. For example, an image of Albert Einstein holding a smartphone violates common-sense because modern smartphone were invented after Einstein's death. We introduce a novel method for assessing image realism using Large Vision-Language Models (LVLMs) and Natural Language Inference (NLI). Our approach is based on the premise that LVLMs may generate hallucinations when confronted with images that defy common sense. Using LVLM to extract atomic facts from these images, we obtain a mix of accurate facts and erroneous hallucinations. We proceed by calculating pairwise entailment scores among these facts, subsequently aggregating these values to yield a singular reality score. This process serves to identify contradictions between genuine facts and hallucinatory elements, signaling the presence of images that violate common sense. Our approach has achieved a new state-of-the-art performance in zero-shot mode on the WHOOPS! dataset.

Recent advancements in multimodal models have shown a strong ability in visual perception, reasoning abilities, and vision-language understanding. However, studies on visual matching ability are missing, where finding the visual correspondence of objects is essential in vision research. Our research reveals that the matching capabilities in recent multimodal LLMs (MLLMs) still exhibit systematic shortcomings, even with current strong MLLMs models, GPT-4o. In particular, we construct a Multimodal Visual Matching (MMVM) benchmark to fairly benchmark over 30 different MLLMs. The MMVM benchmark is built from 15 open-source datasets and Internet videos with manual annotation. We categorize the data samples of MMVM benchmark into eight aspects based on the required cues and capabilities to more comprehensively evaluate and analyze current MLLMs. In addition, we have designed an automatic annotation pipeline to generate the MMVM SFT dataset, including 220K visual matching data with reasoning annotation. Finally, we present CoLVA, a novel contrastive MLLM with two novel technical designs: fine-grained vision expert with object-level contrastive learning and instruction augmentation strategy. CoLVA achieves 51.06\% overall accuracy (OA) on the MMVM benchmark, surpassing GPT-4o and baseline by 8.41\% and 23.58\% OA, respectively. The results show the effectiveness of our MMVM SFT dataset and our novel technical designs. Code, benchmark, dataset, and models are available at https://github.com/zhouyiks/CoLVA.

Recent advances in Reasoning LLMs (e.g., DeepSeek-R1 and OpenAI-o1) have showcased impressive reasoning capabilities via reinforcement learning. However, extending these capabilities to Multimodal LLMs (MLLMs) is hampered by the prohibitive costs of retraining and the scarcity of high-quality, verifiable multimodal reasoning datasets. This paper introduces FRANK Model, a training-FRee ANd r1-liKe MLLM that imbues off-the-shelf MLLMs with reasoning and reflection abilities, without any gradient updates or extra supervision. Our key insight is to decouple perception and reasoning across MLLM decoder layers. Specifically, we observe that compared to the deeper decoder layers, the shallow decoder layers allocate more attention to visual tokens, while the deeper decoder layers concentrate on textual semantics. This observation motivates a hierarchical weight merging approach that combines a visual-pretrained MLLM with a reasoning-specialized LLM. To this end, we propose a layer-wise, Taylor-derived closed-form fusion mechanism that integrates reasoning capacity into deep decoder layers while preserving visual grounding in shallow decoder layers. Extensive experiments on challenging multimodal reasoning benchmarks demonstrate the effectiveness of our approach. On the MMMU benchmark, our model FRANK-38B achieves an accuracy of 69.2, outperforming the strongest baseline InternVL2.5-38B by +5.3, and even surpasses the proprietary GPT-4o model. Our project homepage is at: http://iip.whu.edu.cn/frank/index.html

The emergence of multimodal large models (MLMs) has significantly advanced the field of visual understanding, offering remarkable capabilities in the realm of visual question answering (VQA). Yet, the true challenge lies in the domain of knowledge-intensive VQA tasks, which necessitate not just recognition of visual elements, but also a deep comprehension of the visual information in conjunction with a vast repository of learned knowledge. To uncover such capabilities of MLMs, particularly the newly introduced GPT-4V and Gemini, we provide an in-depth evaluation from three perspectives: 1) Commonsense Knowledge, which assesses how well models can understand visual cues and connect to general knowledge; 2) Fine-grained World Knowledge, which tests the model's skill in reasoning out specific knowledge from images, showcasing their proficiency across various specialized fields; 3) Comprehensive Knowledge with Decision-making Rationales, which examines model's capability to provide logical explanations for its inference, facilitating a deeper analysis from the interpretability perspective. Additionally, we utilize a visual knowledge-enhanced training strategy and multimodal retrieval-augmented generation approach to enhance MLMs, highlighting the future need for advancements in this research direction. Extensive experiments indicate that: a) GPT-4V demonstrates enhanced explanation generation when using composite images as few-shots; b) GPT-4V and other MLMs produce severe hallucinations when dealing with world knowledge; c) Visual knowledge enhanced training and prompting technicals present potential to improve performance. Codes: https://github.com/HITsz-TMG/Cognitive-Visual-Language-Mapper

Large language models (LLMs) have shown remarkable ability in various language tasks, especially with their emergent in-context learning capability. Extending LLMs to incorporate visual inputs, large vision-language models (LVLMs) have shown impressive performance in tasks such as recognition and visual question answering (VQA). Despite increasing interest in the utility of LLMs in causal reasoning tasks such as causal discovery and counterfactual reasoning, there has been relatively little work showcasing the abilities of LVLMs on visual causal reasoning tasks. We take this opportunity to formally introduce a comprehensive causal reasoning benchmark for multi-modal in-context learning from LVLMs. Our CausalVLBench encompasses three representative tasks: causal structure inference, intervention target prediction, and counterfactual prediction. We evaluate the ability of state-of-the-art open-source LVLMs on our causal reasoning tasks across three causal representation learning datasets and demonstrate their fundamental strengths and weaknesses. We hope that our benchmark elucidates the drawbacks of existing vision-language models and motivates new directions and paradigms in improving the visual causal reasoning abilities of LVLMs.