Bing Ji

Guangjing Yang, Ziyuan Qin, Chaoran Zhang et al.

Medical visual grounding serves as a crucial foundation for fine-grained multimodal reasoning and interpretable clinical decision support. Despite recent advances in reinforcement learning (RL) for grounding tasks, existing approaches such as Group Relative Policy Optimization~(GRPO) suffer from severe reward sparsity when directly applied to medical images, primarily due to the inherent difficulty of localizing small or ambiguous regions of interest, which is further exacerbated by the rigid and suboptimal nature of fixed IoU-based reward schemes in RL. This leads to vanishing policy gradients and stagnated optimization, particularly during early training. To address this challenge, we propose MedLoc-R1, a performance-aware reward scheduling framework that progressively tightens the reward criterion in accordance with model readiness. MedLoc-R1 introduces a sliding-window performance tracker and a multi-condition update rule that automatically adjust the reward schedule from dense, easily obtainable signals to stricter, fine-grained localization requirements, while preserving the favorable properties of GRPO without introducing auxiliary networks or additional gradient paths. Experiments on three medical visual grounding benchmarks demonstrate that MedLoc-R1 consistently improves both localization accuracy and training stability over GRPO-based baselines. Our framework offers a general, lightweight, and effective solution for RL-based grounding in high-stakes medical applications. Code \& checkpoints are available at \hyperlink{}{https://github.com/MembrAI/MedLoc-R1}.

Jiayu Hu, Beibei Li, Jiangwei Xia et al.

While Vision-Language Models (VLMs) have garnered increasing attention in the AI community due to their promising practical applications, they exhibit persistent hallucination issues, generating outputs misaligned with visual inputs. Recent studies attribute these hallucinations to VLMs' over-reliance on linguistic priors and insufficient visual feature integration, proposing heuristic decoding calibration strategies to mitigate them. However, the non-trainable nature of these strategies inherently limits their optimization potential. To this end, we propose an adversarial parametric editing framework for Hallucination mitigation in VLMs, which follows an \textbf{A}ctivate-\textbf{L}ocate-\textbf{E}dit \textbf{A}dversarially paradigm. Specifically, we first construct an activation dataset that comprises grounded responses (positive samples attentively anchored in visual features) and hallucinatory responses (negative samples reflecting LLM prior bias and internal knowledge artifacts). Next, we identify critical hallucination-prone parameter clusters by analyzing differential hidden states of response pairs. Then, these clusters are fine-tuned using prompts injected with adversarial tuned prefixes that are optimized to maximize visual neglect, thereby forcing the model to prioritize visual evidence over inherent parametric biases. Evaluations on both generative and discriminative VLM tasks demonstrate the significant effectiveness of ALEAHallu in alleviating hallucinations. Our code is available at https://github.com/hujiayu1223/ALEAHallu.

Qingtao Pan, Wenhao Qiao, Jingjiao Lou et al.

Semi-supervised medical image segmentation (SSMIS) uses consistency learning to regularize model training, which alleviates the burden of pixel-wise manual annotations. However, it often suffers from error supervision from low-quality pseudo labels. Vision-Language Model (VLM) has great potential to enhance pseudo labels by introducing text prompt guided multimodal supervision information. It nevertheless faces the cross-modal problem: the obtained messages tend to correspond to multiple targets. To address aforementioned problems, we propose a Dual Semantic Similarity-Supervised VLM (DuSSS) for SSMIS. Specifically, 1) a Dual Contrastive Learning (DCL) is designed to improve cross-modal semantic consistency by capturing intrinsic representations within each modality and semantic correlations across modalities. 2) To encourage the learning of multiple semantic correspondences, a Semantic Similarity-Supervision strategy (SSS) is proposed and injected into each contrastive learning process in DCL, supervising semantic similarity via the distribution-based uncertainty levels. Furthermore, a novel VLM-based SSMIS network is designed to compensate for the quality deficiencies of pseudo-labels. It utilizes the pretrained VLM to generate text prompt guided supervision information, refining the pseudo label for better consistency regularization. Experimental results demonstrate that our DuSSS achieves outstanding performance with Dice of 82.52%, 74.61% and 78.03% on three public datasets (QaTa-COV19, BM-Seg and MoNuSeg).