Yijun He

Jindong Hong, Tianjie Chen, Lingjie Luo et al.

A recent advancement in Multimodal Large Language Models (MLLMs) research is the emergence of "reasoning MLLMs" that offer explicit control over their internal thinking processes (normally referred as the "thinking mode") alongside the standard "non-thinking mode". This capability allows these models to engage in a step-by-step process of internal deliberation before generating a final response. With the rapid transition to and adoption of these "dual-state" MLLMs, this work rigorously evaluated how the enhanced reasoning processes of these MLLMs impact model performance and reliability in clinical tasks. This paper evaluates the active "thinking mode" capabilities of two leading MLLMs, Seed1.5-VL and Gemini-2.5-Flash, for medical applications. We assessed their performance on four visual medical tasks using VQA-RAD and ROCOv2 datasets. Our findings reveal that the improvement from activating the thinking mode remains marginal compared to the standard non-thinking mode for the majority of the tasks. Their performance on complex medical tasks such as open-ended VQA and medical image interpretation remains suboptimal, highlighting the need for domain-specific medical data and more advanced methods for medical knowledge integration.

Ruolin Shen, Xiaozhong Ji, Kai WU et al.

Current multi-modal models exhibit a notable misalignment with the human visual system when identifying objects that are visually assimilated into the background. Our observations reveal that these multi-modal models cannot distinguish concealed objects, demonstrating an inability to emulate human cognitive processes which effectively utilize foreground-background similarity principles for visual analysis. To analyze this hidden human-model visual thinking discrepancy, we build a visual system that mimicks human visual camouflaged perception to progressively and iteratively `refocus' visual concealed content. The refocus is a progressive guidance mechanism enabling models to logically localize objects in visual images through stepwise reasoning. The localization process of concealed objects requires hierarchical attention shifting with dynamic adjustment and refinement of prior cognitive knowledge. In this paper, we propose a visual refocus reinforcement framework via the policy optimization algorithm to encourage multi-modal models to think and refocus more before answering, and achieve excellent reasoning abilities to align and even surpass human camouflaged perception systems. Our extensive experiments on camouflaged perception successfully demonstrate the emergence of refocus visual phenomena, characterized by multiple reasoning tokens and dynamic adjustment of the detection box. Besides, experimental results on both camouflaged object classification and detection tasks exhibit significantly superior performance compared to Supervised Fine-Tuning (SFT) baselines.