UHP Detection: LVLMs have their Unique Hallucination Pattern in the Consistency Space
Authors: Amir Mohammad Ezzati, Kiyan Rezaee, Bardiya Kariminia, Mohamad Amin Yousefi, Asal Mohammadjafari Mamaqani, Behrad Samimi, Mohammad Hossein Rohban
Organizations: Sharif University of Technology · Michigan State University · Shahid Beheshti University · University of Tehran · Amirkabir University of Technology
Abstract
Large vision--language models (LVLMs) demonstrate strong multimodal reasoning capabilities but remain prone to hallucination, where model predictions are not grounded in visual evidence. Existing black-box hallucination detection methods estimate uncertainty through a single consistency metric, implicitly assuming that model uncertainty can be adequately characterized by a single measure. However, hallucinations exhibit diverse manifestations of uncertainty across different behavioral probes, making a single measure insufficient to characterize their underlying behavior. We propose \emph{Unique Hallucination Pattern (UHP) Detection}, a fully black-box framework that models hallucination as a structured uncertainty pattern defined by two axes: perturbation modality (image vs.\ text) and logical polarity (a statement vs.\ its negation). Their intersection produces four complementary consistency groups that capture distinct manifestations of model uncertainty, from which both within-group and between-group features are extracted to train a lightweight classifier. Through comprehensive experiments on AMBER and PhD across three LVLMs, UHP Detection consistently outperforms prior black-box and white-box baselines, with improvements of up to +18.72% AUC-ROC and +20.07% AUC-PR over the strongest black-box methods. Extensive ablation studies demonstrate that each consistency group contributes complementary information and that their combination forms a structured hallucination pattern. Furthermore, cross-dataset evaluation shows that this learned pattern generalizes across benchmarks, indicating that hallucination behavior reflects a model-specific consistency pattern. \textbf{Code is publicly available at} https://github.com/amirezzati/uhpdet.
Large vision-language models (LVLMs) are increasingly used for clinical image understanding, yet they remain vulnerable to \emph{hallucinations}--producing textual findings or attributes not supported by the image. We present a vision-traceable hallucination detection framework that audits arbitrary LVLM responses via visual evidence grounding, requiring neither modification nor internal access to the hidden states of LVLMs. Given an LVLM response, we extract visually verifiable entities and use a medical-domain-adapted Qwen-VL grounding verifier to localize each entity on the input image. To enhance the robustness of our detection method, we introduce a counterfactual entity perturbation method and estimate visual evidence uncertainty by contrasting factual and counterfactual grounding results. Specifically, we compute an entity-level uncertainty score from the positive confidence, counterfactual confidence, and their grounding overlap for binary hallucination decision-making. Experiments on multiple medical imaging modalities and LVLM backbones demonstrate that our method consistently improves hallucination detection performance over recent baselines, while providing interpretable localization evidence and strong cross-model transferability. Code and dataset are available at https://github.com/Agentic-CliniAI/CounterVHD.
Large Vision-Language Models (LVLMs) often suffer from object hallucination, generating objects that are absent from the image. Prior work largely attributes this to insufficient visual attention. However, we find that both real and hallucinated objects receive equally strong visual attention in the model's mid-to-late layers, suggesting that the key issue may not be how much the model attends, but what it attends to and why. To this end, we decode the visual features of high-attention regions using Logit Lens, and observe that regions corresponding to real objects can be correctly decoded to the target object tokens, whereas those for hallucinated objects cannot. Building on this, we identify two hallucination mechanisms: (i) visual uncertainty, triggered by semantically similar or confusable regions; masking these regions eliminates the hallucination. (ii) contextual prior, triggered by strong co-occurrence priors; even when the initially attended region is masked, the hallucination persists and attention drifts to other regions. Based on these findings, we propose a simple yet effective training-free Detect-Mitigate framework comprising a Logit-Lens Consistency Check to detect hallucination and targeted remedies: High-Attention Regions Masking (HARM) for visual uncertainty hallucination, and Visual Evidence Enhanced Decoding (VEED) for contextual prior hallucination. Our approach achieves state-of-the-art results on multiple hallucination benchmarks. Code will be available.
Large Vision-Language Models (LVLMs) achieve impressive visual reasoning and dialogue capabilities, yet frequently hallucinate content unsupported by the visual input. Effective mitigation requires token-level localization, enabling targeted intervention without discarding the entire response. Existing detectors require expensive full-model fine-tuning, rely on external verifiers that ignore the model's generation process, or reduce internal signals to isolated features and hand-crafted statistics, discarding spatial, sequential, and relational structure. We introduce \textbf{UniProbe}, a lightweight, unified, learnable detector that models a frozen LVLM's heterogeneous computational trace from a single forward pass. UniProbe constructs a directed graph over image patches, query tokens, and generated tokens, with attention weights encoding their relations. It processes this trace with alternating structure-aware modules: a GNN for relational evidence, a ViT for 2-D visual geometry, and a GRU for response order. Interleaving them allows spatial, relational, and sequential evidence to interact throughout the detector. We further develop a streaming variant for hallucination-aware decoding, which detects and resamples hallucinated tokens during generation, and a self-adaptation strategy aligning the detector with the LVLM's own generations. Across diverse LVLM backbones, UniProbe achieves state-of-the-art token-level and object-hallucination detection. During decoding, it reduces object hallucinations by up to 55% at 1.06× the latency of standard generation.