VHA: VQA-based Hallucination Assessment for Generative Image Super-Resolution

Hallucination remains a persistent challenge in generative super-resolution (GSR), where reconstructed results may contain visually plausible yet weakly supported content, structural deviations, or unnatural textures with respect to the low-resolution (LR) input. Existing GSR methods have extensively explored the trade-off between perceptual realism and reconstruction fidelity, but the division between preserving reliable coarse-scale information and restoring more uncertain fine details is often handled implicitly within the overall restoration process. Visual autoregressive (VAR) modeling provides a natural opportunity to revisit this issue, as its coarse-to-fine next-scale prediction offers an explicit scale-wise generation interface. However, existing VAR-based SR methods still inherit the original full 1-to-$N$ autoregressive generation path, even though, for super-resolution, coarse-scale information in LR is often relatively more reliable, while long autoregressive chains may accumulate prediction errors. Motivated by these observations, we propose K2N, which reformulates VAR-based SR from full-path generation into a $k$-to-$N$ detail continuation process. Specifically, early coarse-scale states are established directly from LR, while only the remaining finer scales are restored autoregressively. Experimental results show that K2N remains competitive with the VARSR baseline on standard SR metrics, while exhibiting clearer advantages on hallucination-focused evaluation. These findings suggest that explicitly rethinking the generation path in a scale-wise manner can be a promising direction for improving the reliability of generative super-resolution. Our code will be released soon at https://github.com/BRL-SYSU/K2NSR.

While medical Multimodal Large Language Models (MLLMs) have shown promise in assisting diagnosis, they still frequently generate hallucinated responses that appear linguistically plausible but lack visual evidence. Such hallucinations pose risks to clinical decision-making and necessitate effective detection. Existing introspective detection methods primarily perform uncertainty estimation or logical verification by analyzing model responses conditioned on original or perturbed inputs. However, such external perturbations are often heuristic and context-agnostic, which overlooks the internal cross-modal dependency between generated tokens and related visual tokens during decoding. To address this issue, we propose VIHD, a Visual Intervention-based Hallucination Detection method that leverages targeted visual token masking to calibrate semantic entropy for more effective hallucination detection. VIHD locates visually dominant decoder layers via Visual Dependency Probing (VDP), executes Visual Intervention Decoding (VID) via token masking to calibrate the semantic distribution, and quantifies the resulting Calibrated Semantic Entropy (CSE) as a reliable hallucination signal. Extensive experiments on three medical VQA benchmarks with two medical MLLMs demonstrate that VIHD consistently outperforms state-of-the-art methods, underscoring the importance of fine-grained visual dependency for hallucination detection. The code will be available at https://github.com/Jiayi-Chen-AU/VIHD

Multimodal large language models (MLLMs) have shown strong potential for medical Visual Question Answering (VQA), yet they remain prone to hallucinations, defined as generating responses that contradict the input image, posing serious risks in clinical settings. Current hallucination detection methods, such as Semantic Entropy (SE) and Vision-Amplified Semantic Entropy (VASE), require 10 to 20 stochastic generations per sample together with an external natural language inference model for semantic clustering, making them computationally expensive and difficult to deploy in practice. We observe that hallucinated responses exhibit a distinctive signature directly in the model's own log-probabilities: inconsistent token-level confidence and weak sensitivity to visual evidence. Based on this observation, we propose Confidence-Evidence Bayesian Gain (CEBaG), a deterministic hallucination detection method that requires no stochastic sampling, no external models, and no task-specific hyperparameters. CEBaG combines two complementary signals: token-level predictive variance, which captures inconsistent confidence across response tokens, and evidence magnitude, which measures how much the image shifts per-token predictions relative to text-only inference. Evaluated across four medical MLLMs and three VQA benchmarks (16 experimental settings), CEBaG achieves the highest AUC in 13 of 16 settings and improves over VASE by 8 AUC points on average, while being fully deterministic and self-contained. https://github.com/masadi-99/CEBaG