Robust Hallucination Detection

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Period ending 2026-09-21

1 new paper

A weekly snapshot of new work published in Robust Hallucination Detection.

Period ending 2026-09-14

4 new papers

A weekly snapshot of new work published in Robust Hallucination Detection.

Period ending 2026-09-07

6 new papers

A weekly snapshot of new work published in Robust Hallucination Detection.

23 papers

Latest in Robust Hallucination Detection

Sep 15, 2026cs.CL

Vroom-Vroom at SHROOM-Visions: A Multi-Judge Committee for Detecting Hallucinated Spans in Vision-Language Outputs

This paper describes our submission to the SHROOM-Visions shared task on detecting and classifying hallucinated character spans in vision-language model outputs across four languages. We employ several fine-tuned vision-language models as independent annotators and combine their span predictions through character-level majority voting, and additionally explore activation probes. The approach ranks first in three of four languages and places on the podium in every language and metric. Our analysis indicates that disagreement among diverse models tracks disagreement among human annotators.
Toqeer Ehsan, Nico Penttilä, Richard Schmidt +2
Sep 9, 2026cs.CV

Can We Trust Video Hallucination Detectors? VidHalLoc for Evaluating the Evaluators

Video-language models and video agents can produce hallucinations that conflict with spatiotemporal evidence. Existing benchmarks mainly evaluate model hallucinations, and heterogeneous mechanisms make detector reliability difficult to compare. We introduce VidHalLoc, a benchmark that evaluates hallucination detection methods under a unified diagnostic evaluation protocol using 2,000 adversarial hallucination samples across Video Question Answering and Video Captioning tasks, spanning Ontology and Dynamic hallucination categories. To construct VidHalLoc efficiently, we introduce VideoHALO, a Harness Engineering-informed multi-agent workflow that decomposes data construction into four executable stages supported by a memory system and a communication protocol. Evaluation of fifteen methods reveals that the four dedicated detectors peak at an Overall accuracy of only 34.63%, indicating limited reliability across video hallucination types [Dataset Repository: https://huggingface.co/datasets/wesfggfd/VidHalLoc].
Xinyu Chen, Adnan Mahmood, Mark Dras
Sep 2, 2026cs.CV

Detecting Object Hallucinations in Large Vision-Language Models via Cross-Modal Attention Drifts and Mask-Based Verification

Despite recent advances in large vision-language models (LVLMs), object hallucination remains a major barrier to their reliable deployment. Existing detection methods often characterize visual grounding using attention from individual layers, leaving its evolution across layers underexplored. We propose CADMP, a lightweight object hallucination detection framework that combines adjacent-layer cross-modal attention drift with prediction sensitivity to targeted visual masking. During decoding, CADMP quantifies distributional changes between consecutive cross-modal attention maps to capture abrupt transitions in visual grounding. It then selects the transition with the largest drift, locates the corresponding visually relevant regions, and measures the change in prediction probability after masking these regions. These two signals provide complementary evidence: attention drift characterizes the stability of internal visual grounding, while probability variation verifies whether a prediction truly depends on the identified visual evidence. A lightweight detector integrates both signals to identify hallucinated predictions. Experiments on multiple benchmarks and representative open-source LVLMs demonstrate that CADMP achieves consistently competitive detection performance. Ablation studies further confirm the complementary contributions of adjacent-layer drift modeling and mask-based grounding verification.
Xuanbing Wen, Boxu Chen, Le Yang +4
Aug 31, 2026cs.CV

VisER: Visual Evidence and Reliance for Object Hallucination Detection in LVLMs

Object hallucination remains a persistent reliability issue in large vision-language models, where generated object mentions may sound plausible but lack visual grounding. Recent training-free detectors use internal signals such as token likelihood, attention, visual confidence, or image-text similarity to identify hallucinated objects. These signals are useful, but they are often source-confounded. They measure how strongly an object is supported inside the model without distinguishing whether that support comes from object-specific visual evidence or the generated text prefix. In difficult cases, a hallucinated object can still receive high internal support because it fits the scene, is associated with nearby visual cues, or follows naturally from the generated text prefix. We propose VisER, a training-free two-sided metric for object-level hallucination detection. VisER evaluates each generated object mention from two complementary views. Visual Evidence measures whether object-context compatibility is backed by object-specific evidence from image tokens. Visual Reliance measures whether the object is supported more by the image than by the generated prefix. Combining these views gives a more source-aware grounding score, while avoiding additional object-level verification generations. Across multiple LVLMs and benchmarks, VisER improves AUROC and AUPR over a range of baselines.
Afsaneh Hasanebrahimi, Hanxun Huang, Christopher Leckie +1
Aug 31, 2026cs.CL

ImageEval 2026: Culturally Grounded Arabic Multimodal Evaluation

We present an overview of the ImageEval 2026 shared task on culturally grounded Arabic multimodal evaluation. It includes two tasks: (i) AynVQA, covering spoken visual question answering and image-grounded hallucination detection in English and Modern Standard Arabic (MSA), and (ii) CRAI-Bench, evaluating the cultural accuracy of text-to-image generation. A total of 14 teams participated in the test phase, with 12 teams submitting system description papers. Participating systems used a range of approaches, including zero-shot prompting, fine-tuning of vision-language models, speech-recognition pipelines, ensembling, and score calibration. We describe the task setup, datasets, evaluation procedure, and participating systems, and summarize the main results across the different tracks. All datasets and evaluation scripts from the shared task are released to the research community. The shared task highlights the challenges of culturally grounded multimodal evaluation, particularly for Arabic speech and image-text reasoning.
Samir Abdaljalil, Hunzalah Hassan Bhatti, Ahlam Bashiti +11
Aug 30, 2026cs.CV

SpanCalib-VLM: Calibrated Hallucination Span Detection in Vision-Language Models

Detecting hallucinations in Large Vision-Language Models (LVLMs) requires both accurate span localization and well-calibrated confidence scores. Fine-tuned generative VLMs excel at identifying hallucinated text spans but suffer from overconfidence and high inference latency. Discriminative sequence taggers offer deterministic speed and superior calibration but exhibit conservative span recall. We present SpanCalib-VLM, a hybrid dual-system for the SHROOM-Visions Shared Task that combines a multimodal sequence tagger, consisting of XLM-RoBERTa-Large fused with a SigLIP vision encoder via cross-attention, with our fine-tuned generative VLM (Qwen3.5-4B-SHROOM-SFT). Through a Union-Calibrated Fusion strategy, candidate spans from the generative model are re-scored with calibrated probabilities from the sequence tagger. On the SHROOM-Visions English evaluation split, our ensemble achieves a Pearson calibration correlation of 0.41 and an overall IoU of 0.39, with a clean-response IoU of 0.91} and overall detection accuracy of 70.7%. We make our model weights and code publicly available.
Amanuel Gizachew Abebe, Yasmin Moslem
Aug 11, 2026cs.CV

UniProbe: A Learnable Token-Level Hallucination Detector for Large VLMs using Multi-Structural Internal Representations

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 1.06×1.06\times the latency of standard generation.
Dvir Samuel, Guy Bar-Shalom, Fabrizio Frasca +4
Jun 28, 2026cs.CL

AURORA: Asymmetry and Update-Induced Rotation for Robust Hallucination Detection in Large Language Models

Large Language Models (LLMs) have demonstrated remarkable capabilities across a wide range of natural language processing tasks. However, their tendency to generate hallucinations, namely factually incorrect or unfaithful outputs, poses a critical obstacle to their deployment in high-stakes applications. Although recent hallucination detection methods have made encouraging progress, they typically rely on costly output-level consistency checks or static hidden-state probes that capture shallow dataset-specific patterns, leading to substantial degradation under cross-dataset evaluation. In this work, we propose AURORA, a novel hallucination detection framework that shifts the focus from static representations to the weight-gradient dynamics of LLMs. Our key insight is that hallucinated and faithful answers induce qualitatively different gradient update patterns on the model's parameters. Specifically, hallucinated samples trigger asymmetric and structurally misaligned gradients, which can be captured through two complementary features: (1) the skewness of the cosine similarity distribution between weight matrices and their gradient update directions, and (2) the rotation ratio, which quantifies how much the gradient update reorients the singular-vector basis of weight matrices via SVD. AURORA achieves strong hallucination detection performance across four model families and four benchmark datasets. Further analyses demonstrate that our method scales effectively across model sizes and transfers to out-of-domain tasks, including mathematical reasoning and vision-language scenarios.
Zishuai Zhang, Hainan Zhang, Zhiming Zheng
Jun 26, 2026cs.CV

Detecting Clinical Hallucinations in LVLMs via Counterfactual Visual Grounding Uncertainty

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.
Xiao Song, Haonan Qin, Zhaoxu Zhang +3
Jun 23, 2026cs.CV

A Benchmark for Hallucination Detection in VLMs for Gastrointestinal Endoscopy

Vision-language models (VLMs) are prone to hallucination, which remains a major barrier to their safe deployment in clinical practice. To date, most hallucination detection methods have been evaluated on radiology benchmarks such as MIMIC-CXR and VQA-RAD, while gastrointestinal (GI) endoscopy remains largely underexplored. In this paper, we benchmark nine hallucination detection methods on the Gut-VLM dataset, a GI diagnostic Visual Question Answering (VQA) dataset with 4,392 test VQA pairs, across five VLMs (MedGemma-4B, MedGemma-27B, LLaVA-Med-7B, LLaVA-v1.6-7B, and Lingshu-32B). The methods span three categories: black-box methods (RadFlag, SelfCheckGPT-NLI), gray-box methods (AvgProb, AvgEnt, MaxProb, MaxEnt, Semantic Entropy, and VASE), and a white-box method (ReXTrust). Our results show that ReXTrust, a white-box method, achieves the highest AUC across all five models, outperforming the strongest alternative method on each VLM by a statistically significant margin (paired permutation test, p < 0.001 in all cases), reaching a peak AUC of 93.0 on MedGemma-4B. White-box hidden-state access provides a consistent advantage of 19.5 AUC points on average (range: 9.5--33.5), with ReXTrust maintaining strong performance even on LLaVA-v1.6-7B (AUC 79.9), where black-box methods and clustering-based gray-box methods collapse to near-chance performance. Among non-white-box methods, token-level gray-box statistics (MaxEnt, MaxProb) are the strongest alternatives, outperforming both clustering-based gray-box methods (Semantic Entropy, VASE) and black-box approaches on average. We further identify confident confabulation, a failure mode in which models hallucinate with high inter-sample consistency or high token-level probability, as a systemic failure for both consistency and uncertainty-based methods.
Aminu Lawal, Niyoj Oli, Sachin Acharya +3
Jun 17, 2026cs.CV

Hallucination Detection and Correction in Medical VLMs via Counter-Evidence Verification

Vision-Language models (VLMs) reliability in medical diagnosis is challenged by trust-undermining hallucinations. Existing hallucination detection approaches mainly focus on identifying factual inconsistencies between generated text and reference data. While some studies analyze where models attend in images, they seldom verify whether such attention truly reflects the visual evidence supporting the generated text. To address this gap, we propose Co}unter-Evidence Verification (CoEV), a training-free plug-and-play framework that detects and corrects hallucinations through evidence-based factual consistency verification. CoEV performs bidirectional verification between textual assertions and visual evidence, testing whether each statement is supported by its corresponding evidence region, and assigns each statement into a four-quadrant diagnostic map capturing combinations of text factuality and visual grounding. CoEV detects hallucinated content and serves as a post hoc refinement tool, correcting hallucinations without retraining. Extensive experiments on four medical datasets show that CoEV combats hallucinations in VLMs.For hallucination detection, CoEV consistently outperforms existing methods, improving average PR-AUC and ROC-AUC by 3.0% and 3.9% absolute points respectively, with notable gains of up to 18.5% in specific VQA scenarios. For hallucination correction, it improves Micro-F1 by up to 12.5%, reduces hallucination rates by over 11.9% on medical report generation, and also boosts medical VQA accuracy. These results show that CoEV enables reliable detection and correction of hallucinations, providing clinicians with dependable, evidence-based cues for diagnosis. Code will be released upon acceptance.
Nan Zhou, Ke Zou, Meng Liu +5
Jun 6, 2026cs.CL

Constrained Paraphrase Consistency for LLM Hallucination Detection

Large language models (LLMs) can generate factually inconsistent claims, motivating accurate and scalable hallucination detectors. Prior work largely enlarges training sets via synthesis or new annotations, introducing increasing cost and potential bias while underusing the consistency implied by semantically equivalent paraphrases. We propose Consistency-Constrained Hallucination Detector (CCHD), which formulates training as a constrained optimization problem. The standard cross-entropy on original document-claim pairs is complemented by (i) paraphrase-consistency constraints bounding divergence across paraphrased views, and (ii) label-preservation constraints tying paraphrases to ground truth. We solve the problem by gradient descent-ascent over model parameters and per-view Lagrange multipliers, adding only a few scalar dual variables and no inference-time overhead. With DeBERTa and Flan-T5 backbones, CCHD consistently outperforms strong baselines (FactCG, MiniCheck, and AlignScore) on standard factuality benchmarks, demonstrating its superiority on hallucination detection.
Shanshan Lin, Dongsheng Hong, Sibo Ju +3
May 25, 2026cs.AI

Automatic Layer Selection for Hallucination Detection

Recent studies on hallucination detection have shown that hallucination-related signals are more strongly encoded in intermediate layers than in the final layer of large language models (LLMs). Although a growing body of work has sought to exploit this property for hallucination detection, how to automate the selection of high-performing layers remains underexplored, and principled methods for this purpose are still lacking. To address this gap, we first propose several hypotheses for why such signals emerge in intermediate layers and evaluate corresponding criteria for automatic layer selection across diverse LLM architectures, scales, and tasks, covering both question answering and summarization hallucination detection benchmarks. However, we find that none of these criteria consistently delivers satisfactory performance. We therefore propose a new selection criterion, First Effective Peak of Intrinsic Dimension (FEPoID), which consistently identify optimal or near-optimal layers and outperforms both the aforementioned criteria and existing hallucination detection baselines. FEPoID is training-free and incurs negligible computational overhead. In addition, we study the generation behaviors of LLMs and introduce a simple yet effective truncation strategy, which further amplifies hallucination-related signals and substantially improves overall detection performance. Code is publicly available at https://github.com/DesoloYw/Automatic-Layer-Selection-for-Hallucination-Detection.git
Xinpeng Wang, William X. Cao, Andrew Gordon Wilson +1
May 24, 2026cs.CL

MultiHaluDet: Multilingual Hallucination Detection via LLM Hidden State Probing

Hallucinations in Large Language Models (LLMs) represent a critical barrier to their reliable deployment, a vulnerability heavily exacerbated in non-English and resource-constrained contexts. Existing detection approaches that rely on output confidence heuristics or single-layer internal representations frequently fail to capture deep, complex factual inconsistencies across diverse languages. To address this, we introduce MultiHaluDet, a novel three-stage stacking framework that detects multilingual hallucinations by probing the full hidden state trajectories of frozen LLMs without requiring language-specific fine-tuning. Our method extracts sequential features across multiple layers and processes them via a hybrid architecture using multi-scale attention and self-attention pooling. By generating out-of-fold embeddings that feed into a calibrated classical classifier ensemble, MultiHaluDet captures both fine-grained and coarse-grained patterns of factual inconsistency. Extensive experiments demonstrate that our framework achieves state-of-the-art detection performance, reaching up to 98.55% AUROC on the English HaluEval and TriviaQA benchmarks using Mistral-7B and LLaMA2-7B architectures. Crucially, we rigorously evaluate our framework's cross-lingual generalization across high (French), medium (Bangla), and low-resource (Amharic) languages. MultiHaluDet demonstrates exceptional representational robustness, consistently outperforming baselines and successfully transferring hallucination detection capabilities across typologically diverse linguistic tiers.
Riasad Alvi, Nurul Labib Sayeedi, Md. Faiyaz Abdullah Sayeedi
May 22, 2026cs.AI

Beyond Final Answers: Auditing Trajectory-Level Hallucinations in Multi-Agent Industrial Workflows

Large Language Models (LLMs) are increasingly deployed as autonomous agents that reason, use tools, and act over multiple steps. Yet most hallucination benchmarks still evaluate only the final output, missing failures that originate in intermediate Thought-Action-Observation steps. We present Trajel, a dataset and evaluation framework for auditing trajectory-level hallucinations in multi-agent industrial workflows. Trajel introduces a five-type hallucination taxonomy (factual, referential, logical, procedural, and scope-based) over expert-annotated agent traces from AssetOpsBench. We benchmark supervised detection models at the subtask, trajectory, and long-context levels. Our results show that the most common failure modes are missed by existing benchmarks, that nearly half of hallucinated trajectories involve multiple types at once, and that automated detectors with high binary accuracy still misclassify the subtlest types. Trajectory-aware detection significantly outperforms standard post-hoc verification, making taxonomy-grounded evaluation necessary for safer agentic deployment.
Harshada Badave, Santosh Borse, Andrea Gomez +6
May 20, 2026cs.CV

VIHD: Visual Intervention-based Hallucination Detection for Medical Visual Question Answering

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
Jiayi Chen, Benteng Ma, Zehui Liao +3
May 16, 2026cs.AI

How do Humans Process AI-generated Hallucination Contents: a Neuroimaging Study

While AI-generated hallucinations pose considerable risks, the underlying cognitive mechanisms by which humans can successfully recognize or be misled by these hallucinations remain unclear. To address this problem, this paper explores humans' neural dynamics to characterize how the brain processes hallucinated content. We record EEG signals from 27 participants while they are performing a verification task to judge the correctness of image descriptions generated by a multi-modal large language model (MLLM). Based on an averaged event-related potential (ERP) study, we reveal that multiple cognitive processes, e.g., semantic integration, inferential processing, memory retrieval, and cognitive load, exhibit distinct patterns when humans process hallucinated versus non-hallucinated content. Notably, neural responses to hallucinations that were misjudged versus correctly judged by human participants showed significant differences. This indicates that misjudged AI-generated hallucinations failed to trigger the standard neurocognitive fact verification pathway.
Shuqi Zhu, Yi Zhong, Ziyi Ye +4
May 13, 2026cs.CV

Dual-Pathway Circuits of Object Hallucination in Vision-Language Models

Vision-language models (VLMs) have demonstrated remarkable capabilities in bridging visual perception and natural language understanding, enabling a wide range of multimodal reasoning tasks. However, they often produce object hallucinations, describing content absent from the input image, which limits their reliability and interpretability. To address this limitation, we propose Dual-Pathway Circuit Analysis, a framework that identifies and characterizes hallucination-related circuits in VLMs for mechanistic understanding and causal probing. We first apply activation patching across five architecturally diverse VLMs to identify a visual grounding pathway that supports correct predictions and a hallucination pathway that drives erroneous outputs. We then introduce Conditional Pathway Analysis (CPA) to characterize pathway-level interactions, revealing that grounding components remain strongly redundant in both correct and hallucinating samples but undergo a consistent polarity flip, shifting from supporting the ground truth on correct samples to aligning with the hallucinated answer on erroneous ones. We further perform targeted suppression of hallucination-pathway components, showing that scaling these components reduces object hallucination by up to 76% with minimal accuracy cost, and validate that the same circuit selectively transfers to relational but not attribute hallucination. Evaluations on POPE-adversarial and AMBER show that the identified circuits are consistent across architectures, support causal intervention, and transfer selectively across hallucination types.
Jiaxin Liu, Ding Zhong, Yue Wang +6
May 12, 2026cs.CL

Scalable Token-Level Hallucination Detection in Large Language Models

Large language models (LLMs) have demonstrated remarkable capabilities, but they still frequently produce hallucinations. These hallucinations are difficult to detect in reasoning-intensive tasks, where the content appears coherent but contains errors like logical flaws and unreliable intermediate results. While step-level analysis is commonly used to detect internal hallucinations, it suffers from limited granularity and poor scalability due to its reliance on step segmentation. To address these limitations, we propose TokenHD, a holistic pipeline for training token-level hallucination detectors. Specifically, TokenHD consists of a scalable data engine for synthesizing large-scale hallucination annotations along with a training recipe featuring an importance-weighted strategy for robust model training. To systematically assess the detection performance, we also provide a rigorous evaluation protocol. Through training within TokenHD, our detector operates directly on free-form text to identify hallucinations, eliminating the need for predefined step segmentation or additional text reformatting. Our experiments show that even a small detector (0.6B) achieves substantial performance gains after training, surpassing much larger reasoning models (e.g., QwQ-32B), and detection performance scales consistently with model size from 0.6B to 8B. Finally, we show that our detector can generalize well across diverse practical scenarios and explore strategies to further enhance its cross-domain generalization capability.
Rui Min, Tianyu Pang, Chao Du +2
May 12, 2026cs.LG

Instruction Lens Score: Your Instruction Contributes a Powerful Object Hallucination Detector for Multimodal Large Language Models

Multimodal large language models (MLLMs) have achieved remarkable progress, yet the object hallucination remains a critical challenge for reliable deployment. In this paper, we present an in-depth analysis of instruction token embeddings and reveal that they implicitly encode visual information while effectively filtering erroneous information introduced by misleading visual embeddings. Building on this insight, we propose the Instruction Lens Score (InsLen), which combines a Calibrated Local Score with a Context Consistency Score that measures context consistency of the object tokens. The proposed approach serves as a plug-and-play object hallucination detector without relying on auxiliary models or additional training. Extensive experiments across multiple benchmarks and diverse MLLM architectures demonstrate that InsLen consistently outperforms existing hallucination detection methods, highlighting its effectiveness and robustness. The code is available at https://github.com/Fraserlairh/Instruction-Lens-Score.
Runhe Lai, Xinhua Lu, Yanqi Wu +3
May 11, 2026cs.CV

Med-StepBench: A Hierarchical Reasoning Framework for Evaluating Hallucinations in Medical Vision-Language Models

Large vision-language models (VLMs) demonstrate strong performance in medical image understanding, but frequently generate clinically plausible yet incorrect statements, raising significant safety concerns. Existing medical hallucination benchmarks primarily focus on 2D imaging with one-shot diagnostic questions, offering limited insight into whether predictions are grounded in correct localization and abnormality identification, allowing critical reasoning errors to remain hidden behind seemingly correct diagnoses. We introduce Med-StepBench, the first large-scale benchmark for step-wise hallucination detection in 3D oncological PET/CT, comprising over 12,000 images and more than 1,000,000 image-statement pairs across volumetric and multi-view 2D data, which decomposes clinical reasoning into four expert-designed diagnostic stages. Using clinician-verified annotations, we perform the first step-level evaluation of general-purpose and medical VLMs, revealing systematic failure modes obscured by aggregate accuracy metrics. Furthermore, we show that current VLMs are highly susceptible to adversarial yet clinically plausible intermediate explanations, which significantly amplify hallucinations despite contradictory visual evidence. Together, our findings highlight fundamental limitations in grounding multi-step clinical reasoning and establish Med-StepBench as a rigorous benchmark for developing safer and more reliable medical VLMs.
Minh Khoi Nguyen, Dai Lam Le, Amir Reza Jafari +8
May 8, 2026cs.CL

Sanity Checks for Long-Form Hallucination Detection

Hallucination detection methods for large language models increasingly operate on chain-of-thought reasoning traces, yet it remains unclear whether they evaluate the reasoning itself or merely exploit surface correlates of the final answer. We introduce a controlled-invariance methodology that exposes this distinction through two oracle tests: \textsc{Force}, which replaces each response's final answer with the ground truth while preserving the reasoning trace, and \textsc{Remove}, which strips answer-announcement steps while leaving the trajectory intact. This reveals if their predictive power derives from answer-level artifacts rather than from the structure or validity of intermediate reasoning. We further show that once these artifacts are controlled for, effective detection does not necessarily require complex learned representations: TRACT, a lightweight scorer built on lexical trajectory features (hedging trends, step-length dynamics, and cross-response vocabulary convergence), achieves strong robustness while remaining competitive with or outperforming existing baselines on unperturbed traces. These findings suggest that the current central challenge in reasoning-aware hallucination detection is not the absence of signal in the trace, but the failure to isolate it from endpoint cues.
Geigh Zollicoffer, Minh Vu, Hongli Zhan +2
Feb 20, 2025cs.CL

Verify when Uncertain: Beyond Self-Consistency in Black Box Hallucination Detection

Large Language Models (LLMs) often hallucinate, limiting their reliability in sensitive applications. In black-box settings, several self-consistency-based techniques have been proposed for hallucination detection. We empirically show that these methods perform nearly as well as a supervised (black-box) oracle, leaving limited room for further gains within this paradigm. To address this limitation, we explore cross-model consistency checking between the target model and an additional verifier LLM. With this extra information, we observe improved oracle performance compared to purely self-consistency-based methods. We then propose a budget-friendly, two-stage detection algorithm that calls the verifier model only for a subset of cases. It dynamically switches between self-consistency and cross-consistency based on an uncertainty interval of the self-consistency classifier. We provide a geometric interpretation of consistency-based hallucination detection methods through the lens of kernel mean embeddings, offering deeper theoretical insights. Extensive experiments on QA-style hallucination detection benchmarks show that this approach maintains high detection performance while significantly reducing computational cost.
Yihao Xue, Kristjan Greenewald, Youssef Mroueh +1