Multimodal CoT Reasoning

Multimodal Summarization (MMS) aims to generate concise textual summaries by understanding and integrating information across videos, transcripts, and images. However, existing approaches still suffer from three main challenges: (1) reliance on domain-specific supervision, (2) implicit fusion with weak cross-modal grounding, and (3) flat temporal modeling without event transitions. To address these issues, we introduce CoE, a training-free MMS framework that performs structured reasoning through a Chain-of-Events guided by a Hierarchical Event Graph (HEG). The HEG encodes textual semantics into an explicit event hierarchy that scaffolds cross-modal grounding and temporal reasoning. Guided by this structure, CoE localizes key visual cues, models event evolution and causal transitions, and refines outputs via lightweight style adaptation for domain alignment. Extensive experiments on eight diverse datasets demonstrate that CoE consistently outperforms state-of-the-art video CoT baselines, achieving average gains of +3.04 ROUGE, +9.51 CIDEr, and +1.88 BERTScore, highlighting its robustness, interpretability, and cross-domain generalization. Our code is available at https://github.com/youxiaoxing/CoE.

Accurate tumor analysis is central to clinical radiology and precision oncology, where early detection, reliable lesion characterization, and pathology-level risk assessment guide diagnosis and treatment planning. Chain-of-Thought (CoT) reasoning is particularly important in this setting because it enables step-by-step interpretation from imaging findings to clinical impressions and pathology conclusions, improving traceability and reducing diagnostic errors. Here, we target the clinical tumor analysis task and build a large-scale benchmark that operationalizes a multimodal reasoning pipeline, spanning findings, impressions, and pathology predictions. We curate TumorCoT, a large-scale dataset of 1.5M CoT-labeled VQA instructions paired with 3D CT scans, with step-aligned rationales and cross-modal alignments along the trajectory from findings to impression to pathology, enabling evaluation of both answer accuracy and reasoning consistency. We further propose TumorChain, a multimodal interleaved reasoning framework that tightly couples 3D imaging encoders, clinical text understanding, and organ-level vision-language alignment. Through cross-modal alignment and iterative interleaved causal reasoning, TumorChain grounds visual evidence, aggregates conclusions, and issues pathology predictions after multiple rounds of self-refinement, improving traceability and reducing hallucination risk. Experiments show consistent improvements over strong baselines in lesion detection, impression generation, and pathology classification, and demonstrate strong generalization on the DeepTumorVQA benchmark. These results highlight the potential of multimodal reasoning for reliable and interpretable tumor analysis in clinical practice. Detailed information about our project can be found on our project homepage at https://github.com/ZJU4HealthCare/TumorChain.

Universal Multimodal Retrieval requires unified embedding models capable of interpreting diverse user intents, ranging from simple keywords to complex compositional instructions. While Multimodal Large Language Models (MLLMs) possess strong reasoning capabilities, prevailing adaptations confine them to static encoders, underutilizing their generative potential. This encoder-only paradigm struggles with complex intents that demand logical deduction rather than superficial pattern matching. To address this, we introduce TRACE (Task-adaptive Reasoning And Compressing Embeddings). TRACE unifies generative reasoning with discriminative representation learning. It first generates a structured Chain-of-Thought (CoT) to explicitly reason about the query, and subsequently compresses this reasoning trace into a compact embedding via a dedicated token. To train this framework, we construct M-BEIR-CoT, a large-scale dataset featuring a difficulty-aware routing strategy. Experiments on the M-BEIR benchmark establish TRACE as the new state-of-the-art. Crucially, TRACE demonstrates a learned implicit routing behavior. It autonomously activates reasoning for complex queries while bypassing it for simpler ones, achieving an optimal balance between retrieval accuracy and inference throughput. Furthermore, by internalizing the deductive process, TRACE exhibits remarkable zero-shot transferability to unseen domains and novel constraints.

Solving complex geometric problems inherently requires interleaved reasoning: a tight alternation between constructing diagrams and performing logical deductions. Although recent Multimodal Large Language Models (MLLMs) have demonstrated strong capabilities in visual generation and plotting, we identify a counter-intuitive and underexplored phenomenon. Naively applying Supervised Fine-Tuning (SFT) on interleaved plot-solution data leads to a substantial degradation in reasoning performance compared to text-only baselines. We argue that this failure stems from a fundamental limitation of SFT, which primarily induces distributional alignment: the model learns to reproduce the surface format of interleaved plotting but fails to internalize the causal dependency between the generated plot and reasoning steps. To overcome this limitation, we propose Faire (Functional alignment for interleaved reasoning), a reinforcement learning framework that enforces three casual constraints to move beyond superficial imitation toward functional alignment. Extensive experiments show that Faire induces a qualitative shift in model behavior in which the plotting is effectively internalized, yielding competitive performance on challenging geometric reasoning benchmarks.

Recent MLLMs increasingly rely on visual chain-of-thought to perform region-grounded reasoning over images. However, existing approaches ground regions via either textified coordinates (causing modality mismatch and semantic fragmentation) or fixed-granularity patches that both limit precise region selection and often require non-trivial architectural changes. In this paper, we propose Numerical Visual Chain-of-Thought (NV-CoT), a framework that enables MLLMs to reason over images using continuous numerical coordinates. NV-CoT expands the MLLM action space from discrete vocabulary tokens to a continuous Euclidean space, allowing models to directly generate bounding-box coordinates as actions with only minimal architectural modification. The framework supports both supervised fine-tuning and reinforcement learning. In particular, we replace categorical token policies with a Gaussian (or Laplace) policy over coordinates and introduce stochasticity via reparameterized sampling, making NV-CoT fully compatible with GRPO-style policy optimization. Extensive experiments on three benchmarks against 11 representative visual reasoning baselines demonstrate that NV-CoT significantly improves localization precision and final answer accuracy, while also accelerating training convergence, validating the effectiveness of continuous-action visual reasoning in MLLMs. Project page: https://kesenzhao.github.io/NV-CoT/

Recent advancements in Multimodal Large Language Models (MLLMs) pursue omni-perception capabilities, yet integrating robust sensory grounding with complex reasoning remains a challenge, particularly for underrepresented regions. In this report, we introduce the research preview of MERaLiON2-Omni (Alpha), a 10B-parameter multilingual omni-perception tailored for Southeast Asia (SEA). We present a progressive training pipeline that explicitly decouples and then integrates "System 1" (Perception) and "System 2" (Reasoning) capabilities. First, we establish a robust Perception Backbone by aligning region-specific audio-visual cues (e.g., Singlish code-switching, local cultural landmarks) with a multilingual LLM through orthogonal modality adaptation. Second, to inject cognitive capabilities without large-scale supervision, we propose a cost-effective Generate-Judge-Refine pipeline. By utilizing a Super-LLM to filter hallucinations and resolve conflicts via a consensus mechanism, we synthesize high-quality silver data that transfers textual Chain-of-Thought reasoning to multimodal scenarios. Comprehensive evaluation on our newly introduced SEA-Omni Benchmark Suite reveals an Efficiency-Stability Paradox: while reasoning acts as a non-linear amplifier for abstract tasks (boosting mathematical and instruction-following performance significantly), it introduces instability in low-level sensory processing. Specifically, we identify Temporal Drift in long-context audio, where extended reasoning desynchronizes the model from acoustic timestamps, and Visual Over-interpretation, where logic overrides pixel-level reality. This report details the architecture, the data-efficient training recipe, and a diagnostic analysis of the trade-offs between robust perception and structured reasoning.

Accurate evaluation of building energy performance remains challenging in regions where scalable Energy Performance Certificate (EPC) assessments are unavailable. This paper presents a cost-efficient framework that leverages Vision-Language models for automated EPC pre-assessment from limited visual information. The proposed Multimodal Modular Chain of Thoughts (MMCoT) architecture decomposes EPC estimation into intermediate reasoning stages and explicitly propagates inferred attributes across tasks using structured prompting. Experiments on a multimodal dataset of 81 residential properties in the United Kingdom show that MMCoT achieves statistically significant improvements over instruction-only prompting for EPC estimation. Analysis based on accuracy, recall, mean absolute error, and confusion matrices indicate that the proposed approach captures the ordinal structure of EPC ratings, with most errors occurring between adjacent classes. These results suggest that modular prompt-based reasoning offers a promising direction for low-cost EPC pre-assessment in data-scarce settings.

Integrating reasoning in large language models and large vision-language models has recently led to significant improvement of their capabilities. However, the generalization of reasoning models is still vaguely defined and poorly understood. In this work, we present an evaluation framework to rigorously examine how well chain-of-thought (CoT) approaches generalize on a simple planning task. Specifically, we consider a grid-based navigation task in which a model is provided with a map and must output a sequence of moves that guides a player from a start position to a goal while avoiding obstacles. The versatility of the task and its data allows us to fine-tune model variants using different input representations (visual and textual) and CoT reasoning strategies, and systematically evaluate them under both in-distribution (ID) and out-of-distribution (OOD) test conditions. Our experiments show that, while CoT reasoning improves in-distribution generalization across all representations, out-of-distribution generalization (e.g., to larger maps) remains very limited in most cases when controlling for trivial matches with the ID data. Surprisingly, we find that reasoning traces which combine multiple text formats yield the best (and non-trivial) OOD generalization. Finally, purely text-based models consistently outperform those utilizing image-based inputs, including a recently proposed approach relying on latent space reasoning.

Multimodal large language models (MLLMs) in long chain-of-thought reasoning often fail when different knowledge sources provide conflicting signals. We formalize these failures under a unified notion of knowledge conflict, distinguishing input-level objective conflict from process-level effective conflict. Through probing internal representations, we reveal that: (I) Linear Separability: different conflict types are explicitly encoded as linearly separable features rather than entangled; (II) Depth Localization: conflict signals concentrate in mid-to-late layers, indicating a distinct processing stage for conflict encoding; (III) Hierarchical Consistency: aggregating noisy token-level signals along trajectories robustly recovers input-level conflict types; and (IV) Directional Asymmetry: reinforcing the model's implicit source preference under conflict is far easier than enforcing the opposite source. Our findings provide a mechanism-level view of multimodal reasoning under knowledge conflict and enable principled diagnosis and control of long-CoT failures.

Multimodal Large Language Models (MLLMs) have recently been applied to universal multimodal retrieval, where Chain-of-Thought (CoT) reasoning improves candidate reranking. However, existing approaches remain largely language-driven, relying on static visual encodings and lacking the ability to actively verify fine-grained visual evidence, which often leads to speculative reasoning in visually ambiguous cases. We propose V-Retrver, an evidence-driven retrieval framework that reformulates multimodal retrieval as an agentic reasoning process grounded in visual inspection. V-Retrver enables an MLLM to selectively acquire visual evidence during reasoning via external visual tools, performing a multimodal interleaved reasoning process that alternates between hypothesis generation and targeted visual verification.To train such an evidence-gathering retrieval agent, we adopt a curriculum-based learning strategy combining supervised reasoning activation, rejection-based refinement, and reinforcement learning with an evidence-aligned objective. Experiments across multiple multimodal retrieval benchmarks demonstrate consistent improvements in retrieval accuracy (with 23.0% improvements on average), perception-driven reasoning reliability, and generalization.

While multimodal reasoning models (MLRMs) have exhibited impressive capabilities, they remain prone to hallucinations, and effective solutions are still underexplored. In this paper, we experimentally analyze the hallucination cause and propose C3PO, a training-based mitigation framework comprising Chain-of-Thought Compression and Contrastive Preference Optimization. Firstly, we identify that introducing reasoning mechanisms exacerbates models' reliance on language priors while overlooking visual inputs, which can produce CoTs with reduced visual cues but redundant text tokens. To this end, we propose to selectively filter redundant thinking tokens for a more compact and signal-efficient CoT representation that preserves task-relevant information while suppressing noise. In addition, we observe that the quality of the reasoning trace largely determines whether hallucination emerges in subsequent responses. To leverage this insight, we introduce a reasoning-enhanced preference tuning scheme that constructs training pairs using high-quality AI feedback. We further design a multimodal hallucination-inducing mechanism that elicits models' inherent hallucination patterns via carefully crafted inducers, yielding informative negative signals for contrastive correction. We provide theoretical justification for the effectiveness and demonstrate consistent hallucination reduction across diverse MLRMs and benchmarks.

Chain-of-Thought (CoT) reasoning has proven effective in enhancing large language models by encouraging step-by-step intermediate reasoning, and recent advances have extended this paradigm to Multimodal Large Language Models (MLLMs). In the medical domain, where diagnostic decisions depend on nuanced visual cues and sequential reasoning, CoT aligns naturally with clinical thinking processes. However, current benchmarks for medical image understanding generally focus on the final answer while ignoring the reasoning path. Such opaque reasoning processes lack reliable bases for judgment, making it difficult to assist doctors in diagnosis. To address this gap, we introduce a new M3CoTBench benchmark specifically designed to evaluate the correctness, efficiency, impact, and consistency of CoT reasoning in medical image understanding. M3CoTBench features 1) a diverse, multi-level difficulty dataset covering 24 examination types, 2) 13 varying-difficulty tasks, 3) a suite of CoT-specific evaluation metrics (correctness, efficiency, impact, and consistency) tailored to clinical reasoning, and 4) a performance analysis of multiple MLLMs. M3CoTBench systematically evaluates CoT reasoning across diverse medical imaging tasks, revealing current limitations of MLLMs in generating reliable and clinically interpretable reasoning, and aims to foster the development of transparent, trustworthy, and diagnostically accurate AI systems for healthcare. Project page at https://juntaojianggavin.github.io/projects/M3CoTBench/.

While Multimodal Large Language Models (MLLMs) excel at single-image understanding, they exhibit significantly degraded performance in multi-image reasoning scenarios. Multi-image reasoning presents fundamental challenges including complex inter-relationships between images and scattered critical information across image sets. Inspired by human cognitive processes, we propose a Cognition-Inspired Meta-Action Framework (CINEMA), which decomposes multi-image reasoning into five structured meta-actions: Global, Focus, Hint, Think, and Answer, explicitly modeling the sequential cognitive steps humans naturally employ. For cold-start training, we introduce a Retrieval-Based Tree Sampling strategy that generates high-quality meta-action trajectories to bootstrap the model with reasoning patterns. During reinforcement learning, we adopt a two-stage paradigm: an exploration phase with Diversity-Preserving Strategy to avoid entropy collapse, followed by an annealed exploitation phase with DAPO to gradually strengthen exploitation. To train our model, we construct a dataset of 56k cold-start and 58k reinforcement learning instances spanning multi-image, multi-frame, and single-image tasks. We conduct extensive evaluations on multi-image reasoning benchmarks, video understanding benchmarks, and single-image benchmarks, achieving competitive state-of-the-art performance on several key benchmarks. Our model surpasses GPT-4o on the MUIR and MVMath benchmarks and notably outperforms specialized video reasoning models on video understanding benchmarks, demonstrating the effectiveness and generalizability of our human cognition-inspired reasoning framework.

Recent medical MLLMs have made significant progress in generating step-by-step textual reasoning chains. However, they still struggle with complex clinical tasks that necessitate dynamic and iterative focusing on fine-grained visual regions. To close this gap, we introduce Ophiuchus, a versatile, tool-augmented framework that equips an MLLM to (i) decide when fine-grained visual evidence is needed, (ii) determine where to probe and ground within the medical image, and (iii) seamlessly weave the relevant sub-image content back into an interleaved, multimodal chain of thought for precise segmentation and diagnosis. Ophiuchus moves beyond mere tool-calling by tightly fusing the MLLM's inherent grounding and reasoning capabilities with external tools, enabling more accurate and trustworthy decisions. The core of our method is a three-stage training strategy: cold-start SFT for basic tool selection; self-reflection fine-tuning to strengthen decision revision; and agentic tool reinforcement learning to elicit sophisticated, expert-like diagnostic behaviors. Extensive experiments show that Ophiuchus consistently outperforms both closed-source and open-source SOTA methods across diverse medical benchmarks, including VQA, detection, and reasoning-based segmentation. Our project code is available at https://github.com/SII-zyj/Ophiuchus.

Vision-Language Models (VLMs) have achieved remarkable progress in integrating visual perception with language understanding. However, effective multimodal reasoning requires both accurate perception and robust reasoning, and weakness in either limits the performance of VLMs. Prior efforts to enhance reasoning often depend on high-quality chain-of-thought (CoT) data, obtained via labor-intensive human annotations, costly proprietary models, or self-training methods that overlook perception. To address these limitations, we propose a simple yet effective self-training framework called See-Think-Learn (STL). At its core, STL introduces a structured reasoning template that encourages the model to see before thinking, first extracting visual attributes in textual form, then using them to guide reasoning. The framework jointly improves perception and reasoning by having the model generate and learn from its own structured rationales in a self-training loop. Furthermore, we augment the training data with negative rationales, i.e. explanations that justify why certain answer choices are incorrect, to enhance the model's ability to distinguish between correct and misleading responses. This fosters more discriminative and robust learning. Experiments across diverse domains show that STL consistently outperforms baselines trained directly only on answers or self-generated reasoning, while qualitative analysis confirms the high quality of its rationales. STL thus provides a cost-effective solution to enhance multimodal reasoning ability of VLMs.

Chain-of-Thought (CoT) prompting has proven remarkably effective for eliciting complex reasoning in large language models (LLMs). Yet, its potential in multimodal large language models (MLLMs) remains largely untapped, hindered by the absence of large-scale datasets that capture the rich, spatially grounded reasoning intrinsic to visual understanding. Existing visual-CoT resources are typically small, domain-specific, or lack the human-like stepwise structure necessary for compositional visual reasoning. In this paper, we introduce VisReason, a large-scale dataset designed to advance visual Chain-of-Thought reasoning. VisReason comprises 489K annotated examples spanning four diverse domains, each featuring multi-round, human-like rationales that guide MLLMs through interpretable visual reasoning steps. Building upon this, we curate VisReason-Pro, a 165K subset produced with a stronger expert-level GPT annotator, enriched with detailed reasoning traces and 3D spatial grounding via depth-informed annotations. Fine-tuning the state-of-the-art Qwen2.5-VL model on VisReason and VisReason-Pro yields substantial improvements in step-by-step visual reasoning accuracy, interpretability, and cross-benchmark generalization. These results demonstrate that VisReason equips MLLMs with more systematic and generalizable reasoning capabilities. We envision VisReason as a cornerstone for cultivating human-like visual reasoning, paving the way toward the next generation of multimodal intelligence.

Explanations are often promoted as tools for transparency, but they can also foster confirmation bias; users may assume reasoning is correct whenever outputs appear acceptable. We study this double-edged role of Chain-of-Thought (CoT) explanations in multimodal moral scenarios by systematically perturbing reasoning chains and manipulating delivery tones. Specifically, we analyze reasoning errors in vision language models (VLMs) and how they impact user trust and the ability to detect errors. Our findings reveal two key effects: (1) users often equate trust with outcome agreement, sustaining reliance even when reasoning is flawed, and (2) the confident tone suppresses error detection while maintaining reliance, showing that delivery styles can override correctness. These results highlight how CoT explanations can simultaneously clarify and mislead, underscoring the need for NLP systems to provide explanations that encourage scrutiny and critical thinking rather than blind trust. All code will be released publicly.

Existing Causal-Why Video Question Answering (VideoQA) models often struggle with higher-order reasoning, relying on opaque, monolithic pipelines that entangle video understanding, causal inference, and answer generation. These black-box approaches offer limited interpretability and tend to depend on shallow heuristics. We propose a novel, modular paradigm that explicitly decouples causal reasoning from answer generation, introducing natural language causal chains as interpretable intermediate representations. Inspired by human cognitive models, these structured cause-effect sequences bridge low-level video content with high-level causal reasoning, enabling transparent and logically coherent inference. Our two-stage architecture comprises a Causal Chain Extractor (CCE) that generates causal chains from video-question pairs, and a Causal Chain-Driven Answerer (CCDA) that derives answers grounded in these chains. To address the lack of annotated reasoning traces, we introduce a scalable method for generating accurate causal chains from existing datasets. We construct human verified causal chains for 46K samples. We also propose CauCo, a new evaluation metric for causality-oriented captioning. Experiments on three large-scale benchmarks demonstrate that our approach not only outperforms state-of-the-art models, but also yields substantial gains in explainability, user trust, and generalization -- positioning the CCE as a reusable causal reasoning engine across diverse domains. Project page: https://paritoshparmar.github.io/chainreaction/

Compositional visual reasoning has emerged as a key research frontier in multimodal AI, aiming to endow machines with the human-like ability to decompose visual scenes, ground intermediate concepts, and perform multi-step logical inference. While early surveys focus on monolithic vision-language models or general multimodal reasoning, a dedicated synthesis of the rapidly expanding compositional visual reasoning literature is still missing. We fill this gap with a comprehensive survey spanning 2023 to 2025 that systematically reviews 260+ papers from top venues (CVPR, ICCV, NeurIPS, ICML, ACL, etc.). We first formalize core definitions and describe why compositional approaches offer advantages in cognitive alignment, semantic fidelity, robustness, interpretability, and data efficiency. Next, we trace a five-stage paradigm shift: from prompt-enhanced language-centric pipelines, through tool-enhanced LLMs and tool-enhanced VLMs, to recently minted chain-of-thought reasoning and unified agentic VLMs, highlighting their architectural designs, strengths, and limitations. We then catalog 60+ benchmarks and corresponding metrics that probe compositional visual reasoning along dimensions such as grounding accuracy, chain-of-thought faithfulness, and high-resolution perception. Drawing on these analyses, we distill key insights, identify open challenges (e.g., limitations of LLM-based reasoning, hallucination, a bias toward deductive reasoning, scalable supervision, tool integration, and benchmark limitations), and outline future directions, including world-model integration, human-AI collaborative reasoning, and richer evaluation protocols. By offering a unified taxonomy, historical roadmap, and critical outlook, this survey aims to serve as a foundational reference and inspire the next generation of compositional visual reasoning research.

Multimodal large language models (MLLMs) have recently demonstrated remarkable reasoning abilities under reinforcement learning (RL) paradigm. However, most existing multimodal medical reasoning models focus on basic reasoning, which refers to shallow inference based on visual feature matching. In contrast, real-world clinical diagnosis extends beyond basic reasoning, demanding complex reasoning that integrates heterogeneous clinical information (such as chief complaints and medical history) with multimodal medical imaging data. To bridge this gap, we introduce MM-Retinal-Reason, an ophthalmic multimodal dataset covering the full spectrum of perception and reasoning. Specifically, it is the first dataset in ophthalmology to encompass both basic and complex reasoning tasks with Chain-of-Thought (CoT) trajectories, aiming to enhance visual-centric reasoning and emulate realistic clinical decision-making. Building upon MM-Retinal-Reason, we propose OphthaReason, the first RL-enhanced ophthalmic multimodal reasoning model with step-by-step reasoning traces. To enable flexible adaptation to both basic and complex reasoning tasks, we further introduce Uncertainty-Aware Dynamic Thinking (UADT), which estimates sample-level uncertainty via entropy and dynamically modulates exploration depth through a shaped advantage mechanism. Comprehensive experiments demonstrate the effectiveness of our model on both basic and complex reasoning tasks, outperforming general-purpose MLLMs, medical MLLMs, RL-based medical MLLMs, and ophthalmic MLLMs by at least 15.47%. Project Page: link.

Current approaches for Multimodal Sentiment Analysis (MSA) primarily leverage the knowledge and reasoning capabilities of parameter-heavy (Multimodal) LLMs for classification, overlooking autonomous multimodal sentiment reasoning generation in resource-constrained environments. In this paper, we focus on the Resource-Limited Joint Multimodal Sentiment Reasoning and Classification task, JMSRC, which simultaneously performs multimodal sentiment reasoning chain generation and sentiment classification only with a lightweight model. We propose a Multimodal Chain-of-Thought Reasoning Distillation model, MulCoT-RD, designed for JMSRC that employs a "Teacher-Assistant-Student" distillation paradigm to address deployment constraints in resource-limited environments. We first leverage a high-performance Multimodal Large Language Model (MLLM) to generate the initial reasoning dataset and train a medium-sized assistant model with a multi-task learning mechanism. A lightweight student model is jointly trained to perform efficient multimodal sentiment reasoning generation and classification. Extensive experiments on four datasets demonstrate that MulCoT-RD, with only 3B parameters, achieves strong performance on JMSRC while exhibiting robust generalization and enhanced interpretability.

Recent progress in large-scale reinforcement learning (RL) has notably enhanced the reasoning capabilities of large language models (LLMs), especially in mathematical domains. However, current multimodal LLMs (MLLMs) for mathematical reasoning often rely on one-to-one image-text pairs and single-solution supervision, overlooking the diversity of valid reasoning perspectives and internal reflections. In this work, we introduce MathV-DP, a novel dataset that captures multiple diverse solution trajectories for each image-question pair, fostering richer reasoning supervision. We further propose Qwen-VL-DP, a model built upon Qwen-VL, fine-tuned with supervised learning and enhanced via group relative policy optimization (GRPO), a rule-based RL approach that integrates correctness discrimination and diversity-aware reward functions. Our method emphasizes learning from varied reasoning perspectives and distinguishing between correct yet distinct solutions. Extensive experiments on the MathVista's minitest and Math-V benchmarks demonstrate that Qwen-VL-DP significantly outperforms prior base MLLMs in both accuracy and generative diversity, highlighting the importance of incorporating diverse perspectives and reflective reasoning in multimodal mathematical reasoning.

Robotic-assisted surgery (RAS) is central to modern surgery, driving the need for intelligent systems with accurate scene understanding. Most existing surgical AI methods rely on isolated, task-specific models, leading to fragmented pipelines with limited interpretability and no unified understanding of RAS scene. Vision-Language Models (VLMs) offer strong zero-shot reasoning, but struggle with hallucinations, domain gaps and weak task-interdependency modeling. To address the lack of unified data for RAS scene understanding, we introduce SurgCoTBench, the first reasoning-focused benchmark in RAS, covering 14256 QA pairs with frame-level annotations across five major surgical tasks. Building on SurgCoTBench, we propose SurgRAW, a clinically aligned Chain-of-Thought (CoT) driven agentic workflow for zero-shot multi-task reasoning in surgery. SurgRAW employs a hierarchical reasoning workflow where an orchestrator divides surgical scene understanding into two reasoning streams and directs specialized agents to generate task-level reasoning, while higher-level agents capture workflow interdependencies or ground output clinically. Specifically, we propose a panel discussion mechanism to ensure task-specific agents collaborate synergistically and leverage on task interdependencies. Similarly, we incorporate a retrieval-augmented generation module to enrich agents with surgical knowledge and alleviate domain gaps in general VLMs. We design task-specific CoT prompts grounded in surgical domain to ensure clinically aligned reasoning, reduce hallucinations and enhance interpretability. Extensive experiments show that SurgRAW surpasses mainstream VLMs and agentic systems and outperforms a supervised model by 14.61% accuracy. Dataset and code is available at https://github.com/jinlab-imvr/SurgRAW.git .