Multimodal Reasoning

Despite notable progress in text-guided medical image segmentation nowadays, these methods are limited to single-round dialogues and fail to support multi-round reasoning, which is important for medical education scenarios. In this work, we introduce Multi-Round Entity-Level Medical Reasoning Segmentation (MEMR-Seg), a new task that requires generating segmentation masks through multi-round queries with entity-level reasoning, helping learners progressively develop their understanding of medical knowledge. To support this task, we construct MR-MedSeg, a large-scale dataset of 177K multi-round medical segmentation dialogues, featuring entity-based reasoning across rounds. Furthermore, we propose MediRound, an effective baseline model designed for multi-round medical reasoning segmentation. To mitigate the inherent error propagation within the chain-like pipeline of multi-round segmentation, we introduce a lightweight yet effective Judgment & Correction Mechanism during model inference. Experimental results demonstrate that our method effectively addresses the MEMR-Seg task and outperforms conventional medical referring segmentation methods. The project is available at https://github.com/Edisonhimself/MediRound.

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.

We introduce VMMU, a Vietnamese Multitask Multimodal Understanding and Reasoning Benchmark designed to evaluate how vision-language models (VLMs) interpret and reason over visual and textual information beyond English. VMMU consists of 2.5k multimodal questions across 7 tasks, covering a diverse range of problem contexts, including STEM problem solving, data interpretation, rule-governed visual reasoning, and abstract visual reasoning. All questions require genuine multimodal integration, rather than reliance on text-only cues or OCR-based shortcuts. We evaluate a diverse set of state-of-the-art proprietary and open-source VLMs on VMMU. Despite strong Vietnamese OCR performance, proprietary models achieve only 66% mean accuracy. Further analysis shows that the primary source of failure is not OCR, but instead multimodal grounding and reasoning over text and visual evidence. Code and data are available at https://vmmu-bench.github.io/

Connecting pretrained vision and language models usually involves projecting image features into the language model's input space. Inverse-LLaVA reverses this mapping within decoder attention: language states are projected to the visual feature dimension, and modality-specific maps produce residual query, key, and value updates. Fusion and low-rank adaptation (LoRA) learn jointly from 665K visual instructions, with frozen backbones and no separate alignment stage. Across nine primary benchmark evaluations, the final 7B model approaches two-stage LLaVA-1.5 on several tasks. It scores 78.45% on VQAv2 versus 79.13% for official LLaVA-LoRA, and 50.96% versus 48.56% on VizWiz; TextVQA is lower at 56.96% versus 58.47%. Controlled studies examine fusion components, insertion depth, visual features, and language-model size. Representation analysis shows that the text maps preserve much of the pairwise similarity ordering while changing its geometric spread. Additional paired supervision improves celebrity recognition, while instruction replay repairs caption-induced answer-format failures. Analytical cost expressions and fixed-work profiles separate the additional fusion computation from the omitted alignment stage. These findings establish text-to-vision attention fusion as a practical alternative for instruction-only multimodal adaptation.

AI agents with advanced reasoning and tool-use capabilities have demonstrated impressive performance in web browsing for deep search. However, existing benchmarks such as BrowseComp primarily focus on textual content, overlooking the prevalence of multimodal content. To bridge this gap, we introduce MM-BrowseComp, a novel benchmark comprising 400 challenging, hand-crafted questions designed to evaluate multimodal retrieval and reasoning capabilities. Unlike prior work, MM-BrowseComp incorporates visual prompts and necessitates the extraction of key evidence from web images and videos to complete questions, rendering text-only approaches insufficient. Additionally, we provide a verified checklist for each question, enabling fine-grained analysis of multimodal dependencies and reasoning paths. Our comprehensive evaluation of 27 state-of-the-art models reveals that even leading models like GPT-5-High with tools achieve only 24.25% accuracy, highlighting the suboptimal multimodal browsing capabilities, establishing MM-BrowseComp as a rigorous new standard for the field.

Inspired by human categorization, visual reasoning about object properties, such as physical attributes and functions, involves identifying and recognizing low-level details and higher-level abstractions. While current visual question answering (VQA) studies consider multiple object properties, such as size, they typically blend perception and reasoning and lack representativeness with respect to reasoning levels and image categories, making it unclear whether and how vision-language models (VLMs) recognize and reason about depicted objects. To this end, we introduce a systematic evaluation framework comprising images of three representative types, three reasoning levels of increasing complexity, and four object property dimensions, informed by prior work on commonsense knowledge representation and reasoning. We develop a procedure to instantiate this framework in two VQA object-reasoning benchmarks: OPTICS-CNT, comprising 360 images paired with 1,080 multi-level, count-based questions, and OPTICS-CMP, comprising 2.1k comparison questions. Experiments with 12 state-of-the-art VLMs in zero-shot settings reveal significant limitations relative to humans, with the best-performing model achieving below 40% counting and 70% comparison accuracy. While newer reasoning models perform better, a 20% gap to human performance remains. VLMs struggle particularly with photographic images, counterfactual reasoning, physical and functional properties, and higher counts. We make the OPTICS benchmark data and code available to support future scalable benchmarking methods, generalized annotation guidelines, and advanced reasoning VLMs.

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.

Multimodal large-scale models have significantly advanced the development of web agents, enabling perception and interaction with digital environments akin to human cognition. In this paper, we argue that web agents must first acquire sufficient knowledge to effectively engage in cognitive reasoning. Therefore, we decompose a web agent's capabilities into two essential stages: knowledge content learning and cognitive processes. To formalize this, we propose Web-CogKnowledge Framework, categorizing knowledge as Factual, Conceptual, and Procedural. In this framework, knowledge content learning corresponds to the agent's processes of Memorizing and Understanding, which rely on the first two knowledge types, representing the "what" of learning. Conversely, cognitive processes correspond to Exploring, grounded in Procedural knowledge, defining the "how" of reasoning and action. To facilitate knowledge acquisition, we construct the Web-CogDataset, a structured resource curated from 14 real-world websites, designed to systematically instill core knowledge necessary for web agent. This dataset serves as the agent's conceptual grounding-the "nouns" upon which comprehension is built-as well as the basis for learning how to reason and act. Building on this foundation, we operationalize these processes through a novel knowledge-driven Chain-of-Thought (CoT) reasoning framework, developing and training our proposed agent, the Web-CogReasoner. Extensive experimentation reveals its significant superiority over existing models, especially in generalizing to unseen tasks where structured knowledge is decisive. To enable rigorous evaluation, we introduce the Web-CogBench, a comprehensive evaluation suite designed to assess and compare agent performance across the delineated knowledge domains and cognitive capabilities. Our code and data is open sourced at https://github.com/Gnonymous/Web-CogReasoner

The proliferation of Large Language Models (LLMs) in medicine has enabled impressive capabilities, yet a critical gap remains in their ability to perform systematic, transparent, and verifiable reasoning, a cornerstone of clinical practice. This has catalyzed a shift from single-step answer generation to the development of LLMs explicitly designed for medical reasoning. This paper provides the first systematic review of this emerging field. We propose a taxonomy of reasoning enhancement techniques, categorized into training-time strategies (e.g., supervised fine-tuning, reinforcement learning) and test-time mechanisms (e.g., prompt engineering, multi-agent systems). We analyze how these techniques are applied across different data modalities (text, image, code) and in key clinical applications such as diagnosis, education, and treatment planning. Furthermore, we survey the evolution of evaluation benchmarks from simple accuracy metrics to sophisticated assessments of reasoning quality and visual interpretability. Based on an analysis of 60 seminal studies from 2022-2025, we conclude by identifying critical challenges, including the faithfulness-plausibility gap and the need for native multimodal reasoning, and outlining future directions toward building efficient, robust, and sociotechnically responsible medical AI.

Recent advances in multimodal large language models (MLLMs) have shown impressive reasoning capabilities. However, further enhancing existing MLLMs necessitates high-quality vision-language datasets with carefully curated task complexities, which are both costly and challenging to scale. Although recent self-improving models that iteratively refine themselves offer a feasible solution, they still suffer from two core challenges: (i) most existing methods augment visual or textual data separately, resulting in discrepancies in data complexity (e.g., over-simplified diagrams paired with redundant textual descriptions); and (ii) the evolution of data and models is also separated, leading to scenarios where models are exposed to tasks with mismatched difficulty levels. To address these issues, we propose C2-Evo, an automatic, closed-loop self-improving framework that jointly evolves both training data and model capabilities. Specifically, given a base dataset and a base model, C2-Evo enhances them by a cross-modal data evolution loop and a data-model evolution loop. The former loop expands the base dataset by generating complex multimodal problems that combine structured textual sub-problems with iteratively specified geometric diagrams, while the latter loop adaptively selects the generated problems based on the performance of the base model, to conduct supervised fine-tuning and reinforcement learning alternately. Consequently, our method continuously refines its model and training data, and consistently obtains considerable performance gains across multiple mathematical reasoning benchmarks. Our code, models, and datasets will be released.

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.

While Multimodal Large Language Models (MLLMs) demonstrate impressive performance in benign scenarios, their cognitive reliability deteriorates significantly in complex scenes under adverse conditions. In these settings, models often rely on implicit inference without sufficient visual evidence, leading to a disconnect between perception and reasoning. Meanwhile, existing outcome-oriented benchmarks evaluate only final predictions and fail to diagnose failures in the underlying reasoning process. To address this gap, the authors propose AD2-Bench, which introduces a Hierarchical Visual Diagnosis framework that decomposes reasoning into a structured Chain of Evidence (CoE). This fine-grained diagnosis reveals that robust multimodal reasoning fundamentally depends on accurate evidence acquisition. Building on this perspective, the authors formulate reasoning from a probabilistic viewpoint and identify two primary causes of reasoning failure: Spatial Ambiguity, where models fail to distinguish target objects from background clutter, resulting in localization errors; and Semantic Uncertainty, where degraded visual features lead to incorrect semantic interpretation, resulting in understanding errors. To overcome these evidence deficiencies, they further propose Evidence-grounded Visual Reasoning (EGVOR), which replaces implicit reasoning with the explicit generation of Evidence Atoms - structured spatial-semantic triplets that enforce tight alignment between localization and semantic understanding. The model is trained through a hierarchical curriculum that progresses from reflective supervision construction to reinforcement learning, where reducing reasoning variance is explicitly rewarded. Extensive experiments demonstrate that EGVOR substantially improves reasoning stability under adverse conditions, providing a more robust framework for trustworthy multimodal cognition.

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...

Modern multimodal generative models can synthesize visually compelling images and videos, but it remains unclear whether this visual fluency reflects genuine reasoning: when prompted to generate a solution, can a model preserve the physical, logical, spatial, and temporal constraints a task requires, or does it merely produce plausible-looking media? To answer this question, we introduce MMGR (Multi-Modal Generative Reasoning Benchmark and Evaluation), a benchmark for evaluating generative reasoning across video, image, and language-based systems. MMGR covers 10 tasks from three domains (Abstract Reasoning, Embodied Navigation, and Physical Commonsense) and probes five reasoning abilities: Physical, Logical, 2D Spatial, 3D Spatial, and Temporal. Its evaluation emphasizes answer-verifiable tasks and, for video generation, process-aware chain-of-frame reasoning, where intermediate frames must form valid steps toward the target outcome rather than visually smooth but incorrect transitions. Evaluating state-of-the-art video generators, image generators, and LLM/VLM baselines reveals a sharp gap between visual quality and reasoning correctness: video models perform best on Physical Commonsense, but remain weak on symbolic tasks such as Sudoku, ARC, and Math, and brittle in cross-view embodied navigation. Image generators often outperform video generators on embodied navigation despite lacking temporal outputs, showing that longer visual generation does not automatically yield stronger reasoning. MMGR reframes evaluation of multimodal generation from whether outputs look realistic to whether they solve the underlying reasoning problem.