Visual Evidence

Long video understanding requires more than large context windows. It also needs a memory mechanism that decides what visual evidence to retain, keeps it searchable over long horizons, and grounds later reasoning in recoverable observations rather than compressed latent state alone. We propose Visual Agentic Memory (VAM), a training-free framework with three components. Online Indexing supports selective evidence retention under streaming constraints. Hierarchical Memory organises retained evidence in a Parallel Representation that aligns temporal context with spatial observations. Agentic Retrieval searches, inspects, and verifies candidate evidence before producing a grounded answer. On OVO-Bench, VAM achieves the highest RT+BT average (68.41) across all reported baselines, improving over end-to-end use of the same underlying MLLM (Gemini 3 Flash, 67.46). On the month-scale split of MM-Lifelong train@month (105.6 hours over 51 days), VAM reaches 17.11%, second only to ReMA with GPT-5 (17.62%). These results suggest that long-horizon video understanding benefits from treating visual memory as an explicit, inspectable, and queryable substrate. Code is available at https://github.com/yiliu-li/Visual-Agentic-Memory.

Concept Bottleneck Models (CBMs) offer interpretable alternatives to black-box predictors by introducing human-relatable concepts before the final output. However, existing CBMs struggle to verify whether predicted concepts correspond to the correct visual evidence, limiting their reliability. We propose a fine-grained CBM framework that grounds each concept in localized visual evidence, enabling direct inspection of where and how concepts are encoded. This design allows users to interpret predictions and verify that the model learns intended concepts rather than spurious correlations. Experiments on medical imaging benchmarks show that our learned concept space is information-complete and achieves predictive performance comparable to standard CBMs, while substantially improving transparency. Unlike post-hoc attribution methods, our framework validates both the presence and correctness of concept representations, bridging interpretability with verifiability. Our approach enhances the trustworthiness of CBMs and establishes a principled mechanism for human-model interaction at the concept level, paving the way toward more reliable and clinically actionable concept-based learning systems.

Vision-Language Models (VLMs) have achieved strong performance on general multimodal reasoning, yet remain challenged in integrating nonlocal visual information to support semantically underdetermined visual reasoning. We describe this challenge as Fragmented Visual Reasoning. To this end, we propose Credit Assignment for Visual Evidence (CAVE), a structured process-reward method based on GRPO for interleaved visual reasoning. Specifically, CAVE evaluates the contribution of intermediate steps at the action level via three complementary reasoning process signals: belief update, evidence acquisition, and adaptive focus control, thereby guiding the model to optimize each reasoning action and learn more reliable visual reasoning strategies. Meanwhile, we construct TRACER-Bench, which covers four nonlocal and semantically confusable reasoning dimensions and provides key intermediate evidence to supervise reasoning paths. Experiments demonstrate that CAVE substantially improves performance on tasks requiring fragmented visual evidence integration, covering both public benchmarks and our newly introduced TRACER-Bench, while retaining competitive performance on general multimodal evaluations. Further analyses reveal that CAVE effectively improves the visual reasoning capacity and exhibits stronger robustness under longer-range and deeper cross-region dependencies.

Visual evidence selection is a critical component of multimodal retrieval-augmented generation (RAG), yet existing methods typically rely on semantic relevance or surface-level similarity, which are often misaligned with the actual utility of visual evidence for downstream reasoning. We reformulate multimodal evidence selection from an information-theoretic perspective by defining evidence utility as the information gain induced on a model's output distribution. To overcome the intractability of answer-space optimization, we introduce a latent notion of evidence helpfulness and theoretically show that, under mild assumptions, ranking evidence by information gain on this latent variable is equivalent to answer-space utility. We further propose a training-free, surrogate-accelerated framework that efficiently estimates evidence utility using lightweight multimodal models. Experiments on MRAG-Bench and Visual-RAG across multiple model families demonstrate that our method consistently outperforms state-of-the-art RAG baselines while achieving substantial reductions in computational cost.

Recent deep research systems have improved the ability of large language models to produce long, grounded reports through iterative retrieval and reasoning. However, most text-centered systems rely mainly on textual evidence, while multimodal systems often retrieve images only weakly or generate charts themselves, leaving source figures underused as evidence. We present ViDR, a multimodal deep research framework that grounds long-form reports in source figures. ViDR treats source figures as retrievable, interpretable, routable, and verifiable evidence objects, while still generating analytical charts when needed. It builds an evidence-indexed outline linking claims to textual and visual evidence, refines noisy web images into source-figure evidence atoms through context-aware filtering, outline-aware reranking, and VLM-based visual analysis, and generates each section with section-specific evidence. ViDR further validates visual references to reduce hallucinated or misplaced figures. We also introduce MMR Bench+, a benchmark for evaluating visual evidence use in deep research reports, covering source-figure retrieval, placement, interpretation, verifiability, and analytical chart generation. Experiments show that ViDR improves overall report quality, source-figure integration, and verifiability over strong commercial and open-source baselines. These results suggest that source visual evidence is important for multimodal deep research, as it strengthens evidential grounding, visual support, and report verifiability.

Vision-language models (VLMs) are trained on large-scale image-text corpora that may contain private, copyrighted, or otherwise sensitive data, motivating membership inference as a tool for training-data auditing. This is especially challenging for deployed VLMs, where auditors typically observe only generated textual responses. Existing VLM membership inference attacks either rely on probability-level signals unavailable in such settings, or use mask-based semantic prediction tasks whose effectiveness depends on object-centric visual assumptions. To address these limitations, we propose DistractMIA, an output-only black-box framework based on semantic distraction. Rather than removing visual evidence, DistractMIA preserves the original image, inserts a known semantic distractor, and measures how generated responses change. This design is motivated by the intuition that member samples remain more anchored to the original image semantics, while non-member samples are more easily redirected toward the distractor. To make this signal reliable, DistractMIA calibrates distractor configurations on a reference set and derives membership scores from repeated textual generations, capturing response stability and distractor uptake without accessing logits, probabilities, or hidden states. Experiments across multiple VLMs and benchmarks show that DistractMIA consistently outperforms both output-only and stronger-access baselines. Its performance on a medical benchmark further demonstrates applicability beyond object-centric natural images.

Although Large Multimodal Models (LMMs) have achieved strong performance on general video understanding, their susceptibility to textual prior shortcuts during causal discovery has been recognized as a critical deficit. The underlying mechanisms of this phenomenon remain incompletely understood, as existing benchmarks only measure response accuracy without revealing the sources and extent of the deficit. We introduce ProCauEval, a perturbation-based evaluation protocol that shifts from outcome assessment to mechanism diagnosis, probing causal discovery through five controlled configurations that systematically manipulate visual and textual modalities to decompose their respective contributions to model behavior and dissect the failure modes. Evaluating 17 mainstream LMMs, we find that models faithfully perceive video content yet systematically underexploit it during causal reasoning. We further observe that stronger post-training amplifies rather than mitigates textual prior reliance, and that higher baseline performance correlates with greater fragility under perturbation. To address these, we propose Anti-Distillation Policy Optimization (ADPO), a reinforcement learning framework built on negative teacher alignment, which augments GRPO by explicitly pushing the policy away from a prior-only counterfactual teacher induced by visual corruption. Specifically, ADPO maximizes the divergence between the policy distributions conditioned on the original and visually corrupted inputs, thereby forcing the model to ground its reasoning in visual evidence rather than textual shortcuts. Extensive experiments show that ADPO improves visual engagement without sacrificing fundamental comprehension, thus offering a preliminary step toward reliable causal discovery.

We introduce SeePhys Pro, a fine-grained modality transfer benchmark that studies whether models preserve the same reasoning capability when critical information is progressively transferred from text to image. Unlike standard vision-essential benchmarks that evaluate a single input form, SeePhys Pro features four semantically aligned variants for each problem with progressively increasing visual elements. Our evaluation shows that current frontier models are far from representation-invariant reasoners: performance degrades on average as information moves from language to diagrams, with visual variable grounding as the most critical bottleneck. Motivated by this inference-time fragility, we further develop large training corpora for multimodal RLVR and use blind training as a diagnostic control, finding that RL with all training images masked can still improve performance on unmasked validation sets. To analyze this effect, text-deletion, image-mask-rate, and format-saturation controls suggest that such gains can arise from residual textual and distributional cues rather than valid visual evidence. Our results highlight the need to evaluate multimodal reasoning not only by final-answer accuracy, but also by robustness under modality transfer and by diagnostics that test whether improvements rely on task-critical visual evidence.

Medical vision--language models (VLMs) are usually evaluated on intact image--question pairs, but trustworthy clinical use requires a stronger property: a model must recognise when the evidential basis for an answer has failed. We study this through silent failures under perturbed evidence, where a vision-required medical question is paired with a false premise, wording perturbation, knowledge-only rewrite, or ROI-corrupted image, yet the model returns a fluent non-refusal answer. We introduce medvigil, a 300-case evaluation suite drawn from four public medical VQA sources, supervised end to end by four board-certified radiologists: every gold answer, refusal option, candidate-answer set, paraphrase, false-premise trap, ROI box, and clinical risk tier is clinician-authored. Two attending radiologists annotate every case in parallel, a senior radiologist consolidates the released manifest, and a separate fourth radiologist independent of construction answers every probe to provide the human reference baseline. The release contains 2556 MCQ probes, 240 counterfactual triplets, physician-adjudicated risk-tier and answerability flags, ROI boxes, and a paired open-ended variant. We report seven correctness-conditioned audit metrics that summarise into the medvigil Composite Score (MCS), and audit 16 vision-capable models plus two text-only baselines. The independent radiologist scores MCS 83.3 at silent-failure rate 5.8%, leaving a 14.1-point composite headroom above the strongest audited model (Claude Opus 4.7 at 69.2). The benchmark and evaluation harness are publicly released.

Document Visual Question Answering (DocVQA) requires vision-language models to reason not only about what information in a document is relevant to a question, but also where the answer is grounded on the page. Existing DocVQA models entangle question-relevant evidence and answer localization and operate largely as black boxes, offering limited means to verify how predictions depend on visual evidence. We propose CoExVQA, a self-explainable DocVQA framework with a grounded reasoning process through a chain-of-explanation design. CoExVQA first identifies question-relevant evidence, then explicitly localizes the answer region, and finally decodes the answer exclusively from the grounded region. Prediction via CoExVQA's chain-of-explanation enables direct inspection and verification of the reasoning process across modalities. Empirical results show that restricting decoding to grounded evidence achieves SotA explainable DocVQA performance on PFL-DocVQA, improving ANLS by 12% over the current explainable baselines while providing transparent and verifiable predictions.

Although recent LMMs have become much stronger at visual perception, they remain unreliable on problems that require multi-step reasoning over visual evidence. In this paper, we present UnAC (Understanding, Abstracting, and Checking), a multimodal prompting method that strengthens reasoning for complex multimodal tasks in LMMs (e.g., GPT-4o, Gemini 1.5, and GPT-4V). To improve image understanding and capture fine details, we propose an adaptive visual prompting strategy that enables LMMs to focus on salient regions. We further design an image-abstraction prompt to effectively extract key information from images. In addition, we introduce a gradual self-checking scheme that improves reasoning by verifying each decomposed subquestion and its answer. Extensive experiments on three public benchmarks-MathVista, MM-Vet, and MMMU.

Whole-slide images (WSIs) present a fundamental challenge for computational pathology due to their extreme resolution, multi-scale heterogeneity, and the requirement for clinically reliable interpretation. Although recent pathology foundation models have enabled fluent report generation, they often lack clinical grounding, failing to accurately represent key diagnostic concepts and relationships observed by pathologists. This limitation arises from the difficulty of integrating heterogeneous visual evidence spanning fine-grained cellular patterns, slide-level tissue architecture, and high-level diagnostic concepts, while maintaining interpretability and clinical coherence. Here we present SCOUT: Semantic Context-aware mOdality fUsion Transformer, a context-aware concept-grounded multimodal framework for pathology report generation that enables progressive conditioning of image representations by global slide information and explicit diagnostic concepts. The method integrates local histological patterns, whole-slide context, and expert-curated semantic descriptors within a unified learning paradigm, allowing visual features to be dynamically refined throughout the encoding process. By combining depth-aware contextual modulation with adaptive multimodal fusion during text generation, the framework produces clinically coherent reports while preserving complementarity across representational scales. Using CONCH1.5 features, we evaluate SCOUT against WSI-Caption, HistGen, and BiGen on TCGA-BRCA, MICCAI REG, and HistAI. SCOUT achieves the best BLEU-1 to BLEU-4 and METEOR scores on all datasets, plus the best ROUGE-L on TCGA-BRCA and MICCAI REG. On TCGA-BRCA, it reaches 0.436/0.303/0.202/0.156 BLEU-1/2/3/4 and 0.204 METEOR; on REG 2025, it achieves 0.865/0.834/0.805/0.780 and 0.568. These results support progressive contextual conditioning for grounded pathology report generation.

Multimodal large language models (MLLMs) achieve ever-stronger performance on visual-language tasks. Even as traditional visual question answering (VQA) benchmarks approach saturation, reliable deployment requires satisfying low error tolerances in real-world, out-of-distribution (OOD) scenarios. Precisely, selective prediction aims to improve coverage, i.e. the share of inputs the system answers, while adhering to a user-defined risk level. This is typically achieved by assigning a confidence score to each answer and abstaining on those that fall below a certain threshold. Existing selective prediction methods estimate implicit confidence scores, relying on model internal signals like logits or hidden representations, which are not available for frontier closed-sourced models. To enable reliable generalization in VQA, we require reasoner models to produce localized visual evidence while answering, and design a selector that explicitly learns to estimate the quality of the localization provided by the reasoner using only model inputs and outputs. We show that SIEVES (Selective Prediction through Visual Evidence Scoring) improves coverage by up to three times on challenging OOD benchmarks (V* Bench, HR-Bench-8k, MME-RealWorld-Lite, VizWiz, and AdVQA), compared to non-grounding baselines. Beyond better generalization to OOD tasks, the design of the SIEVES selector enables transfer to proprietary reasoners without access to their weights or logits, such as o3 and Gemini-3-Pro, providing coverage boosts beyond those attributable to accuracy alone. We highlight that SIEVES generalizes across all tested OOD benchmarks and reasoner models (Pixel-Reasoner, o3, and Gemini-3-Pro), without benchmark- or reasoner-specific training or adaptation. Code is publicly available at https://github.com/hector-gr/SIEVES .

Vision-language models (VLMs) are increasingly deployed as evaluators in tasks requiring nuanced image understanding, yet their reliability in scoring alignment between images and text descriptions remains underexplored. We investigate whether small, open-weight VLMs exhibit \emph{sycophantic} behavior when evaluating image-text alignment: assigning high scores without grounding their judgments in visual evidence. To quantify this phenomenon, we introduce the \emph{Bluffing Coefficient} (\bc), a metric that measures the mismatch between a model's score and its evidence recall. We evaluate six open-weight VLMs ranging from 450M to 8B parameters on a benchmark of 173,810 AI-generated character portraits paired with detailed textual descriptions. Our analysis reveals a significant inverse correlation between model size and sycophancy rate ($r = -0.96$, $p = 0.002$), with smaller models exhibiting substantially higher rates of unjustified high scores. The smallest model tested (LFM2-VL, 450M) produced sycophantic evaluations in 22.3% of cases, compared to 6.0% for the largest (LLaVA-1.6, 7B). These findings have direct implications for the deployment of small, open-weight VLMs as automated evaluators within attribute-rich, synthetic image evaluation tasks, where the gap between assigned scores and cited visual evidence is both measurable and consequential.

Frontier image generation has moved from artistic synthesis toward synthetic visual evidence. Systems such as GPT Image 2, Nano Banana Pro, Nano Banana 2, Nano Banana 2 Lite, Grok Imagine Image Quality, Qwen Image 2.0 Pro, and Seedream 5.0 Lite combine photorealistic rendering, readable typography, reference consistency, editing control, and in several cases reasoning or search-grounded image construction. These capabilities create large benefits for design, education, accessibility, and communication, yet they also weaken one of society's most common trust shortcuts: the belief that a plausible picture is a reliable record. This paper provides a source-grounded technical and policy analysis of synthetic visual risk. We first summarize the public capabilities of recent image models, then analyze public incidents involving fake crisis images, celebrity and public-figure imagery, medical scans, forged-looking documents, synthetic screenshots, phishing assets, and market-moving rumors. We introduce a capability-weighted risk framework that links model affordances to real-world harm in finance, medicine, news, law, emergency response, identity verification, and civic discourse. Our findings show that risk is driven less by photorealism alone than by the convergence of realism, legible text, identity persistence, fast iteration, and distribution context. We argue for layered control: model-side restrictions, cryptographic provenance, visible labeling, platform friction, sector-grade verification, and incident response. The paper closes with practical recommendations for model providers, platforms, newsrooms, financial institutions, healthcare systems, legal organizations, regulators, and ordinary users.

Proactive watermarking offers a promising approach for deepfake tamper detection and localization in short-form videos. However, existing methods often decouple audio and visual evidence and assume that watermark signals remain reliable under real-world degradations, making tamper localization vulnerable to multimodal misalignment and compression distortions. Moreover, existing semi-fragile visual watermarking methods often degrade significantly under codec compression because their embedding bands overlap with compression-sensitive frequency regions. To address these limitations, we propose Layered Audio-Visual Anti-tampering Watermarking (LAVA), a calibration-aware audio-visual watermark fusion framework for deepfake tamper detection and localization. LAVA leverages cross-modal watermark fusion and calibration-aware alignment to preserve consistent and reliable tamper evidence under compression and audio-visual asynchrony, enabling robust tamper localization. Extensive experiments demonstrate that LAVA achieves near-perfect detection performance (AP = 0.999), remains robust to compression and multimodal misalignment, and significantly improves tamper localization reliability over existing audio-visual fusion baselines.

Multi-modal retrieval-augmented generation (MRAG) systems retrieve visual evidence from large image corpora to ground the responses of large multi-modal models, yet the retrieved images frequently contain human faces whose identities constitute sensitive personal information. Existing anonymization techniques that destroy the non-identity visual cues that downstream reasoning depends on or fail to provide principled privacy guarantees. We propose Identity-Decoupled MRAG, a framework that interposes a generative anonymization module between retrieval and generation. Our approach consists of three components: (i)a disentangled variational encoder that factorizes each face into an identity code and a spatially-structured attribute code, regularized by a mutual-information penalty and a gradient-based independence term; (ii)a manifold-aware rejection sampler that replaces the identity code with a synthetic one guaranteed to be both distinct from the original and realistic; and (iii)a conditional latent diffusion generator that synthesizes the anonymized face from the replacement identity and the preserved attributes, distilled into a latent consistency model for low-latency deployment. Privacy is enforced through a multi-oracle ensemble of face recognition models with a hinge-based loss that halts optimization once identity similarity drops below the impostor-regime threshold.

Purpose: Accurate assessment of the Critical View of Safety (CVS) during laparoscopic cholecystectomy is essential to prevent bile duct injury, a complication associated with significant morbidity and mortality. While large vision-language models (LVLMs) offer flexible reasoning, their predictions remain difficult to audit and unreliable on safety-critical surgical tasks. Methods: We introduce Sum-of-Checks, a framework that decomposes each CVS criterion into expert-defined reasoning checks reflecting clinically relevant visual evidence. Given a laparoscopic frame, an LVLM evaluates each check, producing a binary judgment and justification. Criterion-level scores are computed via fixed, weighted aggregation of check outcomes. We evaluate on the Endoscapes2023 benchmark using three frontier LVLMs, comparing against direct prompting, chain-of-thought, and sub-question decomposition, each with and without few-shot examples. Results: Sum-of-Checks improves average frame-level mean average precision by 12--14% relative to the best baseline across all three models and criteria. Analysis of individual checks reveals that LVLMs are reliable on observational checks (e.g., visibility, tool obstruction) but show substantial variability on decision-critical anatomical evidence. Conclusion: Structuring surgical reasoning into expert-aligned verification checks improves both accuracy and transparency of LVLM-based CVS assessment, demonstrating that explicitly separating evidence elicitation from decision-making is critical for reliable and auditable surgical AI systems. Code is available at https://github.com/BrachioLab/SumOfChecks.

The advancement of Large Vision-Language Models (LVLMs) requires precise local region-based reasoning that faithfully grounds the model's logic in actual visual evidence. However, existing datasets face limitations in scalability due to extensive manual annotation and lack of explicit alignment between multi-step reasoning and corresponding image regions, which constrains the evaluation of model trustworthiness. To address these challenges, we propose the Visual Grounding Chain-of-Thought (VG-CoT) dataset, which explicitly links each reasoning step to real visual evidence within the image through a fully automated three-stage pipeline. The pipeline first extracts object- and text-level visual evidence using state-of-the-art detection and OCR models, then generates step-by-step grounded reasoning with GPT-4o, and finally refines the grounding through a rationale-driven open-set detection process. In addition, we introduce a new benchmark that comprehensively evaluates LVLMs reasoning across three complementary dimensions: Rationale Quality, Answer Accuracy, and Reasoning-Answer Alignment. Experiments with representative LVLMs, including LLaVA-1.5 and Qwen2-VL, demonstrate consistent improvements on most evaluation metrics, confirming that VG-CoT effectively enhances trustworthy, evidence-based reasoning while maintaining scalable and cost-efficient dataset construction. The dataset and code will be released publicly upon acceptance to facilitate further research.

Vision-Language Models (VLMs) achieve strong cross-modal performance, yet recent evidence suggests they over-rely on textual descriptions while under-utilizing visual evidence -- a phenomenon termed ``text shortcut learning.'' We propose an adversarial evaluation framework that quantifies this cross-modal dependency by measuring accuracy degradation (Drop) when semantically conflicting text is paired with unchanged images. Four adversarial strategies -- shape_swap, color_swap, position_swap, and random_text -- are applied to a controlled geometric-shapes dataset ($n{=}1{,}000$). We compare three configurations: Baseline CLIP (ViT-B/32), LoRA fine-tuning, and LoRA Optimized (integrating Hard Negative Mining, Label Smoothing, layer-wise learning rates, Cosine Restarts, curriculum learning, and data augmentation). The optimized model reduces average Drop from 27.5% to 9.8% (64.4% relative improvement, $p{<}0.001$) while maintaining 97% normal accuracy. Attention visualization and embedding-space analysis confirm that the optimized model attends more to visual features and achieves tighter cross-modal alignment.

Object level hallucination remains a central reliability challenge for vision language models (VLMs), particularly in binary object existence verification. Existing benchmarks emphasize aggregate accuracy but rarely disentangle whether errors stem from perceptual limitations or from the influence of contextual textual priors, leaving underlying failure mechanisms ambiguous. We introduce DO-Bench, a controlled diagnostic benchmark that isolates these sources through structured multimodal interventions. Rather than evaluating models in unconstrained settings, DO-Bench probes two complementary dimensions: the Prior Override dimension progressively strengthens contextual textual priors while holding visual evidence constant to assess resistance to prior pressure, and the Perception-Limited dimension incrementally enhances visual evidence from full-scene context to localized object crops to measure perceptual grounding strength. This paired design enables attribution of errors to prior suppression, perceptual insufficiency, or their interaction. We further define two diagnostic metrics, PriorRobust and PerceptionAbility, to quantify these behaviors consistently. Evaluations across diverse open- and closed-source VLMs reveal systematic differences in prior sensitivity and perceptual reliability, demonstrating that object hallucination reflects heterogeneous, mechanism dependent failure patterns beyond aggregate accuracy.

We present an amortized framework for real-time visual attribution streaming in multimodal thinking models. When these models generate code from a screenshot or solve math problems from images, their long reasoning traces should be grounded in visual evidence. However, verifying this reliance is challenging: faithful causal methods require costly repeated backward passes or perturbations, while raw attention maps offer instant access, they lack causal validity. To resolve this, we introduce an amortized approach that learns to estimate the causal effects of semantic regions directly from the rich signals encoded in attention features. Across five diverse benchmarks and four thinking models, our approach achieves faithfulness comparable to exhaustive causal methods while enabling visual attribution streaming, where users observe grounding evidence as the model reasons, not after. Our results demonstrate that real-time, faithful attribution in multimodal thinking models is achievable through lightweight learning, not brute-force computation.

Recent advances in vision language models (VLMs) offer reasoning capabilities, yet how these unfold and integrate visual and textual information remains unclear. We analyze reasoning dynamics in 18 VLMs covering instruction-tuned and reasoning-trained models from two different model families. We track confidence over Chain-of-Thought (CoT), measure the corrective effect of reasoning, and evaluate the contribution of intermediate reasoning steps. We find that models are prone to answer inertia, in which early commitments to a prediction are reinforced, rather than revised during reasoning steps. While reasoning-trained models show stronger corrective behavior, their gains depend on modality conditions, from text-dominant to vision-only settings. Using controlled interventions with misleading textual cues, we show that models are consistently influenced by these cues even when visual evidence is sufficient, and assess whether this influence is recoverable from CoT. Although this influence can appear in the CoT, its detectability varies across models and depends on what is being monitored. Reasoning-trained models are more likely to explicitly refer to the cues, but their longer and fluent CoTs can still appear visually grounded while actually following textual cues, obscuring modality reliance. In contrast, instruction-tuned models refer to the cues less explicitly, but their shorter traces reveal inconsistencies with the visual input. Taken together, these findings indicate that CoT provides only a partial view of how different modalities drive VLM decisions, with important implications for the transparency and safety of multimodal systems.

Video-Language Models (VidLMs) achieve strong benchmark scores, yet these scores often hide whether models use the video at all. We show that VidLM failures follow two pathways: some visual signals are never reliably encoded, while others are encoded but overridden by model priors. We introduce REVEAL, a diagnostic stress-test benchmark for quantifying when and why VidLMs under-use visual evidence. REVEAL contains five controlled probes: camera-motion sensitivity, cross-frame integration, video sycophancy, language-only shortcuts, and temporal expectation bias. Together, they test whether models encode basic video signals, combine evidence across frames, and preserve visual evidence against user assertions, language cues, and learned event expectations. Across 12 VidLMs we find systematic failures along both pathways, with most models falling below chance on the binary and six-way probes that humans solve at 78--100% accuracy. Under assertive prompts, a model's output distribution becomes nearly invariant to whether it is shown a real video or random noise, making visual evidence effectively causally inert. We further carry out mechanistic probes to identify where these failures arise in the model pipeline and why visual evidence is lost. REVEAL provides a scalable, human-verified framework for moving beyond aggregate scores toward structured, reproducible evaluation of multimodal reliability.

Melanoma is a highly aggressive skin cancer, making early and accurate diagnosis critical. While deep learning excels in skin lesion classification, standard ``black-box" models struggle to explain diagnostic uncertainty, limiting clinical trust. This work introduces a hybrid framework combining a class-aware adversarial Variational Autoencoder and an XGBoost classifier, transcending simple binary classification by leveraging a generative latent space for interpretable decision support. Guided by adversarial training, the model learns the visual characteristics of skin lesions and projects them into a continuous latent space, ensuring that similar images are grouped closely together. Trained on this latent space, the XGBoost classifier achieves a robust AUC of 0.868, competing closely with state-of-the-art models. For borderline cases, the framework enables clinicians to leverage the latent topology through Content-Based Image Retrieval. This provides a dual benefit: it allows the clinician to visually compare an ambiguous lesion against biopsy-confirmed precedents and acts as an early warning sign since a borderline classification can indicate that a lesion shares features of both nevi and melanomas, potentially requiring close monitoring. Our approach translates algorithmic hesitation into transparent, evidence-based visual support, bridging the gap between predictive performance and clinical trust.

Innovations in digital intelligence are transforming robotic surgery with more informed decision-making. Real-time awareness of surgical instrument presence and actions (e.g., cutting tissue) is essential for such systems. Yet, despite decades of research, most machine learning models for this task are trained on small datasets and still struggle to generalize. Recently, vision-Language Models (VLMs) have brought transformative advances in reasoning across visual and textual modalities. Their unprecedented generalization capabilities suggest great potential for advancing intelligent robotic surgery. However, surgical VLMs remain under-explored, and existing models show limited performance, highlighting the need for benchmark studies to assess their capabilities and limitations and to inform future development. To this end, we benchmark the zero-shot performance of several advanced VLMs on two public robotic-assisted laparoscopic datasets for instrument and action classification. Beyond standard evaluation, we integrate explainable AI to visualize VLM attention and uncover causal explanations behind their predictions. This provides a previously underexplored perspective in this field for evaluating the reliability of model predictions. We also propose several explainability analysis-based metrics to complement standard evaluations. Our analysis reveals that surgical VLMs, despite domain-specific training, often rely on weak contextual cues rather than clinically relevant visual evidence, highlighting the need for stronger visual and reasoning supervision in surgical applications.

External text can override conflicting image evidence in multimodal large language models, a failure we call multimodal contextual sycophancy. We introduce a 998-case diagnostic that independently varies visual evidence, commonsense priors, and external text, and probe when this failure arises by moving the information boundary around a context-blind visual witness. On abnormal images paired with Gemini-generated false text, GPT-5.1 scores 7.9% under joint conditioning, 49.7% when the context-blind witness report is scored directly, 63.7% under a matched two-call witness-arbiter pipeline that exposes the witness to the text, and 84.2% under System-2 Visual Arbitration (S2VA), which withholds the text from the witness. Across six models, S2VA improves over the direct witness report by 19.7 to 44.1 points, with all paired 95% confidence intervals excluding zero. The best information boundary is not uniform: textual context scaffolds some models, and a GPT-4o-regenerated subset changes the relative ordering of joint conditioning, Witness-Only, and S2VA. Contextual sycophancy is therefore sensitive to when text is introduced, as well as to the model and context source.

Latent visual reasoning aims to perform multimodal reasoning through hidden-state computation rather than explicit textual chains of thought. However, visual information being present in a latent state does not imply that the model actually relies on that state when producing its answer, especially when alternative image-conditioned paths remain available. We introduce Causal Visual Recurrent Reasoning (CVRR), which preserves pretrained visual competence while making recurrent computation the required image-conditioned path to prediction. CVRR initializes recurrence from the question hidden state after the pretrained vision-language model has incorporated the image, then repeatedly updates this state while re-reading the same fixed visual evidence. Before decoding, visual states and the original multimodal KV cache are removed so that only the final recurrent state carries image-conditioned information to the answer. Across the $V^*$, MMVP, BLINK, and MME-RealWorld-Lite benchmarks, CVRR retains strong performance under this strict interface, while compatible latent reasoners fail to recover comparable visual competence even when retrained under the same constraint. Causal interventions further show that predictions remain sensitive to recurrent content when the question is held fixed, and that persistent visual evidence causally revises the recurrent trajectory. These results distinguish latent informativeness from latent computation that is actually used for prediction.